Sunday, January 13, 2019

Meeting Susan Elizabeth: A Birth Story

40 Weeks Pregnant

It’s difficult to know where to begin such a story. Do you start with the journey of trying to get pregnant? Do you start with the long wait of pregnancy? Do you start with the days of pre-labor when you’re always wondering if today is the day? Do you just give the facts? Do you share what you were thinking and feeling? The story of Susan Elizabeth begins long before she was conceived, but the story I’m telling today is the story of her birth, the story of the final working wait – the wait called Labor.

Walking the halls in Labor and Delivery
Monday, January 7, 2019 was my due date. I woke, like I had been waking for days, with anticipation but a feeling that she wasn’t coming that day. I was right. She wouldn’t come that day, but what I didn’t know is that I would begin laboring that afternoon – a labor that was to last nearly fifty-nine hours, teaching and humbling me every step of the way. That morning, I suspected that my amniotic fluid had begun to leak, but I decided to wait a little while before calling the doctor. At 2:30 in the afternoon, I woke from a nap to contractions that were different from the Braxton Hicks I had been experiencing. I didn’t realize at the time that they were labor contractions; just that they were different. I called the doctor to let him know that I suspected that my water had broken. He wanted us to go to Labor and Delivery to confirm, so we went that evening. By the time we got to L & D, I was feeling certain that my water had not broken and I was feeling so stupid. As we waited in triage, I wished we hadn’t gone. “I know I’m a first-time Mom,” I kept saying to my mother, “but I don’t want them to think I’m an idiot.” Pretty soon, a knock was followed by the entry of Emma – a cheerful, bubbly, joy of a young nurse. “I’m afraid I’m a false alarm,” I said. She laughed – a wonderful, delightful laugh. I don’t remember what she said next, but whatever it was calmed me. I was at ease with her from that point on. She didn’t think I was an idiot. We had fun guessing the sex of the baby while she hooked me up to the monitors and checked my cervix. She was getting boy vibes, she said. I was 80% effaced and dilated 2-3 centimeters. While in triage, my contractions continued. When Emma returned after determining that my amniotic fluid was not leaking, she said, “It looks like you’re in the early stages of early labor. We might see you again soon, but I’m going to send you home to labor there.” Perfect. I was completely at peace. I was wrong about my water breaking, but I was in labor.

Working through a contraction
while walking the halls
I slept relatively well Monday night, despite trips to the bathroom and contractions that continued through the night. Tuesday morning, I had an OB appointment. After checking me, the doctor asked, “Do you want to guess how far along you are?” I said, “No, I told myself that I couldn’t expect any progress.” I was 90% effaced and had dilated further to 4 cm. I was giddy. I had a feeling I would meet my baby that day. The doctor seemed to think I might meet my baby that day. I labored the rest of the day while shopping at Target, driving home, eating dinner, packing last minute hospital items. Finally, between 10 PM and 11 PM, my contractions got harder and somewhat more regular. We decided to head in to the hospital. They admitted me sometime between midnight and 1 AM on Wednesday morning, even though my contractions were somewhat erratic. It was time to focus on meeting our baby.
Working through a Pitocin-induced
contraction

Shift change at 7:00 AM brought the next nurse who was to be just the perfect person at the perfect time. Dorothy has been working in labor and delivery since 1980. When she arrived, I didn’t like her. She fussed over the state of my pillows, told me to work through contractions differently than I had been, and made me get out of bed and walk the halls. She made me her concoction of cranberry and apple juice, which was perfect and refreshing. As the day went on, I began to like her more and more. I trusted her. She was competent and straightforward, but she was always kind. By noon, I had finished effacing and my cervix had finished coming forward, but I hadn’t dilated beyond 5 centimeters. I agreed to let the doctor break my water. I’ll never forget that sensation. It felt like I was urinating but had no control. The next contraction was harder. “Good,” I thought. “This is going to work. I’m going to get to meet my baby today.”
Dorothy and me

Dorothy made me walk the halls some more after my water had been broken. I had several contractions where I had to stop and lean against my husband before continuing our circuit around Labor and Delivery. When Dorothy checked me again at 3:00 PM, I was maybe 6 centimeters. “Are you ready to really get this going with some Pitocin,” she asked, “or do you want to continue doing what you’re doing?” I was ready to get going. She turned on the Pitocin. The next three hours are a dark cloud in my head. During natural labor, I could mentally prepare myself for the peak of each contraction and surrender to the waves of pain. Not so with Pitocin-induced labor. I remember saying, “There’s no time to prepare!” as they began. I asked once during the dark cloud of contractions for Dorothy’s cranberry-apple juice and she brought it to me. The light coming in the window blinded my eyes and I asked for the shades to be drawn. Eventually, I remember saying, “I cannot do this anymore.” Over, and over, and over again, the contractions seemed to pound against my ability to keep it together. I continued to try, to breathe, to will my legs to relax with each wave, but I was weary. I had been laboring for two days. 
Getting ready to meet our baby
When Dorothy checked me at 5:30 PM, I had only progressed to 7.5 centimeters. That was the end of my control. I cried. I knew the hardest part of labor was still to come, but I couldn’t handle it. I continued to say, “I cannot do this anymore.” Finally, Dorothy said, “Ok. I need you to tell me what you mean by that. Do you want us to do something about the pain? We can do that if you really want it, but you have to be the one to make this decision.” After a few more contractions, I asked for an epidural. Dorothy told me that it would take thirty minutes before I really felt better, but it began to work immediately. Anesthesia gave me the epidural at 6:00 PM. They situated me in bed, and Dorothy asked me if I had felt the contraction I just had. I hadn’t. The fog lifted and I slept.

Pushing
Shift change at 7:00 brought Maggie to us. Dorothy introduced her and spoke well of us. She allowed us to take her picture with me before she left. Maggie was also wonderful. She was calm and reassuring. When she came to check me at 10:00 PM, she said, “You’re complete. That means I’m going to get your room ready for delivery, and we’ll work on pushing. When the baby crowns, we’ll call the doctor.”

Immediately after birth
It was time. I cried. I smiled at my husband. We were going to meet our baby. Maggie rolled me to my back and helped me to get my legs into the stirrups. My mother and I locked eyes and I giggled internally. I had been adamant that I would not be delivering my baby with my legs in stirrups, but there I was, and I didn’t care. By 10:20, Maggie began walking me through the process of pushing with an epidural. She was an excellent, patient teacher. It was a good thing, too, because I pushed for three hours. Emma, the nurse I had seen on Monday night in triage, had requested to be the second nurse for my delivery. As pushing got more difficult, Maggie, Emma, my mother, and my husband cheered me on. 
Pure bliss

Finally, Dr. Hutchinson arrived. I had never met him before, but he was great. He was calm and focused. When he thought I needed an episiotomy, he explained the reason well. I felt like I could trust him, so I consented. Following the episiotomy, I pushed twice more, and her head was born. I heard her begin to cry. I began to cry. Before I knew it, Jim was announcing that we had a baby girl by telling me that Susan Elizabeth had arrived at 1:11 AM on Thursday, January 10, 2019. She was on my chest for a moment while Jim cut the cord. We knew that she had passed meconium during pushing, so NICU nurses were waiting in the room to suction her. They worked quickly, and nine minutes after she was born, I had her with me for over an hour. I admired her hair – she had lots of it. I marveled at her strength – she could lift her head and shoulders off of my chest. I touched her and smelled her. I talked to her and showed her to my husband. We loved her. She nursed for the first time. When I was ready, Maggie took her to weigh and measure her. She weighed 7 pounds 3.5 ounces, and was 19.25 inches long.

Susan Elizabeth
Susan was born with increased risk for jaundice. All babies are at some risk, as their bodies must immediately begin to clear bilirubin, a waste product formed from red blood cell breakdown, and which the mother’s body had cleared for them while they were in utero. Susan’s blood type is A+ and mine is O+Because of that mismatch, the lab ran a Coombs test to determine whether our blood had mixed at birth. It had, so some of the antibodies from my blood were attached to her red blood cells, enhancing red blood cell breakdown. In the hospital, her bilirubin levels were monitored closely and were always somewhat high, but not high enough for phototherapy. Bilirubin is cleared in feces, so I was encouraged to feed Susan often so that she would be able to clear as much bilirubin as possible. On Friday, we were discharged from the hospital, as long as we agreed to take her into the clinic on Saturday to have her bilirubin checked one more time. If it had not begun to level off or decrease, she would need to be readmitted to the hospital. I nursed her every two hours and prayed more often. Saturday morning, her bilirubin levels had dropped. We headed home to stay.

Daddy and Susan
Before Susan was born, I was determined to have a natural birth. No interventions. No pain meds. Beautiful, natural childbirth. Nothing about her birth was what I expected. I did not expect to labor for 59 hours. I did not expect to labor with Pitocin. I was determined not to get an epidural. I was adamant about not delivering in stirrups and about not receiving an episiotomy. I was prepared, well prepared really, to manage contractions and birth naturally. Then, as always when I’m holding stubbornly to an ideal, I was humbled. I have no regrets. None. I don’t regret any of the interventions I agreed to. I really think they were the best decisions to be made at the time. My overwhelming emotion is gratitude. Gratitude for Emma, Dorothy, and Maggie. 
Home as a family
Gratitude for God’s gentle chastisement of my pride as each of my ideals were broken down. Gratitude for medical doctors who were willing to work with my ideals but were not afraid to tell me when they thought something else was best. Gratitude for my mother and husband who were unendingly patient and kind during my long labor. Gratitude for my strong, healthy, beautiful daughter. Our story is, in my mind, a beautiful one. All stories that contain difficulty have the potential for beauty if we’ll only look for it.

















Monday, June 18, 2018

To the Child I Will Never Hold


My sweet, sweet child,
You were the first. You were in my consciousness for just a few short days last year. Today is the day you were due to be born, but you left us before you even looked human. I never saw you. Your short life taught me so many lessons. When you left, you taught me about grief that comes in unpredictable waves. You taught me how to rejoice with people who had what I wanted. You taught me about the sustaining power of God. You taught me how to surrender my dearest dream and sweetest possession to the Wisdom that ordained the sun to rule the day. It was that last lesson that brought us to name you Micah – “Who is like YHWH?” You are no longer with me, but you remind me every day that I am not like YHWH. My wisdom is not supreme. Everything about you made sense to me, but YHWH knew better. Better for you. Better for my idolatrous soul. You are with the One who loves you better than I ever could.
Today, there is tension in my mind. I wanted you. I want you still. I still mourn your loss and dream of what might have been. Today, there is another baby growing inside me – your little brother or sister. I love and want this baby just as much as I loved and wanted you. I revel in its growing life and dream of what will come. You cannot both be here. Your earthly lives are mutually exclusive. And yet, you are both part of me. You are both so near to my heart. Today, I wish I were meeting you and the sorrow spills over into tears. Today, I rejoice in the growing child in my womb and the joy spills over into tears. I wonder how I can feel both emotions so strongly. How can I feel sorrow for loss and joy for gain, when it seems that one emotion should cancel out the other? I think it is love that makes these tensions possible. Love is capable of wishing you were here and of embracing the new life that is growing in the womb you left behind. You are both my children. I love you both.
I am a mother because of you, Micah. I miss you. I so looked forward to meeting you and watching you grow up. Thank you for teaching me important lessons. Someday, I hope that we’ll meet one another in heaven.
All my love,
Mother

Monday, January 15, 2018

Weeping, Rejoicing, and Generosity



Rejoice with those who rejoice, and weep with those who weep. Romans 12:15
I cut my theological teeth on this verse. Buried in the middle of many beautiful, practical, challenging instructions for how to interact with others, these words have convicted me over and over again. The idea of the last half of the verse is generally well accepted, regardless of religious affiliation. That we ought to weep with those who weep, to side with the oppressed, to reach out in solidarity with those who suffer is undoubtedly an important message that is surging through our world. I’m thankful for it. I dream, like many do, of a world in which oppression ceases, in which kindness and generosity reign, and in which the downtrodden are raised up. I have wept with those who weep; yet, that is only half of the instruction.

I have done much of my own weeping since October 19, 2017 – the day we found out that we had lost our first baby. Many have wept with me, reaching out in solidarity. Some reach out because they have felt the same pain. Others reach out though they have not, yet they weep for my pain. When you lose a baby, there are many painful things. The sight of pregnant bellies is painful. Pregnancy announcements are painful – especially when the due date is within weeks of your own. Baby shower invitations hurt. And, there’s the rub. In the midst of my weeping, others are blessed with times of rejoicing. Their announcements are not flaunting – they are simply joyful. Their changing bodies are not flaunting – they are simply the signs of blessing. Baby showers are not flaunting – they are opportunities for rejoicing.

I am struck by the lack of a qualifier in Romans 12:15. The apostle Paul does not say that we have no responsibility to weep for another in the midst of our own rejoicing. Neither does he say that we have no responsibility to rejoice with another in the midst of our own weeping. He simply tells us to rejoice and to weep with others. That, I think, is where generosity comes in. To rejoice from a place of neutral emotion costs very little. To rejoice from a place of weeping costs much. To weep from a place of neutral emotion costs very little. To weep from a place of rejoicing costs much. Strong relationships are forged in the generosity of sacrifice. When God blesses one woman with a full womb and at the same time withholds or removes that blessing from another woman, He provides an amazing opportunity for some of the strongest bonds to form between them – if they will each provide a generous sacrifice to the other. It will cost them both dearly, but the rewards will be incalculable. If the rejoicing woman will generously reach through the awkwardness she feels in the presence of weeping to comfort and to weep with her friend (and I have a few friends whose names come to mind who have done just this for me – thank you), she pours out a sacrifice of love into the relationship. If the weeping woman will generously reach through the pain she feels in the presence of rejoicing to congratulate and provide support for her friend (I hope that my friends have felt me at least attempt to do this, however imperfectly), she also pours out a sacrifice of love into the relationship. The bonds between these two women strengthen with each woman’s sacrifice, and the beauty of that friendship shines Christ’s love and redemption to the corner of the world near them.

In my life, I have had more lessons in reaching out of my rejoicing to weep with others. In the last few months, I have had opportunity to learn more fully how to reach out of my weeping to rejoice with others. It costs. It hurts. And then, it heals. If you are weeping, you will be tempted to withhold your rejoicing from another because of the pain. Let me encourage you – resist that temptation. The pain doesn’t go away, but it is made beautiful by the bonds of love. It is lessened by those who reach out to share it with you as you share in their rejoicing. Rejoice and weep generously.

Wednesday, December 20, 2017

Learning Unexpected Lessons

Believe it or not, I didn’t grow up with career aspirations. I soaked in the perceived philosophies that floated in the conservative, Christian, homeschooling communities in which I was raised. I don’t know whether some of the adults I knew really felt condemning of career women, whether they were reacting to common cultural barbs thrown at stay-at-home moms, whether they felt superior in their choices to stay home and homeschool, or whether they were humbly discussing the reasons they’d made the choices they’d made. I wish I knew, but children don’t always pick up on those nuances. All I knew was that it was good for women to be homemakers, to be wives, to raise children. I longed for that life with all of the longing my young, limited perspective could muster.

The years ticked by. I turned eighteen, eager to learn the lessons of marriage and motherhood. “The hand that rocks the cradle is the hand that rules the world,” I dreamed. The years continued to tick by. Aside from a ridiculous fling with a scoundrel when I was twenty-one, there was no indication that I was going to be given the opportunity to “fulfill God’s purpose for wives and husbands.” I went to college. Four years went by. Still single at twenty-six, I applied to graduate programs. I started graduate school on my twenty-seventh birthday, amid protestations that it was time for me to find a husband and settle down. It wasn’t until the December after I turned twenty-nine that I met the man I would marry. I had stopped looking for him long before. He just… showed up.

As a young teenager, I had a picture in my mind of what a godly woman’s life would look like. There was a single path with specific, individual choices. When those choices were not the ones that were presented to me, it required a paradigm shift. I had mistakenly equated my desire for the path of marriage and motherhood with a desire for God. Over the course of many years, I learned to replace my [good] dream of learning the godly lessons that marriage would teach with the better one of learning the godly lessons that would make me like Christ, regardless of my relationship status. Ever so slowly, so painfully, God replaced my desire to serve Him by serving a husband and children with a desire to serve him for Himself. I didn’t sign up to learn graceful loneliness, joy in the midst of deafening silence, or peace in the cacophony of my solitary mind, but I learned anyway. I wanted, in the innocence of childhood, to serve God as a helpmeet. I learned, in the starts and stops of adult life, to serve God in any role.

When I did get married, the lessons of marriage were expected. While difficult, they are joyful because they are lessons I willingly, knowingly signed up for. I also think that the years God spent shifting my paradigm about singleness have contributed something valuable to the way I approach the lessons of marriage.

I didn’t forget the lessons of singlehood, but when we started trying to conceive a child, I foolishly thought I was signing up for the lessons of motherhood. I thought I was signing up for lessons about sacrificing for someone who is completely reliant on you. I thought I was signing up for lessons about setting a good example. I thought I was signing up for lessons about the unconditional love for a child. I thought I was signing up for cheerfully enduring the physical discomforts of pregnancy. Once again, God is teaching me lessons I didn’t sign up for. Once again, my paradigm is painfully shifting. Once again, I’m left only with trusting desperately that He knows what He’s doing. Yesterday marked two months since I said “goodbye” to my first baby. Instead of learning how to cope with a changing body, I’m learning how to be content with one that is stubbornly the same. Instead of dealing with the hormonally-induced emotions of pregnancy, I’m learning to be patient with the unpredictable returns of the heart-crushing sorrow of loss. Instead of learning how to share experiences with other pregnant women, I am learning how to genuinely congratulate them when I see the ultrasound pictures that look so much like the ones I should be seeing of my baby right now. These are not the lessons I thought I would be learning, but they are the lessons I needed to learn. I thought I had learned during the years of singleness how to wait for something that may never happen, but I realize now that I hadn’t learned the lesson as thoroughly as I thought. 

It’s painful when God replaces a good paradigm with a deeper one. It’s painful to sacrifice carefully, faithfully crafted dreams on the altar of total surrender. Just like God eventually allowed me to learn the lessons of marriage, He may eventually allow me to learn the lessons of motherhood. But, just like He asked me to sacrifice the dream of marriage for a time to learn the lessons of singleness, He’s asking me right now to sacrifice the dream of motherhood to learn the lessons of loss. These are not the lessons I signed up for, but they’re the lessons I’m learning. Sometimes, I’m kicking and screaming. Other times, I’m willing. Today, I’m vacillating between the two extremes. Thankfully, I know that He is faithful to “complete the work He began in me.”