Several topics come to mind each day that I want to explore here, but I think I have to share some reflections on Rami’s birth first – in many ways it has set the context for the journey so far. Don’t worry, I won’t share a detailed birth story – that in and of itself might turn folks off from reading anything else I ever post. But I do think that the emotions and reflections that labor stirred up should be shared, if anything to help me continue to work through the experience.
Rami was born nine days late. As anyone who has had a late baby can attest, going past a due date is absolutely demoralizing, even if you know that a “due date” is a farce (I mean, I read articles from moms calling for a “due period” so that we wouldn’t get hung up on a day.. kinda brilliant, I think). But what is even more demoralizing is having fierce and unrelenting prodromal labor starting around your due date and continuing for over a week. For those that don’t know (and I didn’t until I was experiencing it), prodromal labor is a type of labor that happens before active labor kicks in. It’s sometimes referred to as “false” labor, but the individual who named it that must have been a man because what I was feeling was not false. The contractions were legit. They just didn’t go anywhere. Another thing that I didn’t know is that labor really isn’t considered active until the contractions are approximately 3-5 minutes apart and painful enough that you can’t really talk through them. Oh, and that usually happens when you are 3-5 centimeters dilated. So getting to 3 cm can be brutal and take forever. Which is what I was experiencing for what felt like eternity.
On top of the prodromal labor, my mom had come to Boston when I was 38.5 weeks pregnant and Feras’ paternity leave started 4 days before Rami’s due date. Feras had four weeks off, but they had to correspond to rotation weeks so he couldn’t start his leave when Rami was born. That meant that the later Rami came, the less time Feras was going to have with him when he arrived. All that to say, there was much at stake for Rami to make an early or on time arrival.
The confluence of these factors heightened the whole situation, especially for me. I so badly wanted to go into labor and for it all to go “as planned.” And I wasn’t even picky about how labor/delivery happened, as long as I felt like I could make choices for myself and feel empowered by those decisions. None of that happened. Nothing went as planned. Each day that passed after my due date was agonizing. I prayed and prayed for labor to kick in. I would wake up with painful contractions and pray, I’d go to bed and pray. I’d pray that labor would kick in so that Feras could have quality weeks with us at home as a family of three before he was whisked back into the crazy world of residency. And when I didn’t go into labor each day, I’d pray that the next day would be different. After a while, my prayers significantly changed in tone: at the beginning I was praying “nicely”; after a while, I became much more demanding and frustrated. I started taking my protracted experience personally. And despite my late night fits to God, nothing changed.
At my 40.5 week midwifery appointment, I was so tired and so emotionally depleted that my midwife discussed starting an induction at 41 weeks on the nose. I didn’t have the mental energy or the willpower, having dealt with so many nights of contractions and no sleep, to not be tempted by that. And so we scheduled my induction process to begin early on Saturday morning, August 6. Then I prayed that the act of scheduling the induction would prompt labor since induction was NOT something I had ever planned on. Wasn’t for me. Surely God would know that and help things along. Nope.
My conversations with God were varied leading up to the dreaded induction on Saturday morning. Late at night they were stern, frustrated. In the morning the conversations were more hopeful and upbeat. I oscillated between demanding a divine intervention and being at peace with the process, induction or not – and maybe God had a “plan” for me and Rami after all. I was on a roller coaster of emotions and they were all directed at God like God was somehow orchestrating the whole situation with maniacal intent. As I write this now, I am amused at how self-important I sound. At the time, however, the struggle with faith was real, raw, extremely personal. More than I had ever experienced. At one point I had a meltdown on my living room floor wanting to scream at God- why had things gone like this? Why couldn’t something go right- be easy- go smoothly? You know when you get to this point, all of your unresolved issues come back up and somehow connect to what you are currently upset about. I started rehashing my anger about moving to Boston in the first place and how difficult the journey was initially. God was hearing A LOT of complaints. But honestly, as silly as it sounds, it was incredibly painful and I felt like my prayers were not being answered. Perhaps more honestly, I felt like they were being ignored.
The induction began promptly Saturday morning. By Saturday night my contractions had intensified and I finally felt like the “real” thing was happening. [A friendly note about terms used during the labor process: in addition to the real vs. false labor dichotomy, other crazy terms encountered included things like “cervical ripening” which just makes women feel like fruit and not human. Topic explored in a future blog post.] My water broke around 12:30 am on Sunday morning and I labored all night with Feras’ help. Newsroom was our TV show of choice and it helped me get through some painful contractions. But by 10:30am, contractions hadn’t progressed and were not getting closer together. With the encouragement of midwife extraordinaire, Jeri Lake, we decided to go to the hospital and just see what was happening. We were all fully prepared to return home for me to continue the labor process since that was what I had planned on happening.
By the time the midwife saw me, I was still only 2-3 cm dilated and not fully effaced. Given the past week and a half, she advised me to be admitted and get pitocin, the synthetic version of the hormone oxytocin that gets labor going. As many of you know, this meant that I was probably facing more intense pain earlier on and was going to be hooked up to an IV the whole labor –not ideal. But the prospect of continuing at home without any progress for the upteenth time was perhaps more daunting at that point and we agreed.
I was admitted and given pitocin. After about 4 hours or so, the contractions had become so horrible and so close together that I got an epidural, which I also had not wanted. But being around 3/4 cm dilated with transition-level contractions meant that I literally thought I would die if meeting my child wasn’t around the corner. But that meant no more moving around to labor and no eating or drinking anything but clear liquid, which was yet another thing I was bummed about. I wept as I told Feras and my mom I wanted the epidural (to which both of them said thank goodness). After that, I thought everything would go smoothly and quickly. Not so. Of course.
Sunday night, the monitor started showing Rami having concerning decelerations in his heart rate. In order to figure out what was going on with him, I was being turned in the bed every 5 minutes, preventing any meaningful rest, and was being given blood pressure medication and hooked up to other tubes. They cut all pitocin because he wasn’t handling the contractions, so everything was effectively stalled until they could see whether Rami’s heart rate could be stabilized. At this point, I was convinced they were going to take me to the OR for a c-section because things were not going well. But they found a position that Rami tolerated and they got my blood pressure up, so Monday morning they were able to slowly restart the pitocin. I was still 4 cm. My contractions got strong enough to start dilating me further around 12:30 or so on Monday and the midwife said that she would give me about 2 hours and then see if they had been effective. If they hadn’t, they would start recommending “other options.” Read: surgery.
Around 3pm I was ready to push. We had all been so stressed and I had so little energy, having not had anything to eat in over a day, that I thought surely the pushing would be quick and easy. I thought, surely you will make something go right, God. This has been enough. Please. Help. Not so. I pushed for over three hours, Rami got stuck, and the room flooded with people prepared to intervene. At one point, I was so delirious and in pain (they turned the epidural way down so I could feel it) and so upset that it was taking so long and it was so hard that I really felt abandoned by God. I stopped calling on Her. I was convinced that God had peaced out of this experience with me, and I was angry.
Rami was finally born at 6:10pm. Thanks to a fabulous team of midwives, doctors, and nurses, I did not have to have a c-section. I was grateful for that- don’t get me wrong – but was consumed by feelings of failure, weakness, inability. I could not fully process what happened and felt traumatized. I was angry with God. In the days the followed, Feras, mom and dad and I talked at length about the experience and the overwhelming fear that we all experienced in different ways throughout the labor. What I could barely say out loud without breaking down and weeping was how strongly I felt abandoned by God. I felt like the more I pleaded with God, the more She laughed back at me and opted to be absent. I had never felt that before in such a prolonged and intense way, and it was painful to name.
Fast forward eight/nine weeks later. I am no longer reliving the labor when I close my eyes to sleep. I have actually done some work reshaping and reclaiming the labor narrative, thanks to Feras, mom, dad, and Jeri. I do not feel like a failure and am seeing the experience as something that I fought through and stuck with. I was strong. I brought Rami into this world and he is healthy and vibrant. Definitely worth the struggle.
But I haven’t fully made my peace with God. I can still feel the intensity of my disappointment and frustration when I reflect on my experience; I can still go back to the long nights awake and in pain calling on God, only to feel ignored. I wonder now how this has shaped my faith, or, more honestly, what God was telling me through it all.
A while ago, I was on the phone with my dad talking about our reflections on the experience. Dad had come to Boston when I was 40.5 weeks pregnant and was in the waiting room when I was pushing, unable to get any word on how I was going. He too had choice words for God as he paced around the hospital, praying for my well being and his grandson’s healthy entry into the world. I don’t want to coopt his reflections or his words about that experience, but he said something that has stuck with me. He said that in his fearful moments when he was talking sternly to God, he got the clear sense that God was saying back to him, YES, demand my presence. Do not come at me with kid gloves, do not tiptoe around me. I can handle your anger, your fear. Call on me and don’t sugar coat your feelings.
There is much about my experience that is beautiful. I had absolutely incredible support from Feras, mom and dad. There could not be a better team of people to help you through that than those three. I had people lifting me and Rami up in prayer all over the world. I gave birth at one of the best hospitals in the world and had midwives who carried me through to the end and had my complete trust. And y’all, I had a BABY. I persevered and I brought Rami into the world. I had to go through some dark places to get there, but I did it. As I look back, I know that that God was there, tending to my precious baby as he struggled to emerge and me as I struggled to help him emerge. And while I haven’t fully made my peace with God yet, I’m working on it. I am slowly realizing that instead of doubting faith in difficulty, that difficulty, pain, anger are where faith becomes the most real and less pie-in-the-sky. Where faith becomes the experience of taking steps without feet and coming out the other end with a Rami.
Rami has started smiling and it totally lights up his face! First time in Memphis and Jackson, TN, and so many new faces to smile at 🙂
Uncle David and New Hope Farm!
Meeting Kathy who had quite the rapport with Rami
At Nanny’s for her 91st and got to meet Aunt Susan for the first time
And Melinda!
And Allison, Sean, Sam, Luke and Thomas!
Makes my heart melt
Allison and me with our youngest babies – Thomas at 6 months, Rami at about 2 months. Rami has some catching up to do 🙂
These two are incredible grandparents, but who is surprised!? So much fun visiting them. Rami especially enjoyed the 4:30am snuggles with them every morning!
Rami attended his first wedding in LA – yay Van and Dan! (Also how cute are these guys!?)
West Coast baby (sleeping)
Family pic with SoCal in background. We could get used to 70 degrees and sunny all the time with mountains and ocean!
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