Finally, when I was almost 38 weeks my midwife referred me to an OB for a version. I had an ultrasound done first where it was discovered that my amniotic fluid levels were quite low. Too low to attempt a version, and low enough to cause concern that something else could be wrong. The OB said that most of his colleagues would recommend I get a c-section that night since my baby was full term and breech.

He realized that was obviously something we wanted to avoid, so he recommended a non-stress test to see how the baby was doing first. Fortunately, my midwife could do this at her office, so we didn’t have to stay in the hospital. Baby was doing great so the orders were to “hydrate like hell” and hope to get my fluids up enough to attempt the version in a couple days. I drank liters and liters of water but when I went back for another ultrasound my fluid levels were barely higher. A version was no longer an option. Time to prepare for plan B.

We did another non-stress test (baby still doing great) and talked things over with our midwife. Here in Utah it is illegal for liscensed midwives to attend breech births at home. This meant our wonderful midwife, Rebecca, could not attend our birth alone. So she contacted a very experienced and well respected lay midwife in our area and asked her if she’d be willing to come to our birth. Chris agreed to come.

We decided it was probably best for Miriam to come pretty soon since my fluid levels were so low. We decided to give her a few more days but made plans to encourage things along the following Wednesday. We continued to do non stress tests every other day, which Miriam always passed with flying colors.

Wednesday (June 23, 2010) came and that morning Rebecca stripped my membranes and gave me cohosh in the hopes of getting labor started. I’m not usually a fan of even these types of intervention but with my low fluid levels and a breech baby we thought it was best to encourage things along. We did another nonstress test that morning too and she was happy as always.When Rebecca stripped my membranes I was 4 cm dilated and 50% effaced with a bulging bag of waters quite low. Not a bad start.

We left Rebecca’s office just before 10 and headed to Costco to get a few last minute things. I started having a few mild cramps. By the time we left Costco they had picked up a bit. We stopped at one more store to get diapers and pads and then headed home. It was just after 11 am when we got home. I was having mild and crampy waves pretty close together but still didn’t know if they would go anywhere. I had several things I wanted to get done around the house and thought I would have plenty of time. I got on the computer to do a quick post on my blog. By the time I was done with that I was having to really concentrate on the waves to relax. They were getting more intense and were VERY close together. Rebecca called around noon and said that was the cohosh at work.

I laid on my bed and listened to Hypnobabies Easy First Stage. The waves were so close together I hardly got a chance to regroup between them. Time gets a little fuzzy from here on out, but I spent a few waves on the toilet and then on the floor of the bathroom on my hands and knees. Then I went back to my bed. Rebecca called again and said she would come right over as soon as her last appointment left. I was back in the bathroom when she got to our house about 1:45. She checked me and I was 7 cm and 80% effaced. And bless her she said I could get in the birth pool!

I was so happy to be in the water. It really helped me relax more. The waves had spaced out a tiny bit so I was getting a bit more of a break between them, but they were also getting super intense. I knelt and leaned against the side of the pool and started vocalizing through them. In the mean time, Jared was working out arrangements for our son Asher who had just woken up from his nap, and we were still waiting on Chris, the other midwife to get there.

Right around when she arrived I started feeling pushy and felt a pop–my water broke. This is also about the time Jared left to take Asher around the corner to a friend’s house. I started pushing involuntarily and pretty soon her bottom was out and then her legs. And Jared wasn’t back yet! Rebecca ran out the door to see if she could catch him but didn’t see him. He got back when Miriam was half way out.

Chris told me to reach down and touch her so I was rubbing her back before her head was out. She got still for a moment while she got her arms out and then I pushed again and her head came right out super easy.  I just lifted her between my legs and turned around. No one else even touched her. I think the whole pushing phase was less than 5 minutes. (Unfortunately, it was so fast that we didn’t get a chance to get out the video camera. I really wanted to get the birth on video since a breech homebirth is so unusual. That is my only regret for the day.)

She was born at 2:41 pm. So I had roughly 3- 3 1/2 hours of active labor. I think because of the cohosh and membrane stripping, everything was more intense. My waves were always super close together. It was definitely a fast ride. But I remained very calm and peaceful during the whole thing. Thank you, Hypnobabies! I really trusted my body and my baby and it could not have gone more smoothly.

When I lifted Miriam out of the water her eyes were wide open and she was quiet. My first thought was that her eyes were huge and she looked so different than Asher did right after he was born. (He was all swollen and bruised.) I rubbed her back and we put a towel on her and she started pinking up and making some noise. We hung out in the water until the cord stopped pulsing and then Rebecca clamped it and Jared cut it. Jared took Miriam and held her skin to skin while I got out of the water and went over to the couch. I wasn’t even bleeding that much thank goodness.

A few minutes later I pushed out the placenta. We just hung out on the couch and Miriam eventually started nursing while Rebecca and Chris cleaned up and then checked me out. I didn’t tear! I just have a little “skid mark” that will heal up fine. I’m not even sore. I only used one ice pack that day and have felt fine since. Much different than how I felt after Asher when it seemed like my bottom wasn’t even attached to by body anymore! Three hours of pushing can do that I guess!

My grandma thoughtfully had some pizza sent to our house so thats what we ate for a late lunch. Then I had to go pee so Rebecca helped me up and I got all cleaned and padded up. I seriously felt SO good. I didn’t feel like I had just had a baby. I put on some clothes and then we weighed and measured Miriam. 6 pounds 10 ounces, 19 1/2 inches long, 13 inch head. Absolutely perfect.

This birth was pretty much exactly as I had been visualizing it my entire pregnancy. The only difference is that it was faster and she was breech. I really wanted to go into labor in the morning after a good night’s sleep and then have her in the afternoon sometime. I imagined being in the water, kneeling and catching her myself. That is exactly what I did. Although labor was very fast and intense, I was always calm and never afraid. I always felt really peaceful about everything. Pushing was SO easy and painless and she came right out fast and perfectly.

I feel like the stars really aligned to give us the perfect peaceful home birth we had prepared for. I will be forever grateful to Rebecca for her confidence in us and the birth process. And also to Chris for agreeing to come so that we could have the birth at home. She was so calming and assuring as I pushed out Miriam. I’m still amazed at how easy and beautiful this birth was when probably 99.9% of people in our situation would have had a c-section. I feel so blessed that I had this experience.

And let me also add that being at home right after is SO great! I’ve loved it. I hope I never have to birth in a hospital again!

Katrina
I am a mama of two, step-mom of three, and photographer living in Utah with my professor husband.
www.redbeanphotography.com
www.atmothersbreast.com
http://redheadmusings.blogspot.com

I mentioned that I thought I was in early labor to Jody when he came to bed around 2 a.m. He got me my HypnoBirthing Rainbow Relaxation c.d. sometime during the night and I listened to it with my headphones on to help me stay focused and relaxed. I went through most of the night sleeping in between contractions. When I did have one, I breathed through it and reflected on something I’d read on a Mothering.com message board. One mama said that each time she had a contraction, she thought of her body giving the baby a big hug. That thought made me smile when I read it and so I focused on all the hugs my body was giving my baby for the last time while he was in utero.

I woke up a bit before 9 a.m. on Thanksgiving Day (Nov. 23). Jody and Ava were still sleeping. I continued to have contractions though they weren’t really regularly spaced. I decided to go have some breakfast and watch TV. I had some yogurt, peanut butter toast and Pregnancy Tea and watched a bit of the Macy’s Thanksgiving Parade while I breathed through contractions. I found the TV to be a bit distracting so I turned it off and mostly lay on the couch. When I got up and moved around, my contractions picked up, but while I laid on the couch, they slowed down a bit. I was feeling pretty tired so I decided that hanging out on the couch was a good thing for now, to save up my energy for when I really needed it.

I called K, my midwife, around 10 a.m. and told her that I was in labor and what was going on with me. She said to check in every few hours – like around 1 p.m. – and let her know how I was doing. She also said she would probably come by to check on me later in the day and take my blood pressure and draw my blood so she could make sure that all was going well with me and there were no signs of HELLP syndrome (which I developed when in labor with Ava). In the meantime, she said I should go eat a big breakfast.

Jody came downstairs (and Ava soon after) and made eggs, turkey bacon and toast. I didn’t feel much like eating, but it tasted good and I slowly ate it all.

After breakfast and watching some of the parade on TV with Ava, I was still feeling really tired, so I decided to go back up to the bedroom and take a nap. That was around noon.

Before I went to sleep, I briefly talked to my sister Carrie on the phone and told her I was in early labor, but I had no idea if the baby would be born that day or when. I just wanted to give her a heads-up since she was planning on being here during the labor (once we needed her) and birth to watch Ava.

Again, I slept between contractions while I napped, but somewhere in that hour or so that I lay in bed, my contractions shifted significantly. They started to get very intense and I had to start vocalizing (or moaning) to get through them. I called out to Jody and told him that things were getting really intense and right around then the phone rang and Jody answered it. It was K (midwife) saying she was on her way by to see how things were going with me. Jody mentioned that it was good she was coming because I had just said that things were getting intense. (I later figured out that I must have been in “transition” during that time.)

I don’t recall if I asked Jody to apply counter-pressure to my back around that time or if he just instinctively did it, but it helped a lot to relieve the back labor I was experiencing.

K arrived around 1:10 p.m. She took my blood pressure, which was normal. (She never got a chance to draw my blood, but it turned out not to matter.) Then I had another contraction which I vocalized through and told her that it really hurt. She wanted to check me then to see how dilated I was. I was thinking that I hoped I was at least 5 cm dilated so that I could get into the birthing pool (which hadn’t been set up yet) or this was going to be a very, very long labor. I can’t remember if she said I was fully dilated when she checked me (though she later told me that I was complete), but she commented that the head was still really high. She felt around a bit more and then excused herself. (I found out later that that was when she discovered what she was feeling was limbs and that the baby was now breech. She excused herself so she could call A, the assisting midwife, and tell her to get to my house ASAP.)

K came back in the room and whispered to Jody that she had felt feet while she was checking my dilation. He didn’t quite realize what that meant at the time. At some point he said something aloud about the baby’s feet, which I heard and replied “feet??” (although I don’t remember this). And K said yes, the baby is breech, which I remember. I didn’t have any weird reaction to this news. I thought I remembered reading stories of babies being born vaginally in the breech position in “Ina May’s Guide to Childbirth,” so I knew it could be done. I wasn’t fearful at all. It was all just very matter of fact in my mind – the baby is breech and I’m going to have to get him out.

Somewhere in there, Jody called Carrie (three times) to come to the house. The last time he talked to her, she said she would be here in 20 minutes, but Jody said at the rate things were going that might be too late. So in the meantime, Ava hung out with me, K and Jody in the bedroom. She never seemed scared or worried for me and I think it helped a LOT that we had watched birth videos and read the “Welcome With Love” book (about a home birth) many times in preparation for the birth. In the book they mention that sometimes moms have to yell and scream and make a lot of noise when babies are born and I am thankful that it said that since I ended up making a LOT of noise myself – something I didn’t expect because I never got vocal while giving birth to Ava. At one point, K asked Ava if she could go downstairs and get her purse for her. Ava did it without missing a beat. She was a great helper.

Anyway, I think it was after K left the room to call A that I felt the first urge to push. It was a completely involuntary urge and I yelled out, “I need to push!” I remember K yelling back to go with whatever my body was telling me to do. I think it was on the next contraction or the one after that that my water broke, all over the bed. I had not planned on giving birth in bed, and because things had progressed so quickly at the end, we hadn’t even put a waterproof cover down. I remember thinking, “Oh no! I’m soaking our new mattress!” (Our mattress was only six months old. Thankfully, it cleaned up and dried out nicely.)

The baby’s feet were born first without too much pushing on my part. Jody left the room during that time and I yelled to K, “Where is he going?!” furious because he was no longer applying counter-pressure to my back. She said, “He’s getting the camera.” And I yelled, “I don’t care about pictures!” He did snap a few of the baby’s feet coming out, but only one turned out because K’s hand was in the way of the others.

Jody called the professional photographer we hired to photograph the birth around the time I started pushing, but got her voicemail. By the time she called back, the baby had been born. (We opted to have her take family pictures a few weeks later instead.)

Carrie arrived after his feet were born and took Ava downstairs since things were very intense in the bedroom.

After his feet and legs came out, K said I needed to move to the end of the bed, so that gravity would be on our side. I said, “No” emphatically, not wanting to move a muscle. K said I *had* to move, so she and Jody picked me up and scooted me to the foot of the bed. She then told Jody that we needed to get into a supported squat position, so he held me under my arms while I began to bear down with everything I had.

I started out pushing with contractions, but it didn’t take long for K to say she wanted me to push whether I was having a contraction or not. I’ve heard enough birth stories to know this meant that I needed to get the baby out ASAP, so I pushed and pushed, taking breaks just long enough to catch my breath.

While his body was being born, A (the assisting midwife) arrived.

I don’t remember birthing him as being painful per se, but it was really, really intense work. I vocalized through every push and couldn’t imagine doing it without making noise. I think I opened my eyes once and then closed them again so I could focus on pushing. I also remember moving my right hand to the top of my belly. It helped me feel more connected with the baby and the job we both were working on.

Once his body was born (but his head still inside me), at K’s urging I pushed with everything I had to get his head to come out. I remember wondering if I was pushing enough or if I would be able to do it, but his head emerged with one really hard push.

Our son, Julian Emerson, fully entered the world at 2:14 p.m. Thursday, Nov. 23, 2006, after about 13 hours of labor, only one of which was really intense, and about 45 minutes of pushing. It was approximately 1 hour after K had arrived to our house.

It turned out that Julian’s umbilical cord was wrapped around his neck three times. It is for that reason, my midwife and I believe, that he ended up turning into a breech position in the days or hours before he was born. It was as if he “knew” he couldn’t safely be born head-down with the cord as it was, so he flipped to a safer position – in an act of self-preservation.

Also, I later learned that his right arm was tucked back behind his head and K had to reach inside me and pull it down so that he could be born without damaging it or getting stuck. She also reached in while his feet were being born to make sure they both came out together and one didn’t get wedged in.

Julian scored a measly 3 on his first Apgar, then an 8 on the second one done 5 minutes later. A gave him a few puffs of air mouth-to-mouth to help get him breathing, while they encouraged us to talk to our baby. It didn’t take long for him to start breathing, and in the meantime, he was still getting oxygen from the umbilical cord that was left attached to the placenta until it stopped pulsing. Jody and Ava cut the umbilical cord together a little over an hour after he was born.

Julian weighed in at 9 lbs., 8 oz., was 22 inches long, and had a 15 inch head. What a big boy!

After the intensity of that birth and such a large baby, I ended up with only a first-degree tear, requiring four stitches. Not bad at all.

Giving birth to a baby in the breech position felt so different from birthing a head-down baby (as Ava was). With Ava, once her head was out, it felt like the rest of her just slid right out. With Julian, I felt like I had to work for every ounce of him to be born, saving the hardest part – his head – for last.

It was an amazing, incredible and very intense experience, but, if you ask me, it could not have turned out more perfectly. We have so much to be thankful for. We have a healthy baby boy and I had a great home birth with our amazing midwife. It is a Thanksgiving Day our family will never forget!

Amy
A mama of two living in Colorado, I’m passionate about home birth, natural family living, urban home-steading and other “crunchy” things.
http://crunchydomesticgoddess.com/