Tag / Cesarean Section

by One Curious Mother

Facing the Fear: Birth After Trauma Part One

No matter what anyone will tell you, cesarean sections are NOT the easy way out. Yes, they might be the best decision for you but we must remember that everybody is different. Your recovery could be a walk in the park or could be a little similar to mine: a small slice of hell with severe abdominal pain, severe swelling from excessive drugs, months of ‘deflating’, months of poor movement and continuous body-confidence nightmares. One of my biggest fears I will have to face this time around is birth and I’m going to try my best to document the process of pregnancy & birth post-emergency cesarean, step-by-step to help any other mama’s out there – whether it’s your first or fifth!

Now, you non-newbies will know I’ve previously talked about my birth story with Rory, my battle with mental health that followed and the ways I’ve tried to face these many demons in the hope of expanding our family –  well the moment has arrived for me to put my money where my mouth is and face ‘The Fear’. I plan for this to be the first of a few blogs following my journey through consultant-lead care and how I make my birth choices.

This pregnancy started off like every other: you make a midwife appointment and meet somewhere around the 8th/9th week of your pregnancy, you go forth and have a 12-week scan and see your midwife at the 16-week mark too – all textbook and running smoothly but it was here I was reminded that no matter how I look at things, this pregnancy will (most likely) result in childbirth – whichever form that comes in! It was at my 16-week appointment that my midwife (coincidentally the same midwife I had for Rory) asked whether I had thought about a natural or assisted birth this time around. I, of course, panicked and jumped straight in with ‘elective C-section is my preference’. WAS I MAD!? Who would think surgery would be a sensible idea? Why and how had I made this decision in my mind already? I worked out that it all boiled down to wanting a better experience than I had. With that, our first consultant appointment was booked and I was ready to fight my corner.

Let’s start off by saying I am lucky. We saw the consultant last week and it was so much more relaxed and successful than I had played over in my over-active brain. You can hear some real horror stories of consultants telling mamas-to-be that they can’t choose a cesarean birth and trying to put them off but I am fortunate not to be in that boat – PHEW! The meeting was calming and I felt listened to. *Worth noting here that we were seen by the consultant and a midwife*. I went in and was checked over as normal. We listened to the baby’s heartbeat, the midwife had a feel for the position and we sat down with my previous birth notes and went through what the situation was and what my choices are going forward. Did you hear that!? CHOICES! Hurrah, the words I so very longed to hear: ‘Whatever you wish to choose, we will support you in those choices‘. Absolute result! I was handed an A4 4-page leaflet on the benefits and disadvantages of both an elective cesarean or a VBAC (‘vaginal birth after cesarean’ for those not aware of today’s lingo!), which I am yet to divulge into, and sent on my way. Now, here are some FAQ’s the consultant answered for me during our meeting:

  • ‘When do I need to have decided my birth preference by?’
    In your second consultant appointment, which will be booked for around 36 weeks.
  • ‘If I chose one, when will my C-section be scheduled?’
    Between the 39th and 40th week mark allowing the baby to be as ‘cooked’ as possible. This means the chances of your baby having breathing issues or needing NICU attention is minimal.
  • ‘What would happen if I go into labour before this date?’ 
    You can either choose to progress with your labour naturally if you so wish OR you can be brought in for an emergency C-section straight away.
  • ‘If I decide on a VBAC how long will I wait after my due date before induction?’
    You will be induced at 41 weeks and no later.

So as mentioned, following on from an initial appointment, you are given a second appointment around the 36th week of pregnancy – so for us, this is around the 28th of November. This will be crunch time. This is where you should have done all of your research and be able to tell the consultant what it is you want. From here, if you wish to choose an elective you will be advised on a date (or selection of dates) for your baby’s big day – again, as mentioned, this will be around the 39th week of your pregnancy to be sure that the baby is fully cooked and ready to be brought earth-side.

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I am yet to make my ‘final decision’ or even half of it – we do still have 10(ish) weeks to go before I absolutely need to have decided and I am in no rush to put this in concrete. I know it’s going to be a very personal decision and one I am rather unlikely to take anyone’s advice on (in case you were unaware, I can be stubborn!). However, if you are reading this and have had a successful VBAC or a positive elective cesarean second time around, I would LOVE to hear from you. I’m trying to build a much bigger picture and would really like to feel as well informed as possible before I decide. Please head to our contact page if you would like to get in touch!

For the rest of y’all, we will be back soon with more updates!

Love and all,
OCM xo.

by One Curious Mother

Mother for a Year: An Open Letter

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As we approach our little Rory’s first birthday I’ve decided to write myself an open letter, a letter to year-ago-me in the first days after giving birth. Things I wished I’d known, the advice I’d give myself and the hope that past-me really would have needed to hear.

I’m not going to waffle on before this, I’m going to let it speak for itself, so here goes nothing…

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Dear New Mama,

How you holding up?

I know you’ve had a difficult few days and you’re exhausted and emotional but your body has been through a lot in such a small amount of time. Bruised and drugged up to the eyeballs, I know you’re not feeling the full effects of your surgery yet but be nice to yourself, you undeniably deserve it.

I know you’re disappointed and upset. Surgery was the last thing you wanted but just remember, you were a fighter right to the bitter end. You were determined to birth your baby unaided and you did everything you could for this during those thirty-six hours. You produced a determination and strength within your body and within your mind that you never knew. You’re feeling damaged and defeated and it’s ok to feel that way – things didn’t go the way you wanted but you must never think of this as a failure. You absolutely did not fail. NEVER, ever, ever stop and think for one minute that you failed in this. You’ll read many articles, comments and blog posts this year about c-sections. You won’t believe how many people have opinions (and some don’t even have a uterus!) but please, don’t listen to all of them. People are always trying to convince women that a c-section was the ‘easy way out’ or that by having one you ‘didn’t really give birth’ but girl, you grew that baby with your body like a mighty warrior! The surgery was imperative to saving both your lives.

It’s ok to feel angry. Angry that you don’t recognise yourself, that your body is scarred and in so much pain. You’re angry that your body is still healing three, six, nine, eleven months later and it’s normal to feel this way. Start by stepping away from triggering social media. It’ll really hurt you. Stop looking at other mothers on Instagram that had a baby last week and lost 3lbs off their pre-baby weight already. Stop obsessing about those with post-baby abs – it’s not going to happen for you sweetie. Don’t beat yourself up about doing exercise. Take it at your own pace and stop looking at those ‘fit-moms’. Despite this, you should have done more of those exercises the physiotherapist gave you to do. Even though they were uncomfortable and make you ache, they were designed to help you even if it doesn’t feel that way but don’t be hard on yourself, it’s justifiable. Don’t worry about running or pushing yourself too hard. You’ll end up finding badminton is your sport and you’ll take up Waterbabies both you’ll really enjoy. It’s all about finding the new normal for you as a mama, not you as the size 10 young twenty-something year old – she has left the building and isn’t coming back. Always remember your body was pushed to the furthest limit; it’s still recovering and it might be for some time yet. You’re still recovering now, a whole year later and you still have appointments and consultations to come. I know this is crushing you and you’re going to take this really hard for a long long time but please be kind to yourself. You’ll try and take care of your body but trust me, those little extra TLC moments will help with your recovery in the long run.

Our little moments…

Really focus on those real mothers out there sharing every drama and every mini-triumph. There are moments when you’ll feel so lonely and isolated; it’s in the many dark moments to come, that these mothers will make you feel grounded and the ones who make you feel like you’re never truly alone. Never feel embarrassed to talk about your mental health. It’s always as important as your physical health. There are loads of resources out there to help you and your health visitor is number one. Don’t shy away like you used to. Remember in the past that this has caused more harm than good. If you want to cry then cry and if you want to be angry then you be angry. It’s ok to feel helpless and on some days for your anxiety to consume you – you’re only human and having a baby has challenged every ounce of you. Don’t hide away, confide more in those you love and they’ll help you step-by-step. Take longer walks; ‘Have baby, will travel’ – bundle little one up and try your best to walk as far as you comfortably can. The fresh air will help clear your mind and you’ll feel so much better for it. I know it’s hard to envisage but in just six months from now, you’ll go on your first family holiday as a three to Holland. It’ll be a fantastic first holiday and you’ll think back on it almost every day. It will bring you the happiest of memories and make you excited for future holidays.

Our first holiday: Holland

Don’t feel like you have to answer everyone’s questions and there will be millions. ‘How was it?’, ‘Are you having visitors?’, ‘Why are you home so soon?’ etc, etc. Don’t hide, if people ask about your birthing experience, own it. Tell them straight up how hard and traumatic it was, that surgery was gruelling and recovery is unimaginably hard. Equally, you don’t owe anyone an answer. ‘Are you thinking about more kids?’ Sure, you’ve always wanted a minivan full but right now: HELL NO! You’re not even going to want to entertain the thought and getting pregnant will truly terrify you from this moment on. You will spend hours thinking about this. It will enter your thoughts and creep into your mind when you least expect it: you’ll be at work, out for a walk or trying to eat. It will keep you up at night, make you feel instant dread and even make you panic. Don’t over think it – you’ll have plenty of time in the future to tackle those fears and right now, in recovery doesn’t have to be that time. Try your best to keep those precious night-time hours aside for sleep because god only knows you need it. You’ll learn to cope better with this as the months go by so if you don’t think you’ll get through it, my dear you will. You’re stronger than you realise.

Breastfeeding will come in time. Persevere and don’t fear the formula, it’ll become a saving grace when you’re feeling like you’ve tried everything. Once it all starts to run smoothly, you’ll feel such a sense of triumph as all your hard work does pay off.  Breastfeed wherever the hell you want! You’ll shy away and feel nervous, you’ll worry about other people looking or telling you not to in public but babe, if a baby has to eat a baby has to eat. You’ll avoid doing things at the fear of these very thoughts but looking back now, you didn’t need to be. This isn’t always how you’ll think, you do eventually get past this fear and realise you literally don’t care. ‘Insta-moms’ will help empower you with this one – #normalisebreastfeeding (normalize if you’re from across the pond!)

Leaving your baby after spending every waking minute together will be hard. Separation anxiety is totally normal, hell it’s part of the postpartum package alongside buckets of tears, body hatred and sleep deprivation. It’s the real frickin’ deal but don’t feel like everyone is trying to take the little man away. It’s ok to hate being away from him and you will feel like no one knows him like you do. You’ll feel like you’re the only one who can comfort him and you’re the one who went through so much to bring his little precious life earth-side that you don’t ever want to be away from him and quite frankly don’t want to share him with a soul. Really though, don’t feel rushed into being without him. Do every step in your own time and at your own pace, after all, no one can tell you exactly what to do and when to do it when it comes to you and your son. You do you and let everyone else fall in line. (By the way, this totally works and you didn’t have to feel bad because you did what was right for you!) You’ll learn how to let other people, family and loved ones, take the reins every once in a while. You’ll find a balance where you’ll go to those mother-baby classes and have some time for yourself too. It’s all about finding the new normal.

Too many shades of beige! 

Now lastly before I say goodbye, my last piece of advice: SOAK. IT. ALL. UP. Every little hour, minute and second because it will fly by. Rory is amazing. He’s smart and happy and the just the bee’s knees. He’s got a smile that’ll make you weak and a laugh that makes your heart burst; he’ll develop this amazing personality and you’ll love his sense of humour Look how perfect your little boy is! You’ll spend hours looking at him, working out who he looks like most, what colour his eyes really are and how on earth his skin is so soft. You’ll cry many, many times just watching him sleep wondering how you made something so perfect and so beautiful. Don’t worry – all mama’s do this, I’m sure of it.

Enjoy every high and low; every long night and rainy day, every cuddle and snuggle, every laugh and cry. Someone once told me ‘The days will feel long but the years will fly by’ and by god weren’t they right!?

Lots of love,
Future Mama xxxx

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I don’t feel like I need to say much more: my life has changed so much in just a mere twelve months. I’ve learned a lot along the way even though there is so much I wish I’d known before. I’ve dealt with things I never thought I would and although it’s been unimaginably tough at times, it’s those moments that have shown me just how rewarding motherhood can be.

Love to all,
One Curious Mother x

PS. No sources for today’s post but here is a list of helpful links!
Postnatal Depression – https://www.nhs.uk/conditions/post-natal-depression/symptoms/
Postpartum Anxiety – https://www.anxietyuk.org.uk/anxiety-type/postnatal-anxiety/
Parental Separation Anxiety – https://www.babble.com/parenting/parental-separation-anxiety/
Babies with Separation Anxiety – https://www.nct.org.uk/parenting/separation-anxiety-0
Post Traumatic Stress Disorder – https://www.mind.org.uk/information-support/types-of-mental-health-problems/postnatal-depression-and-perinatal-mental-health/ptsd-and-birth-trauma/#.WpwE7SOcZ-U
Birth Trauma – http://www.birthtraumaassociation.org.uk/help-support/what-is-birth-trauma
Loneliness – https://www.psychologytoday.com/blog/the-squeaky-wheel/201703/the-unexpected-loneliness-new-mothers
Peanut App – https://www.peanut-app.io
by One Curious Mother

His Grand Arrival – The Birth Story

As we gently tiptoe across the three week old mark, I finally feel ready to write about my experience of labour and how our precious boy Rory Fitzsimons arrived into the world.

I want to start by praising the NHS and every one who had an involvement in my care at Great Western Hospital in Swindon. The care I received was outstanding and each and everyone of the members of staff I came into contact with seemed to go above and beyond to make my journey and stay at GWH as best as it could be under the circumstances I faced. I find people are all too quick to complain about our health service but are too shy to praise – They saved us and helped us get through a very difficult journey and that I will always be grateful for.

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*PLEASE BE AWARE Some details in this blog may make for distressing reading so please bear this in mind*

It hit 9:45pm on Friday 17th and this wave of pain surged through my lower back forcing me to sit down. As ‘damn what the hell was that’ flew out my mouth, of which my other half reassured me that it was probably pain related to the weight of my bump. Within 10 minutes the pain arrived again – this was no regular back pain. As the pains were irregular and at this point and not unmanageable, I took myself off to bed with a hot wheat bag and put a film on for distraction. Within just 2 hours the pain had intensified and I was keeled over in the bathroom uncontrollably shaking reaching for the phone. By 1:30am I was lying on a bed waiting to be assessed in the delivery suite. With each pulse of my contractions feeling stronger and stronger I was assessed and at 2cm – next move was a 3am referral to the antenatal ward. Clinging on to my phone to press ‘start’ on my contraction counter, I continued to pace the maternity ward for 13 hours until I was finally at 4 cm and ready to be taken through to the delivery suite. Shaking profusely, it had suddenly dawned on me that after growing a baby for 9 months, he could be in my arms within hours – a terrifying but exciting thought!

In the end I decided against having a birth plan however in a moment’s pain I took the plunge and went straight in for the epidural without a second thought. Full of nerves and exhaustion, no one argued with my decision and the boyfriend was my rock and so incredibly supportive throughout. In less than 20 minutes the anaesthetist was explaining the process and the risks whilst I moved to the edge of the bed and hunched over. The epidural was the least painful and most stress-free part of my labour experience which took me completely by surprise – for some reason I had worked myself up into thinking it was going to be painful. At this point I was still in a state and became worked up as the fear of the unknown and complete and utter exhaustion collided. From here on out it was a waiting game. My body was doing its thing, just very very slowly. By 3am and I reached 7 cms and things were still going slow and I was given a hormone drip to speed things up… this didn’t really work too well.

Fast forward to 5:30am – 10cms had finally been reached! The sudden feeling of ‘OMG YES my body is actually doing this all on its own – and I can’t feel a thing!’ had arrived with the words ‘I think you’re ready to start pushing now’. For a split second time stood still. It was like looking at the finish line from a distance and not knowing if you were hurtling towards it or it was getting further away! Unaware of the strain my body was feeling, this continued for 4 hours with a hormone drip. As the sun began shining on Sunday morning I was greeted by my third change of midwife, 2 doctors, my anaesthetist and a surgeon… Yup you guessed – after 4 hours of pushing and getting no further, the word ‘caesarean’ surfaced. I had a tonne of drugs being pumped through my system so wasn’t really 100% sure of what was going on but as the midwife handed the boyfriend his very own pair of blue scrubs I figured that surgery had become my only option. Turns out our little man had turned to be back against my back and there was a chance the cord was now under his arm being squeezed every time a contraction came around – not ideal! Before I knew it I was being wheeled down to theatre and being rubbed with iodine and pumped with more drugs. I was terrified at this stage but these are professionals whose jobs are to deliver babies safely – I had to trust them. I had no preconceived ideas of what a c-section would entail even after watching the NHS ‘Guide To’ video online months back, I honestly naively believed it wouldn’t happen to me. As the room filled with around 8 to 10 people, all with their own individual jobs, my surgery began. Completely petrified as my dear boyfriend coached me through my tears and fears, it barely seemed like 5 minutes before someone commented ‘your baby is about to be born’…

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… And there he was! Perfect, all pink and screaming – the midwives whisked him over to the scales to be weighed and put a knitted hat on his little round head. Our little son was posted down the top of my gown for our first bit of skin to skin. Tears began to stream down my face as I looked across to his daddy with face beaming – our baby had arrived and all safe and sound!  It’s no secret that what people say is true; the moment you lay eyes on your baby you’ll wonder how you ever lived not knowing their face, that one look at them creates this unconditional love. He was 8lb and 3 ounces of beautiful.

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After living in that new family bubble, the biggest reality check followed the return of feeling in my body: there is no way in hell a c-section is ever the ‘easy option‘. Having read 101 blogs, forums and Q&A’s c-sections always seem to be a taboo subject, there was an unbelievable amount of shame pushed upon women who didn’t give birth naturally – something I just could not get my head around. HOW could surgery be the easy way out!? I can tell you for free it absolutely was not. My recovery felt and still feels nothing short of a million marathons. I was discharged after just 2 days with an extensive list of drugs to take looking completely swollen much like a party balloon. I couldn’t get in and out of chairs or my bed without assistance and couldn’t stand up straight without a 10 minute slow motion stretch. I slept on the sofa for the first 4 nights as lying down caused me too much pain. Every time I tried to do anything physical – walk to the toilet, take a drink, lift Rory to feed – tears streamed down my face. Even eating became a challenge as utter exhaustion has taken control of my body and mind. BUT luckily for me this started to subside after the first week with the help of my incredible family and support system. The boyfriend along with my parents helped bath me, feed me, do the laundry and dishes along with food shopping all whilst I was sofa bound. Cabin fever is the worst when you’re physically in pain and mentally exhausted but I can promise you that if you are going through this right now, that each day gets a little bit better – I promise. Now 23 days on from the birth of Rory, I can get up and out of bed, cook, bath myself and Rory, go for short walks and just about make it around a (small) supermarket shop without any issues. I did struggle when the boyfriend went back to work a week ago but having my own mother just next door working from home, if I ever have any struggles she’s always there for me – something I will  never be able to thank her enough for. Our families have been the best and we can’t thank them enough for all they’ve done for us already.

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It’s no secret that my experience of birth was a difficult and traumatic one and I’m no longer afraid to admit that. All through my pregnancy I had prepared myself for the possibility of a long labour but never as long as 36 hours long or for it to end in emergency surgery. This journey has taught me so much and when looking back at how far we’ve come it’s so easy to get overwhelmed so to finish off my story I want to share with you all five things I have learnt along the road to recovery:

  1. You should never doubt the power of a woman’s body and mind. Even in the toughest of situations, your body will do its job, it will do what it has to do, you will make some of the hardest decisions and you will overcome extreme unexpected situations and you will thrive! Surgery is seriously tough, no matter what it’s for. Give your body some credit for its hard work and look after yourself.
  2. Don’t give yourself a hard time if things don’t go to plan! Life can spring the unexpected on you at any moment and sometimes you have to be brave and embrace it.
  3. Your support system is one of your most valuable things. In your darkest hour having close family or friends is completely invaluable. They will bring you back to earth and hold your hand the entire time.
  4. It’s OK to cry – and yes at absolutely everything. Whether it’s because you can’t reach to tie your shoes or you’re exhausted from breastfeeding just let it all out, no one is going to judge you.
  5. You won’t look like you – but it won’t always be that way. You might not recognise yourself, you won’t fit back into your old clothes straight away and you’ll still be ‘puffy’ for a little while but it’s not permanent, it’s all part of the journey to the new normal.

Now halfway to my 6 week appointment I feel like a totally different person already – something I would never have believed in the days following Rory’s birth. We are slowly finding our way to the new normal and you will too. My best advice is that you just have to be patient and kind to yourself. You’ll be back on track to finding your new normal before you know it. It really won’t be long before you’ll be enjoying your favourite activities again – PROMISE!

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I’m glad I’ve finally been able to share my journey with you. We are totally in love and can’t imagine life without our little Rory! Thank you for coming back for a read!

One Curious Mother x

There were no sources used for today’s post but if you wish to, you can watch the NHS youtube videos at this link – https://www.youtube.com/user/GreatWesternHospital