CW: mention of live birth, living children, birth trauma
My first daughter K’s delivery was peaceful, until it wasn’t.
I was almost 38 weeks and my water broke. I was contracting every 4 minutes and made it to the hospital in time. When I was triaged, I was 6 centimeters and 100% effaced. The next thing I knew, I was being wheeled to my epidural, put in an L & D room and given a popsicle while I waited for things to progress. 12 hours (and 2.5 hours of pushing) later, my daughter, my first earth-side baby, my rainbow, was finally coming into this world.
“I see some hair,” one of my nurses said.
My heart skipped a beat. All these months, years of waiting and I was finally about to see what my baby would look like. After a miscarriage at 10 weeks a year prior and months of trying to conceive before that, the journey to growing our family was finally coming to an end.
I would finally get to hold my baby.
I choked back tears, “what color is it?”
The nurse assessed and replied “I think it’s brown!” Tears streamed down my face. “Like me,” I thought.
“No, wait…” the nurse changed her mind, “blonde!” I cried harder. Even better. “Like my husband,” I thought. I couldn’t believe I would have a blonde baby.
I was having a baby.
A few more pushes and I felt the room stop. There was a silence and an intensity that grew. In that moment, exhausted and overwhelmed with anticipation, I felt myself separate from my own body, as if I were watching what came next from the other side of the room.
I felt an incredible amount of pressure. My husband wasn’t speaking. The feeling made me lose the rhythm of my breathing and made me sick. A scream climbed through my chest but nothing came out. What was happening? Was she okay? Why was no one saying anything? Could someone please say something?
And as quickly as the moment came, it went.
I was told my daughter got stuck, but she was okay and on her way. The process continued, everyone skirting past this thought as if it were a small hiccup in the day’s events. I followed suit and moved forward. Moments passed, people started to speak again, my breathing fell back into place and before I could manage to wrap my head around what had happened, my daughter was placed in my arms.
Crying,
Safe,
Here.
Finally.
—-
My care team had explained what happened in that out-of-body moment as a shoulder dystocia. A shoulder dystocia is described as an “obstetric emergency” where the baby’s shoulder gets stuck in the birth canal by the pelvic bone. This event can be harmless with some quick maneuvers by the doctor (as mine was), but has the potential to have dangerous complications for baby, such as nerve damage, bone fractures, and reduced oxygen. This isn’t including the side effects for birthing parents such as hemorrhaging, uterine rupture and separation of pubic bones.
At the time, I didn’t know any of this. I just knew it was a tough moment during delivery and moved on; my baby was here and safe, that’s all that mattered.
At my two week postpartum appointment, my doctor checked in as she “knew shoulder dystocias were traumatic” for both mom and baby, and even asked if my husband was okay. I wasn’t sure what to say – I truly thought nothing of it.
Later, when I asked my husband (who intended to stay by my head but was told to “grab a leg!” early on in delivery and couldn’t look back) if he saw her shoulder get stuck, he said he did. He shared it was a really scary moment and recalled the silence of the room. He told me how quickly the OB acted in a moment of crisis. He said K didn’t look good and – wait for it – that sometimes he had nightmares about it.
I couldn’t believe it. How had this been mentally affecting my husband for weeks and we were just now talking about the severity? How had we glossed over this event during delivery and our stay in the postpartum room? How had my baby faced this type of birth trauma and it wasn’t discussed further?
—-
Flash forward to March of 2023. I am pregnant again and at my first prenatal appointment. As early as I was, my OB brought up the shoulder dystocia again and said because I had experienced that, I could opt for a c-section to prevent another shoulder dystocia, or try to deliver vaginally again and hope the outcome was the same.
I was truly torn. For weeks, I went back and forth on what made the most sense. I had such a beautiful delivery with K; after so many months of fear and deep anxiety, I felt like my labor experience was the final moment of a marathon, sprinting to the finish with everything I had, because that’s what she deserved. It was empowering and beautiful. I will forever be thankful for that experience.
But as I continued to contemplate my options, I thought about Anthony. He seemingly may have nothing to do with this, but at the same time, he had everything to do with it.
When you lose a baby once, you never want to go through it again. You never want to go through it in the first place, but as we all know we don’t get the privilege of that choice.
Here, I had the privilege of a choice.
It came down to this: if I could prevent my daughter from going through pain or an unsafe situation, even if it was at the cost of my own discomfort and fear, I would do it a thousand times over.
I’m not afraid to admit, was terrified. I didn’t love the idea. Not that I judge anyone for having a c-section – quite the opposite. C-sections are no joke. Birth is no joke. But the whole process scared me. It was so different from my previous experience and there was so much I didn’t know (and if I’m being honest, didn’t want to know) going into it. The recovery, the pain, the sterility of it all.
But the thing I never questioned is why I was doing it – because the thought of losing another child scared me more than any operation. The pain couldn’t even come close.
—-
After much thought and consideration, I scheduled a c-section for October 24. The morning of, my nurses were prepping me for the OR. Among the IV pokes and vitals checks, they asked questions. When it came to why I was having a scheduled c-section after a seemingly routine vaginal delivery, I told them about the shoulder dystocia.
“Oh, so was your shoulder dystocia traumatic?” They asked.
“You could say that.” I said.
“Did anything happen to your daughter?”
“No, she was okay thankfully.”
My nurse paused for a second, “so, why have the c-section?”
I was a little surprised at her question. As if she could’ve imagined the thought that went into this decision. “How much time do you have, lady?” I thought to say. Instead, I took a breath and said “I had a miscarriage with my first pregnancy. And when you go through that, you never want to risk losing a child again, ever. So, I felt like this was the best decision to get my daughter here as safe as possible.”
Her demeanor changed. She apologized for my loss and continued to prep me.
I don’t share this story to say my decision was right or “the best.” I think every situation, family, baby, birth experience is different and that it is solely up to the birthing parents on what situation would give them the most peaceful experience that every parent deserves.
I also understand that you can make EVERY CORRECT DECISION for your baby and they can still not make it. It doesn’t change the fact that you are an amazing parent that made every decision out of nothing but love for them.
That being said, it was in that moment – explaining myself to the nurse that would help deliver my third baby – that made me realize how much being a loss parent played into my decision. How truly every decision you make for your family after loss feels more monumental than before.
If I could’ve saved Anthony, I would.
If I knew K was in that much danger during labor, I would’ve fought for her. I suppose I did without realizing it.
This time, I knew I could protect P.
So I did.
Simple as that.
Because that’s what mothers do.
So yes, my c-section was planned.
I was scared.
I was unsure.
But I did it for her.
And I would do it again.
