Birthrites: Healing After Caesarean.

Freedom of Choice
- a VBAC at home

My story begins with the birth of my daughter in Australia.

We had planned a home birth with the use of a pool to labour, and, maybe deliver in. Labour began early in the morning so I used the pool to relax. We called the midwife, and she stayed in the background while I got on with labouring. After 6 hours or so, I was feeling quite drowsy and heavy and could not keep my eyes open. The labour was getting intense, and I was having trouble staying on top of the contractions.

I was checked by the midwife and was found not to be as far as expected. I was in the pool all this time and was beginning to feel tired. The contractions started to get further apart and irregular. We tried standing and moving to get things going. I then got out of the pool as suggested and laid on the bed on my side which I found very uncomfortable. The midwife suggested that we go into hospital to speed things up, or, wait a while and see if I progress. I was keen to get things going but my husband was not keen to go to the hospital so we decided to wait a while, and see if I progressed. I believe I was checked again and little or no progress was made so we decided to go to the hospital.

After 6 or so more hours I eventually got to push. I pushed for about 1_ hours but still, the baby's head just would not come down. I was then told by the Doctor that she would need to get the baby out by vacuum extraction. There was a moment of silence. The Doctor then told me that I was to have a caesarean section. Things moved pretty fast after that. I had my eyes closed for most of my labour, so I was not aware that my husband was not in the room at the time they were preparing me for the caesarean.

We were not involved in this decision, or, given an explanation as to why a caesarean was needed. To this day, we still do not have a clear reason as to why I had a caesarean. At the same time, I was in no position to make any decisions. I just felt numb with exhaustion and relieved that the end was near. I finally saw our daughter whom I was very glad to see.

I felt very cheated and let-down by the whole experience and consequently took a longer time to recover. It was very frustrating not being able to get up and care for my baby so readily. I healed quickly physically, but emotionally the pain never went; it just got less. I felt traumatised by my birth experience, and didn't know if I ever wanted any more children and go through all of that again. I had a lot of things to process and heal. It helped to speak to other women who had experienced a caesarean birth and felt the same.

I followed my husband to Holland when our daughter was 7 weeks old. Nine months later, I felt I was over most of the birth and getting onto my feet again when, I found myself pregnant again. I felt in no way ready to labour or birth again, let alone, have another baby. However, I knew for certain that I did not want to have another caesarean birth if I could help it, and, to birth at home.

I set out to find a midwife/Doctor who would support me with VBAC, and, to birth at home. I kept being told "No, you can not birth at home with your history of a caesarean" - the risk of the scar rupturing being the main concern. It felt as though I had a criminal record and had been blacklisted, or, a big cross against my name because I had had a caesarean. We knew the risk, and that it was minimal, and that we were prepared to take that risk. I did not let this sway my decision and continued to crusade for a birth at home. I was well read, and prepared myself more "mentally" this time than physically.

I exhausted all avenues of finding a midwife/Doctor to support me, and so, came to accept that I would have to go to hospital, when, I found a midwives practice that did. I was overjoyed and thought "YES!" , this is it. The flame was lit once again and burned strongly. I felt peace.

Through reading books such as "Silent Knife" and "Spiritual Midwifery", I gained inspiration and strength. That I was not alone, and that countless women have been there before me and given birth. That giving birth was every woman's right, and not a privilege. I deserved to birth my baby naturally and I was capable of doing so. It also helped my husband and I prepare ourselves in the event of another caesarean becoming necessary. At the same time, I felt pressure on myself to perform, to get it right. That this was my last chance to prove to myself that I could do it. Whether it would heal the past, I did not know.

As I was in Holland, I saw a midwife for all my pregnancy, but had to also see a gynaecologist (equivalent to an Obstetrician) because of my history of a caesarean, legality and policy. I saw him about two times and he strongly advised me to birth in the hospital. I made it clear to him that I wished to birth at home and would only go to the hospital if things did not go as planned at home. I had faith in the midwives, who believed in VBAC and to birth at home. I also felt safer and more relaxed at home.

In my last week of pregnancy I felt a real peace. I was really loving being pregnant, more than I ever did. The peace and tranquillity I felt is hard to explain. Even with the huge stomach, the baby's kicking, and the difficulty in doing everyday chores. I did not feel pregnant anymore. It was like I had always been like this. I could have been pregnant forever. I knew that whatever the outcome of this birth, I had done everything in my power and that this birth was now in God's hands.

My due date arrived and all was well. I saw the midwife two days later, and an appointment was made at the end of that week to see the gynaecologist according to "the policy", if I did not go into labour by then. I was not keen on this and hoped I would go into labour soon. I then had some doubts whether I had it in me to go through all the labour again. I knew I could do it, but was not completely certain.

Then it happened. That night I went into labour. At about 4am my waters broke. I felt a mixture of relief, excitement, and fear. I thought, oh this is it, there is no turning back. I tried to remain calm and get some rest. So my husband and I went back to bed. By 5am, the contractions picked up. I was not comfortable lying in bed so I went downstairs and knelt over my beanbag. This is where, and how I laboured for most of the time. My husband was up, and by this time, our daughter also. She was taken to a neighbour. I felt I was in labour, so we called the midwife, and our support person as I felt I needed her.

At about 6.30am, the midwife came and confirmed that I was in labour, and 3cm dilated. He said he would call back at 11am. By 9.30am, I was really in it deep, and had to concentrate and breathe deeply to stay on top on the contractions. I kept thinking to myself, "open", and about all those other women who had been there before me. At the same time give out love to my husband and support person who were loving me. I also thought of a phrase I had read in "Spiritual Midwifery";

&endash; 'With love even the rocks will open'.

My support person held my hand, something very simple but which gave me great comfort, and strength to endure. I felt her full support and knew that she knew how I felt, having given birth herself. At this time, I also felt that I wanted to push and was having trouble not to. She helped by breathing with me at times, and telling me to breathe and relax. I am very grateful for having a such a person who not only gave me her love and strength, but believed in me.

I kept wishing for 11am so that the midwife would come. I was finding it increasingly difficult not to push and pushed involuntary at times. So, by about 10.40am I asked my husband to call the midwife. He arrived at about 11am and found me to be fully dilated, except for a bit of cervix which he pushed back. The baby's head also needed to rotate a little to a better position. To help this I moved to the shower and had the shower on my back which was very soothing, but not during a contraction. I was not to push but could not help myself. After half an hour or so, I moved to my bedroom and sat on a birthing stool with my husband supporting me from behind. The midwife explained that I was to push, and if the baby did not show itself within half an hour, I would need to go to hospital. So I gave it all I had, and pushed really hard. I was overjoyed when I heard him say that the baby had dark hair like me. I was nearly there, and soon held my son in my arms. I was estatic.

"I DID IT !!". I achieved my dream. It took a few weeks for it all to really sink in.

I am very grateful to my husband, support person, midwife, my baby, God and the universe for giving me all that I needed. A special thankyou to the 'midwives' who allowed me the freedom of choice; to birth naturally, at home.

I now know that I can do it. Peace.

I wish that every woman achieves her dream whatever it may be. I hope that I have given some hope and inspiration to others. Please feel free to contact me.

Olga