On Tuesday, May 7, 2019, The BIRTH Project Network held its first-ever online meet-up. This inaugural meet-up covered the topic of home births, and featured an experienced home-birth midwife as the subject matter expert.
The conversation covered the home-birth process from pregnancy, to labor and delivery, and through the postpartum period. You can watch and listen to the whole conversation above, or see time stamps for highlights listed below.
Learn About the Subject Matter Expert
Kelly Olmstead, LM, CPM, is an Iowa native who has been in Santa Cruz, California, for 17 years. A mother of three, she has been active in the Santa Cruz birth community since shortly after the home birth of her third child, Henry, in 2002.
Her particular passion is ensuring that women understand they have options in birth—and the benefits and risks of various choices—so they can make the best choice for themselves and their babies.
After four years of midwifery school and apprenticeship, Kelly was licensed by the Medical Board of California in March 2010. By the close of 2017, she had attended more than 450 births. She’s also served on the board of directors for Birth Network of Santa Cruz County for several years.
Additionally, Kelly is the co-founder of a midwifery advocacy group called Birth Santa Cruz. Check out BirthSantaCruz.com on Facebook—it’s a great way to stay up to date about what’s going on with birth locally and nationally.
More recently, she joined forces with two other amazing midwives to create Pacific Community Midwives. They each have independent practices but collaborate and back one another up.
From 2011-2014, Kelly was Regional Co-Rep for the California Association of Midwives (CAM). She remains active on projects with their sister organization, the California Association of Licensed Midwives (CALM), including keeping midwives updated on continuing-education opportunities, meeting with state legislators on midwifery issues, and creating welcome packets for newly licensed midwives in the state.
Highlights and Time Stamps
19:07- Kelly discusses an effective written home-birth birth plan.
13:00- Amara shares her takeaways after experiencing a home birth turned hospital transfer.
24:00- Katy shares her home-birth takeaways.
28:15- Kelly suggests what to look for when trying to find the right midwife for you.
29:20- Katy shares the story of when she got in a car wreck at 8 months pregnant.
31:45- Katy shares her biggest insight after working with a midwife and experiencing a home birth.
34:00- Participant question about not wanting any ultrasounds, but suspecting she’s carrying twins.
38:00- Participant question about a safe distance from home to hospital when planning a home birth.
41:50- Participant question about responding to family who are hesitant about home births.
47:15- Kelly discusses the hospital vs. home-birth experience.
49:08- Kelly addresses how she remains confident as a midwife.
51:00- Kelly discusses how she handled an emergency with a patient who had Hellp syndrome
54:20- Participant question about assuring women that their births will work out the way they want them to.
I was a new mom but I was really good at researching what I needed for my pregnancy. I will never forget how amazed I was when I watched “The Business of Being Born” when I was in my first trimester. After watching and learning about how beautiful and strong women’s bodies are—and also how fully capable we are of having a natural birth—I knew I had to take the natural approach to birthing my first child.
My pregnancy was pretty easy. I went for massages every two weeks, had a diet filled with fresh fruits and veggies, and a birth partner who made sure I was drinking a ton of water daily.
The day it all started, I didn’t know I was in labor. I was home relaxing on the couch while the cable guy hooked up cable because I had family coming soon. I remember sitting on the couch having contractions. They didn’t bother me much, but they were noticeable. Later that night, my contractions were picking up and I contacted my midwife to give her the status, and she recommended I pop open that bottle of wine I had in the fridge to calm me down and let me get to rest so I had energy for the next day: Birth Day.
I tried to go to sleep around 11 p.m., but my contractions were coming faster and harder so I knew it was time to meet my midwife. On the ride to the birth center, I began listening to my Hypnobabies lessons to put me in a calm mindset while going through the contractions—and it worked!
I arrived to the birth center and my midwife checked to see if I was dilated. I could not believe that I labored at home all the way to 8 cm. She rushed to get my room together and made up the birthing pool.
Malcolm Eli
My contractions were now intense. I was asked if I wanted to have my water broken, and I said yes. I continued to labor in the birthing pool for 2 hours until I began to fall asleep listening to Hypnobabies in the birthing pool. My midwife was instructing me to push, but I wouldn’t listen because I was so zoned and relaxed. She then made me move to the bed to wake me up.
I chose to try Hypnobabies because I was into the idea of meditative breathing and self-hypnosis. After a lot of Googling and watching other moms use it for their births, I knew it was the route I needed to take to ensure that I could have my baby without drugs or interventions.
I began to feel everything—and it was intense. All I wanted to do was push out one big bowel movement. But I soon realized that it was not poop, it was in fact the baby’s head. I continued to push and take breaks when I needed them. After one big, final push, baby Malcolm arrived.
At first, I began shaking and avoided touching him because I couldn’t believe that I really made a baby who grew inside of me for 9 months. My midwife handed me my baby and we laid skin-to-skin for an hour to bond and give Malcolm warmth. It was such a euphoric feeling. I felt no more pain, I had no more shaking—just peace and a beautiful baby boy.
I want to preface this by saying every single birth is magical, and every single woman who brings a human into this world is a damn powerhouse. This is just my story, so please, before reading any further, if you have given birth before, I ask you to please not compare your story to mine. It’s not about who had a “better” birth or the “perfect” birth. It’s about sharing the experience so others are aware of all the different scenarios of birthing a baby. This is just one of those scenarios. I kept this story extremely raw and real, mostly because I want Jade to be able to read this one day, in all its realness, so please be kind and enjoy!
It was about 8:45 p.m. on Wednesday, Dec. 5, when I was laying on our couch with my husband, Nick, when I felt my first real-deal contraction. I had been feeling a lot of Braxton hicks and crampiness for a little over a week, but when I felt that contraction that night, it was like nothing I had been feeling before. It popped into my mind that this could be the start of labor but I didn’t want to get too excited. I decided to start getting ready for bed to try and get some rest just in case. As I was getting ready for bed, I lost the rest of my mucus plug (I had lost a little bit of it a couple nights before). I got into bed and couldn’t help but time the contractions that were coming. They were about 10-15 minutes apart, so I called in Nick just to make him aware. Around 10 p.m., we decided to text our birth center to let them know what was going on. Our one midwife called us to talk through what I was feeling and told us that this could be early labor and in that case I should try to get some sleep because my future laboring self would thank me. That was a funny joke. By 12:30 a.m. I was on all fours on our bed breathing through contractions. I told Nick that I couldn’t lay in bed any longer and was going to go out to the living room but he was welcome to try and sleep. He said, “Well, I definitely won’t be able to sleep so I’ll come out there with you.” I’m so thankful he did because that’s when contractions really picked up.
Kelsey and Jade
Nick laid out a big padded mat on the floor with a blanket where I spent a lot of time roaring (yes, roaring) through contractions on all fours. I also spent some time side lying on our couch while working through contractions, which was nice because in between them I could totally relax my body. I was also up moving around a lot because I was in and out of the bathroom (my body clearly wanted everything out of me so I could push this baby out when the time came). Throughout my whole time in active labor, I just kept picturing my vagina as a blooming flower, that visualization really helped me to surrender to each contraction and not try and fight them. A word I kept repeating in my head was “surrender” to keep from tensing up. My contractions came on really strong and were pretty close together until I tried laboring through one on my yoga ball and immediately threw up (luckily Nick had gotten a trash can beforehand). This was kind of early on, and I was told throwing up is a big sign of transition and my first thought was, there’s no way I can be in transition and if I am I’m going to have this baby in the car! But Nick was doing an amazing job timing my contractions and just being so in tune with me that we both knew it wasn’t transition. Once I threw up that first time, my contractions backed off a little and weren’t so close together.I threw up two more times at home. (Side note: If you know me, you know I have a sweet dog named Mo. He laid on the couch nearby the whole time I was laboring, and every time I would throw up he would come over to check on me—so adorable!) Nick will tell you he didn’t do much but let me tell you, I could have never done it without him. He was so calm and supportive the whole time and just having his presence there put me at such ease. He knew I wanted to labor at home for as long as possible, so I knew we were getting close to leaving for the birth center when Nick started to get things together in between contractions. I asked him if he thought it was getting to be about time to leave and he said yes, my contractions were pretty steady at 3, sometimes 2 minutes apart, lasting a minute and that had been going on for about an hour. I’m so thankful that he knew I needed him to make that decision, it was one less thing taking up space in my head. At around 4:30 a.m., Nick helped me waddle to the car and we were off to the birth center.
The car ride was kind of a blur and I just kept roaring through each contraction and ended up throwing up in the car as well, but luckily we had brought the trash can. As we were turning onto the street of the birth center my water broke, gushed all over the backseat, but thankfully Nick had put down two big blue hospital pads so it didn’t get anywhere on the car. Nick parked the car, and as I waddled into the birth center, our two midwives greeted us and one says, “Well, we know Kelsey is in active labor, she’s not smiling.” (Which was such a cool experience that they knew me so well!) They took mine and the baby’s vitals and everything was looking good. They got us situated into our room where they drew a bath for me and checked on my progress. They announced that I was basically fully dilated and to keep doing what I was doing! That was literal music to my ears and gave me the extra strength I needed to finish out the work! I think my actual words were, “fuck yes, let’s get this baby out!” I got in the tub, which felt so nice and helped ease the pain and discomfort of the contractions, but I found I couldn’t rest/get comfortable in between contractions and that’s what I needed so desperately. So after about 45 minutes of being in the tub, I started to feel like I was needing to push. When people say you just know when you need to push, they aren’t kidding! It was like all of the sudden I had this immense amount of pressure that I needed to try and get out of my body. So the one midwife came in to check me, per my request, and says, “Oh yeah, I can feel your baby’s head, you can push whenever you feel ready!” Again, MUSIC TO MY EARS!
Jade Harper Ortlieb
Pushing was hard for me to grasp at first. I got on the bed and went on all fours, and the next time a contraction came and I felt the urge to push, I did. Except that was not a comfortable position for me, I was too exhausted to try and hold myself up and I couldn’t get comfortable enough to relax in between pushes. I decided to lay down on my side and Nick held one leg and knee up for my next push. After it was over, my midwife asked if I was truly pushing and I told her I didn’t think so because I was kind of just expecting to keep doing what I was doing during contractions by just breathing my way through them. She informed me (very sweetly) that I was really going to need to push on this next one. She put two fingers into my vagina and told me to push against her fingers the next time. So the next time I had the urge to push, I used the contraction and roared with all my might into her fingers and she immediately said, “That was it! That was exactly what you need to be doing!” So now I knew I actually had to push (silly me). So every time I felt that urge to push, I used the contraction and gave it all I had. My midwife told me she would let me know when baby was crowning so I could give little, quicker pushes to help prevent tearing. During this time, I could literally feel her getting closer and closer, and I just kept going back to picturing my vagina as a blooming flower during every push, and that continued to help make my pushes count and helped me stay calm. There was a time during my pushing when baby’s heart rate dropped a bit, nothing that was too alarming, but my midwife did suggest trying to move more on my back to see if that would help adjust baby’s position and help bring the heart rate back up. Thankfully, that worked. My midwives and Nick were all really good at reminding me to breathe and relax as much as possible in between pushing to help get oxygen to baby. I did end up going back to my side when pushing because it hurt my back too much to lay completely flat. They monitored baby’s heart rate with a doppler to make sure all was good and it was. At one point in between contractions, I remember looking up at Nick and saying, “Are you crying yet?” and he said, “No, not yet” and our midwife goes, “No, but he’s giving you very loving looks right now,” and I said, “Yeah, who wouldn’t be?” Granted, I was butt naked, sweating my ass off from pushing and the room being kept warm for when baby came, and I hadn’t put deodorant on since the previous day, so I was definitely smelling like roses.
Nick and Jade
So remember when my midwife told me she would let me know when baby was crowning? Well, she didn’t need to tell me, I knew instantly. Some people call it “the ring of fire” and now I understand why. I think this was probably the most painful part for me. It burned in a way I can’t describe. But my midwife just said really calmly, “Kelsey, this is just your baby, this is just a sensation, it’s your new normal right now.” That helped me avoid getting caught up in the pain and allowed me to refocus mentally. As she was crowning, I gave a couple little, quicker pushes like my midwife suggested (which worked! No tearing, other than 2 small lacerations on the sides of my labias) and her head was out! The second her head was out I felt instant relief, and I felt like a damn warrior. Then I heard her chatting, no not crying, she was chatting with her bright eyes wide open! The cord was wrapped around her neck (which sounds scary but it’s actually pretty common) so she was probably just so happy to have that away from her neck. I just kept saying, “I hear you baby, I hear you!” I then gave another big push and her shoulders were out and Nick swooped in to catch her as the rest of her body came earthside. Nick was the very first person to hold her and I think that will bond them forever. He laid her on my chest and I just kept saying, “You’re here, you’re here, I’m so happy you’re here.” And then he said, “I think it’s a girl?” I had totally forgotten that we didn’t even know the gender! The midwives double checked and sure enough our babe was a little girl! The second I heard that it felt so right. After about 9ish hours of labor, at 7:30 a.m., our sweet Jade Harper Ortlieb (7 lb., 3 oz, 20 in. long) met us earthside and we were completely smitten!
I honestly could not have asked for a smoother birth and I am so thankful for Nick, my team of midwives, Jade, but most importantly, myself. I put so much work into mentally preparing for this day and to have it all go so smoothly makes me so, so grateful.
At 39 weeks and 6 days pregnant, it certainly is not following my plan. Tonight, per my doctor’s strong recommendation, I am getting induced. The primary reason is because I have a velamentous cord. This means that the umbilical cord is not fully on placenta and therefore, not 100 percent protected by Wharton’s jelly. I also have an accessory lobe placenta and being 35 (geriatric pregnancy), they are being cautious and I’m accepting it (sort of).
I get that my birth plan is not a guarantee—in fact, I’ve been calling it my “wish list,” instead of “plan.” What has been most frustrating is that they did not tell me about the recommendation to induce until 38 weeks. I asked when we found out about the velamentous cord if I could still plan on having an intervention-free birth. I was told yes, and continued doing what I do unless they said otherwise. They never said otherwise, and the word “induce” did not come up until just over a week ago. Then, after reluctantly scheduling the induction for Dec. 24, the doctor called me on Tuesday, Dec. 19, saying the nurses are giving her a hard time for scheduling the induction on the 24th. I was with her when she made the call to the hospital to confirm they would take us on Dec. 24. Also, due to the holiday, they are concerned about staffing. Oh, and after the last ultrasound, the recommendation was to induce by week 39.
Brandon and Liz
If I had it my way, we would wait until Charlee is good and ready. However, that is not the case. Overall my pregnancy has been great. Other than working through learning about the velamentous cord and accessory lobe placenta, I have felt good and have kept my energy up throughout. I think a lot of this has to do with my regular chiropractic care, eating well, and staying active. I haven’t done as much working out for the past couple months, but I have continued to walk when I can and attended prenatal yoga 1 – 2 times per week throughout. That class has been a savior! I love the teachers and the community it creates. I’m not sure this pregnancy would have gone so well without that, not to mention the physical activity on Tuesday nights and Saturday mornings!
With all that being said, I still want to be sure we make the right choice to ensure our daughter arrives safely, so tonight, in about 45 minutes, I’ll call Mercy Hospital to make sure they can take us as planned at 7:30 p.m. Then we will head into town (through a snowstorm no less!), stop and pick up dinner, and go to the hospital. I have tried everything I can to get this baby to budge. Acupuncture, acupressure, additional chiropractic visits, bouncing on my exercise ball as often as possible, and moving as much as I can without exhausting myself (I did some walking hills in the snow this afternoon!). Clearly, she isn’t ready to come on my terms and I’m OK with that. It tells me that we are doing the right thing by starting the induction process. Step 1 will be cervadil when we get there. After that, we will sleep overnight and see how things are in the morning. If things aren’t progressing, I’ll try pumping. If that doesn’t work, we start pitocin. We shall see what happens! Our birth team is on call for when we need them. Our team consists of Brandon’s mom (a trained doula) and my mom.
I just called the hospital—they’ll take us at 7:30 p.m. as planned.
Charlee Elaine Sperrey arrived on Dec. 25, 2017—yes, we have a Christmas baby! Don’t worry, she’ll be fine and won’t miss out on having her birthday celebrated. I’m excited to share our birth story because it’s nice to get it down in writing and maybe my experience will provide insight to other moms giving birth down the road.
Getting to Dec. 25 was quite an adventure. We arrived at the hospital a little after 7 p.m. on December 22. We checked into room 3005 and the nurse told us to eat our dinner and she would be back in an hour or so to start the first round of induction drugs. Cervidil is the first drug I would be getting. It is a drug on a vaginal insert meant to help your cervix gradually open. I was told the reason they started with Cervidil is should I start contracting heavily from it, they can remove it and I would be intervention free from there.
We ate our dinner, a steak bomb on a gluten-free sub for me—man, was it good! I put on my pajamas and we settled in to enjoy some cable TV (we don’t have it at home). The nurse checked back in stating they had gotten busy with labors, so it might be a few hours before they could start anything. OK—understood (kind of—we were super anxious to get things rolling). She said she’d be back to check my blood pressure and the baby’s heart rate. More hours went by with a couple check-ins from the nurse at 1 a.m. and 5 a.m. Neither of us slept well in anticipation of getting things going.
Around 7 a.m., the nurse came in to let us know she was switching shifts and said it was likely I’d get the Cervidil in a couple hours. The Cervidil was inserted around 8 a.m. and it would stay in me for 12 hours, unless I went into labor. It is essentially a string and small piece of what looks like cardboard—not as big as a tampon. It did hurt and cause some discomfort when inserted, but once in, I barely noticed it. I had to lay still for an hour or so. They also put monitors around my stomach to watch contractions and Charlee’s heart rate.
We gave Theresa and my mom an update. Theresa had stayed at our house in case things got going during the snowstorm, so she arrived around 8:30 a.m. My mom started driving down arriving around 10 a.m. Our expectations at this point were that we might have a baby by the evening.
Twelve hours of Cervidil did result in some contractions toward the end—no lion, but more than I had felt. I walked and walked, did some yoga stretches, squats, bounced on the ball and had acupressure done on the small pins my acupuncturist had left on me. I was able to walk the floor while the nurse watched Charlee’s heart rate and my contractions because the monitors were wireless (thank goodness!) However, every now and then, the nurse would come looking for me because they lost the signal. It was kind of humorous, but also annoying.
At one point, they told us a concern was Charlee did not have consistent fluctuations in her heart rate. We learned that fluctuations in the heart rate signify she was thriving and moving around inside me. From time to time she would do well, but then she would not. Because of this, at one point, they made me get back in bed and lay on my right side on wired monitors. I wasn’t overly concerned because I could feel her moving, but of course, it became an obsession to watch the monitors when in the room.
At 8 p.m. the Cervidil was removed. The doctor checked my cervix to see how far I was dilated—not fun! She had to reach way up in me to do this—whoa, painful and hopefully good practice for contractions (come to find out, it’s not nearly as intense as contractions!) I was 2 centimeters and 80 percent effaced. The small dilation was discouraging, but being 80 percent effaced was encouraging. Effacement is the measurement of how stretched and thinned the cervix is. When you are 100 percent effaced, labor is said to be right around the corner. The doctor said my progress was not enough to break my water.
The next step, because of my goal to have as little intervention as possible, was to pump. Pumping can induce labor, so I wanted to try this versus Pitocin first. Pumping didn’t really do anything. So, around midnight, they gave me my first dose of Pitocin. This meant continued constant monitoring. They started with a low dose, increasing it slowly every half hour. After having the Pitocin pumping through me overnight … NOTHING! Contractions actually slowed down from when I was on the Cervidil. Clearly, Charlee did not want to come out on demand! We were all very disappointed and more frustrated because regardless of my progress, I had to stay in the hospital because they wanted to be able to monitor me as soon as my water broke due to the velamentous cord.
After the Pitocin, the doctor checked my cervix again and a little glimmer of hope was that I was now 3 centimeters dilated and 90 percent effaced. This was still not enough to break my water, but a sign that things were at least moving.
It was now Christmas Eve. My sister Nellie had flown in from Atlanta the night before. Her and my Dad were hanging at my house, likely a bit bored, waiting for Charlee’s debut, and wanted to come by for a visit. Originally, Brandon and I said no visitors while going through the laboring process. However, it had been a rough couple days, so I opted for the distraction of visitors.
As soon as Nellie and my dad walked through the door, I started crying (just writing about it brings me to tears!). The emotions running through me were incredible, I’m sure all the extra hormones helped, too! We had come into the hospital more than 36 hours prior with very little results. Not to mention the holiday—I really felt like we were screwing everyone’s Christmas up (even though deep down I knew they were fine). Their visit was a great distraction, helping to burn an hour of the day.
After they left, we continued to wait for the next step due to another influx of deliveries coming in the door. We spent the early afternoon doing laps around our floor, trying to get something to happen. Still nothing. We continued to wait around due to other deliveries coming in the door as a priority. At one point, Brandon and I were walking and we saw a woman, in a wheelchair, looking to be in immense discomfort, most likely in full fledged labor. I told Brandon that I was incredibly jealous and broke down into tears. We went back to the room and we were all very frustrated as we continued to wait around.
When we got back to the room, Theresa and my mom had been chatting about how ridiculous it was that we continued to wait. After nicely complaining to our nurse, we decided to call Theresa’s partner’s brother, Ray, who is a doctor, to get his perspective.
This was a great move due to the frustration (the poor nurse who was getting the brunt of it!) Ray helped us understand that the reason we had to wait around is because they needed to monitor us 100 percent of the time. What they were doing was for the wellbeing of both Charlee and me. He said based on the influx of unanticipated deliveries, it made sense that they were holding off. We all understood and it was incredibly helpful to get his perspective.
Around 4 p.m., the nurse came in and gave me about a quarter of a pill called Misoprotosol. To summarize, it is another induction method similar to Cervidil, and it helps to soften the cervix to induce labor. The difference is because it’s in a pill form, you can’t slow it down like you can Cervidil. If contractions come on heavy, you can’t take away what you swallowed versus you can take out the Cervidil. Four hours after taking the Misoprotosol, there was no change in contractions.
Around 8 p.m., they gave me another dose. At that point, we were all incredibly exhausted. Our moms decided they were going to give us some space and camp out in the solarium room down the hall. Brandon and I settled in for the night and actually got about 10 hours of sleep (other than a few vital checks).
Liz and Charlee
The next morning (Christmas Day) there was still no major change. At 7 a.m., the doctors switched out. We met with the new doctor who explained how she saw the day going. She said that they had a c-section they had to perform and a delivery on the way in. After each of these, if no other unanticipated labors came in, they would start me on a higher dose of Pitocin. They would see how that went, and then most likely break my water.
Things get a little fuzzy here. They started me on the Pitocin and around 2 or 3 p.m., as promised, they broke my water. Just as uncomfortable as having your cervix checked followed by a gush of warm water! There was meconium in the water. Meconium is the baby’s first poop. When it’s found in the water, it’s a concern because of the potential for the baby swallowing it through the amniotic fluid. There is a high risk of it blocking the baby’s airway, so they are unable to take their first breath after delivery. What this meant was they would have more hands on deck when she arrived should there be any issues.
With my water broken and a higher dose of Pitocin, the contractions started to quickly increase in intensity and timing. I now understand what they meant in my birth class when they said you go from the lamb to the lion in labor. There is a clear difference and you will know when you are there! The lion came on strong!
I started off contracting in bed because they wanted to have a consistent read on Charlee’s heart rate. Laying in bed was not an optimal position for me—my hope was to be able to move around to help with the discomfort. As the contractions intensified, I asked if I could at least move to the rocking chair. They granted my wish!
I then started to need more support from my birth team. Brandon was with me throughout. He sat in front of me holding my hand as I breathed through each contraction. Theresa was there, too, coaching and encouraging me. My mom gave us space, but I gladly felt her presence the entire time.
The experience of having Brandon be able to read me through these contractions was amazing. He seemed to know what I needed without me saying a word. At one point, he saw in my face that I just wanted him and he let his mom know. Then not many contractions later as they intensified more, I switched from focusing on him to focusing on Theresa 100 percent. Brandon knowingly stepped away and let his mom step in.
Up until this point, I stayed in the rocking chair. First squeezing Brandon’s hand then the arms on the chair. When I switched off Brandon to focus on Theresa, I felt like I had to go to the bathroom. Theresa went with me. When I sat on the toilet, I felt like I had to go so bad, but could not go. This all happened as contractions continued. Being unable to go for a few minutes, they brought in a portable toilet for me to sit on so they could continue to monitor. Not long after getting on the toilet, I told them I felt like I had to push, really bad.
Brandon and Charlee
It was about 5 p.m., so about 2 hours of intense labor. The nurse’s response to my need to push was I likely had only dilated 6 centimeters at that point, so do not push. She said the doctor would come in at 8 p.m. to check my cervix again. I looked at the clock and in my head I thought, “There is no way I can make it through 3 more hours of this.” I think this is also when they turned off the Pitocin drip. I told Theresa that I felt like I was going to pass out. She said focus on your breathing. The nurse told me I was doing awesome and to keep it up.
All I could think was: “Is this when I should ask for an epidural?” After one contraction, I was in so much pain, I felt like I was passing out. As another contraction came, I shook myself awake, thinking, “Did I just pass out?” After the contraction passed, I asked Theresa, “When do I ask about an epidural?” She looked me and said I was doing great and could do without. The nurse reinforced this message (awesome nurse!) They also said that Dr. Wadland was on her way to check my cervix. I looked at the clock and it was about 6 p.m.
When Dr. Wadland arrived, seeing her face relieved so much anxiety for me! They got me into bed—not easy with the contractions happening pretty rapidly at this point. I laid back and held Brandon’s hand as she check my cervix … 9.5 centimeters and 100 percent effaced!
Dr. Wadland said she wanted me to have a few more contractions before pushing. She had me get on my hands and knees in bed (thank goodness for all the cat/cows I did throughout pregnancy!) This is the moment when I felt most natural and was the experience I was expecting for my labor. I was going through the contractions, my bum and lady parts fully exposed, feeling like and saying I might poop. Thinking, “Wow, this is surreal!” I did in fact poop—most women do. When Brandon and I sat down and talked about the experience, I asked him about this. He said he wasn’t looking, but he did notice Dr. Wadland would very discreetly and quickly clean up any poop. For some reason, this made me feel better about this, so I wanted to share.
After a few contractions, they said it was time to push. She had me get back on my back. My mom came to my right hand and Brandon to my left. They both helped me bring my knees toward my head in a crunch position. When my next contraction came on, Dr. Wadland told me not to breathe now, to push through the contraction instead, pulling my upper body toward my lower body, almost a crunch motion.
Charlee
Everyone was cheering me on. After the contraction passed, Theresa told me to stop pushing and coached me to breathe in between. At this point, all I wanted to do was push. They told me to wait for a contraction. I did my best, but I was outside of my body at this point, not really knowing if a contraction was happening. So whenever I felt like a minute went by and what might be a contraction, I pushed again and again.
At one point, the night nurse came in. She said hello to me and was very excited to get to see I was in full fledged pushing mode. She remembered my birth wish list and asked me if I wanted her to bring in a mirror so I could watch. I said, yes! She brought a mirror in and I could see everything. They asked me if I wanted to touch the head—YES! I touched it—surreal and motivating for me!
Shortly after this, Dr. Wadland said the baby’s heart rate is going down when I push, so we need to get her out in the next couple pushes or she’d have to use the vacuum. Hearing this motivated me even more to get her out. I could also sense there were a lot more people in the room at that point beyond the nurse and doctor.
They had me get on my right side again to help with Charlee’s heart rate—it is so hard to push in this position, but entirely possible! As a contraction came on (or so I thought)—everyone was cheering for me to push. My mom was there cheering me on as only she can.
Liz and Charlee
A few more pushes and out came Charlee, pooping and crying! This was great news and Dr. Wadland immediately plopped her on my chest! I remember her with wide eyes looking right up at me and wailing—such an amazing moment. After the umbilical cord finished pulsating, Dr. Wadland asked Brandon if he wanted to cut the cord. He said yes—awesomeness. My mom snapped photos with my phone capturing all of this. They briefly took Charlee to the small station in the room to do her initial tests. She weighed 6 lb., 14 oz., 19.5 inches, arriving at 7:19 p.m. on Dec. 25, 2017.
After Charlee joined us, my placenta came out nicely, accessory lobe and all. Dr. Wadland said I did tear, so she needed to stitch me up. At this point, she could do anything down there, I was so focused on Charlee. She did numb me up with something and I could feel her working down there, but again, nothing mattered now that I had a thriving Charlee in my arms.
All in all, after trying to induce labor for almost 72 hours, Charlee joined us after 4 hours of intense contractions and 45 minutes of pushing. It may not have been how I pictured it all coming together, but I wouldn’t change any of it. The experience of going through this with our mothers, the amazing nurses that we got to know and appreciate, and having Dr. Wadland deliver Charlee will never be forgotten. I am eternally grateful that I trusted the journey.
A few tips that I offer to moms about to welcome their little one (or ones!) to the world:
-Cover or remove any clocks! Especially once the lion hits—you do not need to know the time, trust me!
-Get to know your nurses. We will never forget Vanessa, Brenda, Cathy, Emily, Allison and Kayla. Each of them made our experience the best it could be. I could tell they all read my birth wish list and they respected it the best they could. The timing of each of their involvement was also perfect. We didn’t meet Cathy until delivery day and she was the perfect nurse to have present at that time. When Brenda arrived when I was pushing, I couldn’t have been happier to see her face and I think we made her day as well!
-After delivery, cover up your nipples for a family photo. We have so many amazing pictures after Charlee arrived, but my nipples are out loud and proud in all of them!
-Document your experience so you can remember all the little details. It took me a month to complete and some of it was hard to remember just 30 days later. What I did find helpful is a bulleted timeline to reference as I typed this up. I’m so happy I now have it written down so I can share it with Charlee when she grows up.
-TRUST THE JOURNEY! We are not able to control how our labor goes, but what we can control is our trust in the process. If you have a bad feeling about your provider and their support for your birth intentions, find a new provider. I know a woman who changed in her third trimester. If you have trust in your provider, you will be able to trust the journey. Remember, at the end, you will have your baby in your arms and that’s all that matters! Having these affirmations written and on the wall as a reminder is one of the best things I did for our birth room.
I am so excited to announce the launch of The BIRTH Project Network! The overarching goal of The BIRTH Project is to add value to the birth community through storytelling. By publishing birth stories written by parents, I hope to spread awareness, knowledge, and connection in regards to the pregnancy, birth, and postpartum processes.
The BIRTH Project Network is a way to further connect, relate to, and learn from others in the birth community. The Network is comprised of online topic-based meet-ups with topics ranging from pregnancy, to birth, postpartum, and beyond. Each meeting is one hour in length and features a subject matter expert (SME). The SME is always someone who has more knowledge, experience, and qualifications on the given topic than I do. The SME is present to partake in the discussion, share their stories, share information, and answer questions.
Topics that are currently in the works include home births—this will be the inaugural meet-up!—postpartum fitness, nutrition during pregnancy, postpartum partner relationships, unmedicated births, c-section support, and so much more.
Please visit The BIRTH Project Network page HERE to find out how you can participate in this FREE online meet-up. I’m looking forward to chatting with you!
It all started on Friday, May 25, which coincidentally, was my due date …
I had woken up early to make it to my favorite 5:30 a.m. strength workout. I sure hoped my water would break during the workout and things would get started.
Right before the workout began, I hit up the bathroom, where I found a little blood that resembled the end of your period. I was totally freaked out, but still did the workout. Turns out I had some bloody show, a good sign labor will be happening soon (ish).
Later that afternoon, I had a midwife appointment. I got checked for the first time and was 90 percent effaced, 1-2 cm. dilated. I had my midwife strip my membranes a bit in hopes of getting things going. Jacob and I really wanted Hunter to show up that weekend.
On Friday, Saturday, and Sunday, I did tons (TONS – at least 1.5 hours each day) of walking and also had a few more contractions.
On Sunday afternoon, I decided to take some castor oil. Castor oil only works to bring on labor if your body is ready to go into it. If it’s not, you just give yourself the runs and feel horrible for 12 hours or so. I was willing to take that risk. We both had this feeling it was time, especially with my bloody show and the contractions I’d been having.
A cup of OJ, fresh strawberries and a shot of castor oil all blended together went into my belly around 1 p.m. on Sunday.
Jacob and I went to Fred Meyers that afternoon, and did something we never do — bought 3 movies. Then we did something else we never do — watched two in a row. We just knew something was going to happen.
At 8 p.m., about halfway through the second movie, I began to feel a warm liquid start to flow out of me. I dashed to the toilet, excited and hoping this was it. I couldn’t tell if it was my water breaking, me peeing myself, or just lots of discharge. I called my midwife, she said it probably was my water breaking, and to see how the night goes and come into the hospital in the morning unless labor progresses faster.
So we went for a walk, and one hour later, the contractions started. Jacob got the biggest grin on his face during those early contractions. It was time!
Heather
I always wondered what contractions would really feel like, and to me it felt like really, really bad menstrual cramps. Before being pregnant, mine were pretty bad, so being worse means they were really uncomfortable.
Fast forward a couple hours, and the contractions were about 1-2 minutes apart and about 30 – 45 seconds long. I was feeling kind of freaked out—how could it be happening so fast? I spent a good amount of time in the shower, letting the warm water run down my low back (which was a big part of where I felt my contractions) for a little relief. Nothing really made them change. Jacob was on the phone with our midwife a few times. We both didn’t know why they were so close so soon. Was my labor really happening this fast?
Around 11 p.m. we tried to get some sleep, knowing we had a long night ahead. I couldn’t nap, they were so close together. I made it to 12:30 a.m. Monday morning and told myself at 1 a.m. we would leave the house and head to the hospital. I could make it just 30 more minutes, right?
At 12:45 a.m. we got the bags, and were in the Jeep on our way to the hospital.
At 1 a.m., we arrived at the family birth center. I got hooked up to two monitors—one for my contractions, one for Hunter’s heart rate.
A nurse checked and indeed my water had broken — we were there to stay. When my midwife arrived, she checked to see how much I’d progressed — 3 cm., almost 100 percent effaced and he was at zero station, meaning very low, locked and ready to go!
After 30 minutes on the monitors, I was free to move as I pleased. I walked around the room a lot, spent some time in the tub, and did some hands and knees rocking. I was feeling pretty drained from the lack of sleep and began to drift off to sleep between contractions.
Typically things start to progress along in labor — longer and stronger contractions that get closer and closer together. Well the opposite began happening for me. They kept getting further apart, leaving me with 5-6 minutes of rest in between each (before they had been 1-2 minutes apart). I was even able to get an hour-long nap in, and apparently I had a 24-minute break from contractions at that time.
Although the relief was nice, I knew it wasn’t a good sign.
By noon on Monday, my midwife decided to check me again, only because my labor didn’t seem to be going the right way. At that time I was 5-6 cm. dilated. I had made progress, just slowly. We decided to give it a couple more hours to see if things picked up before talking about other options.
The nurse did some acupressure on my feet/ankles and we tried hot wash cloth nipple stimulation—both things that can help pick up contractions. I moved around the room, did lunges, got on my hands and knees. I wanted my body to do this on its own without help.
Four p.m. rolled around and I was checked again — only 6 cm. dilated. Barely a change. Since my water had broken at 8 p.m. the night before, the 24-hour time clock was counting down. Note: If a woman’s water breaks, after 24 hours, doctors often recommend interventions.
I knew what my options were going to be, and I knew I didn’t really have a choice with them, but when my midwife suggested a little pitocin, I broke down and cried. It’s not what we wanted or planned for. The lack of sleep was making me pretty emotional, and at the time I felt like a failure. Why couldn’t my body do this? Did I do something wrong? This is not what we had planned.
We said OK to the pitocin. Our midwife knew what we wanted, but sometimes things change with unexpected situations. I started off with the smallest dose of pitocin, which we hoped would kick start my body back to where it needed to be. For the next hour I got two tiny increments.
Things were starting to pick up. By 6 p.m. the contractions were much, much stronger. I could no longer walk them off. I’d instantly have to get on my knees, arms on tub, with Jacob putting hot compression on my back. It was the only way I could deal with them. There wasn’t talking, just walking then onto my knees during the pain.
Heather
I wanted to be checked again, hoping I’d be at the point of pushing. Pushing meant the contractions would soon end and Hunter would be here.
Only at 9 cm. Keep moving as much as I can. Keep things moving and get to that 10 cm.
Just about every 20-30 minutes, I asked to be checked again and I was stuck at 9-9.5 cm. It seemed like I was stuck there forever.
Contractions were back to back and I could barely deal with them. I kept saying that I wanted to push, but they knew I wasn’t ready. I wishfully wanted to push. That would mean it was over.
Stuck at that 9.5, I began to feel defeated. I kept telling them I couldn’t doing it any more. Jacob and my midwife would encourage me and get me through that contraction, one at a time. My breathing would start to get out of hand, then Jacob would start doing the slow deep breathing and I’d begin to mimic him.
In my head, each time I said I couldn’t do it anymore, to me that meant I needed drugs. That’s the thing about transition, you begin to say things you don’t really mean.
Since I kept having my midwife check me, she was skeptical about when I’d really need to push. She said there were behaviors she would see and she’d know it was time.
It felt like I was in transition f.o.r.e.v.e.r. Every check left me disappointed since each time I had not reached 10 cm. There was this tiny little lip that just wouldn’t budge.
When I switched from ‘I feel like I need to push,’ or ‘I want to push,’ to ‘I need to take a poop!’ that was the sign!
My midwife checked me once again and although I wasn’t at a 10 still, she told me to push with the next contraction and she’d see what my cervix did. During that next contraction, I pushed, she pressed that tiny part of my cervix over (holy ouch!) so he could begin to pass and it begun.
I was so glad to start pushing. Finally the end is near! My midwife saw I still had part of my bag of water in tact, so she broke it. Surprisingly there was meconium (baby’s first poop) in the bag. That meant the neonatal staff had to be there just in case he swallowed any of it, which would be bad.
8:30 p.m.
The team was intact. Me on the slightly inclined bed, my midwife there to catch Hunter, the nurse holding my left leg and Jacob on my right. It took me a few pushes to really get the feeling of what pushing was like. Honestly, it’s the same feeling as pushing out a poop. Just gotta give in to the feeling.
I’d get two good pushes out of each contraction, try to catch my breath and push for a third. Everyone was cheering me on and telling me what they could see with each push. The feeling of his head making its way past my cervix was crazy. I thought he was already out but that was just step one. Once he passed the cervix, I was in a rhythm. A contraction would come, I’d take a breath in, let it out, take another deep breath in, hold it, pull my legs back and push like crazy. Pushing was amazing. I was doing something! I couldn’t believe the lack of pain I felt during the pushes. Contractions didn’t hurt anymore.
When his head started to crown I could feel the burn begin, but my midwife used oil and helped stretch me and he began to emerge, quickly. Once his head was out, I just wanted to keep pushing, especially since it felt sooooo weird just having his head hanging out! A couple more pushes and boom he was out, face up, fist under chin and screaming like crazy.
8:58 p.m.
Just 28 minutes. That’s all it took to push out our 7-lb., 12-oz. baby boy Hunter.
Hunter
They put him on my chest right away since he looked and sounded good (the neonatal nurses left). All I remember saying was ‘Oh my gosh, oh my gosh’ and that he was so big! Jacob thought he was big, too, but apparently he wasn’t to the nurses. To us he was!
Our baby was in my arms. He was perfect. After the cord was cut and placenta delivered, my midwife was going to stitch me up a bit. I had tiny little tear, and since it was so little I was given the option to not have stitches, which I decided against.
About 30 minutes after he was born he’d already started nursing — for 30 minutes! He was a champ from the beginning.
We let them weigh him, give him his vitamin K shot, then he was back in our arms.
I could not believe how quickly he came out, especially being a posterior baby. All that working out I did during my pregnancy definitely had me ready for the big pushing event, which much like working out, I loved.
Jacob was amazing the entire time. He was my rock and kept me from freaking out when my contractions would get intense. I felt so much support for our choice for a drug-free childbirth, not only from our midwives (we started with one, ended with another), but the two nurses we had at the hospital as well. There were definitely some moments I didn’t think I’d make it, but once it was over I couldn’t imagine having done it any other way.
After the birth of my son in December of 2014, I told Alex, my husband, that I didn’t want to talk about having another baby for about three (3) years. Low and behold, 3 years and 2 months later, on Feb. 7, 2018, I sat on the grass in my front yard, enjoying the sunshine and my pre-delivery maternity leave. I’d had contractions throughout the previous night, strong enough to wonder whether it was the real deal but also infrequent enough to dissuade me from that notion. That morning I’d spotted a little, but contractions were only every 45 minutes or so, so I continued relaxing, eating, practicing hypnobirthing meditations, and took a seat on my front lawn in a tank top and sweats to enjoy the sun and warm, crisp February air.
While sitting on the lawn (OK, it’s improperly installed turf, but I love it), I felt a contraction coming on. I started to maneuver my top-heavy, bulbous self onto my hands and knees to achieve a more comfortable position. While in the process of this hoist, I heard a pop and then felt liquid … all over my lap. Because the wetness was body temperature, it took a second for me to register what this sensation meant—that my water had broken, a lot of it, all over me and my turf. In addition to the excitement I felt in that moment to experience such an integral part of birth (which I did not get during the birth of my son), I laughed at my good luck to have been wearing black pants (no stains) and sitting on my lawn (no clean-up) at that time. It was 1 p.m., it was on.
I started making phone calls from my puddle. First, I called Alex who shortly thereafter began to make his way home to La Selva Beach from Davenport where he works. Then I called my doula, Stephanie, who happened to be nearby and would come check on me. Then I called my midwife, Kelly, who was also nearby and would come over to do a vitals check on me and the baby.
After these phone calls, I went inside to change my clothes and to make sure that what had poured out of me was indeed my waters and not blood or something alarming (it wasn’t). At this point, I got excited and settled deeper into our decision to do a home birth and was ready to practice the hypnobirthing teachings I’d imbibed and marinated in over the past few weeks.
After about 15 minutes, Kelly and Stephanie arrived. At the time, my contractions were about 10-15 minutes apart but mild enough that I could talk during them (although I probably sounded like I was being crushed). My vitals were great. Baby was great. We all talked excitedly about various pregnancy related goos and fluids before Alex arrived. After staying about 45 minutes, Stephanie and Kelly left, leaving me and Alex at our home with the instructions of “try to take a walk,” “eat some food,” “go to bed as soon as possible and try to get some rest,” “it’s possible that you won’t go into active labor for 24-48 hours.” Just before Kelly and Stephanie left around 3 p.m., I had another solid contraction. Forty-five minutes later, Alex called them and told them to come back (during rush hour I might add)—my contractions were much closer together and were getting quite intense. Things were progressing quickly.
In the short time between Kelly and Stephanie’s departure and Alex’s follow-up phone call, Alex had a ton of work to do. Embarking on the journey of a home birth is preceded by enormous preparation. The weeks and weeks of preparation aside, Alex was immediately tasked with unpacking and organizing various kits and packs for the birth itself, and most importantly, trying to get me to eat. I recall very clearly sitting on our kitchen couch, breathing and visualizing “opening” as my hypnobirthing lessons had taught me to, while Alex tried to make me a smoothie that I could drink between contractions. A smoothie is not normally complicated or time consuming to make—but when you have to drop what you’re doing every 45 seconds to run to your wife and apply pressure to her hips (assuming the contraction subsided at all since the last), it takes a long time. The final product did turn out delicious.
Stephanie arrived back at my house shortly before 5 p.m. At that point, I had moved into my cave-like bedroom and was on my hands, knees and chest, laboring on my bed. As I would learn later, Alex had been in communication with Kelly who told him to fill the enormous inflatable birth tub in our bedroom, although based on information provided to her, we probably wouldn’t need it by the time it was filled.
My best friend, Becca, had made me a thoughtful labor package of candles, essential oil sprays and Himalayan salt lamps, and I remember the evening, starting around that time, being lit with the calming orange glow of those lamps. It still relaxes me to think about it.
Alex and Katy
Around 5 p.m. Kelly arrived. She advised me that I needed to switch positions to keep things moving, so she told me to sit on the toilet and labor there for a while. Let me say that up until this point in our 10-year relationship, Alex and I were the type of couple that kept our bathroom experiences VERY private from the other—we gave each other a lot of space and privacy in that regard. I’d always dubbed it, “Keeping the mystery alive.” That notion and era was shattered around 5 p.m. on Feb. 7. Alex held me, lovingly and without judgement or disgust as I labored through frequent and excruciating contractions, nearly naked on the toilet. The mystery died that day. RIP.
At 5:15 p.m., my midwife’s assistant, Flaura, arrived. Flaura was our doula for the birth of our son a little over 3 years earlier. If there was any panic or uncertainty in my mind about this birth or birthing at home, it fell away when Flaura arrived. My trust in her and her comforting and knowledgeable spirit put me at ease. That being said, I was still on the toilet, which I didn’t much enjoy because it made the contractions extraordinarily painful.
Around 6:10 I was back on my bed and lying on my side. To my shock and absolute glee, my midwife said my dilation was nearly complete at that point, with only a cervical lip (9+ cm), only about 5 hours after my water broke. I was so proud of myself in that moment for helping my body prepare and allow itself to dilate so quickly, especially given that labor with my son lasted nearly 38 hours and I didn’t fully dilate until about hour 37.
Kelly told me to give a couple of good pushes while lying on my side to see if she could hold the lip back while I pushed baby past it, so I could move on. It was time to push! I couldn’t believe it! Already?!? Game ON!
Now I consider myself a pretty strong woman, physically at least. I’d CrossFitted throughout my pregnancy and was bolstered by this fact, confident that I could labor and deliver efficiently, and that it wouldn’t be any more difficult than doing some of the CrossFit workouts I’d done recently with a watermelon on my frontside. However, when I attempted to push at that time (around 6:30 p.m.), I felt like I had no power, like I was pushing down on the gas pedal but a line had been cut somewhere in the engine that was draining my acceleration. Kelly told me to stop pushing, not only because it wasn’t doing anything, but because the cervical lip wasn’t moving.
A cervical lip, as I learned, is basically the equivalent of having a fat lip, but on your cervix. It can swell and possibly tear if you push or deliver while the lip is present. We would have to wait a little while and let the lip subside.
Then I started to feel “pushy.” Great timing.
In my opinion, what is commonly referred to as the “urge to push” is a bullshit misnomer. The “urge” I felt was similar to the “urge” you feel to throw up when you’re dry-heaving. Your body is in control when it’s “pushy:” It’s contracting, spasming, it’s straight up pushing. It is literally a force of nature, and it’s the boss. That being the case, I was confused and a little exasperated to learn that I needed to breathe through the “urge” so that my body wouldn’t push on its own. I needed to utterly relax my body—the involuntary spasm pushes were making my cervix swell, and I couldn’t deliver baby girl until the swelling subsided. It was 7 p.m.
To achieve this kind of muscle relaxation, I needed to blow raspberries with my mouth whenever a contraction came, the idea being that I would focus the tension on my lips so that my uterine muscles wouldn’t engage. At that point we also decided to try all the relaxation tools that we had available. First, I got in the shower with a large yoga ball. I leaned over the ball and let the water run down my back. This helped with the pain of the contractions quite a bit, and by blowing through the contractions I was able to avoid some of the pushing spasms that my body was trying hard to complete. I remember being in such a daze while I was in the shower. It was dark outside, and the bathroom was magically lit with candles and salt lamps. It was like a cave, a sanctuary. I think I drifted in and out when the contractions ebbed, coming to from time to time when I needed to bypass my body’s vice-like pushing, endure a contraction, or when someone put a washcloth under my knees or put a straw to my mouth so I could drink cold water.
I got out of the shower at about 8:35 and moved to the bed. Kelly checked me, and my cervix was still swollen, lip still present. Keep in mind that since about 6 p.m. I had been nearly fully dilated, and had now spent a few hours in an extended period of transition. {Midwife’s note: This is one of the most challenging situations in an otherwise normal labor: not pushing when your body so desperately wants to. But the risk of tearing the cervix in a situation like this could become an emergency situation or cause permanent damage. In this instance, the baby’s head was facing Katy’s hip, and position changes to help baby rotate weren’t working, so we needed the “tincture of time.”} When lying on the bed on my side, contractions would last anywhere from 1 minute, to 20 minutes, ebbing and flowing but not subsiding entirely. Being on the bed in any position was so painful and uncomfortable. I remember during those 5+ minute contractions just screaming, growing louder and softer with the rhythm of the pain—kind of like an ambulance siren. I asked for help. I asked nicely. “Please, please somebody help me.” I realized later that we should have let more of our neighbors know that we would be doing a home birth—I’m surprised no one called the police on account of my anguished cries. Despite the crying and the yelling, I was truly working my ass off to relax through the contractions, blow raspberries through the pushing, to be mindful, to feel Alex’s hands in mine, to feel his support, to know that I was safe, I was OK.
Eventually around 10:15 p.m., after trying a few more positions on the bed I moved to the gigantic neon green birth tub that fit neatly between our bed and the closet doors. Being in the birth tub, submerged to my collar in warm water, reduced the pain about 75 percent. The pushing still continued, but it became more of a practice in relaxing through the pushes rather than surviving the painful contractions. Kelly told me that birth tubs are often referred to colloquially as “the midwife’s epidural.” I couldn’t agree more. While in the tub, sitting on my knees and resting my arms and face on the side of the tub, I dozed in between contractions/pushes. Once another one began, I would work through it, supported by Alex or Stephanie, either of which would give me sips of water or spoonfuls of yogurt with honey at the end of each contraction. I was well taken care of. I actually fell in love with Stephanie at one point when we had a particularly intense moment of eye contact after a contraction and she read my mind and responded with, “Yeah, this really fucking sucks.” She and Alex let me squeeze their hands during each contraction—there were bruises.
About an hour after getting in the birth tub my mouth was starting to swell from the hours of raspberry blowing. Kelly instructed me to get out so she could check me again, although getting out was less romantic and beautiful than me simply climbing, glistening, out of tub and onto the bed, and more like a crane hoisting a wrecked car out of a lake. Once out of the tub it was discovered that my cervical lip was still present, but the swelling was way down and the lip was soft rather than rigid and impassable. Kelly told me to give a few good pushes during contractions while she held the lip out of the way. Again, lying on my side on the bed left me feeling like I had no power to push, no intensity. Moreover, Kelly was trying to hold the small lip out of the way during these pushes, which somehow peaked the pain I was feeling into an unmanageable crescendo. So I got back into the birth tub with the hopes of reducing the lip even further, blowing through contractions.
At about 11:30 p.m., 10 hours after my water broke and five hours after reaching nearly full dilation, I got out of the birth tub and moved to the bed once again for pushing. It was clear at this point that the lip was gone, my cervix was not swollen (although my mouth was), I was well hydrated, fueled by honey and yogurt, and ready to move to the next phase. I was physically exhausted after the hours of trying to trick my body out of its natural inclination to push. I would learn later that Kelly was only going to wait another 20 minutes or so before transferring me to the hospital, concerned that my anterior lip would be too much of an issue, or that my cervix would be damaged or seriously torn during birth. However, despite my physical exhaustion, I was ready and looking forward to pushing. Probably because of my years of CrossFit, especially during my pregnancy, I knew how to lean into the difficult task ahead, go to the “pain cave,” and appreciate that what I needed to do would end relatively soon. Again I tried pushing in various positions on the bed, but did not feel like I was capable of engaging the different parts of my body I needed to accomplish the task.
Alex, Katy, and Barrett
At that point someone suggested I switch to the birth stool, which is basically a wooden toilet on short legs that opens in the front (basically a horseshoe) so the midwife can really get in there. After moving what can only be described as a medical tarp to the foot of my bed, I got on the stool and was given instructions. It was midnight. I was on the stool and began to feel my power click on. I felt muscles engage, I felt adrenaline and excitement, I felt Alex’s hand in mine, his supportive body behind me and various voices coaching and encouraging me. I felt the contractions and felt finally free to utilize my body’s natural pushing mechanisms, I engaged with my body’s natural pushes and added my own reserves of strength to them. At 12:30 a.m. I felt a very distinct, sharp pain. I remember saying, “Wow, that really hurts!” and Kelly replying, “Well yeah, that’s why it’s called the ring of fire. She’s crowning.” A minute later Barrett was out and was immediately lifted up, plopped on my chest and started nursing, cord dangling between my legs. The three of us, Alex, Barrett and I, held each other then for a few minutes. Alex and I looking down upon her. Barrett looking back up at us, content and calm. I felt then that our family was complete and wished our son could have been part of that moment with us.
Shortly thereafter, after some quick preparation/protection of the bed, Alex lifted me up by curling his arms under my armpits while I was still holding on to Barrett, still attached to her by our cord and by cosmic mother/child connection, and pulled us back onto the bed. What happened thereafter was a bit of haze of emotion and activity, but I know I felt no pain. Stephanie asked me if I wanted anything to eat, and I replied quickly and surely, “Pizza!” which she promptly grabbed out of the freezer, cooked in the toaster oven and brought to me (which to me seemed like only seconds).
At a little past 12:30 a.m. on Feb. 8, 2018, I held my daughter in my arms, her gooey body pressed against me. After the birth of both of my kids, my immediate feeling was never what most moms describe as overwhelming love. That feeling, or at least my ability to recognize that feeling, didn’t happen for a few days. In the moments after her birth, I felt protective, connected to her, inseparable from her as if she were still living inside me, just simply transitioned to the outside where I could touch her face, her feet, her large baby belly. I smiled at Alex, so grateful for his support, energy and unwavering love, so grateful for his multitudinous contributions to this moment, for being my partner in everything. As Kelly, Flaura, Stephanie and Alex continued their various post-delivery jobs, I sat there naked with my daughter, eating pizza in my bed, relieved, relaxed, happy, complete.
The birth of my daughter almost seems abstract after three years has passed. She has grown up to become an intelligent, strong willed (aka stubborn) and confident little girl. Raising small children is the most difficult thing I have ever done in my life, and it has challenged me to become a better person through all of the difficulties.
Chad and Isla
Prior to Isla’s birth, it was hard to comprehend the reality of becoming a father. I felt a much deeper connection with my wife and fell madly in love with her beautiful pregnant body. It sounds a bit odd, but we often joke that I had developed a bit of a fetish. As her due date approached, we began to get everything organized for her arrival, but it still somehow didn’t feel real. I had not yet developed the connection that Nicole had already begun to experience through carrying her for 9 months.
We were a couple of days past the due date and were taking everyone’s advice and enjoying our time alone before Isla’s arrival. We had stayed up a bit late and I had probably had a little too much wine, I was drinking for two after all. Nicole woke me up around 2 a.m. and told me that she thought her water broke. I asked her if she was sure that she hadn’t just accidentally peed the bed. Being the good husband, I took a peek under the hood and confirmed that it was in fact probably not just urine. She tried to go back to sleep and I began to time the contractions to see where we were at. We quickly realized that we were too excited to sleep and that the contractions were getting closer together. We called the hospital and they wanted us to come in because her water had broken. They assured us that we would be able to come back home for early labor, so I didn’t even grab the hospital bag. Everything that we had learned about the first birth was that it would be a long experience.
Chad and Isla
On the short drive to the hospital I passed the entrance and had to execute a U-turn. I was clearly a little nervous at this point. We got checked into the triage room and apparently Nicole had progressed enough to need a doctor’s opinion on whether or not we would be able to go home.In the short amount of time the nurse was consulting with the OB everything began to change. The nurse came back in and looked at the strip and told us we were staying. Now I felt like a complete idiot for not grabbing the bag. No worries, I would speed home while they got her settled in. Twenty minutes and no missed turns later I was back at the hospital and Nicole was in serious pain. When I walked in she asked me for some pain medication. I waited until her contraction was over and let her know that she could do it without the meds. I’m not sure if she just needed that quick reminder or just needed to know that I truly believed in her, but that was the last time that topic came up.
As the labor progressed I had no idea what to do. The first few breaks between contractions I was offering her water or wiping her brow and asking her what she needed. I quickly realized that I was interfering with her and that I needed to get out of her way. At this point, she turned inward and I was awe struck by her amazing focus and strength. She was in serious pain and from the outside, it seemed as if she was in a trance. We were fortunate enough to have extremely knowledgeable nurses who were very supportive of an unmedicated birth. We had a shift change around 7 a.m. and Valli would be our primary nurse for the day. She showed me different ways to press on Nicole’s hips and back to help relieve the pain and it made a massive difference.
The rest of the morning is a bit of a blur as we moved back and forth between the tub and the bed. She tried several positions, but lying on her side seem to work the best while I pressed hard on the top of her hip. I was literally standing on the seat of a chair for leverage as I pushed with as much strength as I could muster. Both of our mothers were in the room for support, and at some point someone asked if I wanted breakfast. I realized that I was hungry and Nicole’s mom offered to take over while I had a quick bite. After one bite and the first contraction, it was clear that Leslie wasn’t able to apply enough pressure, so I was back in the game. Food would have to wait. Nicole’s original plan was to have as few people in the room as possible, but once she began laboring she was happy to have the support that we did. My mom has been a labor and delivery nurse for over 30 years and it was amazing to have her in the room. She had a very calm demeanor that radiated to the rest of us in the room.Nicole’s mother was in the room as well and was extremely supportive and did everything she could do to help. It’s interesting how the plans changed in the moment and how well Nicole did with little subtle twists.
Chad and Isla
Around 10 a.m., Nicole was fully dilated and it was time to push. For some reason, I thought this would be quick. Once again, I was reminded of how little I knew about childbirth. I watched as Nicole gathered everything she had to push Isla into this world and felt completely helpless as she neared exhaustion. I was overwhelmed with emotion because I could do nothing but stand by her side and encourage her. She was in the middle of the hardest fight of her life and I had to let her handle it. We tried several different positions for her to push from and ended up with her feet up on bars on the end of the bed. She was given a towel to pull on that was connected to that same bar. Her strength during the pushing was amazing.
The doctor was called in and I could tell that she was becoming impatient with the progress. She told one of the nurses to draw up a local and I guessed that she was about to conduct an episiotomy if things didn’t progress. I leaned down and told Nicole that she was almost there and that she had to push as hard as possible. She knew what was going on despite her exhaustion and that was all that she needed. A couple more big pushes and we got to meet our daughter for the first time.
It was amazing to watch her come into this world. Saying it was surreal would be an understatement. She didn’t make a peep when she came out. They immediately placed her on Nicole’s chest and there was a massive wave of relief that washed over the room. Nicole was now the mother to my daughter and I have never been more proud of her than I was in that moment.
Chad, Nicole, and Isla
The staff became a little worried with Isla’s color and the fact that she hadn’t let out a good scream. They checked her O2 saturation levels and became a little concerned that they were a bit low. My mom was an amazing resource during this time because she assured us that everything was going to be fine. I fully trusted her experience and knowledge and the conviction she had. Over the course of the next few hours, her oxygen levels drifted slowly higher to an acceptable range and everything looked good. We were in the clear and had a perfectly healthy baby girl.
The experience of Isla’s birth was profound on many different levels. I was witness to the miracle of childbirth and the amazing strength of my beautiful wife. It’s still hard to comprehend and process everything that happened that day, but becoming a father has changed a lot of things in my life. My intent is to provide the anchor that they need as they grow and explore and figure out what they want to pursue in this world. The responsibility has awoken in me the desire to accomplish more and live life intentionally. I don’t think that I have fully comprehended how much my life has and will change. It’s exciting to think about the journey ahead with this little addition to our family.
I was recently invited to be interviewed by Heather Englund of Fit Mama Real Food Radio. We chatted about about our birth experiences, where the inspiration for The BIRTH Project came from, and where I hope this journey leads. Give it a listen to learn a bit more about me and my vision for The BIRTH Project. Check out her other episodes, too, which focus on food, fitness, motherhood, and mindset.
Daisy Reese was born on Nov. 23, 2017, Thanksgiving night. Her story really begins six months before she was conceived. Daisy and Juliet (my oldest) had a brother, named Madsen. I got pregnant with Madsen literally days after our eldest turned 1. I carried him for over three months, before having him at home on Jan. 16, 2017. He had one extra chromosome that caused his heart to form improperly. A month or so, after he was born, the sky opened up for a break from the rain, beholding the most beautiful rainbow. I knew it was a sign from my son. The next day I got a positive pregnancy test. Daisy was on the way. A lot of fear and uncertainty filled this pregnancy. Genetic testing put some of my worries at ease, knowing she didn’t carry the same burden. At 30 weeks and 2 days, I went into preterm labor.
This is where Madsen and Daisy’s stories come together. While preterm labor is still somewhat a mystery, it was a consensus between my medical-care team that my body was tired and still traumatized from my going into labor so early just prior to this pregnancy. It’s an honest guess amongst those studying me, and I agree with it.
While it should of scared me, I knew even if she was born 10 weeks early she would be just fine. I’d had a 4D ultrasound done just a day earlier, and I held comfort in the images that showed a pudgy baby with a full head of hair. My hospital stay was long and intense. I was able to go home for a bit between stays, with close monitoring, inevitably back in labor and delivery a total of five times. Dominican Hospital took wonderful care of us, the NICU team is sensational. I felt a deep gratitude every day I stayed pregnant, as I watched the other NICU parents and babies fighting for growth and health just down the hall.
I loved the genuine comments of surprise of me still being pregnant, every check-in and hospital visit, from the doctors and staff. Id grown to be friends with these ladies.
With a great deal of medical assistance, medications and modified daily activity, we kept Daisy cooking all the way to 39 weeks, to the day! The night before she was born I started having very intense and regular contractions. We called Sutter Maternity, our local birthing center, and they were full. I felt so discouraged and angry. I had finally made it past 36 weeks (the limit for delivering at Sutter), and I couldn’tdeliver there like I had hoped! I chose to stay home and wait, which was brave given I’d been walking around at 6.5-7 cm dilated the last 24 hours.
I kept visualizing having my baby in the car, on the way to the birthing center. I doubted my knowledge of my body a few times. Though, through, and through I knew, I knew my body. Truly. We made it to the next morning. My water started a slow leak around 6:15 a.m.—it was Thanksgiving morning. I knew It was time to go.
Dreadfully, I called Sutter. They were COMPLETELY open! How was this possible?! We were admitted into a room right away. Only one other mama was laboring in the whole birthing center. Nothing was really progressing, so I was put on a very low dose of pitocin, still just coasting. My water fully broke around 10:55 p.m. and Daisy was born at 11:10 p.m. So. Gnarly. Those last few centimeters felt like a train through my hips.
I only had to push a few times, I knew my body and what it needed, the pushes were so effective and brought relief. In between my second to last, and last push, Daisy began shimmying her way out on her own. My midwife looked at me and asked if I was pushing, I said no. She said she had never seen a baby do that in all her years. I felt proud. She was strong and a fighter. During the last push, as her chest fully emerged, she let one mighty cry out. My husband delivered Daisy himself, what a victorious and healing moment. My midwife could not get over how big she was, 2 oz shy of 9 lb.
After all the fear of preterm birth, it was a great moment to see a plump babe. She latched on right away, and we’ve been nursing like champions ever since. Her natural nursing skills were so impressive the lactation consultants came just to watch. Jokingly, they asked if we could teach a breastfeeding class. Difficulty breastfeeding was one of my biggest fears with preterm birth. It was greatly appreciated praise to receive. My sweet booby baby. Our family brought us heaping dishes of Thanksgiving food. It was the best Thanksgiving of our lives.
