Originally published by Take 5 Magazine in 2010
My pregnancy was a precious and hard-fought one. After four years of IVF
and ten expensive, emotional and gruelling cycles my husband and I finally
conceived our much longed-for second baby. Although my older son was fast
approaching his fifth birthday, I remembered well the road ahead of me, the crippling
impact of morning sickness, exhaustion and discomfort and I braced myself for
the inevitable inconveniences of these. But nothing could have prepared me for
what was to come.
Having spent years tracking every moment of my cycles, temperatures,
blood and hormone levels I was well schooled in the habits of painstakingly
ticking off the milestones of my pregnancy. So I know that it was
at precisely twenty-three weeks and one day that I went into labour. It was
also my father’s birthday, so the date of 21 November is forever etched in my
heart. I woke up one morning prepared to go work, when I realised I was
spotting blood. I rang the hospital, who agreed with my initial diagnosis that
it was probably nothing, but that it was worth getting checked out
nevertheless. I rang my boss to let her know I would be an hour or two late
(how funny that seems to me now!), and hopped in my car. It was a gorgeous,
sunny morning. The kind where dappled light filters through spring leaves and
birdsong makes you feel good about the world. The midwives showed me to a wide,
sunny room overlooking a playground, and I could hear the squeals of delight
from children playing below. I remember thinking, as I allowed myself an
indulgent stretch on the white sheets of my bed, that there were worse ways to
spend a few working hours.
Little did I know.
The doctors arrived pretty promptly, asked me a few questions about my
pregnancy and symptoms, and requested a quick internal exam. After years of IVF
I was pretty accustomed to the indignities of these, but I had never before
seen the look of alarm that flashed across my doctor’s features after only a
moment’s glance. He muttered to the midwife in that impenetrable multisyllabic medical language that always seems so impressive on television but is frankly terrifying in real
life. She raced from the room and came back with a wheelchair, suggesting with
a friendliness bordering on mania that I come with her for an ultrasound. I was
bewildered at the speed at which I was jumping queues and getting attention,
and struggled to make sense of the proceedings. The radiographer and midwife
continued the stream of unintelligible medi-lingo but I did catch the word
‘funnelling’ several times. Knowing by now that things were not looking good, I
could feel the lump in my throat expanding rapidly and I really struggled to
find the courage to ask them what they were looking at. As sweetly as she
could, the radiographer explained that my cervix was shortened and dilated, and
that it seemed as if I was in labour.
Back to the sanctity of my hospital room, its earlier cathedral quiet
now shattered by dozens of nurses and doctors, preparing injections and
exchanging instructions and repeatedly assuring me that things were okay but I
was not under any circumstances to stand up. Summonsed from work, my husband arrived and held my hand, a life-line in the chaos. A senior doctor
explained to me that I was in labour, that my cervix was shortened and dilated
and that the membranes surrounding the baby were clearly visible. Their
suburban hospital was not set up to cater for premature births and they had
made arrangements to transfer me to another hospital, half an hour away, who
were preparing for me even as we spoke. At 23 weeks, he chimed, as lovingly as
it was possible for a stranger to be, my pregnancy was not viable. But they had
given me steroids to boost the baby’s lungs, drugs to slow the contractions and
had every hope that they could delay the birth for a while. Every hour, every
day, he intoned with a smile, counted in my favour.
Strange as it may seem, I didn’t cry. It was all too surreal, like it
was happening in a movie. I lay in the back of the ambulance, sirens wailing
and lights flashing, trying to make sense of the trees and light poles and sky
as they scrolled past. The intimately familiar Pacific Highway looks entirely
different when viewed backwards and upside down. In no time at all the new,
bigger hospital admitted me to the delivery ward, another set of doctors
examined me and ordered yet another set of scans. The verdict was repeated, and
I was ordered to rest.
Things began to blur and I struggle to remember the sequence of events
after that. But one particular conversation with the doctor in charge of the
Neo-Natal Intensive Care Unit stands out. He explained the risks associated
with premature birth, how lungs and blood vessels and the minutiae of miracles
needed to support life in a baby were just not ready, in my case. If I gave birth,
he said, my baby would probably not survive. And if he did, he would face a
gargantuan series of hurdles most of which ended with severe disability or
blindness. His bleak message, though, was delivered in mellifluous tones that
seeped in like a warm quilt on a freezing night. Absolutely numb with
confusion, grief and drugs I remember making out the words ‘quality of life
death’ and a carefully explained message of how our baby would be comfortable
no matter what happened to him. After that, I chose not to listen any more.
Once the doctor left I put my head on my husband’s shoulder and for the first
time in hours, I gave way to emotion. The years of effort spent achieving this precious pregnancy, the love
and longing for a baby conceived but not yet born, the magnificent volume of
drugs in my blood, the heartache of the news just heard, the terror of what we
were facing and an overwhelming sense of fear crashed simultaneously into my
head and chest and I gave in to it. A nameless, fearful noise came out of me
and I cried like I have never cried before, keening and wailing and hauling at
feelings too big to contain for a minute. It was as if I had ceased to exist,
and I consisted of nothing but darkness and grief and pain and the one
solitary lifeline of the warmth from my husband’s shoulder. It might
have been moments or hours that passed, I don’t know, but that bilious wailing
was terrifying and overwhelming and ultimately, cathartic.
Hours later, once we were both too exhausted to cry, we tried to sleep. And
at some hour in the pre-dawn gloom I found a peaceful place in my head, at
last, where the final shreds of my strength seemed to linger. Like a pilgrim
kneeling at last before a lighted candle, I asked my body, plainly and simply,
not to give birth. I talked to the baby and asked him to stay. I promised
myself to devote every single scrap of energy to the quest and as the dawn
snuck around the blinds I surrendered to the unknown, I closed my eyes and I finally
went to sleep.
A long story follows, of hours and days and weeks staring at the ceiling
of my hospital room and counting off the milestones. Twenty-four weeks to
viability, twenty-seven weeks to significantly brighter outcomes, thirty weeks
to being 'almost out of the woods'. Every day a tedious repetition of ‘obs’
(observations), awful food, doctor’s rounds, bleeping machines, friendly
nurses, ultrasounds, medicine, wash, rinse, repeat. As the immediate terror of
early labour subsided, a new set of anxieties swelled up in its place, like how
to care for my pre-schooler at home with no extended family in Australia, how
to support my husband who was cracking under the strain of a full-time job, an
unsympathetic employer, a needy child at home and all the usual meals to cook,
bills to pay and jobs to be done. Every day was a marathon for him, juggling a
patchwork of child-care arrangements, commuting, the logistics of snacks and
toys and nap times, the hour-long return trip to the hospital, answering the
‘when’s mummy coming home questions’ and putting on a brave face for me. With
hindsight it was the most brutal thing we had ever endured, and that’s saying
something since we have previously survived immigration, a cancer diagnosis,
retrenchment and unemployment, moving house, a child who didn't sleep and infertility. As we now like to joke with one another, we have done the ‘in
sickness’ and ‘for poorness’ part. Bring on the ‘for richer’ and ‘in health!’
In all, I spent three months in hospital. But you don’t know, going in,
how long the road will be. I longed for home, I pined for privacy, I was bored
senseless and I was literally sick to death of the twice-cooked swill they call
food. My friends however performed miracles by organising themselves into a
roster of child-carers and chefs, my mum-in-law and mother ran an
inter-continental relay to come to our aid and the midwives, stenographers and
doctors sang a blissfully well-rehearsed chorus of reassurance and praise. No
one at the hospital had ever seen such a dynamic cervix as mine before (not
something I ever thought I would be famous for!), they extolled, and no one had
ever lasted more than eight weeks at seven centimetres dilated. Except me! The doctors warned me daily that a premature
birth was imminent. I missed Christmas at home, I missed my son’s fifth birthday
and was only able to attend his first ever day of school by begging and
pleading for so-called ‘gate leave’ so that I could kiss him goodbye at his
classroom door. I watched the new year’s eve fireworks from a waiting room
window. But it was a price worth paying, I told myself daily, for the sake of
both the lives at stake.
One night I met a girl named Claire in the ward’s dining room who began
to cry when she saw my still-pregnant belly. It transpired she had gone into
early labour the night before, and had lost her baby girl at twenty four weeks.
Her story mollified me, having allowed a certain confidence and familiarity of
things to take over, and I realised how lucky I truly was. As I watched that
girl cry the way I had cried on my arrival, and I saw the stony grief of her
husband as he put a rigid arm around her, I realised how truly lucky I was.
There, I thought, but for the grace of God go I.
I went into labour regularly during my stay, more times than I care to
remember. But miraculously the cocktail of nifedipine, steroids, antibiotics
and rest seemed to work in my case. My waters broke at thirty weeks, and I once
again braced myself for the labour that was surely to follow. But the
contractions obeyed the orders of the medicine, and subsided. I waddled around
like a leaking, undignified duck for another four weeks, before the
contractions resumed, this time for good.
Our precious son was born at thirty-four weeks and fifteen
minutes exactly. The paediatric specialist stood waiting at the door with his
scrubbed hands outstretched, ready to rush the baby to the NICU at a moment’s
notice, but Little Man's outraged bellowing at being expelled from his comfortable
bed sent the doctor slouching back down the corridor like a cricketer out for a
duck. I watched him walk away, and to this day remember the sight of his back
being one of the most reassuring visions of my life. If he didn’t need to rush
the baby away from me, then things were surely going to be okay.
With our preliminary cuddles over, Connor spent a few days in the NICU
and high care, but was released home to us at a mere thirty-five weeks and one
day’s gestation. Having shattered all hospital records, he continues to go from
strength to strength and I still can’t look at him without feeling sheer
undiluted elation. He is literally every dream come true. He is also a reminder
of how senselessly lucky I am, with no rhyme or reason to explain why my
pregnancy continued while the likes of Claire’s didn’t.
When I think back on that whole dark episode, which has become such a
stark and defining episode in my life, it is often that first night that I
recall, and the peculiar and disembodied noises I made when we thought that we
would lose our precious boy. And although you will think it a very strange
thing to do, I often think of that as one of the best things that has ever
happened to me. To have travelled so far down the mortal coil, like a bungee
jumper viewing death in the looming reflection of the river, to have brushed
the inky waters with my finger tips and travelled back to tell the tale, is a
testament to a resilience that I never knew I had. To have a happy tale to tell
when it might so easily have ended differently is nothing short of a miracle
and one that still gives my step bounce. I know how lucky I am. I have an
adoring husband, two healthy children and a whole new perspective on things.
And I have a badge of honour I wear proudly. I hold the hospital record for the longest labour. Yes, I was in labour for three months.