Hurt
November 19th, 2005This is a hard post to read, I want to warn my readers. It was hard to write.
I had a long, somewhat funny, happy series of posts already started to talk about Nathan’s birth. Step by step..this is how I felt, this is what time this thing happened, then this. Then we were off to the hospital.
The hospital part was all that remained to be written. It seemed like it would be fairly simple.
The hospital part made me throw out everything else I wrote before the hospital. Because I can’t look at those posts; I can’t face my own optimism and happiness and innocence. Because it hurts too much to think about myself, so confident and hopeful.
Because the hospital took all that away from me. Or tried to. Because while my midwives are perhaps well-meaning, when they contracted to take their clients to that place to birth, they left those clients open to a brutal, heartless, dangerous experience.
Let me start with the worst of it. Let me start with myself, battered by hours of hard and mostly fruitless labor, hours of Pitocin-induced pain that escalated past anything I could possibly get on top of, hours when I wasn’t allowed to eat or drink or use water therapy (which we’d been promised; no one had told us that those things are only available if you don’t use Pitocin, and of course we’d been given no choice about using Pitocin), when I had nothing but the edge of a rickety bed and the hands of my doula and my husband to deal with the pain.
While hospital personnel walked in and out, using part of my room as some sort of office…I remember one woman calmly sitting in an office chair at the other end of the room, entering data into spreadsheets with her back to me, while I screamed my way through one of those hellish contractions. Like I wasn’t there. Never a moment of quiet or privacy or calm; always on edge, even apart from the pain itself.
Let me start with myself finally giving in to the cesaerean, not knowing why I couldn’t progress, why I’d stayed at 8 centimeters for four hours, even after an epidural. About to have surgery for the first time in my life. Defeated, and scared, and confused. Not wanting to hurt my baby, not feeling I had any choices left.
Let me start with myself wheeled into an operating room, strapped with my arms out on platforms like Christ on the cross, staring at a green sheet that blocked my view of what was being done to the rest of me, screaming at a surgeon who was poking at me that YES, I could STILL FEEL EVERYTHING, for the love of God don’t cut me yet! Three times, I had to tell him, as he waved his eager knife over me; the anesthetic was working, but slowly, and my midwife and I and my husband were yelling as he kept coming in for the first cut. Not looking at me or talking to me or taking any time to calm me down and let me deal with the terror that was making the teeth rattle in my head. Just impatient to slice into me like a piece of meat.
My poor husband. Oh my God, how scared he was for me. I don’t think the midwife had ever seen anything like it either. She looked sick. It’s funny what you notice, what you remember.
I’m not sure if I was completely numb when they did cut, but I was mostly, I suppose, thanks to no one. The indescribable feeling of pressures inside my body, pushing and pulling, hard–the baby resisted, or he was hard to get a hold of. I remember alternating between hollering loud “ah-ah-ah-ahs” of shock and fear, and reassuring Matthew that it was ok, I was numb now, I was just freaking out, I was just scared. I wasn’t really hurting, he didn’t have to worry.
Then the pressures stopped, and there was a pause, and I suddenly realized a baby was screaming. I was delerious, from drugs and stress, and I couldn’t figure out where the sound was coming from at first. Then I saw nurses in a corner, gathered around a table where the screaming came from. “Is he ok? I want to see him. Is he ok?” I kept asking. No one answered me. I was told to keep still.
Then Matt appeared with the baby in his arms, wrapped in blankets and a cap. I couldn’ t really move; I knew he needed to be put to my breast right away, but the sheets covered me and my arms were still out to the sides. I put out my hand to touch him for a few moments, and Matt and I shared shaky smiles, because he was beautiful. Then the surgeon told me not to move my arm anymore because of the IVs.
The baby and Matt were escorted away, though I could still hear the baby yelling. The nurses laughed about what a yeller he was. And then they finished putting me back together, I suppose. I couldn’t really tell. I wasn’t being talked to, until my midwife bent over to tell me I was going to the recovery room. It seemed to take a long time, to sew me up. At some point the surgeon bent over to tell me that the baby was too big, which was why the cesearean was needed, also that my abdomen muscles had probably been “too tight.” I had no response to that. I was shivering a little less hard now.
They wheeled me out into the hallway. Dimly I saw Matt having some sort of altercation with a nurse; later I learned that he was demanding the baby be put to my breast for a few moments, as promised and requested. He even ran after her and grabbed the bassinet, but she refused to stop or even speak to him, and broke away, wheeling the baby off to the nursery. It was probably 6 or 7 hours before I saw my baby again, during which time they gave him sugar water, which we also didn’t want. Matt didn’t want to leave me but went with the baby, since someone had to. I think he may have chewed the midwife out at some point as well for letting this happen. But he knew my doula was supposed to be with me.
I spent some time in the recovery area, visiting with my doula until they threw her out because she wasn’t a relative. Then Matt showed up, and was told he only had 15 minutes to stay with me; thankfully, the nurse who said this got too busy to enforce it, so he was with me until we got a room.
I don’t remember much of the rest of the night, except when they threw Matt out because visiting hours were over and not even husbands were allowed to stay. I remember trying to get my baby to breastfeed, not sleeping at all really, in a haze of pain and getting in and out of bed to pick him up out of his bassinet while wincing from the stitches. I didn’t get any food, just ice chips, but I snuck some of my labor snacks out of my purse when no one was looking. In the morning they came to get the baby for tests, and I slept a little. At some point in the next day I was de-catheterized and told to get up and use the restroom. The restroom was filthy; there was actual blood and shit on the floor and seat. I saw a roach skitter behind the shower. The toilet was low to the ground, and there were no bars to help me get up and down from it, so I just stood over it the first few times. I couldn’t bend because of the stitches.
A sponge bath was promised but never materialized, so I didn’t get to bathe or change clothes until about 24 hours later, when I could barely manage it myself. My hair wasn’t washed at all while I was there; there was no way to do it by myself.
I had a fellow cesearean patient for a roommate, who was having about as hard a time as me. I was too exhausted to really talk to her much, though. Sometime during the second day, after my wonderful mother in law had helped me get some breastfeeding going and I was actually managing to do it, the blood pressure nurse came in and yanked my arm away from my baby to take my pressure. He fell off the nipple because I needed both hands to make it work. She didn’t care.
I pleaded to go home on the second day, but was told I couldn’t until they could take my staples out. It would be bad to go home with staples, I was told solemnly by several people. I couldn’t figure out why it was worse than being where I was.
The one thing they did do for me was feed me, eventually, though Matt had to supplement when he brought me things; my body was starving. And I found out from my roommate that I could call any time for pain killing drugs; they were generous with those. That helped me.
By the second night, my baby was having trouble breastfeeding. I was producing colostrum, and he could latch on, but it just wasn’t enough and he was getting frustrated. He was a big baby, and my body was in shock, so it couldn’t keep up with him. He was starting to get jaundiced, so for my last night, I let them keep him in the nursery and feed him formula so he wouldn’t starve, while I dutifully pumped to keep my breasts going and help them catch up. I slept deeply for about 4 hours, then woke up in the dark. I started thinking about the birth, and then the tears came. They still come, when I tell this story.
And then I went home, still in shock. But today, it started to get better. My fear and shock have started to turn to anger. I am beginning to make plans about filing complaints; I am able to come here and talk about this now, although it has taken me several hours to type and a few spells of sobbing to remember it all.
Matt is as shaken as me; you can’t watch someone you love go through that and not be. We cling to each other sometimes, and cry, and have no real way to comfort each other except by holding our precious baby. We both feel that when we talk about this week, we have to separate out the birth from the baby. One thing we can share with our friends in joy and pride. The other is something we have to grapple with and heal from.
The hospital in question is New York Methodist in Park Slope, Brooklyn. Yes, I am filing as many complaints about them in as many places as I can think of. I wouldn’t send my worst enemy there for a flu shot. Apparently they do something like 6,000 births a year.
My midwives were Park Slope Midwives in Brooklyn. Methodist is the only hospital they use. I am also going to be telling them my opinions next week at a follow up visit; they talk a very well-meaning, holistic, natural birth talk, but I might have actually had a better birth if I’d stayed with my epidural-happy OB/Gyn, frankly. At least I would have been under no illusions. And probably been at a better hospital. The midwives appear to have little to no power to direct how a birth will go if there is any medical intervention necessary whatsoever. This makes them worse than useless.
I want to finish by saying; my little boy is the most beautiful thing I’ve ever seen. I love him with my whole soul and will never regret having him. But I will also never say, having him made what happened all ok. It didn’t. The two aren’t related. He would be what he is no matter what. What happened to me, should never happen to anyone.