Unfortunately, this pregnancy and delivery would require some changes. After seven home births with our previous midwife, a wonderful friend who had supported and guided us for fourteen years, this dear woman had moved out of state and could no longer assist us. We needed to find a new midwife or use the hospital.
We have had a backup doctor for many years. While supportive of OUR decision to homebirth, she has always been skeptical of homebirth in general. She prefers births to be at the hospital with equipment standing ready, but not to be used except in an emergency. Persuaded by this doctor, we toured the hospital and met the other doctors and pediatricians on staff. Despite our backup doctor’s support, other staff members were not supportive of our hands off approach. We decided to search for a new midwife.
Our search led us to Ireena Keeslar. We met with her in her home and appreciated her sensible approach to birth, viewing labor as a natural process that women are designed to do. She told us she sees and respects the Creator’s hand in pregnancy, labor, and delivery. We decided to hire her as our midwife and prepare for another
This pregnancy was an easy one compared to our last two. I had more energy and less discomfort. The mental and emotional stresses were absent as well, and I was very grateful. Around 11:30 the evening of February 19 a week before my due date, my water broke with heavy blood flow. We called Ireena and, at her direction, headed for the hospital, planning to meet her there.
Large amounts of blood indicate the placenta has pulled away from the uterine wall and, depending on how much it has separated, constitutes an emergency.
My thoughts were scrambled. I understood the seriousness of the situation, but kept praying that somehow it would be just a minor thing. Nervous about going to the hospital, I also prayed for one of those “Three contractions and there was the baby” stories. As we were driving there, I realized that I could be in surgery in the next hour, we could have a dead baby, this could be a huge nightmare. Yet, through it all, I felt God’s peace and presence and knew He is in control. Nothing will happen that He will not be there to help us through.
At the hospital I learned that the doctor and pediatrician least sympathetic to natural birth, the reason we decided to homebirth, were indeed the doctors on call. This OB likes to “earn his pay,” is very hands on, and tries to sell every procedure there is to offer. Ugh!
The nurse, a friend from church, hooked up the monitor and, to my relief, the baby’s heart rate was good. Ireena arrived about the same time the doctor did and we had to decide whether to stay at the hospital or go home for the birth. I was still bleeding and we knew there will only be more blood lost during the birth. Unsure what the “tipping point” would be, we opted to stay at the hospital.
The doctor wanted us to have an internal monitor, IV, and no soaking in the tub. I graciously said, “No thank you.” He said he would settle for the external monitor since he knew we liked to go more natural, but again I replied, “No thanks!” We agreed they could check the heart rate every 15 minutes with a hand held monitor, but no tethers! We also agreed they could take some blood and have the lab prepare a unit in case I needed it. In the meantime, I was drinking grape juice to keep up my sugar/energy level. He was slightly flustered by our decisions but agreed and left to go sleep in the doctor’s lounge.
I was very grateful to have Ireena there. While the doctor ordered “No tub!” Ireena explained (after the doctor left the room) that heat would dilate the blood vessels and could increase the bleeding. Cold constricts the vessels and lessens the bleeding. I am much more accommodating when I understand why I am being told something.
So we all settled in for the night. I slept well with only minor but regular contractions. The nurse came in faithfully and listened to the baby’s heart rate. I went to the bathroom several times throughout the night and each time the bleeding was less. By 5 a.m. I had stopped bleeding and decided to get into the tub. The contractions were more painful and I wanted to relax in the warm water.
By 6:30 I felt I went through transition although it was the mildest one I have ever experienced. I asked the nurse to check me. She said I was around 9 cm. and suggested the doctor who just came in for two c-sections check me. This was my regular doctor who was supportive of our homebirth, so I was very happy about that. Dr. J checked me, said, “You’re there!” and told Ireena to catch because she had some c-sections to attend to. We couldn’t believe it!
By 7a.m. our daughter was born (tub birth) with just my husband and Ireena in attendance. The nurse came in when she heard Candace cry. We actually had our ideal birth at the hospital. No interventions. No procedures. No medications. We chose not to cut the cord for an hour after the placenta was delivered. We had everything exactly as we would have if the birth took place at home. The nurses were thanking me for allowing them to experience birth as it should be. They were in awe!
I am so grateful for Ireena. She came to the hospital. Not all homebirth midwives will do that. She came in scrubs, the health professional’s uniform Subtle but sweet, they respected her as one of their own. She never contradicted the doctor or staff but answered our questions and helped us understand our options. If she had not been there, they would have woken Dr. “Hands On” and the room would have been filled with staff.
After I was settled back in bed, Ireena went to the tub and fished out the large clump she had noticed. She examined it and realized it was an extra lobe to the placenta. She suggested this pregnancy had started out as twins but one child did not make it, thus the extra lobe. It was the separation of this section that caused the bleeding.
This was, by far, my easiest, least painful, least stressful, most surprising birth. Although the hospital was not my first choice for delivery, they have their purpose when things are not normal. I am very happy with the way things turned out. The food was good and we were home that evening. I learned that I didn’t have to go to battle but I did need to exercise my voice and have a clear knowledge of how I wanted things to be. Knowledge is the best tool.
Thank you, Ireena! I am sure this story would have been very different if you were not there and I am glad we both had a positive hospital experience.
No comments:
Post a Comment