Grace
I am a Mum of three boys who are all preschool age, and firmly believe postpartum is for life!
I have had a few lives in my career, I finished school wanting to become a police officer, and after 7 years working in the public service, I left this somewhat ‘cushy’ public servant life for the life of a secondary school teacher. Bit of a wake-up call! I have been a secondary school teacher for over 8 years now.
I love cooking, watching the Formula 1 (usually watching delayed after the kids have gone to bed and avoiding all media spoilers in the meantime!) traveling and planning holidays that I can’t afford.
Since falling pregnant with my first son, I have flirted with making the career change to midwifery, something about it has always been an interest of mine. During my second postpartum time, I investigated going back to Uni (after finally paying my HECS off from my other degrees…) however when I read through the subject list of midwifery I was so confused.
Where was the ‘physiological labour’?
Where was the ‘this is what the human body is designed to do’?
Practically non-existent.
I closed all the web browser and googled doula courses. Immediately I KNEW this is what I was going to pivot and do. I booked my doula course literally 5 minutes later and completed my birth and postpartum doula course through the Australian Doula College.
I have been a doula throughout women’s pregnancies, births and postpartum. Due to the demands of on call work with three very young kids, I am unable to take birth clients at this time but please contact me if this is what you are seeking as I can recommend some amazing birth doulas in the area!
Third Pregnancy and Birth Journey Pending!!
1st pregnancy into postpartum story:
My first pregnancy was “uncomplicated”. It took two years and fertility treatment to fall pregnant. Once we were pregnant, the 2019/2020 bushfires engulfed us in thick smoke for weeks on end and we were madly googling the effect of smoke on pregnancy… then 2020 hit. I won’t mention the words, but it was a blessing and a curse. As a secondary school teacher, I had no choice but to go to work every day with no access to PPE aside from a face mask (for myself… not the others around me). It was incredibly stressful. Once I was working from home, I really was able to rest, sleep and obviously finally protected from the illnesses around. However, I was very sedentary, and developed many aches and pains, especially hip pain, and lower back pain. I felt unstable moving which worsened my sedentary choices.
The pregnancy was uncomplicated, and I was incredibly lucky to get into the Midwifery Group Practice model of care at the local public hospital. Our midwife was an incredible support and so available to us. I had many scans (I didn’t know then about the inaccuracies of ultrasound scans) as my baby was ‘big’ (cue the panic that vials had been switched at the fertility clinic, as my husband and I are both shorties!). If you know about the inaccuracies of ultrasounds, am sure you know I am about to say, my baby was born in the 7th percentile, full term, smaller at birth than he measured at the 36 week scan four weeks beforehand, and I can assure you that he didn’t shrink…
I planned a physiological hospital birth and with my amazing MGP support it felt a very natural choice for me. My husband and I took an online hypnobirthing course which was a totally life changing perspective of birth. I binged listed to physiological birth stories from Australian Birth Stories and felt most comfortable in the mindset that birth is a natural physiological process that is best left untouched. I went into labour at about 8pm at 39 weeks and 5 days. My labour came on fast and hard! I called the midwife, and we chatted about staying at home. I sent my husband to bed, and I laboured in the spare room and in the shower on my own while he slept. At 1am I called my midwife and said something wasn’t right, couldn’t say what but I wasn’t panicked but I’d like to go into hospital to be checked. She impressed on me to get checked and then come straight back home to continue labouring. I agreed. The car trip was hard. I told my husband there was no way I could go home and then come back again (I didn’t know that I was in transition!). I got to hospital. They saw first time mum (typically first-time mums have longer labours) and that I had ‘only’ been in labour for 4 hours. After an examination I was ‘only’ 5 cm, but babies heart rate was not reassuring. After a lot of flapping about by our temporary midwife, my midwife was called in and when she arrived, I was now 8cm (40 mins later) and I was whisked to birth suite where (apparently, I have no memory of any of this as I was in LabourLand) the room was full of Midwives and Doctors. They still could not get a reassuring trace and they were very concerned. There was a really clear clinical picture that our baby was not coping. The doctor completed multiple tests, checks and collected different observations. After creating a really clear clinical picture and chatting with my husband and then myself (the way I wanted it to happen) we chose to have an immediate C section as the baby was in urgent need of delivery. I was 10cm (5-10cm in less than an hour) and pushing on the way to theatre, a “code blue” was called for our bub as at this time baby was incredibly stressed. A successful first and only attempt for a spinal was put in, baby was born and thankfully after some assistance, recovered fully from whatever was stressing him within a few minutes and was a healthy little thing!
I slept for the next 4-5 hours completely exhausted and full of the c section drugs. My husband had to leave the hospital as soon as I woke up (only allowed for the birth and then 1 hour per day due to hospital policy at the time). I was left in a hospital room, without anyone, couldn’t move, catheterised, and with a baby on my boob. It was horrible. I never felt so alone and knew I couldn’t look after my baby but had no other option. Midwives were under the pump and would sometimes take 40 minutes to respond to my call bell (they were SO SO SO overstretch during this time and the idea of ratios didn’t seem to apply with half the ward off with covid and bit of a baby boom that week in our area). I knew I didn’t want to sleep with the baby in my bed so trying to keep myself awake for the 40 minutes so that a midwife could take the baby off me and place in his bassinet was just torture.
I asked to be discharged after 24 hours, but I was counselled strongly against it. I was really concerned about the welfare of my baby as I was really struggling with the after affects of the anaesthetics and felt I couldn’t care for him adequately on my own. I asked what the earliest time possible I could safely discharge. It was suggested that after 48 hours I would have received all the IV antibiotics and a final check of the effect of my postpartum hemorrhage that I had during the C Section. I agreed and at 42 hours my husband used his 1 hour visit to pack the car and I was waddling/running to the safety of freedom and support at home. Once home my husband was able to take care of the baby while I lay in bed and all I did was sleep and breast feed for 2 weeks. The recovery from a C Section is intense and I chose to intensively rest. We didn’t have visitors (immediate family came over, over the next 2 weeks) and it was great. My husband was home for 4 weeks, and then I had a rotation of my sister-in-law, my mother-in-law and my mum and dad while my husband was at work. This support lasted about 4-5 weeks and I was able to truly rest. It was still lockdown time, and it was stressful having family coming in and out the house for support, but it was a sacrifice we chose to make. I felt isolated, medical help was hard to get with all GP appointments telehealth, maternal health appointments telehealth, lactation consultant appointments… telehealth!
Physically breastfeeding came along okay and we were a good team. I believe I may have developed D-MER (Dysphoric Milk Ejection Reflex) and HATED every minute of it. My baby unsurprisingly developed lactose overload as I would convince myself that he was finished feeding so that I didn’t have to continue the feed, and as such he had a few days of just getting the foremilk. Also, as a result he fed ‘all day long’ (because he was hungry!) and I became very frustrated. It took until about 3 months to discover that he had a significant cow’s milk protein allergy. I continued to breast feed until 5 months before choosing to move him onto formula under the guidance of a paediatric allergist. I felt free! I coped a lot better not breastfeeding at that time in my life and enjoyed the experience a lot more. I went back to work full time not long afterwards and my husband became the primary parent for 3 months which was an INCREIBLE opportunity, and it is the best thing we ever did. My husband loved having this time to get to know what primary parents do, and I loved the break from the mental load. I enjoyed seeing the pictures of their outdoor café dates, playcentre activities and swimming classes while I was at work and to be honest I didn’t feel like I was missing out. My husband went back to work at the end of the three months, and I went to part-time work and between family day care and grandparents our son had a beautifully balanced week of lots of love and variety.
2nd pregnancy into postpartum journey:
My second pregnancy story starts with a random pregnancy test I took (I don’t get period, so I don’t have a need for pregnancy tests, as I do not ovulate without pharmaceutical assistance). A few peculiarities about my body had occurred in the previous 24 hours and I thought I should take one to rule out a pregnancy. I took the test and boom, before I finished weeing, a Big Fat Positive. I screamed for my husband, and he came running down the hall to find me very much in shock and overwhelm. All I could think about was the 3 social engagements over the last few months that I had drank to excess at. I was not excited at all and very panicked and guilty in those first few hours finding out.
As I don’t get periods, we had n0 idea how far along we were. I went to the GP and went for an ultrasound the same day and I was about 12 weeks pregnant. Crazy. I called my MGP midwife from my first pregnancy immediately and was lucky enough to be picked up again in this program, with a different, yet just as amazing midwife. The first 6-10 weeks of finding out was really stressful and overwhelming. I had another uncomplicated, (although this time felt incredibly short) pregnancy. I had a new job (of course) so struggled with fatigue as I was working 12-13 hours a day, caring for a toddler, had a FIFO husband and a new job with very high work demands. I also had coccyx pain during this pregnancy and sitting, standing, and walking hurt like anything! We were excited though, once the shock wore off! It was nice to have a surprise as our previous pregnancy journey was so clinical.
I knew I wanted another physiological labour and now I was a VBAC (Vaginal Birth After Cesarian), I knew the challenges I’d now face birthing in the hospital system. The hospital system policy for VBAC is geared towards a repeat C Section. We chatted about birthing at home, but with the emergency situation of our first, we were 50/50 whether this was the right choice for us, and the homebirth program with the hospital was still suspended after the challenges of 2020-2021. We thought about going private homebirth route, but loved our MGP midwife so were comfortable birthing at the hospital with her support.
I had a 2-week start to labour where every night for 3-4 hours I would have low to medium level contractions starting about 10pm, and then an hour or so break then another 1-2 hours of contractions that would be slightly stronger, then the sun would come up and it would all stop. I did some positioning movements during the day but was very happy that everything was okay and it would work itself out. I was tired, so tired, but also not bothered by it overly. Sure, it was a huge mental game, never knowing when the contractions would tick over to the next phase, but I didn’t feel like baby was ready yet so was not bothered. I chatted about getting a stretch and sweep at one point but it wasn’t the right choice for me so did not pursue it.
One Friday morning I woke up and thought, oh that’s a strong contraction I need to get up, I rolled out of bed and knelt by the bed and my waters broke. We knew baby was MUCH closer and became excited that we would be meeting baby by the end of the weekend! I continued to have contractions for the next hour, but the sun came up and nothing. No problem. We went about our day and after no change in labour patterns, we decided to go into hospital late in the afternoon to get checked out and get some information. On the way to hospital, I had some contractions that were out of character, it was daytime after all! In the waiting room, I couldn’t pay attention to the TV, and I was starting to need to work through them. By the time I got to the assessment room, I was contracting every 5 mins for a minute at a time, and my waters started to leak again with each contraction. I declined an examination upon getting to hospital. We did a quick CTG (monitor of baby’s heart, and contraction patterns) in the assessment room and once they had a trace that baby was happy, I requested it to be removed. After 30 minutes I was working through each contraction, and I was without a doubt in established labour. I said I wasn’t going home as I labour so quickly, and I agreed to an examination and I was 6 cm. I insisted walking to birth suite, it took a while with lots of pit stops for contractions on the way. And after 30 seconds stepping into the birth suite, I was in transition!
The birth was a shit-show (not on my part, or our baby’s part! We did phenomenal jobs!). The story is long and complicated, but my (again short) amazing physiological birth was interrupted with an ‘assisted’ birth with forceps (the whole process void of consent). I should have had a doula with me. It’s all I was thinking. WHY didn’t I get a doula! Someone to slow the room down and stop the doctor. My husband did a great job advocating for me, but others did a better job feeding a narrative that wasn’t accurate. I was ‘managed’ by the system. Again, the midwives were phenomenal, and I feel for them working in their hierarchical systems.
We had another little boy. I spent two nights in hospital (original plan to come straight home) due to the traumatic birth events from the ‘assistance’ which left my son and I physically in need of medical care. I came home and the first two weeks of my postpartum I was in a lot of pain from the ‘assisted’ birth and it didn’t help we were making bi-weekly trips to the hospital to get to the bottom of the system-based issues we encountered and to hold the correct people to account. To the hospital’s credit they were incredibly receptive and worked with us every step of the way.
This postpartum journey I decided to take a full year off. And I slowwwweeeedddd down. Boy, some days felt like they were so slow it was backwards! But my body thanked me for it. I began postpartum Pilates when my baby was about 8 weeks old and took it so slow. I had a very safe facilitator who ensured I was working to strengthen, not injure my body.
I had a much less mentally challenging breastfeeding journey the second time. I had no issues at all, and breast fed until he was 8 months old. At 8 months I really felt I would be a better mother if I could have a bit more independence and decided to mix feed before moving to exclusively formula a month or two later. The last 3 months of his first year of life I felt incredibly balanced, and like I was able to be a present mum. I started planning my return to work and starting my business and all the daycare orientation and blah blah that goes with it!
I started taking on doula clients about this time, and boy was my cup full and overflowing. I loved it. I knew this is where I wanted to be in the world! It really didn’t feel like work to me, and I say I returned to work, but it truly did not feel like it.