As the theme changes from spooky to sparkles, I am jumping on this trend with a quick note today, because honestly, while everyone sharing their fabulous decorations, costumes, and pumpkins – almost all of which have a HUGE impact on the environment and carry their own horror story, there’s also a 365 day crisis in perintal care that’s far scarier than Halloween.
5 truely spooky things, going on every single day within birth, because the system is build to conveyor belt families from pregnancy through to postpartum as conveniently as possible. This is not because those working in it want to, but because that’s the way policies and systems have been built.
Scary stuff!
So, heres just 5, of the many terrifying things going on in the birth world … all year round.
The lies in antenatal care from professionals in the system – I know I said above that it’s not those working in the system, and most of the time, it isn’t. But the truth is, sometimes it is. Sometimes it is professionals ticking boxes, sometimes it’s disregarding evidence based care, sometimes it’s policy and sometimes it’s someone who’s burnt out and exhausted. But the lies come. And the ripples they create are immense.
Induction rates are incredibly high. When there’s a medical need, induction can be an incredibly useful life-saving tool, and thank goodness for that. However for the majority of women and birthing people induction is often a result of lack of confidence, misinformation, scarmongering and guidance about ‘big babies’ or being ‘overdue’. It isn’t based on the latest evidence and induction – in its various forms – ends up being the first step in a sliding scale of interventions which often perpetuate trauam for all those involved.
Lack of trauma informed, neruodivergent aware, autonomy based care is in part related to the point above: induction. However, it goes well beyond that. A lack of well rounded training and resources means that a majority of healthcare professionals, while well intentioned, often don’t have the correct language or experience to be able to support the different women and birthing people that they are seeing. The lack of neurodiverse not knowledge means that a lot of the time, families are treated in ways that cause more harm, coerce all violate their rates to autonomy. The reality of this is that once again, women, birthing people, partners and the babies involved are coming away from birthing within the system with experiences they need to heal from right at the start of this new journey together.
When we have a lack of support and we feel out of control or in danger. Physiological birth is halted, and our bodies go into shut down. This means that a majority of families are starting their journey together with this new baby, and also having to recover from the experience of pregnancy and birth.
The maternal mortality rate for non white bodies is another incredibly scary aspect of birth in not just the UK but around the Western world. The reality is that biases exist, unconscious ones often doing more harm than we realise. Although most people don’t believe themselves to be racist, these are socialised biases that have informed everything we do, so of course, it is unsurprising that we see them unfold in preintal care too.
Lastly, the bullying, coercion, and violation that women and birthing are experiencing every day. Unfortunately, almost everyone who has been through the system will have an experience where they have been treated in a less than ideal way. However, the scariest part of this is that they leave, and I, myself have done this too, grateful for the fact that they have come out not as damaged as they could be, and that their baby is there, not damaged or as damaged as could have been.
Halloween is one day. One commercialised day adulterated from ancient traditions.
The crisis in perinatal care is all year round.
If you’re planning a baby or pregnant – get informed. You and your baby deserve better than what is currently happening.
The way a baby is born impacts them on some level for their whole life.
The way they are born. The people around them. The environment they enter this world into.
Baby’s born into war carry that, (if they survive) into the life they live and it physically alters the DNA of their decendants. This has been heavily weighing on my mind this week, as we watch the events in the middle East unfold- with little to no voice given to the reality birthing women and babies are facing.
Baby’s born into immense privilege carry it too… though not always in the ways we might assume. Privilege often equates to a certain amount of resources over and above others. In the birth world, it’s a little more nuanced than that.
Assuming that you’re birthing outside of a war zone then; what impact does the environment of birth really have? It matters deeply, not just for babies but for mothers and partners too.
We cannot prepare for the future without embracing the meaning and the relevance of the baby’s perspective on life.
-Michel Odent
We know that mothers birthing in supported environments where they feel safe and nurtured pass this information on to their babies. The same is true for mothers who birth in conditions of big T and little t trauma. From hospitals to birthing centers to home births, the space you birth will shape everything from the medical interventions used to the emotional atmosphere surrounding your birth. After numerous conversations about why thinking about this as early on as possible matters, I thought I’d write a little on it.
Choosing where to give birth is a deeply personal decision. The assumption that everyone has the information and resources to choose the way they want is one I just cannot make. Socio-economic factors come into play, race, ethnicity and culture too. In the UK (at least at the time of writing in 2024), you can legally choose where you birth, and that choice can absolutely impact the way your birth story plays out.
Ultimately, its your choice, so get informed! There are far too many women told they can only birth in hospital when truly they do have other options. Equally, if the idea of birthing anywhere outside a hospital gives you shudders, then planning that ahead matters.
I want to preface the next few passages by highlighting that ultimately I believe every single baby comes earthside in the way they need to, with their unique birth resourcing them in various ways.
What are your options?
Hospital, Birth Centre, Home. I won’t chat freebirth, that’s for another day.
Hospitals are the high tech options, sold to us as high safety, but also the space where the highest levels of birth trauma exist. Hopstials are supposed to be safe – and when they work, they are a blessing. More and more though, especially for women who have no or low ‘risk’ factors the hosptial birth story isn’t a happy one.
Hospitals represent the standard choice for childbirth, they are normalised in the media we consume right from childhood, and other spaces are considered ‘alternative’ or even a little radical. There are an array of medical interventions and expertise available, with health care professionals and a full range of technology on hand to monitor baby and mother throughout labour. There’s access to all sorts of interventions and pain relief options, and of course surgery.
While a cesarean birth can be lifesaving; for many of us in the birth world, we can see that it is the interventions prior that snowballed a healthy birth into an emergency. The conveyor belt system of induction and cesarean births is all a bit too neatly boxed up; and it takes away from the rite of passage birth physiologically is.
Hospital births are often a ticket to the trauma train because procedure trumps real life experience, and women are often gaslit, ignored, or violated. Circling back to babies, this also means babies are being ignored, assaulted and sent the information that the world is scary and unsafe.
Birth is nearly never an emergency, but sometimes it is. If you need to prioritise safety with medical resources, then a hospital birth is a blessing.
If you don’t… Read on.
A birth centre/midwife unit:
Birth centres are often described as kind of like the middle ground between hospital and home. They’re quieter, often offer a pool, can have the lights dimmed and try to be as warm and cosy as possible. Most birth centers will try to encourage birth to be as intervention free as possible, and I’ve heard of some beautiful birth stories with supportive staff in them.
However, with the ever increasing agenda to streamline birth (and yes this is the agenda), more birth centres are being closed or told they can’t operate fully because of staffing levels. Midwife units cannot support birthing women if they aren’t supported themselves; which means being able to access these is getting harder. Added to this is the fact most of them are for babies being born physiologically with little / no risk, and will turn away women who don’t their box.
This isn’t without reason, birth centres aren’t equipped to navigate emergencies or complications, and so err on the slide of caution. Birth centres can be some of the most beautiful, supportive and nurturing spaces, and midwives often go above and beyond to make them so… but they need to be given the resources for that to happen.
Home births:
For a healthy woman, the first intervention in birth and labour is leaving home. This is something I learned only after my 2nd child, and having had both hospital and home births myself, it is something I wholly believe to be true. As a woman, I know my homebirths were far more positive than my hospital ones, and I only got here through research and experience.
As a doula who wholeheartedly supports informed choices, I will never tell a potential client where to birth, but I will absolutely encourage you to really think about what that means to you.
Homebirths are growing in popularity, becoming something many mothers return to. I don’t see this as a a coincidence, it is a remembering. A remembering that sovereign birth is something we all have the right to. A return to reclaim the power of birth. Homebirths are in the comfort of your own space, so autonomy comes more naturally. You aren’t entering someone else’s space, they are visiting yours as a support system for you.
You can choose the environment, the lights the music etc, and if you decide you want to transfer, then that’s okay. It’s a choice you make. For first time mothers, there’s evidence to say that home births are far less traumatic, bonding feels easier and healing is quicker. Because in your space, generally speaking you feel safer, therefore all these processes don’t need to be big and hard, they can flow with ease. You can take breaks, chill out, zone out, and rest without interruption or inspection. There’s a reason mammals find/create dark quiet spaces for birthing, it is a primal instinct to do so. Humans like to think we are different, but hardly so.
Before I sign off, I have a question for you. Did you birth in more than one of these settings? What were your experiences of thr difference ? If you feel called to and safe to share, get in touch. I’d be honoured to hear from you.
When I had my first child over 7 years ago, I had never heard of birth photography. I had the idea that I wanted to see my baby being born, and I asked if I could have a camera set up. I didn’t really understand why I wanted to, all I knew was it felt deeply important to me.
The hospital I was birthing at said no. I didn’t argue. I didn’t know how.
That birth, my first child, was traumatic in a number of ways and I’ve worked hard to heal my memories surrounding it. Still, I wish I had photos of it. I wish I could see the woman I was in those moments.
Alas, I cannot.
But I learned my lesson. When I fell pregnant again, I spoke to my partner about wanting to hire a photographer, and so we did.
I looked for a local photographer because at that time, nearly 5 years ago, birth photography wasn’t as popular as it is today. We found one who I trusted and got on with, and she agreed to venture out of her normal photography niche and capture my birth. Those photos are some of the most profound ones I have from that time. Unfortunately, my daughter was ready before anyone else, and the moment I craved capture of, was missed.
Still, having the details like the song she was born to, the pictures of me holding her as I stood up, blood dripped down my legs, cord still attached. They are frozen in time, ready to transport me back. They are a gift from my past self, and they are a gift to my future self too. Moments I have to hold forever.
When I got those images I knew that I wanted to give this to other families. I wanted to capture the rawness of these moments, and the intimacy of saying hello for the first time.
We say that you never forget the birth of your baby, and yes in part it’s true. But memories do fade. Time robs us of details. The haze of motherhood buries the deeply vulnerable early hours postpartum.
Documenting them feels like being able to save a sliver of one of life’s most powerful periods. Giving that to others is a privilege and honour.
When I had my 3rd baby, I hired another birth photographer. We planned a homebirth but ended up freebirthing. She documented the minutes I worried I wouldn’t be able to birth my baby, and she captured the moment where he was between worlds, head here, body not yet earthside, me, a portal.
In the months afterwards where I felt like I was drowning, the photographs she gave us reminded me that I could do the hardest things and survive.
Birth photography isn’t a trend, or just a photo to post on Instagram. It’s powerful, and healing far beyond what we may realise at the time.
Would I recommend it? A big YES! Not only because I do it, but because so many women I’ve spoken to have said, nomatter how their births have gone, they would have loved more images. Those who have them, treasure them deeply.
Baby’s are only born once after all, and no two births are the same.
I’ve been thinking about birth plans a lot recently. About how we approach them as a society, how women are often told one of 2 things – that they must make one for their team to be on the same page, or not to bother because nobody’s going to read it anyway. Birth is treated like a ‘to do list’ activity, with no real consideration of the humans it involves.
I’ve been thinking about how these 2 polarising options presented to mothers-to-be are focusing on how birth plans are impacting other people. They are either necessary for autonomy and choices to be honoured- but are they? Or they are a hinderence and going to be ignored. Neither of these give any consideration into how a pregnant woman (and their partner) is impacted by creating these plans.
So who is a birth plan for truely, if not for the person who’s body is actually going to open and bring life earthside?
Heres my twopence.
Your birth plan isn’t for your team. It isn’t pointless. It doesn’t have to be meticulously planned. Your birth plan can be scribbled on a notebook, voice noted into an app, created with deliberate and careful care, or anything in between.
Whether you’re planning a freebirth, home birth, hospital birth or an elective cesarean, making a plan is one of those things that comes up as a “must do” while you prep for birth, and yet nobody really explains why. It’s for you. It’s for your partner if you have one. It’s for your baby. Because in making a plan, setting intentions for how you want the story to unfold and talking about it, either in your head or out loud, you are communicating with your baby, letting them know there is a plan.
When you change the way you view birth, the way you birth will change. ~ Marie Mongan
We (individually and collectively) can’t control every little thing that’s going to happen, because the nature of birth is that it is unique and out of our control every single time. That said, when we don’t plan, then we don’t really know what we want. In birth, and in life, it’s important to know where our boundaries are.
If you don’t know what you want, then you don’t know what you don’t want.
When you make a plan, you get to decide what is a non-negotiable, and what you’re willing to be flexible about. You get to prepare for this immense transition, and stand in your power through it. In the same way that athletes visualise their win, you can visualise the birth story you want to create with your baby. By doing this, you’re energetically telling the universe that this is the plan- even without writing a single thing down.
I will always say, write things down. When you do, the neurons in your brain form stronger pathways, and your intentions are built with stronger foundations. But even if pen never touches paper, even if not a single plan or intention is spoken out loud, just by visualising it, you’re on the way.
Okay Rohana but is 1 birth plan enough? What should I include? What happens if I want to have a water birth or a home birth and then things change? What if I’m planning a cesarean? Where do I start?
I asked myself all of these questions and more when I was planning my most recent birth. I had made birth plans before, but this one was a freebirth, so I wanted to be extra resourced. I thought long and hard, I journalled, I visualised, I made lists and researched a lot… and I ended up with 3 plans. For me, 3 was enough, for someone else, it might be more.
From those plans, I’ve created this checklist for you, so you can spend more time in the zone of creation and build your support bubble, and less time fretting about whether you’ve thought about everything.
Mostly I tell clients that if they’re making a plan, 2 – 4 plans is best, not to just make the 1. Why? Because there is so much possibility and I’m the kind of control freak (in some areas of life) that needs to prep for the various scenarios ‘just in case’. Creating 1 ideal, everything goes right plan, and 1 emergency plan is the minimum… then there’s the option to flesh out interventions, changes and variations in the middle.
It might like a lot of work, or like youre considering all the ways things could go ‘wrong’, but actually youre taking your power into a situation, where if anything less than your ideal plan happens, you are still sovereign and prepared. It means you’re not throwing your hands in the air or just hoping for the best. It means you are advocating for yourself and for new baby, and if your birthing within the system -regardless of the way you intend to birth- this advocacy is an immensely important muscle to be flexing right from the start.
So, should you make a birth plan – the short answer is yes.
The long answer, is you should make multiple, with different scenarios and different supports. You should advocate hard, and build a foundation of cheerleaders who will hold space for you and nourish you while you labour. You should make your plans in a way that feels good… in a way that is a kind of self care exercise, and a way that bonds you and baby even more. You should share your plans with those who’ll be around, and talk to baby about how you want them to arrive. Make many plans, and resource yourself to aim for the number 1.
It’s been a month, just over actually, since S arrived in our world. A whirlwind pregnancy, and a whirlwind birth, and I say that in the most loving way.
After writing for 40 days, I took a break, and dove deeper into my journals, moved from Plymouth to Scotland and tended to not only my nervous system, but my children’s too – moving really is such a rollercoaster.
2 weeks exactly after we moved into our new space, S arrived… in a glorious, entirely uninterrupted freebirth, with his older siblings witnessing the pain and joy and nearly everything in between.
My early labour started on the Sunday night, the contractions starting off, noticable enough, and also nothing to make me rush. Though I had been joking about how this would be a fast birth, especially when I was stressing about our move, actually, this was the slowest one of all of them.
I slept and Monday morning it was as though nothing had happened. I took the kids up to a play group while H ran errands and walked back home, stopping at various playparks along the way. I rested in the sun, and made peace with the idea that I could still be housing my baby for another few weeks. Of course, that wasn’t the case, but looking back, I think in accepting that there could be weeks of pregnancy still to come, I was able to let go of (at least that part of) the control and wondering that was coming up.
Monday night was the same, and then Tuesday morning, about 5am things started moving faster. Contractions would wake me up, and I was breathing and moaning through them… I said to H, if this kept up we could have a baby before lunch. Alas, it would be another whole day and more.
Things tappered off after breakfast. I cancelled plans and built my bubble… texting a friend who we’d planned as a second birth partner/my emergency contact… she said she would be coming round later if I wanted her to, and so, before midnight she arrived.
Through the day, I swayed through contractions, talked to the kids about how baby was working hard and getting ready, and told them even though it might sound scary, mummy was actually really okay. We played and took photos, I had intended to capture more of the birth story but once it was happening, I didn’t want to be thinking about lights and camera settings… so there are only some beautiful snippets from the early hours.
I cooked dhal and made mango cake with the kids, knowing that in the days ahead, I’d appreciate the nourishing food and sweet treat immensely. The day rocked between restful and restless, I was anticipating contractions and refused to time them, but could sense there was no regularity. They got stronger, and then further apart, and given what had happened with Ks birth, I knew that could mean that baby just wasn’t ready yet.
Bedtime took its toll, I was physically and mentally exhausted and also knew we still had a long marathon to go. My friend was on her way, and while I took the kids to bed, for the last time as just the 3 of them, H put the pool up and eventually they all went to sleep. As they did, I felt peaceful, tired and wondered how the next few hours would go, given that bedtime had once again slowed everything down as I focused on being mum, and turned away from the internal pull to go deep into labour.
My friend arrived, and we sat and spoke a while, H and her sharing stories, me listening in. The oxytocin growing and the support felt immensely. I asked H to fill the pool.
Pool filled, I got in, and the relief was pretty instant. In previous births, water has been a huge part of managing for me, and this was no different. The water makes things easier, and I needed it. Water however, slows earlier labour down, and though I was frustrated that this happened at the time, it also provided the much needed space to rest. I slept in the pool for hours, and it was in this sleepy limbo state where I met my baby, I spoke to him, and he told me to trust him, he was trying and he wasn’t ready yet. It was here, where all the confusion about names melted away, because as we spoke, I called him his name, and afterwards, I knew we couldn’t choose anything else. He had chosen it there, in those moments in the pool.
I got out the pool in the early hours and danced. I shared some moments of reset with my husband when he checked on me, and journalled my fears, and then, as the dance of labour continued, I put in my earphones and did a breathwork session, setting intentions and adjusting my expectations. I needed to stop trying to fonr the pattern or match this experience to thr ones before, I needed to let S create his own story. It was about 5am when I fell asleep again.
A few hours later I was talking to E, my friend who had come and stayed over and slept on a mattress on the floor, I told her about my realisation moments, and in true E fashion, she asked what I felt I needed to be supported and nurtured at the time. I love her, and this question really unlocked something for me.
She had some breakfast, walked our pup so H could rest, and then got ready for work. H took her and P & A in the car, dropped her off and went to grab eztra snacks for the kids. I stayed home with K while he watched paw patrol so I could nap… we had joked that as soon as she left, things would quicken. They did.
E had helped me put the TENS machine on earlier, and though contractions were still irregular, I was going deeper. I napped and a while later called H and told him I needed him and to come home without snacks if need be. He asked if I’d had the baby already, but I was still hours away, I just wanted my person. Though I didn’t want to be touched or held, I wanted him around, because he helped me feel safe – in those moments I was seeking safety and solitude.
I knew I could do it alone. I didn’t want to.
He got home and I was deeply in my zone by then. I came half out of it with the kids, who were so excited, and then, I got in the pool while he played with them, fed them and they watched TV. They wanted to be involved, and so i taught them about breathing with me, and how the sounds mummy was making weren’t bad, because though it hurt, it meant my body and baby was doing exactly what they needed, and it was helping him come out. There are some videos of these moments, I asked H to take because I couldn’t, and the other day, I heard A watching one as she scrolled through my camera roll. She says it reminds her of that day and that it sounded scary but wasn’t bad.
After a while, I wanted space, so they were upstairs, I was down in the pool. I wanted H near, and I also wanted to be alone… so I could feel him close but he knew not to touch me. The kids shuffled arould curious, playing and checking on me.
I knew they were moving around, but it felt so normal and safe… mostly anyway. I remember at one point they were all shouting and I told them to be quieter… when they didn’t, I told them they weren’t helping baby come. Then they started breathing with me instead, and though it meant I was focusing on them more than my body, it was both funny and wholesome.
Then, as they were upstairs and I was down, I felt S start to decent. “He’s coming” I said…. and then, I stopped “get A”.
H ran to get the kids, and they came down, watching and waiting. It was nearly an hour later before he arrived, so H moved the laptop to the kitchen and they watched there quietly, knowing it was soon.
That last hour or so was hard. I remember telling H I was dying. He told me I wasn’t, and I told him to shut up because I absolutely was. I told him I couldn’t do it. I felt like I was breaking… I was scared and also, there was a part of me listening in, knowing that because this was where I was, I was at the very end of the marathon now. I heard myself say I could do it and H said “you can, you can, you can” … something we say to the kids.
The next few surges, I held this mantra with me. I can. I can. I can.
And then, I said he was coming – my body took over and I fully became the portal allowing him to enter. H grabbed my phone and video, told the kids to stand by the pool and waited. “He’s here” is the start of the video, the biggest relief and quiet accomplishment palpable in my voice.
S arrived completely of his own accord. I didn’t push. Foetal ejection reflex happened, and he entered into the world in the pool, the calmest, most beautiful experience, exactly what I had hoped for, except better. The video is one I will treasure forever.
As soon as he was here, I brought him out the water and the kids wanted to meet him, so I invited them into the pool, reminded them he was still attached to the placenta and they touched his head, saying hi. K said “it’s a baby kid” which when I listen back sounds like either pink or pig, but H understood he was saying S had arrived.
The pool started turning red; the kids got out and I followed. We knew from our experience with K that the placenta could be very quick, but just to be cautious, I had some tincture that I’d bought specifically. Within 10 minutes of his birth, squatting over a bowl, the tiny placenta that had been the life force of S while he grew was out, and though again we were cautious to watch the bleeding, after those initial few minutes, aside from the intense nausea, I was feeling so good.
It was post birth that I started actually being sick, my bodies reaction to the intense marathon it had just completed. H fed me, and made sure I was hydrated… but for a few hours, nothing stayed down. We called the midwifery team after the placenta arrived, and they sent someone out. She was honestly lovely, kind, excited to be coming out to a freebirth, and so congratulatory through the whole thing. I had been worried about calling anyone but she made the whole experience feel so easy, she notifed our birth and checked with us every step of the way.
A few hours later, once we’d told families and friends about our new addition, it was bedtime, and so the kids all chambered into bed and said goodnight to their new baby brother. The weeks following have been a beautiful rollercoaster… the most healing postpartum I’ve had. The most restful. The most active in many ways too. It’s been such a different experience… I wish I could bottle parts of it up to gift away. Between the mini meal train organised by E, and trip my mum did (flying from Gibraltar!) to see us and cook so I could rest, and the beds on the floor downstairs that helped H insist I rest, and the 12 days at home while others came to me or went out, I have really felt that there is no “right” way to do postpartum, but that there is so much that can aid us if we lean in. An
Anyway, there it is, the birth story of S. I could have written more… but its already 2000 words long, and I’ve lost many details already honestly. Like with everything, this is my version, this is my experience, and it is what I can remember… but truly words don’t give me the real way to describe this story. Alas, it was far more than these letter combinations can convey.
I’ll write again soon (ish),
With love, Rohana x
Would you like to share your birth story? Do you have questions? Get in touch and let’s chat.
I’ve avoided writing about ezras birth story. I keep saying I will but I’ve procrastinated constantly… and I know why.
It was hard. Beautiful, but hard.
** All images included in this post are taken by Gaby Sweet, our incredible photographer **
In many ways I think I’ll view it as the hardest birth of all of my children, and the most empowering experience by the end. I’ll endeavour to make this is chronologically as possible, but the reality is that birth isn’t. One thing happens after another but when we look back there are moments that stick with us – moments so intense that we are fully transported back. I know with each of my births those moments have been intensely different.
These are late in the third trimester, taken by Gaby on film, at our 2nd pre-birth meeting.
Ezra Krishna was born almost 2 weeks over the NHS due date we’d been given, and I was exhausted. By 35 weeks I had already starting counting down the days and weeks, never thinking I’d be pregnant for another 7 weeks from then. I was convinced baby would arrive by 38 weeks, and I was ready – or I thought I was.
But 38 weeks came and went. Then 39, then 40 and midwives started suggesting interventions. In the weeks leading to our due date, I’d had several periods where I thought labour was starting, only for things to frustratingly taper off again. At one point I was so sure I called Harrison home from work, only to find that the labour signs stopped with the kids bedtime. Exasperating! I learned a lot of patience through my impatience, and had to do a lot of letting go.
I was offered a membrane sweep, which I had made clear I would not be having early on. I was told at 41 weeks I would be booked in for an induction in 5 days; again I declined. I said I would go in for monitoring instead.
41+5 arrived and I lost a fair amount of my mucus plug, with the blood on my underwear to prove it. I called to inform the hospital I would not be attending my appointment for monitoring as I was in early labour. The response was shocking – passed around to various phones, I was finally told that I wasn’t on the system. This annoyed me, as if I had gone to the hospital I would have been alone, leaving my 2 kids upset with my husband … but I said okay, and goodbye. I was prepared and excited to relax and look forward to meeting my baby.
Just a few hours later, things felt slow but similar to Ila-Rae’s labour, when I got a callback from the maternity service. They wanted to know why I had missed my scheduled induction (the one I’d refused and said not to book as I’d be waiting for spontaneous labour!) and told me I was required to come in for monitoring. I said I would go in tomorrow for monitoring ONLY but I was not leaving the house that day – and so the Midwife began to rattle off the dangers of having an overdue baby, telling me “it would be a shame if something were to happen, or if baby was stillborn” because I had refused induction. I was talked to like I knew nothing, and told there was medical necessity for me to attend that day. I declined, telling the Midwife I knew my rights as a birthing person and that I knew my body and baby – I would not be leaving my house. The firm message for me was “the first intervention in labour begins when you leave the front door.” I knew I wanted a homebirth AND I knew I would transfer if needed – I wasn’t going to risk my health or baby’s… but I wasn’t going to be bullied either.
My oxytocin levels plummeted. The stop and start labour for weeks had been frustrating but this was 100× worse. I felt so angry. And sad. And annoyed by a system that believes so little in womens abity to birth their babies. I had no contractions for hours, and then when they came they were less intense… it was clear that our baby would not be arriving that day.
So I shared about it on social media carried on with the day, did bedtime and all that jazz. Once the kids were asleep, Harrison and I had an angry and enjoyable conversation about the social media responses I’d received, which let out a lot of tension I was holding. I am grateful to have a partner who gets angry with me, and who believes in me so much that he was perfectly fine going against the professionals.
After a while, decided to go to sleep. I knew this labour was the real deal, but like so many birth stories I’d read, I still didn’t feel safe enough so my body was holding on. I tried to create my oxytocin bubble again, using my affirmations, and visualising what I hoped for in this birth. I slept intermittently between 12 and 4, exhausted but unable to fully rest. I remember downloading a contraction timer app, but honestly gave up because it was more of a hassle. I knew this was labour, my back hurt in a way that it hadn’t in my previous labours, but the rawness was there. At 4am, I gave up, went to make a sandwich and started to watch the clock.
The surges got more regular. Every 5 minutes or so, raw but manageable. I text Gaby, and got busy getting into my zone. I was so excited. A day labour! I hoped we’d have some beautiful light and a day birth … by evening it was a point of joke that I’d even thought it would be possible.
The day was stop start… some moments extremely intense, some moments of laughter and relaxing. I was so frustrated at points because I felt like everything I thought I knew was going out the window. Ila was by my side, the whole day. Harrison made sure everyone was fed and had drinks, he kept checking on me, and was flitting between the kids and my needs. Theo spent the whole day watching Maddie’s Do You Know… honestly that woman has saved so many moments for me, she deserves a written thank you! He binge watched telly and ate and played a little… got in the pool briefly and then back to telly and sleep. Completely different to how I’d imagined – we’d spent hours over the weeks leading up talking about birth and waves and crowning, but on the day, he knew he needed his space. In the end, I’m grateful for that.
The pool with Theo and Ila was not what I’d imagined. I thought it would be nice and calm and homely to have them with me… but they were so excited. Theo kept splashing, Ila was stuck to me. She knew something was happening but she didn’t understand. And as the back pain got worse but contractions didn’t seem to regulate, I started getting more and more frustrated. She picked up on it all.
Eventually I kicked both kids out the pool to watch a film. It was needed but then the guilt and sadness began to take over. The excitement was fading… and I was struggling.
Midwives weren’t much help. They came which was a surprise as we’d be told they might if they could be spared, but we were given no time frame. I asked for a VE which was agony – but I couldn’t carry on without knowing…. I don’t regret it. They said 4cm… except, it could also be 6… they couldn’t decide. So they stayed and observed me for an hour. Contractions were irregular, some almost unbearable, some much more manageable. Before leaving they checked my dilation again – this time talking between themselves about babies position (but not telling me at all!) and then telling me it could still be 4, but they could stretch me up to 7/8 (that was painful AF!).
It was around this time with the midwives I think that Harrison suggested the TENS machine… I had totally forgotten about it, but it was a welcome relief. I had only used the water until that point, and lots of movement breathing.
Then came the most intense part. This memory holds the most strength of labour still for me, and the vulnerability I felt brings me to tears. I remember lying on my bed. Curled up into my inner space; this was my time for rest… and I did. I slept in between contractions so intense I felt like I was being ripped apart. In the later moments as I lay down, turning my TENS machine up so high I felt the reminence of those shocks for days after – I text a friend telling her I felt like I was dying. In that moment, though I knew this was the intensity of labour, I truly felt like I couldn’t go on.
In between my sleep Harrison brought me toast. The kids fell asleep.. Ila lay next to me, wanting to know I was close. But then things got too much… Harrison took Ila, and just as he got her to sleep downstairs, I had an intense contraction. Instinctly I moved onto all fours. Something shifted.
Harrison downstairs. I told Gaby – who had sat with me and gently assured me that I was okay, that I could do this, that I was doing this – that I was going to get back into the pool.
Tens machine off, I got into the pool and transition began. I was so deeply in the zone that although I registered Harrison telling me he thought we should call the midwives again, i couldn’t respond. He made the decision and got on the phone.
This is one of the few really intimate moments we had … because he was so busy making sure I had all I needed. He’s exhausted, I’m in the deep space of Birth…but when I look at this image, I see the trust and support. I see the love.
The next contraction came, and my body took over. I was pushing.
I could feel our babies head. I screamed. I roared. It was intense.
"Sometimes we roar our babies out"
The midwives told Harrison to call paramedics instead, but I was pushing, the baby was coming and I would not have been able to wait even if I wanted.
I don’t know how long it took from then to holding him, but he arrived, roared out with such intensity that I woke Ila up.
Then he was here… Harrison told us baby boy. I just sat, having caught him and pulled him up onto me, unwrapped his cord from his neck, I was still in awe. Somehow my body had known I needed the water… that I was ready, but I had doubted myself so much that the reality of holding my baby was still a shock.
My loudness had woken Ila up, so Harrison had brought her in, and she tried to get into the pool with me again. Instead, I got out.
Before I even sat, our placenta was out. Easy as anything, and intact. I put it into a bowl and curled onto the bed, with Ila there, munching a biscuit and our baby boy wrapped in a towel on top of me.
Ezra. He was here.
I drank some herbal tea to avoid major bleeding – given my history with Theo, this was a precaution and a mental safety net.
Harrison was still on the phone. The paramedics were on their way… but it would be hours yet.
Theo woke up, cried and came up the stairs. So soon he was cuddled in… completely indifferent to the newest addition in my arms. Harrison was already sorting out the pool… checking in on us while he worked. I had afterpains… and they were Intense! It’s true, they get worse with every child.
We moved the towels I’d been sat on, put some fresh ones down and began to just settle in, trying to latch Ezra but he wss mostly sleepy and content.
When the paramedics arrived, 2 hours after we had called, they were shocked at the fact midwives hadn’t even called to check in. I showered, and was still bleeding steadily so, against my deepest wish, but following advice, I decided to transfer in.
I am a person who deeply believes we can birth in the way we want. That we intuitively know if something is wrong and that I was in tune enough with body to trust it. I knew I hadn’t torn, and that my bleeding was normal. I also knew my previous bleeding with Theo’s birth was for concerning, and that this pregnancy I had not been given an iron transfusion. I knew I was fine… but I also knew I didn’t want the trauma for my children of rushing mummy into hospital hours later because of bleeding. So I transfered, to be safe.
I have to say though, the paramedics were very respectful about my hesitation. The male paramedic was concerned by blood loss, because he couldn’t gauge it from the pool (which was gone) and towels had soaked up so much water as well as blood. The female paramedic was trusting, she gave me the space and made sure I knew the power was in my hands. It was my scene, and they were there as an assist.
Gaby was still with us too, hours after the birth by this point, so she prepared to leave as I did. She was so incredibly calm and centred. She was exactly who I had needed with us, not just for me, but for our whole family. I told the kids they’d pick me up in the morning and kissed Harrison goodbye. It was bittersweet and part of me hated it. I wanted to be in our bed, snuggled up with my children. But there was no Midwife coming… and I knew this was to be part of our story, so *deep breath* off we went.
Story to be continued in the immediate postpartum writings … below are more images from our day 💕
These are some more of the parts of our story.
I know that for some people, birh photography is something they wouldn’t dream of… but others are curious. These images form part of our story – they capture both of my older children on the day their brother was born, they capture the support I had from my husband, they capture the depths of my commitment to birth my baby in a way I knew I wanted. It hard, but ultimately healing.
If you think you might want someone to capture your birth… ask around. It is absolutely something I don’t think anyone would ever regret…. because it isn’t just a photo, it’s a story of the journey.
4 weeks on from welcoming my daughter into the world, I am finally ready to share our story. It’s taken me this long to write because life has been a perfect blend of chaos and love and I haven’t wanted to miss out in daylight hours. But before we begin 2020, I want to share one of my biggest and most incredible 2019 moments: birth.
Ila-Rae decided exactly 1 week early that she was ready to come earthside and so was born in the first week of December. Throughout the last trimester of my pregnancy, I had said that I didn’t mind, and in fact wanted to carry her over our due date because I enjoyed being pregnant. However, the night before her arrival, I was very ready to no longer be pregnant: I was tired, heavy and sore. I wanted to be able to play with and run after Theo Prana (now 29 months) without the constraints of my giant belly. That night Theo was sick, he ran a temperature and at 1am cried and cried that his throat hurt. He wanted the telly so we left H in bed and I took him downstairs for the dragon movie (How to Train Your Dragon) hoping I’d manage some sleep. We never watched the film, he snuggled up and fell asleep again quickly, waking frequently for reassurance that mummy was there with him. I was exhausted.
Baby girl must have known growing her was taking its toll, the next morning I went to the toilet and realised I’d had a ‘show’. My real contractions started around an hour later (8am) and slowly got worse through the day. H had his usual lie in while I played with Theo and we had a spinach omelette breakfast. The morning was calm enough, I did the washing, sorted out some house bits; the labour pains were becoming more obvious and I knew that this was it, but we’d had a few false alarms in the 2 weeks previously so I kept quiet. Played with Theo, snacked, sang, danced, cuddled and breastfed. Theo was extra attached to me, possibly because he’d been unwell, or possibly because he knew we were maybe getting close to our new arrival.
H came down mid-morning and he asked if everything was okay. I told him that this could be another false alarm, pains were not frequent enough to tell. At some point, he left me and Theo so he could buy a new computer game, which later he joked he’d never get to play since baby was coming: I laughed and somehow as silly as this may seem, it is significant memory of the early stages of my labour. I’d also very last minute ordered a bump cast kit. It arrived that afternoon.
At 2pm we took Theo to the GP to check on his throat. By this point my contractions were frequent enough to know we should time them, but still irregular. Priority was having my son checked, and making sure he was alright. Once he was given the all clear: we went home and immediately my contractions intensified. I had mentally given my body permission to keep going because I knew that Theo was okay. I think if we’d been told he had an infection, labour would have stalled.
Harrison got everything ready for the bump cast. I took Theo upstairs and we played with blocks and he fed and cuddled me. I told him baby would be arriving soon, and mummy’s body was getting ready to have his sister come to live outside of my belly. I contacted my friend who’d offered to have Theo while we went to hospital, and the photographer I’d hired. They both knew it was going to happen in the next 12-24 hours. I watched my son and cried knowing it was my last day with only him as my baby. Our relationship has become so sacred to me, I was scared beyond measure that I was going to ruin it by bringing a baby home; I mourned the fact he was suddenly going to be so grown up.
We put the Teletubies on for Theo while Harrison cast over my bump. I lay down letting it set and my contractions got stronger. It was lying on my kitchen floor breathing and moaning through the pain that I understood the sensuality of labour, and how it could be, in its own way, orgasmic. I breathed heavily, closed my eyes and let the wave-like feeling build and then drop off, it was magical.
I asked Harrison to take the cast off and after getting cleaned up, began to make dinner. The boys ate wraps but I just wanted to be sick. I’d already taken an anti-sickness tablet so I tried to eat though I didn’t manage much, instead a bounced on the birth ball. The nausea reminded me of Theo’s labour, except this time I was better prepared. While we ate, we made sure everything was packed and got Theo ready for his sleepover. My 4th night away from him, ever. I walked him to our friends house and he was off, didn’t even say goodbye. He happily went off to play and though he struggled to sleep, he did a lot better than I thought he would. I am truly grateful that he stayed with them, because I could relax and focus on myself and baby, knowing he was safe and well cared for.
Music on, we set off for hospital in Paisley. I texted our photographer and told her we were leaving: she said she’d meet us there after a while.
We arrived at 8pm. I said not to bother bringing in our bags in case we were told that I wasn’t far enough along to admit. H wanted to bring them but didn’t argue, and so came out for them again about half an hour later. We saw a midwife who did the initial triage, and then were left to our own devices for a while. I was sick from the pain of contractions and asked for an antiemetic injection but it only arrived after Ila-Rae was born.
Another midwife Emily introduced herself and brought us some toast and tea. She wanted to examine me but suggested we wait until I was more ready. She encouraged me to breathe through contractions, relax my body and blow the pain away. After a while she suggested it again because the contractions were making me visibly more uncomfortable: I agreed to have a vaginal exam in 15 minutes – we ended up waiting 35 and when she examined me, I was 5cm dilated. Though painful, it was exactly the news I had wanted: active labour meant I’d be admitted into the CMU (maternity unit) and could move to a labour room. It was around 9.30pm.
Just before we moved to the labour room, Louise arrived (our photographer) and got straight to work. She encouraged me and got on well with the midwives straight away. The night shift had started so Emma, a new midwife introduced herself. This made me uncomfortable because I had, in a short time built a rapport with Emily. Both women however, were exceptional.
The bath had been run at my request and I got straight in. I was still talking and joking between contractions though slowly began to withdraw. Emma made me feel like a person: she sat with me and encouraged me, she never requested I move out of a comfort zone and examined me without making me uncomfortable. At one point, when Harrison and Louise were both in the main room away from me, Emma sat near me and asked me about my hair: it was in 2 french braids for convenience and we briefly discussed how it is often much more comfortable to have hair out the way in labour but that it isn’t something many people advise pregnant women on. It was a simple conversation, but it made me feel like a human being not just a labouring mum.
I cannot remember full details about each contraction, but I remember getting quieter, more tired, withdrawing into myself, and connecting with the wilder, primal parts of me: I moaned, I cried, I breathed slowly and deeply. I was aware of my music, and grateful that the midwives had gone through my birth plan. Emma was at one point my advocate to tell Harrison and Louise to be quiet or leave the room.
As things got further along (though I had no real care or idea of the time), Emma asked about pushing, and we spoke about the fetal ejection reflex; she knew that I wanted to let my body take over, so she asked that when I felt my body begin to push or want to, that I let her know. She also told me that the birthe pool was being cleaned and then I’d be able to transfer to there soon. I was still in the bath and H poured water over my back and reminded me to relax my body through contractions. He sang to my music in between. In between the contractions I rested, eyes closed, not quite sleeping. I remember thinking they wouldn’t move me to the pool before baby.
My body began to push, I told Emma and she encouraged me. She again said we’d move soon but I knew we wouldn’t. I couldn’t talk, the next contraction came and Harrison told me how well I was doing “just a bit more” … but I felt like I couldn’t cope. I moved from my kneeling position to a half kneel, half squat and said I couldn’t do it anymore, I wanted to ask for pain relief, but had no time. I was pushing involuntarily and my body took over.
Pushing my daughter out was hard, birth it, but it was an incredibly powerful feeling.
Emma said as I pushed that my waters had gone, but I knew it was my baby; I couldn’t talk, just pushed and moaned. Then I heard “no that’s the baby!” and Emma had tried to catch her but I reached out and pulled her through my legs and she was on me. It was bliss.
We were ushered out the bath fairly quickly due to my history of blood loss and the fact we needed a managed placenta delivery. On the bed, I had skin to skin and Ila-Rae latched onto my breast. We delivered my placenta and the midwives checked for any tears etc – absolutely none. I threw up again, and then my antiemetic finally arrived.
Skin to skin, quiet time, we were able to bond and relax. Ila’s newborn check and weight wasn’t done for over 2 hours, we were brought toast but I couldn’t stomach any of it. I still felt sick. I was happy to just let her feed and watch her, resting in small spouts.
We moved to the recovery wing and then sadly Harrison was sent home (3.30am); this was the only tainting experience of our labour and birth, because he was so upset and really I didn’t want him to leave. But we didn’t argue, he went home and I nursed and slept. I held Ila almost all night, something that was entirely impossible with Theo because I could hardly stay awake after his birth.
In the morning I spoke to Harrison and he brought Theo to pick us up. Theo wasn’t sure at first, more interested in his milkshake than his sister but that soon changed when I said he could hold her. My beautiful boy told her he loved her without being asked to, he said hello beautiful and he cuddled her on the bed. It is a moment I will cherish always.
And there ends my birth story.
My postpartum experience has been entirely different to the first time round. I am of course tired, and there are many hard moments, but I’ll share those bits later. I am starting 2020 as a mum of 2 beautiful babies, feeling empowered by my birth and excited by it too. I hope that this year I can start my journey into birth-work, and after this experience, I hope I can empower other women, whatever their choices are or situation may be, to feel as in control and trusting as I did in the birth room.