Musings from the Threshold

Category Archives: Blessings

Stephen’s Late Christmas

On January 5, I was chatting with Mama via google chat.  She asked how Stephen had liked his Christmas present from them.

*puzzled pause as I tried to remember what they had gotten for him*

*Kodak moment as the light bulb goes on in my head*

*mad dash to the living room to look in the back corner of the boxes of books stacked in the future reading nook*

I sheepishly reported to Mama that I had totally forgotten about Stephen’s present hidden away back there, and proceeded to fetch him to open it. 

Present opening is serious business for Stephen.


But he likes them a lot!

Barak’s Babies

Barak bought some guinea pigs back in August for his latest business venture. I think I neglected to post pictures of Crickets (the girl) and Curly (the boy) at the time. But I have a picture now! Crickets had a fine batch of babies on New Year’s Day – four of them! They are very adorable, don’t you think?

They will be up for sale in about six weeks. In the meantime they are being held and loved on and will be extremely friendly little pets.

The Joys of Motherhood

~ The adoration in your 18 month old’s eyes as he flies across the room to your arms.

~ The hilarity of listening to your 7 year old read knock knock jokes to you that she doesn’t understand.
~ Sharing moments of genuine companionship with your 11 year old.
~ Enjoying the affection of your still-huggy 9 year old son.
~ Girl talk with your 10 year old.
~ The beauty of your 5 year old’s heart shaped face – and of her lovely heart.
~ Enjoying a good laugh with your 12 year old.
Please note:  Cleaning up vomit is not on the list.  If you have a means of communicating this to my children’s digestive systems, please let me know!

Katie’s Birth Story – Part 6

The final installment in the saga of our dear Katie’s birth. We are so very thankful for God’s faithfulness and sovereignty.

Part 6 – Looking back

In retrospect, having researched and studied the issues involved, we do not believe that Katie was in any real danger. We think that if we had taken her home at one day old, she would have healthy and happy.

Here are two huge reasons why:
1) The only reason her bilirubin counts were alarming was that she was labeled a preemie. But she wasn’t truly a preemie. 37 weeks gestation is not premature. And remember, the one reason they rated her at 34 weeks was because of her loose hips, which were only loose because she was frank breech. We believe she would have been fine going home and bathing in sunshine and soaking up love from her parents and siblings, instead of being stuck in a hospital incubator under artificial lights, away from the loving arms of her family.

2) The other panic factor for the hospital staff was the threat of Group B Strep. We had not studied up on this well enough, and did not know enough to protect our baby from necessary antibiotic use.

As mentioned earlier, we were told that an infant who contracts Group B strep from his or her mother is dealing with a fast-acting, life-threatening infection, though the bacteria is harmless to the mother. However, several months later, we learned from a leading maternal-fetal specialist that the significant risk of transfer of Group B strep occurs when the amniotic sac is broken for at least 18 hours before the birth of the baby. When the window of possible exposure is smaller than 18 hours, risk of transfer is very minimal. Remember the story of Katie’s arrival? Her window of exposure was probably less than two seconds. And yes, we think someone should have been knowledgeable enough and honest enough to share this critical information with us.

So What?
The effects of the whole experience surrounding Katie’s birth have been significant. I’ll touch on a few of them.

Birth Plans
I suppose the most glaring result of our hospital experience is the fact that we have since returned home to Kansas for the births of our subsequent babies in order to have the attendance of a legal midwife. If the Lord blesses us with any more while we are in Missouri, we of course look forward to having a baby in our own home once again with a legal CPM! But for Grace’s and Stephen’s births, this was not a legal option. Within a couple of weeks after Katie’s birth, we were firm in our conviction that we would not subject another of our children to birth in a hospital setting unless there were a legitimate medical reason to do so.

Motivation
We became involved with Friends of Missouri Midwives within a couple months of our move to the state, and have been actively involved ever since. However, our experience following Katie’s birth strengthened our commitment to helping legalize midwives in Missouri. This, coupled with the challenges of having to leave the state to have our babies, has helped us to press on with the efforts of our amazing midwifery advocacy community in Missouri.

Lessons Learned
It is not uncommon for the Lord to allow us experience things to give us the opportunity to become more understanding of those with whom we come in contact. Before our experience following Katie’s birth, I tended to be judgmental of folks whom I saw as kowtowing to the medical profession and accepting what doctors said at face value without bothering to do their own research, ask lots of questions, etc. I am more firmly convinced than ever of the importance of being a well-informed consumer, and of remembering that the medical industry’s proper role is to provide a service to consumers instead of dictating to them. But I know now from personal experience how gut-wrenching it is when they play the “your loved one could die/suffer irreparable damage if you don’t do what we say” card. I know the questioning, the self-doubt, the sense of helplessness to educate yourself adequately under pressure. And I find myself much more understanding of folks who don’t do things the way I would do them.

As with all things in life, I pray that the Lord will use this experience as He works to conform us to the image of Christ, and, ultimately more important, to bring glory to Himself.
Blessed be the name of the Lord!

Katie’s Birth Story –
Part 1, Part 2, Part 3, Part 4, Part 5, Part 6, The Power of a Picture

Katie’s Birth Story – Part 5

I was planning to wait until tomorrow to post this portion of Katie’s birth story… draw out the suspense for you and all. But I’m just not patient enough! So here you go. I’ll just warn you, though… if I’ve done a halfway decent job of painting the picture for you, this will be a gut-wrencher. It was certainly gut-wrenching to live it. Writing it out has been quite a process – a helpful and healing one, I think.

Part 5 – After birth

Dr. Pyle (and the rest of the L&D and pediatric contingent) arrived in our room within moments of Elizabeth Katherine’s birth. Having arrived a few days shy of 37 weeks gestation, she was a little thing, but oh so perfect! Five pounds and three ounces of preciousness. She was healthy in her tininess and was judged to be at 37 weeks gestation by all tests but one. More on that in a bit.

The hospital staff was actually pretty cooperative with our desire to have mom and baby together as much as possible immediately following her birth. They took her off to the side to weigh her and such, but we got to breastfeed and have bonding time right away, and I think they truly made an effort to get her back in my arms as soon as possible.

Everyone there was in high alert mode because Elizabeth Katherine had decided to join us a bit earlier than is usual. The in house pediatrician had been in while I was laboring to discuss things with us briefly, and the peds department swooped in in full force as soon as she was born. The following days would give us a much more intimate view than we had ever desired of the intense pressure that a hospital staff can put on parents to get them to cooperate.

As Jonathan watched over Kate’s newborn examination, he had an interesting discussion with the nurse. She explained to him that the reason that Kate’s hips were so loose was because she was born frank breech (bottom first, basically folded in half). In the next breath, she told him that despite the fact that Kate rated a 37 weeks gestation on all other counts, the reason she was going to give her a 34 week gestation rating was because her hips were so loose. How is that for excellent logic?

Now, at last, they had achieved a crisis, because with that little piece of twisted logic, they suddenly had a preemie on their hands!

Katie was born around 11.30pm. Some friends had come up to visit me in labor and instead had to wait for everyone to finish up their post-birth duties and clear out of the room. We were thankful to see them so quickly after the birth, though – thanks Liz and Jeannette!

The next few days are, to be totally frank, a blur of awfulness. The highlights shine through, of course… nursing sweet Kate, enjoying her precious newness. But really, it was a constant fight for what we believed to be best for our much loved baby, and seven years later, I still tear up at what they put her through. Though we had prepared intensively for labor and delivery in the hospital, and felt blessed and thankful for how cooperative folks were during L&D, nothing had prepared us for the degree to which the hospital staff would consider our baby their own once she was born.

Because they had labeled her a preemie, every thing was a big thing. And we gained a whole new understanding of how parents can let doctors and nurses do things to their babies/family members that they don’t believe are best. The “your baby might die/be permanently damaged if you don’t do what we tell you” card is incredibly powerful. Matters were further complicated by the fact that the pediatrician we had chosen for follow-up care did not have privileges at the hospital where Kate was born. So we dealt with multiple pediatricians, none of whom actually knew us.

Over the course of the next few days, Katie was subjected to untold poking and prodding. She spent most of her time in the hospital nursery in an incubator with “bili lights.” We were also bullied into letting them give her antibiotics because of their fear about Group B strep infection. We saw negative effects from those antibiotics for several years… which would have been worth it if they had been truly necessary. More on that in another post.

Little details from the blur…Kate was not released from the hospital until Wednesday or Thursday (having been born on Saturday night). I would have to walk down the hall to the (freezing cold) nursery to visit, nurse, and hold her. The first few days, it was all I could do to make it down there, from the emotional and physical exhaustion. Jonathan was back and forth from the hospital (an hour away from home, remember?) to take care of our other four children. We had friends who could watch the children part of the time during the day, but after that first night, he went home every night and for many hours of each day to care for them. The hours that he was gone were the worst. I remember one afternoon just sobbing from the exhaustion, the loneliness, the frustration of having to fight for our daughter every step of the way. I very much needed to nurse Kate, and yet I was far too tired to make it to the nursery by myself. I felt so very alone, and cried and cried… for my baby, and for my Mama.

Some happy highlights from our stay at the hospital: 1) Our nurse midwife was wonderful to us and brought us terrific home cooked meals. 2) The hospital provided a “hospitality room” for us to stay in after I was released, just down the hall from where they were (from my perspective) keeping our baby hostage. I was so thankful that I did not have to stay at a motel. 3) God is faithful. Even when times are dark and we cannot see His plans, we can trust His heart.

We finally got to take Katie home with us (equipped with a bili-blanket in which to wrap her most of the time). I was so very glad to be home and in the same room with my precious baby!

Poor Katie’s poking and prodding wasn’t over yet, though. We had to go to our pediatrician’s office every weekday to have her bilirubin levels checked. On Friday morning, July 6, Jonathan left for a business conference in Tennessee, taking the older children with him (his parents were going to meet up with him and watch the children, then come back with them to help us out at home). About a half hour after they left, the pediatrician’s office called. Katie’s levels from the day before had him concerned, and he wanted her at the hospital for a couple more days of intense light therapy. I wasn’t supposed to be driving yet, and called someone from church to see if she would take Katie and I to the hospital. She kindly did, and dropped us off at the door (her own baby was only a few weeks old).

So Katie and I spent two nights alone at another hospital. This time, she at least got to be in the same room as me. We were actually in the pediatric ward, so I got the hospital bed, and she got the latest arrival at the hospital – the bili-bed. It was a rolling cart that had a photo-therapy light under the clear surface of the “bed.” A special blanket reflected the light to the “up” side of the baby. We stayed there Friday, Saturday, and part of Sunday. Katie hated the bili-bed, and I did my best to cuddle her while she lay there. I wanted to nurse her constantly, just so I could hold her, but knew that we would be allowed to leave sooner if I let the lights do their job. Those two days are very vague… I don’t even know what or how I ate! At last, Sunday morning arrived, and with it came two wonderful gifts – Papa and Mama Byrd’s arrival from Kansas, and Katie’s release from the hospital. Praises!

Thankfully, after Katie’s second release from the hospital, life settled into a sense of normalcy. We at last got to enjoy seeing our children all together and being as normal a family as our crazy bunch ever manages to be! My next (and last) post in this series will be a reflective look back… why we believe Katie was perfectly healthy at birth, what I’ve learned from the experience, and good stuff like that.

Katie’s Birth Story –
Part 1, Part 2, Part 3, Part 4, Part 5, Part 6, The Power of a Picture

Katie’s Birth Story – Part 4

Part 4 – The Gentle Giant
In time, Dr. Pyle arrived. He was huge. Not overweight, but tall and strong. I don’t have any legitimate assessment of how tall he was, but he seemed enormous. His hands looked like he could have palmed a basketball without effort. And yet, this huge man was one of the most gentle people I have ever encountered.

One of the first things out of Dr Pyle’s mouth was the statement, “I love breech births.” Having spent months researching our childbirth options in the St. Louis area, this comment dropped our jaws. What a reminder of God’s sovereignty. He brought us the only doctor we know of in St. Louis who would actually welcome a breech presentation!

Dr. Pyle very respectfully prepared me for an internal exam to see what he could learn about how and what Baby was doing. Ever so gently, he checked for a presenting part (what part of the baby’s body is closest to the cervix) and waited through the next contraction to see how Baby was handling things. This confirmed that Baby’s bottom was coming down during contractions to help the cervix open. He could feel the umbilical cord before the contraction, but not during, and Baby’s heartones were fine during contractions, so it was evident that the cord was being pushed safely out of the way with each contraction.

This gentle giant of a man had obviously been prepared for us. He knew that our desire was to birth this baby vaginally. We talked for several minutes about the possibilities… that if we attempted a vaginal delivery and had a complication, I would have to go under general anesthesia instead of local, because time would be of the essence. I agreed that I was willing to go that route if needed. My comfort is nothing to me in the face of the safety of my child. He assured us that the team would be ready at a moment’s notice if they were needed, but strongly impressed on us his belief that we could do this. He obviously respected us as parents and was eager to support us however he could.

Dr. Pyle left the room to give us privacy, and simply asked Cindy to buzz him when she needed him. As he walked out, he noticed my verses on the TV monitor and remarked on how much he liked them. What a blessing. And what a needed reminder at that moment… “In God I have put my trust, I shall not be afraid. What can man do to me?” God was making it abundantly clear that He was faithful. How could I do anything other than continue to trust?

I think Dr. Pyle must have given the rest of the staff the signal that we were to be left alone. I don’t remember anyone else entering the room until we called for them.

So it was down to business. The plan was simple. Wait, breathe, let my body and Baby do the work. Pray. Wait and breathe past my former definition of “have to push.” Pray. Wait. Breathe. Be thankful beyond measure for my wonderful husband, doula, and midwife. Wait. Breathe. Pray. Repeat until there was no possible way to not push.

I don’t know how long this stage lasted. Time was irrelevant. The waves came and went. Embrace them… then let them go. Almost like a dance. A very intense, hardworking dance.

I begin to know, and think I stated out loud, that it wouldn’t be long. Cindy decided she needed to check on Baby. In the midst of a contraction, she lifted my leg. My concentration broken, I could no longer resist the urge to push. Pop! The amniotic sack burst… all over. Cindy turned to hit the buzzer for Dr. Pyle, (another irresistible push from me) and turned back to see Baby on the bed. Elizabeth Katherine had decided it was time for her arrival, and her birth was one of the most empowering/trust building events in my life.

And I would need all the faith available for the events of the next couple weeks…

Katie’s Birth Story –
Part 1, Part 2, Part 3, Part 4, Part 5, Part 6, The Power of a Picture

Katie’s Birth Story – Part 3

I began to post Katie’s birth story the night of her birthday… almost two weeks ago. Exciting things broke the next day (the Supreme Court ruling), and I’ve been distracted ever since. Tonight, I finally have had the opportunity to get the next section ready. And whether this is a warning or a promise depends on how you feel about birth stories, but Katie’s will be by far the longest. At least, as best as I can guess!

Part 3 – The Hospital (and Looking Back on Preparation)
As instructed, we entered the hospital via the Emergency Room entrance, something that quite honestly irritated me. I was having a baby, not an emergency. I walked up to the admission desk and informed them that I was there because I was in labor. The woman behind the desk looked at me in astonishment, then announced, “You’re not in labor. You’re way too happy to be in labor!” I assured her that truly, I was in labor, I had a great deal to be happy about, and that I was to meet my midwife at the hospital. She acquiesced and got things in order for me to be taken up to Labor and Delivery.

An orderly brought out a wheelchair, and I about had a fit. I was indignant – I was not sick, and walking is one of the best things for me to do in labor. They were pretty insistent and Jonathan urged me to go ahead and have ride (the whole “pick your battles” business, I think). So we headed upstairs.

I believe Cindy, our CNM, was waiting for us at L&D. I don’t remember being there without her, anyway, for which we were thankful. I don’t remember when Barb (our doula) arrived, but I remember being so thankful to see her face! If I recall correctly, Cindy first checked to see if I was dilating. I was 8 ½ centimeters dilated! I remember thinking, “yep, just what I thought… about 8 cm.” I didn’t have long to glory in my accurate assessment of what my body was doing (or to wish that someone would go tell that woman at the desk in the ER), though. As Cindy checked me, her face mirrored her concern.

The next step was to palpate for Baby’s position. The look of concern increased. I was not surprised when Cindy said that she would like to bring in the ultrasound machine to get a better idea of how Baby was lying. My first ultrasound ever… and sure enough, Baby was lying face up and horizontal across my belly. With contractions, Baby’s hiney would drop down toward my cervix.

Cindy’s agreements with the hospital and her supervising physician required that a doctor be called in at this point. She told us that her supervising doctor was out of town this weekend, and that it was a good thing, because she would have insisted on an immediate C-Section. Since the supervising doc was out of town, her backup was called in.

While we waited for the doctor to arrive, we relaxed and prayed as best with could with all the activity going on around us. It was during this time that I had one of my few testy moments of the evening. There were (what seemed to me) multitudes of people in and out of our room, ob nurses, peds nurses and doctors, etc, etc. We were in a large, very nice room. But as a woman accustomed to the intimate environment of my home (with only attendees I’ve chosen) for the very private matter of birthing my babies, there was probably no room big enough! As the room filled with various people trying to do their jobs, I asked in the sweetest voice I could muster, “Do all of you need to be in here at the same time?” Miraculously, the room emptied! And maintained a wonderfully low population for most of the evening.

While we waited for the doctor, we addressed many issues with and signed any number of forms for the hospital staff. We were well informed parents who had obviously researched the issues, and were willing to discuss things rationally and logically. For the most part, we found our decisions honored, though there were disturbing exceptions we discovered later.

One of the key issues for the hospital staff was the question of Group B strep. It’s the only issue that I’m going to go address specifically, as it relates to the later story. I had actually tested positive for Group B a month or so earlier, though I’m not certain to this day that it was a clean test. Group B strep can cause serious, life threatening complications when it is passed from a mother to a baby. Though we were not sure of the accuracy of my positive Group B test, we agreed to allow the hospital staff to administer antibiotics to me in order to pass that protection on to the baby.

As we waited, I lay on mostly on my side – my best position for maintaining focus. This was somewhat hampered by the IV antibiotics and by the monitors strapped to my belly. Neither of these were part of our plan, but under the circumstances, we didn’t find them wise battles to fight.

One of my preparations for this momentous event was to print out some of my favorite verses to put up in my room. Jonathan taped my verses up for me, and wow, was I thankful for the reminders! God’s Word helped me focus amazingly, and reminded me that I and Baby were safe in His loving hands, no matter what circumstances were to come.

One section of verses I felt the Lord had given me for this birth was posted on the TV screen across the room from the bed in large friendly letters.

This I know, that God is for me.
In God, whose word I praise,
In the LORD, whose word I praise,
In God I have put my trust, I shall not be afraid.
What can man do to me?
Psalm 56.9b-11

God’s wisdom and grace in preparing me for this birth astound me till this day.

Remember all that birth story reading I mentioned earlier? I read all kinds of birth stories while I was pregnant. Home births, water births, twin births, breech births, unassisted births, births with midwives, births with doctors, etc. I even read a few hospital birth stories (big grin). My one requirement was that the stories I read reflect a positive outlook on birth, and a belief in the design of the female body for giving birth.

Did you notice “breech births” in that list above? For some reason (also known as Providence) I had read a lot of breech birth stories during this pregnancy. Even as we were on the way to the hospital, I realized that I knew what I needed to do to birth this baby (who, I had admitted to myself by that time, was in some sort of breech position). As I breathed my way through the drive to the hospital, I watched in my mind’s eye as my uterus and cervix did their work. I opened myself up to willingly let my body do what God had designed it to do. And I knew that He would help me to be patient and to wait past any point that in previous births I would have labeled as “have to push.” He would help me let my body do its work, and let Baby have the time and opportunity to have the best possible entrance into this world.

As I lay on my left side, breathing and praying, these are the thoughts that went through my head. Jonathan was there praying with me, as was Barb, who was also doing wonderful things with counter-pressure to help relieve my lower back.

Katie’s Birth Story –
Part 1, Part 2, Part 3, Part 4, Part 5, Part 6, The Power of a Picture

Katie’s Birth Story – Part 2

Approaching The Time:

As we reached the portion of pregnancy when prenatal visits happen every two weeks, we found that Baby just couldn’t settle down. One week, head down. Next visit, vertex (sideways). Next visit, head down. 36 week visit… I think the head is here… maybe here? Well, there’s time. Baby will settle into a head down position soon.

Three days before the 37 week mark, we enjoyed a leisurely Saturday morning before heading out to Washington, Missouri for a session in a personal growth program with some friends/mentors. The older four children played at another friend’s house. Shortly after five in the evening, I realized that the reason I just couldn’t get comfortable was that I was having regular contractions! We decided to get on home so that I could lay down, so we picked up the other Blessings and headed home. While we sat at our friends house waiting for the children to get ready to go, I was having to breath and focus to get through contractions.

The stated plan was that we were going home to get things slowed down and hopefully stopped. As I breathed my way home (about a 45 minute drive), I was aware of two things that I was unwilling to even think consciously, much less speak out loud. One was that this was serious labor, and our chances of stopping it were slim to none. The second was that our baby was not head down.

Our time at home that evening is a bit of a blur to me. I remember lying on our bed, making phone calls and trying to not be too picky as I gave Jonathan last minute directions about what to pack. By this point, whether by spoken or unspoken communication, we both knew we were not just going up to the hospital “just in case.” The hospital where our midwife had privileges was about an hour from our home, so we (rather, Jonathan) packed as if we were headed there to have a baby. Then we hit the road again and dropped the oldest four off at Uncle Doug and Aunt Joyce’s place on our way to the hospital.

The drive to the hospital was pretty intense. I don’t believe that labor was intended to be dealt with while one is buckled in (or strapped down) and unable to move. I think I was mostly quiet on the way… praying and focusing on working with my body.

Katie’s Birth Story –
Part 1, Part 2, Part 3, Part 4, Part 5, Part 6, The Power of a Picture

Katie’s Birth Story – Part 1

One of my goals for birthday season this year was to write up the Blessings’ birth stories and post them on their birthdays. The first three birthdays went by so quickly that I didn’t get to any of them (though I’d still like to get them done this summer). I’ve been working on Katie’s, and though I’m not finished yet, I’ll post the first installment of her story tonight on her birthday.

Background:
After a good deal of prayer and seeking counsel, we moved to Missouri in August of 2000. Even before we moved, and before I was pregnant with our fifth child, we began preparing for our first hospital birth. We had no desire to birth in a hospital unless there was a medical need to do so, but because independent midwives (like the certified professional midwives who had assisted with our first four births at home in Kansas) were illegal in Missouri, our options were limited. So the learning process began.

One of my first missions upon moving was to find out exactly what options were available to us in the St. Louis area. It was a long and frustrating process! Along the way, I met some wonderful ladies and got involved in Friends of Missouri Midwives – a life changing development, to say the least. After research, interviews, and countless phone calls, we connected with a neat CNM who had delivery privileges at a local hospital. We also began a lifetime friendship with a wonderful Christian lady who agreed to be our doula.

Throughout my pregnancy, I was in a state of learning. I had depended greatly on my midwife for my first four births, but I had a growing realization that there was much that I needed to learn for myself to prepare for birth in Missouri. I learned about birth, about myself, about hospital tests and procedures, and so much more. I read birth story after birth story online, and found that to be one of the most educational and empowering activities I engaged in while my baby grew.

Jonathan and I studied up on standard hospital protocol. We researched various tests and procedures for their evidence-based worth. We decided where we stood and why about a vast array of issues, and did our utmost to fulfill our responsibility to be well-informed decision makers on behalf of our growing child. This would serve us well during labor and delivery. Our only regret is that we were not better prepared for what would happen after the birth…

Katie’s Birth Story –
Part 1, Part 2, Part 3, Part 4, Part 5, Part 6, The Power of a Picture