A Victorious Birth

I got a call on Friday evening from a first time mom, "M". She thought that her water might have broken. She called her Midwife "A" and indeed her water had broken but her cervix was still long and closed. "M" tried to get some sleep that night, although contractions had started a bit. By the am, "M" was about 3cm dilated. We headed into the birth center at around 10am. By now she was 4cm. At noon she was 5cm and her contractions were still pretty short and soft. "A" gave her some homeopathic to help her contract and dilate a bit more. Things really picked up then and by a little after 1pm (yes, just one hour) she was almost complete! She just had this rim of cervix left.
For about an hour she sort of pushed, but not really. lol. Her body didn't really feel much like pushing so we just sort of waited for that cervical lip to go away. Baby was REALLY low. Well, the lip just wasn't budging. Midwife "A" tried to help it out a bit, but that really hurt M so we waited it out a bit more. Around 2:30 "M" had really started to push in ernest. That lip was still there though. It would slide partway around baby's head when mom pushed but flip right back over when mom stopped. Midwife A tried holding it back through several pushes to get baby past. Baby finally got through. M worked really hard. SHe was pushing so well but baby just wasn't moving much. It became apparant that baby did not have it's head tucked. Babies normall tuck their chins in, so that the crown of the head (the smallest part) comes through. Instead this baby was trying to come out with it's head straight up...so that the widest part of the head (from back to front) was trying to fit through that pelvis. Needless to say this was NOT an easy task.

I learned a LOT of new pushing positions that day! She was: in the tub, on her side, on her back, on the toilet, hanging between me and her husband's legs (on leg on each of our knees with her butt to the floor....think supported squat), on her tummy with a swimming ring under her belly. This last position seemed to do the trick. Each contractions she'd rear back up on hands (like a child's pose in yoga) and baby would really move. Baby still hard a hard time fitting the back of it's head past her pelvic bone though. I got to feel though! At one point Midwife A said to me, "Get a glove on and come feel this!" It was really cool! I could feel baby come through the pelvis and then slide back during pushes.

Mom, meanwhile, was doing awesome! She had a few moments where she would cry and ask what she was doing wrong. But if we talked to her, her intense eyes would just stare at us and she'd just focus on us talking. I told her husband to make her look at him if she was loosing control and to just talk to her. He did and she would stare at him, just so depending on his love and support, and he cried and told her how beautiful she was and that he was there for her. It was the most special moment. I had to look away because I felt like I was intruding on a very intimate moment.

Around 4:15, Midwife A was able to actually reach her fingers in and grab baby by the back of the skull and tuck its head (since baby was being so darn stubborn!). Once that happened, baby finally slid out to a crowning position. There was a little corkscrew of curly hair coming out of the top of its head. I got a really good picture of that!

Baby Girl "E" was born at 4:30, weighing 8lbs 7oz! She had a head full of hair and was one of the mellowist babies I've ever seen. She screamed a bit at first, but after a minute or two calmed down and I didn't hear another cry from her the entire time I was there (for another two hours). She just looked around and stared and Daddy and Mommy. Daddy and Mommy cried....actually sobbed uncontrollably for about 10 minutes. They were so overjoyed. We let in a room full of family that had been waiting outside the room eagerly.

The Midwife later said that she knows without a doubt that had "M" been at a hospital she would have had a C-section. Hospitals don't really seem very keen on all the position changes. (I've had several Dr's tell me there's no difference between laying on the bed in stirrups and any other position!). Midwife A described this birth as a "Victorious" birth....and she's right! It wasn't easy....it wasn't even "normal", but it was beautiful and mom worked so hard. It was an amazing birth to witness.

I can't wait to go and see that family for our follow up visit!