One month: We made it!

Matthew and his one month accomplishments!

With each baby I remember my mother-in-law's advice to circle the date on the calendar a month after the baby is born. That way in the dark times during the first month when nothing is right, you can look at the calendar and know that at that point, almost all the problems you're facing will be resolved. It has been great advice.

February 2014 will be known in our memories as the month we all made it through (barely). 

Matthew was born an incredibly healthy baby, praise God! He also naturally put himself on a schedule of being asleep for about four hours and awake for an hour or two. We can work with that kind of schedule. I had to get stitches, which I wasn't happy about, but which I was also pretty much expecting. Our difficulties the first couple of weeks mostly involved my recovery. (Spoiler: getting stitches down there is not fun at all and kind of affects everything you want to do, including sitting up, moving around, and walking.) I seemed to be getting better, and then something happened at about two weeks and suddenly my stitches started pulling and stinging. It was so discouraging, since stitches are easily my least favorite part of recovery. I talked with my midwife about it and she said that because of the way she'd had to tie the stitches, they might not have dissolved and may need to be removed. That elicited one of my two breakdowns during our first month. I just broke down and cried at the thought of anyone having to mess with my stitches at all. It probably had nothing at all to do with post-pregnancy hormones. ;) Thankfully, a friend read that I was having problems and stopped by with a bag to help me feel better. It had cold packs, homeopathic arnica montana tablets, a donut pillow, and an herbal sitz bath mix. I could have cried. It was so amazing! I used those for a couple weeks straight and miraculously one day the pain and stitches disappeared. It was such a blessing! That was something I really really wanted to heal up on its own. I'm so glad no one had to look at it or mess with it. 

Breastfeeding was also, pretty much as I expected, excruciatingly painful. I'd describe it as being stabbed repeatedly in one place over and over again. In addition, I managed to develop cracked nipples on both sides, which just made it, if possible, even more painful. I only screamed once. I only broke down sobbing once because I wanted to feed a crying baby but just couldn't face the pain. Mostly I just bit down on a rag and tried to bear it. When I developed cracks, I decided to give myself a break for about ten hours, so I just pumped and fed Matthew from a bottle during that time. After that, things got better very quickly. By about two weeks, breastfeeding was definitely bearable, and mostly painless.

Then The Cold hit.

Not the weather- no, that comes later. Liam was the first to come down with it: a productive cough even

Sick and tired Liam.

though he didn't seem to have a runny nose, and what he indicated was a headache. He was whiny and clingy and generally miserable. A couple days later, the runny nose appeared along with a high fever of 103. The fever (between 101 and 103 degrees), runny nose, and stomach upset continued for FIVE DAYS. Poor little guy just sat miserably on the couch not moving and barely keeping his eyes open the whole time. He tested negative for influenza, so as far as we could tell, he just got the worst cold ever. Three or four days after Liam got sick, Diana and I came down with the cold. Thankfully for adults it just seemed to involve a sore throat, headache, runny nose and cough. I was happy to get sick because I hoped as an EBF (Exclusively BreastFed) baby, Matthew would avoid it entirely that way. Unfortunately, it was so contagious that at the tender age of two weeks old, Matthew ended up catching it too. He didn't get the fever (thank goodness!), but he did get a runny nose and most unfortunately, a cough. It was so sad to watch a little newborn having painful coughing fits. It caused him to spit up more often than he usually did. Thankfully, he still kept gaining weight. But they definitely seemed to bother him. He snuffled and coughed and choked during the night so much that we got another humidifier for our room and put him to sleep in his swing for a couple of weeks until the drainage was mostly gone.

At the same time, there was an unusually heavy snowstorm and we ended up with over a foot of snow at our house and no way to really get out. Imagine, if you will, two sick, sleep-deprived parents, one still healing from having a baby and struggling with painful breastfeeding, the other beginning to feel the effects of cabin fever; two children with coughs and runny noses alternating being listless and being whiny because they're sick and confined to the house; and an infant with his first icky cold. There were some nice moments of family bonding, but there were also some rough times indeed.

So here we are, all healthy again, all healed again. Matthew is growing like crazy (11 lbs 11 oz at his six week appointment!), really tuning into people, and starting to give out more and more smiles. We're getting into a rhythm of being a family of five. I still take sleep where I can get it and only manage to get one thing from my long to-do list accomplished each day, but we're working on adjusting to this new normal. I've been so blessed to have the most amazing help from Joseph, our families, and our friends. They brought food, gave us space when we needed it, watched kids when we needed, and were around to just talk and help around the house. Joseph and I always talk about how we're open to moving because we love travel and new experiences, but I am incredibly grateful that we've been able to spend our family-growing years with such a wonderful community of people. I think it's that and a lot of praying that got us through the first month. I'm excited to see how life changes and keeps getting better in the months to come!

Matthew giving out baby smiles!

Matthew Timothy Sullivan

Early in the morning on Wednesday, January 22nd, we welcomed our sweet new baby boy to the world. He was born at 12:38 AM. He weighed 8 lbs, 10 oz and was 21 inches long.

Though many people thought we were secretly holding out about knowing the gender of our baby, we honestly didn't have a clue. It was about 5 minutes before we even checked. That's how concerned we were about it. ;) We were surprised and delighted to find we had a new baby boy. I think I mentioned before that I thought Liam would enjoy having a little brother to roughhouse with more than Diana would enjoy having a little sister to boss around play with.

His Name

We had a short list of boys names and girls names picked out for our mystery baby. Joseph has known his best friend Matt for over 20 years and wanted to do something to honor that, which is why we went with Matthew. Timothy was a pretty easy middle name choice too. I know a lot of good Timothys: it's my dad's first name, Joseph's dad's middle name, and also the name of my unofficial dad in Virginia. It seemed like a good solid name for a boy. 

Kids' Reactions

Diana holding Matthew for the first time!

Labor with Matthew began to pick up around the kids' bedtime, so we just put them to sleep at home. It wasn't my plan to have them around for the birth since I am LOUD and I worried they would be concerned for me, but labor progressed so quickly that we just let them be. Despite the fact that I was louder than I've ever been, the kids slept through everything. (Also, I am forever grateful to our next-door neighbors for not reporting us to the police through three disturbing-sounding home births.) Liam was the first up the next morning and he blinked thoughtfully, pointed and said "Baby" several times, then made a peace offering of a toy car to the baby. Since the baby didn't seem interested, Liam just went on with his day. Diana was absolutely *IN LOVE* with Matthew. She was excited and immediately wanted to hold him. She looked him over and talked about all the things she would teach him and even hummed him some songs. She loves this baby and will be a wonderful big sister to him. I suspect Liam will be more interested when the baby is more interactive. 

Labor and Delivery

(If you are not interested in all the details, run away NOW.)

I'd had false labor on the Friday before Matthew was born, so I was slightly bitter and determined to ignore any more contractions until the last possible moment. On Tuesday, the day I actually went into labor, I went to the gym, picked up some things at the grocery store, and even went to my scheduled appointment with my midwife. By 2-3 PM, I was having contractions that were decidedly different than Braxton-Hicks. They were deep-inside crampy contractions. But since they weren't particularly strong and were 8-15 minutes apart, depending on whether I was lying down or walking around, I decided to ignore them. I mentioned them to Lisa at our appointment and she told me she bet I would be having my baby that night. I tried not to get my hopes up and went home, where they still weren't very strong or close together, but definitely weren't going away. 

By the time the kids went to bed, contractions were 7-9 minutes apart. After a few hours, they hadn't gotten any closer together and I began to despair that I'd really have a baby. I went to take a shower and the contractions jumped to 2.5 minutes apart. Since I was still not really "feeling" them, I was a little doubtful, but we called Lisa anyway. That was at 11:30 PM. By the time she got to the house, I was on all fours on the floor having to make sounds to get through each contraction. The contractions were deep and involved a lot of back ache, so I moved on to the bed and squeezed Joseph's hands through each one while Lisa rubbed my back. It felt so good. It was late and I was feeling tired, so I was basically quiet and relaxed between contractions. When they came, they were very deep and hard to take. I started yelling through them. The urge to push came not long after they got very strong. After only a few pushes, my water broke and also all hell broke loose. With the last two kids, my water broke only in heavy labor, but with this labor, it basically exploded. (Ew.) I was afraid it had gotten the opposite wall. The midwives said it soaked the bed. At that point, I had no sense of time, but it felt like there were two HUGE pushes and then Matthew's head was out. Huge, frightening pushes. Aside from being pushed way past the point of pain I thought I could take, I was actually a bit terrified. I probably looked like a terrified wild animal. I am surprised I didn't scare the living daylights out of Joseph. I was pulling myself up with his hands, bellowing and screaming to God to please give me my baby, arching my back, and letting my breathing get way out of control. I remember Lisa calling to me to breathe more slowly and not arch my back. It was so scary and intense for me. But it was very quick and his head was out. Another push and his body came out too. One of my favorite miraculous parts of natural childbirth is how once the baby is out, nothing else matters. I went from being terrified and way beyond my pain level to pushing myself up, looking at the baby, rubbing him, and telling him how much I loved him. The labor pain was instantly gone. Of course that was at 12:38, less than an hour after Lisa had arrived.

Matthew cried not long after coming out. He has a healthy set of lungs. His little head was very round and his face wasn't squished, maybe because he spent so little time being pushed out. For my entire pregnancy, I'd been worried that since I had two healthy births, this was the one where something terrible would happen to me or the baby. Thankfully, that wasn't the case. God was with us and taking care of us. I tore again, but I'd kind of expected I would, so the stitches weren't a surprise. Matthew was born with a tongue-tie, so Lisa clipped it before he even tried nursing the first time. I was surprised at how un-phased he was by the very quick process. He cried more at being unwrapped from his warm blankets. 

And that's how our new baby boy came into the world! His eating and waking schedule is currently pretty mixed up, so Joseph and I are getting most of our sleep in the early/late morning. Thankfully, we have lots of help from wonderful family members with our other kids, which is such a blessing. I love my kids and want to be with them, but it really is nice not to have to worry about them, and for Joseph to be able to get some sleep since he's taking care of the kids and house and work these days. I know from experience that these sleepless days that are so frustrating for me because my body is healing and I can't do everything I want to do will pass soon. Soon breastfeeding won't be excruciating, soon we'll be able to massage Matthew's schedule to fit our own, soon I'll be able to help out more around the house and spend time with my big kids. Everything keeps getting better, and we're so happy to have a new baby and for everyone to be healthy. 

Home Birth FAQ

Mothers love to share birth experiences with each other. Actually, everyone loves to share birth experiences with mothers. I've heard birth stories from husbands and parents and siblings of mothers. As soon as I share that I've had two natural home births, people usually have one of two reactions: the minority are genuinely curious about how I liked it and how it worked. Sometimes they've even been looking into home birth themselves. The majority, though, look at me with horror, like I'm some kind of negligent hippie freak, and after a few condescending questions try to nervously redirect the conversation. Here are some of my most frequently asked questions about home birth:

Q: Home birth? Ugh, I could never do that. I wanted pain meds.
A: If you wanted them, then I'm glad you had them! I wish every woman's birth experience would go the way she wanted, if it was safe for the baby.

Q: Wow. I couldn't have done that. I wanted the option of professional medical care right away if my baby or I needed it. 
A: So did I. That's why I chose a midwife to attend my births who is a Licensed Direct-Entry Midwife (LDM) and a Certified Professional Midwife (CPM) who has attended over 1000 births and has only excellent recommendations from other mothers in the area. Oregon LDMs are trained in and authorized to use oxygen, IV therapy, anti-hemorrhagic medications, local anesthetics for suturing and vitamin K and ophthalmic antibiotics for newborns. Oregon LDMs can order lab work, obstetric ultrasound and newborn metabolic screening. And she has the experience to know when it's time to take a woman and her baby to the hospital, where she is a wonderful patient advocate for both mom and baby. If I hadn't wanted experienced professional medical care, I would have just had my babies at home with my husband. (That actually never would have worked. He was an EMT and had possibly a negative amount of interest in delivering babies himself.) Or I would have built a mud birthing hut in our back yard. (And, realistically, everything still would have been fine, though a lot less comfortable.)

Q: Home birth wasn't an option for me. I had medical problems/ My baby had medical problems/ I have a family history... it's a good thing I was in the hospital.
A: Then I am glad you were in the hospital too. I have known people with "family histories" who had successful home births, and I've known women who were otherwise healthy and wanted a home birth and ended up needing to go to the hospital. If you wanted or needed to be in a hospital, I'm glad you and your baby were there.

Q: ...It's a good thing we were in the hospital: the cord was wrapped around my baby's neck!
A: I know, right? Mine too. What with not having any room and moving all those little limbs out of a relatively tiny space, umbilical cords get tangled all up in babies' business all the time. Diana was born with the cord around her neck- Lisa just unwound it. She's seen babies born with the cord wrapped multiple times around necks, shoulders, etc. It just has to be untangled. It's usually not as big a deal as the movies would have you think it is.

Q: So what about all the required tests/examinations/vaccinations you/your baby gets at the hospital? Does your midwife perform those? 
A: Yes, she performs the newborn screening "heel prick test" that is required in Oregon to check newborns for a host of potentially worrisome conditions. She can do vitamin K injections and newborn eye drops. I think you have to take your baby to a pediatrician to do most of the other vaccinations a hospital would perform right after birth. She tells you about what vaccinations and procedures newborns would normally have performed on them in hospitals, and you can opt out of some of them, I just can't remember what they are right now.

As you can see, most of the questions I get aren't questions at all. In fact, mostly people get very defensive when they hear I've had home births. Look, babies are born every day naturally, by C-section, by VBAC, in hospitals, in taxis on the way to the hospital, breech, with epidurals, in a yurt, etc. I'm not trying to convert people to a home birth mentality. Sometimes when I'm in groups of other mothers, if someone shows an interest in home birth, the other mothers will actually rally to try to dissuade them from it, saying they can have natural-birth options in a hospital or birth center setting. Of course that's completely true, but honestly it feels like I am spreading a dangerous idea that other women need to be protected from. Seriously. The prevailing unspoken response I get from most people is that I am a selfish idiot having children via witch doctor in a mud hut. Are they worried I am trying to trump their birth experiences by saying I've gone all-natural and not even in a hospital?

Personally, I think we're completely indoctrinated throughout our lives with the idea that women and babies need professional medical intervention during pregnancy and the birth process. There is an overall feeling of fear about the whole thing. (Not that it's completely unwarranted- the United States does, after all, even with it's advanced medical system, account for more than half of all first-day deaths of newborns in the industrialized world. That's about 11,300 babies. In addition, American mothers have the same maternal death rate as mothers in Iran, according to the most recent State of the World's Mothers Report.) New moms and dads are consumed with worry about birth, as if babies and women's bodies weren't made for it. When we interviewed the midwife who has delivered two of my babies, many of my nieces and nephews, and even some Joseph's siblings, she described herself as a lifeguard, which is exactly what she acted like during my births and was exactly what we wanted. I liked that every step of the way during pregnancy and labor, she only ever made me feel confident that if I kept myself healthy physically and mentally, I would have no problem having a baby.

Here are some questions nobody ever asks me:

Q: Why did you choose home birth?
A: I chose home birth because I believe women's bodies were designed to handle childbirth. I am a private person and I hate doctors, examinations, and hospitals, but of course none of that would have mattered if I had thought that a hospital birth would be best for my babies. I don't like the idea so prevalent in the American medical system that everything is a dire problem coupled with my experience that doctors never have a solution or really any idea what the problem is exactly. If I didn't have to be a part of that system, I wanted to try a peaceful experience with a few people I trusted because I feel that childbirth is an intensely personal event that I want to own, instead of being in the passenger's seat directed by doctors who are probably more comfortable with medical intervention.

Q: Did you enjoy the experience? Would you do it again?
A: I enjoyed it so much I did it twice and hope to do it a third! I don't have a hospital birth experience to compare it to, but I can say that it worked for me and it was exactly what I hoped for. Someone put on peaceful music, I never felt rushed, I received a few words of encouragement and some helpful suggestions, and I was left to do my own work. My EMT husband was impressed by my midwives' knowledge and medical expertise and my mother (who was amazingly skeptical of home birth during my first birth) was impressed by how beautiful and peaceful the whole process was. (She even told me she wondered why she hadn't done that with her kids!) And can I say again how much I loved my midwives? Lisa was amazingly supportive and knowledgeable. She checked my babies' heart rate throughout labor to make sure they were doing well. I never worried about my kids with her around. Her assistant, Rachel, (who is now a licensed midwife herself) was also sweet and supportive. I had various complications with healing and nursing in the early weeks of having newborns, and I called Lisa day and night to ask her questions or just talk.

Q: How did you evaluate the pros and cons? Weren't you concerned for your baby in case of an emergency?
A: Especially during my first pregnancy, we worried (like most new parents) that there would be some medical emergency and we would lose precious minutes needing to transport to a hospital to get more care than the midwives' could offer. However, when we evaluated the likelihood of a medical emergency, it seemed like we were taking a comparatively small risk having our baby at home. Once we saw how "normal" my births were, we became more confident that we had made the right decision. And in the intervening years we've had the opportunity to hear from friends and family members how Lisa reacted in the event of medical emergencies during birth and I'm pretty certain that we'd be in good hands.

Anyone have any questions? Did you get the birth experience you wanted? If you had a home birth, have you had the same experiences with other people and mothers? Am I really just a selfish hippie freak who consorts with witch doctors and preaches heretical ideas about birth at the risk of my children's health? Comment below!

Liam Joseph Sullivan

On Saturday, May 26 at 11:30 AM we met Liam Joseph Sullivan for the first time. He was 8 lbs 10 oz, 20.5 in long with a 14 in head. It was about six hours from the time I woke up feeling cramps with an intense backache until the time he was born, and only about an hour and a half was active labor. We were blessed to be able to have a smooth and healthy home birth.We were so happy to meet our little boy.

His Name

You can see from the list in our previous post that we like pretty traditional names. As Jack Donaghy said, "Don't overthink the name. Stick to kings and queens of England. There will never be a President Ashton, or a Dr. Katniss, or a non-sexually-confused Lorne." That's been our philosophy, which was why William was a front runner for so long. However, about two weeks before Liam was born, Joseph announced that in all our time considering the name, it hadn't really grown on him, so we started back at square one and made a new list. 

Patrick was considered, as well as Joseph, although Joey didn't really like the idea of using it for a first name (his dad is also named Joseph). I liked William because it lent itself to cool nicknames like Will or Liam while still being traditional and distinguished. Unfortunately, it lends itself to all sorts of nicknames I don't prefer, like Billy or Willy. We could have named him William and just called him Will or Liam all the time, but that is fairly common practice among his ten cousins and it gets confusing very quickly. (For example, there is an Adam James who was named after his father Adam, but he's called James so he's not confused with his dad, but there's also a cousin named James who was named after HIS father James, but is called Teddy so as not to be confused with his father OR his older cousin James. Great names, and we adore our family members, but very confusing.) Liam popped up because it was an Irish shortening of William that sounded nice. I admit it's not very traditional, and I didn't like it at first, but it grew on me. We decided to go with Joseph as a middle name because we didn't want to lose a nice legacy name like that completely.

Birth Story

(Note: This is prominently labeled so that those of you who don't want to read the details can skip this section completely) :)

The day before Liam was born, I reached an odd sense of peace about being pregnant pretty much for the rest of my life. Really. I was struggling and gnashing my teeth at the discomfort of pregnancy during the entire 38th week, but by week 39 I'd just become calm about it all. It happened with Diana too on her due date and she came the very next day. I guess that peace indicates the calm before the storm for me, because Liam came as soon as I'd made up my mind to just enjoy pregnancy again.

I woke up at 5 AM feeling crampy, a little nauseous, and with occasional killer back/hip pains. I wandered around a little bit, tried to go back to sleep, got up again, took a shower, and started timing the back pains, since I didn't feel any distinguishable contractions. They were about 10 minutes apart and moved to 8 as I wandered around. By 6:30 AM I was fairly certain that I knew what was going on, even though it was still hard to distinguish contractions from pains in my back and hips and it felt completely different from when I went into labor with Diana. I woke Joseph up to let him know what was going on and called my midwife, who told me to eat a big breakfast (with the nausea, that didn't happen) and time some more contractions and see how the morning unfolded. We called my mom and she picked up Diana around 8 AM after she woke up. By that time, the contractions had become very distinct and were getting harder. I had to close my eyes and concentrate to get through them. As soon as I felt they were starting to really pick up speed and intensity, we called the midwife. She arrived around 9:30, saw one of my contractions, and got all of her equipment ready in a hurry. Joseph said he'd been feeling calm and confident until that point, having seen me in labor before and knowing that it would probably be a while before hard labor began, but when he saw how quick Lisa was to set up her supplies, he began to feel less confident about the situation.

By about 10 AM I felt like I didn't have the energy to take the very strong contractions sitting up, so I went to lie down on the bed. Something about lying down made the contractions become VERY strong and intense and much faster. Lisa saw that things were going to happen very quickly and told me it was time to push my baby out. At that point, the only people around were her, Rachel (another midwife) and Joseph.

Though I disliked being the center of attention, I found that I didn't care much about it when I had other things to focus on. Everyone was so encouraging when they spoke, and Joseph was a good sport about letting me squeeze the life out of his hands with each contraction, but mostly everyone was quiet to let me do my work. Joseph put on some quiet George Winston music that I loved when I was growing up. That's what I love about home birth: it's relatively peaceful. You're in your own house, surrounded people who are calm and supportive. I've been lucky enough not to have a hospital birth, but I really can't imagine a better way for a healthy woman to have a healthy baby than at home!

Some women are silent and strong during labor, but I find it helps me more if I yell with each contraction. With Diana, someone mentioned at some point that I was using all my energy to yell and that I should push with each contraction instead. That's what I tried to do this time- less vocalization and more pushing with each contraction. I think that really helped. My water broke in the middle of heavy labor (same as with Diana). Liam was born at 11:30, after about an hour and a half of hard (pushing) labor. Much better than the four hours it took with Diana. His labor was like riding a lightning bolt through a thunderstorm. It was very quick, but so very intense!! I didn't get much time to rest between each contraction and they lasted much longer than I would have been comfortable with (if I'd had any input). I guess that's the nice thing about labor: it feels like someone is making your body work to push a baby out instead of you deciding to work hard and push the baby out yourself. All you can do is work with the natural process.

Our Liam didn't cry when he was born. He was also completely and very definitely blue. But no one panicked. Lisa, who has been to close to 900 births, didn't see any cause for concern because he was looking around and breathing. She called it "a peaceful transition." It's a good thing she's an expert, because both Joseph and I were a little worried. She laid him on the bed next to me (I was on my side) so I could meet him face-to-face for the first time. Our little blue baby just sat there with his eyes open looking around and studying the world. The cord was cut once the blood drained from it. When the placenta was delivered, there was a gush of blood and fluid that made both midwives jump into emergency response mode (P.S.- They both seem very capable in the event of an emergency). It stopped after a moment and they determined that there had probably just still been some water behind the placenta that came out after it.

I still required stitches thanks to the speed of labor and his 14 inch head. I think there were more than when I had Diana. Still, when you've just been through childbirth, it's not that big a deal to get some stitches. And it's much more manageable when you have your brand new baby to hold and talk to. Little Liam turned pink like all healthy babies should and even eventually cried about an hour after he was born. I let him nurse for a little bit, but mostly he just wanted to sleep. The midwives gave us a final checkup, packed up and left, and Joseph, Liam and I all got some rest. Around 6 PM we called my mom, who brought Diana back so our little family could all be together again. Diana enjoyed seeing me and Joseph and was even briefly interested in her little brother, though she kept insisting he was Ella or Emily, her 3 month and 6 week old cousins who live down the street.

It was such a blessing to have a speedy and healthy home birth. We love the newest member of our little family!