Birthrites: Healing After Caesarean.

Stella's Story.

Stella's birth story begins with the birth of her elder sister Alice, 2 and a half years previously. Alice's birth was supposed to be a natural birth in hospital but ended in a cascade of intervention which eventuated in an 'emergency' caesarian section. For months after my beautiful girl was born I felt unable to say I had given birth to her for she had in fact been taken from me at birth and indeed for the days following, which I passed in a haze of drugs and exhaustion. The saddest part for me was being separated from her immediately following her birth, unable to feel her warm naked skin and welcome her to the world as she deserved. In retrospect, I realize that the outcome of her birth was a result of my own naivety - the trust I had in the medical establishment and in my own body to just get on and do what I believed would just come naturally - a fine sentiment but when labour is induced how can anything that follow come naturally? Of course, anyone I tried to talk to at the time dismissed my attempts to explain the emotional impact of the CS with a reminder that I should feel happy that I had a healthy baby, what more could I want? I wish I had known then that I was not alone in the feelings I was experiencing

By the time I became pregnant for the second time I knew that I wanted to try once more to birth my baby vaginally. By this time, I also knew that I was categorized 'high risk' and would be dismissed by most obstetricians. What followed was an arduous journey of soul searching, decision making, and angst but the outcome has been worth every minute.

After visiting a recommended obstetrician I was told that yes I could try for a VBAC but that I would have to dilate at a rate of 1cm/hour or I was on the table once again. Finally I met Jan Ireland (via the Birthrites site) who worked with me for 6 months, instilling me with the confidence I needed to birth my VBAC baby at home. One of the hardest parts of my VBAC journey was the number of people who tried to deter me from attempting a natural birth, from family members to birth centres to obstetricians - every way I turned I felt as if people were trying to undermine my decision. Why not just settle for the healthy baby and have a repeat CS?

I knew that one of my biggest hurdles to having a HBAC was my mental and emotional preparedness. As Stella's birth approached, I still felt that I couldn't let go of how I felt about Alice's birth and that this was likely to result in some sort of repeat of what had happened. Indeed, one of the strongest feelings I had was that of guilt - that I hadn't tried as hard for Alice as I was trying for Stella and that was why she had the traumatic birth experience that she had had. Sure she was brow presentation hence the CS - but what if I had got off the bed, walked around, climbed stairs, the questions still went round and around in my head agonizing me. The weekend before Stella's birth we attended Rhea Dempsey's ÒEmbrace the PainÓ course. I couldn't stop crying - I used the birth videos and the sessions talking to my husband to let go of the pain I had been holding onto for nearly 3 years. I am sure this was a turning point for me mentally. The day following the course I felt lighter than I had for months and months, I felt as if I could forgive myself for what had happened to Alice and that I was ready to make this next birth experience an empowering one, whatever happened. Thank you Rhea.

Stella was born on her due date at home on May 1st 2002, she weighed 11lbs and 5oz (5.1kg). I had no inkling that I was going to go into labour that day. In fact I had convinced my husband to take a day off work weeks earlier so that we could just be together to think about what lay ahead and make our last minute mental preparations. In hindsight, I guess his being at home may have been why I went into labour that day and not the next. We started with breakfast in a local cafŽ where I was so uncomfortable I couldn't actually sit down (just pelvic pain I kept repeating). Hugh convinced me to ring Jan as these pelvic pains were pretty regular at 8 minutes apart. Jan said we should enjoy the movie we had planned to see and call her later but within half an hour the contractions were 2 minutes apart and the waiters were looking decidedly nervous. Hugh stopped to buy me a bunch of stocks, my favourite flowers while I headed for the car. It was only at the car that I think he realized that I was in earnest when I asked him to take Alice's car seat out so that I could kneel on the back seat!

As soon as we were home I relaxed feeling safe in the environment I knew I wanted my baby to be born into. Hugh began to fill the birth pool and I wandered around the house using the wall for support during contractions. I spent most of the first few hours out in the garden hanging from the verandah with Hugh, Jan and Jenni taking it in turns to rub my back. The pain was frequent and isolating, I had to do it alone. Remarkably though, I never doubted myself. I would do it. This is what I had wanted so badly, to labour at home surrounded by people who understood why this mattered so much.

I laboured in every position I could imagine, the baby needed to turn - up and down stairs, lunges, squats, in the pool but only for 20 minutes, out again. Peter Lucas (my obstaetrician) arrived, I was 7cms dilated, more lunges, walking, hanging, Peter left and my waters broke, he came back, I needed to push. Impossible to describe that all enveloping urge. I had an anterior lip which Peter pulled back during a contraction. I knew things were moving forward but I remember being shocked when I saw Jenni Teskey hanging baby clothes on the heater. I still had a lot of work to do and I needed to stay in my own space to make it happen.

I decided I wanted to be back in the water for the birth. An hour of pushing, indescribable noises escaped my lips - was it really me - and then a head, I could feel it moving down, stretching. She was looking up in the water, already Hugh could see how like Alice she was. Still, I felt little emotion, stay focused, I just want to hold this baby in my arms. After several pushes I was told in no uncertain terms to get out of the pool. How did I lift my leg over the side with her head between my legs - I don't know where the strength came from but I trusted Jan. One foot up on a step, Jan hooked her fingers under Stella's armpits and pulled (shoulder dystocia), she was out, she was beautiful, perfect, warm, naked, screaming, I love you were the first words I said to her.

An hour after Stella was born Alice came home from our friend Donna's house, she was enraptured by her baby sister. The night of Stella's birth she slept in her 'big girl's' bed for the first time 'because I am a big sister now'. Jan and Jenni had to practically carry me to bed hours later due to dizziness, they tucked us all in together and left us to sleep, Stella was still learning how to breath and emitted a gorgeous little mew with each out breath, I'll never forget those hours lying next to her.

I still can't believe how perfect this birth was for me and for Stella. Sure, the caesarian wound hasn't gone, I still feel incredibly sad that Alice's birth experience was so traumatic, but I feel so empowered by Stella's birth. I can't express my gratitude towards Jan, Jenni and Peter for helping make our dream come true. Jan in particular was my rock, I will never forget the things she said to me when I needed her most.

Thank you Jan.