33 hours ~ 18 home / 15 hospital
Close to midnight on Wednesday under the full moon, spontaneous labour kicked off. I don’t think I could quite believe it. I had an alarm scheduled for 2am to get up to eat a meal before fasting for surgery and I wasn’t going to need to do that. I processed the acceptance of what was going to be a caesarean the following morning but that wouldn’t need to be the case. I had held onto the final hope of a full moon working its magic and it did.
My disbelief meant I didn’t get too excited at first because it seemed too good to be true. I waited an hour before messaging my midwife and doula. My doula had been awake too from the full moon and was so happy for me. I wanted to tell Michael, but thought best to leave him sleeping as long as possible.
All too soon though the sensations were strong and I needed to wake Michael to get the tens machine on me. I think I did a combination of trying to lie down and move around whilst Michael set up the birth pool. He timed the contractions and arranged for a birthing team member to arrive. It felt so strong that I honestly thought Sunny would arrive by sunrise.
I laboured at home all day with my incredible birth support team. They took turns resting themselves and helping me since Michael was unwell, the midwives had been at another birth, and my doula was 31 weeks pregnant herself. Kian was meant to be at daycare but was unwell so he was downstairs the whole time being cared for by my dad. Dad had arrived the night prior in anticipation of my planned hospital admission. There were times that I was concerned about my voice being too loud but it was helpful to try control breathing more and to not lose my control with a cry out. I think one sound made its way downstairs to which Kian asked ‘What’s that’ and my dad said that ‘Mummy is working really really hard’.
Breathing techniques I used included in for 4 counts, out for 8. Mantras included ‘I am the pain, I am I am’ and ‘Fire rising, rain falling’.
I remember a really long contraction when I was in the birthing pool which is when my mucus plug came away. A hot water bottle on my sacrum was soothing. Other positions included sitting on the toilet, kneeling on the pool or bed, and side lying on the bed whilst holding banksia cones in each hand. My secondary midwife gave me some homeopathic remedies at times. Around midday I asked for a vaginal examination but not be told what I was. I just wanted my team to have information so that informed choices could be made. It turns out that I was about 5cm dilated at this time and Sunny’s body was moving in the right direction.
I was most able to labour whilst in the pool however it’s in this position that Sunny’s heart rate would lower. I couldn’t really handle the pain in other positions after what was becoming a big day. I requested another vaginal examination which I later learned was about 8cm. We made the decision to transfer to hospital around 5/6pm just so that if anything was to happen with Sunny, we’d already be in the right place and not rushed. I wanted to teleport to hospital because I don’t think I could’ve coped with the car ride there so thankfully the team arranged an ambulance. The paramedic was calm grounded man who was a little confused when my pregnant doula opened the door for him. I was happy to accept the green whistle for the ride to hospital for some reprieve. My midwife came in the ambulance with me and this is when I asked for the dilation information. Michael and my doula drove separately. Luckily I’d already packed a hospital bag for the scheduled cesarean. I am so grateful for the home birthing experience. I had laboured at home for 18 hours.
Upon arrival at hospital I was taken to a birthing suite and I declined having a catheter. I think originally the plan was to have an epidural or go straight to caesarean but I started managing labour ok with the gym ball and gas so we decided to wait and see. My doula set up my labour playlist and fairy lights so it was a beautiful place. Different nurses started their shift - Clare and student midwife, Ellen. I couldn’t believe it because my bestie and godmother to my boys is Ellen Claire so it’s like she was there with me.
I hadn’t planned on using gas because I thought it would ‘send me to the stars’ like it did when I’d had a membrane sweep in Kian’s birth. I wanted to be present for everything. My midwife proceeded to tell me that that isn’t the effect of gas and what would’ve happened to me is that I would’ve left my body due to a traumatic experience. So it never was the gas that sent me to stars, it was a response to a traumatic event. This was one of many realisations I experienced during labour at hospital.
Clare was very kind and caring and I trusted her to do a vaginal examination. It was a healing experience to have someone do this in a caring way whom I’d only just met. It revealed I was only 5cm and still had a little sac (ie waters not 100% broken). This was a bit confusing because we had thought I was 8cm. Because of the nurturing environment I chose to continue labouring in the suite using gas, ball, hot shower and pool. The shift midwives were kind, encouraging and supportive so I said goodbye to my primary private midwife and she left. At one stage my throat was burning from using my voice so much so I took an oral liquid but unfortunately tasted so gross I puked.
For the most part I had a choice about using the CTG machine and using the Doppler to monitor Sunny’s heart rate. It was really empowering for me to have this choice because the sound of the CTG was triggering from Kian’s birth. I’m pretty sure they allowed to turn down the volume of the machine when it was used. For Kian’s birth, I was confined to the bed because of its use and ultimately it was the result of this machine’s data that informed the obstetrician of fetal distress calling an emergency caesarean.
Unfortunately the same thing would happen with Sunny’s heart rate drop when I’d get in a more calm state with the hot water positions. I accepted a catheter to receive an IV drip for hydration. It made sense to me since I’d been labouring so long even though my birthing team and hospital midwives were so on top of giving me water from my bottle.
Something needed to change when another vaginal examination revealed no changes in my cervix.
At midnight we used the catheter to administer morphine with the hope of reprieve and that my pelvis would relax more. Clare, the midwife, broke my waters to 100%. This was another healing experience. I laboured mostly on the bed during this time with gas so I could rest more between contractions. At this point my doula left after having supported me for so long 🤍
Close to 5am, the morphine was going to wear off so we requested another vaginal examination to find there had been no changes. So essentially in 12 hours from 5pm-5am, there had been no progress.
I honestly didn’t know where to go from here. I wasn’t keen to continue labouring to see what happens. I knew I still had the energy for it (from morphine reprieve) or could’ve accepted an epidural but it just didn’t feel ‘right’. I just wanted to avoid any complications arising later down the track really. I also didn’t want to completely exhaust myself running myself into the ground. So with that, we elected to have a caesarean section. It felt good making the choice ourselves. With Kian’s birth, our obstetrician had ‘called it’ so it was another empowering healing experience.
I continued to labour and the morphine was wearing off so I accepted terbutaline to help me on my journey to theatre. This drug reduces contractions and could be a contributor to the causation of a postpartum haemorrhage (PPH) (1.3L blood loss) whilst in surgery. In hindsight, I wish I had asked about the risks of this drug or called my private midwife for advice. This was probably the only occurrence where I didn’t feel fully informed. I continued labouring until I got into theatre around 8am and we needed to wait for a contraction to end before having a spinal epidural.
When being told the effects/risks of the epidural, the anaesthetist mentioned risk of migraine. We realised that I had experienced a Post-Dural Puncture Headache (PDPH) after Kian’s birth. This was another healing realisation of the traumatic pain I experienced at his birth when I was left helpless in my room with the pain at the time.
The theatre team had a copy of my birthing preferences and we had previously discussed them days prior. The team were so friendly and had a good vibe about it being someone’s birthday. They played Vance Joy per my request and had friendly chat. By this time I was so excited to meet Sunny. I still had enough energy for high vibes. I knew he was totally ok and safe and couldn’t wait to see him pop up. When I first saw him I was so happy! He came straight to my chest and they allowed the cord to pulsate for a few minutes before Michael cut it. He would’ve been on my chest cuddling me for a good 10/15 minutes before they asked me if I wanted him weighed and measured which made me so comfortable. He weighed 4.3kg so it could have been difficult pushing him through my vagina.
I had been shaking as a side effect from the epidural so I accepted some drug to relieve this because I didn’t want to be shaking with Sunny on me. I had exhausted my voice and was basically gone so it was a little tricky to express my needs but I was always attended to. It was such a positive experience in theatre.
We were then wheeled to recovery and I got to have an apple juice with Sunny properly on my chest for breast crawl. The nurse organised donor milk straight away so that when we returned to our room it would be ready to go. I had laboured at hospital for 15 hours.
In total, I laboured for 33 hours (18 home / 15 hospital). My conscious mind thought that having an intervention free, drug free vaginal home birth would be the solution to my previous birth trauma because it’s the complete opposite of an intervention based, private hospital, emergency caesarean. Please note it takes a lot of time, healing and ‘work’ to even arrive at a decision such as HBAC (Home birth after caesarean) in the first instance… to feel safe enough to choose that option. What I know for sure is that the universe has my back. All our realisations and healing came from labouring and belly birthing in a kind, empowering environment of a public hospital. I’m so proud of myself for riding the marathon and allowing Sunny the opportunity to kick off his human instincts to initiate labour. All the choices I made along the way kept both he and I safe and strong.
At 11:20pm Wednesday night under the full moon, spontaneous labour kicked off. Pretty minimal pre labour for an hour and then straight into active. I laboured at home all day with my incredible birth support team and so grateful for the home birthing experience. At 5/6pm we decided to transfer to hospital since Sunny’s heart rate would get irregular when I’d labour in the pool (which was the most tolerable for me). I continued labouring in hospital with gas initially - the two nurses on shift were so encouraging and kind. I was so supported by my doula throughout the whole time too. Unfortunately when using hot water like shower and bath, that would continue to disturb Sunny. A vaginal examination showed that my waters hadn’t 100% broken so we did that. I took morphine for reprieve and to see if I’d dilate more in a more relaxed state. Once the morphine had worn off we did another vaginal examination with no progress shown so we decided to move to a caesarean. I continued feeling contractions right up until getting a spinal epidural in theatre. The theatre team were all beautiful people that ensured some of our preferences like playing Vance Joy and immediate skin-to-skin, Michael cut the chord, etc. were met.
It was a huge 33 hour experience where I felt so supported and cared for. The whole time I felt safe, heard and zero pressure. Everyone surrounding me the whole time was so kind, caring and supportive - I was never left alone 🤍. Everything happens for a reason and I’ve got plenty of lessons / realisations to process. What I know for sure is that I’m so proud of myself for riding the marathon and allowing Sunny the opportunity to kick off his human instincts to initiate labour. All the choices I made along the way kept both he and I safe and strong. I am absolutely loving holding him in my arms ✨
Kian’s birth story: linked for reference
https://www.tumblr.com/fertility-journey/648885046012477440/birth-story