Soon after celebrating our positive pregnancy test in June 2011, Liam and I began discussing our options for having a natural birth while living in Korea. We discussed the idea of returning to the US for the birth, since we were both instinctively more comfortable with the idea of hiring a midwife and doing a home birth, and had no idea if that was possible here. We were both born to moms who home-birthed all of their kids and had shared their positive birth stories with us over the years. And of course, Liam's mom actually is a midwife! We knew we didn’t want to be in a hospital where we might be pressured into the medicalized version of birth.
I started doing some internet research to see if we had any options for staying in Korea, which would be easier on our work schedules (and budget), and quickly found the website for Birthing in Korea, a doula service based in Seoul. After getting in touch with Lisa, the head doula, I felt reassured that our birthing vision was possible, though limited to a few places in and around Seoul, unless we did a home birth. We both felt like our small apartment in Ulsan was not conducive to a comfortable home birth, so we needed to find a good birthing center. On a suggestion from Lisa, we visited Mediflower birthing center and immediately felt that it was the right place. It was a small, friendly, professional setting – the ob/gyn clinic and birthing center felt much like a modern, welcoming spa. We liked the doctor and nurses, and felt assured that they were progressive and fully supported natural births. I especially liked that they encouraged water birth, and just felt a positive, grounded sense of peace from the setting and people. So, we decided to hire Lisa as our doula, and to go with Mediflower for our prenatal care and birth.
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Our birth story begins on February 7, 2012, at the apartment in Seoul where we had moved temporarily. I was 39 weeks pregnant, and had been hoping that the baby would decide to arrive a little early. I woke up at 6:30 am with a feeling that something was happening, and when I used the toilet, realized that I had some “bloody show” which was a sign our doula had said might signal the beginning of labor. I felt a rush of excitement, but also wondered if I was getting ahead of myself…so I got back in bed and tried to sleep. Of course, my mind was racing and I couldn’t stop thinking…this could be IT! I didn’t want to wake Liam up, since if it was the big day, he’d need plenty of rest to be my support. So I got up, had some breakfast, and tried to relax. As I sat at the kitchen table, I was feeling practice surges (Braxton-Hicks contractions), which had become normal for me over the previous couple of weeks. I timed a few and they were about 22-25 minutes apart. Since they were coming regularly, I decided to call Lisa, our doula, to update her. She said it sounded like I might be in early labor and she recommended that I rest, eat well, take a bath, but that active labor could still be a couple days off.
At about 9:30 I found Liam had awoken, and filled him in – we decided I should take a bath and focus on relaxing. I soaked in the hot bath for almost an hour, and it was wonderfully calming. The surges were coming around 20 minutes apart, but were light and not painful, just a little uncomfortable. After the bath, I called my parents and they gave me some encouragement and were really excited to hear the baby might be coming soon. In an effort to boost my courage, they shared stories of my own birth – a great story I’ve heard dozens of times, but which took on new meaning once I was pregnant. It was a beautiful home birth at our “cabin” in the Oregon woods, and their positive memories have always instilled me with a powerful sense of confidence for my own birthing experience. Soon after our phone call, I noticed that the surges were getting stronger, and I was feeling nauseous. We talked to Lisa again, and she encouraged me to keep up my strength by eating “like you’re going to run a marathon”…plenty of light carbs and no spicy foods. After eating a light lunch, we went for a walk to get some fresh air and because I knew walking could encourage my labor to progress. It was freezing cold, probably 25 degrees F, and we almost turned back, but I’m glad we didn’t. The fresh air was invigorating, and the nausea went away. We walked around our neighborhood for about 30 minutes, and my surges were getting strong enough that I had to stop and hold onto something as I breathed deeply and slowly. The pain was concentrated at the bottom of my belly, feeling like extremely strong menstrual cramps. At the surge’s peak my entire abdomen would swell up until it was rock hard. The timing was erratic, sometimes 20 minutes apart, sometimes 5 minutes. Thankfully, I could walk easily and comfortably between the surges. I remember looking at people passing us by and thinking, “they have no idea that I’m in labor right now!” It was possibly such a momentous day for us, and yet just another typical day for them. We ducked into a café to get out of the cold, and both ordered hot chocolates. My surges were getting more frequent and regular, around 15 minutes apart. The café was very calm and quiet, and as I sat sipping the rich chocolate I just breathed through the surges, trying to calm my nerves. As they got stronger, I was feeling more anxious about the increasing level of discomfort, though I was actively reminding myself of all our preparation and confidence we gained from learning breathing and relaxation techniques.
Upon walking back to the apartment, around 5:00 pm, I thought another bath would help me get calm and focused. In the tub, the hot water was calming, but the surges were coming on very strong…it seemed like they had ramped up in strength after our walk. As I was soaking, the cat was very interested in what was going on, and kept trying to climb down and drink or smell the water. He’s done that before, but it seemed especially comical with me breathing through strong surges, and fending off a crazy curious cat at the same time. I was pushing my feet against the tub during the peak of each surge, which helped relieve the pressure on my abdomen…but right at the height of a big one my foot actually popped through the tub’s shell! I was shocked and started laughing in amazement…was I really that strong?! Or was it just a totally weak bathtub? Since that put an end to my soak, I got into bed with the intention of trying to rest, but I couldn’t get comfortable. Each surge was harder than the last and I moved into different positions, trying to find relief. Hands and knees, lying on my back, on my side, standing and leaning against a wall…nothing seemed to help. I was getting increasingly stressed. I was also feeling nauseous and dizzy. Liam was making some dinner and encouraged me to come eat. I sat down at the kitchen table and ate a little bit – some fruit smoothie and a little bit of homemade pizza. But I had no appetite, and the nausea was strong. I timed a few surges and they were 7 minutes apart, lasting almost a minute. After trying to lie down again, I immediately jumped out of bed and threw up all over the bedroom floor. Liam came in and helped me get cleaned up, and said he thought it might be time to head to the birthing center. I timed a few more surges and they were 5 minutes apart, lasting one minute. Lisa called around that time, and when she heard the update, agreed that it was time to go to Mediflower. She thought getting there would help calm me down too, since I was getting overly stressed and having trouble focusing on my relaxation techniques. I remember feeling worried that my surges were so powerful, that if the labor was long, 24 hours or more, I wasn’t sure how I could make it. But I tried not to dwell on that thought…and reminded myself to surrender to my birthing body, to go with the flow of whatever happens. As Liam went downstairs to fetch a cab, I tried to get into a relaxed, confident state of mind, thinking of the baby, and of my strong body, and telling myself to release my worries and trust my instincts. At about 9:30 pm, we grabbed our overnight bags, and headed out for the journey across the city.
Next section is written from Liam’s point of view:
After gathering our things and recruiting some Korean teenage girls to hold a cab for me outside of the apartment (this is what I was anxious about beforehand, as the language barrier is a constant challenge for us), I went back to the apartment and guided Jessie into the elevator and downstairs into the cab. It was a long and challenging ride for her (and me) but she kept cool and breathed through the surges nicely. (Jessie: this was extremely difficult, and I summoned all my strength to make it through that long bumpy cab ride without screaming! I knew if I could stay calm, it would help to keep us both from getting panicky)
Upon getting to Mediflower at about 10:15pm, she threw up again in the back street behind the clinic. However, her mind was in a good place and she started to relax, with my help, as we made our way inside. We were shown to our comfortable birthing room by the nurse and Jessie laid down on her left side on the bed. Lisa showed up with another doula trainee, Michelle, at 10:30 as the nurse began some fetal monitoring. Surges were about 2-3 minutes apart at this point. Jessie was trembling very strongly, so Lisa and Michelle held her tightly and tried to calm her down with slow breathing. They said the shaking was probably from all the adrenaline pumping through her body. At 11:00, Danaka, the midwife, checked Jessie and said she was already 7 cm dilated. We were all surprised that her cervix was so dilated already. (Jessie: I wasn’t surprised…those surges over the past couple hours were serious business and I was relieved to have progressed so much).
We spent another half hour in the birthing room, with Jessie standing and swaying as she leaned on Lisa through surges. At 11:30, we made our way to the large birthing tub just down the hall. This room was calm, warm and peaceful, with low lighting and candles all around. We had brought our ipad and it was set to play ocean sounds, as Jessie had requested. Once in the warm water, Jessie laid back into an inclined prone position, with me in the tub behind her. She leaned against me and grabbed my legs and hands during surges. The doulas were on either side of the tub encouraging Jessie, and I was saying soothing words to her, feeding her ice cubes and cooling her forehead with an ice soaked towel after each surge. At 11:50 Lisa told Jessie to start breathing down (Jessie: this was a hypnobirthing breathing method to gently move the baby down. The surges felt really intense at this point, but the water was incredibly soothing and I could relax nicely between surges).
At 12:10 am Lisa and Danaka encouraged Jessie to push slightly. Danaka checked her at 12:20 and she was fully dilated. After a couple more surges she got into a kneeling position, facing me, and everyone left the room so we could have some private time. We talked a little bit and I told her how strong she was, and that I was so proud of her. She had a couple of difficult surges with just us two there, and then the doulas and midwife returned. Jessie and the midwife could both feel the baby's head at this point, so Lisa asked her to get into a squatting position and to really bear down during her contractions, to take a deep breath in and push rather than breath out. She did that about three times, and on the third surge, Danaka urged her to take a deep breath in, then hold her breath a bit and push. This really got things moving!
Lisa quickly made sure that I wanted to catch our baby and as her head was starting to crown, I reached and held it. The midwife was manipulating the baby’s body as she slid the rest of the way out and with a couple big pushes, her tiny body came swimming into in my hands, underwater. At this point it was 1:45am on February 8. The midwife and I both lifted the baby out of the water and I held her for a few moments. I was in a bit of a daze; I just remember her pliable wet skin on my hands and then I placed her on Jessie's chest once she was in a seated position against the tub. I remember laughing and giddily saying to Jessie, "You did it! You did it! Here's the baby!" I then stepped out of the tub and just touched Jessie and the baby as Dr Chung, who had arrived at that point, and the midwife checked the baby, never moving her from Jessie’s chest. The doctor encouraged us to feel the umbilical cord pulsating. After it stopped, the midwife clamped it and I cut the cord. (Jessie: We were so elated at this point. I felt a huge wave of relief and happiness wash over me as I pushed the baby out. It stung pretty badly, and I was sure I was tearing, but I didn’t, thank goodness. Probably helped that I was in warm water and in the squatting position – that’s exactly how I wanted to be positioned when the baby crowned. Also, I remember Danaka getting in my face, making me focus, and saying” Jessica think of your perineum! Breathe like this…hha hha hha hha”…and I did that in short fast breaths. When they put the baby on my chest it was the most amazing feeling of awe. I was actually kind of stunned to feel her. After all that effort I had almost lost track of the idea that I would feel and see her at the end. I remember thinking she felt wet and slick, and it reminded me of how a baby seal might feel! I gazed at her big eyes that were looking up at me and felt such a huge surge of joy, it was overwhelming.)
After moving back to our birthing room, Dr Chung checked the baby over a bit more thoroughly now – she weighed 3.64 kg (8 lbs, 2 oz), and measured 51 cm (20 in) with a head circumference of 35 cm. I held the baby while the doctor and midwife assisted delivering the placenta. (Jessie: It surprised me how painful it was to birth the placenta, but it was over quickly. The doctor showed it to us and I was amazed to see this incredible organ that was our baby’s life source for so many months). We talked with Dr Chung for a bit, and he congratulated us on what had been an uncomplicated, great birth experience. With a warm smile, he told Jessie that she was very strong and if we were to have another child, she was a perfect candidate for home birth; that she didn’t need a doctor, rather to go with a good midwife and doula at home. And that from a doctor! Lisa and Michelle helped get Jessie started with breastfeeding, and we were happy to see the baby had a good latch and strong suckling instinct. Within an hour, we were left alone in the calm bedroom, to bond with and admire our healthy, beautiful baby, who we named Chloe Agnes Jean.