I often describe M’s birth as “textbook”, by which I mean that it was straightforward and needed no intervention. A long latent phase, followed by 15 hours of labour, 9 at home and 6 in the pool in the hospital. No drugs, very little gas and air (it unfortunately made me sick and hallucinate) and M was born in the water. Straight after delivering the placenta I had to go off to surgery to have a tear stitched – that was the most dramatic part! Slightly annoying that I got the baby out without any drugs and then went straight onto a spinal block, but something I’ve definitely relegated to the “insignificant problems” box since Kaitlyn was born.
M’s birth story has been told over and over again – some of my friends know M’s birth story almost as well as they know their own children’s, and vice versa. Kaitlyn’s story, on the other hand, hardly gets told. No-one really asks about it, which is understandable; before losing Kaitlyn I would have assumed that people wouldn’t want to talk about something so upsetting. But it means I don’t really tell Kaitlyn’s story at all. Some details are stuck fast in my brain and have replayed on loop, in the way that traumatic incidents do, and other whole blocks of the day are complete blurs in my memory. But I laboured and gave birth and so I want to share Kaitlyn’s birth story, as any parent would.
I approached Kaitlyn’s labour with a mixture of confidence, anxiety and dread. Confidence because I thought I knew what to expect and I had managed it before, and besides second babies were meant to be quicker, weren’t they? Anxiety because I really didn’t want to have a bad tear again. Dread because this time I already knew what the pain was like. Second time around lots of people tend not to do NCT classes and the like, and we were no different. I took up the free hospital run antenatal class, and decided to do a short hypnobirthing course to serve as a bit of a refresher – after all, it had been three years, and anything I could do to prevent the dreaded tear was a bonus.
I went into the latent phase of labour at 10pm on 15th November. From the very start it felt completely different to my labour with M. I had actual contractions from the very start, whereas M’s was more of a crampy feeling that built and progressed into contractions. With M I’d had a sweep (not a terrible experience at all, despite some of the things I’d heard) but not with Kaitlyn. I had contractions every 30 minutes or so throughout Thursday night; I did manage to sleep lightly for part of the night, but not very much. The contractions felt different to my first labour as well, much more painful and more in my back and pelvis, not around my middle like I’d had with M.
At the time, S and I were both working full time on a 9-day fortnight, so we took it in turns to have M at home on a Friday. Luckily it was S’s day at home that Friday so he kept M entertained for the day, taking her off to her cooking club and other toddler activities. I spent the day at home in my pyjamas, with contractions every 20-30 minutes or so, and some parts of the day with very little going on for a couple of hours at a time. It was Friday evening that I started to wonder whether things ought to be going a little quicker – at this point the “latent” phase had gone on for almost as long as it had in my first labour. I called the hospital and they weren’t overly concerned. Kaitlyn was still moving around normally so nobody was particularly worried. I described all the ways in which this labour seemed different last time, and the midwife explained that it wasn’t unusual for a woman to have two labours that were completely different to each other. She took all my details and said to call back if anything changed.
Things carried on like this throughout Friday night, with no change. I was starting to feel very tired as I was now on my second night with very little sleep. At 5am on Saturday morning, 31 hours after contractions had started, I had finally had enough. I called the hospital in tears, and they said I could come in for a little TLC and some pain relief if I felt that would help. At this stage no-one had any idea that anything was seriously wrong and I could still feel Kaitlyn moving. So we waited for my in-laws to come and look after M – they’re not local, and the journey from theirs to ours is about 45 minutes. We were so convinced that the hospital were going to check me over and send me home and we wanted M to be looked after with as little disruption to her as possible. As luck would have it, she woke up just as we were preparing to leave the house. As anyone with a toddler will know, once they’re up and about, minutes can disappear as you try and explain what’s happening and extricate yourself from them without issue.
We left the house at 7.45am and called the hospital for the third time that morning (there was an update call at about 7am) to say we were on the way. That particular morning our local hospital were trying to divert maternity services to another site as it was so very busy. Unfortunately this was all happening between 7.30 and 8am. As a result, the hospital called us back when we were halfway there and said that I had to go home again and come back at 10am, because I was deemed a non-urgent case and not in established labour. We asked to be seen at another site, but were told they had the same issues so we couldn’t go there either.
So presented with the choice of sitting around for 2 hours in the hospital without being seen or sitting at home for 2 hours, we chose to go home. We went back in for a pre-arranged appointment at 10am in the day assessment unit. And that was when we were given the news that every parent hopes to go their whole life without hearing, and nothing could ever prepare you for. The day assessment unit midwife (who was, in fact, a truly amazing person) did all the usual antenatal checks (blood pressure, urine test etc) and took my history. She decided to hook me up to the CTG machine to check how the baby was moving. She couldn’t find the heartbeat using the machine, so went to get the Doppler. I felt a wave of cold worry, but told myself to keep calm, it was faulty equipment, just a rubbish machine, no need to panic. When the Doppler produced the same total silence, I knew. Just a tiny, minuscule little seed in the pit of my stomach, but one glance at S told me he knew too. The midwife was helping me off the bed, wrapping a sheet around my middle, walking me briskly to the scan room. I started to cry. She told me not to worry, but I think she knew as well. The scan room was dark, as if we were the first people in it for the day (which perhaps we were), but the machines were on and ready to use. I lay on the bed and silently prayed, begged in my head that some force would intervene and reveal a heartbeat. But instead the worst words I have ever heard: “I’m so sorry, I can’t find a heartbeat.”
Blurs and impressions follow. A consultant obstetrician, a kind man; I recall him trying to talk to me but I couldn’t hear him over my sobs. He left. I remember calling my mum, having to find the words to tell my own mum that my baby had died. There were no words, so I took a deep breath and just said it. “Mum, she’s gone. My baby has died.” S calling his mum. Moving to a quiet room. S calling our closest friends, the only other people who knew what had been happening since Thursday night. Little snippets remain in my memory, like a montage that plays round and round. Then we were taken up to the bereavement suite, called the Butterfly Suite.
This will definitely sound odd – I actually have a positive impression of our care from then on. I was looked after by two of the most amazing, compassionate people I have ever come across, who stayed with me for the next 7 hours until Kaitlyn was delivered. Their kindness and competence got us through the most difficult thing we have ever had to go through. The Butterfly Suite was completely removed from the main delivery unit, so I did not once in my whole labour hear another woman giving birth or a newborn baby cry. Unlike in a lot of cases, I was already in labour so we had no time at all to process that Kaitlyn had died, no days in between the scan confirming her death and being induced. We were thrown straight into things. At 2.30pm I remember a midwife confirming that I was 5cm dilated. The next 3 hours are a complete blank in my mind, I have absolutely no idea what happened. I was given a patient controlled morphine drip; I have always thought of morphine as a pretty powerful drug, but it honestly didn’t touch the pain, it just made me feel like I was completely drunk. I think my brain had utterly given up and had no idea how to help my body through labour. That said, I did use a lot of breathing techniques picked up in the hypnobirthing classes – they didn’t help the pain, but they did keep me calm, a bit more focussed and able to keep labour in progress. At 5.30pm, completely exhausted, I had an epidural. By then I had been having contractions for 43.5 hours.
Things became significantly calmer at this point. I could physically calm down, and think ahead to the moment when I would meet my baby. The moment of Kaitlyn’s birth was calm and peaceful, just four of us in the room, with very little noise. We were asked whether we wanted to see and hold Kaitlyn – I was absolutely adamant that I did. The midwife suggested putting the screen up and letting the team check Kaitlyn over before we saw her, which we agreed to. In the moment she was born, I prayed again, this time to hear the sound of her crying. I held my breath and listened as hard as I possibly could, but of course the sound I longed for never came. When Kaitlyn was handed to me, she was absolutely perfect, beyond perfect. She was wrapped in lovely blankets, with her beautiful head of thick, dark hair poking through. S and I both exclaimed at the same time that she looked exactly like M when she was born; Kaitlyn’s hair, nose and lips were completely identical, even though her lips had already started to darken.
I held my baby and cuddled her to me, cradled her, talked softly to her and told her how beautiful she was and how much we loved her. Things were going on – I had an injection to deliver the placenta, drugs were administered, I had a tiny insignificant tear that was sutured. I don’t remember any of it, I’ve taken all of that from my hospital notes. All I remember is holding my baby girl, marvelling at her and giving her her name, Kaitlyn Anya, which we had chosen months before.
My baby was here, after months of looking forward to meeting her. We had been through labour together. My heart exploded with love, and then broke into a million tiny pieces at the sadness of not being able to keep her with me forever. I watched my husband’s heart break too, and wished I could make everything better for this amazing man who had got me through the most difficult feat of my life. I can’t look back on my labour with any kind of happiness, but I can be glad of the decisions we made for mine and Kaitlyn’s labour that day. By the time we could stop and rest it was late, I was exhausted, whoozy, had thrown up lots and couldn’t feel anything from the waist down. With help I settled into the strangely homely bedroom of the bereavement suite, with my baby in my arms, lying the way that I had with M all those months (years, in fact) when she wouldn’t sleep. After many, many tears, wonderful care from the new midwife (who came on shift 10 minutes after Kaitlyn was born) and a gratefully received sleeping tablet, we fell asleep together, as any parents and their new baby should.