A baby story: Georgia Grace

The Summary

At 9 pm my mom told me not to go into labor, so of course, I did. Because I'm contrary-wise, I guess. 

By 10:45 pm the midwife had arrived and I was in the birth tub.

At 12:50 am my water broke and I pushed out a baby by 12:55am, June 10. 



The Baby Story

Every baby is a twinkle in God's eye before her parents ever think of her.  

Last June, since we had only retirement, a new job, a damaged house, a move, a larger homeschool, triathlon training, new extra-curriculars and preparing the twins for college to occupy us, we realized it was the perfect time to be open to life, and in our Christmas letter we joyfully shared that, God willing, the newest May baby would be born at home in early June.

This pregnancy was about us being open to God's plan for us which became a running joke during the final months. Whenever the pain of my huge belly became overwhelming and I allowed myself to ask with a note of unhappiness, "Who thought this was a good idea?", Bill would mischievously say, "I thought we were being open to God's will?" to which I would respond, "Blah, blah, blah, I'm over that now."  

When did labor begin? It's hard to say. If you are a clock-her-contractions-because-5-an-hour-means-labor person, I was never in labor. But, for a few weeks before Georgia was born, I was woken up in the night by stomach upset, shakes, hot flashes, and occasionally a contraction. That was pre-labor.

A few days before Georgia was born, the midwife came over and did my first cervical check, and I was at 5-6 cm dilated. Hooray! And that was it for the next few days. I might have a few hard contractions in the late afternoon, text the midwife to which she always responded, "I'm ready!", and then at bedtime, I would text again, "Everything stopped. I'm going to bed." 

On Friday, the night of Game 4 of the NBA final, the twins were at work and the rest of us were excited to watch the game. At 9pm, I settled onto the birth ball in hope that it would help. As soon as the Star Spangled Banner was over my mom said, "OK, you can't go into labor now because it's time for basketball." Pretty much immediately I had a contraction where I felt like my bag of waters bulged out to my knees. I quietly got up and texted the midwife. 

I thought it was going to be another false alarm but at the same time was really nervous about going to the bathroom, so she came over to check on me. Somehow, that made it all feel really real, so Bill and I bumbled through putting the car seat in the car and pulling out the birth tub. I remember telling him, "It's not too bad, don't worry about it yet" and him ignoring me, thank God, because by the time it was set up I was more than ready to get in. 

There weren't many contractions really, I feel like about 10 total but can only remember having 4. When I climbed into the tub, my body immediately relaxed and the tightness in my lower body eased. I bopped around for a while and then had one memorable contraction. At some point I asked where Maria was and Bill went to get her. Later, I felt a pop high in my abdomen. Was this my water breaking? There was no instant relief from the release of pressure like usual, but we could see discharge in the tub water, so yes it was. 

The next contraction was incredibly painful. On my hands and knees I gripped Bill's hands and pushed as hard as I could, but I knew it wasn't enough. I could feel that the head had not moved to the widest point which would allow the baby to slide out. As the contraction faded, I could feel the head begin to slide back up, so I quickly pushed just enough to hold it in place. I didn't want to lose any ground I had gained. 

The next, the final contraction hurt worse than the one before. It wasn't the achy pain of the contraction that I felt, it was the sharp pain of the head stretching me that hurt so much. I pushed and clawed my way up Bill's arm and begged, "Help me, Jesus!" until I finally felt the widest point of the head push through, but there was no relief that I had come to expect. The baby's head was delivered, but the pain had not subsided. I moved backward into a sitting position and begged the midwife Mary Carol to deliver the baby. She says she used the techniques to deliver a baby with shoulder dystocia, but it was hardly necessary. With gentle manipulation on her part, the baby was finally delivered. And the pain continued. 

As I asked, "What is it?", Mary Carol announced we had a girl, lifted her onto my arm, and despite the pain, I chose to tell our sweet new baby, "Oh, little one, I love you!" 

Then I started to beg for Mary Carol to get the placenta out. And where was my mom? 

Bill woke my mom and brought her in, Mary Carol gave me a shot of pitocin, and the enormous placenta was finally delivered. 

As planned, Bill held Georgia while Mary Carol helped me move to the bed to make mananging a post partum hemorrhage easier. But there wasn't one. We were able to simply rest and recover. 

"Rest and recover". That sounds so peaceful, but I'll be honest. The pain of uterine massage and the pain of having delivered a 10 lb 3 oz baby lasted a long time! I told Bill, "Let's never do this again." 

But really, she's so worth it. 

When all was quiet, Georgia was gently nursing at my breast, and we were all ready to wind down for bed, I asked if we could pray a rosary. I wish I had a picture of that moment. Each of us finding a rosary close at hand. My mom starting us with a prayer of gratitude for a safe birth. Mary Carol sitting at the foot of my bed, her well-used rosary in her hands. Bill leading us in prayer. That was a perfect moment where we all were able to pause together and appreciate God's plan and His goodness.

Thoughts on post-partum hemorrhage (PPH)

These are my thoughts on how I've chosen to homebirth despite having had PPH and how I try to reduce the chances of having one. It's certainly not medical advice but merely what led me to research evidence-based solutions since the solutions I was offered didn't add up to me. Pray and do your own research. What is an acceptable risk for our family may not be for others.

I'm thinking about post-partum hemorrhage again. Of all my birth experiences, this was the most scary because seeing and hearing your blood pour on the floor makes you terrified that at some point someone won't be able to make it stop. And your husband will be left with all these kids. And the baby won't have a mom. And you'll be dead.

I had PPH with at least baby #7, a miscarried baby, and baby #8. With baby #9, I did not hemorrhage.

Except, I haven't died from it yet and I've had at least 3 PPHs. Knowing that, and thinking about my experiences has led me to consider if it would be possible to prevent PPH rather than wait for a provider to stop it after birth.

Four years ago I started to research uterine atony which is what leads to PPH. This is what I learned: 1. It is common in moms of lots of kids and it happens because the uterus is a muscle and it gets tired from having so many babies. There are other causes, but this is *my* risk factor.
2. Moms who don't give birth in a hospital are putting their lives at risk because they could bleed out before they have adequate treatment for PPH.
3. The way to manage PPH is for a doctor is to actively manage the delivery of the placenta.


I believe that birth is designed by God and that it is really designed to work correctly most of the time. If it weren't, the human race wouldn't have survived until doctors started being involved in birth in the 1800s. Of course, it doesn't work perfectly every time because there is sin in the world, but overall, when you look at the number of baby humans on the planet, I think we can say there is a good design there. This is what first led me to questions whether what I was reading about uterine atony was completely true. Why would the uterus be the only muscle in the body that gets worn out with use that is at best infrequent? My kids are approximately 2 years apart. So using my uterus for 9 months and then resting it for a year is supposed to be wearing it out and leading to PPH? I use my heart every day and it doesn't tire. If I want to build my other muscles, I use them more, even to the point of muscle failure, not less. If God designed birth, He wouldn't have designed it so it would kill the mom when she has more people to depend on her, would He? I don't think so. And it doesn't make sense that the uterus would work in a completely opposite way from all the other muscles in our bodies. That just doesn't make sense to me.

I think women should have babies in the most medically appropriate environment. Low risk women should be free to have a baby at home. High risk women should have the level of medical care they need. When I had twins, I gave birth in a hospital operating room so that I could have an emergency c-section if necessary. That was medically appropriate. They had great care they needed. Ironically, guess what? The anesthesiologist showed up after I had delivered 2 babies and my placenta, everyone was cleaned up, and I was being wheeled back to my room. That made me think about how responsive a hospital is. 

Years later, I had to have my miscarried son induced. He had died a few weeks before but wasn't delivering. I had a Cytotec induction (google that for scary birth and hemorrhage stories) and shortly after he was born, the nurse and I heard a sound like a faucet on and water pouring on the floor. I sat up and the sound went away. We looked around but didn't see anything. I lay back down and the sound came back. Then the nurse lifted my bedsheet and we saw a huge puddle of blood on the floor. (One thing to remember about blood is that it always looks like a lot!) Doctors and nurses came in, my IV was opened to give me fluids, started manual manipulation of my uterus and swept for retained placenta (ow), and gave me pitocin to help my uterus clamp. This was about 3 am. I don't know how long it took them to control the hemorrhage, but it felt fast. I was kept on IVs but wasn't given anything to eat. At 8 am, I was told they had decided not to give me a blood transfusion, removed my IV and told me not to drive home. I did because there was no one to take me. What I reflect on here was how they managed the PPH: IV, pit, manual manipulation. When I had a home birth, my PPH was managed in the exact same way. Also, notice that the blood transfusion was discussed and rejected 5 hours after the PPH, not as it was happening or in the time frame it would take to drive from my house to an ER. These made me wonder if a hospital really *is* safer than home with a trained CNM who carries pit and IVs in her bag?

As I healed from that  I had a friend tell me her PPH story. As she lay on the table bleeding, she looked to the nurse and asked if she would be ok. The nurse sorrowfully looked her in the eye and said, "I can't tell you that this will turn out ok." But she was in a hospital! I had been told that was the place to be because then I wouldn't die! Except, I know and am ok with the fact that we will all die at some point. I just really hope it doesn't happen during birth. Paula's story again made me consider whether a hospital was the most medically appropriate place for me to be when I gave birth again.

Fast forward 11 months. After doing a risk assessment and deciding to home birth the next baby, I give birth in a tub in my breakfast nook.

You can see the blood in the water. 

My midwife and I had discussed the PPH treatments many, many, many times so I would be very comfortable with how it would be managed. And they managed it exactly like the one in the hospital. There was no extra technology in the hospital. The midwife had the exact same tools: pitocin, IV, manual manipulation and sweeping. The whole birth story including my PPH is here. What I didn't mention is that when they moved me to the bed very quickly after this picture so the treatment was done there.

The rest and good food and environment at home helped me recover and feel better than I had in previous pregnancies. This was the first time Bill really understood how to care for me post-partum, how to keep the kids away, how to let me just rest and nurse the baby and eat and drink. My recovery and all around experience was great. 

But with the next baby I wanted even better. I wanted to have a baby at home. I wanted to *not* hemorrhage. I started to research what causes PPH. Medical answer: having lots of babies and wearing out your uterus so it won't contract correctly. I started to try to find a way to prevent it. medical answer: you don't prevent it. The doctor just tugs out the placenta and gets pit into you and deals with the PPH. Hmmmm.....

So I come back to my original thoughts. God designed birth to work and designed women to be able to have many babies. If this is the case, I do not believe that He would design the uterus to stop functioning in a dangerous way as a woman has more children. This mindset is wrong to me. Also, I truly believe women should be able to give birth in the most medically appropriate setting, not feel threatened or pressured by the overused "because you will die" argument or by insurance companies. If a PPH can be managed at home with the same tools as a hospital has, homebirth is a viable option. If a mom feels more secure in a hospital setting, I understand that too. I just don't think a hospital is necessarily the only answer. And doctors actively managing PPH is really only reacting to a situation. I truly believed in my gut there must be a way to try to prevent PPH. Also, the more I read, the medical advice for a doctor to tug out the placenta can actually lead to PPH because it can cause the placenta to tear and leave pieces in the uterus. There is actually a correct way to tug out the placenta and it takes finesse on the part of the provider. Tugging out an **attached** placenta (Which I've had done) can be dangerous. Tugging out an **unattached but undelivered placenta** allows the blood to flow out and the provider to assess whether a hemorrhage is happening. If one simply waits for the placenta to deliver, it can act like a plug, allowing blood to build up behind it but keeping the provider from being able to see the hemorrhage. Sweeping the uterus during a PPH is done to remove any pieces that might be there. My midwife had the completely opposite approach of allowing the cord to stop pulsing before cutting it and then allowing the placenta to deliver itself. My new midwife does the finessing the placenta out method. These thoughts led me to find what could help prevent PPH. 

The first and most important piece was faith. With faith and knowing that God would take care of our family whatever happened, Bill and I were able to go into this birth with very little stress. Also important to avoid PPH!

In the end I collected articles on a Pinterest board and started drinking smoothies with ingredients intended to help prevent PPH and made a plan with my midwife. It worked! With Lydia I did not have PPH. The smoothie recipe and story of Lydia's birth is here.

Here we are 3 years later. We are planning another homebirth in a new state with a new midwife. I'm rereading my articles, tweaking my diet and praying. And I feel at peace.

Anti post-partum hemorrhage green smoothie

About 6 or 8 weeks before my delivery date, I decided to get really serious about seeing what I could do to avoid a post partum hemorrhage. This was pregnancy #10 and I have had serious hemorrhages several times before. I was already trying to follow the Brewer pregnancy diet and drink lots of water as a part of a healthy pregnancy diet. But the biggest change was that I drastically reduced my coffee and all caffeine intake*, and I refined the goodness in my green smoothie.

This smoothie became my morning staple. Alfalfa, kale, and chlorophyll all work to build red blood cells along with the Floradix iron supplement. Red raspberries are similar to red raspberry leaf and so are good for uterine atony. Vit K is good for clotting. I added cream or yogurt because Vit K is a fat soluble vitamin and there was no other fat in my morning food and because it tastes good. The banana and pineapple juice were simply to make it sweeter and bind the ingredients together. 

Anti Post-partum Hemorrhage Smoothie

Drop 4 alfalfa pills in bottom of blender

Shove blender full of kale--ribs removed

Fill bender halfway with pineapple juice

Blend until smooth

Add 1 banana and a bag of frozen raspberries and blend until smooth. Add water to thin.

Pour into a 12 oz glass.

Add to the glass:

1 tablespoon liquid chrolophyll

1 tablespoon Liquid Vitamin K

2 tablespoons Floradix iron supplement

1-2 tablespoon  cream of full fat yogurt

Sugar to taste if it wasn't sweet enough

After a few weeks, I accidentally cut my arm. I usually have a tendency to bleed, wipe, bleed, wipe, bleed more.....this time one little dot of blood welled up on the cut and stopped. It turned a deep red and made a scab. Ok, that was so new to me that I told my midwife about it. We laughed, but it really impressed me.

I must also add that I know my spiritual preparation gave me peace and clarity as I was working to improve my diet. My brother gave me Anointing of the Sick and I asked lots of people to pray for my uterus to heal. One friend made a real sacrifice and offered it for a safe delivery. I love my friends and God has been very gracious to me. I feel His hand and the guidance of the Blessed Mother in this pregnancy and delivery. 

*I usually drink at least 2 very dark cups of coffee everyday and am not super worried about how much chocolate or other stray caffeine might sneak in during the day. To be clear, sweet tea and sodas are very unusual, which is why I don't stress if they slip in occasionally. However, I read that caffeine might play a role in PPH, so I became vigilant. I reduced my coffee to less than half a cup a day and all other caffeine went from being unusual to rare. Since caffeine inhibits absorption of other vitamins, I think this was as critical as the smoothie.

The rest of the story:

When I delivered the baby, I did a home waterbirth. The CNM midwife and her RN assistant started preparing for the birth by laying out the meds like Cytotec and Pitocin  and there was an IV bag hanging near the sofa bed. We agreed that after I gave birth, I would take an oral Cytotec and get out of the tub to deliver the placenta in the bed which would make it easier for bimanual compressions and the other things if they were needed. She does not manage the delivery of the placenta as that contributes to PPH.

There was quite a bit of blood in the water after the baby came, so after a minute or so I told her I was ready to get out. I walked over to the bed and lay down holding the baby. I delivered the placenta, and we waited. And that was it. She threw away the IV and meds before she left.

 My bleeding has been the lightest ever, my milk has come in amazingly fast and full, I feel great...and I'm still drinking the smoothies!