April is Cesarean Section Awareness month, I don’t think I’ve ever shared any details about my pregnancy or labour in any real detail before so I’m taking this opportunity to share.
I am going to try and keep this brief whilst not missing out any major parts, its so easy to waffle especially about the most life changing event in your life. I found out I was pregnant around 9-10 weeks. I ‘knew’ before that I was just terrified to have my fate confirmed so I did just that and avoided a pregnancy test for as long as I could. Fast forward to our 20 week scan, We were eagerly awaiting to see what gender baby was, we almost got sent home because baby wasn’t playing ball but luckily our sonographer was lovely and let me jump up and down the corridor and drink ice water and then return in the hope that it would uncross the legs. It worked, she did! Our happiness lasted around 3 mins maybe less.. “Miss Packham, I just need to do a few more checks, I may need to get a doctor in, is that ok?” That heart sinking most terrifying sentence you read about in the news, in magazines. Not the words you expect to be said to you. J was oblivious to everything pregnancy, he was clueless (we watched an episode of One Born Every Minute together and he freaked out when a newborn baby opened its eyes, he genuinely thought human babies were like puppies and didn’t open their eyes until weeks after, ha!) But I had that sick feeling, I was certain they were going to tell me we had lost her. A Doctor came in shortly after and rescanned, we were asked to move to a private room down the corridor where someone would come and speak to us. We were told that our unborn baby had a ‘Shadow’ in her stomach, we were told that it could be one of two things that she had swallowed some of my blood from a bleed I had had weeks previously or that she had Cystic Fibrosis. Cystic Fibrosis is a genetic disease that causes mucus in the body to become thick and sticky. The mucus builds up and causes problems in many of the body’s organs, especially the lungs and the pancreas. The life expectancy for people with CF has been steadily increasing over the years but we were faced with the devastating news that the baby girl we had just seen on screen sucking her thumb may have a lifelong illness that would more than likely mean we would both outlive her. At 18 and 20 we were faced with the most awful choice, we were rushed into the Foetal Medicine department and told that we have one of three choices.
1) Have a invasive procedure done where they would take fluid from baby via making an incision into my womb, that they could then test to find out if she had Cystic Fibrosis. (We were told of the many risks the main being miscarriage)
2) Abort the pregnancy.
3) Carry on with the pregnancy and hope for the best outcome.
That hour or so ‘deciding’ on our baby’s fate was one of the hardest times for me to remember, J was telling me how we were too young, we can just about take care of ourselves, how would we look after a baby that would be born sick and be sick most of their life? How would we hold down jobs if we had to go into her Nursery and administer the massages needed to help a CF sufferer? How would we ever have a life, is it even fair to bring a child into the world if their short life would be spent poorly? I could see his side, I agreed with all that he had to say I mean he was speaking logically, I on the other hand was speaking from my heart. How could I abort my baby, the baby I had already bonded with? Call it a mother’s instinct but I remember saying to him and the Doctor “I know she’s okay, she isn’t poorly, please I just know she’s going to be fine, I cant do this” I just knew, I knew she would be fine. I declined the invasive procedure (the name of it I can’t remember now) and I was prepared to walk away confident in my decision. We were offered blood tests and our families also invited to have the test to see what the percentage was of her being born with the condition. We found out the result a few weeks later and I was scanned every two weeks to check on the shadow. Nearing her due date it neither grew bigger or went away, I was silently worried I didn’t want to admit I wasn’t feeling so confident anymore, not about my choice I knew I wanted her no matter what the outcome, I just wasn’t confident she would be okay.
Week 40 came and went with two sweeps in-between. Week 40+4, Friday 23rd November. The night before I had been having ever so slight twinges, after my first sweep doing shit all I wasn’t sure I had faith in the second having worked, I was up all night going to and from the toilet, I couldn’t sit comfortably, I was generally restless. I had a bath to relax and went to bed and slept the best sleep of the entire pregnancy. J woke up and went to work as normal in the morning, but I remember saying to him the usual keep your phone on I think this may be it. Another bath later and more pains, meant for me that I needed my nan and my aunt. J’s mother had always been fantastic, but she wasn’t the person I needed. When I finally got to my aunts the next few hours I can only describe as hilarious with ten tonnes of pain thrown in, she had me running up and down them stairs to get that baby out. I wasn’t contracting enough to go into hospital yet so that was her genius idea to bring baby on. It worked mind and by about lunchtime we were asked to go to the Birmingham Women’s Hospital, J would meet us there. I can’t tell you much of the rest as it all rolls into one massive blur but there’s some parts I remember, My aunt and J both have their own accounts (no comment) ha! I remember taking forever to dilate yet being in the most horrendous pain, and then it went blurry from there, I know I got really poorly. I was throwing up black fluid and had a fever. Baby was under stress and her heart beat kept dropping, they inserted a small tube with a needle on the end of it to prick her head and test the oxygen level in her blood. I was only 6-7cms by this point. They decided that enough was enough, we were EMCS category 2(meaning they wanted to deliver in the next 30-45 mins) and after 19 hours I was signing paperwork for this Emergency C-Section, I don’t remember a word of the risks the consultant read out to me while having an epidural inserted, all I knew was that I wanted it over, I wanted my baby out safe.
I remember being rushed down a long corridor, being prepared for surgery and then J appearing at my side all scrubbed up. It all became so bloody real, I don’t think in all the rushing and panic I had had time to take in that I was about to undergo major surgery, that natural birth I longed for was about to be taken from me. I was numbed and within a few short minutes our baby girl was born at 2.22am on November 24th, she took a long time to cry, babies that are born via Cesarean Section usually need help clearing their airways and of course she was CF risk. I never got chance to see her. I mean I’m sure J was supposed to show her to me, but he only showed me the side of her face, he said to me afterwards he was scared of dropping her. I was so gutted, I went through all of that and had only a faint idea what my daughter looked like. I never got to hold her or smell her baby smell. She wasn’t placed next to me for our first cuddle, She was taken away. I intended on donating my placenta but was told that that too was black and the black fluid I was throwing up had also come out of my waters meaning we were both rushed off and treated for infection. I was moved to the ICU and Esmé was taken to neonatal to be looked after there. I just remember crying and crying, I didn’t know if my baby had the condition we were told about, I didn’t even know what she looked like fully. I had just had a baby, yet I felt like she wasn’t really mine, we were unnaturally separated. I just kept crying for her, I wanted her with me, but she was apparently struggling to hold her temperature and I was too poorly to go down to see her until at least the next day! I dont remember any of the Midwives or any of the medical team that dealt with us except my student midwife. Anna was so supportive, she even went down to sit with Esmé for me because I didn’t want her to be on her own and she returned with a Polaroid picture of her, I was so grateful to finally get to see her perfect face. Such a small act to her truly meant the world and more to me.
We remained in hospital for a further 8 days on antibiotics, I hated every minute of it, I wanted to be at home, I wanted my own bed, I wanted a tea from home. I find it so hard to talk about her labour without feeling teary because I simply feel I was robbed of so many ‘firsts’, I don’t feel like I bonded with her in the 8 days we were in hospital because of the amount of pain I was in. I couldnt look after her properly, my body took so long to re work, I had trapped air from the Cesarean that was crippling my shoulder and right arm to the point where i didn’t want to pick her up alone in case i dropped her. I had to ring the call bell and ask a Midwife to get her out every time I wanted to hold her. I spent so little time with her so as not to be a pain, looking back now i know they really wouldn’t have minded passing her to me, its one of my biggest regrets, I wish i asked more. I feel like i lost those first precious moments with my newborn. Perhaps that’s why I over compensate now, why I’m so very protective of her even more so than normal?
Esmé never ended up having a full CF diagnosis, she has it in her genes and will more than likely pass it on to any children she has in the future but at an even smaller percentage. We were simply told that she may have more colds than most children and when she’s poorly shell be sicker than the average child, but she has a normal lifespan, and the small amount of CF she does carry in her genes won’t affect her daily life!
‘Cut me open. I love my baby so much that I will do anything to get my baby out of my body alive. Lay me out, cut me open because I love my baby so much’
That is courage. That is bravery and sacrifice and mothering in its purest form. That is willingness to lay down your body and risk your life that your child might be born, that your child might live.
I decided to finish with a quote I found because if there was one quote I would assign to the act of having a Cesarean that would be it.
Thank you for reading,