Who am I?

Hi there!
My name is Benedicte Coupland, I am 37 years old and from Norway. My husband, Dustin, is from USA, and together we have two wonderful children; Daniel Leon and Sophia Eleni. I am a Psychology graduate student currently pursuing a Master's degree in Cognitive Neuroscience at the University of Oslo.

I am a devoted Christian, and as a person, I am extremely thirsty for knowledge. I find great joy in teaching everything I learn, and long for everyone to know and benefit from what I know. According to those around me, I am one of the world's most talkative people.

I am what you might call an introvert extrovert, and I do need my alone-time. I like to relax with creative activities like bullet journaling or knitting, while listening to a good audiobook or edifying podcast. I also greatly enjoy binging series on Netflix or watching good movies like the Lord of the Rings (my favorite).

I am the kind of person that glows up when it is gloomy and rainy weather outside. I LOVE fog. The forest is my favorite element, and where I feel the most alive. Fall is my favorite season and lasts way to short, in my opinion. I am not a big fan of sun and heat, so in the summer you’ll find me enduring, not enjoying.

And most importantly; I am seriously into coffee and chocolate. Pumpkin Spice Latte, anyone?

Why did I become so passionate about childbirth?

My journey started when I became pregnant in 2018, and got terrified by the thought of giving birth. I was going to ask for an elective c-section, but since I am extremely thirsty for knowledge, I started studying everything surrounding childbirth to pieces. This was fruitful, - I actually ended up looking forward to giving birth. When my son was born in January 2019, I experienced that everything I had learned turned out to be true. His birth was wonderful and magical and my passion for birth therapy was born together with him.

That great and empowering birth experience prompted me to pursue a Bachelor’s degree in Applied Psychology, so that I could get education and knowledge to help other women prepare mentally for birth. After completing my Bachelor’s thesis, I still felt hungry for more knowledge, and decided to pursue a Master’s degree as well, focusing on the field of Cognitive Neuroscience. This is pure brain research, pretty heavy stuff, but oh my gosh SO interesting! And highly relevant in birth preparation, as this is the part of Psychology that looks at the connection between body and brain,- where cognition like fear and anxiety connect to bodily reactions through the central nervous system.

In March 2024, I gave birth to my second child, my daughter Sophia. Her birth was the pure opposite of Daniel’s birth, and gave me an experience of how birth can be on the other side of the spectrum,- from almost pain-free, smooth and dreamy to the most amount of pain a human being can feel. I am exaggerating, of course, (or am I?) but I did end up giving birth in the ambulance en route to the hospital. I will share more details in my birth stories below.

Daniel Leon’s Birth 

It was Thursday, January 24 in 2019, one week and a half past due date. For over two weeks several episodes with intense Braxton-Hicks contractions had convinced me that I was in labor. On my due date, I had had Braxton-Hicks that lasted 1 minute with 3 minutes apart the entire day, and they would not change or go away whether I lied down, stood up or walked around. That has long been my clue for real contractions, so that day I had been absolutely certain that I was finally in labor, and I was more than ready. I was only waiting for the contractions to increase their intensity, but they never did. I went to bed, and when I woke up the next morning, everything was quiet. No contractions at all. My disappointment was enormous.

When I woke up late afternoon this January 24, something was different. Despite sleeping in until 2pm, I felt like I had not slept anything at all. My stomach was aching, like menstrual cramps coming and going in waves. They were different, no contractions of the uterus, only pain. I timed these waves of pain,- first they lasted 1 minute with 1 minute intervals. Then 2 minutes with 2 minute intervals. After one hour and a half they lasted 7 minutes with 7 minute intervals. So strange! I did not want to get up, because I was afraid they’d go away, secretly hoping may this was finally labor? But eventually I had to get up to pee, and sure enough, the pains stopped.

Instead, they turned into contractions. Well, Braxton-Hicks contractions, the same exact stuff I had been enduring for weeks. I did not put anything into them. I had been convinced I was in labor SO many times already, and was not about to be fooled and disappointed one more time. As I sat down to eat breakfast, I felt completely miserable, almost sick. Headache, body ache, and general feeling of illness. In addition, I was in a very bad mood. This was the last day before my overtime control. It was day 10 past due date, and the next day I would be facing induction, - my greatest fear at this moment. In. my country, Norway, they only had one Birthing Center, named the ABC (“Alternative Birth Care”) at this time, and I was set to give birth there, as long as labor started spontaneously. If I was to be induced, I would be transferred to the hospital, something I did absolutely not want. Hence my terrible mood this day. I was crying and complaining a great deal, convinced that it was now too late. Birth was not going to start spontaneously, and I was going to have to be induced and I would have to give birth in the hospital, and labor would be much more painful, and everything was going to go wrong.

Little did I know, that I was actually in labor for real at this point. Because this time the contractions I felt were not Braxton-Hicks, but real labor contractions!

Calm Before the Storm

“Either I just peed myself of my water broke…!”

My poor husband, Dustin, realizing that comforting me was pointless, asked if we should drop our plans of going shopping. He needed new pants and we had a gift card that needed to be used. I responded that no, I needed to get out of the house. Even though I felt miserable, I needed distractions. And, besides, maybe a little walking around could start labor?!

We went.
Dustin tried on just about every single piece of clothing in the first store (or, that is what it felt like), while I tried to wait patiently, struggling through the contractions. They were actually quite painful, these contractions? Maybe I should time them, just in case? I picked up my phone and opened the way too familiar contraction timer app, but immediately closed it again. Nope! I was not falling for this again. I was not in the mood to handle yet another disappointment.

Dustin only found one pair of pants, but a total of 6 shirts. He paid, and chatted way too long with the cashier. I was suffering and eager to continue. Finally, we finally made it out of the store. It was 8pm, but still one more hour until closing, and since Dustin still needed more pants, we decided to try a store on a different floor. We hit the escalator, and just as we stepped off it, I abruptly stopped grabbed Dustin. "Either I just peed myself, or my water broke!" I gasped. I immediately ran to the restroom, but the sight that met me as I wringed off my pants I was not prepared for. It was neither amniotic fluid nor pee that filled my pants. It was blood. Lots of blood.

I got dizzy. My mouth dried up. I stopped breathing. I could not get out of there fast enough. "We have to leave NOW" I said to Dustin, and we ran to the car. Dustin drove fast, while I called L&D. "I am bleeding", I said. "Is it a lot?" "Like a heavy period." "Then you have to call the ER." I couldn't breathe. Wrong key. Finally managed to call the emergency room. "Do you feel life?" they asked. My heart sunk. When did I last feel the baby move?

I have never been so scared in my life. I knew that heavy bleeding could be a sign of placental abruption, so we had no time to wait for an ambulance. Dustin’s face was white as he broke all speed records. During that ride, everything called c-section, induction, water birth, ABC ++ disappeared, and I did not care at all any longer how the birth would go. All that mattered now was that the baby was fine. I could even have let them cut the baby out of me without anesthesia at that point, as long as the baby survived. That was all that mattered.

At the ER the midwife wanted to check the bleeding right away. Her reaction when she saw it calmed me more than any words in the world could have done: "Oh, but that’s nothing." CTG monitor on. Heartbeat immediately and I breathed for the first time since the bleeding started. The baby was fine. THANK GOD!!!
I was carefully checked. "Just normal maturation bleeding", they said. "Nothing is wrong with either the placenta or the baby."
"But does it really bleed that much?"
"Yes, it is completely normal."

Active Labor

I was told that I was in labor, and the contractions I felt were real contractions, not Braxton-Hicks.
"So that's what real contractions feel like". I thought. They were actually quite a bit more painful than the Braxton-Hicks I had been dealing with for weeks. In the midst of all the drama with bleeding, I had not been aware of how the contractions had picked up. Now they were suddenly pretty painful.
Since I was a first-time mom, they sent me home without checking dilation. They told me birth would likely take a while, maybe even days, and the contractions could also stop again. I was instructed to still show up for my over-time check up at 8 am the next morning.

On our way home we stopped for hamburgers at our regular place, Deli De Luca. We had stopped there on the way home from every pregnancy check-up, and had been convinced that the pregnancy check-up on the day before my due date had been the last time. But alas, here we were again, still no baby. Dustin got out of the car and came around to my side to open the door (yes, I got lucky with chivalrous husband).
"Are you coming, or not?" He asked.
”Wait, I just have to get through this contraction first”, I gasped through intense pain. It was now 11:30 pm, and the fact that I had to spend all my energy on getting through the contractions should have given me a clue that I was going the wrong way… Instead of going home, we should have been going to the hospital at this point.

My appetite was poor, but I managed to squeeze down a bread-free roller burger and some sweet potato fries. Dustin, on the other hand, was ravenously hungry and chowed down on the biggest burger ever. We were home around 12:30 am. It took me a long time to brush my teeth and get ready for bed, because I had only two minutes between each contraction to get as much done as possible. Once a contraction started, I had to crawl down on all fours and just breathe to get through them. I was finally ready for bed at 01:15 am, but now the contractions were extremely hard to handle? That’s what the birthing center told me was the “clue” to head over there. I decided to call L&D before going to bed.
“It’s pretty bad now, I'm struggling to maintain control. Should I come in or try to sleep a little first?” I asked, while gasping for air after a heavy contraction.
“Are you able to sleep?” They asked. We decided that I should try. It did not work. One hour later, I called again and was invited to come in.

It did not exactly go fast getting dressed and into the car with contractions that were even stronger than before. Dustin drove calmly this time, we were not in a hurry. The contractions felt worse in the car as I could not bend down on all fours. It took everything I had to get through them, but the silence in the pauses between them was magical. It was snowing, and we had the road all to ourselves. It was just the two of us, and soon we were going to meet our little miracle. It was wonderful.

We arrived the birthing center around 4 am, and after being showed to the birthing suite, I changed into my bikini and labor dress. The midwife checked me and could confirm that I was definitely in labor, with 4 cm dilation. She immediately started filling the bathtub, as it was my great desire to use water as pain relief. It took some time to fill it up, so in the meantime I walked around with the pulpit walker and clung to it during the contractions. They were powerful, washing over my body like strong waves. The midwife routinely asked if I wanted any kind of pain relief, such as an epidural, but I declined and said I wanted to give birth as naturally as possible. I was then offered acupuncture, but declined that as well. I am not a fan of needles.
"But what about a little needle in the forehead?" the midwife asked.
"What can a needle in the forehead do?"
"It helps you relax."
Relax. I was sold. Dustin got completely shocked when he saw the midwife putting a needle in my forehead. To me, relaxing was the big key to a good birth experience, so I was willing to try anything that would help me relax.

The bathtub was finally full and I got to jump in. WHAT a feeling! The effect of hot water was enormous and immediate. Suddenly the contractions were easier to handle and I relaxed much better. At first I thought it was the water that was relieving the pain, but soon found out that it was the heat, not the water, that had the big effect. As I lay in the bath, the water got colder, and I experienced losing more and more control over my contractions. As soon as the water was warm again, I regained control immediately. In fact, the effect was so great that when I had a contraction while the midwife was running hot water into the water that had become a little too cold, I noticed that I gradually gained control as the water got warmer. It was visible even to Dustin and the midwife.

I relaxed so well in the warm water and with the needle in my forehead that I actually dozed off between the contractions. Several times I got dragged out of a dream and back to reality when a contraction started building. The contractions were stronger and more powerful than I had imagined, and I could hardly lie on my back in the bath when they came. Some times when a contraction started to build I would roll over and sit on my knees as I used all my strength to breathe through the waves of pain. I tried my best to welcome the pain,- to let the contraction do their job, by letting it come and receiving the pain. I had to visualize hard, and in my mind, I was floating in the water on the beach, where the contractions were big waves tossing me back and forth. I focused on letting go of tension and letting the waves toss me, floating with them and not against them. It was tough, and there were times I did not manage to do it, fought back and howled "I CAN'T HANDLE IT ANYMORE!". But for the most part I was able to relax and give in, welcoming and receiving the pain. I WANTED to have strong, intense contractions, I knew that the stronger the contractions, the more effective they were. And the more effective they were, the faster my cervix would dilate and my baby be born.

Around 6 am it was time to check the cervix again. I had to get out of the bath to pee, and that was a horrible experience. It was cold and hard, and I had a contraction just as I was lying on the bed, shaking from the cold. It was probably the worst contraction of all. The midwife checked me and could confirm that I was 7 cm. I got shocked. From 4 to 7 in two hours?! My midwife, on the other hand, was not surprised at all. She had probably realized that this was going fast even before I arrived at the birthing center. I only realized it now.

Transitioning

Back in the tub I entered the most intense phase of birth; the transition phase. That is when your cervix dilates from 8 cm to 10 cm. It was exactly that: intense. Beforehand, I had practiced with Dustin how he could massage me to ease the pain during contractions, but now, when the contractions came, I could not handle anyone touching me. Both the midwife and Dustin tried to help me by either massaging, stroking me or touching me in other ways. I almost knocked them away and shouted "DON’T TOUCH ME!" As soon as the contraction was over I got very embarrassed and had to apologize. But thankfully, they both knew that such behavior is completely normal during the transition phase. I also got extremely hot, and at one point so nauseous that I thought I was going to throw up and asked for a bucket. But it quickly passed.

Somewhere between 7 and 8 am my midwife was done for the night, and another arrived for her day-shift. My new midwife came and greeted me. As I was in a very intense and delirious phase of labor, I thought the two midwives were exactly alike. I did understand that they were two different people, and that one was going and the other coming, but that did not matter to me, because they were exactly the same. Or at least looked identical (In reality, they did not look alike at all, they didn't even have the same hair colour). They checked my cervix again at 8 am, and it was now 9 cm. My first midwife gave me a hug goodbye and said she didn't want to go home, because the baby was so close to coming. She also complimented me for doing such a great job laboring, and said that it had been very fun to be my midwife.

This was my second time out of the tub, and now I was very tired and could not bear the thought of climbing back into it again. I lay on my side in bed for a while, completely exhausted. Now the midwife began to bother me with needing to eat something, as I needed energy for the pushing phase that was imminent. I did absolutely not want anything. Dustin gave me an energy bar, but I just looked at it gagged. I asked for salty crackers instead. Just as I put a cracker in my mouth and started chewing, I got a contracion, and that cracker ended up staying in my mouth until the contraction ended. After that I couldn't handly anything else, so a single cracker was all I ate during labor.

Pushing

At 9 am, the midwife checked me again and could declare that I was fully dilated. She wanted me to go to the toilet and push while having a bowel movement, to help move the baby down into my pelvis. I was worried about pushing while sitting on the toilet, but the midwife assured me that the baby would not come out just yet, it was too far up in the pelvis for that. Dustin came along to support me (awkward for both of us), and when the next contraction started building, I did as the midwife said and tried to push.

That is one of the most painful things I have ever experienced. I screamed in shock and something burst between my legs. Dustin was startled, but quickly realized that it was the water that broke, not the baby falling into the toilet. Pretty practical having the water breaking into the toilet though. There were more contractions, and I howled and clung to Dustin while pushing. Back in the room, I knelt down on the floor with my elbows on the bed and pushed. The midwife guided me on how to move my hips and pelvis as I pushed, to more effectively bring the baby down. I alternated between kneeling and standing on all fours and stayed that way for quite a while before collapsing sideways on the bed. In advance, I had said that I did not want to give birth on my back. I would prefer to give birth in the bathtub, or on all fours. But at this very moment the bathtub was too big and high and heavy for me to climb into, I was depleted of energy, and I couldn’t handle anything but lying on my side, so there I stayed.

The push contractions were hardly noticeable, with absolutely no pressure or urge to push. I only pushed when they came because the midwife told me to. It was the act of pushing itself that was painful, that was to me the worst part of the whole birth. But still, that was easier to deal with than the contractions I had had earlier. It only hurt when I actively pushed, something I could control,- I could stop the pain whenever I wanted.

I used all my strength to push, and the pain was so intense that I screamed at the top of my lungs, yet there was not much progress for a while. Then the midwife gave me an instruction that really helped: “You spend a lot of energy on screaming. Rather, think that you will use that force to push, try directing the energy downwards towards pushing instead of out through the mouth". So effective! On the next contraction, I could feel the baby’s head coming down towards the opening, a completely insane sensation. Now the midwife wanted me to turn on my back, but I denied to do that. I was afraid of tearing and had read that lying on your back can increase the risk of tearing. "That is if you have been lying on your back and laboring during the entire birth, such as with an epidural", said the midwife. "Besides, if you lie on your back, I can see you better and communicate better with you about when to push and when to breathe. This will make it easier for me to help prevent tearing". That sounded reasonable to me, so I gave in and accepted help to turn onto my back. Dustin stayed next to me in the large double bed and held my hand. Now there was suddenly a second midwife in the room, as their policy was to always have two midwives present when baby arrives.

Delivery

I pushed, and felt the head starting to crown. It took all my strength to push and I was SO tired. Sometimes I could not push all the way through a contraction because I was so tired. It was not fun to feel the head pop back in between the contractions, it felt like all the enormous effort I put into pushing it out was wasted when it just popped back. But my midwife must have understood what I was thinking, because she suddenly said: "Even if the head pops back between the contractions, it still comes forward a few millimeters each time. There's progress even if it doesn't feel like it right now. So just keep pushing!”. That was encouraging for me to hear.
At one point the midwife grabbed my hand and brought it down so I could feel the baby’s head which was just inside the opening. It was absolutely insane, I was surprised by how soft it felt, and almost got a little worried. I wanted to see, so I asked Dustin to get a mirror. He let go of my hand to get up, but just then a contraction started, and I reached for his hand and almost panicked when I couldn't get it. “DUSTIN!” I howled, and he just had to lie back down on the bed right away to support me. That made me realize just how much support I found in holding his hand.

Then, suddenly, the head stayed put and did not pop back when I stopped pushing. I knew that the baby was gonna come on the next contraction and hurried to wring my labor dress off so the baby could be laid on my chest. The next contraction started, I pushed, and towards the end of the contraction, I could both feel and see that the head came out. I stopped pushing, thinking the rest of the body would come on the next contraction, but to my surprise, the midwife continued to pull the baby out. I thought maybe I should keep pushing so I pushed a little more and suddenly the baby was out and on my chest.

The feeling was overwhelming.
INDESCRIBABLE.
I put my arms around the baby immediately and a thousand thoughts went through my head at once. The feeling of the small chest, which felt so fragile. The feeling that we made it. The feeling of FINALLY. Finally you are here. The feeling that the moment I had been waiting for all my life was here. The feeling that the world stopped. The feeling that the world came into being. The feeling that magic exists.
In the same moment I threw my head back and screamed with all my might, but this time without a sound. I screamed and cried without tears or sound, because big, huge emotions washed over me.
I looked at Dustin and we kissed and laughed and cried. What a moment! I kissed the little head and said “Welcome to the world precious treasure. I love you”.

The little baby cried immediately, but relaxed when I spoke to it. We lay like that for a while, just enjoying the little miracle and all the feelings that filled us, before I thought of something.
“What is it?” I asked Dustin. He had to lift the umbilical cord to see.
“A boy!” he said joyfully.
“Are you sure?” For some reason I was very surprised. I tried to see for myself, but the umbilical cord was in the way. I looked at Dustin with teary eyes.
“Daniel Leon”. He smiled with equally teary eyes, and nodded. I hugged my little boy, kissed his head and just repeated
“Daniel. My Daniel. My precious Daniel.”

After the umbilical cord turned white, the midwife gave Dustin some scissors and instructed him how to cut it. I found it so magical; I gave birth to Daniel while Dustin was the one who cut the physical bond between us and set Daniel "free" into the world

The placenta arrived 5 minutes later. I didn't feel it at all, the only thing I noticed was that the midwife said I had to push, and it hurt a lot to push even though I did it carefully. Afterwards, I thought it hurt a lot in the whole area "down there" and got a little worried, so I asked the midwife if everything was okay? "Honey, you have just pushed out a baby" she said with a smile and I felt a little silly. For some reason I had thought that as soon as the baby was out all the pain would stop. I did not think about how sore one gets after having skin and tissue stretched so much.

I was thoroughly checked, and the midwife said I did not need any stitches. "However, after giving birth, many women complain that the stitches hurt so much", she said. "But you will feel it too, because it is not the stitches that hurt, it's the skin that has been stretched yellow and blue."
It was still very nice not to need any stitches, and I was so impressed with my body that had coped with giving birth so well. I was left with Daniel on my chest in the bed where I had given birth (after the midwives changed sheets quickly), with Dustin next to me, and we were allowed to lie undisturbed for a whole two hours. It was so delightful! Having these two hours all to ourselves to just process all the impressions and take in the beautiful sight of our miracle. We felt like the luckiest people in the world.

Daniel was born at 9.58am, and at 12.30 pm the midwife returned to weigh and measure Daniel. Dustin was instructed on how to put on a diaper and swaddle Daniel, while I got help to get to the toilet and shower off blood and stuff, and when I came out of the bathroom, Dustin was standing with Daniel in his arms and showing him the snow that was falling quietly outside.

Our maternity room was not ready, so we had to stay in the delivery room for a few more hours. We were completely exhausted now, so we got into bed with Daniel between us, and then all three of us fell asleep, as a family for the very first time <3

Sophia Eleni’s Birth 

On Wednesday, March 27th in 2024, I woke up to some very light bloody show. I had had constant Braxton-Hicks for about a week, but they were not all regular and would change all the time. This day I had an over-time check up at the hospital, as was routine for everyone going one week past due date at this hospital. The ultrasound showed too little amniotic fluid, so I was set up for an induction in two days, on Friday March 29. However, the light bloody show and irregular, but constant contractions gave some hope that I could go into spontaneous labor before Friday. Otherwise, I and the baby were confirmed healthy and fit for the homebirth I was planning to have.

The next morning, on Thursday March 28th, I woke up around 8 am with the same irregular contractions I had been having for over a week. The only difference was that this time I felt like needing to have a bowel movement with each contraction, which was new. The contractions did not hurt at all, and hardly bothered me. As I got up to get ready for the day, I noticed that the bloody show from the day before had greatly increased. In contrast to Daniel’s birth, this was a gradual build up and not a sudden, big show, so I did not get scared at all. I knew this time that I was having a perfectly normal amount of bloody show. As I messaged with mom, she was urging me to my call midwife. I was planning a homebirth, and she lived about 50 minutes away by car. But my contractions were not regular or painful, so I was very hesitant, not wanting to make her come all this way for nothing. When Dustin woke up around 09:30 he was adamant I had to call. Bending over to the pressure from my mom and husband I gave in and called the midwife, who completely took their side and insisted on coming to check on me. Everyone but me were convinced I was in labor. I was not in any pain? And the contractions were anything from 1, 3, 6, or 12 minutes apart, there was absolutely no regularity at all. My midwife arrived around 11 am, and proceeded to check how dilated I was. Imagine my shock when I was told, thinking I wasn’t in labor, that I was 8 cm dilated! WHAT?! Already??? I could not believe it. At that stage with Daniel I had been working through intense contractions for hours already, and I had all the transition phase symptoms like nausea, hot flushes and overwhelming emotions of anger. The contractions this time were hardly noticeable at all, and I did absolutely not feel any different than normal, no nausea or hot flushes or overwhelming emotions. I was calm and normal, walking around and preparing for the homebirth by covering windows with curtains and making putting sheets on the couch now made into a bed.
I felt overjoyed that this seemed to be another almost painfree dreambirth, maybe even less painful than my first one!
The midwife said she thought the baby would be born very very soon, and added “she might actually just slide right out anytime now!”

Oh how I wish that is what happened…

8 cm already?!

Increasing pain

I felt restless and wanted to keep moving around, but my husband and midwives urged me to relax and get in the pool to calm down. I did absolutely not feel any need for it, but gave in to their pressure, because I wanted to give birth in water and we thought this would go very fast. Maybe I was closer to give birth than I thought? I was very boring to lie in the pool, I could not relax and just wanted to move my body. Time passed, and the contractions started dying down a bit instead of picking up, so the midwives wanted me to get out of the pool again and move around. I did so, and it helped, the contraction picked up a bit, and suddenly one contraction was quite painful so I had to work hard to get through it. A few more non-painful contractions followed before I suddenly got a really painful one again. Then gradually the painful ones started picking up, from every 3-4 contractions to about every second contraction. My midwives checked me around 2 pm, now thinking I was at full dilation, only to discover, to everyone’s huge disappointment that I was still at 8 cm dilation.

The baby was also very high in my pelvis, and the midwives started working to help get the baby down. They did all sorts of things, like hip squeezes, massaging techniques, spinning babies techniques etc. Meanwhile my contractions kept getting worse, and now every single one of them was excruciatingly painful. And each contraction was more painful than the last one. When I thought THIS is the most painful a contraction can be, it is not possible to experience more pain than this,- the next contraction proved me wrong. I lost control. The laboro breathing I had practiced stopped working. Relaxing all joints stopped working. Visualization I could forget about,- nothing I had learned or taught others about enduring labor pain worked in even the slightest. The pain was completely unbearable, I have never experienced anything close to similar. Not even the most painful part of birthing Daniel came close to the pain every contraction with Sophia brought,- it felt like I was being ripped apart from the inside out. I thought to myself that it is not possible for a human being to experience any greater pain than those contractions. I lost it completely, I screamed my lungs out during each contraction, clinging to Dustin in panic as they were building up, yelling “NO NO NO make it stop please!”

Up til then my biggest fear had been having to do a c-section, but at this point I asked my two midwives if I could have a c-section with full anesthesia please. I wanted to die. I was desperate to escape the pain. But alas, that was not an option they said, trying to encourage me with “you can do it!” I did NOT want to. Then on top of my pain they tortured me. They tried everything to help the baby down in my pelvis, but their extreme hands-on behavior made everything worse and the contractions more painful. They tried taking the water but no water came. Whether it had already gone into the pool, or there was nothing left (I did have reduced amount of amniotic fluid on the ultrasound the day before) no one knows. The baby continued being stuck high in my pelvis and I never progressed past 8cm.

And then came the turning point: as one on my midwives checked on the baby, she told me: “I can’t say for sure, but I think maybe the baby is face first”. She tried to explain why she thought so and why she could be wrong, something about the frontals of the baby’s head or something? It did not register with me, all I heard was “face first”. I knew what that meant. And I knew that giving birth to a baby face first is much harder and more painful than with the back of the head first. I was already in the most amount of pain, so hearing about more potential pain was not optimal for my mind right then. My already sunk heart sank. The midwife continued: “It is not a problem to give birth at home even though she is face first, you can absolutely do it! But know that it will require more from you”.

I had nothing more to give. “Nope” I said. “I can’t. Not without pain relief, I can’t handle any more pain. I need an epidural”.
So I had them call for an ambulance, and the time before it arrived felt like the longest minutes of my life. It got the wrong address and I thought I was gonna die as I was standing outside in the rain waiting, clinging to my husband and trying not to scare the whole neighborhood with my screams through the contractions. It finally came and I got strapped inside it, thinking with relief “now I just need to survive this ride and then I will get an epidural”.

As I waited for the ambulance to move, I discovered that my phone was in my right pocket and very easily accessible, so I picked it up and took a selfie thinking I would appreciate it later. If there is one thing I regret from Daniel’s birth, it is not having more pictures.

I am so grateful for that selfie today. It is really cool to have a picture of my face suffering the greatest pain I hsve ever felt.
Just kidding.
Or not.

It is a bit cool to actually have some pictures from the middle of the heat. This is the face of suffering. My lips are completely dried up and chapped from the heavy panting of enduring the contractions. My make up is smeared out from the desperate burying of my face into a pillow to get through the pain. My facial expression is sad with feeling sorry for myself for this instense suffering, and my look is one of exhaustion from all the hard work.

(Don’t be scared, this is not normal. I had abnormally painful contractions because the baby was stuck. I’ll elaborate on this later.)

In the Ambulance

Now, we live on top of a hill and down that hill, there are 9 very annoying bumps in the road that require you to drive really slowly. The ambulance did not drive slow. I was flying, landing hard on the bed after each bump. All while having the most excruciating contractions. It felt so unfair at the moment,- I was already in pain, why shake me so violently like a rattle on top of it? I counted, and as soon as we were past the last one, I whispered to my midwife, who had, thankfully, joined me in the ambulance:
“That was 9.”
“9 what?” She asked.
“9 bumps” I replied. She laughed and found it hysterically funny. I did not.

But those bumps turned out to be my greatest help that day. Being shaken like a rattle was the one thing my body needed for the baby to get unstuck. She had been stuck to the right side of my pelvis, and landing hard on my left side in the ambulance finally got her loose. As soon as we got out on the main road I started having insane pressure contractions because she was finally entering down through my pelvis.

I never had any pressure contractions with Daniel, so I did not understand what was happening. The contractions were still excruciatingly painful, but had picked up in strength, and they were now so strong that my entire body crunched, as my uterus was literally wringing itself to get the baby out. It was extreme and I felt like my insides were going to explode. Then, suddenly, during one such contraction, along with the insane pressure downwards I felt a ring of fire deep inside, as the baby’s head entered through my cervix and into the birth canal. In shock, not aware of what I was actually saying, I looked at my midwife and uttered: “she’s coming!”.

“STOP THE AMBULANCE!!!” the midwife yelled, while I panicked, thinking: “NO we don’t have time for that, I need an epidural NOW!” But I didn’t say anything, thinking the midwife would just quickly check me and we would be on our way again.

We stopped and my midwife checked, getting a big smile on her face: “Yep! She’s coming! She’s coming on the next contraction!”
I got immensely relieved. All I could think was that my extreme ordeal was about to end. I didn’t in the moment fully realize that I was going to give birth in an ambulance. I was just in so much pain that in my head everything was circling about that pain and how to get away from it. Now I was being told that that pain was just about to go away. Forget about epidural, this was better. I was overjoyed.

Delivery

My straps were loosend and I was being adjusted from lying sideways and onto my back. The next contraction came, and I was instructed to push as hard as I could. “We’re not going to take this slow now, we are just going to push, ok?” the midwife said and I did so. It felt like I had not strength to push, but I did my best. A handle was hanging in the roof over my head, and I grabbed it, scooting myself a bit up and pushed as hard as I could. The head crowned and the midwife yelled “LOTS OF HAIR!” in excitement. So, not face first after all. But I did not really register that at that point, I still thought the baby was face first.

The contraction ended and I was told to stop pushing until the next contraction. Unlike with Daniel, the head did not pop back at all, it stayed in the opening. Well, that was worse. I don’t know how much time passed until the next contraction, but lying there in the ambulance with the head crowning and just waiting, hearing cars passing by right outside on the highway felt like an eternity. I came to my senses, realized that I was in an ambulance and about to give birth on the side of the highway, with cars passing by right outside, and for a moment I got terrified. But then the contraction we waited for finally came and I could push. I used all the force I have ever had to push, but it felt like nothing happened. I had no more strength in me when the midwife told me to push harder. I didn’t think I could, but I did, clinging on to the handle hanging in the ceiling over me. I was thinking that now I know why they call this ‘labor’. It is seriously hard work! I also thought that now I was definitely tearing badly, as I still thought the baby was face first, but at that point I would rather that than having one more of those excruciating contractions.

“The head is out!” The midwife yelled and didn’t believe her, because nothing felt different, I could not feel the head getting out at all. All I felt was just burning pain between my legs. I had to scoot myself up to see for myself, hanging on to the handle from the ceiling.

With Daniel, I only had to push out the head, as soon as it was out, the body followed. But Sophia was much bigger. After the head was out, I had to push out the upper body and then push again to deliver the lower body. I saw her come out of me as the midwife held her and then lifted her up when she was completely out. It was mesmerizing, and amazing to see my daughter for the first time, and the first thing I thought when I saw her was how strong she looked. And that she was Sophia Eleni. We had not up until birth landed on the name yet, but the moment I saw her, her name was clear to me.

She had the umbilical cord around her neck and belly, and was not breathing right away, but the midwife was super quick to untangle her, turn her around and tap on her back until she started screaming. Then she was put on my chest and the relief was complete. My daughter!

I started whispering to her how long I have longed to meet her and how loved and longed for she is. “Finally you are here, princess”.

Then I realized that I still had my phone accessible so I lirked it out to take a selfie. The ambulance worker sitting next to me saw that and offered to take a picture of me. As she did that, the midwife asked if I wanted to cut the cord, and the ambulance worker offered to film that.

That was really cool and unexpected, and I now treasure those pictures and video so much. And it was especially nice for Dustin, since he did not get to be there and see his daughter be born.

It is not over…

The midwife then asked if I wanted to continue to the hospital or turn around and go home. I did not expect a choice like that, and had no idea what to say. What would be best? Just go back home? Or have a check at the hospital? I was still thinking about that when we suddenly arrived at the hospital. I didn’t really care, I was so obsessed with my babygirl, and busy looking at her and talking to her and kissing her. I barely registered what was happening around me, and couldn’t be bothered. I also trusted my midwife that she knew what was best to do, so I just focused on Sophia.

Unbeknownst to me, there had been a gush of blood when the midwife pulled on the umbilical cord to help the placenta out. That gush was more than the total amount it is normal to lose during delivery, so she feared placental rupture and had asked the ambulance to drive emergent to the hospital right away. The hormone flow after giving birth is insane, as I did not register this happening at all. I have no memories of blue lights and sirens and fast driving at all. I only remember cutting the cord, and then we were at the hospital.

At the hospital a whole circus started. I was moved to a bed, and getting the first clue that something was wrong when they, after giving me a second shot of a contraction-stimulating agent in my thigh, wanted to set a catheter in hopes that emptying my bladder would make the placenta come out. Thankfully, it helped, and they got the placenta out. I thought this was the problem,- getting the placenta out, and that now everything was fine. But that was not the real problem.

The real problem was that my uterus refused to contract. After giving birth, the contractions do not, and should not, stop. Contractions are needed to deliver the placenta, and after that, to make the uterus crumble and cover over the gaping wounds from the pencil-thick blood vessels that were nourishing the placenta. If the uterus doesn’t contract after birth, you risk hemorrhaging. The problem for me, was that my uterus, as a muscle, had overworked significantly to push a stuck baby out, and was now completely worn out and refusing to contract anymore. I was bleeding profusely.

For some amazing reason, I did not really tear. There was only a small rift on the inside that maybe needed a stitch. Since I was bleeding so much, they dcided to stitch it. Now, it is normal to have some rifts here and there after childbirth, that you don’t need to stitch, as they are very small, and not considered a “real” tear. Because of my uncontrolled bleeding, they decided to stitch up everything they saw that could cause a little blood, in order to get some control over the bleeding. I was told later that I got a total of 5 stitches I very likely didn’t need. Meanwhile stitching me up, they gave me more shots in the tight, and pushed hard down on my belly several times. They told me that since I was bleeding inside the uterus, the blood was collecting in there, and they worried it would clot to a ball that got stuck. So they would come and push HARD on my poor, tender belly every once in a while to try to squeeze all the blood out before that happened. After multiple squeezes on my belly, a total of 4 shots of contraction-stimulating agents, and in the end an IV of that same stuff since the shots did not work, the bleeding finally stopped.

The whole circus of getting control over the bleeding lasted about an hour from my arrival to the hospital. Almost in the same moment they were done stitching me up, and cleaning all the mess, Dustin and Daniel arrived. Dustin cried when he saw Sophia for the first time, and it was only then that I realized that he actually missed her birth. It made me SO sad, and is the only thing I find negative by the ambulance birth. Dustin, on the other hand, was not bothered as all, he was just so happy that we were both safe. And overjoyed to meet his daughter.

Daniel was more interested in showing the midwives the Pac-Man game he was playing, than meeting his sister. Ah, 5-year olds…

A few minutes after Dustin and Daniel, my mom arrived. She lived about 4 hours away, but this day she happened to be visiting my grandma in a town about 2,5 hours away. She was anticipating the birth of Sophia very soon, and had therefore packed a bag just in case, telling me to let her know if I needed to go to the hospital so she could come and watch Daniel. I had been annoyed by this, as I planned a home birth and wanted Daniel present for that. But while my midwives were calling the ambulance, I slipped mom three short texts, barely able to write at all: “can you come». «Watch Daniel”. “I need hospital”.

My poor mom! She didn’t know what was going on, other than that I was in labor, and was terrified, naturally, thinking all sorts of catastrophic things. She threw herself int he car drove a 2,5 hour distance in about 2 hours (!). But she was overjoyed to get to meet her grand-daughter only 1 hour after being born.

Finally peace

After hanging out a bit, mom took Daniel home while Dustin and I stayed overnight. Despite all the drama and unstoppable bleeding, I ended up losing “only” a little over 1 liter of blood in total, which is not a dangerous or extreme loss, though still twice as much as a normal birth. Because of this, hey wanted me to stay overnight for observation. I had to take a blood test the next morning to check that my hemoglobin levels were ok before being allowed to leave the hospital and go home. We got home less than 23 hours after Sophia was born.

In retrospect I’m grateful. So very grateful. I feel like everything happened the best way it could, and that God was watching over us. So many things lined up,- if I had not chosen to go to the hospital when I did, I would have lost more blood. And if I had not chosen a home birth, I would not have had the bumps in the road to shake her loose from my pelvis. My midwife said she was convinced those bumps saved both me and Sophia. And I believe her, I have heard many birth stories with the same progression as me,- where the baby was stuck in the pelvis. All the stories I have heard ended with heavy interventions like episiotomy, vacuum/forceps and c-sections. I strongly believe those bumps saved me from all that. And mom happening to be closer by on this exact day, with her bag ready for a sleepover.

When I look back, I mostly feel like Sophia’s birth was a good experience. I do not feel robbed of a home birth, because I myself made the decision to go to the hospital for medical pain relief. I was not forced to, I chose to. And giving birth in the ambulance was a great and extraordinary experience, nothing felt bad about that.

But there are a couple things that leave a bad taste in my mouth, that I wish were different. I want to stress that I am grateful to my midwives, I love them, and do feel like they were a tremendous support. I had two, one primary and one secondary, only the primary joined me in the ambulance. They were doing their job, and the things that in their experience has been most helpful for other women in labor. Though for me, I think some of the things they did might have contributed to Sophia’s birth going the way it did. I do not blame them,- like I said, they were doing their job, and the best they could. It is on me. I should have communicated better. Let me explain.

The contractions I had with Sophia were NOT normal. Giving birth is painful, but normally on a much more manageable level. As I have mentioned, she was stuck, on the right side of my pelvis, and to illustrate how stuck she was, and how powerful my contractions were: she came out with a flat ear, bloodshot eye and bruised forehead. It took about a week or so before the bruising on her forehead started to diminish, while her ear took months to curl into normal shape. We thought it was deformed, but the pediatrician examining her after birth told us it had been pressed flat during labor, as she was being squeezed into the side of my pelvis. Ugh, poor girl! But thank God she is such a strong girl,- she needed to be for that birth.
The fact that my uterus refused to contract after delivery also illustrates how hard it had worked on pushing my baby out.

The big question here is what lead to her being stuck. We know she was big (9.3lbs) and that there was little or no amniotic fluid. Those are very probable reasons. Additionally I have thought about two big mistakes I did during labor, that I think contributed, - one to her getting stuck in the first place, and one to make the contractions worse. This is only speculation, and we can never know for sure.

My first mistake was not listening to my body. My midwives told me to get in the pool and relax, while I did absolutely not feel like doing that. I was not stressed, I simply had an urge to move around. I kind of felt restless, I think. I wanted to move, not sit still. Now I wonder,- was that my body telling me to move, to better position the baby? Did me not moving lead to the contraction pushing her at the wrong angle, leading her to get stuck? Would moving around have aligned her better in my pelvis so she had not gotten stuck? I will never know, but I wish I had listened to my body and not someone else. Your body is designed to give birth, and will tell you what to do for labor to go smoothly. You only need to listen. I wish I had.

My second mistake was not advocating more for myself. Now this one is tricky, because it can be almost impossible to have any energy to advocate for yourself during intense contractions. Which is why a doula is so beneficial, one of their jobs is to advocate for you. Your birth partner can also do this. Dustin would have, if he had known that I was not ok with what was being done to me.
My midwives were extremely hands-on, something I am not comfortable with. But I never told them that. During our pre-birth meeting, they did tell me that they were very hands-on in births. I did not tell them that I do not like that, even though I was thinking that in the moment. This is fully on me. I am a people pleaser and was afraid of not getting them to be homebirth-midwives for me if I did not conform to their ways of doing things. Big mistake. Do not do like me.

When I talk about their work on me during labor, I have found myself using the word “torture”. I felt like they tortured me, and that my contractions got worse and more painful because of what they did. They tried to help the baby down in my pelvis, but what if all their hands-on techniques made me tense up,- making my contractions worse? I did think several times that I did absolutely not want them to do what they were doing but I did not resist it because I thought they knew better than me. Oh how I wish I could go back and tell them to stop and leave me alone, to let ME listen to MY body and do what I needed to do to get through the contractions.

Who knows? Would I have had my dreamy, longed-for homebirth in water if I had advocated for myself and listened to my body? I will never know. But I hope at least sharing my thoughts can help others avoid my mistakes. Listen to your body, be honest with your birth team, and advocate for yourself (or make sure your partner knows what you need and want and how to advocate for you).

So…I gave birth in an ambulance, and 9 bumps in the road helped shake my stuck baby loose.
Might there be a deeper meaning behind all this? That bumps in the road can be a positive thing?
Maybe sometimes we need bumps to shake loose something stuck in our lives?

I am now very grateful for those bumps and feel joy every time we drive over them. And they have since added an extra bump. Where there were once 9, there are now 10. Maybe the last one was to rule them all.

If I can, so can you! Feel free to book a conversation with me if
you want to learn how.