Yesterday was a great day for the birth of our new granddaughter, our fifth grandchild. We spent the day at the "Alice Peck Day Birthing Center", a wonderfully mom & baby centered, friendly place to be. Nana was thrilled to support and coach Amanda through the birthing process; Grandpa did an outstanding job of holding down a chair in the waiting room, alternating with wearing a path into the hallway’s vinyl floor. ‘Sweet Pumpkin’ (Nana’s interim name until Amanda and Kamal make their choice) was born at 2:40 p.m., 7 lbs 8.5 oz, and 19” long.
I couldn’t help but reflect on the differences in the support that Amanda and Kamal were getting from the experience we had with our first birth experience when Elizabeth was born. The end result was the same; a beautiful and healthy baby, new parents overwhelmed by the experience, their new responsibility, and their joy. The process, however, was very different.
We spent 12 weeks in Lamaze classes, practiced our breathing techniques (I had to practice too so I could coach Mary Lou in the labor room), practiced our relaxation techniques (they still work!) ; we were ‘prepared’ when we went to the hospital. It turned out that we were the only ones who were. In 1972, ‘natural childbirth’ was “new”, and we were viewed as a couple of young hippy kids who didn’t understand that the birthing process was really about the convenience of the doctors and nurses. They got that part right; we didn’t!
Anyway, I have some memories:
- As Mary Lou’s membrane started to leak, after 24 hours the hospital response was to get the process going with pitosin (sp) pills. They were placed between lip and gum to dissolve and be absorbed through the gums. (We had a choice of using an IV but didn’t have sense enough to choose it and didn’t have anyone to explain the potential problems w. pills)
- The nurse tried to usher me out of the labor room when the doctor arrived to check ML. She was shocked and very uncomfortable when the Dr. said I could stay.
- As labor progressed, Mary Lou was trying to do her breathing with her mouth coated with half-dissolved, pasty pitosin. I was trying my best to ‘coach’, but there was no support. The Hospital staff didn’t understand Lamaze and, for sure, didn’t understand why anyone would want to go through a natural childbirth instead of using the conveniences of modern medicine!
- The anesthetist came in ready to do her thing. She seemed hurt, even offended, that we didn’t want her services.
- As transition approached, the nurse’s shift change was coming up and the Dr. had been there most of the night. I overheard someone (Dr. I think) say, “Let’s move this along.” More pit pills were added to goop up Mary Lou’s mouth.
- As birth approached, Mary Lou was moved to an operating theatre they called a delivery room. I sat by Mary Lou’s shoulder and watched in a little mirror about the size of a kid’s bike mirror. Dr. and nurses made sure I didn’t see the episiotomy (which was SOP) or afterbirth, anything but the birth itself.
- Elizabeth was placed on Mary Lou’s stomach for 30 seconds or so and then taken by the nurses to be cleaned up, weighed, measured, and whisked off to the nursery ICU.
- We had asked to have “rooming in”. That was another new concept so, after 24 hours in ICU because of the membrane leak, they put a bassinette at the end of Mary Lou’s bed, put Elizabeth in it, and said, “Call us if you need us.”
The most amazing thing about all of this is that we (especially Mary Lou) chose to go through this process two more times! Actually, we didn’t know any better; we thought it was ‘beautiful’, with a few little hitches.
Corey’s birth was much better. The nurses, at least, had a better understanding of natural childbirth and were supportive. We also knew more and could advocate for ourselves, somewhat. The Doctor tolerated it, but didn’t quite ‘get it’.
- After Corey was born, still in the ‘delivery room’, and we were trying to process all that had happened, the Dr. was stitching up the episiotomy (still SOP) and explaining to me that he was using a ‘Philadelphia’ stitch instead of a ‘Chicago’ stitch – I don’t remember the names. It was clear that for him, the important part of the birthing process was his expertise, something for which we should be grateful. For us…not so much!
By the time Amanda was born in 1979, the hospital and staff had been ‘educated’. Fairfax Hospital (about the size of DHMC) actually had one birthing room (which was being used when we got there); but Dr. Hair, bless her heart, really did understand and support what we were trying to do. Amanda was born in the labor room with the lights low and only the Dr., a nurse and us in the room. We kept her and bonded with her for an hour or so before she was taken for her ‘real’ checkup and then returned tous. It really was progress:)
In contrast to our experience, Amanda had nurse mid-wives to coach and support her (and Kamal) though the whole process. The whole focus of the birthing center is to let the birth process happen in its own unique way; fast or slow, hard or less hard, whatever is best for the baby and mother, and to make sure their experience is as natural and glorious as it can be. The baby stays with the parents who continue to get as much support as they need from the nurse mid-wives, lactation specialist, pediatrician, or whomever. We all have become fans of the APD Birthing Center and especially of nurse mid-wives, a really special group of people.

