Trigger warning… this is a bit gruesome at points
You have been warned.
Part one
Well this story starts with a baby who didn't know how to be
upside down, ends with a giant head, and it has a lot of love from and for the
NHS in the middle.
I was about 40 weeks pregnant when my midwife mentioned that
I was ‘measuring big’. She was a bit worried and so sent me to hospital for a
scan.
So that Thursday afternoon I jollied off to the hospital with
Matt in tow. We were all extremely surprised to find during the scan that my
fluid levels were pretty high and also the baby was hanging out sideways!
We spoke to a lovely
consultant who told me that I would need to be admitted as it was pretty late
in the day and there was a significant risk of cord prolapse if my waters broke
spontaneously. She also mentioned a C section which I was pretty resistant to. In
the end we came up with a plan for me to come in the following morning for them
to perform and ECV (aka External Cephalic Version aka you get a painful
injection and then the doctor manipulates your tummy by grabbing you hard
enough to actually bruise you which will hopefully get the baby into the right
position) and then break my waters to get him on his way.
OR as matt so poetically put it ‘its time to pull the
plug’.
When I got to the hospital the next day unfortunately there wasn’t
enough midwives on shift for them to be able to carry out the plan. Though the
lovely consultant was able to do the ECV (ouch) they weren’t able to follow
through by breaking my waters. I was still very keen to avoid having a C
section which some of the doctors were suggesting, so I said I would wait.
They woke me up on Saturday at 3am to have another go at
breaking my waters but when they scanned me, baby had popped back up and was
happily chilling in a breech position. The heartbreak.
So commenced the slowest weekend in the history of all
weekends.
While the rest of the country celebrated king Charles and
his nice shiny crown, the delivery unit at Harrogate went mental. Woman after
woman came in to have babies, and I waited.
Every day the
midwives would scan me to see where my rascally baby was at, and true to form, he
was in a different position every time they looked. He also didn't much like
being monitored and would kick the sensors off my tummy repeatedly whenever a
trace was needed which wasn’t much fun for anyone.
During this time we got to know lots of midwives, doctors
and other members of staff and without exception despite the ridiculously busy
weekend they were kind, wonderful and went above and beyond to make me feel
comfortable. They were also SO supportive of me trying to have the baby
vaginally which was amazing.
I had one further attempted ECV which was unfortunately not
successful.
Finally things calmed down on the unit and by Monday night
the staff had said that they should be able to get things going the next day. Alas
it turned out that there wasn’t anyone on shift that day who could do the
procedure.
But all was not lost!
The senior doctor had used the almighty wattsapp chat group to summon someone (anyone!!!)
who could confidently give it a go it to come in specially.
She sweetly waved it under my nose to show me that the SOS
had been issued.
Let me tell you, it was pretty terrifying to have the fate of
my womb in the hands of a wattsapp group chat which most likely also contained many
memes, and a nice array of pictures of Sally from radiology’s lovely coronation
street party.
However despite my
doubts, once again the amazing NHS staff were coming up trumps and going above
and beyond to give us the best care in an extremely non ideal situation.
So on Tuesday morning
I woke up around 3am, I was very aware that this was my last chance to avoid a section
so I bounced for a while on the bouncy ball, listening to worship music and
willing this child to get head down. When the midwife came around 8:am to scan
us we found that he was finally head down and pretty much engaged. Matt and I
hastily dashed out for a walk as I was too scared to sit down in case he
bounced back up again.
We knew we needed to act quickly and the brilliant
consultant (the fantastically named Mr Efstathios Altanis) arrived on the scene
to save the day. His nickname was ‘magic hands’ which was an encouraging start.
I was prepped with a cannula and met the anaesthetist who
was waiting in the wings to put me under general and get me to theatre if
everything went wrong. (he was a small and cheerful man who ended our
conversation by conveying to me his fervent wish to never clap eyes upon me
again. The feeling was mutual.) Two doctors a consultant and two senior midwives
all piled into the room and I was attached to the monitor and scanned the whole
time. Me and Matt were feeling distinctly
nervy by this point.
The consultant was able to break my waters after a bit of
toing and froing with a crochet hook and it was very clear that there was a LOT
of fluid which had been enabling this kid to perform all the acrobatics. As soon
as the waters were broken baby panicked and wriggled out of position again much
to the dismay of the assembled crowd. They kept a collective cool head though
and continued to scan to check the cord was well out of the way and not at risk
of prolapse.
The doctors were Amazing. Magic hands justified his nickname
and somehow pushed him back into a good position, the others applied pressure from
above to keep him head down and held him in place, they kept this position for
20 minutes at which point we were all very sweaty and certain esteemed medical
professionals had a lot of amniotic fluid in their crocs.
I was on an eye level with Mr A this whole time due to my (slightly
compromising) bolt upright in bed with stirrups in the air position, so was
able to use strong eye contact to convey my sincere thanks for my release from
the predicament that I had found myself in.
Next they started me on the oxytocin drip until my contractions
had started.
Then we were all able to breathe again as they declared the
situation stable and left me to it.
Part two
In all the kerfuffle my sweet son had somehow managed to get
his face turned around so that he was posterior.
Colloquialisms for a posterior presentation…. ‘Star gazing’ ‘sunny
side up’ or simply ‘OP’ which frankly make it sound far too appealing. If I were
to give it a name I would probably call it ‘torture of the highest degree’ or
possibly ‘an absolute bloody nightmare’ .
Having breathed out my two middle children in a relatively
smug hypnobirthing style I was somewhat taken aback by the change of program
and started to make quite a lot of noise, despite the lovely gas and air.
At around this time a living legend strolled into the room.
Her name was Gail, she had a glorious Scottish accent and
was unapologetically bossy. She led the conversation with ‘what are you making
all that noise for, its not helping!’
The other midwife and a student midwife who had been with us
from the beginning and who had been very nice to me, deferring to my experience
as person-who-gives-birth-with-relatively-little-difficulty
were, I like to imagine, somewhat taken aback.
But it turned out that Gails voice was the only one I needed
to hear. She was like a bossy light guiding me back to the land of the living. She
was the one who explained about the tricky position and she was the one that
told me it would feel different and that I needed to let go of my expectations
for how I had given birth before. She gave me clear instructions which some
part of me was able to follow despite the tiredness.
She also had an enormous amount of confidence in me which was
infectious. When I reached a point of exhaustion she and the others cheered me on
and reminded me of why I had so wanted to give birth in this way in the first
place (I had forgotten!!) we ditched the gas and air so that I could
concentrate a bit better and somehow that helped.
Their belief and incredible skill were how I came to push my
son out into the world. It really did involve blood sweat and tears as he also turned
out to weigh a huge 9lbs 5oz but largely and thankfully due to the midwives
skill I only had a small tear despite my history.
The next day we were discharged before lunch! But not before
dumping a massive pile of chocolate and snacks at the ward desk. It makes me think
that there must be a better way to say thank you. What I really wanted to say
was this;
So there you go. Really this whole birth experience is a
love letter to the NHS and the amazing staff who populate it, especially the
women and the BAME staff members who keep the ship afloat. I was able to have
the birth I wanted because of people who listened to me and used their
considerable skills supporting me.
I could never forget any of my birthing experiences, for we
are formed in the flames in these moments, as mothers, as women. But for this
birth, my last birth, I will carry a feeling of triumph, of overcoming and for
that I am so grateful.