Juniper Evangeline Dunn was born on October 24, 2019, at 5:49 AM at United Christian Hospital in Hong Kong. Big thank you to everyone who has supported and encouraged us on this journey so far. We can’t believe she’s ours.
This is really long and a bit TMI, and I know not everyone will want to read this, but I also know some of you are really interested in birth stories. I decided to write it all out for my own memories and share it here for anyone who is interested. I will write a separate post that is specifically about my experience with the Hong Kong public hospital system.
10:45 PM – My Water Breaks at Home
On Wednesday, October 23rd, I had a normal day at work. I met some friends for dinner afterwards and got back home around 10 PM. Around 10:45 I was sitting at the table, texting with my little sister. She asked if I was about to pop, and I said yes. Little did we know how literally true that was. A few minutes later, I felt a warm gush of fluid as my water broke. I turned to Jonathan with wide eyes and said, “Either I just peed my pants or my water just broke.”
We were both a little in shock. Even though we knew from 37 weeks on that she could technically come at any time, everyone always says that first babies are usually late. I had mentally prepared myself to go over my due date. I was scheduled to keep working until 3 days before her due date. I was only at 38 Weeks, 1 Day.
We had been told in our birthing class that if my water broke at home I might need to go to the hospital sooner than normal, but that I should monitor to make sure the fluid was clear, and unless there was evidence that it was mixed with meconium, we didn’t need to rush to the hospital and could still labor at home for a few hours.
Jonathan and I both showered and started charging all of the electronics. I was wandering around the apartment trying to text and talk to people and pack up any last things. The amniotic fluid continued to come out in gushes for the next few hours along with my mucous plug. I went through so many pairs of underwear trying to stay dry enough to move around the apartment.
About 15 minutes after my water broke, I started having contractions. The first two were about 20 minutes apart. Then 12 minutes. Then very quickly down to about 5 minutes. We were trying to time them in the middle of everything else going on. At that point they felt like strong period cramps and I could talk through them. They were lasting anywhere from 30 seconds to over a minute, but not consistently. Around 1 AM, my contractions were consistently 2-5 minutes apart, but the length and the intensity were both inconsistent. Jonathan and I decided that since it had already been more than 2 hours since my water broke and the contractions were close together, we should go ahead and go to the hospital.
1:30 AM – We Arrive at the Hospital
We took an Uber to the hospital (about 15 minutes away) and arrived around 1:30 AM. They had me fill out some paperwork and then hooked me up to some machines to monitor my contractions and the baby’s heart rate. The nurse said the doctor would come to examine me in about 30 minutes. The nurse asked if I had a birth plan. I said no, but that I wanted to do whatever bloodwork was necessary so that I could have an epidural later if I wanted one. She told me there was no guarantee I could get an epidural. I told her I understood, but I wanted to do the bloodwork so I would have an option. She said to tell the nurses in the labor ward once I was admitted.
I laid in the bed with the monitors hooked up for 40 minutes and then the doctor came in to check me. During that time I continued to have contractions every 3-5 minutes. At this point they were stronger than period cramps, but I could breathe through them. The doctor came in to check me (so uncomfortable) and after digging around for what felt like ages, she said I was 2 cm dilated, but that the membrane was still thick and it would probably be awhile. They would move me to the antenatal ward to wait.
At this point I was a little disappointed thinking we had come a bit too early, but I was glad that I was at least dilated a few centimeters. Part of the reason we wanted to avoid coming too early was because in Hong Kong, if you are not in active labor, you go into an antenatal ward with a bunch of other women and your husband cannot come with you. They wheeled me out and we met up with Jonathan in the waiting room. He was able to walk up to the antenatal ward with us, but then they advised him to go back home and wait there since it was the middle of the night. “Get some sleep, it will probably be awhile,” they told him. I would have my phone and would call him when things progressed.
I could tell that Jonathan really didn’t want to leave, but since it was the middle of the night it wasn’t like there were any coffeeshops nearby or other places for him to wait, so I told him I was fine, and he reluctantly left.
2:45 AM – The Antenatal Ward
They wheeled me into the antenatal ward where I was put into a room with 5 other women. All of the lights were off and everyone was in bed. By this time, I already felt like my contractions had ratcheted up a level. As they settled me in the bed, the midwife asked me, “How would you rate your pain level? 0 is no pain and 10 is you’re dying. So… like a 2?” she suggested. At this point I was thinking at least a 4, but I had no way to compare how bad it was going to get. She had she suggested 2 and I was only 2 centimeters dilated so I reluctantly said, “I guess a 2 or a 3.” Inwardly I was freaking out thinking, “Dear God, is it going to get 4-5 x worse than this?!” They settled me in the bed and said they would come check on me every 4 hours, but to come get them if I needed something before then.
My contractions were about 2-3 minutes apart at this point and I could not understand how the other women in the ward were just laying there. I tried to lay down for a little while and “rest,” but during each contraction I had to fully focus on my breathing, and since they were so close together, there was very little “rest” time. I also felt like each one was stronger than the last. After about 45 minutes of this, I walked down the hall to the bathroom where I realized I had started bleeding quite a bit. I stayed there for awhile, just to be sitting in a different position, then went back to the bed.
I noticed several of the other women in the ward were sound asleep and actually SNORING. I was baffled. Were they feeling the amount of pain I was feeling? How were they sleeping through it? Was I just a wuss? Were we all feeling level 2 pain? I tried to lay back down, but the pain was steadily increasing with only 1-2 minutes break between each contraction. I writhed around for a bit, then stood up and leaned over the bed for awhile. Finally I decided to go back to the bathroom. Once there, I started to feel a strong urge to push. Like most people say, it felt like I needed to use the bathroom, only so much stronger it was almost impossible not to push. I remember sitting in the bathroom stall with my head leaning against the wall and starting to cry thinking, “I can’t do this for much longer.”
Knowing they wouldn’t give me anything for pain until I was in active labor, I was a little afraid to ask and be told I hadn’t progressed at all, but I went to the desk told the midwife the contractions were much stronger, that I was bleeding. She asked if I felt an urge to push and I said YES! She said she would come to check me, but I could tell that she didn’t think it had been long enough, so we were both surprised when she finished the check and said I was 6 cm dilated. “Call your husband. We are taking you to a delivery room.”
I was in a lot of pain, but was also so relieved to hear I was all the way to 6 cm and felt somewhat justified that the level of pain I was feeling was definitely not a 2. 😉
Poor Jonathan had been waiting at home for about 2 hours without hearing anything from me. He had expected me to be in touch once I was settled in the antenatal ward, but the combination of being in the room with all the lights off and dealing with near-constant contractions had made me forget entirely to get my phone out. I called him now and said, “Come now. It’s time.” He was a bit confused since it hadn’t been that long and I was not being a particularly good communicator, but I kept repeating. “It’s time. You need to come.”
4:33 AM – The Delivery Room
My best guess is that I went into the antenatal ward at about 2:45 AM. According to Jonathan’s phone records, I called him at 4:33 AM. He got in an Uber at 4:38 AM and was at the hospital 10-15 minutes later. By that time, I had been moved into a delivery room. When I got there, the midwives asked about my pain level, “0 is no pain, 5 is ‘I want to cry,’ “ she said. “Six!” I shouted.
They got me into the bed and asked if I wanted gas and air (standard offering for pain relief in HK).
“Yes! I want something!” I yelled. They gave me a mask that I could self-administer by putting it over my nose and mouth and breathing in during each contraction, then taking it off when the contraction finished. The gas does little or nothing to dull the pain, but it does alter your perception of the pain in a way.
The gas was mostly effective because it gave me something to concentrate on during each contraction other than the pain itself. The best way I can describe it is that without the gas, during each contraction my mind was thinking, “I’m dying. I’m dying. Ow. Ow. I’m dying.” With the gas, my mind was thinking,” I’m breathing in. I’m breathing out. I’m trying not to push. I’m pushing anyway. I’m shouting. I’m doing these things because I’m dying.” Lol. The effects of the gas wear off within 20 seconds after you stop breathing it, so I was constantly taking the mask on and off.
By this point, I couldn’t seem to stop myself from groan/shouting at the peak of each contraction. I knew I wasn’t supposed to be pushing yet, but it seemed impossible to stop myself.
Jonathan arrived and stood by my side. The next part is all a bit hazy for me, possibly just because of the pain and intensity and possibly a bit from the laughing gas, but I remember him coaching me to breath and not to push. I remember him asking me if I wanted to change positions, but at that point I was so in the zone and the contractions were right on top of each other and I couldn’t imagine being able to move myself into a different position. I also remember that I had reached a point of not caring at all who was in the room, what noises I was making, or whether or not I pooped on the table.
Probably 20 minutes after I got into the delivery room, the doctor came to check me. She told me to go ahead and try to push with my next contraction, then said I wasn’t ready yet and to hold off pushing and everyone left. After this, my contractions started to feel slightly different. I couldn’t really explain it, but there was almost a burning feeling to them. I wondered if this was transition. About 20 minutes later, Jonathan buzzed the midwife to ask if I could get some water. When the midwife came in, she asked if I wanted to push and I said, “ YES!” (I’d been wanting to push the whole time). The team of midwives and the doctor came back in to check again and said, “Ok, you’re ready to push. Go.”
I pushed for about 15 minutes, which was honestly a relief because I’d been wanting to push so badly the whole time. The midwives were coaching me the whole time and Jonathan was telling me he could see her head. That final big push when her body was delivered along with a huge rush of fluid was the most relieving feeling in the world.
5:49 AM – Junie is Born
Juniper Evangeline Dunn was born at 5:49 AM on October 24, 2019 weighing 3.22 kg (7 lbs 1.5 oz). Remember that I called Jonathan from the antenatal ward at 4:33 AM and was 6 cm dilated. Which means I dilated the remaining 4 centimeters AND pushed her out in about 1 hour and 10 minutes.
The midwives took Juniper to a station on my side for a minute to make sure she was breathing and to wipe her off a little. She didn’t cry at all. Then they brought her back and showed me her little bottom, “See! It’s a girl!” before they put her on my chest, Suddenly I was looking down at this perfect little creature who had impossibly just come from my body.
She laid on my chest for a while, but eventually they had to take her away because they were having difficulty delivering the placenta. After 3 doses of pitocin, it still wasn’t coming out and the doctor eventually had to reach up in there and dig it out. Reminder…I had had no pain meds. It was…unpleasant.
Juniper and Jonathan left and I spent about an hour massaging my uterus, trying to get it to contract and to slow the bleeding. Finally, the bleeding had slowed enough for them to stitch me up where I had torn during the delivery.
The worst part of the actual delivery was that I tore relatively badly while pushing her head out, and since I did not have an epidural or other pain meds, I felt each rip very distinctly. The doctor did not give me an episiotomy, though it may not have helped anyway as the tearing was more extensive than just the perineum. Thankfully, they did give me a local anaesthetic before stitching me up. I vaguely remember the doctor telling me she used one continuous stitch to sew up all three layers, which might be more sore, but would heal better in the long run.
After what seemed like ages, I was moved to the postnatal ward and they brought Juniper to me. I am the last person who ever thought I would someday go through natural childbirth, much less in a foreign country. It was almost exactly 7 hours from when my water broke to when she was born. I am so incredibly thankful that labor went so quickly and so smoothly and most of all that my sweet girl is here and is healthy.
And now, the real adventure begins!
About Juniper’s Name
We chose the name Juniper partly just because we like it. 🙂 But the more we researched it, the more reasons we found to love it. Juniper is a botanical name, like mine, and it has a similar sound and rhythm to Jonathan’s. It means “evergreen.” One of our favorite connections to Juniper is from the Bible when the prophet Elijah fled to Horeb and was saved by hiding himself under a Juniper tree. We love the image of an evergreen – full of life and hope – also being a place of safety.
Her middle name, Evangeline, means “good news.” We’ve been pretty open about how much of a surprise her existence was for us. In the beginning, we (I) didn’t honestly feel like it was such good news. We love thinking of Juniper as someone who will bring the Good News to others, but the name is also meaningful to us as a way to speak over her that SHE is good news. To us. And to the world.
Evangeline also has special meaning to me because of its ties to Louisiana and to Cajun culture. I am originally from Lafayette, Louisiana, the place the Acadians settled when they were forced out of Nova Scotia for their religious beliefs. Henry Wadsworth Longfellow wrote an epic poem called Evangeline telling the story of one of the Acadians, beautiful Evangeline and her lost love Gabriel. Evangeline became a cultural staple in my hometown and a symbol of Cajun heritage. The name is often used in the names of streets, businesses, schools, etc. So having Evangeline as part of her name is also a touchstone to where I came from.