Thursday, April 26, 2007

Double Happiness, Part II

(continued from Double Happiness, Part I)

Midwives are required to stay with the woman for two hours after the birth to monitor vitals and generally ensure everything is OK. Knowing they'd be around for a while, my mother and I prepared food and tea, a small spread of crackers, cheeses, fruits and snacks and fresh baked pizza.

It's funny - everyone said they weren't hungry, but after cajoling them for a bit, they dove into the food with gusto. I split my time between our guests and my wife and new son for a short time, then, once my mother had everything in hand, I quietly shut the door to the bedroom and my wife, son and I had some more quiet time.

Newborns, as I've mentioned before, are not pretty in the conventional sense. In fact, for a few weeks after the birth they still look like wizened and somewhat plump old men ("men" specifically because they look like they're balding). I'm going to assign "Kenshin" as my second son's moniker - it was one of the Japanese names we considered for him and later rejected. Kenshin sometimes reminds me of Churchill. We gazed at Kenshin, the product of our love and nine months of Marli's body protecting and nuturing this tiny new life. Briefly, it felt unreal, like somehow the past few hours of pain and anxiety hadn't really happened, and this bundle of flesh and needs didn't belong to us.

Eventually the midwives interrupted our musings - it was time for another brief status check, and I took the opportunity to fulfill a promise. Six months before, when we had found out that Marli was pregnant, we went to a place called "Fran's" - a 1940s era diner on College west of Yonge - to celebrate. While there, Marli happened upon their famous rice pudding and suggested that when the baby was born, she would love to have a Fran's rice pudding as a special reward.

So it was, at 7:40 on a Monday night, I left the house to go get Fran's rice pudding. Since the midwives are typically supposed to leave two hours after the birth, I said my goodbyes, expecting them all (with the exception of my mother, of course) to be gone when I returned.

I walked into Fran's fifteen minutes later feeling lighter than air. I ordered two rice puddings and a cheeseburger combo (Marli having assured me that she didn’t want anything). I couldn't help telling the server about my good fortune. Two sons! She asked me a few questions - when? Which hospital? At home? Really? How is your wife?

I mentioned that Marli had specifically requested Fran's rice pudding as a treat. She seemed pleased. I tipped her exorbitantly (especially for a take out order - hey, share the happiness, right?) and left for home.

Another quarter of an hour later, I was back home. The midwives were still there - there was a small detail that they were waiting on before they could go. I delivered the pudding to Marli in bed and tucked into my meal, feeling pretty peckish myself.

Once the midwives were satisfied with the situation, they packed up. Another round of thank-yous and goodbyes. I chatted briefly with my mother afterward and then she too packed up her gear to go home. I couldn't (still can't) thank her enough.

So we were left as our own small family (again minus, for the moment, Daigoro, who would return the day following with my parents-in-law). I considered the life experiences that would be lost as the result of not having a daughter, but also all the joy that two brothers could have together.

"A boy should have a brother," Marli said.

Double happiness. A Chinese phrase usually seen at weddings, probably not appropriate for a birth, but it sounds fitting. I've recently been learning Chinese characters while picking names for Kenshin, and I looked up the character used in the "double happiness" character. It's the character for a drum, superimposed over the character for a mouth. Song and drumbeats - music. Happiness. Twice over.

Seems like the blessing of two sons to me.

Thursday, April 19, 2007

Vignette: Protecting Mother

Occasionally Daigoro exhibits behaviour which is interesting but probably doesn't require a lengthy blog entry. I'll prefix these short episodes and snapshots with the title and tag "Vignette". This first vignette occurs a few months ago, in early February or late January (I believe):

Daigoro was accompanying Marli on a trip to the midwives. He was happy and inquisitive throughout the visit, as is his usual manner. However, when the midwives asked to examine Marli's abdomen and palpate the uterus, Daigoro became more and more upset as they poked and prodded his mother's swollen belly. Finally he couldn't take it any more and actually flung himself between their hands and mama's stomach, apparently in an effort to protect her.

Pretty impressive, when you think about it - an twenty month old child trying to bodily intervene to protect his mother from two other women easily twice his size and four times his weight. It brings to mind of images from mythology of young children or animals protecting their injured or fallen parents. Instinct or love? Hard to say, but touching either way.

Wednesday, April 11, 2007

Double Happiness, Part I

What words can possibly describe the experience of a new birth? My wife mentioned to me recently a saying (she couldn't remember the source) which went something like this: "People who don't believe in God usually haven't attended a birth." It is a miraculous experience. To try to document such an event with mundane descriptions seems almost to belittle it. But even a few years can dull the memory of the experience, so it's best to get it written down while it's fresh in my mind.

Easter Monday began quietly. Although Marli had been having sporadic contractions throughout the weekend, we felt that it was reasonable to invite my parents over to visit - both wanted to spend some time with Daigoro. We were having a relaxed visit, chatting with my parents and playing with Daigoro.

After Daigoro went down for his afternoon nap, my mother settled into some knitting while my father decided to take some time to get to know my musical tastes by listening to shuffled songs on my iPod. After 3:00 PM, my wife called me from the bedroom and quietly informed me that "it looks like we're having a baby today." Her water had broken not too long before. In fact, she had been chatting with my parents just a half an hour earlier when the stronger contractions had begun, and she intentionally concealed her discomfort in order to not get my parents overly excited just in case things didn't progress. I went out to tell my parents, who were delighted by the news. We had planned a home birth with midwives, so we had a lot to do.

We started making preparations. Daigoro woke up not too long afterward, so we bundled him up so that my father could take him to my parents-in-law's house. My wife prefers more privacy when she's in labour, so there was some urgency in getting my father and my son out of the house that I didn't communicate well initially. My mother had volunteered to provide support during the birth with hosting and other duties not directly associated with birthing. After they were safely on their way, the midwives arrived shortly after 4 PM.

My wife has had medical training, so she had recognized a potential problem - there was meconium in the ammniotic fluid (I'll hold off on describing exactly what meconium is for the squeamish - if you want to know, look it up). This can cause several complications if the baby has aspirated any of it, so as part of the protocol they would need to call the paramedics so that they could intubate if necessary. The alternative was to go to the hospital. After a consult and a few more checks, the midwives and my wife decided that it would be safer for all concerned to go to the hospital.

I felt disappointed - we had planned on a home birth for many months - but safety had to come first. I grabbed the hospital bag my wife had prepared as well as a bag with my own personal items and prepared to go to the hospital while the midwives checked my wife one more time. Unfortunately (or fortunately, depending on how you look at it) her cervical dilation had increased from 5 cm to 7 cm in the short time that it had taken us to make the decision to leave (less than 10 minutes). The baby wanted to be born soon, so we shifted gears once again, dropping the bags and preparing to call the paramedics as we got closer to transition (the transition from strong contractions to the final stages of pushing - the last few centimetres of cervical dilation). At this point it was almost 5:15.

Things were progressing quickly. Marli's contractions were strong and spaced less than five minutes apart. I was told to stop timing the contractions as we got close to 5:30, and the paramedics were called. Firefighters arrived within five minutes (briefed quickly by one of the midwives on the precautionary nature of their presence) and paramedics shortly thereafter. Marli by this point was quite close and the pressure was strong and difficult for her. She prefers neither to be touched nor talked to when in pain, so I stood by, ready to assist, but mostly silent, especially during contractions. The paramedics (and the firefighters) wanted to be in the room, but they were respectful of the midwives instructions and remained outside. I was told later by my mother that two of the younger firefighters were somewhat unnerved by Marli's "vocalizations" and left to sit in the truck outside.

Marli hates to labour on her back, but unfortunately her discomfort made it difficult to get her to adopt a new position. Words of encouragement and rational explanations didn't quite seem to cut it; Marli said afterward, "it was like the cooperative part of me just shut off." The students were quiet and attentive, taking fetal heartrates at the correct times - the heartbeat was strong and steady as I heard it - rapid squishy thumps sloshing out of the Doppler like someone operating a plunger in a slushy machine.

Soon it came time to start pushing, around quarter to six, and we had to "help" Marli adopt a slightly different position on her side, with two people on the upper leg, another on the lower and two more "in the slot" (to use a somewhat appropriate military/hockey term). It was obviously uncomfortable for her, but it was pretty necessary as far as I understand.

To prospective natural childbirth coaches: the period immediately prior to transition seems to take forever; be prepared for this. To be with your wife/lover/friend/daughter (whatever your relation to the mother) in quite severe pain is difficult - there's not a whole lot you can do. People endure pain in quite different ways, of course. Marli vocalized quite loudly - not panicked screaming, but certainly sharp and urgent. She describes the worst of the pain as feeling like your pelvis is being pulled apart, which of course is pretty much what's happening. It's hard to relate to this kind of pain when you're male - the only thing I can think of is that if you can imagine the worst joint lock you've ever been in, but continuously for a long period without relief. Translate this pain to your groin and pelvis area. Now, add to this pain the worst sensation of being "blocked up" you can possibly imagine. Now amp that combined pain up a few notches and throw in whatever cramp and muscle pain that you usually get from taking any uncomfortable squatting or sitting position for more than a few minutes.

Yeah. Ouch. That's one of many reasons why I'd never begrudge a woman the decision to not have a drug-free birth experience.

I could see the pain and effort in her eyes and face, but I could also see the strength. She wasn't panicking. I love my wife.

Marli was pushing in earnest now. There was a sense of urgency in the room, but also a quiet professionalism that I had to admire. A few unpleasant details I'll leave out of this narrative, but suffice it to say that birth is a messy experience; fortunately Marli had expertly prepared the bed to prevent staining almost a week before. Just before six the head was starting to show - the midwives quickly checked the cord and cleared it from being in a dangerous position (wrapped once, loosely), a minor complication but one that I was thankful for experienced midwives to deal with it. It seemed to take somewhat longer than normal for the crowning to finish. As seconds ticked into minutes, the situation became a little more serious, if not critical. The midwives worked their magic, using a combination of manipulating the baby and mama's legs (not without protest) to get the necessary room. The head crowned just after 6 PM, but there was also a short period where we were unable to get the rest of the shoulders and body through. With some effort, our son emerged at 6:04 PM on Easter Monday into the waiting hands of his father. I held him for a moment before placing him on his mother's stomach while the midwives quickly cut the cord.

My new son was a pale grey-pink and somewhat floppy as he was whisked out of the room to the kitchen table we had set up as a potential resuscitation table. The paramedics stood ready to intubate, but as soon as they began to suction, he coughed and began to cry.

I had remained in the room with Marli. She was already apologizing to the midwives for being "uncooperative" during the birth. I quickly ducked out to find out our son's status. Seeing the midwives already towel-cleaning a crying newborn, I knew that I would be able to tell Marli our son was going to be OK.

One of the paramedics looked over at me and asked, "How's daddy?" My wife often observes that with all the focus on the mother and child, fathers are often overlooked during a birth. With all of the emotion of the minor complications (potential aspiration of meconium, awkward cord position, prolonged period to crown and deliver the shoulders) I felt that I had to maintain a calm exterior. Now that need for composure was gone, I found myself suddenly brimming up with tears of joy, "Fine," I said roughly, "I'm fine, thanks."

I returned to the room to update my wife. A minute or so later, after the midwives had a chance to clean up the baby and do a few checks, they returned our son to us. Already he was a much healthier pink, crying and looking about with dark, almond-shaped eyes.

While the midwives worked around us and in the adjacent room with the much-appreciated aid of my mother, filling out paperwork and generally cleaning up, Marli and I enjoyed a brief quiet moment with our newborn son.

(to be continued in "Double Happiness, Part II)

Thursday, April 05, 2007

Standing at the Threshold

I have a personal fascination with human memory. One of the aspects of memory which I always find interesting is the capacity for human beings to forget how painful or difficult a particular episode or period was. Which is not to say all memory of the incident or time is completely forgotten, but you never recall fully how painful something is after the fact. For example, I remember that the pain of breaking my collar bone in a biking accident when I was 24 was quite intense, but when I remember the incident, no matter how hard I try, I can't evoke the sensation of pain exactly.

This is a very "good and sensible" thing, if you think about it - people would be collapsing in pain every time they thought of a previous injury. Similarly, women might really think twice about having children a second time around. Perhaps you have injured yourself a second time after receiving a painful injury previously and thought to yourself "oh yeah, that's how that felt." Now imagine that with the pain of childbirth. Nostalgia is a useful (and sometimes dangerous) thing.

Quite aside from physical pain, there is the difficulty of mental or physical stress; which brings me to the main thrust of this post - we're expecting our second child any day now. We're about to go through the whole rigamarole of sleep deprivation, which I touched on in a previous post, all over again. This time, we'll have the added challenge of a toddler.

One co-worker has commented to me that marriage is a change in your life, but relative to having your first child, it is quite minor. He then went on to compare the jump from one child to two as being a seismic shift similar in magnitude.

So here I stand on the threshold of another portal, looking back at the path that has lead me here, and peeking through to the paths beyond. I feel both elated at the ground we have covered so far, and daunted by the unknown terrain ahead.

Daigoro is steadily improving his vocabulary. Every day he seems to be able to apply the correct new word to an object or action. Marli and I find ourselves increasingly unsure if his new discovery is as a result of one of us specifically teaching him or Daigoro just picking the word up on his own. He is growing emotionally as well. This morning I watched with fondness as he lay down beside our cat and stroked it gently. He seemed pleased to be able to interact and be gentle with the cat, to which the cat responded with a few licks and purring. When the cat became a little impatient with Daigoro's attentions, he gave Daigoro a gentle bite, which cat owners will recognize as being playful as well as cautionary in different situations. Instead of reacting fearfully, Daigoro withdrew his hand and said, "kitty, no biting," not angrily, but as a loving parent might chide a wayward child.

Similarly, Daigoro has in weeks past displayed touching moments of empathy; pulling a blanket over a stuffed bear for warmth, wanting to help put a diaper on a baby doll. He almost always reacts positively to images of babies, smiling and pointing with delight. While I'm sure that his reactions will change as a new baby begins to live with us 24/7, I'm also satisfied that he's emotionally well-adjusted enough at the moment that he should be able to adapt well.

We're heading into Easter weekend, a celebration of a great transformation - an unimaginable leap from one state of being to another. A very appropriate time for a second child to be born.