The Baby
I have tried to write this labor and birth narrative for over three months, and I keep going back over the paragraphs I’ve vomited up so far and I hate them. The writing--the detail, the dialogue--is boring and contrived; I don’t know why I can’t write this final blog entry with any flare or distinction. Perhaps it’s because three months have passed, and my child (a BOY, for fuck’s sake) is a marvelous creature and embodies every detestable cliché in existence about how much you love your newborn (I am not after all immune to sentiment). Perhaps it’s because now that the child is here and real, I’ve realized that a lot of the issues I blogged about while he was in my womb don’t matter as I watch him pull his mouth off my nipple and then stick his lower lip way out, stretch his neck to the heavens like a baby bird, his belly full and his cheeks round and pink and healthy; when I lay him on the changing table and his face becomes a giant, toothless, trusting smile; when he moves his mouth like a happy fish; when he grunts in his sleep like an 80 year-old man with a bad back; when he poops colossally and then the red of his face turns back into flesh and he coos with contentment; when he coos at all; when I lower him gently into his bath, his tiny testicles hanging low, and then he presses his arms into his sides and looks up at me, as if praying that I won’t do anything to alarm him; when I play Who’s That Baby on My Changing Table? and proceed to make sure that it’s really him by way of kissing and raspberrying his feet, knees, belly, fingers, and finally his nose as he smiles and gurgles and would definitely give me a huge hug if he could; when his head clearly takes up more room on my nursing pillow than it did the day before; when he cries for no concrete reason I can detect and leaves me in deep despair.
So I am occupied with other worries now, and many joys—something entirely new to me. But both are more profound than the ones I had while I was pregnant. But his (yep, his) labor and birth run through my mind in one form or another every day. So here is what I remember most.
Pain
From 3:30 a.m. to 10:45 p.m., every contraction was excruciating. The quintessential hypnobirthing text states that labor does not have to be painful, that it is actually not painful, and that the reason it is regarded as painful is because childbirth has been co-opted by the medical industry, and because of mainstream media misrepresentation. I must have internalized both to an extreme degree, because my labor hurt like fucking hell. Contractions were menstrual cramps times 100, and they came on so fast and hard I couldn’t tell how long each one was—they didn’t seem to distinctly separate—until I was at the hospital and a nurse hooked me up to a machine that measured the contractions and told me: 2 to 3 minutes apart, about 60 seconds in duration. This was six hours into it.
After the first two or three hours, when I was at home with the husband, who let me lean on him and moan with each surge, I was able to use the relaxation skills I’d been practicing. But at first it hurt so terribly I couldn’t focus; I was scared to death that this was labor. How could it be? How could it hurt so badly? I thought that was all bullshit! Now, of course, I believe that different women have different levels of pain while in labor, and that detailed stories of labor and this concept should replace generalizations.
By the time I got to the hospital, however, I successfully relaxed through each contraction. But relaxing didn’t make the pain any better. I remember telling the midwife that I thought the pain would subside between contractions—that I didn’t realize the pain would be constant, that I wouldn’t get breaks or breathers.
“Different women have different labors,” she said. “You’re having a hard one.”
“You’re doing great,” she said, a little later, as I sat in the rocking chair and finished a low moan through a 90-second contraction. “You’re the poster child of hypnobirthing right now. You’re doing fantastically.”
This was hours after I’d asked one of the many dozens of wonderful labor and delivery nurses at the hospital for an enema to see if that might help the pain. She gave me one, gently and professionally, and it did not help. It was then when I realized that this was labor. This was my labor. And it hurt like hell, and it was going to continue to hurt like hell.
Amniotic Fluid
My water didn’t break; it ran out of me fairly steadily over about a 2 or 3-hour period, whenever I stood. It splashed on the floor of the labor room, pinkish-clear, from hour 6 to hour 8. It shocked me but I did not express the shock because the shock was not important and the shock did not register as shock. There was fluid making a mess everywhere, but it didn’t really matter.
So far, labor had little to do with a baby. At this point and throughout my pregnancy I saw no end, no indication that a baby would be the result of all this. I’m guessing that pregnancy and labor with a second child cultivates more accurate concepts of the future.
Shaking
My legs and at times my entire body was shaking and
trembling uncontrollably, the shaking so involuntary that I was afraid something was wrong until the midwife said that shaking was a part of labor, a good sign that the contractions are strong. Contractions are strong enough to make you rumble. Contractions are extremely powerful. They could probably move trains.
Disappearance of Shame
During hour 12, I shat. But before I shat, I had not been worrying about the possibility of shitting and when I did, my embarrassment evaporated. I was consumed with my body and what was happening to it, not about what impression my shit might leave on the husband or the midwife or the nurse. I was aware of them, all there, paying such close and strange attention to my nether regions, but it was not important. What was important was finishing this experience. What was important at this point was the end of labor, whatever that meant. I still didn’t think that would happen.
Drugs
“We’re going to have to start talking about Pitocin,” said the midwife around 3pm—hour 11 or 12. “Your contractions aren’t strong enough yet, and you’ve been in labor for a long time. You’re tired. We definitely need to hook you up to an I.V.”
“For what?” I asked.
“Fluids.”
“I don’t want Pitocin,” I said—but not because I was still determined to be drug-free. I had asked for Nubain around hour 11 and had been appreciating its effect: it didn’t make the pain that much less intense, but it provided an hour-long buzz that made it easier to endure.
“I know,” said the midwife. “But we need to start talking about it. We need to get these contractions going, and you’re exhausted.”
Going? Are you fucking kidding me?
“If I need Pitocin,” I said, “then I want an epidural.” You say: Pitocin; I say: Epidural. I think I was lying on the bed at that point; the lights in the labor room were off, and the gray afternoon light made everything calm and steady and even more surreal, like something Dali would never dream of painting.
A baby at the end of all this still did not occur to me. There was no outcome; there was my body and what was happening to it. I suppose you could say I was focused, but since I wasn’t focused on anything specific, I think determined is a better word for my disposition—I was determined to end this experience. With a baby? Not necessarily. I was not thinking about a baby, about any babies at all, especially my own. I didn’t know anything about them anyway.
I did look at the husband as I gripped a counter with both hands to declare the following: “I am never, ever doing this ever again.” He said that was fine; the nurse and the midwife laughed.
“We’ve heard that before,” said the nurse.
“You can’t make those kinds of promises right now,” said the midwife.
Oh, I can, I thought. I most certainly can.
The epidural was administered around 4 or 5, and since I had known it was coming, I stopped practicing hypnobirthing and became a Body Waiting for Pain Relief. The doctor took only about half an hour or so to arrive, but I kept panting and asking where he was.
“Did you call him?”
“Where’s the doctor?”
“What’s taking the doctor so long?”
“Will you call him again?”
“Is the doctor coming?”
“Have you called the doctor?”
“Is the doctor on his way?”
I’m sure I was annoying, although not as annoying as a baby trying to get itself out of your body.
When he did administer the epidural, I laid back on the bed. I still felt the contractions but they had become mild and low—I could get through them just by breathing steadily and closing my eyes. No need to moan anymore, or bend over, or move, or anything. My entire being exhaled with relief.
“You’re finally getting a break,” said the midwife. Then came all the rest—which I had forgotten about. When you get an epidural, you have to get all kinds of other things. A catheter, a fetal monitor, a this, a that, blah blah blah. In a matter of about an hour, the natural childbirth I had wanted became quite unnatural.
But isn’t it natural to want relief for pain under any circumstance? Why is so much of the “natural childbirth” movement so insistent on no drugs at all—and what kind of pressure does this put on women who, considering what they’re about to go through—have enough to consider already? And childbirth is such a culturalized ritual—if mother and child are all right and generally unharmed (an impossible feat anyway—the baby gets harmed and the mother gets harmed—heads are squashed, arms are wrenched, vaginas are too traumatized to urinate), I wonder if anyone can really make declarations on what’s right or wrong, what’s good childbirth practice or bad childbirth practice. Maybe it’s all just a handy forum for righteousness, as so much of parenting seems to be.
At the time, however, I was quite disappointed in myself for taking the drugs. Then the disappointment subsided under all that relief.
Gender?
After writing about it so extensively during pregnancy, I thought about the gender of my baby one time during labor. Right around hour 9, when a contraction had just ended, I said this to the husband:
“I have thought it might be a boy. About a month ago I started wondering.”
“Why didn’t you tell me?” He stood facing me, having just finished a hamburger his father had brought for him. I was sitting on the edge of the bed, enormous and round in my gown. The midwife sat in the rocking chair.
“I didn’t want to agree with you.”
Pushing
“Okay, Anna,” said a wonderful, wonderful nurse who I hope will not mind my lips on her feet should I bump into her downtown sometime. “I want you to push like you’re taking the biggest poop of your life!”
“Ready?”
I nodded.
“Go!”
I pushed. With a small, supportive audience in full view of my nethers, I pushed with all the force I could muster. I was aware of their presence but their presence was not important. It was time to get the thing out. I had been drugged, coached, well-steeped in childbirth literature, weathering painful labor for 15 hours, and I’d had Pitocin and the midwife said my contractions were finally strong enough and god damn was I going to push this baby out. At this point, the concept of a baby truly presented itself, but only in the context of its exit from my body. I would finish this. And I knew for certain—just like I knew that my baby was female—that I would push it out in under two hours. It was nearly 6, and this experience—this godawful experience—was going to end by 9. That would be the end of it.
I pushed. And pushed. Despite the paralysis that the epidural enduced, I was on my feet, squatting, holding onto a bar, rolling on my side. I was really out there—100 times more vulnerable than I am right now, as you are reading, but my vulnerability did not matter. I had to end this. And I would. I would push the baby out.
The Caesarian Section
About 4 hours later, after the epidural wore off (its duration was amazingly short and its strength in my opinion amazingly overrated), it was decided that I would have a Caesarian Section. It was decided by the consulting doctor, the midwife, the husband, and myself. I remember looking up at the clock, one of those standard white-faced battery powered clocks that you see in classrooms, and noting both the time (after 9 pm), and then the concern and resignation on the face of the midwife and the doctor (pretty apparent). He had come in and watched me push a few hours before. “I think she can do it,” he said proudly. We all knew by then that the baby was pretty large. I felt everyone’s relief when he said I could do it, and it gave me even more wherewithal.
But I could not do it. I found out two weeks later that the baby was not descending and therefore not rotating in such a way for the head to crown—descension and rotation apparently need to work together to get the baby through the birth canal. At the time, no one explained this. No one said, “The baby is not descending.” Everyone said, “The baby is not coming out,” or “It’s not progressing,” so I assumed I was not strong enough to do it, that I was too tired.
I however did not care: natural childbirth, gender, drugs—none of it mattered. It was not important. The incredible, shocking pain was important; the fact that none of it was moving the baby was important; the fact that this experience had to end was important. A baby? A baby, at the end of all this? Nope. No recognition. I was in tremendous pain again; it shot through me and snapped through my nethers but not out of me, and by the time they wheeled me down the hallway to the operating room (or whatever they call it), I was crazed. I was naked and writhing and hollering and kicking, saying, “Please, please,” to the midwife, who patiently did something I don’t recall, like touch my shoulder or rub my arm.
And as we neared the operating room, I was embarrassed. A janitor standing beneath a vase painting smiled at me as we passed, and I know she was laughing at me, not sympathizing with me—she looked at me with a chiding grin, as if to say, Look at her, she can’t take it. As if she had birthed many children and weathered the pain with a lot more dignity. I did feel humiliated, but I couldn’t stop writhing. Maybe I could have. I feel now like I could have controlled myself, but I if I could have, I would have. Right? And even if I hadn’t been given that knowing look from the janitor, who for all I know is tough as nails—that bitch—I think I would still feel embarrassed. It couldn’t have hurt that bad. Could it?
According to the nurse who led our childbirth class—which I was very disappointed with—Hmong women express no pain during childbirth except for a dot of sweat on their upper lips, and Latinas express pain by screaming “Oy! Oy! Oy!” I was shocked at her racism. I still am. But what I take from those generalizations, and from the childbirth anecdotes of my friends, is that the pain for some women is severe, and the pain for other women is not—for some women, the pain isn’t even pain—it’s great pressure. I think now that levels of pain during childbirth have to do with 1) the body of the woman and 2) the size and position of the baby and all kinds of things I do not understand—but the variables in these two factors alone are probably infinite. The third factor, the one that we unfortunately hear the most about, is the woman’s “pain threshold” (a term I now despise), which is determined by the body of the woman and the size and position of the baby and the way the woman’s culture exercises control over her expression of pain (because culture plays a role in everything we do) and of course her temperament and personality and genetics. But the term “pain threshold” implies that her threshold is hers and hers alone, and that it is not dependent on all these other factors. So I feel like my pain threshold is all about me and my potential and my failure to live up to it. But it is not. I am wrong. I am utterly wrong about this.
And I certainly wasn’t figuring all this out as the anesthesiologist, a nice woman with large glasses, administered the anesthetic, as I lay on the table naked with my arms Velcroed in place, straight out at my sides, exactly as if I were on a cross (I apologize—but the analogy is accurate and it was the first thing I thought of at the time). Finally! Finally! The pain subsided and I for the first time in hours and hours and hours smiled. I smiled up at the lights, through the oxygen mask over my face, and I sighed. I smiled and sighed and felt myself breathe and the muscles around my eyes relaxed completely. They could have removed my spleen. They could have amputated my legs. I was smiling and the pain was for the most part gone and I didn’t care what happened next. It occurred to me that the baby would come now, but I still didn’t know how important this was. It didn’t feel like any sort of end was on its way, and I didn’t care anyway because the pain was gone.
Then there was the husband, standing at my left shoulder. They had sent him away while they prepped me. His eyes were wide open and he looked extremely glad to see me. Then the doctors started doing whatever it was they were doing, which was fine with me. I could have given a shit. I heard them talking to each other—one on the right side of my body and one on the left—and they were laughing about something—a TV show, or the location of a flea market—and one of them told me not to worry about the scar because it would be “below the bikini line,” and their banter and that silly comment (I have never given a flying fuck about scars anywhere, and I don’t wear bikinis) did not matter at all. Nothing really did. Not that there was a baby coming, not that the husband was at my side, looking eagerly over the sheet they suspended above me that hung to my shoulders and blocked my view of my own belly, not that I was about to not be pregnant anymore. I was just there, en abyme, waiting for something that was starting to take shape.
“There’s the head,” said the husband. “They’re pulling it out now.” I smiled. A head. Coming out of my stomach.
“Look! There it is!” said the wonderful nurse who had stayed late to assist in the birth and whose feet would by now be damp with my saliva were I to run into her in a sandwich shop or somewhere.
“Tell your wife what she has,” the nurse said.
The Child
“It’s a boy,” said the husband slowly. He sounded light, airy, marvelously happy, and the joy in his voice made me happy, too. No more pain and a happy husband and the end of the experience. I was ecstatic. Elated.
“It’s a boy,” he said again, and then he walked out of my view, toward the doctors and nurses, to have a look.
I doubt very much that I said what I said next. The husband says I said it, but I think he’s wrong. For one thing, I had an oxygen mask over my face, so I couldn’t have said anything clearly. But maybe it did happen. Who’s to say? Certainly not me.
“What am I supposed to do with a boy?” I asked. And then I heard them all bustling around, happily checking out my new son while I lay there, crucified with wonder.
“Here it is,” said the husband. He brought him over and I saw a glimpse of his face and body, damp and mushy and shiny, slumped into the husband’s arms. In the pictures they took, he’s gazing right up at the husband, calm and quiet, his knees and elbows bent into his little slimy body.
“They’re putting him on the scale,” said the nurse.
“9 pounds,” called a man’s voice, “and 14.8 ounces. 9 pounds, 15 ounces! Wow!”
“Wow!”
“Wow!”
I smiled. I still didn’t feel a thing and I was glad because it seemed as though I had been feeling everything imaginable for not only the last 19 hours but also the last 10 months. I should have been shocked that it was a boy. It was not the Little Pokie, the girl I had been envisioning and worrying about and hoping to spare from that numbness and distance from her own body that characterized me so unfortunately throughout my life. I had given birth to someone else. I had had a boy. My instincts were wrong. Really, really, really wrong.
But none of this occurred to me at that moment: I was in a tired but pleasantly drugged haze, and they wheeled me to recovery and I held Ian (Eye-an; we have doomed the poor child to a life of correcting everyone, as my father keenly pointed out) for the first time, and I don’t remember feeling overjoyed or exhausted. I just remember being fucked-up and foggy and the room being very bright as the husband bathed our son and the midwife spilled the bathwater all over the floor—poor woman; what rotten luck—and Ian lay patiently in my arms. I don’t remember his looking up at me, nor do I remember what his face looked like, except that it was small. His gender didn’t matter; the state of my body didn’t matter. There he was. It was a baby, and it was here, and it wasn’t Barbara Ann, the aunt I never knew, who died when she was only a few days old in 1941 as a result of oxygen depravation because her mother, my grandmother, Dessa B., had a placenta praevia and nobody knew it ahead of time and nobody could do a thing about it. I wonder if this means that Barbara Ann was destined to die—if so, then millions of babies have been destined to die because of all kinds of complications, and millions of mothers have been bereft and despairing and tremendously sad. I think now that there is probably a force in the universe that grows larger with the unpreventable death of every baby, because if anything had kept Ian from being in my life I would be living with a sense of emptiness that would in many ways be insurmountable.
But of course we survive what we think we cannot. That is what females do. We are the most unbreakable, the most resilient creatures in the entire world. This is incontestable.
So this is what I was wrong about: everything. I’ve been wrong about everything for a long, long time. My potential for love, which is greater than I ever knew. The strength of my ability to withstand pain, which is not strong at all. The sex of my child, which I was sure enough about to elaborate on for pages and pages. The pain of labor, which I vastly underestimated. But none of that matters anymore. It doesn’t matter that I was right or wrong, or that the day Ian was born was in many ways horrible. It was the worst day of my life, in fact. It’s nothing I would ever want to go through again.
But I look now at Ian: his big round blue eyes, the splotch of red between his eyebrows, the extremes of his grin, so happy to see me or the husband or his giant plastic key chain. Three months ago I looked at Ian—pooping tar and sleeping in a clear plastic bassinet, his head a strange lopsided lump of soft bone—as I chugged water in my hospital bed and felt the pressure in my feet, bloated and swollen, like hocks of ham. I called them Godzilla feet.
Yes. That was a horrible day. But I now hold my child in my arms, sexless and innocent and shocking. I touch the baby’s skin. Yes. That was a horrible day. Much worse than I thought. I kiss tiny toes and see fingernails webbed to fingertips. A breasty mouth pumping itself into a tiny “O” without a sound. Eyes looking at a ceiling for the first time, neck craning around.
Reality
Horrible. Who cares? Fuck horrible. Lots of things are horrible. Look at a child.
So I am occupied with other worries now, and many joys—something entirely new to me. But both are more profound than the ones I had while I was pregnant. But his (yep, his) labor and birth run through my mind in one form or another every day. So here is what I remember most.
Pain
From 3:30 a.m. to 10:45 p.m., every contraction was excruciating. The quintessential hypnobirthing text states that labor does not have to be painful, that it is actually not painful, and that the reason it is regarded as painful is because childbirth has been co-opted by the medical industry, and because of mainstream media misrepresentation. I must have internalized both to an extreme degree, because my labor hurt like fucking hell. Contractions were menstrual cramps times 100, and they came on so fast and hard I couldn’t tell how long each one was—they didn’t seem to distinctly separate—until I was at the hospital and a nurse hooked me up to a machine that measured the contractions and told me: 2 to 3 minutes apart, about 60 seconds in duration. This was six hours into it.
After the first two or three hours, when I was at home with the husband, who let me lean on him and moan with each surge, I was able to use the relaxation skills I’d been practicing. But at first it hurt so terribly I couldn’t focus; I was scared to death that this was labor. How could it be? How could it hurt so badly? I thought that was all bullshit! Now, of course, I believe that different women have different levels of pain while in labor, and that detailed stories of labor and this concept should replace generalizations.
By the time I got to the hospital, however, I successfully relaxed through each contraction. But relaxing didn’t make the pain any better. I remember telling the midwife that I thought the pain would subside between contractions—that I didn’t realize the pain would be constant, that I wouldn’t get breaks or breathers.
“Different women have different labors,” she said. “You’re having a hard one.”
“You’re doing great,” she said, a little later, as I sat in the rocking chair and finished a low moan through a 90-second contraction. “You’re the poster child of hypnobirthing right now. You’re doing fantastically.”
This was hours after I’d asked one of the many dozens of wonderful labor and delivery nurses at the hospital for an enema to see if that might help the pain. She gave me one, gently and professionally, and it did not help. It was then when I realized that this was labor. This was my labor. And it hurt like hell, and it was going to continue to hurt like hell.
Amniotic Fluid
My water didn’t break; it ran out of me fairly steadily over about a 2 or 3-hour period, whenever I stood. It splashed on the floor of the labor room, pinkish-clear, from hour 6 to hour 8. It shocked me but I did not express the shock because the shock was not important and the shock did not register as shock. There was fluid making a mess everywhere, but it didn’t really matter.
So far, labor had little to do with a baby. At this point and throughout my pregnancy I saw no end, no indication that a baby would be the result of all this. I’m guessing that pregnancy and labor with a second child cultivates more accurate concepts of the future.
Shaking
My legs and at times my entire body was shaking and
trembling uncontrollably, the shaking so involuntary that I was afraid something was wrong until the midwife said that shaking was a part of labor, a good sign that the contractions are strong. Contractions are strong enough to make you rumble. Contractions are extremely powerful. They could probably move trains.
Disappearance of Shame
During hour 12, I shat. But before I shat, I had not been worrying about the possibility of shitting and when I did, my embarrassment evaporated. I was consumed with my body and what was happening to it, not about what impression my shit might leave on the husband or the midwife or the nurse. I was aware of them, all there, paying such close and strange attention to my nether regions, but it was not important. What was important was finishing this experience. What was important at this point was the end of labor, whatever that meant. I still didn’t think that would happen.
Drugs
“We’re going to have to start talking about Pitocin,” said the midwife around 3pm—hour 11 or 12. “Your contractions aren’t strong enough yet, and you’ve been in labor for a long time. You’re tired. We definitely need to hook you up to an I.V.”
“For what?” I asked.
“Fluids.”
“I don’t want Pitocin,” I said—but not because I was still determined to be drug-free. I had asked for Nubain around hour 11 and had been appreciating its effect: it didn’t make the pain that much less intense, but it provided an hour-long buzz that made it easier to endure.
“I know,” said the midwife. “But we need to start talking about it. We need to get these contractions going, and you’re exhausted.”
Going? Are you fucking kidding me?
“If I need Pitocin,” I said, “then I want an epidural.” You say: Pitocin; I say: Epidural. I think I was lying on the bed at that point; the lights in the labor room were off, and the gray afternoon light made everything calm and steady and even more surreal, like something Dali would never dream of painting.
A baby at the end of all this still did not occur to me. There was no outcome; there was my body and what was happening to it. I suppose you could say I was focused, but since I wasn’t focused on anything specific, I think determined is a better word for my disposition—I was determined to end this experience. With a baby? Not necessarily. I was not thinking about a baby, about any babies at all, especially my own. I didn’t know anything about them anyway.
I did look at the husband as I gripped a counter with both hands to declare the following: “I am never, ever doing this ever again.” He said that was fine; the nurse and the midwife laughed.
“We’ve heard that before,” said the nurse.
“You can’t make those kinds of promises right now,” said the midwife.
Oh, I can, I thought. I most certainly can.
The epidural was administered around 4 or 5, and since I had known it was coming, I stopped practicing hypnobirthing and became a Body Waiting for Pain Relief. The doctor took only about half an hour or so to arrive, but I kept panting and asking where he was.
“Did you call him?”
“Where’s the doctor?”
“What’s taking the doctor so long?”
“Will you call him again?”
“Is the doctor coming?”
“Have you called the doctor?”
“Is the doctor on his way?”
I’m sure I was annoying, although not as annoying as a baby trying to get itself out of your body.
When he did administer the epidural, I laid back on the bed. I still felt the contractions but they had become mild and low—I could get through them just by breathing steadily and closing my eyes. No need to moan anymore, or bend over, or move, or anything. My entire being exhaled with relief.
“You’re finally getting a break,” said the midwife. Then came all the rest—which I had forgotten about. When you get an epidural, you have to get all kinds of other things. A catheter, a fetal monitor, a this, a that, blah blah blah. In a matter of about an hour, the natural childbirth I had wanted became quite unnatural.
But isn’t it natural to want relief for pain under any circumstance? Why is so much of the “natural childbirth” movement so insistent on no drugs at all—and what kind of pressure does this put on women who, considering what they’re about to go through—have enough to consider already? And childbirth is such a culturalized ritual—if mother and child are all right and generally unharmed (an impossible feat anyway—the baby gets harmed and the mother gets harmed—heads are squashed, arms are wrenched, vaginas are too traumatized to urinate), I wonder if anyone can really make declarations on what’s right or wrong, what’s good childbirth practice or bad childbirth practice. Maybe it’s all just a handy forum for righteousness, as so much of parenting seems to be.
At the time, however, I was quite disappointed in myself for taking the drugs. Then the disappointment subsided under all that relief.
Gender?
After writing about it so extensively during pregnancy, I thought about the gender of my baby one time during labor. Right around hour 9, when a contraction had just ended, I said this to the husband:
“I have thought it might be a boy. About a month ago I started wondering.”
“Why didn’t you tell me?” He stood facing me, having just finished a hamburger his father had brought for him. I was sitting on the edge of the bed, enormous and round in my gown. The midwife sat in the rocking chair.
“I didn’t want to agree with you.”
Pushing
“Okay, Anna,” said a wonderful, wonderful nurse who I hope will not mind my lips on her feet should I bump into her downtown sometime. “I want you to push like you’re taking the biggest poop of your life!”
“Ready?”
I nodded.
“Go!”
I pushed. With a small, supportive audience in full view of my nethers, I pushed with all the force I could muster. I was aware of their presence but their presence was not important. It was time to get the thing out. I had been drugged, coached, well-steeped in childbirth literature, weathering painful labor for 15 hours, and I’d had Pitocin and the midwife said my contractions were finally strong enough and god damn was I going to push this baby out. At this point, the concept of a baby truly presented itself, but only in the context of its exit from my body. I would finish this. And I knew for certain—just like I knew that my baby was female—that I would push it out in under two hours. It was nearly 6, and this experience—this godawful experience—was going to end by 9. That would be the end of it.
I pushed. And pushed. Despite the paralysis that the epidural enduced, I was on my feet, squatting, holding onto a bar, rolling on my side. I was really out there—100 times more vulnerable than I am right now, as you are reading, but my vulnerability did not matter. I had to end this. And I would. I would push the baby out.
The Caesarian Section
About 4 hours later, after the epidural wore off (its duration was amazingly short and its strength in my opinion amazingly overrated), it was decided that I would have a Caesarian Section. It was decided by the consulting doctor, the midwife, the husband, and myself. I remember looking up at the clock, one of those standard white-faced battery powered clocks that you see in classrooms, and noting both the time (after 9 pm), and then the concern and resignation on the face of the midwife and the doctor (pretty apparent). He had come in and watched me push a few hours before. “I think she can do it,” he said proudly. We all knew by then that the baby was pretty large. I felt everyone’s relief when he said I could do it, and it gave me even more wherewithal.
But I could not do it. I found out two weeks later that the baby was not descending and therefore not rotating in such a way for the head to crown—descension and rotation apparently need to work together to get the baby through the birth canal. At the time, no one explained this. No one said, “The baby is not descending.” Everyone said, “The baby is not coming out,” or “It’s not progressing,” so I assumed I was not strong enough to do it, that I was too tired.
I however did not care: natural childbirth, gender, drugs—none of it mattered. It was not important. The incredible, shocking pain was important; the fact that none of it was moving the baby was important; the fact that this experience had to end was important. A baby? A baby, at the end of all this? Nope. No recognition. I was in tremendous pain again; it shot through me and snapped through my nethers but not out of me, and by the time they wheeled me down the hallway to the operating room (or whatever they call it), I was crazed. I was naked and writhing and hollering and kicking, saying, “Please, please,” to the midwife, who patiently did something I don’t recall, like touch my shoulder or rub my arm.
And as we neared the operating room, I was embarrassed. A janitor standing beneath a vase painting smiled at me as we passed, and I know she was laughing at me, not sympathizing with me—she looked at me with a chiding grin, as if to say, Look at her, she can’t take it. As if she had birthed many children and weathered the pain with a lot more dignity. I did feel humiliated, but I couldn’t stop writhing. Maybe I could have. I feel now like I could have controlled myself, but I if I could have, I would have. Right? And even if I hadn’t been given that knowing look from the janitor, who for all I know is tough as nails—that bitch—I think I would still feel embarrassed. It couldn’t have hurt that bad. Could it?
According to the nurse who led our childbirth class—which I was very disappointed with—Hmong women express no pain during childbirth except for a dot of sweat on their upper lips, and Latinas express pain by screaming “Oy! Oy! Oy!” I was shocked at her racism. I still am. But what I take from those generalizations, and from the childbirth anecdotes of my friends, is that the pain for some women is severe, and the pain for other women is not—for some women, the pain isn’t even pain—it’s great pressure. I think now that levels of pain during childbirth have to do with 1) the body of the woman and 2) the size and position of the baby and all kinds of things I do not understand—but the variables in these two factors alone are probably infinite. The third factor, the one that we unfortunately hear the most about, is the woman’s “pain threshold” (a term I now despise), which is determined by the body of the woman and the size and position of the baby and the way the woman’s culture exercises control over her expression of pain (because culture plays a role in everything we do) and of course her temperament and personality and genetics. But the term “pain threshold” implies that her threshold is hers and hers alone, and that it is not dependent on all these other factors. So I feel like my pain threshold is all about me and my potential and my failure to live up to it. But it is not. I am wrong. I am utterly wrong about this.
And I certainly wasn’t figuring all this out as the anesthesiologist, a nice woman with large glasses, administered the anesthetic, as I lay on the table naked with my arms Velcroed in place, straight out at my sides, exactly as if I were on a cross (I apologize—but the analogy is accurate and it was the first thing I thought of at the time). Finally! Finally! The pain subsided and I for the first time in hours and hours and hours smiled. I smiled up at the lights, through the oxygen mask over my face, and I sighed. I smiled and sighed and felt myself breathe and the muscles around my eyes relaxed completely. They could have removed my spleen. They could have amputated my legs. I was smiling and the pain was for the most part gone and I didn’t care what happened next. It occurred to me that the baby would come now, but I still didn’t know how important this was. It didn’t feel like any sort of end was on its way, and I didn’t care anyway because the pain was gone.
Then there was the husband, standing at my left shoulder. They had sent him away while they prepped me. His eyes were wide open and he looked extremely glad to see me. Then the doctors started doing whatever it was they were doing, which was fine with me. I could have given a shit. I heard them talking to each other—one on the right side of my body and one on the left—and they were laughing about something—a TV show, or the location of a flea market—and one of them told me not to worry about the scar because it would be “below the bikini line,” and their banter and that silly comment (I have never given a flying fuck about scars anywhere, and I don’t wear bikinis) did not matter at all. Nothing really did. Not that there was a baby coming, not that the husband was at my side, looking eagerly over the sheet they suspended above me that hung to my shoulders and blocked my view of my own belly, not that I was about to not be pregnant anymore. I was just there, en abyme, waiting for something that was starting to take shape.
“There’s the head,” said the husband. “They’re pulling it out now.” I smiled. A head. Coming out of my stomach.
“Look! There it is!” said the wonderful nurse who had stayed late to assist in the birth and whose feet would by now be damp with my saliva were I to run into her in a sandwich shop or somewhere.
“Tell your wife what she has,” the nurse said.
The Child
“It’s a boy,” said the husband slowly. He sounded light, airy, marvelously happy, and the joy in his voice made me happy, too. No more pain and a happy husband and the end of the experience. I was ecstatic. Elated.
“It’s a boy,” he said again, and then he walked out of my view, toward the doctors and nurses, to have a look.
I doubt very much that I said what I said next. The husband says I said it, but I think he’s wrong. For one thing, I had an oxygen mask over my face, so I couldn’t have said anything clearly. But maybe it did happen. Who’s to say? Certainly not me.
“What am I supposed to do with a boy?” I asked. And then I heard them all bustling around, happily checking out my new son while I lay there, crucified with wonder.
“Here it is,” said the husband. He brought him over and I saw a glimpse of his face and body, damp and mushy and shiny, slumped into the husband’s arms. In the pictures they took, he’s gazing right up at the husband, calm and quiet, his knees and elbows bent into his little slimy body.
“They’re putting him on the scale,” said the nurse.
“9 pounds,” called a man’s voice, “and 14.8 ounces. 9 pounds, 15 ounces! Wow!”
“Wow!”
“Wow!”
I smiled. I still didn’t feel a thing and I was glad because it seemed as though I had been feeling everything imaginable for not only the last 19 hours but also the last 10 months. I should have been shocked that it was a boy. It was not the Little Pokie, the girl I had been envisioning and worrying about and hoping to spare from that numbness and distance from her own body that characterized me so unfortunately throughout my life. I had given birth to someone else. I had had a boy. My instincts were wrong. Really, really, really wrong.
But none of this occurred to me at that moment: I was in a tired but pleasantly drugged haze, and they wheeled me to recovery and I held Ian (Eye-an; we have doomed the poor child to a life of correcting everyone, as my father keenly pointed out) for the first time, and I don’t remember feeling overjoyed or exhausted. I just remember being fucked-up and foggy and the room being very bright as the husband bathed our son and the midwife spilled the bathwater all over the floor—poor woman; what rotten luck—and Ian lay patiently in my arms. I don’t remember his looking up at me, nor do I remember what his face looked like, except that it was small. His gender didn’t matter; the state of my body didn’t matter. There he was. It was a baby, and it was here, and it wasn’t Barbara Ann, the aunt I never knew, who died when she was only a few days old in 1941 as a result of oxygen depravation because her mother, my grandmother, Dessa B., had a placenta praevia and nobody knew it ahead of time and nobody could do a thing about it. I wonder if this means that Barbara Ann was destined to die—if so, then millions of babies have been destined to die because of all kinds of complications, and millions of mothers have been bereft and despairing and tremendously sad. I think now that there is probably a force in the universe that grows larger with the unpreventable death of every baby, because if anything had kept Ian from being in my life I would be living with a sense of emptiness that would in many ways be insurmountable.
But of course we survive what we think we cannot. That is what females do. We are the most unbreakable, the most resilient creatures in the entire world. This is incontestable.
So this is what I was wrong about: everything. I’ve been wrong about everything for a long, long time. My potential for love, which is greater than I ever knew. The strength of my ability to withstand pain, which is not strong at all. The sex of my child, which I was sure enough about to elaborate on for pages and pages. The pain of labor, which I vastly underestimated. But none of that matters anymore. It doesn’t matter that I was right or wrong, or that the day Ian was born was in many ways horrible. It was the worst day of my life, in fact. It’s nothing I would ever want to go through again.
But I look now at Ian: his big round blue eyes, the splotch of red between his eyebrows, the extremes of his grin, so happy to see me or the husband or his giant plastic key chain. Three months ago I looked at Ian—pooping tar and sleeping in a clear plastic bassinet, his head a strange lopsided lump of soft bone—as I chugged water in my hospital bed and felt the pressure in my feet, bloated and swollen, like hocks of ham. I called them Godzilla feet.
Yes. That was a horrible day. But I now hold my child in my arms, sexless and innocent and shocking. I touch the baby’s skin. Yes. That was a horrible day. Much worse than I thought. I kiss tiny toes and see fingernails webbed to fingertips. A breasty mouth pumping itself into a tiny “O” without a sound. Eyes looking at a ceiling for the first time, neck craning around.
Reality
Horrible. Who cares? Fuck horrible. Lots of things are horrible. Look at a child.
