
Saturday morning began the way mornings generally begin in my house, with Lucie crawling into bed with me and asking to nurse. While she was nursing, I had a sort of crampy feeling, but it didn't prevent me from dozing back to sleep while she nursed. I awoke to these cramps once or twice, and it occurred to me that this could be very early labor, but shortly after getting out of bed, it became clear that it wasn't going to go anywhere.
The crampy feeling never entirely left me, but I didn't pay much attention to it, either. In a moment of absolute insanity, I suggested that we should run (read: drive an hour each way) to IKEA (on the last Saturday before most colleges in the area began classes) to make a couple returns and to look at dressers (we recently moved Lucie's out of her room and into ours to use for the baby's stuff, and we needed somewhere to put her clothes). In a moment of weakness, Joel agreed to the plan, and we headed out with the kids.
The day was relatively uneventful, really. The crampy feeling stayed, and I told Joel that I suspected that I was either (a) trying to get something going, labor-wise or (b) getting a UTI or something. Occasionally I noticed a contraction, but it was never enough to even warrant looking at a clock.
I realized I was in labor some time between 9:30 and 11:30 Saturday night, when I laid down on my couch and happened to glance at the clock for three consecutive contractions and realized they were five minutes apart, which led me to actually time them for a little while. After I laid there for an hour or so, I went to the bathroom and had a good bit of mucus/blood (the first I'd had). So at midnight I called to give Stacia, my midwife, a "heads-up," and told her I planned to go to bed for a little while from there, and that I would call her if-and-when things picked up. We got off the phone and I was about to go to bed when I thought, "No, I should get a few things ready first." So Joel and I started sort of bustling around--I unloaded/re-loaded the dishwasher while he
inflated the pool, et cetera. He kept saying, "Okay, let's get to bed," and I'd come up with one more thing we needed to get organized first. So finally, at about 1:00 or 1:30, he said, "Okay, seriously, we *need* to go to bed." And I was like, "Um, Joel? I don't think we're
going to bed." The look on his face was priceless.
My labor was strong, but really very manageable. In a total afterthought, I had noticed my mom had bought an exercise ball recently, and asked if I could borrow it. (I wasn't into the birth ball during Sam's or Lucie's labor, but figured, what the hell?). I ended up spending almost my entire labor sitting on that ball, with my headphones/iPod on, bouncing and swaying to some good music. At 2:45, I finally decided to call Stacia. When I was having a contraction, things felt super-intense, like I should call her, but I was still totally conversational (me!) between contractions, and that made me sort of leery of calling too early. Finally, I had resorted to timing contractions for a bit again, and realized they were coming 2-3 minutes apart and lasting nearly a minute, so I decided to call her (since she had almost an hour-long drive ahead of her, too). So I called and told her what was going on and that I thought she should come, but not hurry. She said she would eat breakfast and be on her way. I also called my friend Kelly whom we had asked to come over for the birth.
Kelly came over around 3:30, then Jamie (an apprentice from another local midwifery practice who was helping out at my birth--and who was actually serving as primary-under-supervision at my birth) arrived at about 3:45, and finally Stacia at 4:05. In some regards, I felt a little weird about everyone being there, because I didn't really
need anything in particular and I sort of felt like everyone was just sitting around my living room waiting for me to
do something.
I had been thinking of how nice it would be to get in the pool, and it had been ready for a while, but I felt as though the warm water was sort of the best pain management tool I had available, and I really wanted to "save" it, so to speak. I was really afraid of getting in too early and then having my labor really pick up and sort of already have played my "best card." So I told myself wouldn't get in until 4:00 or when Stacia got there, whichever came first. So after Stacia got there, I took one last trip to the bathroom, had a couple contractions, had a contraction standing outisde my bathroom, and then climbed into the tub at about 4:15. Right away I had a contraction, which felt nice in the water. Then I had another, stronger contraction that produced a little more pressure. Then two more really intense contractions that made me think I should probably try a different position (I was just sitting in the tub), but I was at a bit of a loss for what might feel any better (I had found sitting upright--mostly on the ball, but also on our couch for a while, to be the most comfortable position in which to labor), so I just stayed put.
As I anticipated this labor and birth, and thought about how it might be different from my experiences in the hospital, one thing I thought a lot about was the way pushing would feel--or, rather, how the urge to push might feel. With Sam, I had a very medicalized birth--a failed induction that began on my due date and lasted about 28 hours, followed almost immediately by another induction which resulted in Sam's birth about 20 hours later) and elected to have an epidural. I felt absolutely nothing during his birth, but sinply waited until I was
told to push and then pushed just
as I was instructed. With Lucie, I remember doubting I would know when to push, but recalled hearing that the urge to push was often confused with a need to poop, so when I felt what might be interpretted as a little rectal pressure, I told a nurse what I felt, a midwife checked me and offered to hold a cervical lip back so I could try pushing. So I began pushing and Lucie was born 15-or-so minutes later.
Having witnessed quite a few natural births--and home births in particular--over the course of the past year-or-two, I felt pretty familiar with the way a more natural second stage of labor usually
looks from the outside, which gave a starting point for imagining what it might
feel like from the inside. Typically, when a woman is left to labor relatively uninterupted, we will first notice a change in the way she sounds during contractions--perhaps moaning or otherwise vocalizing through the contraction, then sort of giving a little "grunt" at the peak of the contraction. She'll often do this for (sometimes quite) a few contractions before we hear the grunting/pushing noises beginning earlier in the contraction and she is pushing through the entire contraction.
So, as I anticipated that stage of my own labor, I imagined a subtle impulse to bear down--one that would grow with each contraction until it became so powerful that it could no longer be resisted.
When I got in the pool, though, pushing was the last thing on my mind. As a matter of fact, it had never even occurred to me to wonder how dilated I might be or when I might start pushing. I just...wasn't there yet. Not really. I was still just sort of taking the contractions one at a time as they came. I do remember wondering if I would start to feel "transitiony" soon--maybe nauseous or spacey or something--but I dismissed the thought as the next contraction came and demanded my attention.
Joel and Kelly were just sitting in nearby chairs, and Stacia and Jamie were sort of chatting quietly in the corner about something, when I got my next contraction. I'd been in the pool, at this point, for maybe 15 minutes or so (it's hard to say; I wasn't paying attention). And seemingly out of
nowhere, every part of me was pushing, full-force, with absolutely no control on my end. I hadn't made a sound my entire labor (well, during a contraction--naturally, I was running my mouth in between contractions until the very end) until sort of moaning through those last two intense contractions, but if I had a dollar for every profane word I shouted during the 8 minutes that followed that contraction, my daughter would have a respectable college fund underway. To say it was "intense" is a gross understatement; "unexpected" is purely insulting. I twisted and contorted--braced my feet against one wall of the pool and my shoulder against the other in a sort of anti-gravitational side-lie. I grunted, cursed, and tried
desperately to sputter the phrase, "This is coming out of NOWHERE!"--an undertaking far too ambitious for the occasion and a sentiment obvious enough, given the circumstances, as to not require explanation. Still, I tried unsuccessfully several times--punctuating each attempt with a different obscenity: "This is coming--SHIT!...This is com--FUCK!" (You get the idea.)
Again, my sense of time as I recall all of this is unreliable at best, but I feel as though that contraction lasted two minutes or so. What I can say with certainty is that, if it was two minutes, it was the longest two minutes of my life. If it was four minutes, it was the longest four minutes of my life. And if it was 45 seconds, it was the longest 45 seconds of my life. I could feel the baby's head moving rapidly through me and reached one hand down to support my rectum and perineum and the other to support my vulva and
recently injured pelvis. Eventually, the contraction concluded and I took a good, deep breath and exhaled: "
That came out of
nowhere."
At that point, I felt something smooth just at the opening of my vagina; my amniotic sac was bulging in front of the baby's head. I slipped a finger past it and felt the baby's head an inch or so behind it. When my next contraction started, I pinched and pulled at the sac until I felt it pop and the fluid rushed out of me. I heard Jamie say that she saw light meconium in the fluid, but quickly recognized that there was no sense in (me) worrying about that right now. With the sac broken, the head crowned and with that contraction (or was it the next? This is a bit blurry.) the head was born.

The room was dark, and Jamie kept a light shining on the baby's head. I had wondered to what degree I would be able to turn off "apprentice brain" during my birth, and it turns out...not very well. I stared at the head, watching the color of the baby's scalp and waiting for
restitution to occur. The scalp was a bit pale, but this was less troublesome to me than the darkening color I was afraid of. But as the contraction came to an end and I began waiting for the next, I noticed that the head didn't turn. Stacia and Jamie suggested that I sit back (from my suspended side-lie) and helped me open my legs into a
McRoberts-ish position. When the next contraction came, I pushed again, but nothing budged. Stacia suggested that Jamie look for a nuchal cord, which she found but was unable to unloop, and advised that she "somersault" the baby out (by holding the baby's head close to my thigh/pelvis, she could allow the shoulders and body to "somersault" out of me without pulling the already-tight cord any tighter/further from my pelvis. She also advised that she may need to help with the rotation of the shoulder.
I don't recall if it occurred to me first, or someone suggested it first, but I turned onto my hands-and-knees before/at the beginning of the next contraction, which allowed the shoulders to rotate on their own. I felt this occur and with a couple more pushes, I felt the baby slip into the water, and Jamie pushed her between my legs so I could lift her out of the water.
She was entirely limp and Stacia helped me unloop the cord from her neck. I brought her to myself but knew she wasn't breathing. I cradled her, talked to her, and rubbed her, but it was clear that she would likely need a bit more help. Jamie suggested holding her lower, so I handed her off to Jamie so I could stand (to get my placenta above her) while Jamie held her close the the surface of the water (it was then that I noticed she was a girl). Stacia said it was time for "a breath," Jamie agreed, and while Stacia grabbed the bag/mask and oxygen, Jamie gave a few breaths mouth-to-mouth. It didn't take too long (naturally, it seemed to take
far too long) before she gurgled a little and then let out a lusty, if sort of juicy, cry.
They helped me out of the tub and I sat, holding her on her side, trying to keep her head low to allow drainage. She was breathing and crying, but continued to sound really congested, and Stacia eventually suctioned her airways with a DeLee, after which Jaime followed up with a bulb syringe. From there, she sounded clear.
Her 1-minute APGAR score was a 4. Her 5-minute was a 10. (Thanks, Stacia and Jamie.)
And a perfect 10 she remains.