In a comment a few posts ago, Alyssa suggested I share the birth story. I immediately felt a bit defensive: on the one hand, I tend not to be able to remember all the details as other women seem to; on the other hand, and perhaps more importantly, because I had an epidural. See, in 2 out of 3 of my deliveries I had an epidural (the 1st and the 3rd) and there is a bit of shame associated with having painkillers when delivering -- it's one of the many ways we women judge and put down each other and ultimately judge and put down ourselves. You are supposed to go drug-free, that's the only route approved by the "I'm a woman hear me roar" movement. Anything other than having a completely natural birth is not womanly enough. So I was embarrassed for months after my first delivery because I had the epidural, even though I had a very good reason (it ultimately helped me avoid a C-section). It's amazing that it's the second thing several of my female friends asked me -- the first was about the baby specs, the second was -- did you get any painkillers. Before the last delivery, even my mother gave me a condescending speech on all these wussy young women who take the epidural... (But then again my mother is never short of ways to not so subtly put me down. I am a dad's girl, in case you haven't noticed.)
With my last delivery, I had an epidural because I wanted to. As my husband would rationally put it (paraphrasing) "Why would you endure so much pain if you don't have to? There is pain management available, just use it." But I must admit I sometimes wish I hadn't because there is a part of me that feels like a failure because I did, especially because the labor was fairly short. Yes, I am apparently as shallow and judgmental as the next person. I openly admit (well, as openly as you do under a pseudonym) that I feel quite conflicted about my own pain management choice.
So here's a brief overview of my three deliveries, they all felt different to me, but all resulted in 9+ lb healthy babies. For the uninitiated, I promise to go light on the gross. But, just in case... *hands out virtual barf bags*
Baby No 1: Year 2000, baby weight 9 lbs 1 oz, labor duration 21+ hrsContractions started at 8 am, admitted to the hospital at 3 pm, at only 3 cm dilated. (N.B. The purpose of contractions is to dilate and thin out the cervix; also, once the cervix is 10 cm dilated, to push the baby out and subsequently the placenta.) Doctor started advocating for pitocin (N.B. pitocin is synthetic oxytocin, to strengthen the contractions; after delivery oxytocin promotes mom-baby bonding, nursing, uterus shrinking) but I wouldn't budge. At 9 pm I was only at 4 cm dilated and said OK to pitocin, but, at midnight, after 3 hours of extremely painful back-to-back contractions on pitocin, I was failing to progress -- still at 4 cm and the baby was showing signs of distress. At this point it looked like I would be having a C-section unless I manage to progress (N.B. failing to progress -- cervix not dilating fast enough). I had the epidural administered at midnight, had a nap, and by 5 am I was at 10 cm dilated and delivered vaginally after pushing for maybe 10-15 min. So, in my experience, when you are in too much pain, it can hinder labor. Epidural enabled me to relax and labor finally progressed. I am certain that I would have ended up with a C-section if I hadn't taken it.
A few random bits:
-- The doctor who delivered (whom I had never seen before) was an asshole. Not only did he push pitocin too enthusiastically for my taste, he did so by proxy (I didn't see him at all till it was time to push the baby out). Also, as I was delivering, he told me not to make faces (i.e. grimace while pushing). WTF?!
-- I spent the entire time hooked to monitors of different sorts. Having had any birth plan would have been completely laughable. No one ever asked what I wanted.
-- My first delivery was the only delivery my husband witnessed. One "perk" of being a foreigner with no family or close friends nearby is that you have no one but your husband to watch your older kids when you deliver Baby 2 and onward.
Baby No 2: Year 2007, baby weight 9 lbs 2 oz, labor duration 11+ hrsCame home around 6 pm, started making dinner, my water broke. Walked around to induce contractions (nope, did not finish dinner). At the hospital with regular contractions at 9 pm. Hubby and older son went home for the night. I delivered without drugs a bit after 5 am. Hell, it did hurt. But I totally know now what it means when people say "you will feel an unbelievable urge to push." I only pushed for about 10 minutes, some 5-6 contractions, so that wasn't too bad. I also found out that episiotomies (an episiotomy is a cut in the pelvic floor meant to ease the passage of the baby and prevent irregular tearing) are out of fashion now (no longer done routinely, as they were at the time of my first delivery); now I had a huge irregular tear which, even though stitched up, prevented me from sitting without pain for more than a month; understandably, any pleasurable activities involving the pelvic region took way longer to resume.
Random bits:
-- The best thing about delivering without an epidural is instant mobility. I was able to hop into the shower shortly after the delivery; with the epidural, you don't fully feel your legs until it wears off. None of my babies were groggy after the epidural, so in that sense I felt no difference. They all nursed well right away.
-- While I know my husband is sorry he missed this delivery and the next, there is something to be said for laboring without family in the room and being able to focus solely on yourself while you are in pain. While I would have hated being alone during the first delivery, where everything was new and scary, I was OK on my own with this one and the next.
Baby No 3: Year 2011, baby weight 9 lbs 9 oz, labor duration 6+ hrs(Obviously I remember this one best).
At 4 am my second son started yelling for a glass of water. By the time I got to him, he'd gone back to sleep, but now I was having contractions; had he not woken me up I probably would have gotten another hour or so of sleep. By 5 am, the contractions were 4 min apart, I called the doctor's office and agreed to meet the on-call doctor from my OB's practice at the hospital around 6 am, then took a shower and went to the hospital. At admission, I was already at 5 cm, the doctor said "So you are going without epidural?", I said "No, I actually want one." There was definitely a hint of disapproval with the doctor, but she went and ordered one. My husband went back home at 7ish to be there when the kids woke up (it was a Saturday).
Getting the epidural was an adventure in its own right. An anesthesiology resident (a guy) was going to administer it, but they needed to round up an attending. They were pretty slow finding one, but eventually two came in, also both guys. These three anesthesiologists were the only male hospital staff I saw during the entire hospital stay -- I am sure in there somewhere is a post about how anesthesiology is much more macho than say OB? Hmm, I have a nagging feeling I may have
read something about this recently...
Anyhoo, the resident starts fishing round my spine, sending electric shocks down my left leg. Not good, perhaps I should have called the whole thing off then and there. Then at the instruction of one of the attendings switches the inter-vertebrae spacing and manages to administer it. Still, the numbness ends up being uneven, with my left side numb and my right side barely so. So you could say I had a semi-epidural. A "semidural"?
About 10:20 am I was ready to push, and, in a single push, Smurf the Ginormous was out. Yey semidural!
Random bits from delivery No 3:
-- A scary bit: The nurse who took care of me kept reporting that I had a fever even before the peak of labor, and that the baby had a fever after birth. It turns out the thermometer was not calibrated -- when she finally suspected something was off after I was cold to the touch and still read a 100 fever. With a new thermometer I read normal. The dangerous downside is that she disrobed my just born baby to cool him down and he didn't need cooling; he could have gone completely hypothermic because of the stupid thermometer! This still infuriates me when I think of it. Good science practices -- such as calibrating one's goddamn instruments -- are good science practices, not sure why they don't routinely spill over into applications.
-- If you consider having an epidural, consider getting a temporary "No Fishing" tattoo on the small of your back.