Thursday, February 5, 2009

The Truth About Labor and Delivery



I read all the childbirth books, watched dozens of home births on youtube and listened to all my friends tell their stories of labor and delivery. And yet, when I gave birth to my daughter, I was caught off guard by all of the things that EVERYONE HAD NEGLECTED TO MENTION.
Lots of these things were deal-breakingly bad, as in, maybe I would have practiced safer sex. Or at least scheduled a c-section.
Fair warning: if you are already pregnant you may not want to read on. But perhaps you want to know, like I wish I had, exactly how gory and humbling and excruciating of an experience you are about to have.
First of all, give up the notion of being stoic or reserved or one of the silent Scientology women when you are in labor. Think instead of the scene in "The Exorcist" when Linda Blair's head swivels around and she drops the f-bomb at the priest. Linda Blair will seem like your charming younger sister compared to you during labor.
"How will you know when you are in labor?" every pregnant woman asks. Everyone answers the same way, that "you'll just know." Which is true. Labor feels nothing like menstrual cramps — it's more like your body being mangled in heavy farm equipment. And if you are lucky enough to have your water break, no, you won't wonder if you have just peed your pants or the bed. You will wonder if you had a water bed that ruptured or if you accidentally sat in a hot tub.
Another thing nobody mentioned: the uncontrollable shitting and puking, which for some people happens simultaneously. Not everyone vomits, it's true, but almost everyone poops out nine months of colon-clogging cravings as they try to expel the baby through the other hole. "Push," everyone in the delivery rooms says, and push you do. My cousin is a nurse and she warned me to give myself an enema before getting to the hospital. Of course it is not feasible for a woman who is nine-plus months pregnant to even see her own beaver, much less give its backyard a bath.
You should probably embrace that poop, anyway, because it is the last one you will take for a long, long time. If you give birth vaginally, you will have hemorrhoids that are so evil that they will scare away any desire to use the toilet for el numero dos for as long as you can possibly stand to hold it. And you will be amazed at how long that is. Hint: If the nurse offers you a stool softener, take it. Then ask her for another.
Oh, and if you want pain relief — and you will — you should know two things about the mack daddy of pain relief, the epidural. First, it is administered through a floppy needle that is not inches but FEET long and which is inserted into your back, and second, it comes with a catheter. The hospital staff is more than happy to give you the epidural and stop your screaming but they are not about to get pissed on while your nether region is comfortably numb.
And just when you think it's all over, it really isn't: You still have to birth the placenta. Don't worry, this is not as bad as it sounds. It's almost anti-climactic pain, like embarrassing yourself in front of your ex after you've been dumped. It still hurts a little, but who cares?

As you may have already gleaned from your pregnancy, your life will never be the same after childbirth. Nor will your body — your vagina, your abdomen, and your ass will never be the size they once were. But the most important life change will be the precious package that you grew inside your belly and birthed between your legs, and although it is cliché to call it a miracle, it truly is. What is also a miracle is how extremely ordinary it is at the same time, because everyone, everywhere came into the world in this same utterly amazing way.
Best of luck.

Wednesday, February 4, 2009

This Is Gonna Hurt

They will lie to you. Your best friends, your female relatives, even your mother will not tell a pregnant woman just how painful childbirth will be.
They'll drop hints about epidurals and breathing exercises. They will use euphemisms like "contractions" to describe a sensation that is more like being run over by a bus, every few minutes, for several hours or even days.
What they don't tell you is that every vestige of civilization will be lost during labor. You will be a mammal, an animal. You may vomit, or shit, and you will not care. You will be too busy grunting and breathing and writhing to try to alleviate the resounding pain that shudders through your body like thunder.
I thought I was a pretty tough chick until I went into labor. I grew up with three brothers and all the requisite torture. I played contact sports, broke bones, had stitches, ran a marathon. But nothing had prepared me for this. And nobody had told me the truth about how much it was going to hurt — although my sister-in-law did reveal that the forceps that the doctor used to pluck her son into the world caused her perineum to tear all the way to her anus.
So let me be the one to break it to you: This is gonna hurt. A lot.

Thursday, January 15, 2009

The Truth is Out There

It was wonderful being pregnant. It is the only time in your life that you can gain 30 pounds and still get smiled at approvingly, even by strangers. I used to wonder why everyone was so nice to me, especially women. Women I barely knew dropped off old baby clothes and frozen casseroles, gave advice and support. People offered me their seats and carried my heavy packages.
I don’t wonder anymore.
Now that I’ve been through labor and delivery, I understand. The quiet camaraderie between mothers and the mysterious chivalry of strangers should have aroused more suspicion in me. I should have asked more questions about childbirth, I should have paid more attention to words like episiotomy and epidural and found out what happened after your water breaks and you frantically drive to the hospital or summon your midwife. I should have read fewer books about being pregnant and more books about giving birth.
But there is precious little information out there about the birth itself, and now I know why: nobody wants to scare women out of procreating and risk the diminution of the human race,
Because the truth is that childbirth is the most excruciatingly painful, horrific and humbling experience imaginable. Scratch that — it is unimaginable. There is no way to truly prepare for childbirth, but I believe that blogs like this and more open dialogue can help.
So no more lies. There is no Santa Claus, those jeans do make you look fat, and babies are too big to fit through a cervix. Much too big.