Thursday, March 26, 2015

Labor of love


There was a period of years when I obsessively watched pregnancy and childbirth shows like "A Baby Story" and "Deliver Me".  It included the two years it took me to get pregnant (in which each show dramatized my hopes), the 18 months I was pregnant with my two babies (and the shows served to alternately elevate and alleviate my worry about the impending births), and the two years following the birth of my second child (in which I was mourning two traumatic birth experiences, and wading through the fog of postpartum depression).  In the latter case, I think I was seeking redemption as I teared up at the moment of each on-screen birth, imagining a different scenario, empathizing with those whose experiences didn't follow their plan, and always celebrating the miraculous joy of life.

I've written an essay published in the book A Divine Duet: Ministry and Motherhood that shares my organized approach to impending parenthood.  It makes sense considering my type-A personality and the work that went into getting pregnant (schedules, testing, planning, and  minor medical intervention).  I wanted so badly for things to happen, and once they did, I wanted it all to be perfect.  I read all the books, followed all the advice, and felt totally in control.  My husband and I joked about our little "Apex", the baby of perfection that we had created (with God's help...and a little prescription Clomid).  Yet reality has a way of flipping our expectations and showing how little control we truly have.

The day of our son's birth, I was 38 weeks pregnant and heading to a routine doctor's visit with a bit of a stomachache, figuring my lunch was not agreeing with me.  I was measured and weighed, poked and prodded, all to be expected.  My husband and I were just anxious to celebrate with an ice cream date after the doctor, and I had a baby-prep to-do list to attend to.  I was not prepared for the doctor's concerned look and his insistence on measuring me again, followed by an ultrasound, even though I had just had one.  Without much explanation, I was being hooked up for a "non-stress test" (an oxymoron if there ever was one) to measure the baby's activity as the doctor suspected that he was not growing as he should be.  After the test, he met us in his office and told us calmly but firmly that we were to go to the hospital directly, "Do not pass go, do not collect $200."  We sighed over missed ice cream, but laughed over parking in the "stork parking" for labor and delivery at the hospital, feeling like we were cheating the system.

We were shown to a room and my vital signs were checked.  It wasn't until they put on my i.d. bracelet that I figured out something was up.  We asked the doctor what was happening, and after another ultrasound she confirmed the other doctor's guess.  My placenta was breaking down prematurely, the baby was smaller than he should be, and I was in the early stages of labor.  Within an hour, we had arranged for someone to care for our dogs, called our parents, and I was prepped for surgery.

It was my first hospitalization, and an emergency c-section was not in my plans, especially as we didn't know what challenges our baby would face.  There were tears, but the doctor was kind and tried to lighten the mood with jokes.  As she wheeled me into the operating room before John was allowed back, music was playing and she said I would have to pay attention to the song that was playing when our son was born so that it could be a special song for him.  With horror, I realized the song that was playing was "Tears in Heaven", the song Eric Clapton wrote about his son who died.  Fortunately, John appeared soon after, and the music was forgotten as we prepared to meet our son.  Brady James was born at 7:07pm with a brief cry that brought tears of relief to my eyes.  They brought him over briefly for us to see, and he looked right into our eyes, silent but intense.  He was then whisked away to be cared for, and John followed, leaving me with the doctor to be stitched up.

After enduring an eternity in the recovery room alone (although John was able to send me pictures of Brady), I was able to return to a room only to learn that Brady was having some struggles and would have to remain in the nursery to receive oxygen and an IV to regulate his blood sugar level.  He was 4 pounds 12.5 ounces and would have to learn to fight like a big guy before he could escape the machines and the hospital.

It was almost six hours before I could briefly see him and hold him for the first time, and he was in the hospital for almost a week.  We knew that we were blessed, especially as I read an article several weeks later about a similar situation that had ended in a stillbirth as the fetus has been without adequate nutrition for too long.  Brady did not suffer any serious or lasting complications.  It was a struggle for him to eat and grow at first due to his size, and he was sick for much of the first year of his life due to a weak immune system.  But he has grown into a healthy, resilient, stubborn, and brilliant boy.  He looks amazingly like he did as a baby, and there are times when he glances at me in just the way he did the first time we laid eyes on one another.

Brady was 18 months old when I discovered that the stomach bug that never went away was actually another pregnancy.  It was so easy the second time around that I was caught by surprise; the Clomid prescription was filled and awaiting my pickup at the pharmacy.  When I asked him if he was ready to be a big brother, he crumpled to the ground in sobs.  Fortunately, by the time I was due, he had come to accept the idea of another baby.  With this pregnancy, I was more carefully monitored, and had the luxury of monthly ultrasounds.  We loved watching the baby grow normally, and were happy to learn on Christmas Eve that Brady would have a sister.  Things were going so smoothly that I discussed my desire for a VBAC (vaginal birth after Cesarean) and my doctor agreed I was a good candidate.

I went into labor at 38 weeks, but it wasn't so bad initially.  When I called the hospital, they gave me the choice of coming in or waiting until the morning.  After finding out the doctor on call was the male doctor that I didn't care for (although he was likely the one who had saved Brady's life by sending us to the hospital), I decided to wait until the morning.

John's dad had already arrived at our house to take care of Brady, and my labor playlist was packed away in my bag.  I got settled in, happy to learn that my nurse was one who had taken care of Brady in the nursery two years earlier.  I watched a little TV, rocked in the rocking chair, and breathed through mild contractions.  It wasn't bad at all...until it was awful.  The contractions started to come more frequently, and they brought sheer panic more than the pain.  My legs would start shaking before I could even feel the cramping, but when it started, I couldn't breathe.  When the doctor checked me, there hadn't been much progress, even after breaking my water (which is just as much fun as it sounds).  To my amazement and frustration, she declared my contractions to be "insufficient".

I was incredulous...she was not feeling what I was, but I guess the monitors told a different story.  Although I had watched Ricki Lake's documentary The Business of Being Born and was armed with the knowledge of how doctors push medications like pitocin and prefer c-sections to save time, when the doctor ordered an epidural "to relax me" and pitocin to make my contractions stronger, I did not argue.  I already felt out of control.

Within minutes, though, the epidural brought a sense of calm, and I enjoyed watching the severity of my unfelt contractions on the monitor much like an entertaining TV show.  But the doctor was watching with an intensity I was not feeling.  She checked and rechecked, leaving the room, and returning minutes later to check again.  She warned me that things were not looking good, and that the baby's heart rate was decelerating with the administration of pitocin.  The nurse suggested stopping the medication, but the doctor argued that I needed the stronger contractions it was creating, and either the baby would have to tolerate it, or I would have to have a c-section.

Fear seized me.  I knew the dangers of a VBAC, and was required to sign multiple waivers stating that I understood the possible risks to me and to the baby, including death.  When the doctor returned for the third time, I saw the fear in her eyes, and suddenly she was jerking cords out of the wall and telling the nurse that I was taking the place of her next scheduled c-section.  She unlocked my bed, and wheeled me through the doorway, running as she pushed me down the hall.  I was slamming into the sides of the hallway, and another doctor passing by laughed and said, "Be careful."  My OB/GYN responded, "There's no time!"  I started sobbing, imagining that I had lost my sweet girl.  I barely caught sight of my husband and my mother, and then it was just the lines of lights in the ceiling, blurred from my tears.  When we reached the operating room, there seemed to be 20 people in there, and the first thing the doctor said was, "Turn off that damn music!"  I didn't have time to think before I saw a mask being placed over my mouth and nose, and I was out...

...I awakened as I was being pushed down a hallway again.  I couldn't tell if it had been minutes or hours.  A nurse saw my open eyes and said, "Your mom sure is worried about you."  In frustration and despair I asked, "How is my baby?"  She looked confused and said, "I don't know."  Again I waited in the recovery room for an eternity, full of grief and fear.  But this time, John sent a video of our girl, Maryn Elana, and just the sound of John talking and laughing on the video assured me that she was okay.

I would later learn that our pediatrician was on call, and when she looked at Maryn, her words were "Now that's a healthy baby" and she left to go check on the babies with more pressing needs.  Our girl weighed in at almost 7 pounds, and when they brought her to me shortly after I returned to my room, the nurses were talking to me about feeding her and how she might not latch on right away.  After struggling with Brady's feeding issues, and making multiple weekly visits to the lactation consultant with him, I expected this.  But I noticed that as they held her out to me, her mouth was open, and even as they were giving instructions, she latched on immediately and began to nurse.  Laughter filled the room and relief filled my heart.

It could have been the beginning of my healing, but that road was longer than I had hoped.  I had much to grieve, and much to learn.  The demands of caring for an infant and a toddler was more than I felt that I could handle most days, and my body was wrecked by yet another surgery.  We were in a state of limbo as John had lost his job and I was burned out from mine.  I kept replaying the trauma in my mind--the scenes out of an "ER" drama without George Clooney and background music.  I felt the anxiety of potentially losing my daughter, and I heard the fear of my doctor who later told me that I gave her an awful scare--she thought my uterus was rupturing and she was losing me.  I heard about John's agony in waiting for news, and also trying to keep my anxious mother calm.  We didn't even have to discuss it to agree that this would be our final delivery.

It was the death of a dream in a way.  It shouldn't matter how our babies came into the world, just that they were ours, and as a great blessing, were healthy and well.  But it did matter to me.  I felt that I had missed out on something; that we had been cheated.  I felt that I had failed at something that should have been natural.  I struggled with guilt that I had put my babies at risk, even though I did all I could have done.  I felt bad feeling bad, as I know so many who struggle to get pregnant, who have lost so many pregnancies through miscarriage, and who have dealt with health complications much more serious than ours.  And yet my grief doesn't understand these rational thoughts...it just feels.

Although I did not experience birth in the "traditional" way I so longed for, over the years I have come to appreciate my delivery through the painful journey of letting go of what I did not have in order to embrace what I do have.  My two beautiful and precocious children remind me every day that I am being purified through the process of becoming the best mother I can be to them, and accepting their place in our lives as the God-given gift that it is.  The road to recovery was about more than the two visible scars that remain, but in surrendering old dreams for new ones.  It is a reminder that we are all broken in our own ways, and yet as Leonard Cohen says in his song “Anthem”, “There’s a crack in everything.  That is how the light gets in.”  I have seen the light of God shining through the broken places, and I have felt the healing presence of God’s love, bringing redemption into our stories through the labor of love.

Friday, March 20, 2015

It's only a phase

As my kids' birthdays approach, I've been thinking about the phases that are behind us.  It was a bittersweet moment when we got rid of the wooden trains and tracks that had been the focus of playtime for years.  Now we are deep into the worlds of Minecraft, Lego, and American Girl.


As a friend prepares for the upcoming birth of his baby and shared a lullaby playlist that he created, I remembered the songs that were the soundtrack of our lives for the years they fought sleep.  I can picture Maryn toddling around in footie pajamas and miss when she could so easily be scooped up in our arms.  She used to dive from our arms into her crib, and for a little while enjoyed sleeping as she had the comfort of her pacifier.


Brady called his multiple pacis his "eyes" as he had to have one in his mouth and one in each hand that he would click together and stick in his real eyes until sleep overtook him.  Once we made our toddlers surrender their beloved pacis and "eyes", sleep was not as enticing to them.  We still catch Brady making sucking sounds with his mouth in his sleep, as if he has found his beloved "eyes" again.

At my grandmother's house this weekend, I came across a series of photos of Brady as a baby that I had forgotten.  He was all smiles and chubby cheeks which was jarring to me as I remember him as being silent and serious, and getting him to put on weight seemed to be our biggest battle.




I have stopped writing down the milestones as we have passed what seem to be the big ones--first steps and first words.  But I'm wondering what I may be missing.  I only notice in hindsight the little changes that occur and I'm melancholy that I didn't realize when the transition took place.  Will I be paying attention when she no longer calls the morning meal "breathfast" or when baby wipes stop being "wep wipes"?  How much longer will she need us to cuddle with her at bedtime?

He is solid instead of skinny, and I can't lift him anymore.  On the rare occasions he climbs into my lap, I can't see over his head.  I remember resting my head on his, when he could be comforted by the sound of my heartbeat.  How much longer do we have of him wanting us to eat lunch with him at school?  He already thinks kisses are yucky, but still allows us to hug him, thank goodness, and isn't yet embarrassed to be seen with us.  I know the days are numbered.

The kiss part of this promise has already expired.
Maryn is reading chapter books now, and I think back to when she didn't like books.  I would try to read with her in our my lap, and she would close the books saying, "The end!  The end!"  It baffled me as books are so central in my life, and Brady taught himself to read when he was only three.  She grew to love cuddling with us on the bed with a stack of books, and was reluctant to read on her own.  But now that she has gained confidence, she is unstoppable, and received a star reader award from her teacher last week.  Sometimes she even asks if we would like her to read to us.

So much of parenthood has been tougher than I imagined as it is an ongoing surrendering of self.  It is the letting go of the idea that we are in control and that it is all about us.  It is being open to transition and growth, both in ourselves and the little beings we have helped to create.  When things go wrong, people are quick to assure, "It's only a phase; it will pass."  Now, when things are going unexpectedly well, my husband jokes, "It's only a phase; it will pass."

But isn't that the essential truth?  It is all a passing phase whether we are mindful of it or not.  We have a limited time to share what we want to impart, knowing that we don't know what will stick.  It's easy to get caught up in the nostalgia or the fear of how fast the time passes (when it's not passing by so s-l-o-w-l-y), although another surprise of parenthood has been recognizing the gift of each new phase.  I can sigh over the sweetness of the tiny baby clothes and the cute pictures of first smiles, but I also have the memory of how exhausting that time period was.  The toddler years were a blur of activity and finding our rhythm in a house of two kids spaced two years apart and juggling two full-time jobs plus family between us.

Now we worry about behavioral issues and whether they are learning the values we are trying to model, but they are gaining independence.  There is so much more to enjoy now as they are able to share their thoughts and experiences with us, and so much more to look forward to as they hopefully learn how to regulate their very strong feelings and wills.


In the same way, I think of the phases of parenthood.  I hope that I'm gaining my stride now and that my kids can see that I'm growing alongside them.  I've cycled through the overwhelming exhaustion and pride of new parenthood, the joy of experiencing each milestone, the frustration of each setback, and the celebration of each success.  Throughout it all, there has been so much love, even in the hard times.  My greatest hope is that in the frustrating moments when I lose my cool and don't live up to the example I want to be for them, my children will be able to look at me and see my love for them.  Hopefully they will be aware enough to forgive my mistake and think, "It's a phase; it will pass."

Tuesday, March 17, 2015

Aging is not for wimps


I used to take pride in calling myself low maintenance.  I never cared much about clothing trends or how my hair looked, and getting ready never took more than a few minutes.  This was fortunate in my student days when all I had to do was roll out of bed at 7:45am, shower, and run off to my 8:00am classes.  While I still don't put much energy into clothing and hair styles, the getting out of bed part takes a lot more effort as I've aged. It's as if my body itself has become high maintenance.  Now it takes me longer to get out of bed in the morning than my entire routine a decade ago.

Here's the thing about aging: although I've been blessed with relatively good health, there is a shift that happens somewhere in your thirties.  The simple act of getting up is not so simple any more.  I'm aware of my joints and body in a way I haven't previously been.  It's hard not to notice when the act of standing up sounds like a bowl of Rice Krispies.  I'm too young to feel this old, but it is what it is.

My husband and I decided to recommit to a healthy lifestyle, and paid for a personal trainer as our Christmas gift to one another.  I remember thinking it would be like a date--hanging out and getting strong together. What a horrible idea.  We spend each session wondering how we will survive, shooting death glances at our torturer (i.e. the trainer), and bemoaning the fact that we actually PAID MONEY to go through this pain.  The trainer makes us keep a food diary, so we don't even get the comfort of drowning our unhappy feelings in doughnuts.

I was so sore after our session the other day that I had to go get a massage (I know, just terrible).  But that wasn't the end of the pain.  Come to find out, my hips are out of whack and I was referred to a chiropractor.  The hip injury comes from my brief stint as a runner a couple years ago, the last time I tried to get healthy.  That was probably the beginning of the end of my low maintenance lifestyle as I had to be fitted for running shoes at the fancy running store.  A pair of shoes, insoles, and $150 later, I learned that I have difficult feet (so no more cheap shoes).  Now we can add to that difficult hips, which leads to lower back pain as well.

It seems like my body doesn't actually want this healthy lifestyle.  But the good news from my chiropractor is that I'm not so bad off yet.  Yes, one hip is a few millimeters lower than the other one, which is causing my spine to curve slightly and the vertebrae are pressing on the nerves, causing back and hip pain.  But it can be fixed with alignments and a heel lift and orthotic inserts for my shoes (guess how much all that will cost?).  My funny husband asked if I would buy a pair of velcro old lady shoes to go with them.

Part of getting older means devoting more energy to taking care of ourselves.  We take vitamins and worry about our cholesterol.  There are invasive screenings at the annual physicals we wouldn't think of missing.  I scheduled one on my birthday one year so I wouldn't forget.  Don't say I don't know how to party.  But as I watch the declining health of family members, I know the importance of preventative care.

There's a theological lesson in it as well.  When people find out you're a minister, they love to share their thoughts on faith (whether to grumble about it or to share inspiration).  I've noticed that medical professionals in particular love to connect a spiritual element to my care after seeing my profession on the forms.  I wonder sometimes if it's because they think I need or expect it, or because they don't usually get an outlet to talk about it in their work.  My massage therapist explained my experience this way:  "God creates us in perfect alignment, so that are bodies can do what we need them to do.  But we put stress on them and treat them harshly, so things get out of whack.  Then we must take the time to nurture them back to health again."

My chiropractor explained that pain is our body's signal that things aren't right.  We must listen to it and trust in our capacity to heal if we care for ourselves in the right ways.  He reiterated that God made us whole and well and that we can get back to that place if we put in the time and commitment.

I've noticed that many times my body has had to get my attention when I have been too busy to tune into my spiritual needs.  I have literally lost my voice numerous times when I've been immersed in preparing for an important worship event, and lately the pain in my back has forced me to stop and take a break from work.  Perhaps the voice of God is not always a still, small voice, but a pain in the back.

Throughout this experience, I've been moving past seeing my body as a liability, something that gets in my way or has to be managed.  I've spent far too many years bemoaning how it doesn't look or move the way I would like it to.  But in seeing the x-rays of my slightly curved spine (with an extra vertebrae, no less...who knew?  Only 2% of the population has an extra one), and understanding the connection between how I care for it and how it functions, I see the wonder of it and the miracle that it works the way it does.  What a God-given gift to be able to be alive, in health and in pain.  It's a lesson once again in controlling what I can control and letting go of the rest.

Aging is not for wimps, so I have to keep my strength up.  My goal for this week is to go to our last personal training session and celebrate the strength of my muscles and joints.  As I challenge them to work and grow stronger, I will listen to the pain that is a reminder to care well for my body and spirit.  Getting older may not be easy, but it certainly beats the alternative.

And now I have a good excuse for more massages.