Transcript
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Hello, today I have with me Emmy Kissinger.
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Emmy is a mom of three from the Midwest, a certified birth story listener and experienced mental health professional who brings a wealth of diverse birth experiences to her practice.
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Her journey includes a Caesarean section and two home births.
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Emmy offers personalized one-on-one sessions for individuals, guiding them toward finding inner peace and acceptance in their unique birth stories.
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To learn more about her services, workshops or the guided birth story listening process, visit her website at wwwarrivalsstoriesco or connect with her on Instagram at emmykissinger.
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Emmy.
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Welcome and thank you so much for joining me.
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Hello, I'm so excited to be here.
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This is going to be a fun one.
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Oh yeah, absolutely.
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I am so excited about what you do.
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We talked briefly before we hit record and we realized that we are kind of kind of kindred spirits in what we're doing with birthing people.
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I would definitely agree with that.
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So where did you start in your mental health professional career?
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What kind of happened that inspired you to go down this path?
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Oh, that is such a great question.
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So we're going, we're dialing way back.
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So I attended grad school and became a licensed school psychologist and during grad school I actually became pregnant right before I graduated.
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So then I started out my professional career.
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I was 23 years old.
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I had my son right before Christmas that year that I had started.
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So I had been in the profession for about six months.
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It was my internship year and I had a beautiful vision for my birth.
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I wanted a natural birth in the hospital.
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It sort of that cascade of interventions happened and ended up with an emergency cesarean and I was actually sedated for the entire operation process.
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So, waking up, everyone in my family had met my baby, was completely devastated by the fact that I was not there to welcome him when he entered this world and that actually no one in our family had been there to welcome him when he was pulled out in the operating room.
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So, being very devastated by that, I experienced pretty extreme birth trauma and started doing things to try to process that trauma Writing my birth story, talking to my sister a lot who had been at the birth, joining the International Cesarean Awareness Network, where I actually ended up going to their national conference.
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So there I ended up being in a workshop with Pam England, who is the person who created birth story listening and the birth story medicine process, and over time realized that my heart and my passion is truly aligned with helping people find peace after their birth If they experience birth trauma.
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It's so common in our culture to have lots of thoughts and feelings that are maybe not super positive about our birth but feel like maybe we can't share them, we don't have a way to process them.
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There's no one who is really trained to listen to those stories and provide insights or feedback that can actually help us to find peace and acceptance and closure with that story so that we can move forward and live our life and have more children if we want to.
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So that's sort of the beginning and how I've landed here.
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It was a nine-year process.
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My son actually just turned nine.
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Wow, so can you elaborate a little more about what a certified birth story listener is, because that's not something that I'd heard of before, but I think it's brilliant.
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Yeah, I would be happy to.
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So you might think that someone who is a certified birth story listener would be someone who sits down with you, listens to your story, summarizes a little bit, provides a little bit of active listening support.
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It's kind of like a therapy session, that sort of process, but it's really not like that at all.
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It's truly a guided process.
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It's meant to be sort of one or two, mainly one and done.
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You sit down, you set an intention, you work through a very specific line of steps that you talk through together with someone like me or someone who's trained like me, and then you work your way to the end of the process where you are identifying the limiting belief that you gained from that experience, figuring out where the trauma in your body is actually sitting from that experience so that your body can start to make that mind-body connection.
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Boiling down the experience to figure out what it is exactly that you are kind of hung up on in your experience, because our birth stories can sometimes seem so big, they can seem so daunting.
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There are so many things that were emotionally challenging in that story, but if we can really boil it down, what was the exact thing that was really?
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That's really, really your heart is hung up on and then start to figure out where that's sitting.
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We can actually apply some of those somatic processes to work through that.
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We can develop a new belief around that experience and we can truly transform that story to have more meaning so that you can move forward.
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That is so interesting.
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It's kind of what I did with my first birth, without really knowing it, just because I'm a labor and delivery nurse.
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What I realized was my biggest issue was so I had an amnesia, without being told that I had an amnesia, okay, and the provider didn't explain it afterwards.
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It wasn't until I got to postpartum where my colleagues said, oh yeah, you have the sepsiaotomy and a second degree tear, that's a lot.
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And I was like, well, what happened?
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And one year later is when I became a labor and delivery nurse and then after that I asked for my records and found out that the position my daughter was in and the fact that she had the cord around her neck made the birth more emergent than I understood or was led to believe, I think, because I don't think they were trying to freak me out.
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But they said you know, you need to get her out in this one push, and that's when they did the apesiaotomy and I didn't realize it.
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So, knowing what I know now the position that her head was in when she came out according to the records, plus the cord being wrapped around her neck it completely reframed my belief about what had happened Doesn't excuse the fact that nobody told me what happened, but it no longer is something that holds a lot of trauma or fear or Sadness like it did before.
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Yeah, that's really interesting.
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I love that there's actually a process that people are using for that.
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Yeah, it's, I'm so grateful for it.
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I know that when I actually went through the birth story listening process myself, I experienced great transformation from it and was definitely able to walk out of that room sort of feeling like a new woman, realizing, oh, like this is the thing that was holding so much grief and so much heaviness for me, and now I feel like that's lifted just enough where I can take a deep breath for the first time in 20 months.
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Wow.
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So when was it that you said this was a nine-year process?
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When was it that you changed your focus and started working on the birth story listening?
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I actually started the birth story listening certification program in, I believe, march of this year.
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So I started.
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It's Four month program that you go through and throughout it you're expected to Do birth story listening sessions all throughout.
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So I got lots and lots of experience and practice while I was in the program and then also have been doing sessions with people since then.
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That's amazing.
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And you said that you had two home births afterwards.
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Yes, I would assume you did some healing work in between.
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Yeah.
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So the conference that I mentioned, the birth story listening session that I did at the conference all of that was before my second child was born.
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So all of that healing work truly needed to be done Before I was ready to kind of go down that road again, because there was sort of like a spiral of Sadness I don't want to call it depression, because that's truly not what it was for me.
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I've experienced depression and trauma and depression were kind of different things for me, but it was sort of an unraveling and then, once I was able to kind of draw that line in the sand, feel like things had been shifted for me.
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I was able to start to rebuild, become more empowered, become more disciplined, develop the characteristics I needed to develop as a person in order to have the birth that I wanted.
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Because during my first birth I know that one of my huge hang-ups was I was so afraid of the fear of the waves and the Contractions that I was experiencing.
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It was really really hard to manage those, and so I knew there was a lot of work to do in terms of being able to manage that discomfort the next time.
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And what were you able to do to manage that I?
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did a lot of things.
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The main thing that I did was I read childbirth without fear.
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That's a really, really helpful resource about understanding that fear and pain kind of go hand in hand.
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Fear is the piece that we let have power over us, and pain is a natural part of life and a part of childbirth.
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So for me, I took that message and I was like, okay, that makes perfect sense to me.
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And then, all throughout my second pregnancy, or my pregnancy with my daughter, I did have a miscarriage in between also, but the pregnancy where I had my next live birth, every time I experienced pain whether that was a stub toe, whether that was a leg cramp I used that opportunity to not let that pain that I was experiencing hold power over me.
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I would experience it, I would feel it, but I wouldn't run from it.
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I wouldn't fear it.
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That's really amazing.
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I'm writing that down because I think that is so important.
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Yes, pain is a part of life, and sometimes it's telling us something that we need to pay attention to.
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I mean a stubbed toe, if it's not broken, probably not as much, but Definitely.
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Most of childbirth is a normal physiological process, as long as there's not a complication developing.
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So the people that I know that have had successful natural births I am not one of them have had normal physiological Births.
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Their birth was not dysregulated, there weren't any complications, everything went smoothly, and so I think it's important to keep in mind that, as long as everything is progressing Baby looks good, you look good, you're not feeling anything that feels pathophysiological Then the pain shouldn't have to hold power over you exactly.
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So I really like that mindset.
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Yeah, it was really, really helpful for me because I definitely come from a family where your mission in life almost was like you avoid Pain at all costs.
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You take Tylenol, you take ibuprofen, you Do whatever you have to do to avoid pain.
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And I realized as an adult you get, you can't avoid pain.
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Pain is part of being a human and it's especially a part of childbirth, no matter how you cut it.
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So, whether that's through the recovery or the actual birth itself or the breastfeeding or whatever, yeah.
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There's gonna be discomfort, that's true.
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So then you had your C-section.
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Do you mind if we go back to that at first, because you did mention that you had a different mindset surrounding the pain and that there was an intervention cascade and you ended up in, you said, an emergency C-section and you had to Be sedated for that.
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Would you be open to walking me through that so that my listeners can kind of understand what that might look like?
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Yeah, sure, so you want to hear the actual kind of how the birth unfolded.
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Yeah, because I feel like there's gonna be a lot of value in how you went from there, processing that trauma and then changing Everything so that you could have two successful births at home without those interventions.
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I would assume that the labors were similar and there wasn't anything.
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Was there anything additional going on that would have required the emergency C-section?
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No, definitely not so okay.
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The way that things sort of want was I'll share first that I Definitely had a home birth on my heart for that first birth.
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But I definitely was not in a place where I was empowered enough to truly make that decision on my own and stand in my own Power in a place where I was like this is what I want, this is what we're gonna do.
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So I sort of let people shift my perspective a little bit and I did find a lovely hospital birth midwife, a CNM, who was available and able to take my case on at our local hospital about 20 minutes away from me.
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So great pregnancy, nothing really concerning at all.
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I did go to.
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I was 42 weeks and Baby was not here yet.
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We did schedule an induction but thankfully I had gone into labor that night before my scheduled induction.
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So you know, as a labor and delivery nurse, the recommendation was definitely like labor at home for as long as you can, if you truly want a natural child birth, you should try to try to stay home and make as much progress as you can there.
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So I tried that.
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But the contractions I was feeling were so overwhelming to me they were something I had not expected.
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I just truly could not wrap my head around what was happening with my body.
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It felt so intense to me, so naturally, as a very naive young woman, this must be it.
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My baby must be on the way.
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So we raced into the hospital and Got there in the middle of the night and of course my adrenaline was high because we had made this transition and my contractions pretty much just stopped and we spent the rest of the day just hanging out in the delivery room and Didn't do too much active laboring throughout the day.
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Once nightfall came, my contractions picked up again, which was really great.
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I took a couple of baths and at that point it had been about 23 hours.
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So you know the clocks ticking, the baby needs to be born, even though I truly had not really been in active labor most of the day.
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So talked with my midwife and we decided to to rupture my waters and that's sort of the the line in the sand where we're like okay.
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So my waters were released and that's when my contractions became Way more than I I felt like I could handle.
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Just as a person who was fearful of pain.
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I really wanted to be alone, but there were just so many people around.
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So at one point they tried to put more water back in me type of thing or say lean or whatever it was, to kind of like Take some pressure off the baby.
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We labored for a while longer and I was just way out of sorts and Told my midwife like I would like to do something else.
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I am not interested in an epidural, I am not interested in any pain medication, and I think I sort of became unruly at this point, and so the doctor was thinking maybe there were some heart decels.
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So the team pretty much decided on an emergency C-section.
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I don't think I really fully understood what that meant at the time, but an anesthesiologist did talk to me.
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I did sign paperwork, everything was consented to technically and then was wheeled off, but definitely did not recognize in those moments that my husband would not be with me, that my sister would not be with me in the operating room.
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They had my husband completely dressed in scrubs.
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It wasn't until we were actually in the operating room that the decision was made that they needed to skip a lot of the protocols moving into a C-section, because they felt like it needed to happen right away, and so that's why my husband apparently was not allowed to be in the room.
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So then it was about four hours later that I woke up and my husband had been doing skin to skin with the baby.
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My whole family had sort of met the baby already.
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Then they brought the baby into me and we had a wonderful, beautiful bonding experience, and that was definitely one of the most magical moments of my life.
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I felt so at home, becoming a mom for the first time.
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My husband and I named him and definitely in those moments felt like, oh, thank goodness I was at the hospital, Thank goodness I was with a team of people who were able to support me through this emergency situation, but realizing with my subsequent births that it was truly making the decision to go to the hospital, a place that I was not truly aligned with birthing, that that was probably the reason that the cascade of interventions kind of went the way it did.
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So did you?
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ever find out what they thought the concern was with the heartbeat?
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Was it?
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Was your water broken and did they explain what was going on there?
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I did request my records at one point and I actually still have them, but I decided that that information was not essential for me in my healing journey.
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I am much more interested in the beliefs I developed about myself during that experience and not as interested in necessarily what the doctors had to say about the experience.
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I definitely know that rupturing those waters and having it be before I felt like my body was ready for that was the thing that kind of shifted things for the negative.
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Yeah, do you remember about how long that took?
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So it was like- the water was broken and they did the.
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I'm assuming you're talking about maybe a couple of hours.
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It was probably a couple hours Maybe.
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It's hard to say, I don't remember a lot of that time.
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I think I was probably at the point where I was nearing transition.
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Like you know, your brain kind of gets a little fuzzy.
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My sister actually really remembers those moments really really well and I don't remember them as well.
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And that's just how childbirth is right.
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Yeah, exactly.
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Yeah, that's so interesting.
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Yeah, I just feel like there's a lot of missing information about why you ended up having to go back so urgently.
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And I mean, if you didn't have an epidural, I could see, if the heart rate was staying down continuously, why they chose to have generally an anesthesia which would require you to have a breathing tube.
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And then that's what makes it so that nobody else can come in the room, because there's more.
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It's way more in depth as far as making sure that you're breathing, and the anesthesiologist has to be a lot more in tune to what's going on.
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That makes sense.
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I did have a breathing tube, for sure, I remember.
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Yeah, yeah.
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It just becomes a lot more emergent in that situation, and so having someone hanging out next to you waiting for the baby not as safe.
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The MSC section is the only surgery that they ever allow people in the OR, so there's a line where you can't cross that because they want to keep you safe.
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It always is traumatic and I think that there is definitely a lot more that we could do, that we need to do to help families feel a lot more positive about that experience, because it is terrifying to suddenly have to have all these things happen to you and not fully have that explained.
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Did they debrief it all afterwards?
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I did have one meeting with the surgeon after the fact.
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I think I was about two weeks postpartum, and that meeting in and of itself was extremely traumatic, just because he said to me see you in two years, implying that I would be back with my next baby for a repeat cesarean, which is perfectly acceptable.
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Some people might choose that option.
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I knew that that option already was not the option for me and so that was probably like a catalyst for like okay, what do I have to do to make sure that that self-fulfilling prophecy does not come true?
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Yeah, that's interesting because I think a lot of us say that if you've expressed the interest of having more children, we know we'll probably see you again.
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It's kind of just a fun little thing that we say like welcome back.
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But it doesn't Right, and I think, when a nurse says it or a doctor, but when the surgeon says it, it definitely has, it implies different something different.
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That's funny because the surgeon and the doctor are the same person most of the time, but I guess it does have yeah, it does have a different implication when it's for you that person was the surgeon.
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Yeah, if it was at all, and he was the only person.
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Yeah, who's only the surgeon?
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Wow, it's interesting to hear different perspectives because, coming from the hospitals that I work at, where it's all one team, I mean I'm going to really think about it before I make sure it's not like a traumatic birth experience.
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I don't know that.
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I say that when it is a traumatic birth experience, but yeah, but I think that just your podcast in general, of sort of bridging this gap, of let's take some of these experiences, let's take these conversations and make providers aware of them and vice versa, like, let's help both sides of the coin understand so that everybody can have a better experience.
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I think that that's such important work.
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Gosh, I can't even tell you how much I've learned in the past year since I started this podcast, Just hearing other people's perspectives.
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Because a big problem is we as nurses only see people in the hospital in that moment in time.
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We never get to see them again, so we never unless they ride or review we never hear what they thought about the experience.
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Most people don't comment.
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Most who will just give it.
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If they do comment, they'll just give a generic everything was fine.
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Or if it was a completely negative experience, then they give all this negative feedback and you're not even sure where it came from, because we're not out there trying to cause harm, Emotional or physical.
00:20:19.703 --> 00:20:30.439
So it's really hard to hear when what you do with one person is seen as positive versus what you do with another is seen as completely negative.
00:20:30.439 --> 00:20:32.055
So it's sometimes hard.
00:20:32.055 --> 00:20:38.175
So I think it's definitely necessary to have these conversations because providers just truly don't know where we're going wrong.
00:20:38.317 --> 00:20:50.453
I completely agree, and I think that a lot of times, specifically with people who come for a birth story listening session, are coming because of a story that's sort of this underlying narrative in their subconscious.
00:20:50.453 --> 00:20:53.097
It's this thing that they keep kind of perseverating on.
00:20:53.097 --> 00:21:01.838
They're thinking about it a lot and there's no one really to tell it to, because you could tell your doctor but it's not really going to shift anything or change anything, nor is it even meant to.
00:21:01.838 --> 00:21:15.520
It's a very personal experience that needs to be worked through, and so leaving a review or sending a letter or something like that isn't necessarily going to be a catalyst for shifting the birthing person's mindset.
00:21:15.520 --> 00:21:21.938
So that's why I think the process can be so effective, because you're telling your story to someone who can actually help you work through it.
00:21:22.390 --> 00:21:32.039
So, from the perspective of someone that works as a labor and delivery nurse with providers, I see providers who have their own trauma.
00:21:32.410 --> 00:21:35.538
I, as a healthcare professional, have my own trauma, right?
00:21:35.538 --> 00:21:43.738
Yes, so I would imagine if I were to try to put myself in the shoes of your provider, your surgeon or whoever was involved with your birth.
00:21:43.738 --> 00:21:57.875
They were doing the best that they knew how to do in the moment, given the parameters under which they were practicing and by that I mean you were probably not the only one in the hospital on the labor and delivery unit at the time.
00:21:57.875 --> 00:22:00.557
They were considering the people that they knew were coming in.
00:22:00.557 --> 00:22:10.482
They were considering the people they knew were already there and a lot of that is where parents tend to feel maybe rushed into this labor process.
00:22:10.482 --> 00:22:17.869
And so, therefore, the decision was made not sure what all the factors were, but I just listed some potentials.
00:22:17.869 --> 00:22:19.856
I'm not sure if that was what was happening.
00:22:19.856 --> 00:22:22.817
The decision was made for your water to be broken.
00:22:22.817 --> 00:22:33.482
Then, after that, the cascade of interventions occurred and the providers chose to do what they felt was best to maintain the physical health of you and your baby.
00:22:33.809 --> 00:22:34.694
I 100% agree.
00:22:34.694 --> 00:22:37.038
I still see the doctor and the midwife.
00:22:37.038 --> 00:22:39.196
I have wonderful relationships with them.
00:22:39.196 --> 00:22:41.215
I trust them both so much.
00:22:41.215 --> 00:22:46.240
I just know that the place for me to birth, for my future births, was not there.
00:22:46.829 --> 00:22:53.596
That is the most fair thing that I've ever heard anybody say about their birth, because I think that there's a lot of how do I put it?
00:22:53.596 --> 00:22:55.401
Demonization on both sides.
00:22:55.401 --> 00:23:13.844
So the provider, when they hear the feedback of you made me have a C-section they feel defensive and say I wanted you to have a live baby, right, yes, and I'm not here because one, the potential of having not received a live baby is horrible.
00:23:13.844 --> 00:23:19.942
But also we are leaving out this whole person that was involved in the process.
00:23:19.942 --> 00:23:31.020
And while that person physically perhaps came out healthy, or at least the incision was sewn up and maybe there weren't complications, what about the emotional impact on that person?
00:23:31.971 --> 00:23:35.820
And when you're trying to save two lives, that's where the provider trauma comes in.
00:23:35.820 --> 00:23:45.124
So what's hard is when you are inflicting those procedures and interventions on people.
00:23:45.124 --> 00:23:53.994
You know that it's going to probably cause some emotional and very definitely physical scars, and yet you have to do it anyway.
00:23:53.994 --> 00:24:02.278
And so then you're traumatized and you have to stuff it down, you being the provider, I being the professional that assists the provider.
00:24:02.278 --> 00:24:05.875
It's really hard.
00:24:05.875 --> 00:24:20.153
And so then there's this cycle of those things happening continuously, and then we don't have conversations afterwards on how to fix it, and so we're just re-traumatized and re-traumatizing other people, and it's just this vicious circle and birth story listening sessions.
00:24:20.333 --> 00:24:29.618
It's very common to do them with providers, actually, because you can carry, like you just said, trauma from someone else's birth and so oh, I do.
00:24:29.618 --> 00:24:42.173
Yeah, that's part of why I'm doing this podcast and I'm really come and work through those sessions as well, you know, for anyone who is a birth storyteller.
00:24:42.295 --> 00:24:49.414
So that could be, and suddenly I have so many clients for you, let me just give your card to everybody I know.
00:24:51.730 --> 00:24:56.976
But it is really challenging and trauma can happen in truly any setting, so it's not just a hospital problem.
00:24:56.976 --> 00:25:28.056
Trauma is simply when your mind can't keep up with whatever happened in your body physically, very much like a polar bear who was shot by a dart, you know, and fell asleep, like any time that you are in a scenario where your mind couldn't fully comprehend what happened to your body, or your mind couldn't fully comprehend kind of what happened in a certain scenario, trauma can happen, and so that can be part of the fertility process, it can be part of the breastfeeding process, it can be part of a miscarriage.
00:25:28.056 --> 00:25:41.382
There's so many opportunities for difficult scenarios to come up during the early motherhood or early parenting experience, and so it's great to have someone and a process for somewhere to go to talk about it.
00:25:41.891 --> 00:25:42.955
Yeah, I love that.
00:25:42.955 --> 00:25:43.973
I think that's amazing.
00:25:43.973 --> 00:25:57.471
So then, from that experience that you had with your first baby, what were the steps that you took to become confident in the home birth experience, and who did you surround yourself with in order to feel empowered to do that?
00:25:57.559 --> 00:25:58.726
Yeah, that's such a great question.
00:25:58.726 --> 00:26:09.332
I would say what ultimately happened and I think something that you said earlier made me think of this was that I truly became a person who could take responsibility for my own decisions.
00:26:09.332 --> 00:26:11.688
I made the decision to go to the hospital.
00:26:11.688 --> 00:26:14.248
I made this decision to have a hospital midwife.
00:26:14.248 --> 00:26:16.848
I made the decision to have my waters ruptured.
00:26:16.848 --> 00:26:18.767
I made the decision to have a C-section.
00:26:18.767 --> 00:26:20.946
Those were all my responsibility.