Tuesday, July 29, 2008

30 second post

I need a new look. Caliope will design a header for me, but then I thought that I need a new name too. I'm going to keep the URL

Any suggestions on name and/or a new look?

On the post-LB front I went to the gym for the first time. In the past I would catch myself in the mirror and say (in chronological order):

"I need to get in shape for when I am pregnant."

"I need to get back in shape for when I am pregnant again."

"I look so sad."

"I will be pregnant again."

"I may never be pregnant again."

"Why do I bother?"

"I can't believe I am pregnant again. Maybe this one will last."

"Why do I bother?"

"Wow. I actually look pregnant."

And just the other day . . .

"OMG - I'm on the other side. How did that happen?"

Sometimes I still can't get my mind around it. It actually worked. Although I am already thinking about how we might manage to give LB a sibling, I can say unequivocally that one is so much better than none.

Friday, July 25, 2008


While completely innocently perusing Google scholar (I was looking for cesarean information), I came across this abstract. It is a small study and probably not even statistically significant, but it implies that a woman who has a cold within 10 days of embryo transfer is less likely to get pregnant. In the study, the 27 women out of 198 who had a cold all failed to get pregnant. It got me thinking that I only had 2 useful IVF cycles. The third cycle - where we tried 1/2 DS, I had a nasty cold. I remember because I was afraid I would cough out the little buggers (nonsense, my RE assured me). I am convinced doing the fourth cycle right after the third fried my eggs because I had about twice the number of oocytes but they didn't grow as well as previous cycle after day 3. Both of those first two cycles ended in miscarriage, but at least I got pregnant. Maybe if we just tried a few more times, we could have used my eggs.

I know . . . I thought it wouldn't bug me after LB's birth too. At least I didn't think it would bring me to tears. I wouldn't trade LB in for a different version. I think I just want to prove to myself that I can do it - that I am not defective. It kills me that the opportunity is over. If I wasn't successful at 38 years old, what is the likelihood that I would be successful at 41? Somehow I want to redeem myself. I want to prove it wasn't my fault. Which is kind of funny because when we were dealing with just male factor, I never felt it was Brad's fault nor his issue. It was our issue. Until it was my issue and I was defective. Suddenly, I want to blame Brad and his issue (or my RE) because it protects my sense of self worth.

Before I conceived LB, I had asked women who had DE babies when they fully accepted it and moved on. A few said, "I still haven't and I am going to try again with my eggs for a sibling." I thought that it wouldn't bother me. I would have the maturity and wisdom to let it go. Yeah, right.

Pre-LB (ha! a new way to count time) I thought having a natural, home birth would help toward redeeming myself. I thought I would come through that feeling more powerful - that I do work. That didn't happen either. Although I don't think about the cesarean birth that much, when I do I am either sad or angry or both. Maybe we will get lucky and have a second child and I will be successful with a VBAC (vaginal birth after cesarean). Maybe we will even try again with my eggs, although I doubt that. Maybe, just maybe, at some point these two failures will stop haunting me. Not that it is a constant shadow, but the thoughts do creep in - especially in the evenings or when I am tired. Sometimes they hit me pretty hard.

I want to say, because I don't think it comes through in print, that these negative thoughts don't quite have the weight they did pre-LB.

On a somewhat related topic, I overheard Brad talking to Little Butterfly the other day. He was trying to quiet her and said in a sing song voice, "I'm sorry sweetness, there can be only one drama queen per household and that position has already been filled."

Um, do you think he means me?

Thursday, July 24, 2008

Quick EC update

I am surviving my first encounter with the fertile mommy world. It has been fine, in fact, because the people in the group pretty much stick to the subject - Elimination Communication. The only time it is difficult is when they have had many examples as in, "I didn't EC my first two kids, but with my third and fourth . . ." bleh.

The consensus is that we are doing pretty good. A few things I am going to do differently: more time outside to potty - I think I may have made her upset by holding her next to a cold potty; focus more on signaling when she eliminates rather than trying to actually catch it; wear her in a sling more often (babies tend to like it until they have to go)

My wonderful, amazing, supportive, resilient (to put up with me) friend Stacey - yes the one at LB's birth as well as Ernest's - gave me a baby sling that I can feel comfortable getting messy. It is a nice dark brown color.

She also gave me the cool sling pictured below (not quite wearing it correctly, but I am getting better). The sling below has UV protection and we have used it quite a bit on these warmer days. I can nurse in it and when in the sun, I can put the tail over LB's head. I love it.

This was taken on our first trip to a local bakery that we would often visit during our IVF cycles because it is only a few blocks from the clinic and has great chocolate croissants.

The really cool thing is that she makes these and other styles and sells them at affordable prices. Please check out her website babymoonslings.com

Thanks Stacey for the slings and all your support for the last 6 years as well as your help and advice since LB has joined us. I don't know what we would do without you!

Friday, July 18, 2008

Experiences with elimination communication - updated

The title was as far as I got so many days ago. Thanks for pointing it out Michell!

In a nutshell - I am not having as much luck as I thought I would. For one, I didn't realized baby poop stained so badly or that she would poop just a little bit very often. Like when she starts to nurse or while she's nursing or when she sneezes. As for it being runny - well, it is more like water with a few flavor crystals. People who use diapers probably think the baby peed a couple of times and pooped - but that can all be one poop. Catch it in a bowl and you will be convinced.

I am frustrated enough to join my first ever online group that has nothing to do with infertility. I will post my introduction after I write this if LB gives me the time. I am a little bit worried about my first foray into the world of typical moms. Wish me luck.

So far this is how it is going:

I catch somewhere between 2-6 eliminations a day. This is out of dozens. I think I am getting pretty good at predicting when she will go, but sometimes I am just too tired to sit up, get her in position (either squatting over a potty or me cradling her with her legs pulled up and back) and wait for her to go. At these times I try to at least make a "sssssssss" sound that I have been using. Except I don't know if a four week old can even hear that sound.

Then there are the times when I swear she has to go - she tends to get fussy when she is not hungry - so I put her into position and she: 1) burps, 2) she gets more upset so I hold her close then she goes, 3) farts (poops a tiny bit too) 4) doesn't do anything, 5) doesn't do anything for a couple of minutes so I give up and then she goes, 6) she actually goes - right when I signal her! Those are good times!

I have learned she almost never goes while sleeping or nursing, but she will wake up just a bit to go to the bathroom and then go to sleep again. She most often gets fussy before she goes, but sometimes she smiles.

I thought I would be diaper free and catch 75% instead of maybe 10%. Because of the few catches, I keep her in a cloth diaper and change her as soon as she goes (this is recommended in the one EC book I have read). I will also spend some naked time with her either outside or with her business end sitting on a cloth diaper. In an hour I can go through 6 diapers because she can sneeze and pooped out just enough that it would be messy to leave her on the same diaper. Sometimes she can pee 3 times or more during an hour. I think I am "safe" for a bit because she just went 2 minutes prior so when she gets fussy I think it is something else . . . nope! She had to go again.

I hope this doesn't sound like I am complaining. Well, I am, in a way, but I am actually still enjoying it. Part of the reason I "miss" a bunch of eliminations is because I don't want me or LB to get stressed about it. If I am too tired or frustrated, I let it go. If she seems beyond fussy but genuinely upset, I figure it is better to change a diaper than make a negative connection.

Honestly, I don't know how Gambian women do it. It's not like they have a choice or can put a disposable on at night so the baby sleeps longer.

I will keep you posted how it goes. Hopefully, I will learn something from the "Natural Infant Hygiene" group I am joining.

Thursday, July 17, 2008

Another PSA - Medications and Mother's Milk

This is a comment from Midlife Mommy on the previous post ( added the bold):

A wonderful book that I can't live without is "Medications and Mother's Milk" by Jack Hale, PhD. His specialty is lactation pharmacology (hope I got that right); he teaches at a medical school. It will not give you tips on breastfeeding, but it will tell you what is safe to take, what is not, and suggest alternatives.

Both you and your doctor(s) will appreciate the way it is written. It's kind of expensive ($30 or so for a paperback), but it will help you win an argument with your doctor about whether you have to wean or not. It certainly helped me win an argument with my RE, who was dead set against my going forward with a medicated cycle while nursing.

Wednesday, July 16, 2008


First of all, thank you again for all your supportive comments. Now I also know how to get people to de-lurk for a bit. It was very nice to hear that people want to hear about my experience as we go forward. I am looking forward to our adventures together and hopefully the fact that LB is a DE baby/child/kid will have a small impact.

Now for a couple of public service announcements:

1) A friend of mine has started a google group for new moms - especially those with DE babies and/or IVF vets. She would like the window to be spring / summer 2008 babies. The hope is that it will be a place to share ideas / experiences (as time permits, of course). I am hoping to start a discussion about elimination communication. I am afraid I am not very good at it - at least not yet. I will post more about that topic later. Back on this topic . . . if you are interested, please send me an email at myinfertilityadventureATgmail.com or leave a comment with your email address and I will see that you get an invitation.

2) As so many of us do, I have already started thinking about how to give LB a sibling. Since I was reading breastfeeding books anyway (things are much better, btw) I looked into breastfeeding a first child while pregnant and then continuing to breastfeed the toddler after the baby was born. I found out that most meds are ok to take while breastfeeding (despite what most doctors will tell you), although I haven't looked into fresh IVF meds - the ones for a DE cycle are ok. Below is the response I got from Dr. Jack Newman's website -I liked his book on breastfeeding the best.

Yes, you can breastfeed while pregnant. Yes, the new baby will get colostrum.

Why do people, including physicians tell mothers that they must wean the baby when they are pregnant?

1. The baby will suffer from lack of nutrients. There is no evidence for this if your diet is reasonable, and the experience of millions of women who nurse during pregnancy and give birth to healthy babies denies this also.

2. There is an increased risk of miscarriage. This is hard to document since 15-25% of all pregnancies end in miscarriage during the first 3 months, so that if the mother is breastfeeding, breastfeeding is blamed. If she is not breastfeeding "it's just one of those things we can't explain".

There are issues however.

The mother may be sore, as nipple soreness is associated with a new pregnancy.

Fatigue is normal when you are pregnant early on, but I don't see why continuing breastfeeding is more tiring.

The milk supply does go down when you are pregnant, but you increase the toddler’s solids and have him/her drink more (from a cup, not a bottle, and not a sippy cup which is a bottle), or liquids can be mixed with her solids.

It is up to you actually. Nobody can force you to listen either to me or to the others.

For general breastfeeding information, see www.drjacknewman.com.

See also the first draft chapter on breastfeeding a toddler, from my book, Dr. Jack Newman's Guide to Breastfeeding (HarperCollins, 2nd revision 2005) as it's called in Canada, or The Ultimate Breastfeeding Book of Answers as it's called in the US (now out in a new edition, as of November 2006).

I now also have a new book out, published by Hale Publishing, called The Latch and other keys to Successful Breastfeeding. Ordering information is available at www.ibreastfeeding.com

We have an instructional DVD for breastfeeding called Dr. Jack Newman’s Visual Guide to Breastfeeding. For a preview and more information, see www.drjacknewman.com.

Jack Newman, MD, FRCPC

We no longer receive government funding for our clinic and are constantly on the edge of having to close. If you value this service, please consider a donation to the Canadian Breastfeeding Foundation (registered charity) and earmark the donation for the Newman Breastfeeding Clinic and Institute. You can donate through their website http://www.canadianbreastfeedingfoundation.org/

Monday, July 14, 2008

Views from the other side

Under the heading "Sometimes wishes do come true", I would like to submit this post written exactly one year before Little Butterfly was born. Thank you to The View From This Place for bringing this to my attention.

It's strange how different it feels to be on the other side. When I read other people's posts about how hard it is to be in the position of trying to conceive their first child, I no longer feel the same feelings. I remember feeling the same, but now I relate to the posts differently. In some ways it is less painful because they no longer remind me of the ache in my own heart. In some ways, it is more painful because now I know that having just one baby can do so much toward healing those raw wounds of infertility. I hate that there is nothing I can do short of offering my understanding and support to those still trying to get their Someday Baby.

Not every moment post LB's birth is bliss - many of them I am tired and even sad (I'm still blaming hormones), but even in those worst moments, I am - at the very least - relieved that I no longer carry such a sad ache and longing in my heart. More often, I am happy like I haven't been happy in years. Brad told me that I am my old self again, even if I still have wounds from infertility: I still hate pregnant people; I still held my breath when my younger sister (the one who wouldn't donate her eggs to me) said she "had some news" (thankfully - it was much more mundane than a pregnancy announcement); I still don't feel like I would fit in to a new mommy group. But I am better - much better - off than I was just over three weeks ago.

My apologies to all of you TTC #1. I hope this post does not cause you too much pain. I remember what it was like to read other people's success stories and wonder, "What if I never get to be a mom?" I'm not sure where to go with my blog now and maybe posts like this are valuable on an infertility blog and maybe they aren't. I want to show that - despite all my grief and doubts about using donor eggs - life is better here. I want to give hope to those considering an alternate path to parenthood. At the same time, I know each decision on the TTC journey is deeply personal and just because it worked for me doesn't mean it would work for someone else.

Please let me know what you think. Should this become a "parenting after infertility" blog or should it be retired - at least until we start TTC #2? No matter what I do in this space, I will continue to do what I can to support those still trying to parent. I hope you will continue to be patient with me while I get caught up on all the goings on out there.

Thursday, July 10, 2008

Highs and lows

Thank you to everyone for your comments. Thanks for reading that very long post . . . or skimming it. That's ok too.

I have been doing my best to get caught up on my blog lurking / commenting, but am currently way behind. My apologies.

I thought I would steal an idea from my friend Rebecca who I met via IVFC and hope to meet in real life soon.

High: Watching LB wake up in the morning or after a nap. Bonus if I can get her over a potty and "catch" that first elimination.

Low: Crying or getting sad every evening. At first I thought it was about one thing or another, then I figured out it was probably just hormones.

High: Noticing that the blues seem to be lessoning in the evening.

Low: Realizing LB gets her red-ish hair from my nasty, nasty MIL. I hate that she gets to pass on her genes and I don't. I am telling myself that Brad has red highlights. Maybe Belinda has red hair in her family.

High: Being able to comfort LB just because I hold her. Because I am her mom. Screw the MIL. I'm her mom!

Low: Watching c-sections on youtube. This could probably be listed under a "good idea bad idea" post, I suppose. Still, I can't help it. I need to know. Plus, I only watched two.

High: Seeing Brad being such a good dad to Little Butterfly.

Low: Missing my Brad time.

Low: Hearing LB cry like the world is coming to an end.

High: Remembering the years I waited to hear that cry and suddenly realizing it is a happy sound too.

High: Many 'firsts' that we have dreamed about for so long. I feel like shouting Ta-da! every time: First trip to a cafe . . . Ta-da!; First time in a sling . . . Ta-da!; First time nursing in a sling in public . . . Ta-da!; First picture of Brad holding LB while playing Eve online (she was facing daddy not the monitor) . . . Ta-da! First time going for a walk together in the nearby field - the same field I have walked hundreds of times to keep from falling into a deeper sadness when we were TTC . . . a big, huge, Ta-da!

That reminds me of a popular meta news filter. The one with the catchy tag lines for each article. You know, Fa.rk.com. This would be our fake fa.rk tag line:

Parents request timely baby conceived naturally and birthed at home. Baby evades parents for six years, conceived via IVF and donor eggs, arrives via cesarean. Ta-da!

Tuesday, July 1, 2008

Little Butterfly's birth story

It is eleven days past the longest day of the year - both literally and figuratively. I have made peace with how it all played out. At least as much peace as I ever make when things don't go the way I had planned. For me, that is a pretty big step in just eleven days, especially for a dream I have held for more than 6 years. I suppose I could just be too busy with LB to have the energy to care that much. Fine with me either way.

It all started on Friday June 20th, the summer solstice in my neck of the woods. I had another treatment of acupuncture to help bring on labor the night before. I had also seen Dr. Wonderful the previous day and his confidence helped make me feel like I had some breathing room to let labor come in it's own time. Perhaps it was the combination or just coincidence, but I woke up in labor on Friday morning.

It was early stages and I wasn't 100% convinced it was true labor so I sent Brad off to work and took Ender for a walk in the nearby field. I got back around 8:30 or so and was more convinced this was the real deal. I called Brad at work to update him and then I called Stacey to let her know. She suggested that I ask Brad to come home for support. I decided that was a pretty good idea and asked Brad to come home. At this point I was more excited than anything and felt confident I would make it through whatever was to come. I called Dr. Wonderful's office and left a message letting him know I was in labor. Brad and I realized we would have a solstice baby. How appropriate was that?

In order to not focus on the labor, I put on some music and danced. It felt wonderful. There were some contractions I couldn't dance through, but in between I felt fine. I called Stacey again and she timed the contractions with me while Brad was on his way home. They were coming fast, but not lasting very long. Maybe every 2-3 minutes and lasting about 30 seconds. Cathy, my midwife, later said that this was probably my body's attempt to turn LB from a posterior position.

Fairly quickly, the back labor started to get pretty painful. I called Cathy to let her know how things were going and asked Stacey to come over. When Stacey arrived we decided to go for a walk. I don't think we went more than a block before I had to stop for each contraction and have Stacey or Brad apply pressure to my lower back. After another block we headed home. I had always heard that back labor was painful and that is no lie.

When we got back home, Stacey called Cathy and let her know the contractions were getting more painful. Cathy suggested getting on all fours with my rump in the air for 45 minutes to help turn the baby. I was tolerating the contractions, but needing to breathe through each one. After less than 45 minutes, I wanted to change positions so we tried the side lying position Cathy also said might help. I tolerated this position better. With each contraction I would shout for "Back Pressure!" This went on until 10:00 or so when I started to beg for Cathy to get there. I knew I couldn't get into the birth pool until she said I could. If I got in too soon, it could slow down contractions. I remember asking, "Where is Cathy? Call her again! When will she be here?" Stacey and Brad kept saying things like "Soon." or "In 20 minutes." I haven't asked, but I think they were lying. Cathy knew it was still too early.

This time was such a blur. I remember finding great comfort as Stacey brushed my hair away from my face and needing to hold Brad's hand as much as possible. They were both wonderful and so much needed throughout the day.

I think Cathy arrived around noon or so. The birth pool had been set up, but not filled. Cathy checked me and I was about 6 cm dilated. I needed to be a 7. She told Brad to start filling the pool. I don't remember for sure, but I suspect I was begging to get in. I know there were times when I cried between contractions and said, "I can't do this." Stacey and Brad would reassure me and say things like, "Yes, you can." and "You are doing it." Stacey was perfect. Brad was wonderful although sometimes he would say something lighthearted or jokingly. That just irritated me and I told him so. It was too hard to get my mind around anything but very simple statements.

By this point, I was moaning through each contraction and thankful when I would get one that wasn't as painful as most. Occasionally, I would get the urge to push. I don't know if this is normal or not, but "urge" does not really describe it. To me it felt like throwing up, but in the opposite direction. It was a reflex, not an urge. They were short, staccato kind of pushes. I wasn't fully dilated and Cathy believes it was another attempt by my body trying to get Little Butterfly to turn.

After about 45 minutes, Cathy let me get in the pool. It felt so good. I had taken a bath almost every night for the previous six months to calm my mind and my jumpy legs and had unknowingly developed my own little routine. I swayed my hips back and forth and felt the water move around me. It was very soothing. When I felt a contraction coming on, I would get in a position where someone could push on my back. Sometimes I wouldn't move fast enough because it felt so good to be more submerged in the pool and those contractions were extra painful. I was occasionally pushing during a contraction. It was about this time I started to feel a lot of fear. At first I thought I was afraid of the pain, but later I said I was afraid of losing control. Maybe it was both. Cathy told me to stop analyzing everything.

It was also about this point, unknown to me, that Cathy started to be concerned about dropping heart tones. I knew something wasn't perfect because she started checking more often, but for whatever reason, I was never concerned about LB. I knew she was fine throughout the entire labor. Perhaps I was just too focused on coping with the labor, but I think it was intuition.

At some point Cathy had me get back out of the water. She said it was slowing down my labor too much. Now I wonder if she wanted to get me into different positions to see if the heart tones would stop dropping so much during each contraction or at least recover more quickly. I got out, labor intensified and I more often felt the urge to push for brief moments.

Around 5:00 pm, Cathy suggested we go to the hospital. She said that since I felt safe enough to go into labor only after I saw Dr. Wonderful, perhaps I needed to be in his care in order to feel safe enough to continue with labor and birth. At this point I was well into transition and feeling more afraid. I hadn't really eaten since breakfast and was losing energy - although I was doing my best to drink and eat during labor. Yes, I caved pretty fast. I could get some relief from the pain and I liked the idea of seeing Dr. W. I suppose Cathy knew I would. She probably knew offering a woman in transition with back labor a break from the pain would be as easy as enticing a drowning person to take a few breaths of air.

Later I learned that both Stacey and Brad were surprised that Cathy would suggest transporting. It was that suggestion that led to me feeling at fault for how things went. I had been saying things like "I can't do it." or even crying between contractions. Perhaps if I hadn't been so afraid - of losing control or just because of the association of when I gave birth to Ernest. Eventually, I came to believe Stacey when she said that I was never that freaked out in her opinion. She has seen several births and had two of her own and she said everyone gets scared at some point - especially during transition. She gave me several examples of women much more scared, much less focused than I was and still had a vaginal birth. I no longer feel that it was my fault. Even if the fear had a contributing factor, I still did the best I could in that moment.

What I also didn't realize at the time was that Cathy was very concerned about the heart tones. Perhaps she thought if I relaxed emotionally it would be enough. Perhaps she just didn't want to scare us by letting us know. Cathy called the hospital and let them know we were on our way. Brad called Dr. Wonderful's cell phone and left a message.

The 15 minute drive was all kinds of fun as I sat with my fists in my back and breathed through contractions. Not surprisingly, when I thought relief was on the way, it became harder to cope with the pain. Fortunately, I had a friend who also transported to a hospital after attempting a home birth and knew relief could easily be an hour away. I think that knowledge helped me stay focused.

At the hospital, they had a room ready. They told me Dr. W knew that I was there and would see me as soon as he was finished with his office patients. It was about 5:30 pm. Did I mention what a great doctor and kind person he is? He was with us from about 6:00 until after midnight. He wasn't the doctor on call at the hospital that night. He was there just for us. He spent a good amount of that time just hanging out in the room with us. At some point he returned to the room; after, I assume, letting his wife know that he was going to be getting home later than he thought, to say that his wife was praying for me and our baby. He added, "Mostly your baby though because she knows I am praying for you."

I don't remember how long it took, but right away they were hooking me up to everything. I got a blood draw so they could get a platelet count so the anesthesiologist, Pete, would know how much drugs to give me. I got hooked up to an IV and the fetal and contraction monitors. The only problem was that they couldn't be sure they had the baby's heartbeat because it was so close to mine - around 90 bpm. The next thing I knew Dr. W was there with a tiny u/s machine looking for the heart to confirm we had LB's heartbeat. Brad told me later that he had never seen our OB look so worried. I suppose they were worried that there was no fetal heartbeat. Again, I was oblivious to their concerns. I knew she was fine.

Through all of this, I was having contractions with lots of back pain. With each contraction I would ask for someone to apply back pressure. Pete had everything set up and was ready to go as soon as he got the platelet count. I told him I wanted just enough to take the edge off and I just needed a break. I was hoping it would wear off by the time I started to push. He was very good and a nice guy. When I got a contraction just as he was getting ready to administer the epidural I shouted "back pressure!" and since he was the only one there, he started pushing. Then he gave me just the right amount of drugs. I still had to breathe through each contraction and sometimes needed to vocalize, but it was enough of a relief that I was able to calm my mind. I figured I would be pushing soon and home in a few hours. I told the doctor we were expecting a solstice baby.

The baby's heart tones also recovered about this time. In my mind, it was because I was producing less adrenaline which, while it makes an adult's heart race, it will cause a fetus to slow down (the better able to conserve energy and oxygen when supplies may be more limited through the cord). This made me think that I was causing all the problems because I was afraid. I remember my doctor saying something about most OB's would have probably just done an emergency c-section, but he thought we had time to try to get the baby doing better. I remember thinking it was such an odd thing to say.

Dr. Wonderful checked my cervix and I was 9.5 cm dilated and although I had been leaking fluid, my water hadn't broken. It was agreed that he would break the bag of waters. When he did, my cervix went down to an 8. Stacey told me later that she thought once they broke my water, the baby would come pretty quickly. I thought so too. I guess this was the second indication things weren't going as I had hoped. At some point, LB had turned and was now anterior.

It was now sometime after 6:00 pm. The next couple of hours, like the hours before getting to the hospital, were indistinct moments of pain and relief. Time passes strangely during labor. I was doing pretty well emotionally, it was nice to have the edge off the pain and I figured my body was continuing to progress nicely. Sometime after 8:00 Dr. Wonderful checked me again and I was still 8 cm dilated. This I understood to be a bad sign and it was the first time I thought things might end up with the ultimate bad ending in terms of my birth experience. I was still sure LB was fine.

Although I had started the day excited about meeting our Someday Baby, as the day wore on and the pain intensified I retreated to my usual mindset. I could believe in a baby moving and healthy inside of me, but I couldn't get around the idea that it could translate to a real, live baby outside of me. At some point the nurse said she was going to get the crib prepared. I told her I wasn't ready to see it yet. The idea of having a baby was too much to hope for. Even though if asked, I would have said LB was fine and would continue to be fine. A part of my mind was still not ready to believe in what could still be taken away.

Cathy (perhaps thinking that believing might help get me through) started to tell me that I really was going to be a mom soon. "Do you think so?", I asked her. "Yes," she replied. "Dr. Wonderful, do you think I am going to be a mom?" He agreed. Wow. I was going to be a mom after all this time. I started to get excited again. I told the nurse that I was ready to see the crib. I was expecting the little bassinets I had seen waiting outside the rooms on previous visits to maternity wards. It was, instead, the kind with the heat lamps that they put the baby in right after birth to check them and wrap them up. From my emotional and physical view points it looked exactly like the one Ernest had died in. I started sobbing and for the first time realized how much that previous experience was coloring this one. My midwife talked me down by saying, "This is a different day, a different hospital. Priscilla (Ernest's neonatologist) is not here. This is different experience than Ernest's birth." A bit later I heard Dr. Wonderful tell my nurse, than when the baby arrived, they would take care of him/her without anyone else coming into the room like they usually do. How many doctors would do that?

The epidural started to wear off and I started to get more panic feeling again. I asked for a bit more knowing that we were no where near pushing yet. Pete told me that he would need to use a different drug combination than last time (not sure why . . . I think he may have given me some narcotics), but he would try to match the same level of pain relief. It was actually much stronger and my contractions started to slow down. It was about 10:00 pm.

Unknown to me, but later related to me by both my midwife and Dr. Wonderful, Cathy followed my OB out into the hallway. She asked him, "Isn't it about time we started talking about a c-section?" He replied, "You knew that when you brought her in, didn't you?" She said she did. Later I also learned that my midwife was pushing on my upper leg (I was laying on my side) not because it offered comfort, but because she knew it would help open up the birth canal allowing the baby to move down. LB would move down and her heart tones would drop and be slow to recover. Cathy had already become convinced that LB would not be best served being born vaginally.

I got the first official "maybe we should do a c-section" talk. Although I wasn't exactly surprised, I was convinced we could avoid it. I told Dr. Wonderful that it wasn't an option. "I'll do anything. Tell me what I should do. I can get into a different position. We could let the epidural wear off." He said he didn't think a different position would help. We agreed to let the epidural wear off. Cathy suggested trying some Pitocin. We did both. Later research suggests that when the uterus is contracting like mine was - long contractions with a certain pattern on the trace - it indicates the muscle is tired and probably not releasing enough lactic acid. It was like trying to run with a muscle cramp in your leg - not very effective. Pitocin also tends not to help. It didn't. Dr. Wonderful even tried pushing my cervix out of the way while I pushed during a contraction. That didn't help either.

By the time Dr. Wonderful made the announcement, I was expecting it, but it didn't make it any easier. He said, "I think we need to do a cesarean." I started crying again and feeling like a complete failure. I remember saying it several times - "I am a failure." "I can't even manage to make a baby without help." "I am such a failure." Stacey, Brad, Cathy and Dr. W. all tried to console me. I didn't believe them when they said I wasn't a failure. Cathy sat next to me and said, "Natural births don't go this way." At the time, I couldn't fathom what she meant. Now I understood that she was saying, "Something beyond your control is going on and we have indications of that something. If it was going to be 'natural' we wouldn't be having these issues.

I was still crying and unconvinced. Dr. W. sat down close to my face and told me how the cesarean would go - that I would feel pressure as they did the procedure and that I would still be giving birth. The baby would just come out a different way. I asked if I could see the surgery. He said he would see what he could do. He didn't know if we would have her on the solstice, but agreed to try. He got up to go. I held his hand and begged him to stay. In that moment I thought if I could keep him from prepping for surgery, I could avoid the inevitable. I wasn't that out of it and realized in the next second that it was too late to change course. I let Dr. Wonderful go as Pete made his way to give me enough drugs for the surgery. Just as this was happening, another contraction was starting. I grabbed the bed rail and in anger, frustration and disappointment shouted, "Fuck! Fuck! Fuck!"

I continued to cry as Pete administered the drugs. Cathy, who's opinionated nature sometimes frustrated me during our prenatal visits, has the perfect personality to assist in a birth. She got in front of me, grabbed my face so that I was looking at her and said sternly, "Look at me. You are going to be a mom in about 10 minutes. This is not about you any more. You need to be there for your baby. You need to pull yourself together." This got through. I wanted to be present for our child's birth. Stacey followed up by saying, "You are doing the next best thing." A phrase I recognized from when we taught Birthing from Within style childbirth classes together. The idea is to be present during the moment, even when you have to choose something you would like to have avoided. I calmed myself down as best I could. It had already been such a traumatic up and down experience that I had the adrenaline shakes. Cathy later told me that she had never seen anyone get the shakes before the baby was born.

Brad walked by with scrubs in his hand telling me that he would change and be right back. Dr. Wonderful, breaking protocol, invited Cathy in as well. He apologized to Stacey for not being able to get her in also.

A few minutes later I was being wheeled into the OR. It was the most surreal part of the whole day. The bright lights and sterile environment was such a stark contrast to where we started and where I had thought it would end - in my home with the sounds of birds and the sight of our trees.

Dr. W set up a mirror along the side of the bed so I could watch. Unfortunately, by the time the sheet was put up and the second doctor was in place, I could no longer see, but I appreciated the effort. I was still shaking so bad that I had to hug myself to still my body enough so they could lift me from my bed to the OR table. I think they were concerned about me because Pete kept trying to calm me down. I remember the nurse saying that if I wanted the baby to stay with me, I had to keep extra adrenaline out of her system. I kept thinking calming thoughts and willed my body to shop shaking.

The surgery started and I could see smoke drifting over the curtain. Whatever they used to cut me open was causing it. I felt a strange downward pressure and my Dr. W told me that he was pushing the bladder out of they way. There was a pause and the next thing I knew the curtain in front of me was down most of the way. Cathy lifted my head up and asked if I could see the baby's head. I couldn't. Brad could see it though and as the head came out, they suctioned her. Dr. W then noticed that the cord was wrapped around the baby's neck twice and said that the baby had been trying to tell us something. Then they lifted her out the rest of they way. I could feel the pulling sensation and then I could see LB. My first image is of her being held aloft, with her head away from me and her little hands opening and closing. They held her forward and I saw just as Brad said, "It's a girl!" The doctor noted the time - 11:36 and announced that we had made it on the solstice. I was unbelievably excited. I started shaking again. I was so happy. I watched her as they took her about five feet away under the heat lamps. Brad went with her and put his hand on her chest. She grabbed his pinky finger and thumb with her hands. She started crying right away. It was magic!

I guess the joy and euphoria of her birth was a bit much for my already taxed body. Pete grabbed my hand and asked if I was ok. Cathy told me to calm down. Dr. W. told me to let Brad have his time with his daughter and to stay focused on them. Dr. Wonderful massaged my uterus and started putting me back together. Soon, LB was wrapped up and Brad held her next to my face. Because of the bright lights, she kept her eyes closed until she was away from them. Brad said I was the first thing that she saw. I was laughing and so happy. The first thing I said was, "I can't believe I was worried about bonding!" She wanted to nurse so Cathy suggested I put my finger in her mouth. Our daughter was sucking on my finger! I was shaking so bad that Cathy had to hold my hand steady. They continued to close me up and when they were done, they let me hold LB on the way back to our room. I sung her a lullaby on the way. It was a lullaby I have sung to our Someday Baby for years.

We got back to my room and I nursed her right away. I didn't sleep more than an hour that night. I was wired on adrenaline, mentally trying to make sense of how things unfolded as they did and staring at our sleeping daughter. Our Someday Baby was really here.