It all began on the 28th of January
2013. My baby was already two weeks overdue and I was to be induced that day.
Sarah, my best friend and my husband Justus accompanied me to the antenatal
ward at the Royal Hospital for Woman in Randwick, one of the suburbs located in
the eastern part of Sydney, Australia. It was a cool summer morning in January
and rain clouds were looming overhead, threatening us with rain. The first
thing that happened when I went into the room was having my cervix checked so
that the midwife could determine if my cervix had in fact opened up over the
weekend and since my last appointment, which I’d had on the 21st of
January. On that day when Fiona (the midwife) had checked my cervix it had not
opened up at all, it was completely closed and in a posterior position. On top
of that my baby had not dropped, which is what triggers labor and your cervix
to dilate or “open up”. I was carrying high throughout my entire pregnancy
right until the very end.
The first thing the midwife did was check on the
baby. She monitored his heart rate for about 45 minutes before deciding to
check on my uterus. The position of the cervix and how open it was would
determine if my waters would be broken that day or if I was to be induced
instead. As I lay down put my feet together and flopped my knees to either side,
the midwife checked my cervix again. It was softened, and starting to open
slightly but still extremely posterior. Sabin did not want to budge, and as far
as he was concerned, my womb had become his favorite place.
It was at this point that they decided to
administer the prostaglandin gel onto my cervix. The gel is used to soften and
help dilate the cervix and to bring on the contractions. The gel was
administered at 11am. Sarah, my husband, and I then went downstairs to have
coffee; I had tea because I did not want to stress out bubba. I started feeling
a little strange and some pain, nothing to write home about so Justus and I
decided to go back upstairs. In the room the contractions slowly started to get
more painful, I remember thinking to myself this isn’t so bad. The midwife
decided to check my cervix again and it had opened up about 1cm, While she
conducted the examination Sarah held my right hand while Justus held my left,
all I remember was that the pain was excruciatingly uncomfortable the most
horrible feeling. Eventually my parents arrived at about 5pm and came to the
hospital right away after arriving at central station.
In the following hours after my parents arrived, I
can remember a blur of events. The contractions began feeling like intense
pressure on my bowels and anus. At this point the pain was still manageable. I
kept walking around the ward to encourage labor to begin. I walked with Sarah,
walked with my mum, and walked with my husband on separate occasions. The pain
slowly intensified as the night progressed. At one point I took panadeine forte
to help with the pain, the medication dulled the pain momentarily maybe for
about thirty minutes. The pain only intensified further as the medication wore
off. Eventually those painkillers acted like placebos compared to the intensity
of the contractions and were only a temporary fix. It became increasingly hard
to walk, at this stage of my labor, maybe around 10pm they offered me a warm
bath. I went in there with Justus, but the water wasn’t hot enough I told him
to pour more hot water in because I wanted it to be scalding I didn’t care
about the heat. The pain was so bad at that stage that I began moaning louder
and louder, it is very animalistic experience and when contractions worsen you
become oblivious to your surroundings and increasingly aware of what is
happening to your body. Looking back now it was like I was on some weird drug
like mushrooms or ecstasy, except with intense pain accompanied by eurphoria.
It was at this stage that the midwives decided to
do an internal exam again, and judging from the sound of my cries they assumed
it must have opened farther. When they checked my cervix it had opened up to
3cm. Again, the internal exam was extremely painful but worth it because it
meant that I was going to be transferred to the delivery suite. At this stage
of the labor I could barely walk and the contractions were becoming much more
regular and extremely painful. I lost sense of myself and was wheeled in with a
wheelchair to the delivery suite; I could no longer hold myself in an upright
position.
In the delivery suite, we put on some music, and I continued
to labor throughout the night. It was midnight when I looked at the clock and
realized that no progress was made except for the fact that the pain was
getting worse, the contractions were extremely close and every time I had one I
got this overwhelming sense I wanted to push, poop, or explode I don’t know
which but all three choices were extremely painful and unbearable to think of.
The dull period type pain became more like jagged knives being thrust into
every part of my abdomen, like I either needed to shit so bad, or that my
insides were going to explode and that I was literally about to die right there
and then on that excruciatingly uncomfortable bed. I was being murdered from
the inside out. The pain really is indescribable; it is something that can only
be felt in order for it to be properly understood. When I thought about
contractions before that day I thought to myself that they would simply be a
little worse than menstrual cramps, was I mistaken.
The night continued and I started getting
back-to-back contractions. Meanwhile it was storming all night, the rain poured
outside, I was sweating, then I was cold, and I was so incredibly thirsty.
Sarah kept giving me water. I had no rest between contractions and I could no
longer cope. The midwife came and said do you understand your pain relief options?
I looked at her and was slightly delusional. I told her “yes gas and epidural!”.
She then informed me that I could have morphine. I said “Really, morphine? Are
you sure? But is it safe for the baby?” Immediately my mother was opposed,
Justus started googling the side effects of having morphine on the baby. Justus
then agreed with my mother and said that he did not think it was a good idea.
As he said that, the midwife came back in and said that the baby can have
withdrawals and they can give something to the baby to reverse it. That was all
I needed to hear, I said I did not feel safe about taking it, even though my
uterus and bowels felt like they were on fire. The pressure was so intense, and
I just felt like I constantly needed to push, it felt as though my insides were
going to explode out of my body each time I was having a contraction and I was
having two or three a minute.
At this stage, the night became a distortion of
events, there were a couple of moments when I had a contraction and right
afterward I would feel this huge sense of euphoria. This helped me manage for a
little while. Then the time finally came when they had to do another internal,
I was petrified because every time they did an internal the pain was ten times
worse with each exam. I was so scared and new it was going to hurt like crazy,
I didn’t want her to do it and I was refusing and shaking my head in my
delusional, semi-conscious state. The midwife informed me that once she checked
she could break my waters and then it would speed up the labor. I freaked out
and new I would not be able to handle the pain, Sarah and Justus both encouraged
me, I remember Sarah telling me it will be good if you do because then labour
will progress otherwise labor won’t progress and it will be worse to which I
replied “I can’t do it! I’m in so much pain! I don’t want to have another
contraction while she breaks my waters!”. Finally, they both convinced me, I
lay down with Sarah holding my hand on one side and Justus on the other. Once
again, I put my feet together and flopped my knees side to side. She looked
inside and said my cervix had opened up 5cm and she could break my waters. She
took out the long amniohook and proceeded to break my waters. I screamed so
loudly, it was the most painful experience, and as the warm liquid ran down my
bottom, I felt the most intense period pain, and the contractions got even
worse, about ten times worse. I never thought they could get any more painful
than they had already been.
The midwife who broke my water finished her shift;
the new midwife came in, as the change over occurred the contractions became so
much more intense and closer together. Just when I thought there could not be
any more pressure, each contraction brought with it a huge surge of pain that
radiated down my legs, and through my anus and vagina. It felt like someone was
poking a fire stoker into my abdomen and intestines and colon. My insides
seemed as though they would explode out at any moment. To be quite honest the
best way to describe a contraction or an “induced contraction” is in this way,
rather than a fire stoker it felt as though (now this will sound really
horrible) that I had a bowling ball sized poop lodged somewhere in between my
rectum and cervix, and that this poop was as hard as platinum and didn’t want
to come out, and that it was on fire all at the same time, yes I think that is
a better description for the type of contraction I was having. Oh and they were
not spaced one minute apart (as promised by the midwife) but rather, I was
sometimes having them back to back. It was so painful that I think if you were
being murdered with and axe and then being poked inside your vagina with a
double edged sword at the same time it wouldn’t even compare to a contraction.
I don’t know how long this was going on for, but eventually
the midwife said you can use gas. I had
tried it for a brief second and was aware that is was there but when I tried it
I threw the ventilator into the air and screamed, “no it doesn’t work, it’s
crap”. She said, “It can really help you work through your contractions” I
didn’t really know how to use it, and just as I said that another contraction
began and the midwife showed me how to use it she picked it up and said “Ok
when another contraction begins breath in deeply though your mouth and out
through your nose”. I did as she instructed, and breathed the gas in throughout
my contraction. It didn’t make the pain go away but it stupefied me enough
where I got a little high and the contraction didn’t feel as bad. Now all I can
say is this to future preggers out there, don’t ever be astonished at what
other women do during their labour because when your in the moment anything can
happen especially if you have been induced. I threw the gas mask in the air, as
it really was not helping. Little known to me at the time I had only dilated
3cms during this whole experience. Nothing was happening. The contractions were
erratic and I was not getting a break for even a second. I was moaning like a
wolf howling at the moon and nothing was happening.
My cervix was not even dilated when the midwife had
checked the few days prior to this experience. My cervix was not ripe and I am
baffled as to why they would recommend for me to have an induction. It was
guaranteed to fail.
The pain continued unabated and I was on all fours
on this extremely uncomfortable bed. I remember feeling as though I had rug
burns on my knees and that’s how much time I was spending crouched over in pain
on my knees. This continued on into the night with nothing really progressing.
The midwives were shockingly nonchalant and uncaring. They offered me no help
or advice as to how to position myself or how to birth this baby. It was
shocking that this was happening to me, and that I had stupidly allowed them to
do whatever they liked to my body.
Things got from bad to worse when the midwife came
in and told me that my cervix was not dilating quick enough and that they would
have to administer Pitocin via IV drip. I asked them how bad the contractions
would become then. They said they would intensify and the pain would be worse
than what they had been. It was at this point in time that I realized that my
body had failed me and that I could not handle this type of artificially
induced labour pain. I asked my best friend to get the midwife and to tell her
that I wanted to have an epidural. I think at that point I had been in there
for 18 hours. I had only reached 3cm and it seemed as though my body was going
to explode.
My mother attempted to stop me. And I said to her I
need this. In hindsight I know that there were too many people involved with my
birth experience and that no one should have been there except for my husband.
I ended up having the epidural. Just before the anesthesiologist administered
the medication he gives me, what seemed like a novel at the time, pages and
pages of information regarding the epidural I looked at it with my blurry
vision, hunched over in pain and immediately handed it to my husband. There was
no way I could give informed consent by reading a thousand page document
regarding the risks of the injection. It was completely ridiculous.
They administered the medication. Slowly the pain
subsided and everyone was able to rest. It was around 2am. The lights were
dimmed. My husband and best friend fell asleep. My mum and dad paced the
hallways and room. I tried to relax.
Suddenly it was 6am. All the lights were turned on
and the registrar or head of the department came in with two residents (i.e.
students). The room was filled with onlookers, nurses, doctors, cord donation,
midwives, my parents, my best friend and my husband. It was a complete and
utter circus. I was then poked, prodded, given and internal examination, my
vagina was in full view of everybody. I felt helpless, drugged up and
completely out of control. Finally, the registrar said to me “we are going to
try to manually move your baby” he was now stuck with his head in a transverse
position. The doctor (in front of all the staff and my family and friends) put
his whole arm up my vagina and tried to turn my baby while I attempted to push.
He tried a few times to no avail. Finally he said to me. If we can’t turn your
baby we are going to have to prepare you for a c-section”. Upon hearing those
words I burst into tears because I left the USA precisely for that reason. To
not have an interventionist birth. The staff prepped me for surgery. My mum
started to help I was so embarrassed and told her to move out of the way. If
you can imagine a little Italian woman attempting to move me from my bed to the
operating table while all the doctors and nurses were preparing to move me
together.
The whisked me away to the operating theatre for an
emergency caesarian; I was completely bewildered and sad at that point. Once we
were there the doctor prepared me by telling me that they were going to try two
more times to manually move my baby. SO we got into the operating theatre he
tried two more times, and used two different types of forceps with no luck.
They prepared for the operating table, covered my face with a sheet so that I
couldn’t see anything, and they cut me open. I remember hearing my baby cry and
the doctor saying “A beautiful, healthy baby boy” and my husband and I were in
tears it was so emotional and so exhausting. I held him for a little while but
I couldn’t hold onto him for long because I was shaking uncontrollably. They
took him away and the room cleared while the residents stitched me up. I
remember not feeling a thing from the waist down except for being tugged hard
left and right.
I finally saw my baby in the recovery room and they
immediately put him to my breast. At that point I didn’t care about how he came
into the world. He was healthy and he was perfect. However, over the next few
months and even years I always remembered hi birth in a very negative way. I
felt depressed when I thought about it. I felt like my body was broken, and I
felt like I had been treated like a science experiment rather than a human
being. In these situations mothers don’t matter any longer all that matters is
that they get that baby out no matter how horribly they treat the person
carrying the baby.
It was traumatic, excruciatingly painful, I felt
used, defeated and extremely embarrassed.