Tag Archives: midwife

A Fork in the Road

“I just want you to say something that will make it okay.”

I finally admit this to myself and to Addison, lying in the dark and staring at a wall I can’t see.

“Well, I love you,” he begins, and I already know that there isn’t anything he can say to make it go away.

Earlier today, I went to Planned Parenthood for a breast exam (yes, everything is fine).

After checking in, I sat in the waiting room and tried to read my ‘First Buddhist Nuns’ book, while the TV cried out to me about the gut wrenching competition between two couples attempting to sell the most stuff at a flea market. Riveting, I know, but I focused on my reading.

A surprising (or perhaps not so surprising) piece of information I gained from reading about the first Buddhist nuns in India, is that many of them became nuns after losing a child or children. Once their world was shattered, they could not imagine putting the pieces back together. They simply stepped over the wreckage and into their robes and a lifelong commitment to their spiritual practice.

It is not hard for me to imagine myself doing the same thing. Except that I just married Addison and I really like him.

I heard a mangled interpretation of what must surely be my name being called, and I snapped out of my Buddhist reverie.

Once I was seated in a tiny little office space, the doctor’s assistant ran through the usual list of questions they ask all of their patients. “Some of these questions, might be difficult to answer or upsetting,” the girl said. I stiffened a little. Oh man, please don’t ask me about pregnancies and children, let’s not get into that. “…but I have to ask them in order to be sure that you are safe and so that we know how we can best care for you.” 

I nodded. She asked about family history of diseases, STDs, birth control, if I felt safe where I was living, etc. I relaxed, and answered her questions without hesitation. 

“Have you ever been pregnant?” 

Crap. “Yes.”

“Did you carry the baby to term?”

“Yes.” Please don’t ask anything else, please just stop there, that’s all you need to know.

“Are you currently breastfeeding?”

“No.” Annnnnnnd we’re good! Right?

And then, as if an invisible stop light had changed from green to red, she stopped asking questions.

Phew. 

She led me to the exam room, where I donned a crinkly, paper vest. The doctor was taking a while to arrive, so I read more about Bhuddhist nuns, all the while feeling secretly hilarious for reading about any kind of nun at Planned Parenthood.

When the doctor came in, I slipped the book behind me and greeted her. She looked to be in her 40s, with dark, straight hair and a face that seemed to have done its fair share of laughing and crying.

“I understand there’s a lump in your breast that you’re concerned about,” she said. “I’ll definitely check that out in a minute. But first, can you tell me if there is anything that may have happened in your life recently that could have effected your body or your hormones?”

I looked around the room. I really didn’t want to bother her with the details, unless it was absolutely necessary for her to know. Then I sighed. “About…. 8 months ago I had a stillborn baby.” There, I said it. Don’t worry lady, I’ve got this under wraps. I won’t make you uncomfortable by getting all emotional about it.

She looked into my eyes, her own filling with tears. “I’m so sorry.”

Well, that does it. I didn’t hear whatever else she might have said because I broke down crying. I scrubbed at my eyes and tried to pull myself together.

“Was it a boy or a girl?” she asked.

“A girl,” I sobbed.

“Oh, a sweet little girl.” After a moment she said, “Well it is definitely relevant and I’m glad that you told me. Thank you. And I am so sorry.”

During the exam we discovered that she knows the midwife I worked with last year. I waited for that sliver of a second, waited for her to tell me that the midwife I had chosen was a quack, a terrible midwife, that it must have been all of her fault that my baby died.

But she didn’t say anything like that.  

Once she had examined me, the doctor decided to be on the safe side and send me in for an ultrasound and a mammogram. When I went to the window to pay and get my referral papers, the receptionist told me the fees had been waived. I took my referrals and looked for the doctor to give her an appreciative smile, but I didn’t see her.

Later that day, I went to get my boobs smooshed in turn between two plates of glass. Although the technician chatted merrily about the weather in Colorado and women with no pain tolerance (“You have a very high pain threshold for someone so young,” she told me), she steered clear of topics about reproduction, except for when she put a protective apron around my waist to protect my ovaries and uterus from radiation.

The woman who gave me my ultrasound also avoided the topic of pregnancies and children, and when I went out after my appointment to pay at the front desk, again they told me the fee had been waived.

Whether the Planned Parenthood doctor had instructed these other women to spare me the painful question of “do you have any children?” or the like, I don’t know. I do know that we had quickly connected through a common understanding–the love of our children and the pain of losing them.

“We are companions in suffering,” my Buddhist book told me as I waited in different appointment rooms.

I had told Addison about my day, and reflected on how thorough the doctor and technicians had been, taking me through every available examination, whether or not they thought it was totally necessary. At the end of the day, we were all pretty darn certain me and my boobs were going to be just fine.

As I lie here, I drift to that crossroads in time, a time I try not to dwell on, but one that surfaces nonetheless…

…those days right around Chickadee’s due date. That Sunday when I realized that she wasn’t moving as much. Addison’s mother seemed worried too, even though she said that her babies also moved less as she came closer to labor.

Early the next morning we went to the midwife’s house so she could check on Chickadee.

“She’s barely kicked or moved at all in the last day or so,” I told the midwife. “I didn’t realize it until last night.”

She pulled out the doppler and listened for Chickadee’s heartbeat. It sounded strong and steady.

“She sounds great,” the midwife said. “It’s not uncommon for babies to move less as they begin to lower into the birth canal. I’ve seen it in my pregnancies and with a lot of other women also.”

And right here, I freeze time. Stop everyone. Just STOP.

Would it really be such a hassle to send me into get a sonogram? Would it be so inconvenient for us to take a few hours out of our lives to make sure our baby is 100% okay?

In this time-freeze, I turn us down a different fork in the road. This time, we get a sonogram. Perhaps by the time we’ve made the appointment and driven to the clinic, Chickadee’s heart rate would have sounded distressed. In that dark, cool room, we would have seen our big, fat, upside-down baby on the screen. Would they have been able to ascertain that something was wrong?

Maybe, in this alternate reality, they would have seen something to concern them, and rushed me to the hospital. They would have induced labor and maybe, just maybe, Chickadee lives in this alternate storyline.

I tell Addison about this alternate reality, and he strokes my hair. “We did everything we could with the information we had,” he said. “We trusted our midwife completely. We didn’t know that we should be concerned. It’s not going to change anything or make us feel better to resent her now.”

“I know,” I sigh, “But maybe I feel like I failed my child. When I feel angry at my own parents for not sticking up for me or protecting me at times, now I feel like maybe I did the same thing to my own daughter. I didn’t protect her from a midwife who thought she knew everything. I feel like I failed her.”

Here come the tears.

“You didn’t fail her. You didn’t do anything wrong. She still loves you.”

I hear that we learn a lot about being parents by experimenting with our first child. Did the lesson I had to learn cost my child her life?

And out of all the women throughout history who have had miscarriages, stillbirths or who have lost children, do I really think that I was supposed to be the exception? 

By running through these alternate realities, am I really just saying that sad, inexplicable things happen to other people, and surely it wasn’t supposed to happen to ME and surely if I had just done a few things differently, I could have saved my daughter’s life…?

Surely not. Surely nothing. Surely nothing is sure.

And somewhere in this mire of fears and regrets, all of these bereft mothers and I find solid footing, and we stand stronger than we ever could have before; we know something which is also somehow unknowable–incomprehensible. We’ve reached deep inside of ourselves and either pulled ourselves up and out, or else we drown.

Yes, I want someone to say something that will make it all okay.

I also know that will never happen.

And that’s okay.