05 May

Graybo’s birth story

Graybo has six and a quarter years’ experience of being a dad. He is still learning

It’s strange, but after six-and-a-quarter years, most of what happened is still fresh in my mind…

Having almost got to due date with nothing happening, we decided to push matters along a bit and do something proactive to get things going. H (my wife) had been uncomfortable for a while – the bump was huge and was happily turning her over in bed without her say-so. Consequently, she was lacking sleep. She’d also had a few “funny turns” during pregnancy (as well as issues related to underlying health conditions) and we were already regular visitors to the maternity unit, both at the hospital where our baby was to be born and at the nearby cottage hospital.

So, to try and push things along, we did some of the things that the books don’t tell you. We went for a walk over fields, stiles and streams and followed that with a spicy curry. (We did something else too, but I’ll spare you the details).

By bedtime, things were starting to move and H’s waters broke. The contractions had started, which H found pretty uncomfortable. We phoned the maternity unit and, as it was pretty late in the evening, they suggested we went to them as the community midwife wouldn’t be able to get to us until morning. Plus, as H was considered a “mature mother”, they felt that a hospital birth would be preferred to home birth (and, before people argue about that, we agreed – sometimes, being in hospital provides comfort and assurance).

So we gathered the kit together (two bags – one for H, one for baby – all ready prepared) and got in the car. I think we were pretty tense. Being a Sunday night and approaching midnight, there was no traffic. I drove with some haste (we are 15 miles – more than half an hour – from the hospital, all on country roads and narrow lanes) and, for the first and only time in my life, jumped a red light.

As it turned out, the midwife team were pretty relaxed. Things had started but not much was going to happen imminently. However, H was finding the contractions pretty painful, so they suggested she stayed with them whilst I went back home for some sleep. As the midwife put it: “you’ll need your sleep, tomorrow is going to be pretty hectic”.

H was given some pethidine. We knew about this stuff from the ante-natal classes that the midwife team ran (and which were excellent) and knew what the risks and benefits were. So, with that, I drove back home (stopping for the red light), got back into bed and had a restless night trying to sleep with a cat on my head. (We normally shut the cats in the kitchen overnight, but that night I left the door open. Cats *know* (as any cat owner will tell you), so one sat behind my knees and the other, literally, on my head. I didn’t get much sleep).

At 5.30am, the phone rang. It was the midwife. “Hello, graybo. You’d better come in. H is back downstairs with us”. (The wards were upstairs, the birthing suite downstairs). So, I quickly dressed, fed the cats and drove the 30 minutes back to the hospital.

When I got there, after loading £200 in pound coins into the parking meter, I went straight to the birthing suite. H told me what had happened in the night. She hadn’t been able to sleep (the contractions kept her awake) and the nurses were of the opinion that she wasn’t coping well with pain or anxiety, so she’d been sitting in bed, chatting with the ward sister who was about to go off duty – sometimes company and chat are as effective as pills and rest. Just as the sister got up to leave, H threw up all over her – which was just about the only effect that the pethidine had on her (it’s a common side effect). The sister was very kind, under the circumstances, but H was mortified.

At the time I arrived, the midwife team were changing shifts. As no births were imminent, the current team were going home and the new team were coming on duty. H was rather keen on the midwife who had been with her, so she was sorry to see her go, but she made a point of coming and saying goodbye to us before she left. The new midwife promised us that she’d now stay until the baby arrived.

That turned out to be rather a long time.

One of things I spotted in the hospital was that the midwives sort the dads into three groups – those that are likely to be a liability (and friend’s partner passed out and had to be resuscitated when their baby was born), those who are good for hand-holding and those who can be asked to do something useful and will be trusted to get on with it. I’m not sure what the criteria are (attendance at ante-natal classes is probably a factor), but they put me in the last category. I was in charge of dials, monitors, sensors and general paraphernalia, which gave me a great sense of self-importance and allows me to take all the credit for standing there for 12 hours doing that, whilst H laid back in regal comfort on the bed. (Obviously, sitting in that position with her feet in stirrups was perfectly comfortable).

The labour was very long – in total, 17 hours from the time we arrived at the hospital to the time baby emerged. It was not all comfortable, in spite of epidural and “gas and air”. There was also periods when nothing happened (when H was too exhausted to push), when the midwife and I could leave H in the care of the junior nurse and grab a quick sandwich and fresh air.

H’s parents arrived around lunch time. I’d left a quick message to let them know that things were kicking off, and we had told them that the hospital had a strict mother+1 policy (the birthing suite was small – where would everyone go if a party descended?), but still they turned up. H’s mother was most put out that she couldn’t be in the room, and I ended up persuading them to go home, as the staff were getting a bit frustrated by bodies cluttering the place (although they would never let that show). It seems a little harsh, in retrospect, but actually I can totally understand it from the midwife’s point of view.

At one point , I stepped out for five minutes fresh air whilst H took a nap. My phone rang. A customer. Before I could say anything, he launched into a long ramble about some problem he had, whilst I kept saying “er” “um” “excuse me” in order to get him to stop. Eventually he paused for breath, so I said “can’t help you, I’m outside the maternity unit where my first child is being born right now. Bye!” Some people.

It was becoming clear that baby was not enthusiastic to leave his warm and comfy abode. The pushing had exhausted H and the midwife was pretty frazzled too (though exuding utter calm). Then things speeded up. The midwife was becoming concerned that both mother and baby were getting distressed. In addition, the umbilical cord was wrapped around baby’s head. On top of that, the baby was just huge. So she called a time out (as much as you can in these situations) and told us that she recommended an episiotomy, but that the decision was ours. Thankfully, the ante-natal classes had prepared us for this. The midwife clearly explained *why* she was recommending it and we told her (well, mostly I told her – H was just exhausted) that we understood the implications of the decision but she should go ahead.

So she carried out the episiotomy, loosened the cord and got H onto major pushing, with every ounce she could muster. It was always “one more push, please”. It was clear that baby needed to get out and soon.

This bit all became rather a blur. I know it was actually more than an hour long, but it seemed to happen quite quickly for me. Eventually, head emerged. Shoulders were a problem, and then hips and then “one more push, please” (for the umpteenth time) and baby literally flew out. The midwife caught him with a style that Jonny Wilkinson would have been proud of. Blood and goo literally flooded across the floor. And the midwife rushed out the door, carrying baby and yelling “THEATRE!! NOW!!!” at the top of her voice.

Cripes, I’m welling up just typing this.

We had no idea what was happening. The midwife had been alone with us at this point (three other births were going on in the unit at the same time, so midwives were working alone with a nurse moving between rooms to check and help), so once she ran out, we had no idea what was happening. H was utterly exhausted, gasping for breath and in some pain. I was bewildered. And then we realised that we were alone, baby was gone and so was midwife. What the hell was happening?

I think this period maybe lasted 20 seconds. Hardly any time at all. But it felt like an eternity and it was suddenly very quiet.

But then the nurse ran into the room, held the door open and said “Listen! Hear that?” – we could hear a baby screaming for all it was worth. “That’s your baby. He’s fine, he’s going to be ok.” Then she had to run and we were left alone again.

No more than a minute later, the midwife came back. She was clearly exhausted, covered in goo, but smiling. “Your baby wasn’t breathing, so we took him straight to theatre and got him onto a ventilator. He’s ok now, he’s the right colour and he’s breathing. You were lucky that you are in the room next to theatre and nobody else was in there.”

“Oh, and congratulations. You have a baby boy.”

I’m just about to leave my desk to walk to school to pick him up. We have a parent-teacher consultation this afternoon – he’s doing well at school, sitting at the top table with the brightest girls (the only boy at that table). He’s the tallest child in his class (he was 9lb 8oz – 4.31kg – at birth and is expected to grow to 6ft 6in – 2 metres). He wants to be trilingual (English, French and Dutch). He loves the countryside. He loves calamari. And, one day, perhaps, he’ll go through the same experience with his own first child.

03 May

Helen’s birth story

Helen is a former client of Double Helping Doulas, and kindly agreed to share her story.

About a week before my due date (10th October) I’d had ‘the show’ and
experienced some Braxton Hicks contractions. I woke on the morning of the 10th noticing my maternity pad was wet but no gushing waters. I went to the hospital to get checked out and was told it could be the hind waters had gone, but only in a trickle. They sent me home to give me 24 hours to see if my waters would break fully on their own.

By the next morning I had two soaked maternity pads but still no full breakage of my waters. So I returned to the hospital and was booked in to the delivery suite.

They advised me that, due to the risk of infection to the baby, the next step would be to break my waters for me. Although I had hoped for a natural birth and knew initial intervention may well lead to more, the risk to my unborn baby was not worth taking. They broke my waters at midday and sent me to walk around for an hour. Very soon the contractions came on thick and fast but there was also some meconium in the waters, so I was then strapped to a monitor to keep an eye on baby’s heartbeat.

I used my TENS machine for the first few hours and then went on to gas and air. About 5 hours later I was examined and told I was 5cm and my cervix was paper-thin and soft which was very good progress. Although I was mainly focusing on coping with the contractions, I did start wondering if our baby would be born that evening. My husband and I also felt pleased things were now progressing naturally.

At 9pm I was examined again and was dealing with intense contractions
and barely aware of my surroundings, but I clearly heard the midwife
say, “Unfortunately, you’re still at 5cm.” I could tell by her face this wasn’t good and my stomach sank. She checked the position of the baby’s head and although it was facing the right way, the midwife could feel the anterior fontanelle (soft-spot), which meant baby was chin-up, and not chin tucked in. So baby was in an awkward position and was slowing progress.

The midwife was great and went through all our options with us. She said it was going to be quite a while longer now and although I had noted in my birth-plan I would prefer no intervention and drugs, perhaps I should consider it now as I’d probably need syntocinon to continue dilating. I was absolutely shattered and if I’d only had a couple of hours left I think I’d have got through. But I was in for the long haul now and decided to have an epidural. The midwife said I’d done really well so far on just TENS and gas and air, and not to feel bad. Births rarely always go to plan! She went off to get the anaesthetist while my husband continued helping me through the contractions.

It wasn’t long before the midwife returned with the anaesthetist but I don’t remember much other that being sat on the side of the bed and leaning with my arms around my husband’s neck. He said afterwards that had been one of the hardest moments for him, reading all the potential dangers of an epidural and having to sign the consent form on my behalf because I wasn’t in a fit state to sign it myself. The midwife said, “In a few minutes you’ll feel like a new woman!” She was right; the pain eased and I could start to think clearly again. It took another 9-10 hours for me to become fully dilated and for the midwife to say I was ready to start pushing.

About 8am I was put on my side and was told when I had a contraction as the epidural meant I couldn’t feel it. We had a student midwife in with us and she was helping hold my leg while my husband held the other leg and watched the graph for the contractions, to tell me when to push. After some time pushing, the student midwife suddenly fainted and fell over knocking her head on the side cupboard! The midwife came running over to hold my leg again, whilst saying over her shoulder, “Are you ok?” to the student who was coming round rubbing her head. I was also trying to ask her if she was ok but was told to concentrate on pushing. The student went off to sit down, apologising all the way, and we said not to worry about it whilst also trying to deliver our baby!

But the pushing wasn’t working so a doctor was brought in to examine me further and she said, “I hear you’ve been very good so I will give you some help now.” She went to prepare and they took the end off the bed and put my legs in stirrups. What followed were two failed attempts at the ventouse, then an episiotomy and forceps to finally bring our beautiful baby girl in to the world.

At 11:43am on 12th October she was delivered and put on to my tummy. I felt relieved the 24-hour labour was over and completely overjoyed at holding my gorgeous little bundle.

The pediatrician in the room then took her and she scored 9 out of 10 on her Apgar tests so she was fine after the epic labour. My husband was also able to cut the cord while I was given an injection to help the third stage along. I was given my daughter again all wrapped in a blanket and was enjoying cuddles when the doctor said, “This placenta is not coming out.” I had a retained placenta; I couldn’t believe it and started to feel really upset. I was tired and felt we’d already been through enough and this was the last thing I expected. So I was rushed off to theatre while my husband was left in the delivery room holding our baby girl. It was an extremely anxious time for him holding our baby and not knowing what was happening to me. I was given a spinal block and then pretty
much passed out while the doctor removed the placenta and sewed me back up.

I was taken to recovery ward where my husband met me with our baby. He’d dressed her in a white hat and sleepsuit, and she was tucked in under a blanket in the little hospital cot. The nurse put her next to me in my bed and tucked some pillows around us. I had tubes coming out of my hands but that didn’t matter as I held my baby again. My husband was pleased it was all over and that I was going
to be ok. It had been quite an ordeal and a bit traumatic at times, and we both had a few tears as we finally realised what we’d been through. But the main thing was I was ok and our daughter was here safe and sound. Ultimately, that’s all that really matters.

01 May

Karen’s birth story

Pete is Karen’s partner of innumerable years. They live in sin.

I was woken at about 5am on a Friday morning. Karen was delicately whispering in my ear “Pete. Pete. Pete.” I grunted to acknowledge that I was listening. “My waters have just broken.”

I didn’t know what to make of this. I generally don’t know what to make of things when woken at 5am. Especially not back then. In fact, I think that might have only been the second time in my life that I had been woken at 5am (the first such incident being a fire alarm in a hotel in Swindon). Of course, since that day, I have become somewhat more accustomed to being woken at that merciless hour, or other comparably merciless ones.

Big deal, or not a big deal? I couldn’t decide. So we phoned the maternity unit at Heatherwood and asked them what they thought. Their consensus: no rush, come in in a few hours and we’ll see what gives. We went back to bed for a while, then had breakfast. All very leisurely. Nothing that we hadn’t anticipated.

In the hospital, we were quite surprised by the enthusiasm of the midwifes. I suppose we had been expecting weary, jaded, another-baby-whoop-de-doo sourpusses, but ended up finding ourselves surrounded by a small group who seemed even more excited than us! If there had been something remarkable about our case, then I could have understood that, but as far as I could see: so far, so textbook. It’s not a complaint, not in the slightest.

So they sent us back home for a little while. We didn’t know how long we’d be waiting, and I work fairly close to home, so I went into the office.

At about 1pm I got the phone call. A succinct “come home now.” Message received and understood. When I arrived back at the house, I found Karen and a friend (conveniently visiting for lunch that day) calmly drinking tea. Contractions were timed at 5 minutes apart, and though somewhat incapacitating for Karen, they didn’t seem to be killing her. My head briefly filled with the thought “well, fuck me, this is easy!” before I berated myself for being such a dumb, naive, optimistic idiot.

We phoned the hospital and they invited us in straight away. No rush, mind. No rush at all.

We were in the hospital at about 2:30pm. We established HQ and put on a CD. Over the first couple of hours the pain starts to increase, so we start applying countermeasures. We start with the TENS machine which is a real hit, and it gives me a great sense of purpose to be in control of the dials, setting the intensity according to what I perceived to be working for her. She also had some Entonox, which seemed effective, but after about half an hour was leaving her feeling dizzy and spaced-out, so she adjusted by taking smaller gulps until she found her equilibrium.

After that first couple of hours, we cautiously requested an examination. We were worried that she’d be barely dilated, but the midwife told us that it was 7cm. Fantastic, we thought, we’re almost done already! Half an hour later (now at 5pm, for those of you who have lost track) things started to kick into gear. Time for the final showdown. Game on. Or, in birthing parlance, “fetch a midwife, Pete.”

After about another half hour, I could see the top of the baby’s head with each push, but progress was very slow. With each contraction Karen was getting more and more tired, and I could sense that she was starting to despair. She wanted to get the job finished, but lacked the energy to do so. I knew that we couldn’t leave the baby in there and try again tomorrow, so I would have to do something drastic to focus her, Eye Of The Tiger style. So I leaned in and bit off her ear. She didn’t notice. She hasn’t noticed to this day. Strange, that.

Somehow, after about 45 minutes of this stalemate, we found hidden reserves and a little baby slipped out. And then it wasn’t a birthing story any more. More of a “watch Pete cry like a girl” story.