Some of you may know that I was planning to have a home birth with my midwife Davi Kaur Khalsa. I was looking forward to being in the comfort of my own home, knowing I would face the most challenging physical, mental and emotional feat of my life. I had a low-risk pregnancy and appreciated the fact that only 2-3% of home births truly require medical interventions, while the average hospital intervention rate is 20+%. I wanted to allow my body to do what it was designed to do without the influence of western medicine. Davi had been delivering babies for 30 years, first in hospitals as an RN, then in homes as a Certified Nurse Midwife. I trusted her judgement and felt confident that she was humble and conservative enough to transport us to the hospital if anything seemed unusual before any emergency situation arose. Though I had spent many minutes, hours, days, weeks and months visualizing the smooth home birth of my baby, I always remained open to accepting the circumstances that came to us. But I could have never imagined what was about to happen.
When I try to
remember my labor, it is often quite fuzzy. Some things I remember so clearly,
others are like a hazy dream. What I do remember is that I labored for 4 days. And the labor pains I experienced on day 1 were as intense as the pains on the day I delivered her. Adeline was born on Monday 11/24 at 3:40 pm. I started labor Friday evening. The contractions came quickly. Within an hour they were 4 minutes apart but only lasted 30-45 seconds. I called my doula because I knew it was unlikely happen so suddenly for a first-time mom. She had me get in the bath to see if they slowed down. If they did, it was false labor. And sure enough, they started spacing out... 6 minutes, 10 minutes, 12 minutes...I stopped counting after that. And so, from that point on, I stayed in labor with surges every 6-20 minutes. For four days. By Saturday my body started rejecting food and at times even water. I couldn't keep anything down. I spoke with Davi and she told me to ignore the contractions (as did my doula Kimme). For anyone who has ever given birth--you can understand how being told to ignore my contractions seemed impossible.
The contractions continued, and by Sunday evening I was completely exhausted. I hadn't slept longer than 15-20 minutes at a time, and I hadn't eaten anything in almost 3 days. I called my doula again, concerned that I wouldn't be able to have the mental stamina to continue when my "real" labor began. She suggested I drink a large glass of wine to see if it could help me relax and allow my labor to progress overnight, and she pointed me to my midwife to discuss. I called Davi, and I was shocked by our conversation. She was less than understanding. She was surprised and concerned that I hadn't eaten in days and also that I gotten myself so worked up when I wasn't even in active labor yet. She mentioned that some women go through this for weeks before having their babies. I was horrified. She asked to speak with Jason, and by the end of their conversation she told us to meet her at her office in an hour.
We arrived, and she observer me going through a contraction. And believe it or not, she taught me how to "ignore" them, by allowing them to happen without tensing a single muscle in my body. After I was able to do that, she checked the dilation of my cervix. 3 centimeters. Then she changed her tune. She congratulated me on being in early labor and sent me home to "rest." She told me to drink a large glass of wine and to call her when I woke up in the morning. We headed home and I attempted to eat a snack before drinking. Attempt unsuccessful, so I waited 20 minutes and prayed to the labor gods that I would be able to keep down the wine. Thank god, I did. After two glasses of wine and a short nap, I went into my bedroom to rest as much as I could.
I woke up at 7:30am and summoned Jason to time my contractions. I text Davi to let her know I was getting closer. And when she called, my contractions indicated I was in active labor. Davi arrived about an hour later. Finally! I was about to have my baby! When Davi checked me, she told me I was 7cm dilated. I was relieved I had progressed so much overnight. But something told her to check again. She told me she felt a bump on the baby's head. After thinking about it for a few moments, she decided we needed to visit the back-up OB, Dr. Crane, in his office in Beverly Hills. She assured me that everything was probably fine, but she wanted to check to see what the bump was before delivering at home. So the three of us got into her car and drove to Dr. Crane's office.We arrived, and Dr. Crane checked on an ultrasound to better assess the baby's positioning.
The bump...it was a nose.
The baby was posterior with a crooked brow presentation (left eye and nose down) instead of top of head down. They left the room to discuss, but I understood that this presentation would result in a c-section delivery. We went back home and tried several exercises from spinning babies to get the baby to turn. I laid on my stomach with my arms to one side, and repeated on the other side. Facing right was excruciating. I wanted to curl up into a ball and die. But with Kimme and Davi’s help, I relaxed into it. After some time I flipped right. This one didn’t feel so bad. We inverted my hips into a bridge. We focused on her right shoulder that felt stuck and asked it to move and release. I took a break and walked around the apartment. When I had surges, I shook my hips vigorously back and forth to get baby to move. I talked to her. “That’s it, baby, that’s it. Just like that. Chin down and turn baby, we got this.” I did this for about 10 or so surges, and then we moved out to the living room. We tried 3 minutes of the Rebozo in a quadruped position. Kimme shook it back and forth through my surges. I then got my hips up on the couch and did inversions for 3 rounds of surges. After that, I laid on the edge of the couch and crossed my top leg over (left side). At first nothing happened, but when a surge came, it was the most painful moment of my labor. Davi quickly told Kimme she needed to check me. The baby was still in a brow presentation and posterior, though this time she wasn’t crooked. But the posterior positioning still wouldn’t enable her to be born vaginally because there would be no way for her hyper flexed next to get under my pubic bone. No one ever said the “C” word, but I understood what was happening. Davi made the call to head to the hospital, and Kimme helped Jason pack me a bag. I climbed into the front seat, and we followed Davi over to Cedars. It’s so strange. I was never worried. I was never focused on what might be. I was totally present in exactly where I was and had complete trust in Davi.
We arrived at Cedars, and I stepped out of the car. Splash. My pants, underwear, socks and shoes were covered in amniotic fluid. I told Davi, and she said it might just be pee, but I knew this was the real deal. We got checked in and they put in a room. They hooked me up to monitors for 20 minutes to make sure baby and I were okay. Davi had me lay down in the bed and wait. It felt so good to be reclined. Baby and I checked out okay on the monitors but the weight of the monitors intensified my contractions. I wanted them off. David told me if I had to pee I could take them off. After she said it twice, I understood what she meant. I was able to get the monitors off!
After using the restroom I didn’t want to
lay down anymore. I stood and leaned on a cart and experienced surge after
surge after surge. My body started pushing, but I didn’t know if I should allow
the pushing or try to hold the baby in. But I couldn’t stop. I kept asking
where Dr. Crane was. Davi assured me he was almost there. She told him I was
pushing and he said to let me do it while we were waiting for him. So I
continued to have surges and my body continued to push the baby out. Davi suggested I get back into bed, and it turns out, that was a game-changing piece of advice.
About an hour after checking in, Dr. Crane arrived. He checked to see how dilated I was and to confirm the baby's position one last time to determine the course of action. And then he told me that I could push. Davi's advice to get me back into bed allowed the baby to shift to an anterior position--the only way that I could deliver a face presentation without a C-section. I remember looking at
Kimme who had tears in her eyes. Then I flashed back into my body. Within minutes I started pushing, and 7 pushes later,
the baby’s head emerged. I kept hearing Kimme say, “I can see the baby's lips.
It is lips first.” I felt such a sense of relief when the head was out. And
then came the final push to get the shoulders out. The baby's hand was up toward its face, but with some maneuvering, Dr. Crane was able to ease out the shoulders
and hand. And then the pain disappeared. The baby was born, and I could barely
understand what happened. But there was my baby. They put the baby on my chest, and a few minutes
later said, “It’s a girl.” I looked at her and thought “Adeline.”
Though it was far from how I planned it, I am so grateful for the healthy and natural delivery of Adeline. And I am also forever grateful for all of Davi's wisdom and making sure we all stayed safe. Davi said in her 30 years of labor and delivery, this was the first face presentation she had ever seen...it happens in two tenths of one percent of deliveries. (Be forewarned: a graphic image of another woman's face presentation delivery here). Adeline Grace made a statement with her entry into this world, and I cannot wait to see what is yet to come.
