Wednesday, March 12, 2008

Birth Narrative

Iza's Birth Narrative: Draft 1

Here is my first draft of the story of Izabella's birth. I am sure other details will come to mind. But here is my first attempt to record Iza's entry into the world. Most bodily fluids have been omitted. Natural Childbirth is beautiful, but not exactly pretty.

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I had just returned to bed after making a bathroom run and so I knew it was my water breaking when a gentle gush of liquid barely saturated my pajamas. I made sure the waters were clear and without odor, both signs that the baby might be in distress. I returned to bed to wait and see what my body would do. Within fifteen minutes I was up again with what I would soon recognize as contractions. It was 1 am. It looked like I was in for a night labor, which can be exhausting. Usually you are asked to come into the hospital when your water breaks because there is an increased risk of infections. I knew that I wanted to labor as long as possible at home. Instead of calling the midwife or my doula, it seemed natural to tell my my husband I couldn't sleep and creep out of the room. It would be me and my baby for the first seven hours of labor.

There was work to be done. First, I took the piles of onesies, booties, diapers, etc. off the floor in the baby's room and arranged them on the shelves that my husband had just that night installed. I put a few more items in my hospital bag. Then I moved downstairs, settled on the couch with a good book, and waited. Soon I knew that it was indeed labor and I began to conserve my energy by trying to sleep between each rush. I knew it was imperative that I rest as much as possible and stay hydrated. After a while I figured out that the best way to do this was to sit on the couch and rest my head between contractions. If I laid down, I had to sit up for each rush and it woke me up too much. It was much easier to semi-recline and rest when I could.

Around 4 am I decided I needed to move a bit and passed the time by returning upstairs to burn two birthing soundtracks--one filled withe Enya, George Winston, and Gershwin, the other with more upbeat numbers. (Later I would prefer the Winston tunes). I made two sets--one I packed in my hospital bag and the other I took back downstairs and played while I continued to labor.

At 6:30 am I called my doula and alerted her that the baby was on the way. I made myself some toast with elderberry-orange jam and a cup of jasmine tea. L. slept late by his normal standards and came downstairs at eight. I told him that the baby was on the way. He was calm and soon enough believed me as he saw me ride a contraction. He put the car seat in the car--we would figure out how to install it after the birth-- and cleared the car of snow and ice. He also had to pack his bag. The baby was coming at 38 weeks and 1 day, which is considered full term yet still a few weeks earlier than we expected.

At that point the plan was to go to the midwife at the clinic just to confirm that is was indeed active labor, but it became clear to me that we needed to get to the hospital. The car ride was brutal. By that time the contractions were about 5 minutes apart. It took about 4 contractions to get there. Being trapped in the car, halted at red lights with strangers eye-to-eye with my intense contortions, was not pleasant. For once I kept telling L. to driver faster, faster! There was one more contraction on the sidewalk in front of the hospital.

My doula was waiting for me as we arrived about 10 am and she helped me to the the elevator while L. parked the car. The maternity ward is located on the fifth floor. We loaded up in the elevator and believe it or not fellow passengers pushed the buttons for floors 2, 3, and 4. I was deep inside my contractions but this didn't stop an internal monologue. People, please. (I know, maybe the person who pressed floor 2 had a heart condition or was going to see a terminally ill parent. But still. I was in labor. Note to self: next time I get into an elevator with a woman in labor, take her express to the maternity floor!) The elevator car bounced and retracted on each floor.

In the hospital I was first evaluated by the midwife on duty, who I had not yet met. I remember that she came into the room while I was in the middle of a contraction. I was standing and bent over the bed, resting my head and chest on the mattress. I barely said hello. It turns out that I am a moaner. I was moaning long and deep when she introduced herself. Without checking my dilation, she moved us to the labor and delivery room. It was a long, long walk down that hall. Handrails had been thoughtfully installed. I was able to sway and move my hips as we walked to encourage my baby to move down.

The contractions were concentrations. I had expected to feel the contractions on the top of my belly. I had always heard that you have to push down and so I assumed that the muscles on the top of my belly would be involved. Instead the contractions were deep inside of me, located in the same spot where menstrual cramps originate. They were a force unleashed in my belly that concentrated my entire body in the center. I kept telling myself: "I am more" and envisioning a full daisy, which I had read somewhere measures 10 centimeters. Each time my body took over and concentrated itself, I moaned and tried to open and relax my mouth and throat.

I was concentration. I was completely unaware of time, but later I would learn that I labored for a few hours before moving into the bathtub as my labor became more intense. They offered me something to drink and I chose ginger ale from the list of options. I drank a lot of ginger ale during those hours and afterward in the hospital. I mention this because I have never really liked ginger ale, but it was so sweet tasting during labor. The bubbles were light and smooth in my dry mouth. I tried to eat some saltine crackers, but barely had the energy to get them past my dry lips.

The bathtub was marvelous. I can't imagine laboring without it. In fact, I would have been happy to deliver my baby in the water. The tub, however, was too small and not designed for water births. I was able to totally relax my body between contractions, feeling weightless and comforted by the warm water. Soon I began to push. The midwife did not tell me "push!" like doctors do on the big screen. Instead, it felt like I needed to shit. (Not pretty, but true.) And so I pushed. As I moved through the contractions, the midwife let me lead the way. She would moan along with me, cueing my own moans by moaning low and deep in the throat. Or if my breathing became too rapid, she would take deep breathes to cue me to do the same. Without saying a word, she communicated what I needed to do. I knew to mimic her and instantly my pain was more manageable.

My midwife never left my side. Newton-Wellesley's policy is to assign one nurse to each woman in labor. I had my midwife, my nurse, my doula, and L. with me the entire time. Well, L. did step out for lunch. When my midwife checked my dilation for the first time, I was dilated "10 +" or so she said. It was time to move out of the tub and into the bed. It was at this point that the nurse realized that L. was gone. She had him paged. He didn't respond. They called him on his cell. He didn't respond. I was only dimly aware of these events. Just as I stood from the waters, dripping and pushing, L. returned. It was good timing.

As they guided me toward the bed, they asked me how I wanted to deliver. All throughout the labor I couldn't stand to be on my side or on my back. I leaned on the bed, I sat on the birthing ball, I was on all fours, I sat on the toilet. I moved. I knew that I needed to deliver on all fours. I managed to get up into the bed and arrange myself with my knees on the bed and my upper body supported by leaning on the elevated back of the bed. L. stood behind the bed, facing me and holding my hands. My doula was on my right. Instead of looking out toward my midwife and the room, I was able to totally go inside of myself and concentrate on each push. In between pushing, I would lower myself in the yoga pose called the child's pose. The pushing was intensely painful and I made grunting sounds like I didn't know I could. It hurt. It hurt a lot more than contractions. But I was glad for the pain. It meant that she was moving. She was on her way and there was an end in sight! While I had labored, there was no sense of how long it would continue. Even though pushing was more painful, it was more bearable because it was clear that we were making progress.

After about 30 minutes of pushing, she emerged screaming at 1:38 pm, Feb. 8, 2008. As she began her passage into the world I felt tremendous sensations of stinging and tearing. (As it turns out, I didn't actually seriously tear.) The midwife had me stop pushing momentarily to allow the baby to help me stretch out. And then, she was here. Screaming and flailing. The midwife passed her up between my legs and into my arms. The first words out of my mouth: Thank you, thank you, thank you. (As in thank you all you wonderful people who helped me birth Iza NOT thank you for witnessing my stellar performance.) I know what my first words were because we have a video of it. (If Paris Hilton and her cohorts can post sex tapes on the internet, can I post my baby's birth on YouTube? The video is only about 2 minutes long. What would Iza say?)

My husband cut the cord and with a firm snip we were two. We then watched as the placenta was delivered. (Tata took a magnificent picture of the bloody placenta.) I had requested a mirror during the delivery, but didn't use it because I was facing backward. They put it in place to allow me to watch the placenta pass. It was amazing to see it balloon out of me. The midwife showed us how our baby had fit inside while she grew.

We stayed in the delivery room for a couple of hours with our new baby. She was placed immediately on my chest and made her first attempts at breast feeding. After a while they took her across the room to be weighed. When asked if I wanted her to be bathed, I requested that they wait until the next morning so that her skin would soak up all the vernix--the white filmy substance that covers a baby in the womb and keeps their skin soft.

She was born with so much dark hair! I was shocked to see all that hair. L. and I both thought that she looked just like him. In fact, we thought she looked just like her grandpa Barabasi. Newborns look like little old people and so it was no surprise that we could see Nagytata (grandpa) in her face. Now she has blue eyes, which come from mama, but her true eye color may change. As a good friend suggested, she looks like tata on the outside but she is all mama on the inside!

What a rush. I was enormously proud of myself. Tremendously. The rush of hormones was a high like I have never known. Physically I felt not only not bad, but really great. I had only a minor tear that needed stitching and otherwise I was filled with energy. Of course, when I got out of bed to be cleaned up I was a bit shaky. But ecstatic. My body knew what to do. I am not the natural earth mama type. I am more of the skinny-nervous, over-wrought, consult the textbook type. But my body knew what to do and I just had to get my head out of the way and let my body do its work. What joy.

Sunday, March 09, 2008

Sunday Funnies: Yes, Pecan!














Stolen without permission from: http://justprettydeep.blogspot.com/




Tuesday, March 04, 2008

She Sleeps, Izabella, Queen of Transylvania


And sleeps. And poops big yellow poos. And coos. And when she is trying to wake up she makes terrible faces and does the most advanced baby yoga stretches with all her might.

Grandma went home yesterday leaving us alone with our baby girl after more than three weeks. We did okay last night after we figured out that, yes, she does want more to eat (what a champ!) and, yes, it does work better to tag team on the feeding/burping-rocking/pumping circuit. Since I do the breast and pump by default, we need to pass the baton when it comes to the bottle of mama's breast milk, burping-rocking (and washing out the lactation pump elements) jobs. A full time job indeed.

Now she is sleeping for the first time in her co-sleeper/bassinet. Up until a few days ago, Iza was mostly naked. She slept skin-to-skin with me in an effort to help her learn to love her food source. This means that at night I sleep flat on my back with baby Iza's belly on mine. She sets her little cheek right on my heart beat. This way I can sense her rousing immediately and tend to her needs. When she is sleeping during the day she often sleeps right in our big bed with all the covers removed and only her swaddling. Now that Grandma is gone and Iza is growing stronger and a bit more active, I decided to try out our bassinet. So far it has been a great place to store her clothes and blankets. She is happily swaddled there, her freshly washed hair standing up in electric shock.

I know I intended to post about her birth, but I am not quite there yet. I do want to write about it as soon as possible to capture as much of the detail as possible. On the other hand, her birth story is being told and as I tell it it grows more refined as the noise is filtered out and only the most salient elements remain. I will write it. Soon.

A note on her name: We struggled up until she was born about what to name our little one. Szilvia was a close second. We chose Izabella because we loved it and it is a Hungarian name that works in both Hungarian and English. We were disappointed to discover that Isabel and Isabella are both in the top fifteen popular names right now. Yet once we read about Queen Izabella of Hungary who ruled in Transylvania, I think we were hooked. (Tata is from Transylvania.) Queen Izabella (1519-1559) was a Renaissance lady who spoke four languages. (See her image above. Read more about her at: http://en.wikipedia.org/wiki/Isabella_Jagie%C5%82%C5%82o) Izabella seemed perfect for our little Transylvanian.

Of course, I have quickly learned to explain: "It is I-z-a-bella, that is the Hungarian spelling."

There are endless nicknames for Izabella. We often refer to her as "Iza," which is pronounced with a long e sound followed by a z sound plus a schwa. Thus, something like "ezuh." She is bella baby, belza, bizzy, izuka, and sugar plum fairy.

By now Iza has awoken, fed, fussed, latched on with a nipple shield for 20 minutes, fussed, burped, had a diaper change, and zonked out next to me here on the bed.

A friend commented in an email that she admired my energy to keep on blogging. All I can say is, it keeps me human. My nipples ache. I can't seem to get out of the house. But I can manage a quickie-blog now and then to keep in touch in the virtual world.

I will write the birth story. Next time.

Thursday, February 28, 2008

Natural Childbirth: Assembling Team Iza and the Birth Plan

We made our baby in South Bend, Indiana. Her arrival was scheduled after our move to Boston, Massachusetts. I would need to find the right midwife and and hospital in a city filled with an overwhelming array of top notch medical facilities. I was overwhelmed. In the end, I would not change a thing about my labor and delivery. Newton-Wellesley hospital was the perfect setting for Iza's natural birth.

I knew I wanted a natural childbirth and I knew I wanted a midwife. (How did I know these things? That deserves another blog entry of its own.) While I was open to a home birth or a birthing center, my husband was less sure. So, how to determine which midwife is the best for me in a city where I don't know a soul? (Or at least the souls I do know are not in the birthing phase of life.) As a well-schooled student of Eve Ensler, I simply asked women about their experiences. As I walked the streets of Boston in my apartment search back in the Spring of last year, it occurred to me that I was passing women with their infants happily strolling along. The experts were right in front of me. And how they loved to talk. I gathered a few stories and a few names seemed to repeat. This is how I found Elizabeth "Biddy" Fein at Harvard Vanguard. One of her happy moms assured me that she was excellent. I scheduled an appointment soon after we moved to Boston.

At first I thought that my choice of midwife limited me to a delivery at Brigham and Woman's hospital. I toured their facilities and was impressed by their professionalism. Biddy let me know at my next appointment that she also attended births at Newton-Wellesley hospital. Honestly, having another option was almost unwelcome. I just wanted a place to give birth, not more decisions to make. Nevertheless I scheduled a tour at Newton-Wellesley just to make the comparison. It was a BLINK decision. It was clear to me that Newton-Wellesley was the better place for a natural birth. Not only were the rooms and the fresh muffins each morning impressive, but they also assign one nurse to each patient and have a reputation for being open and welcoming to moms who want to labor and deliver without medical interventions. Don't get me wrong, this is no Ina May Gaskin retreat. While they are open to natural childbirth, it is still not the norm. The nurse assigned to me was pleased to witness my natural birth because it is a rarity.

Not expecting my husband to coach us through labor (who can remember all those labor signs and aids?), I also hired a doula. As is the case with most hospital midwifery practices, you are assigned to a midwife for your prenatal care. The midwife who attends the birth, however, is determined by whoever is on call when you go into labor. Thus you cannot know in advance which midwife will be present. It was important to me to have a doula present because she would be the one person (besides my husband) who knew me and knew my birth choices. I wanted a familiar face. I found Tara Kenny through a recommendation from Isis Maternity. I interviewed a few doulas, but felt most comfortable with Tara. I highly recommend her services (and can put you in touch if you leave a comment). Tara is actually a midwife who is building her practice here in the Boston area. I was lucky to have her expertise.

I imagined that Tara would assist my labor in my home and help me to determine when to go to the hospital. She would bring all the tricks of the trade--her experience and skills as well as the birthing ball. She would tell me when and how to breathe. As it turned out, Tara would meet us at the hospital--more on that later. Tara helped me write my birth plan (see below), detailing my preferences for labor and delivery. The birth plan was sent ahead to the hospital and given to the midwife and nurse on duty. They knew my choices and honored them.

Put my picture on the natural childbirth brochure. Put Iza's picture on the cover of the Newton-Wellesley hospital's informational packet for parents looking for a natural childbirth. My midwife, Dianne Reynolds, was amazing. The nurses were outstanding. If you live in this area and want to have a natural childbirth, but are a bit hesitant about a home birth of a birthing center, go with Newton-Wellesley. That's my vote.

My birth plan:

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The Birth of My Child


My goal is to deliver a healthy baby. I would like to have a gentle and natural birth and would like support to begin breast feeding. In addition to my midwife, my husband and my doula will be present.

Labor:
· I prefer the use of intermittent, external fetal monitoring.
· I am aware of the medications available and will ask for them if I need or want them.
· I plan to move and bathe as needed during labor.
· I prefer not to have an IV unless it becomes medically necessary.
· I prefer to allow my waters to break without assistance.
· I would like to avoid the use of pitocin or other medical inducements.

Delivery:
· I would like the option to use a mirror during delivery.
· If there is difficulty during pushing, I would like to use gravity or pelvic positioning and be given more time as long as baby and mother are healthy.
· I prefer no episiotomy cuts, but would like the use of perineal support/compresses.

Following Delivery:
· I would like the baby placed on my chest immediately and allowed to find the breast, allowing as much time as needed.
· The baby’s bath, exams, and vitamin K shot should be delayed until after the baby has had a chance to feed for the first time, allowing as much time as needed.
· I prefer to refuse the prophylactic eye drops.
· I prefer that the cord be allowed to stop pulsing or at least that it not be cut until I am ready to consent. My husband or my doula will cut the cord.
· I prefer that my baby receive only breast milk and request that the hospital not give the baby any formula or provide a pacifier.
· I would like to be consulted in all decisions regarding the baby.

Cesarean:
· If a cesarean becomes absolutely necessary, my husband and/or my doula will accompany me.
· If the baby is not in distress, then the baby should be given to my support person immediately after birth.

Thank you for your consideration regarding my wishes for a healthy and happy birth!

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Next installment:

the blog-appropriate narrative of Iza's birth. . .



Sunday, February 24, 2008

Iza's Due Date

Today is February 24th, Iza's due date.

She has been with us for two weeks already and we can hardly remember life before her arrival.

Breast Feeding Update: She is still learning how to latch. Two weeks is a long time to study the art of the latch. At least it is a long time for a mama trying to coax a little one onto her breast. But we are hanging in there. And now that she has arrived (as of her due date), we are sure that a true latch is in her near future.

Last night Iza decided to "latch" and do her suck-suck swallow thing between midnight and one thirty. We set the mood by playing her birth soundtrack with heavy doses of Enya and George Winston. There was invigorating music. There were bare breasts. Bodily fluids. Moans. Pip squeaks. A belch. This morning we received a very kind email letting us know that our lactation party kept the neighbors awake. Seriously. I guess the music traveled via the air ducts in our turn-of-the-last-century condo. Yay! Iza is such a party girl. She has already had the neighbors complain about her milk antics! Things may get so rowdy they might have to call the Boston Police.

There is much to write about. Little time. Let me just say, thanks for the muffins. There is nothing more loving.

And thanks for the pep talks. New mantra: "I am the mama" and I will decide that my baby girl gets her mama's milk. Now we just have to convince baby Iza to forgo the china and drink straight from the fountain.

Thursday, February 14, 2008

Team Izabella

It takes a team to bring a baby into the world....

Yes, I was the one pushing and yes we used no medical interventions. Her arrival was 100% natural. (Labor narrative with all its juicy details to follow, perhaps.) Yet let there be no mistake, we had plenty of assistance. Team Izabella 2008. And for the record, I fully support anyone who does use medical interventions. I have been there, I know the painful intensity--it empowers and humbles you.

And since the delivery, we have needed a whole battalion of helpers--lactation consultants, cheerleading friends, the nurse who generously gave us a handmade knitted cap when baby Iza's went missing as we tried to leave in freezing weather. Without Grandma, all would be lost. (Thank goodness we have even had an offer of a volunteer Grandma in the future when my mom will need to return to the land of Oz. Be careful what you offer!) Not to mention the 20 or people who have massaged my breasts in the past six days, none of whom have been my husband.

The smell of her soft skin. The silk of her hair. Her scrunched up face and her yellow baby poo. What more is there?

First attempt at blogging post-Iza arrival: I fired up the laptop and then couldn't resist a lean down and a gentle kiss on her exposed arm (she was born with a fist up next to her cheek and loves to have the hand near her face) and BAM my laptop crashed from my lap to the floor, inches from my state-of-the-art lactation machine. Hence: kisses trump keyboards in this new state of our affairs.

For those of you who know me: picture this: J.K. Kelley changing a little teeny diaper on a skirmiquin of a sweet baby girl, careful not to irritate her cord.

Still. How can I not blog my little girl's world? I have to give her something to be embarrassed about in about 13 years.

Izabella
born at 38 weeks and 1 day
born 2-08-2008
6 pounds 12 ounces
all spunk and spittle

By the way, still no crib or changing table. Yet we are sleeping, poopalooing, and doing just fine. My belly was plenty big after all that worry. And we do have our Bundle Me (thanks Ash!) and our Burberry diaper bag (thanks Jji!). We are in style and as soon as we figure out how to latch (or as L. calls it in ESL, "leach") we will be on the way. . .

Thursday, February 07, 2008

38 Weeks

A typical pregnancy lasts between 38 and 42 weeks. You are assigned a due date at 40 weeks. Today the baby is 38 weeks. This means she could decide to arrive any day now. L's workplace has a betting pool with various dates ranging from Feb. 23 to March 1. We have had our fingers crossed for Feb. 29, leap day, just for the high jinks of it.

Things that are prepared for baby x's arrival:
diaper bag (tres chic! thanks to Jji)
car seat (not yet installed!)
co-sleeper/bassinet
supply of diapers, changing pad
baby clothes
my suitcase is packed
Boppy billow AND a My Breast Friend pillow
baby wash clothes
Bloom baby lounger
assorted slings
cotton balls
assorted infant care instruments--thermometer, nail clippers
assorted paperwork for the hospital

We have a doula. We have a pediatrician. We took the hospital tour. I am a regular at prenatal yoga. I swim.

Things that need to be prepared:
birthing soundtrack
crib
stroller
changing table
nursing foot stool
her name!

Things I obsess about:
1. furniture for the baby's room--we still have not purchased crib/changing table/storage but not for lack of my Internet searches. Hours. Still no combination of design/price/usefulness that satisfies. So, minimalism is the route we are going. So much for the "perfect" nursery.

2. My Belly. In particular, size. I measured too small. All is fine. But I can't imagine that a little person of 6 pounds has enough room in there. And so,

3. Her movement. I miss the big decisive tango moves. Things are more subtle now. I worry. I admit that I prod her a bit to get her to dance. It makes me feel better to see her undulate.

Any day now. . .

In the meantime, I'm off to prenatal yoga. Really, a sight to see.

Tuesday, February 05, 2008

"Babies Buying Babies"

Check out this segment from the radio program This American Life. While the entire program is entertaining, it was the third act of the Jan. 18, 2008 episode #347 Matchmakers that I thought was worth passing along. It makes you think. Dolls may not talk (most of them), but they say a lot about us.

You can listen to the entire program for free (or download it for 99 cents). The "Babies Buying Babies" segment starts at about minute 40.

http://www.thislife.org/Radio_Episode.aspx?episode=347

Segment Description from Website:


Elna Baker reads her story about the time she worked at the giant toy store, FAO Schwartz. Her job was to sell these lifelike “newborns” which were displayed in a “nursery” inside the store. When the toys become the hot new present, they begin to fly off the shelves. When the white babies sell out, white parents are faced with a choice: will they go for an Asian, Latino, or African-American baby instead? What happens is so disturbing that Elna has a hard time even telling it. (16 minutes)

Monday, February 04, 2008

Primary Decision

I'll admit it. I am still undecided. I am one of "those" people interviewed in the street on the eve of a primary vote who claim indecision.

Although I am sure I am the last to hear of the Washington Post "Choose your Candidate" quiz, I'll pass it along here. I found my results informative, but not shocking. It takes time, but it is worth it. Even if you are already "decided."

Thursday, January 31, 2008

Date Night? Cheap Trip to Transylvania

Music with Film
Film
Transylvania
8:10 pm
Thursday, January 31, 2008
Remis Auditorium

Transylvania by Tony Gatlif (France, 2006, 103 min.). In this picaresque gypsy musical road movie, Zingarina (Asia Argento), rebellious, young, and pregnant, travels to Transylvania with her best friend to search for the man she loves. She met him in France, but one day he left without a word of explanation. With her friend Marie, who jealously watches over her, Zingarina throws her body and soul into a romantic quest in a fascinating land. But when she finds her former lover in the midst of a pagan festival, he brutally rejects her. Mad with anguish, she flees Marie, who reminds her of her past, and meets Tchangalo, a kindred spirit without borders or ties. In French with English subtitles.


MFA members, seniors, and students $8; general admission $9.

Buy Tickets: http://www.mfa.org/calendar/event.asp?eventkey=31782&date=1/31/2008