Birthrites: Healing After Caesarean.

Welcome James.

Robert was born on May 3rd, 1986, by forceps delivery. He was in the posterior position, and although I hadn't been in labour long (about seven hours) I had had pethidine and was pretty much too whacked off my face to manage my own delivery. Bonding took some time, as did the healing of my perineum, which, after a day and a half felt like it had been hit with a cricket bat.

Jesse was born on October 24th, 1988 by emergency caesarean section under a general anaesthetic. He was in the breech position, which was undiagnosed until the labour ward staff saw feet coming out, instead of a head. I maintain that I could have sat up and delivered him myself but I wasn't given that choice. It's my strong belief that the doctor on duty simply didn't know how to deliver a breech baby, and didn't know how to stand back and just watch a mother give birth.

Eleven years later, I was pregnant again. This would be my last baby, and my last chance to birth naturally, something which has always been very important to me. After being told that I wouldn't be able to birth in the birthing centre at KEMH because of my 'history', I decided to find my own midwife and do it at home. I had a wonderful, though quite emotionally draining pregnancy. I meditated daily on the labour and birthing process. I meditated, also, on my first two birthings, and rewrote the endings that I had wanted in my own subconscious. Something I had always regretted was that I hadn't felt my babies emerging from my body, so I spent quite a lot of time visualising that. After buckets of tears, I felt that my healing from this was well underway.

A big part of my preparation was getting myself organised spiritually. Getting a grip on the spiritual aspects of the life - death - life cycle was important in enabling me to let go of my own 'control' over the process to just stand back and let it happen. I reminded myself daily that my job was to watch my body give birth; nothing more, nothing less. My midwife, Lesley, was fabulous with this, reminding me often to 'trust the process'. Having decided to birth at home with my caesarean hanging over me, I was bombarded with all kinds of criticisms and concerns, based on other people's fears. Knowing that I could rise above all that and simply trust that whatever happened would be right, as long as I kept a strong and steady faith in Birth, helped me through. At our first meeting Lesley had looked me straight in the eye and told me that I would be birthing at exactly the right time, in exactly the right place. I held onto this.

I got some great tips for the actual birth off the internet and in discussion with others. Jackie told me to make up my bed twice, with a plastic sheet between two sets of linen, so that after the birth, I'd just have to peel off the newly 'decorated' linen and would already have a freshly made bed ready to jump back into. She also reminded me to have a bag packed in case of hospital transfer. This was a bit of an ordeal for me, and I had real trouble getting it organised until Lesley told me that often women who need to transfer aren't ready to go, and those who are often don't need to transfer. That was enough for me. If a bag of pyjamas and peppermint lifesavers was going to appease the patriarchal spirits, then I'd play their game! ;o)

The day arrived. I woke up at about 8 a.m., thinking I'd wet the bed, and leapt up to the loo. Eventually, I realised it was fluid (not too sharp first thing in the morning,) and rang Lesley to let her know something might be happening later in the day. At about 9 a.m. I had my first contraction, which wasn't much, and then nothing for a while. At 10ish Neil and l went for a walk to stock up on munchies, and I had quite a stron8 contraction on the way home. There was not rhythm to them at all, they just came and went at all kinds of intervals. At this stage I didn't think I was really on my way.

When we got home, we tipped out a jigsaw to keep us occupied, but I was unsettled, and wandered about, restless. I could feel myself disappearing into my body and by about 1 p.m. I was feeling a bit miserable with it and tried to have a sleep.

At about 2, I called for Neil to phone Lesley again, and she arrived around 3, to find me sitting up on my bed with my hot water bottle on my tummy, feeling very sorry for myself. She timed a few contractions, and them told me that if I was wanting to have a baby today I'd best get up out of bed and do it! This was exactly what I needed, and as soon as I stood up and got moving the contractions started coming strong and often. By 4 o'clock I was well and truly in labour. I paced up and down the length of the house, stretching up during contractions, which felt good. After a while I got in the shower to try some hot water for pain relief. I don't remember how effective it was, I was well and truly stoned with it all by this stage, and if nothing else, the shower was private and quiet. I found I really wanted to be alone to just get on with it.

Eventually, it was time to get back on the bed, as this was where I'd decided I wanted to give birth. By now I was bellowing loudly with each contraction, which felt really good, and helped me to focus on the pain.

Once on the bed, I continued my stretching up with each contraction, and flopped over in between, really enjoying each small break from pain. Neil and Lesley were dropping Rescue Remedy onto my tongue and wiping my face with a cool damp cloth (heaven!). I was getting there, but was just overwhelmed with the strength of it all, and tired, so I decided I needed a rest. As soon as I lay down the contractions eased off. I got a good ten minutes break before I realised I needed to push. In the meantime, Lesley had had a look and told me I was fully dilated, but had just a tiny lip. She suggested I breathe through a few contractions until it was gone. This done, I was free to push and I sat back up on my haunches and got stuck into it.

I couldn't believe how hard it was! I felt like I was making good progress, though, that my efforts were being rewarded. I could feel and see my baby moving down through my birth canal, and soon I felt his head crowning. What an amazing thing to feel! It was soft and hairy and squishy. I guided his head out, by massaging my perineum over and around it, and after about half an hour of pushing, James was born into his Daddy's hands. It was about 6:45 p.m., less than three hours after real labour had started! I couldn't believe it, but at the same time, it just seemed so normal and ordinary. Amazing, that the truly real can seem so utterly unreal!

I put James to the breast immediately, and remember thinking, "what a lot of nipple for such a tiny babe". My contractions started up again and the placenta was delivered without any drama, the cord cut and James was wrapped and weighed. He was 8 lbs., my biggest baby yet. We didn't measure his length because we didn't want to stretch him out. Neil and I just sat and stared, while Lesley tidied up for us, and then left.

Giving birth at home simply doesn't compare to a hospital birth. It was a smooth operation from beginning to end. No need to get in the car, just when everything's really getting going, to get to the hospital. No bossy staff to deal with, no doctor to please. No disruption to the household, no separation of family members. (One of my cats actually sat under the bed through the entire thing!) I woke up that morning in my own bed, and got back into it that night with my baby lying next to me instead of inside me. If I was going to have more babies (and it's so tempting after such a great experience!) I'd definitely opt for homebirth again.

If you're considering homebirth for yourself, I will just say this: Be where you feel most safe, but know that your body knows what to do. Birthing is written into your very cells, and has been since the beginning of time. Trust it.