This post is about the birth of my son, Harrison, who was born still at 24 weeks gestation. The intent is to expose the reality of birthing a tiny 595gm baby - so that those who endure this as their first labour can understand that that is not normal - that is not what labour is like. Don't be afraid - well be afraid, you will be, but be assured that it doesn't have to be like this. My first labour, a huge term baby was an absolute breeze and I'm lucky I had that experience to draw on.
So, our Harry was interrupted by a clot in the placenta which failed to deliver the pregnancy hormone and the pregnancy began to miscarry. I was away on a conference at the time and ignored some of the signs but there was that deeper consciousness that something was going on. I finally listened and took myself to hospital where I was reassured that everything was fine, fine, fine, until it wasn't. An internal exam exposed that my cervix was fully dilated and the membranes bulging.
"Your baby is coming now" What.the! We're 23 weeks, what does that mean??
I was quickly; and unceremoniously, dumped upside down to take pressure off my cervix while doctors and midwives scrambled to deliver solutions and contact my husband, a million miles away (or so it felt) in Sydney with our daughter.
Conversations with doctors, decisions need to be made but I can't rob my husband of his right to be here for them and I can't have him driving upset so we call him to come and drive safely and wait for his arrival; my waters a time bomb the doctors imagine about to explode.
I'm sat with a gorgeous, sweet doctor who kindly offers me the facts 23 weekers have pretty much no chance of survival.
To have a chance he needs a ventilated bed which isn't available in Maitland where I am. We would have to go to Newcastle - but my 6 yr old is in the opposite direction. More conversation, this time over the phone, with neonatologists and the chances are grim, we make the incredibly difficult decision to forgo the ventilated bed. Basically we're saying let him go if he comes now.
But what can we do to prevent this? Assuming cervix failure they offer a stitch and if my waters don't break we're ok - we're in it to the end. Spinal block, vomit on the anesthetist (so sorry) and the stitch is in - yay!
Day 2 - But not yay, because my waters break. The stitch is now a magnet to every passing infection. The advice is to remove it, but I cannot fathom how to keep him in without it - some delightful midwife had warned me to take a bedpan with me when I visit the loo to catch him "because that's probably where you'll have him", oh god, what I know now.... Anyhoo. I argue on this subject and its agreed we try keeping the stitch in & watching for infection, yay?
Day 3 - looks like an infection, the Big Dipper again. Harry's still kicking like crazy but the signs are bad. A bit of consultation, no not infection, possibly... Up we go again.
Meanwhile husband is driving up and down the coast with clothes and daughter. Can I say I consider myself infinitely lucky to have my daughter as a focus for all of my decisions - what's good for my baby in gestation (but who's already slightly compromised) then what's best for my 6 year old paramount as its her life that stands to be turned upside down.
Day 4 passes unremarked, lots of walking around the hospital, lots of reading, lots of cheering other babies successfully born - if they can have their success so can I - right?
Day 5 - and baby is nearly 24 weeks, those few days make critical difference in survival rates and also the legal ramifications of resuscitating or not. A ventilated bed with an expert neonatal team becomes available so we ship off to RNS. On arrival, they question my decision over the stitch but agree it's brave and working so far, ultrasounds, blood tests, meetings.
Chief neonatologist enters with a counsellor, "bad news Jessica" (that's my sister, how odd) "the baby has no blood flow, he's brain damaged & we suggest inducing labour now. He'll take one or two breaths then pass away". Down the rollercoaster we go; way, way down. Discussion about funerals, grief, how to tell our daughter.
Exit that specialist, enter the professor of maternity. "Ok Bec" (right name, good start!), "brave move to date, we're gonna see this to the end, expect to be here a long time." Shocked silence. Counsellor enters - did we hear wrong, we've just been told baby isn't viable & we should give up. Counsellor agrees that's what we were told. In error, apparently. Embarrassed silence, shuffling notes. Poor Jessica. (Not my actual sister, Jessica down the hall who's had the opposite conversation & about to have her dreams shattered). Get me out of here, please. Transferred to Nepean - home at last.
I silently agree with Harry that it's now or right to the end, the next two weeks come with scarier decisions and yucky numbers about viability.
Day 6 - morning of week 24. It's all over. The rollercoaster has come to a stop. Cord prolapse. It's not pulsing, so neither is Harry.
Induction. I want it over, I'm done. Stitch is removed - ever noticed there's no lights in delivery room ceilings? They're coming at me with a dolphin torch - overkill - no caverns here!
Here's the message. This labour is freaking hard - exchange your own favourite swear word there - mentally, you can imagine. But physically! My body isn't ready, hasn't had months to soften. Labour moves along but I know myself so I hurry it a little and when it's time to start delivering it's freaking hard work. He's so tiny, small and insubstantial and no gravity behind him. Every goddamn millimeter is an effort. And I feel like my cervix is being torn in two, I'm being torn in two, so much pain. I've had 8 pound babies & they are easy compared to this, big physical gravity driven bowling balls that should feel like they're breaking you. They don't, this does. So all the hard work, he's through the cervix - that's all you have to do with big babies really, the rest kind of slips out - I ask "what did I have?" The midwife gently tells me he isn't born yet - he's that small he's only through my cervix & now he's (cover your eyes) in my vagina. The feeling is still with me.
I have to do it all again.
Holy Jesus.
And he's no longer in contact with the muscles in and around my uterus, the muscles you use to deliver. "Think lower" she says "keep pushing" what on earth does she mean I'm pushing like crazy - but I get it. I think lower. Holy Jesus.
That's pretty much it. That's enough. Most physically painful & mentally painful thing I've ever done. And if this is all you know, you have a right to expect a better labour, a veritably pain free labour by comparison, if you can work up the courage to try again.
Infection was there too - hidden away, he was sick & perishing. But I had to try. I'm proud of the active decisions I made. I'm proud I endured that pain, a badge of honour I can never wear. I am strong, a winner. A woman.
