Ezra is nearly 3 months old already, which means I’ve spent 88 days gushing over
what an amazing experience his birth was, especially compared to
Simeon’s! I started writing this story down when he was only a couple of weeks old, which means that this post was it's own labor of love. It's been so fun to sit down with it and relive it as I wrote it bit by bit. I hope you enjoy it too. Though, fair warning, I do go into a good deal of detail, if that's not something you're super comfortable with (particularly if I'm your pastor's wife, HA!) I won't be offended if you don't read it.
Moms are often told “all that matters is a healthy baby and
mom” but I don’t think this is true. Of course a healthy outcome is
the most important thing, but it’s not “all that matters”. How you get
there and how you are made to feel on the way matter immensely too.
Simeon’s birth was not the experience I wanted, of course I was happy
that he was born healthy, but honestly I was made to feel very small and it was not at all the experience I wanted after 4 and a half years of waiting to welcome him into my arms. As soon as he was born, I began hoping that maybe next time would be the birth I wanted.
At 21 weeks pregnant with Ezra, my little family packed up, left Mississippi, and moved to Virginia, which also meant finding a new doctor, and the opportunity to be picky. Actually, I wanted a midwife hospital birth, and I had a midwife and hospital picked out before we even knew for sure we were moving here. I had my records sent, and I was excited! Then we got here and when I called to set up my first appointment, the midwives in the practice looked over my records and decided that my antiphospholipid syndrome put me at too high of a risk for them to take me as a patient. I literally cried. When I shared my disappointment, a number of our family and friends said they'd pray that it would work out, but I knew it just wasn't going to. But the midwife, Becca, called and talked to me personally, talked me through my options, and personally reached out to the other providers in the hospital and sent me a list of recommendations. There was one woman on the list, and she was a D.O. which immediately piqued my interest, knowing that D.O.s tend to lean more natural and holistic, so I set up an appointment. I hit her with every single hardball and all of my non-negotiable birth choices I could in my first appointment, and she absolutely knocked it out of the park. I left feeling confident that this was the best compromise of what I wanted and what I needed in a provider and a birth plan, and that my doctor truly cared about what I wanted and wasn't just willing to go along with it, but truly supported me every step of the way. I left every appointment feeling that way. We made our plans and contingency plans, and hoped and prayed I would go into labor naturally and not need an induction.
And so, we arrived at the hospital the night of October 5 to begin my induction, much to my disappointment. I knew my best chance at the birth I wanted did NOT include pitocin, but I also knew that, at nearly a week past my due date, we had pushed this baby and placenta as far as we were willing to with APS.
A side note of explanation of just one of the reasons I didn't want pitocin: pitocin is synthetic oxytocin. Oxytocin is made in your brain and is the main hormone that controls labor. It's also a bonding and "happy" hormone. When you have pitocin instead of oxytocin, that synthetic oxytocin doesn't cross the blood/brain barrier, so you don't get any of the mood boosting effects that you would during normal labor, creating a much harder "mental game".
So, we checked into the hospital. My birth plan involved a big fat tub, I knew this was going to make going unmedicated much easier for me; it was the reason I initially chose my hospital. The problem is, there are only a few tub rooms. When I had called earlier in the day to find out what time to be there, I asked and they hadn't had one available. Then when Matt and I were getting dinner before going in, they had called and asked us to come later because they didn't have a single labor and delivery room available, so I began to give up that dream. When we arrived, the nurse at registration said "you had wanted a tub room, right?" to which I replied that I did, but knew it may not be possible, and then she said some beautiful words: "Okay, Blair will take you right down!"
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZJoDH7xmmbK2wcdbP0P5QKejXksGzoHkPsrIOi4anFJNqgf5-fmuW4X_wax1jgMr5CNGJnrfCVIzVw8MexgB1CFqe2GVjZoHBruvgwePFsP-1tDPJ7nc06SYUUnxa2XZyK3N5BzBkiwxwYGtXP_thNy4Mx3XsWktner45hNWgztYzqiK3slcF_9BBYA/s320/IMG_20221005_191502460.jpg) |
Y'all, LOOK AT THIS TUB.
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So, we settled in, and waited. Remember, two hours earlier, they had no rooms. It was a busy night on the floor. Around midnight, I finally got my first dose of cytotec. This is a medication that is supposed to help with thinning and effacement, basically priming my body for labor, and it's taken every six hours. So Matt and I played some games, watched a show, and went to bed for a very uneventful evening. I had thought that we would start pitocin in the morning right away, but my doctor checked me and I was still not even 1cm dilated so she didn't think my body was ready yet, so we kept waiting a few more hours. Around this time, my birth class instructor from before Simeon was born was messaging me and I was letting her know what was going on, and she and my doulas helped me decide to request a foley bulb to try to help progress things along. A foley bulb is supposed to manually dilate you to around 4cm This wasn't something that had worked well for me with Simeon, but my hope was that in combination with the cytotec and also it being my second birth, that it would work better this time and it sure did! Where it had taken 20 hours with Simeon to get to 3cm, 3 hours later I had gone from not even 1cm to 6cm already!
I had been hoping that being at 6cm would mean I would enter active labor on my own, but it didn't happen soon enough, and we went ahead with the pitocin an hour later around 7:30pm. Hospital policy was to increase it every 30-60 minutes until active labor started, which they define as contractions every 2 minutes. At 9pm I asked my doulas to come in as I felt we were finally approaching active labor. They came and we chatted and just hung out as I was still not even really feeling contractions.
After a while, we noticed that the nurse hadn't come to increase the pitocin in over and hour, and I was a bit irritated by this, as I wanted to get things moving! When she came in she checked my iv but I didn't see her adjust the pitocin so I asked her, and she said she hadn't. Matt and my main doula, Shalene, were deep in conversation and hadn't noticed, but the doula student, Lindsay, who was there had, and she and I just looked at each other very confused, then let Shalene and Matt know what had happened. Lindsay was given the task of going out and asking the nurses why it wasn't being increased, and the nurse came in to explain that the monitor was showing that I was having strong contractions every 2 minutes and hospital policy said they couldn't increase it any more than that.
I NEVER went into this induction thinking I'd be ASKING for more pitocin!
After staring at the nurse in confusion for a minute I told her that it was news to me that I was even having contractions, as I wasn't feeling them. The nurse left and I was feeling pretty tired so my doulas left to try to let me rest some. When the nurse came in again I asked her what options were for helping labor progress at this point, since I was clearly not in active labor, and she said that maybe my doctor could break my water, but that was the only real option at that point. I asked to speak with the doctor and have her check my progress, and had the doulas come back in for the discussion. What followed was quite possibly my favorite part of this birth process besides actually giving birth.
Shalene and Lindsay came in, and so did my doctor, Dr. Barwick. She checked me and I hadn't progressed much in the last little bit, and she was surprised to see how laid back and calm things were for someone who was supposedly in active labor according to the monitors! We asked about options for progressing labor from this point, and she explained that hospital policy prevented a nurse from increasing pitocin at this point in order to prevent putting too much strain on the body and creating a potential for uterine rupture, but that she, as the doctor, could override that policy based on clinical findings (aka, a patient who was clearly NOT in active labor). My doulas asked questions for me, I asked questions, and my doctor answered them patiently, thoughtfully, and respectfully. Shalene asked which option was best given my desire for an unmedicated birth, and my doctor, agreeing that was the main consideration, recommended increasing the pitocin and leaving my water intact, the idea being that you could decrease the pitocin, but breaking my water could cause things to become intense, would increase the amount of pain I felt, and would be more stress on the baby, with no turning back. The amount of respect and camaraderie I witnessed in that conversation absolutely stunned me. Every person in the room was invested in what I wanted, in the choices I had made, and in preserving those choices as best as possible. In that moment it struck me that this was truly a team; it was MY team, MY birth, and MY choice how we proceeded. No coercing, no manipulating, just facts and considerations and support. Whereas Simeon's birth had felt like a bulldozer, telling me what was going to happen, this birth was in my control as much as it could be. It was in that moment that I thought to myself "we're really going to do this this time!" The confidence I felt in that moment would carry me through the next 8 hours.
The pitocin was increased, and I tried to lay down and rest, and the doulas went back to their post in the waiting lounge to rest and wait. No resting was done. Within an hour I was in full-on active labor. I texted the doulas and told them I wanted to get in the tub ASAP. They came in and filled the tub, and I spent the next 2 hours there. It was everything I hoped and dreamed! It was dark except for a purple light in the tub, Shalene set up some electric candles, Matt rubbed my back and squeezed my hand through each contraction. He and Shalene and Lindsay chatted a bit, but everyone's focus was on me, and I mentally retreated into myself, riding the waves, and amazed at how natural it felt for an induction compared to my last one. I started to feel a little nauseous but suspected it was from hunger, so I ate some forbidden peanut butter crackers and it helped a bit. Just before 4am the nurse came in to give me my antibiotics, and then told me she needed to see my line because the i.v wasn't working. It turns out that it had gotten bumped or knocked in the process of getting in the tub and I hadn't actually been on pitocin in hours! I was laboring naturally afterall! I laughed at the providence of it all, then announced I was starting to feel pushy and they should probably get me out of the tub! It was the fastest I'd seen the nurse move all night to get me out of there (they frown on tub births) ha! As I was getting out I asked for Zofran because I was feeling really queasy, even after my forbidden snack! I went to the bathroom, tried to get my robe back on while hooked up to the iv pole and monitors, so it took a few minutes for the nurse to get the Zofran and get a chance to push it through my (now functionining) iv. At that moment my doctor came in for the first time since agreeing to increase my pitocin, and was blown away by the change in atmosphere! She checked me (she insisted on being the only one checking me because I had told her that during Simeon's birth I was told I had progressed when I hadn't because of different people checking!). I knew things were moving quick at this point, but wasn't quite prepared for the next few minutes. If you aren't a birth junky you may want to skip the next few lines and start at the next paragraph...She checked and I was at an 8. As she helped me sit up I felt a pop deep inside and said really calmly, "there goes my water" everyone looked at me confused for about 2 seconds before sure enough, there it came! At almost the same moment I choked out "I'm gonna throw up" but it was too quiet and the only one who heard the first time was Lindsay, as everyone else asked me to repeat myself, my HERO Lindsay rushed to the nurses cart shouting "She said she's gonna throw up!" and sprinted back with an emesis bag just in the nick of time! It was the most overwhelming moment of my entire life. puking, gushing, fluid everywhere, continuing to have strong contractions through it all...
And I thought to myself for the first time all night, "WHY DON'T I HAVE AN EPIDURAL" which immediately triggered the thought, "ahhh I know what this is. This is transition. good, we are progressing! I can roll with this. The end is near!" Dr. Barwick headed out, warning me that if it was busy she may have to have the midwife on call cover for her later, and that was the last I would see her until Ezra was a few hours old!
Less than ten minutes afterwards I started feeling the irresistible urge to push and the nurse told me that since I was pushing she needed to check me instead of waiting for the doctor, and sure enough, at 4:25am I was 10cm! She called for the doctor to come in, but Dr. Barwick had been called into an emergency, and in walked none other than Certified Nurse Midwife Rebecca White! The midwife I had wanted to see when I moved to Virginia and wasn't able to. I think I may have actually laughed for half a second in between contractions.
It took my body about an hour to work itself into the right rhythm and for me to get into a good position. During that time I sat on what is called a birthing stool and laid my head on the end of the bed. Shortly after taking this position it occurred to everyone in the room that no-one would be able to see if Ezra started to crown. Instead of insisting I move, Becca and Shalene LAID ON THE FLOOR with flashlights to be sure they would be able to see and catch him if needed! A side note: not once the whole time did anyone even ask me if they could turn on a light, they just worked in the dim lighting that felt comfortable for me, using flashlights when needed. Honestly the absolute respect and courtesy of everyone towards me still makes me want to cry happy tears when I think about it!
As I sat there with my doula and midwife laying on the ground, Matt sat on the birthing ball to the side of the bed and held my hand. We were both utterly exhausted and falling asleep at this point. It was 5am, we'd barely slept in 2 days, and yet it was such a sweet time together in those moments. Eventually things got stronger, my body got the rhythm of pushing with contractions, and I decided to change positions and use the birthing bar on the bed. I could squat during contractions to push, then lay back on the bed and rest, which worked really well for a while, but eventually my legs were giving out from squatting and I just used the birthing bar to brace my legs on. I was beyond exhausted. It was pitch black outside. I couldn't in that moment fathom having to care for this baby once he did finally come out. I knew I would get a rush of adrenaline when he came, but it was so hard to imagine in that moment that I would do anything other than pass out the second he was born that I actually asked my team to confirm that was true and that the exhaustion would fade when he was born, which they assured me it would, so I kept going, not like I really had a choice at this point.
Just a few minutes later I heard the magic words "I see a head!" and after 2 hours of pushing, the relief I felt in that moment was like no other (at least for the next 15 minutes). They coached me through the pushing and the not pushing, cheering me on and after a few minutes, and the worst and yet best pain of my life, and because of the position I had managed to end up in, I saw the top of Ezra's head moments before he was actually born and it was the most powerful moment. I hadn't fully processed at any point during pregnancy that I was actually having another baby until that moment and I actually said out loud "oh you're really real!" A minute later, at 7:10am Ezra was born. I held my son as the sun, rising again after the long night, began to come up over the mountains and streamed through my windows; the sunlight and the adrenaline instantly wiped away my exhaustion and I was absolutely in awe. In awe of my son. In awe of my body that I have battled to give me healthy children. In awe of myself for what I had just done. In awe of the Lord for not only granting me this healthy baby, but also for giving such a merciful and beautiful birth experience, and for healing many old, stubborn wounds through it.
He weighed 8lb 4oz, which was my exact guess and he had the hair that the ultrasound tech had been promising me for weeks, it was even dark, just as I had imagined it, even though I had absolutely no basis for that assumption given that Matt, Simeon and I were all blonde at birth. Ezra was instantly an extension of his near perfect birth experience. I have no internet appropriate pictures from the first hours because as soon as his abnormally short cord was cut and I was able to lift him above my belly button, he latched immediately and nursed as we did skin to skin while the midwife and nurses finished working on me and then as we chatted with the midwife, and as the nurses gushed over how amazing I had done and how perfect he was. One would later tell me that I was even the talk of the nurses station because I'd done an induction with no pain meds and "didn't even scream like a banshee!" ha! I knew I was impressed with myself, but for a hospital with midwives on staff and giant labor tubs, I was surprised to learn that this was apparently still impressive to them as well!
Dr. Barwick came in looking very battle-worn a couple hours later to check on me. She apologized for how long the induction took, but I told her it didn't matter to me that I was there a long time before active labor, what I'd been concerned about was being in prolonged active labor without progressing again. Because she had been willing to wait and to work with my body instead of against it, I only spent 8 hours in active labor, and my body had been able to take over from the pitocin and labor on its own for most of it! I told her it was amazing, and thanked her profusely for listening to me, for hearing me, and for helping me. She cried a bit as she left the room and went home to get some much needed sleep, having rescheduled all of her clinic patients for the day. I think she was as glad to see the dawn as I was.
We spent the remainder of the hospital stay gushing over the experience, my doctor, the nurses, the midwife, my doulas, and how the Lord answered prayers we had long given up hope for; my iv had providentially stopped working and I was able to labor naturally, and Ezra was even delivered by the midwife I had initially wanted and then cried over not being able to have. It blew us away. God's grace and care were so evident as we rehashed labor and delivery over and over and over and over. Simeon's birth was healing in that we finally had a living child, Ezra's birth was healing in the sense that my body, after an initial push, was able to do what it needed to, I was working with my body instead of against it for the first time in my entire childbearing experience, and I was so respected and heard every step of the way by everyone in the room. It was how it was supposed to be; not something that I have been able to say of many things during my pregnancies and deliveries. And I'm no longer terrified of needing an induction again; if each of my future births go like this one, I'd be one happy momma.
Ezra Joel:
"The Lord our God has helped."
Indeed he has.
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Now, enjoy some pictures!
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhEfcIaFHD8jnii3rGqs0eY6bEi6ZX_nEGEG6g5f2T47Z8nyWQr8WfYhl0zI4fCSgFjwpb8peFhXwAnk2q_iBnwZFEqxj7qNDR_bTfeFhhu9q1tsJhnKzmKeGotN7BKLey1GqEE3gtH6ZrD1eKBJ9X5M_cQtkMH6FM3l9BeTooqQ9VzcIIzrVGn6Cp2oQ/w90-h142/IMG_20221005_202203759%5B1%5D.jpg) |
We played a lot of rounds of Jaipur while we waited for labor to start!
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In the tub. This ambiance was amazing!
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![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh2jU7U7NuANrppgPeKWy-t4TX09TsnguXZhjM40LaY9Zu_M-8uH6DUZhHlA5scGi26EVdpKBlg1ZbUECVDT7RvwDzkLma1bdHHQTBzW2DKQ27fYTRbqltk0G8myDxkunuXSlxz6llXrJ8Qqzs0gw77SWbwxvmK2BhTQdsbS-tvQqFMmPXK3-Vo_Mh1pA/s320/IMG_4905%5B1%5D.HEIC) |
The doula and midwife on the floor so they could see
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![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgyBSfFvdCsSpCUG_vT_D6yFUchnZSQ29EJ23ZmSBKwUfSi2_ANsp-2VAdVOEMVNTj4IbPBZz7ngcbthNwg8WzCgkyRqqYXJPOIjsgRZkukeTZnf7SGlMsNUTDJjMY7pDyclBx3L0NTtx3cnqYrvz54rPdNcU3kIeLBeJ9ko21jcvdXhEFuncjCOJ3ksw/s320/IMG_4900%5B1%5D.HEIC) |
We were so tired by this point, but it was so sweet!
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![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiTDGuRkIktL3WZNBpeQFdj6_m8-_Sf3QUITfC1rwIKHrBKzknC34uwA_rfaT8g9C4qgfQGE5xEedcpn2tKmL7EA08EW5XF2k0RjVR-PiyZJlb0ELm-3zymh4Slp8lVMFZbO6v0ts9NEHzHrptii8YOPopW_MggYzk9m7DG6JBs6Z97jBLcFjDPqLARvw/s320/IMG_4912%5B1%5D.HEIC) |
There's a fuller version of this picture that I adore, but won't post here given my audience. @graceinbirthing posted it on her instagram though for you fellow birth nerds. |
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Screenshot of a video, so it's blurry, but this face sums it up. Total shock and elation through total exhaustion. |
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![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4VoPT-T9yn5I_T89_8aw0hn48hPJqn2fbt08HMKbNEbWCPAPx-p7S28kZXZ36QjFOqkeXZD-qTchrybsLo_Zx75fvQoB7gIIDUfDC7mesRWyrz5rqjfuDkj8SR45W_6h-7uY7ZEcbmW2lx8JTF_nF8Ke3Wc8V39cA4MclcGQiTDS2WlOI89PNtmht5A/s320/IMG_20221007_160612022_MF_PORTRAIT%5B1%5D.jpg) |
My sweet, chunky Ezzie!
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![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhtc4-NkEUpYDO9Z5rDPwHZ7Sy3QKlpWoknMQ1BbAFX7AiNZ_CpUnhxt79g9x497ZsAhrqlW40ZraSsu_hAFediwNXcDv5r84g2mgYOf2vZ964s8O0684IIZ0qLKXS06KA5F9jYOCHWDvq-6oJbc1SGh0d3aqRJofMAjzZjIEJXmJRriy9PkxMBuS2cjw/s320/IMG_20221007_103201852%5B1%5D.jpg) |
Seriously in love with him and his birth!
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