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Birth Stories

Harlinah, Khay Lin, and baby Jun Hao

Harlinah had a very long posterior labour. When she first arrived at the hospital she had not progressed as far as she had hoped and after several hours there without significant progress she chose to return home. When Harlinah became too tired to continue labouring she chose to go back to the hospital and have an epidural to enable her to rest. Harlinah had her first child with the support of her husband and two doulas.

My baby boy, Jun Hao, was due on 22 September, but I knew he would be late. It's almost a tradition in my family for first babies to arrive after 42 weeks, so I was quite relaxed as my due date slipped by. I knew my boy was healthy, strong, happy, and waiting to make a grand entrance!

I was expecting an obvious beginning to labour - a show of blood, a sharp pain, a gush of liquid - but the reality was very low-key. From 40 weeks I started paying attention to the painless Braxton-Hicks contractions: several each day ... every few hours ... a couple per hour ... every 20 minutes ... When I went for my scheduled check-up at 41 weeks, on Friday, 29 September, the doctor felt the contractions and was confident he'd see me again before the weekend was over.

That afternoon, the contractions were 10 minutes apart and starting to ache. In the evening, my back-up doula Sarah dropped by my house to lend me a TENS machine - I wanted to try using it early in labour so its effectiveness would build. I kept it on overnight, sleeping lightly and waking during the stronger contractions. On Saturday I pottered around the house and tried to rest, eat, and prepare for the work ahead as the contractions became stronger and more painful.

By late afternoon, the labour was intense and I was spending a lot of time in a warm bath. (I think this was the "official" start of labour, according to the doulas' records - when I couldn't talk through the contractions). The TENS machine fell by the wayside, since I couldn't wear it in the bath! I periodically phoned Billi, my doula, with updates. My husband Khay Lin was around to support me and bring me whatever I needed, but I was happiest alone in the bath. By 11pm, the contractions were 3 minutes apart, long, strong and painful, and I did NOT want to get out of the bath. Out of the water, the contractions were horrible. I knew I'd have to endure a waterless 20-minute drive to the hospital, so I thought better now than later. I called Billi. A contraction hit while I was on the phone - I couldn't talk straight. "Now, please, come!!!" Billi got the message and arrived pronto.

Billi's soothing presence was wonderful as she talked me through contractions and poured water over my belly. Watching me and timing the contractions, she was confident that I was in good active labour and probably well dilated and approaching transition. How I wished the hospital's birthing pool was ready! - but Billi assured me a shower with unlimited hot water awaited. In between contractions, I felt remarkably upbeat and energetic. Everything was going smoothly - "This is as bad as it's going to get", was Billi's memorable reassurance :-) We drove to hospital, the contractions swamping me every few minutes, alternately moaning and smiling, and I was feeling very strong. I thought, "This is manageable, this isn't too bad!"

Wouldn't you know it, when we arrived in hospital at midnight, I was only 1.5 cm dilated. It became apparent that Jun was posterior, turning through 270 degrees to get into position. Typically of posterior labours, I appeared to be further along than I really was. Billi suggested a change of tactics - reduce my movements, conserve energy, and prepare for what might be a long labour. A difficult 7 hours followed; vomiting, wanting to sleep, strong contractions. I spent most of it on the shower floor with a birth ball and lots of hot water. I locked myself away and just wanted to be alone. Billi and Khay Lin were on stand-by for me and took turns napping.

When the nurses checked again on Sunday morning, I was only 2 cm dilated. Demoralised. Wanting to sleep, wanting time out. This is when the nature of labour really hit me. It's relentless. There's no going back, no time out, nothing to do but ride the experience till that baby comes out.

Through all this, Jun's heartbeat was strong and steady. I decided to go home and keep labouring there. More hours passed. I napped between contractions - powerfully weird dreams. Back pain, and a terrible, overpowering urge to push, though I knew I wasn't dilated and the pushing wasn't helping. I still wanted to be alone, just touching base with Billi every few hours.

By Sunday evening, I was exhausted. I couldn't imagine getting through the first stage of labour, let alone second stage, let alone having enough energy left to care for a newborn afterwards. This was when I needed Khay Lin's strength to help me through each contraction. The contractions were erratic, and when we tried techniques to strengthen them, I realised that I had started to fight the contractions, willing them to stop. I knew it was time to get help. It wasn't the pain that wore me down, it was the exhaustion - I needed sleep. I called Billi and said I'd decided to have an epidural. It was a relief to hear her reassurance and agreement that this was a good decision.

Back in hospital at 9pm, I was only 4 cm dilated. The contractions had picked up again and were ghastly, sometimes running into each other without a break. I had an epidural and immediately felt fabulous. Sarah arrived to give Billi a break. The doctor broke the waters, but after an hour the contractions were still in-coordinate and I was given syntocinon. I fell into a deep, heavenly sleep.

At midnight, I woke up refreshed. The nurse checked me and announced I was fully dilated and could start pushing now. The baby's head was already visible. I couldn't believe it. I pushed, but couldn't feel anything. It was the weirdest feeling - I was laughing, it just seemed surreal. The epidural was turned down, then turned off completely so I could feel to push. It took an hour and a half but felt like 20 minutes. I was asked to inhale some oxygen to help the baby, who was getting tired. The cheer squad - Khay Lin, Sarah, nurses - kept me appraised of how much of his head was visible - "20 cent piece! 50 cent piece!" Once I could feel, I suddenly knew exactly where to push - compared to the contractions, it was so easy. The doctor arrived just in time - a couple more contractions and he would have missed it!

Beautiful Jun Hao arrived quietly, looking about him. It was 2.10am on 2 October, Monday morning. Amazing, unforgettable moment! He needed to have his airway suctioned and didn't enjoy that much, but was soon back in my arms. He looked just like his dad (though smaller, wetter and bluer...) Though I wasn't aware of it, I'm told my first words were "Far out!" - very articulate. It still brings tears to my eyes when I remember seeing little Jun for the first time.

When I reread this story, the words that keep coming up in relation to Billi and Sarah are "assure", "assurance", "reassurance". That's what was so valuable to me - having these knowledgeable, caring women to bounce ideas off and let me know that everything was OK. Though my labour was long, I feel completely positive about it. I felt well prepared by the antenatal classes, had fantastic support and care from husband, doulas, doctors and nurses, and have no regrets about the decisions I made during labour. It was an extraordinary experience, I learned a lot, and I now know I have the strength to survive anything!


 

 

 

What's going on here?

Harlinah's baby began labour on Harlinah's right side. Most babies in this position will need to turn themselves around so they are on their mother's left side before they can be born. And most don't take the short route across the mother's tummy – instead they go all the way round past the mother's spine. When the baby's spine is resting near the mother's spine ("posterior") this can cause the mother back pain or "back labour" and labour often progresses more slowly than usual.

There are plenty of things that can help, however! Recognizing the signs of a baby in the posterior position can help you know to take things easy and rest as much as possible for the work that is to come once the baby comes round to its left-side position.

How can you tell when the baby is posterior? What can you do to cope with a longer labour? In ParentLink's childbirth classes you'll be able to recognize different types of labours and you'll learn skills to deal with each. Classes are about more than "what to expect"; they give you the tools to feel confident and in control. Click here to learn more about how classes can make a difference for your birth.

If your baby is posterior as Harlinah's was, a labour supporter (doula) can help with newer techniques such as Rotational PositioningTM which can help the baby turn faster. To find out how a doula can help with a posterior baby or in other situations, click here for details.
 
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