Seven Minutes.

Beth left a comment on my last post that got me thinking. She said that she hadn't realised that Emma had died SEVEN minutes before she was born. I'm not surprised. I talk a lot about how I plod my way through grief and I even wrote this post about the person I thought my daughter was or might have been. But I've been reticent about sharing the details of her birth - which was also her death. Partly because I've done pretty well at avoiding the attentions of the malevolent "anonymous" trolls who leave despicable and thoughtless comments on the blogs of grieving parents. I suspect a post about birth choices might draw some of them out of the woodwork. Mainly, however, it's because I'm frightened of being revealed as a fraud. I think all of us grieving parents recognise guilt as part of the grief process. We also understand that mostly the guilt is not based on reality. But, how do you process it when choices you made are implicated in your child's death?

In real life, I have worked hard on this. Mostly, I have made peace. My obstetrician assured me just hours after Emma's death that I would never know if she might have lived through an elective section. He was sure that arriving at the hospital sooner would not have changed the outcome. They were some of the kindest words I could have heard in the immediate aftermath of her death.

But, as I approach Jurgen's increasingly imminent arrival in this world and I feel the familiar dread of a surgical birth enfold me, I realise that this might be one part of my grief that I will never fully accept or "heal" from. I'm hoping writing here will release some of the panic I feel as I prepare for our fourth child. I will have the planned section because I am a mother and I want what is best for my child. It seems that operative deliveries are best for my children so, of course, I set aside my own preferences to hopefully obtain the best and safest outcome for my baby but I miss feeling joy and anticipation at the prospect of labouring and birthing my baby myself.

Emma will be my only vaginally birthed child. Her two older siblings were born by emergency section after long and difficult labours. I experienced some post-natal post traumatic stress disorder after the birth of her elder sister. It isn't nice - it isn't, of course, one billionth as painful as living for the rest of your life with babylost grief - but it isn't a pleasant or easy way to start mothering a child. I know that some babylost parents feel very frustrated by mothers who profess birth trauma after the birth of a living child - and I understand that entirely. I mention it here because it is part of the path that led to me making the decision to pursue a vaginal birth at home with Emma. NHS protocols here meant that I would have been offered a planned section at 39 weeks for her birth. Would I be here if I hadn't declined that path? What if ... what if... two horrible words to live with.

We don't know because we don't exactly know why Emma died. I went into labour spontaneously, my labour for the most part was straightforward. Emma, by every indication used to determine distress, was a perfectly happy baby for the duration of my labour. The last time we heard her heartbeat at 2.17am, just after we had transferred to the hospital so I could have a little bit of help with my second stage, it was well within the healthy range for a baby so close to birth (and we're pretty sure it was her heartbeat not mine, something I've been asked about when I share this part of the story). At 2.25am, I birthed a baby with no breath and no heartbeat. We didn't have an autopsy because it seemed so obvious to us that it was a "birth accident". Sometimes I wonder if a postmortem would have showed something more but I think that's because I want to believe that healthy babies being born to healthy mothers during healthy labours can't die. I'm proof to myself that they can. She was a good healthy size, her placenta and cord were healthy and revealed no clues. The best guess we can make is that her cord became pinched between me and her in those final minutes.

In the absence of any definite answers to her death, I have had to simply surrender to the course of action that will bring Jurgen into the world. I don't feel like I can make any choices for this little boy or little girl. I tried last time to make the choices that were "best" and safest for myself and my child. With the benefit of hindsight, it turned out they were neither.

Subsequent Pregnancy Guilt

Survivor, survivor's, or survivors guilt or syndrome is a mental condition that occurs when a person perceives himself or herself to have done wrong by surviving a traumatic event. It may be found among survivors of combat and natural disaster, among the friends and family of those who have committed suicide, and in non-mortal situations among those whose colleagues are laid off. The experience and manifestation of survivor's guilt will depend on an individual's psychological profile.

(from Wiki.ped.ia)

Lately, I've been dealing quite a lot with what I can only really describe as "Subsequent pregnancy" guilt. I love this community. I have no doubt that my path through grief has been a little smoother, a little less lonely because of my involvement in various online communities. But, it is strange to actually cry tears of anger, frustration, joy for people I have never met face to face. There is a large degree of trust going on here. You have to trust that I am truly a bereaved mother, just as I do for you. And I do ...

To digress for a moment: my husband and I are big fans of a cult, terribly British, sci-fi show from the seventies (sounds great, doesn't it !?) called Blake's 7. I remember, in particular, an episode when an idealist, alien, freedom fighter tells a far more cynical character: "My people have a saying. One who trusts can never be betrayed, only mistaken." I can't quite decide if that is profound or just terribly cheesy. Maybe it's both. But I think of that quote often when I'm meandering around in cyberspace, especially this babylost portion. I choose to believe the blogs I read - usually because there is something in them that strikes me as real or honest, something I recognise from my own experience of losing a child. As a result, I do invest a lot of emotional energy in what I read. I quite often dwell on posts throughout my day. I quite often feel frustration at my inability to do more than simply post an (often inane) comment.

So, back to the pregnancy guilt. There are a lot of us here who are navigating our ways through pregnancy after loss. But, I am so very aware at the moment, there are many other blogging parents who are hoping and longing for another pregnancy. And I feel so tremendously guilty that I already have 2 living children and I've been able to conceive with relative ease again. I feel a little ashamed of having broadcast my very straightforward, average PAL when other pregnancies after loss are not straightforward and have risks of complications and difficulties attached.

I suppose all I can do is to say that I do not take the blessing of my living children for granted. I do not, ever - not for one minute - take the blessing of this little life within for granted. In the midst of fears about losing again and grieving again, I do acknowledge the awesome privilege that this pregnancy has been and is. And to say that I long for each and every babylost mother or father who wants it to be able to walk this path too is an understatement.