Posts Tagged ‘Postpartum’

A Perfect Birth

Birth without trauma.  Birth in which the mother and baby are healthy and happy.  Birth which leaves no lasting ramifications, either physical or emotional.  A Perfect Birth.  That’s what I have now experienced with the birth of my son.

Going into birth this time, I was ready.  Ready, educated, and excited.  My pregnancy before this delivery was rocky, to say the least.  Symphysis Pubic Dysfunction, two hospital stays due to illness, and a last-minute run around regarding getting the delivery I wanted (and needed) posed real issues for me.  However, the delivery, a delivery that myself and my doctor agreed to be most beneficial to mother and baby, was such that it set up “a perfect birth.”

My son’s birth story:

I went into the hospital at 11:30, with the understanding that the c-section would take place at 1:00.  I was 38 weeks, 2 days and with no indications of imminent labor, I understood that my surgery could be “pushed” for emergency patients.  I was made comfortable while waiting for my turn, and an IV was inserted, and any questions I had were answered.  A little after 1:00, I was wheeled into the delivery room.  I walked myself to the bed and was told how to sit for an effective spinal.  All the while, the medical professionals present were kind, understanding, supportive, and reassuring.  My spinal was placed without incident and then I was instructed to lie down.  Once numbed, I was happy to see my husband arrive by my head.  And then, the incision, the surgery, and less than 8 minutes from first incision, my baby boy’s screams as he was born.  Perfect baby boy, who was immediately shown to me and then checked out by the nurses (with my husband by his side and in the same room).  Once wrapped up, my husband held him by my head as they stitched me up.  All the while I felt cared for, informed, and respected.  A complete opposite to my previous birth experience.  My husband, baby, and I ventured to recovery together where I was able to effectively breastfeed and bond with the newest member of our family.  Later that evening, my daughter joined us and our family of four was “officially” all together.

Since the birth, I have managed my pain and was off all pain killers within the first week.  I am able to walk now with the symphysis pubic dysfunction drastically diminished.  I have nothing but positive memories of the birth and my daily interactions reflect positivity.  I am looking forward to noting my progress at my 6 week check-up.  The baby is doing wonderfully as well.  Over eight pounds at birth, he continues to thrive, both feeding and sleeping as well as a 3 and 1/2 week old should.

The support I have had for this birth experience was immeasurable.  Thank you all.

Thanks for reading,

Lauren

Comparing Pregnancies

It is amazing to me how much pregnancies can vary.  With exactly 5 years between the pregnancy of my daughter and my current pregnancy, I have found that although I have hit the trimester milestones in the same months, my pregnancies couldn’t be more different.  With my daughter, pregnancy was pretty much a breeze.  Sure, a little morning sickness, some aches and pains, extreme cravings….basically- the hallmarks of a “normal” pregnancy.  With my son, extreme morning sickness, symphysis pubic dysfunction, inability to move without the aid of a wheelchair/cane, sickness leading to hospitalization, are just some of the maladies I’ve experienced throughout the duration of this pregnancy.

In truth, part of me (all of me really) hopes that the “suffering” with this current pregnancy is over the minute this little boy is delivered.  If that is the case, it would be in sharp contrast to the delivery of my daughter, where the “suffering” really began upon delivery and leached into a LONG physically and emotionally painful postpartum period.  Knowing that I’ve done all I can to be proactive for this upcoming delivery, and knowing what I know now about what “ideal” postpartum care should look like, I feel that I have done my part in the process for a successful delivery and postpartum period.  I feel prepared and educated and therefore, happy to know that I am in control of the direction of my postpartum recovery.

I know it is not reality to think that the logic “easy pregnancy=tough postpartum”  equates to “tough pregnancy=easy postpartum” but hey, it’s OK to imagine that might be the case, right?

Thanks for reading,

Lauren

I Need Time

Recently, I came across an article, “I’m Having a Baby, Not Hosting A Party-Stay Out Of My Hospital Room!”  while researching the time of c-section recovery for the mother.  With a large, loving, local, extended family, I know that visitors are going to be itching to come and see the new addition to our family.  Like the author, Rebecca Eckler, I also feel that “Of course I want everyone to see the baby…but I don’t really want visitors…   Like the author, I am having a planned c-section.  Like the author, people know about the date and location of delivery.  Like the author, I’m worried.

Perhaps ,unlike the author, I am worried about having visitors post delivery mainly because I don’t know how I am going to be, or what I will be feeling, emotionally and physically.  After my daughter was born, I experienced the ramifications of both physical and emotional trauma.  I was unable to navigate all of the immediate postpartum emotions and physical discomfort with a clear head.  I was in shock, physically and emotionally, for the allotted time of “recovery” at the hospital.  I had many visitors to the hospital postpartum, well-meaning friends and family, excited to see the baby, yet unaware of my inner and outer turmoil.

Part of my years of PTSD therapy explored the possibility of having another child.  At first, the firm answer of “NO WAY” was the only sane answer I could come up with in regards to the question of “will you have another child?”  As time passed, and I became much more emotionally healthy, I realized my dream for another child was one that I could not ignore, one that I did not want to lose simply because of the trauma inflicted upon me.  The dream of having another child was a dream that was my right, a dream that I could fulfill by continuing to attend therapy and eventually be discharged with a healthy psyche.

Having another child, and facing my trauma, the trauma of a delivery, head on is not something that scares me anymore.  I realize that because of the enormity of what I am about to experience, I may be overly emotional immediately postpartum simply because of the nature of the experience.  I know I will be able to reclaim, in the physical and emotional sense, what was lost to me during that initial traumatic delivery.  I am going into all of this a much more educated and medically supported individual.  I have a team of medical professionals that are helping me to succeed physically and emotionally with this pregnancy.  I have me, a much stronger, better, advocate for what I need.

I’ve never thought of myself as a selfish individual, but I need to ask myself the following question in an effort to preserve my sanity, my spirit, and to protect my physical and emotional wellness.  “What do I need during those first few days?” I need time.  I need quiet.  I need peace.  I need to make peace out of the broken pieces of my first delivery by having this delivery, this experience, be different.  How much time do I need?  How will I achieve this quiet reflective time necessary for the reconciliation of and reclamation of my spirit?  How can I truly be at peace?  The answer lies in the events yet to happen during and after delivery.  The answer lies in the control that I feel postpartum.  The answer lies in my ability to let visitors know that I may need more time, just because, prior to them visiting the baby.  The answer lies in people respecting that time that I need.  Not only people respecting that time, but people appreciating that I am taking that time to heal, to make peace, to be joyful, to feel whole again.  The biggest question of all, the one that I cannot plan for, is how much time will I need?  I am unable and unwilling to answer that question at this time.  I just don’t know what it’s going to be like.  However, I do know that I will advocate for whatever it is I need to remain a healthy and happy individual.

Thanks for reading,

Lauren

Celebrating my 100th post!

This is my 100th post.

I thought I should probably make it somewhat meaningful, possibly a celebration of how far I have come, or a glance at what I have become.

Or both.

Well, I have come from a place of despair, of darkness, of hopelessness, of fear.

I have become a fighter, a survivor,….. an advocate.
In March 2008, I gave birth to one of the most precious blessings in my life.  4 1/2 years ago I experienced both the best and worst day of my life.  At the same time this beautiful light entered my life, my own light went out.  I suffered both physical and emotional consequences I could not have even imagined.  My world stopped making sense.

Through my struggles my family remained by my side, supporting me in my therapies, medical testing, and surgeries.

Slowly, with time, support, and extensive therapy, I began to emerge, a stronger, better, LOUDER, advocating individual.  I fight for women’s choice in birthing options, access to timely and correct prenatal and postpartum care, and recognition of the very real devastating effects of physical and emotional birth trauma.

I am happy to announce that I have been able to take the next step in my life journey.  I am expecting.  A thought, a dream, that I could not entertain for months, years, because of the physical and emotional ramifications of my first delivery.  I am so very happy to be able to share this with you, my readers, with the very real hope that I am offering YOU hope.  Things can and will get better.  It is possible.

Thanks for reading,

Lauren (and baby bump)

Warrior Mom

It is a universal truth that women have always given birth.  I often think about my actual birthing situation, and how I would have fared 50, 100, 500 years ago.    My conclusion is always the same; without the intervention that I had, I would have died…my daughter too.  There was just no way she was coming out on her own, forceps or c-section were needed.  There was just no way that without significant medical intervention, such as the right medication and careful monitoring postpartum, that the sustained blood loss I sustained during my postpartum hemorrhage would have been survivable in years past.

Obviously, I am truly glad that we both survived.  However, what people need to realize is that I truly believe, and believed then, was that I was, and my daughter was, in a life and death situation.  Today, there are still many “close calls” in the medical field during the birth of a child, but with the right interventions, it is a general belief that women fare a lot better than in years past.  It is important to note that although the “battle zone” in the birthing room may be one that has improved over the years, traumatic situations can still arise both in the moment and postpartum.  In reading recent message boards, comments, and blogs pertaining to PTSD following childbirth, I have found some very interesting pieces of information pertaining to the belief of the “warrior mom.”

For instance, the Aztecs, believed childbirth to be “a battle” and the mother to be “a warrior.”  It is interesting to see that this belief was part of their culture, and women were glorified in their efforts to bring a child into the world.  Today, Katherine Stone, creator of Postpartum Progress, has heralded the efforts of women as warriors in childbirth and postpartum.  She has a wide selection of postpartum “bling” in an effort to recognize women’s efforts and triumphs in seeking help and overcoming obstacles postpartum.  She is instrumental in perpetuating the belief that the Aztecs held dear so long ago, birthing women are warriors, and need to be glorified as such.
This is the personal “warrior mom” badge I chose to represent my own journey.

Photobucket

http://postpartumprogress.com/survival-badge-bling

 

Thanks for reading,

Lauren

Confessions…

My confession, I love to read. Recently, I read an awesome book, “Confessions of a Scary Mommy,” by Jill Smokler.  This book is an unbelievably honest take on all things motherhood.  It offers laughs, tears, and insights into motherhood in a way that is free of judgement and completely anonymously authentic.  This book provides a breath of fresh air, because it often expounds upon the things new mothers, and all mothers for that matter, are saying inside their skulls.  Things that are not always the things we say or think aloud.  And that, my friends, is the hilarious part, and the part that makes any new mother feel instantly part of this “scary mommy” community.

Not only is this a great book, it stems from a great blog, Scary Mommy.   Most importantly, there is a portion of this blog geared to “moms in need.”  After writing to Jill, she graciously decided to feature a link to my blog on her blog in an effort to reach those mothers who suffer in silence in regards to physical and emotional birth trauma.  Check it out!  Thanks Jill!

Thanks for Reading,

Lauren

So, what do you do?

When meeting someone for the first time, often, the following question arises during the initial small talk, “so, what do you do?”  At times, I struggle to answer this question.  At this point in my recovery, I say “I’m happy to be a stay at home mom.”  However, my lips itch with the urge to spill my guts, to answer in a much more truer sense.  The answer I would love to give is the following, “I’m a stay at home mom.  And, I love it.  However, I am also a teacher. I went to school for many years to obtain this degree.  I achieved tenure because of my good reviews and practice in the classroom. I fought hard to find a job I loved, and I did find that job.  I went back to work when my daughter was 6 months old, and I was OK with that.  Physical and Emotional birth trauma eventually caused me to step out of work on a “medical” leave.  I loved being a teacher.  I still am a teacher.  And, I love being a mom.  The best thing for myself was to leave work to focus on getting myself and my family healed and better.  In fact, I am better now.  And, at this point I choose, not my mind, not my body, I choose to stay home with my daughter.  I will go back to work eventually. “

Being that answer is often too much, too soon, for casual acquaintances, I often keep that to myself.  But, I do want people to know, people who read my blog, that leaving work was one of the hardest decisions of my life.  For my physical body, the answer was clearly that I should not and could not work.  My fecal incontinence caused numerous accidents throughout the teaching day in which I would need to change my undergarments, take frequent bathroom breaks, feel uneasy about sitting in meetings, and  need to remain in close proximity to a bathroom.  For my mental body, the toll was far worse in my work environment.  Being that pregnant women, the smell of cleaner, and assisting with special education student’s  toileting  needs (ex. cleaning up bowel movements) were triggers rampant in my work environment, anxiety attacks, extreme panic, and the inability to focus were parts of my daily routine in the classroom.

Leaving work was really the only way I could get better.  It took a lot to convince me of this.  It took being escorted to the hospital, from the school’s nurses office, when I thought I was having a heart attack.  (A severe panic attack).  It took being in therapy and realizing the only way I would get better was to stop putting myself in the midst of triggers.  It took me swallowing my pride, to leave a job I loved, and was good at, in an effort to reclaim myself.

And guess what, leaving work was an effective way to assist in my treatment for PTSD.  Removing myself from a constant triggering situation helped me focus on therapy, my family, and myself.  It really was the only way.

Of course, leaving work essentially cut our income in half, caused a change in our health insurance benefits, and manufactured the need for our family to live with and adhere to a budget.  A lot of people assume that going out on “medical leave” means you have some sort of disability payment assistance, especially when the medical leave is “prescribed” by the doctor.  Sadly, that is not always the case.  I still, (2 years later), am fighting to reclaim any disability payments I may have been allotted due to my condition(s).  Luckily, I have a lovely organization that can do this for me (for a small fee).  However, it is important to dispel the myth that “medical leave” automatically means that the person is being financially supported in one way or another during their recovery.  This simply is not true.  Hopefully, at some point I will obtain the disability payments retroactively to support my stretch of “medical leave”, but, that remains to be seen.

Thanks for reading,

Lauren

 

A Gift from my Daughter

For mother’s day this year, my daughter filled in a book titled “It’s all about my mom.”  By “filled in” I mean that she provided her answers and my husband scribed the words.

Besides being an awesome gift, the meaning of some of her candid responses struck me.

Some answers were definitely given from a 4 year old’s perspective.  For example:  “My Mom’s favorite flower-my daughter’s response: dandelion.”  “My mom likes to-my daughter’s response, get me a sucker at the bank!”

Other answers seemed wise beyond her years.  This answer caused me to pause, emotionally, for a very long time. “My favorite memory with my mom-my daughter’s response: when mom protected me from getting hurt.” 

After ascertaining that my husband had not fed her that response, I pondered her words. Why was this her response? Does she remember?  Does it matter if she was talking about then or now?  I’ve come to the conclusion that I will never know exactly what instance she was talking about.  I am overjoyed that my daughter knows I will protect her, knows I have protected her, and knows I will continue to protect her.  And that, my friends, is the gift that my daughter gave me for Mother’s Day.

Thanks for reading,

Lauren

A Letter to My Daughter

So, I recently figured out that one day my daughter may read my blog.  And, I’m OK with that.  In fact, I’m more than OK with that.  However, I want her to read this blog when she is older, and I want her to read this post first.

Dear Daughter,

Please don’t ever feel guilty about what happened to Mom.  It’s not your fault.  I love you with all my heart and would gladly be torn apart again and again just to have your joyful face in our lives.  I cannot tell you how much I have worried that my mental illness and physical ailments could have impacted you in your formative years.  However, all my worry is for naught.  You have grown into a happy, productive, smart, and clever 4-year-old.  A 4-year-old unencumbered by Mommy’s trials and tribulations, but instead, supported by Mom and Dad’s strengths and unconditional love.

You are an amazing human being.  You intuitively recognize the times when Mom needs your help and you give me that extra support.  You provide me with the best reminder that something beautifully grand can come from a  devastating experience.  You fill my heart with joy and love each day.

I love you, sweet girl.

Love, Mommy

Thanks for reading,

Lauren

Litigation

When reading my blog and hearing my story, interested parties often ask the question “Did you sue?”   The answer. Yes. and No.

We certainly met with the lawyers.  One.  Two.  Three Lawyers and law firms.  All of the lawyers had the same resounding sentiment about my case.  “A bad result does not always equal a lawsuit.”  All of the lawyers based their ability to build a case upon my shaky testimony (My PTSD impacted my ability to relay my side of the story).  All of the lawyers based their ability to build a case based on the hospital records (which were largely inaccurate and reflected good care by the doctor and hospital).  All of the lawyers based their ability to bring a case based on the time left in the statute of limitations (2 and 1/2 years)-we were approaching this time frame when we were deciding to bring forth the case).  All of the lawyers based their ability to build this case on the fact that there really was no “precedent” case available to judge their success with the case.  All of the lawyers based their ability to build this case against OBGYN’s medical malpractice insurance and the fact that it was rarely penetrable unless the case was totally clear-cut.

All of these lawyers were unwilling to take the risk on my case and convinced me not to take the risk because of the 100′s of thousands of dollars I would shell out, the stress it would put me under, and the stigma I would have attached to me in a very public light during trial.

Do I think it was the right decision to not pursue the case?  I guess it really does not matter what I think, I’m not a lawyer. I don’t speak the legal vernacular to understand if there was any way, shape, or form that my case may have been successful.

I do know that pursing a case in my condition (PTSD) would have been a brutal exercise in self-hatred as I would need to relay triggering events over and over in a very public venue.

I do know that when you need to sign that hospital records are accurate upon discharge-you really are in no condition to look over them with a fine tooth comb for inaccuracies (prior to signing) if you are in shock from a traumatic birth.

I do know that with a statute of limitations of 2 1/2 years, often mothers who suffer with PTSD are not able and willing to pursue a case in a timely manner, thus, often losing their chance.

I do know that there is STILL not a precedent case (that I know of in our area) that brings monetary relief for a women inflicted with emotional birth trauma.

I do know that it is extremely difficult to ever crack into OBGYN’s medical malpractice insurance.

Lastly, I do know that it was never about the money for me.  It was about my doctor saying that she messed up…It was about her saying sorry….It was about her admitting she failed me as a patient both during birth and postpartum…It was about making sure this didn’t happen to other patients.

I’m doing what I can on my end.  I’m trying to spread the word that there is help and hope for those suffering with birth trauma.  Unfortunately, it is difficult to understand how my “case” impacted my doctor and the medical community in which I delivered.

Thanks for reading,

Lauren

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