By the time B was coaxed out, I was 13 days overdue and in labour for more than 5 days.
Since early pregnancy, I often wondered what labour would be like - it wasn't, of course, going to be a walk in the park, but I reasoned it would be a few hours at most, and the best case would be to get through it, with any luck, needing no medical intervention. My naive idea of worst case was a day and a half of labour.
Hmmm.
The niggles started on the Sunday and by Monday night, I was wincing in pain with each contraction. By day three, days and nights had melted into a series of 10 minutes, each marked by an erratic but consistently painful set of contractions. Much more exhausting and exasperating than the contractions was how everyone trivialised what, to me, was, until then, the worst pain I had known. Actual labour would come later, they would say, so could I be fed and hydrated and get some sleep? In other words, could I stop being a wuss and not make such a fuss about a few little niggles? I couldn't help but wonder how this could be just the beginning, when I was doubled over and breathless at the end of each contraction - was my pain threshold so low? Was I really a wuss?
I learnt later that in fact I was in established labour for most of the five days. The medical community recognises this as slow labour, but since there is no device to measure pain levels, this hardly gets the attention it deserves. Most women are told to deal with it. Like I was. For most of them, there is some progress, however slow.
Not so for me.
The cervix plays an important part in labour. Simply put, it dilates to allow the baby a passage out. Each contraction in essence, is the uterus pushing the baby out and the cervix dilates to make way for the baby. Ten centimetres. That is the magic number you're looking for. Most people hit this in a couple of days at most. I didn't' hit this in five.
There was some temporary respite on Wednesday morning when I went in to the hospital and a kind midwife allowed a dose of pethidine so I could get some rest. That gave me about four hours of sleep, before I was back to counting contractions again and willing my cervix to dilate. Fast. Next morning, they politely told me to return home and wait, since I wasn't 'progressing' at all. But not before more well-meaning advice about how I should eat and drink and sleep since this was only the beginning and I would definitely know when I'm in established labour, because, then it would really begin to hurt.
Okay.
On Friday, at 12 days overdue, again, I went in to the hospital and begged for pain relief. It didn't matter if I had the lowest pain threshold in the world, but I couldn't take this any longer. The midwife I met there was the first person other than J who seemed to believe that I was in genuine pain. After yet another internal examination - by this time, I was almost indifferent to the indignity and invasiveness of this - she told me that in spite of intense contractions, my cervix just wasn't budging. She could give me another dose of pethidine as a respite but there was no explanation as to why my cervix was so obstinate. The pain came back stronger when the drug wore off, but there was no progress. A few of the midwives conferred and decided to nudge things forward by breaking my waters. Turned out B had relieved herself inside and had to now be constantly monitored constantly via an internal probe. Someone told me they were going to speed things up by putting me on hormone drips and since the pain would most definitely intensify further, I could have an epidural. When the epidural took effect, I was pain free for the first time in almost a week.
But it would be a long time before B was born.
J was there in the middle of all this, rugged as a rock, managing the home front and trying everything in his capacity to relieve my pain. Watching me in agony must have been difficult but I suspect what he found most difficult to deal with, was his helplessness. Having taken the week off work, he sat by the bedside with me, at home and in the hospital, massaging my back and holding my hands, gently reminding me to breathe,encouraging me but wisely stopping short of patronising affirmations. With me oscillating between periods of relative calm and downright agony, he kept the hospital bag ready and was forever on standby, prepared to rush out at a moment's notice. And then there were the unending phone calls and questions from family - is there some progress? why isn't there any progress? are they doing a caesarean yet? I listened, my head dug deep into pillows to stifle moans, as he fielded these with enviable grace. Throughout that week I was repeatedly reminded that J was made of way sterner stuff than I gave him credit for.
I don't remember J's reaction to my waters breaking and the events immediately after. I can only imagine what must have been going through his mind - one minute I was lying there in the birthing room, doubled up in pain, the next they were telling us that our baby could be in danger. There was, however, some comic relief - I vividly remember him laughing out loud at something I said while under the influence of the gas and air they gave me prior to breaking my waters. Though at that time I was sure I would recall this later, it turns out I was really quite drugged and have no clue what it was that had him in splits.
At the labour room, almost an hour passed before the epidural was administered. However, once it took effect, I was enveloped in a numb peace. It struck me, then, that over the past few days, I had forgotten what life without pain felt like. The hormones were steadily dripping away, and I wondered whether my body was receptive to them at all. Somewhere along with the various wires and needles that were put in, they had also slipped in the most invasive of them all - the internal baby monitor. It would be stapled on to her little scalp, they said, and I cringed at the thought. I had visions of my little baby crying in the womb from the pain. Each time I moved a little, I worried whether the staple moved or hurt her more. While I was sprawled on the bed all night, J had to make do with a cramped chair in the corner of the room. Not that he was going to sleep much anyway. Everytime I woke up after nodding off, I found him hovering around me, checking the monitors, especially the little one's heartbeat. When the midwife came in for regular checks, J and I would inundate her with questions, the foremost being, how much longer?
Over the course of the night and the next morning, little had changed, despite the hormone drips having been stepped up to crazy levels. We had different doctors come and explain to us that we had to wait a little longer. Her heartbeat was strong, they said, and that meant there was no reason to intervene yet. I wondered where I would muster the energy to go through a natural delivery, having had little to eat or drink in the preceding 24 hours. Also, what was the logic in waiting for her heartbeat to not be alright before intervening? Who would guarantee us her safety? In that sleep deprived, sedated state, I said nothing. I just held on to J's hands and prayed.
Finally around noon, a doctor came in to tell us that at 13 days overdue, after eighteen hours of hormone induction, the cervix was at 4 cms, the level at which some women start their labour process. They were going to operate. I distinctly remember searching within for some sense of relief. There was none. Despite being pumped with all sorts of drugs, my body wasn't willing to embrace the natural process of giving birth. I felt let down. I noticed J was showing no emotion either. This was probably the farthest from anything he might have wanted for our birth experience. I was letting him down, I thought, and a sense of inexplicable shame consumed me.
The next few minutes passed like a whirlwind. We were ushered into the operation theatre and briefed on the procedure. The epidural wasn't entirely effective after all that while, so I was given a spinal block. J sat beside me, holding my hand while the doctors set about helping my baby out into the world. Others who have had caesarean sections have said that they could feel tugs and pulls, except it wasn't painful. I was trying to work up some excitement when someone announced to J that he could see the baby now.
What?
My baby was born.
Why hadn't I felt anything?
I spent nine months dreaming about the moment I would greet my baby into the world, and it was over. Without me even being aware of it. Cruel, I thought.
J stood up, and sat down shortly after. I could see he had tears in his eyes. He couldn't speak, but in his eyes I saw a million unspoken words. In the tears he wiped away, I saw an expression of all the emotions I had imagined I would feel. And then, they brought her to me. Wrapped in a white towel, eyed partly opened, she looked up at me. My baby. Not in my arms, but within reach. Safe and sound. And beautiful. Oh, so beautiful.
God, she's beautiful!
Those were my first words. And my second. And my third. The numbness was gone. In it's place was a happiness that was beyond any happiness I had ever known. It was perfection. It was as if the universe had conspired all along to present J and I with that moment, and now that we had it, it had receded into the background, smiling, and peered at us from around the corner while we savoured it.
Back in the labour room, B was laid against me, her tiny tiny body against mine. She snuggled up instantly, her little hands on me, eyes closed and her pink lips in a pretty pout. Like she belonged. Like she was home. Everything felt right. Just right.