first baby

On Becoming a Mom: Juniper’s Birth Story

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.

 

Thankful Thursdays Guest Post: For Antidepressants, and for Quitting Them

Are you as excited as I am for another Thankful Thursday? These posts always touch and inspire me and I love being able to share them with you. Today’s post is especially close to my heart because today’s writer is close to my heart. Laura and her husband Josh have been our closest friends during our two years in Korea. We had the great privilege of walking with them through Laura’s entire pregnancy, the birth of their first child, and the next year of transition into parenthood. This story touched me  because I was around to witness a lot of it, but also because I too have struggled with anxiety and depression and while I’ve never experienced the hormonal havoc of childbirth, I know what it is to have your mind and body betray you in frightening ways. I’m so thankful for Laura and her family and also for God’s work in her life through a very difficult and scary time.

For Antidepressants, and for Quitting Them

It was just shy of a year ago, as the clock struck one on a humid August night in Korea, that I birthed our beautiful daughter. My mom stood at one shoulder and my husband at the other and the doctor and nurses at my feet, all urging me to push as hard as I could after 24 hours of back labor had left me exhausted and whimpering.

Laura and Gen

Laura with one month old Genevieve

Then she was here, and she was perfect. I spent the next two weeks in a tired-but-wired state of attentiveness, Mom still on one side and Josh on the other, tirelessly supporting me in those early days of nursing and changing and cuddling and kissing this miracle, as I struggled to sleep when she slept and only managed about three hours out of every 24. Other than this, I felt like everything was going really well.

Until one morning a cloud descended. The adrenaline had run out, it seemed, and the rest of my hormones were going haywire in its absence. A few extra hours of blessed sleep did finally come, but it wasn’t enough. Something was wrong and it wasn’t just exhaustion. I had postpartum depression.

Except for how suddenly I crashed, it really wasn’t much of a shock. Throughout my teens and early 20s, I lived with low-grade anxiety, a constant tension in my tummy that I didn’t realize wasn’t normal till my chill-as-one-can-be husband came along and showed me how to relax. Then we moved to Korea to teach English, and the stress of doing a new job in a new country—and trying to do it perfectly—brought that anxiety back with a vengeance. This time depression came with it.

I limped through that year with copious amounts of pizza and beer and ice cream and TV (I know, I know), as well as a lot of prayer and care from Josh and friends and family. I did learn how to be a more effective EFL teacher and how to stop trying to be a perfect one, so things got better. But the lingering fatigue left me aching to go back home to Kansas, and we did, and it was good.

Fast forward three years to the August of our daughter’s birth, and we’d been back in Korea for almost a year. This time only Josh was teaching, and I was finishing up a low-stress pregnancy as a stay-at-home-mom-to-be, in a culture and with friends I was able to fully enjoy this time around. Some nausea and heartburn notwithstanding, I felt really good and right on track for an all-natural, “ideal” delivery and postpartum experience.

Maybe it was the intense back labor that kicked my body into high gear and kept it that way for those first two weeks postpartum until I crashed. Maybe I just didn’t prioritize sleep enough in those early days. Maybe I didn’t procure exactly the right nutrients to replenish my body and help my hormones rebalance themselves. Maybe I wasn’t getting enough sunshine and fresh air in our cave-like studio apartment at the end of a hot and rainy Korean summer. Maybe I was under spiritual attack in which evil voices whispered to me to toss my baby out our third-floor window so it would all just be over. Maybe it was some of all of these, or maybe I’m just wired for anxiety and depression, and there was nothing I could have done to prevent my curling into a ball day and night, my only real activities to nurse lying on my side and to choke down as much food as I could stand while my mom, husband and dad (who had since joined us) did all the diaper-changing, shopping, cooking, cleaning and loving on me and our sweet Genevieve.

Whatever the reason, it became obvious after two more weeks that fighting the PPD with food and sunshine and prayer just wasn’t cutting it (and the Lord knows we really tried). So on a rainy Wednesday morning my support group packed up me and our 4-week-old, and we all got on the bus to a mental hospital to ask for some antidepressants.

From here on out it is clear that I’m one of the lucky ones. Within days of starting a low dose of an SSRI that (please God, let it be true) seems to have done no harm to my nursling or me, my depression had eased and I was beginning to see the light. When Josh had to go back to work and my mom had extended her stay as long as she possibly could, my mother-in-law flew the thousands of miles to help us through the next few weeks, by the end of which even the anxiety had lifted and I was feeling downright happy. Our family of three started finding a “new normal” that involved leaving the house regularly, nursing in public on occasion and handling with relative serenity the caring, if nosy, advice of all the Korean grandmothers who treated us as their own.

The little white pills had pretty single-handedly brought me back to our world. So it was with intense gratitude (though certainly not always a perfect attitude) that I soaked up the next six months of motherhood while faithfully taking my meds each morning. And then spring came, and it was with cautious hope that I wondered if I might be able to wean myself off of them.

See, in addition to being a secretly anxious person most of my life, I have also been a not-so-secretly sensitive gal emotionally. I cry pretty dang easily, and while this is not always fun for those closest to me, my sensitivity and its related empathy feel like an important part of who I am.

But once on the antidepressant, I got to where I wasn’t crying ever, at all. And while no one else was complaining for sure, I missed being able to tear up during a touching movie scene or even break down a bit when something felt wrong in my world. So with the continued support of Josh and our loved ones both near and far, I decided to start cutting my dosage and see what happened.

Three months and just a few headaches and anxiety spells later, I am “drug free” and again one of the fortunate ones. It seems that my body just needed more time for the nutrition, sleep, sunshine, exercise, laughter, love and who-knows-what-else to help my hormones get back as they were meant to be, at least for now.

As an idealist, I wanted so badly to use only these “all-natural” gifts from God to bring about my healing (or even prevent illness in the first place), and it is possible I just didn’t figure out or follow through early enough with what could have allowed me to avoid the side effects and risks of manmade meds full of synthetic chemicals. But depression wasn’t waiting for me to fix things naturally, and I see the drugs as a stopgap measure, a less-than-sterile piece of cloth used as a tourniquet because you’d bleed to death waiting for a clean one to get on the scene.

I also see the hand of God behind this less-than-ideal means of grace. Even as I celebrate the fact that I don’t seem to need antidepressants anymore, I firmly believe that our Lord, who works in all the things of this broken world for good, can use even imperfect little white pills to fight the darkness and bring light.

And for that I am so very thankful.

Sweet Rhoades FamilyLaura Rhoades is wife to Josh, mom to Genevieve and photographer to women. Before moving back home in August to her hometown of Wichita, Kansas, she’ll be spending her final weeks in Korea singing karaoke, soaking and scrubbing at the sauna and scarfing down as much mul naengmyeon and bingsu as possible. You can find her online at www.laurarhoades.com.

Laura Rhoades is wife to Josh, mom to Genevieve and photographer to women. Before moving back home in August to her hometown of Wichita, Kansas, she’ll be spending her final weeks in Korea singing karaoke, soaking and scrubbing at the sauna and scarfing down as much mul naengmyeon and bingsu as possible.