To catch up:
Pregnancy.
Part One.
Part Two.
Part Three.
I had made up my mind and was ready to head to the hospital. The midwife said she had a few things to do before we could go.
Erik sat on the couch and knelt on the floor and draped myself over him as the contractions came wave upon wave upon wave. Mandi valiantly tried to relieve some of the pain in my back, but nothing seemed to be helping. I could not cope.
I could not cope.
I feel ashamed even writing that. And I felt ashamed feeling it at the time, too. I was not the pillar of strength I had hoped I would be and it was a humbling experience.
I held onto Erik for dear life and shuddered and whimpered as the contractions assaulted me. I moaned. I cried. I was unable to control the octave or volume of my sounds. I desperately struggled to maintain any semblance of composure. I was defeated and I knew it.
I felt anger toward my midwife and told Erik so. Hugging his waist, I said I wanted to go to the hospital
now, but the midwife was taking her sweet time. I felt it would have been disrespectful to leave when she wasn't ready, but she was just charting and packing up her home birth supplies so she wouldn't have to come back and get them.
For some reason she felt it necessary to start an IV before we left for the hospital. She started an 18 gauge in my right hand at 23:00. It was a terrible start -- she got blood all over (me and her) and my hand was sore for days after. She started infusing normal saline and then, again, discussed the transfer. I held the IV bag while it infused into me, which was ridiculous. She made me wait until the bag had almost fully infused before giving me the go ahead to leave for the hospital. It was 23:30. I don't know why we listened to her. I would have transferred immediately from the tub to the car if I'd had my way. I didn't want to be disrespectful or rude.
We spent a couple minutes gathering things for the hospital (while I carried the IV bag around with me). We weren't prepared for a transfer so we just grabbed what we thought the baby would need and my sandals. The midwife finally locked my IV so I wouldn't have to carry the bag into the hospital with me.
I thankfully had only three contractions en route to the hospital. They lifted me out of my seat and had me squirming, but they were slightly more manageable than the debilitating ones I was experiencing at home.
We arrived at the hospital at 00:20 on Christmas morning.
I could feel that the baby had moved down again and I was determined to get that baby out so I walked the few hundred meters to the elevators and then to the maternity ward. I work on the same floor as the maternity ward (opposite wing) so I prayed we wouldn't run into any coworkers on our way. We only had two contractions between the car and the ward. The contractions were still causing my back to seize and the stinging, twinging, deep stabbing, searing back pain made me feel as though I would crumple.
We arrived at the maternity ward at 00:30. I was wearing my yellow housecoat, a diaper, and my Birkenstock sandals. I must have looked like a hot mess.
I don't know when it was decided that I would get an epidural, but that decision was made between getting out of the tub, trying to not bark at my midwife, and arriving at the hospital. The anesthesiologist was at the hospital when we arrived (praise the Lord!) waiting to do an epidural on another labouring mom. I needed blood drawn and the results to come back before she would be able to administer mine.
I felt slightly panicked for two reasons. The first being that I was terrified of epidurals (I've seen many put in and they're not pretty). The second was that I knew how slow the hospital can be in getting blood drawn and lab results back and a labouring woman is hardly an emergency. I knew it could be hours before the much dreaded procedure could be done.
I waited with bated breath for every contraction to overtake me. I remember myself being wimpy and whiny though I am told this was a false perception. I thought I was being loud, but have been corrected as I remained quiet even when I did cry out.
My midwife continued to be my primary caregiver and the nurse was quiet and forgettable. That isn't meant to sound cruel, she just didn't have much of a presence.
Erik and I had driven alone and Mandi and Abbie stayed back to tidy up a bit (the birth tub had a hole and was deflating). When Mandi arrived I was so relieved to have her cold hands readily available to soothe and center me.
The anesthesiologist arrived around 01:30 to give me the epidural. I told her they terrified me and she was calm, confident, encouraging and just what I needed at the moment. She told Erik to help me stay still and I wouldn't let him. I needed to do it alone for some reason. The anesthesiologist was efficient and I did my best not to cringe as I knew exactly what was going on behind me.
I only had two more full sensation contractions before the epidural started to kick in. By the fifth or sixth contraction I no longer felt back pain.
My birth team was exhausted. I had hormones and endorphins surging through me, but they were all beat. Looking around the room was almost comical as I was met with tired, glazed over eyes with dark circles round them. Everyone was running on empty.
I tried resting like everyone else was doing, but my legs were bothering me too much (a gnawing, aching, exhausted sensation) so I just rubbed my belly, listened to my baby's heartbeat, and flipped from side to side.
My sisters came by at 02:30 after Erik texted them asking for sustenance. They brought some much needed snacks in the wee hours of the morning. I was told it would be best to stick to liquids for the time being, but I wasn't hungry anyway.
When my sisters left we went back to resting. Abbie and Erik tried to sleep and Mandi sat with me and rubbed my head.
The midwife did another internal exam at 02:50 because of increased rectal pressure and informed me that I was now fully dilated, though I had no urge to push yet. I wasn't sure I would feel the urge to push with the epidural, but wanted to give it time in case I would.
Just before 03:30 my dislike of the rectal pressure began to outweigh my desire to wait for the pushing urge. I asked if I would feel an urge with the epidural and the midwife fumbled through some answer and said I could give pushing a try.
I was thankful that I could still feel my contractions so I waited for one to build and when it reached the peak I started pushing.
If I could do it over I wouldn't have started pushing so soon. I know I had been dilated to 10cm for at least 3/4 of an hour, but... I don't know. I don't know what the baby was doing in there and I don't know what I could have done differently to get her out in a more timely fashion and without wasting so much energy.
Mandi unfortunately had to leave soon after the pushing began. She had an eight-month-old who she hadn't been with for far too long and he was mighty unhappy about that.
We tried multiple positions for pushing to see which would be most effective. The babe didn't seem too eager to move. I was surprised that I felt strongest and it seemed my pushing was most effective when I was on my back. I was able to hold my own heels and do a sit-up-push while curled over my belly. In hindsight I would have like to try pushing on my hands and knees over the back of the bed. No one suggested this and I didn’t think of it in the moment.
I didn't anticipate pushing taking so long. I was happy to be pushing and looked forward to meeting our baby soon. But I pushed. And I pushed. And I pushed.
I peed all over with the effort of pushing, for which I laughed and apologized. My poor baby was stuck in the birth canal and being showered with urine.
The midwife pushed/pulled my pelvic/pubic bones (I'm not really sure what she was doing, but it looked like it took a lot of effort) apart to make more room for the babe and I bore down and pushed with all my might.
I don’t know how many times the midwife said she was going to consult the obstetrician on-call. She kept saying, “I’ll give you 30 minutes, if I don’t see any progression by such-and-such a time, then I’m going to call the obstetrician.” The first two times she said this I took up the challenge and felt motivated to move my babe. Every time the allotted time passed she would say I wasn’t quite where she hoped I would be but that she’d let me keep trying. I eventually tuned the midwife out as I found her less than helpful.
I needed a bit of encouragement so at around 05:00 Erik took a video to show me how much progression we’d made — feeling my baby’s head with my fingers wasn’t enough for me. Seeing the video was helpful. The baby was so close! Much of the head was visible and the babe was staying put between pushes instead of receding back into my womb.
Erik and Abbie both tried to nap while I continued my attempts to bring our baby earthside. I wasn’t bothered by this as I knew they would wake up and come when the baby was about to be born. I thought this moment wasn’t too far off so I smiled as my husband curled up on a stretcher.
So I pushed. And I pushed. And I pushed.
My excitement gave way to doubt. My energy gave way to exhaustion. And my courage gave way to defeat.
For the second time in my labour, I was defeated.
We were all exhausted. And I had a baby stuck in my vagina. My internal resources were zapped and I needed external motivation, encouragement, and energy. I needed the people around me to lift me up and carry me on.
I pathetically asked Erik why our baby wasn’t coming, “Why won’t this baby just. come. out?” I said things like, “It’s been too long. I’m too tired. Four hours is too long to push.” Erik tried his best, but he too looked defeated. He looked confused and exhausted as he held my hand and forced an encouraging smile.
For hours the midwife had been saying same thing over and over and over. “That’s it! Good job, Ashley. You’re doing it. You’re so strong.” I’d lost faith in her long before the baby arrived. Before we left home, actually. Her empty encouragement only annoyed me and was counterproductive as I just wished her away.

The midwife eventually did call the obstetrician and I was told she was on her way. At this point I didn’t care how the baby came out. I even would have welcomed a cesarean section because I clearly wasn’t making progress and I felt that everyone in the room was hopeless and just waiting for nothing to happen. I felt as though no one expected me to push the baby out anymore and that no one believed it was actually going to happen. I don’t think I would have been able to voice this at the time — I don’t think I had the words or could even identify the feeling, but I felt like I was pushing with all my might and I was the only one who believed that baby would come out. And even I began to doubt that.
I remember reaching down to touch our baby’s head and trying to figure out how I could grasp it enough to pull him/her out myself. Or if I could push my skin out of the way so that little head could pop out. Or if someone could give a little slice so there was more room for the baby to come out. Or if maybe that baby could just stay put forever.
Shift change occurred at 07:30. What a gift that was! A new nurse came into the room. She was lovely, encouraging, and calm. She brought life into my weary bones.
Right at the end of a push when I was about to let up and breathe she told me to give one last grunty push to hold the baby where she had progressed to. This little piece of advice made all the difference in the world. Seriously.
I started making a bit of noise for the first time since starting to push. I had wanted my energy to be focused downward, but now I used my voice to quietly keep my baby progressing.
The obstetrician arrived and introduced herself. I’m fairly certain she was mumbling and staring at my baby, but I probably just wasn’t paying attention because I was focused on pushing and grunting. She put one glove on and said, “that baby is coming out of that vagina.” That was all the encouragement I needed to hear. I’d expected to be told that we were going for a c-section.
That baby is coming out of that vagina.
After a couple quiet grunty-ended pushes I started grunting through the entire push. I thought I was being loud, but Erik assures me I wasn’t. I didn’t feel as though I was doing anything different (aside from making noise) but I started feeling the baby move. It was surreal when she started to finally make her way out. I couldn’t stop pushing even though I needed to breathe — I finally felt like my body was actually helping my efforts.
Once her head was delivered I asked if I could catch the baby. The midwife informed me that I still needed to push the body out… Why she thought I wouldn’t know that is beyond me. I promised to do so as I reached down to feel my baby’s head.
I said “Hi, Baby!” and I was flooded with relief that progress was finally being made.
I felt another contraction building and pushed to deliver the body. I was surprised by how much work it took to get the body out. I wanted to pull the baby out myself, but would have been unable to do so in the position I was in. My eyes were closed and I desperately pushed. My hands were still near the baby, but I don’t recall exactly what I was doing with them or what they were feeling. The midwife pulled the babe side to side as she freed her from my womb. She commented on how hard this baby was making me work.
My hands found the babe as I felt her body begin to slide out and helped to pull her up to my chest. She was born at 07:54 on December 25. On Christmas Day in the mor-ning.
My very first thought as I pulled the babe up to my chest was, “where is the other half of him?” I caught a look at the babe’s privates and thought I saw labia, but didn’t believe it. I was certain there was a little boy growing inside of me.
I welcomed our babe saying, “Hello, my sweet.” And then I put my head back and breathed a grateful sigh of relief.
Well, I actually bumbled like an idiot. At first the babe looked angry, and who wouldn’t be? She didn’t cry immediately, but looked around searching with a purple scowl on her face. I asked “What are you?” as I lifted the babe’s leg and announced that we had a girl! She finally cried shortly thereafter.
I remember the warm stickiness of her. Her bleating cries. Her flailing body. She sounded a bit like a little lamb. Her left ear was folded over and stuck to itself. Her head was side-coned and long.
The midwife showed us that there was a true knot in the cord and told us that she’s a lucky girl. The possible complications with the knot thankfully didn’t hit me hard until later, but in that moment I was again grateful that she was here and she was safe.
The babe was clearly distressed on her way out because she pooped en route and meconium covered my legs and abdomen.
We were unable to delay cutting the cord because the baby was having decelerations. Erik cut it 2.5 minutes after delivery while I was busy rubbing the baby and encouraging her to breathe for me. The nurse put an oxygen monitor on the baby’s foot and listened to her heart as we snuggled and I continued my exhausted, whimpering monologue.
Our doula left soon after the delivery and the other midwife, the one I adore, showed up at 08:00. I was so happy to see her. I was especially thankful because the first midwife's hands were trembling from the effort of pushing my bones apart for hours. I needed stitches and I was glad to have some fresh hands in there putting me back together.
We both had some time to cuddle our tiny human before the midwife took her to check her over with Erik. She was tiny -- only 6lbs 15oz. And a wee 19.69 inches long. The midwife wrapped the baby up and Erik brought her back to me. We admired her for a bit longer before calling our families after 10:00.
Next:
Part Five