Thomas’s Story

A few weeks ago I received this email from a woman in The Netherlands.
“A few days ago I came across your blog for the first time and I have been reading birth stories and blog posts almost nonstop since then. I am mother to a gorgeous three year old girl born at home and to a baby boy who passed away at 39 weeks of pregnancy. I am now 24 weeks pregnant with our third child, a scary time! My second birth story is quite different from my first for obvious reasons. Would you welcome a birth story where someone has to give birth to a stillborn? Or maybe a birth story about the baby being born after that? I guess I am just trying to break the huge taboo that is the death of a child. No one wants to know or hear about it. And then all of a sudden it happens to you and you don’t know what’s going on.”
This emailed made me stop. It made me think that this woman’s birth story is just as important as all the other stories I publish on here if not more important. So here is Thomas’s beautiful story of his arrival into this world. It may be upsetting to read and there are two photos included. Thomas’s mother wanted these to share the story. As always full consent has been gained to publish this.
‘I wake up on Monday morning thinking the baby in my tummy is awfully quiet. I poke and prod a little but get no response. I start to panic a bit but tell myself I am overreacting and being a typical worried mum-to-be. But the feeling that something is off won’t go away. Thinking back I can’t seem to remember when I last felt our little boy move. Was it last night in bed? On the sofa? Yesterday afternoon? Morning? And all of a sudden I can’t remember anymore.
We call our midwife and are told to come in for an extra check. We don’t have to wait and are able to walk in immediately. I lie down and she does the scan. We can’t see the monitor but our midwife is very quiet. When I tell her she is making me worried, she replies saying she is worried too. She tells us she can’t see a heartbeat. She tries the Doppler but this also remains quiet. 
We are numb. We don’t even cry. Our midwife can’t officially tell us that our baby boy is dead but she leaves us in no doubt. We are sent to the hospital to be checked by a doctor. She confirms what we already know, our son is no longer alive.
I am 38+5 weeks pregnant. I am carrying a fully grown baby in my tummy. A baby who was so ready to be born in a few days, to come home with us. Instead, we are told to come back the next day to have an induction so I can give birth to our dead son.
We go home in a daze and pick up our two and a half year old daughter from school. It breaks my heart that I have to tell her that the baby brother she has so anxiously been waiting for, will not ever be coming home with us. The rest of the day we alternate between crying and staring into space. We pack a hospital bag because we had left it until the last minute to do so. We were so counting on another smooth home birth that an induced hospital birth never featured in our plans. We don’t know what will happen tomorrow and how things will progress. 
All night we lie awake staring at each other. Our daughter sleeps in the middle, we can’t bear to tuck her into her new ‘big sister bed’ in the shared bedroom downstairs. I don’t want to think about it too much but my tummy is quiet, way too quiet. All hope is gone.
Early the next morning we take our daughter over to my cousin’s house and I feel sad because I don’t even know when I get to see her again. We drive to the hospital where we meet my mum before we go in. The day which we have been waiting for for 9 months is here. But we feel no joy. We walk through waiting rooms full of pregnant women eagerly anticipating the births of their children, we hear babies cry behind closed doors. And we know things will never be the same.
The nurse explains what will happen that day. But she can’t answer the most important questions in my mind: how long will it be? What will it be like?  
Around 9am the doctor comes to check me and insert the first tablet. She tells us I am 1cm dilated already which is fairly good news because it means my body is showing signs of being ready to deliver our baby. She informs us she will be back in 4 hours to check on me again. I start to panic. Another 4 hours? Won’t I be in labour by then??
Over the next few hours we just sit in our room, walk around outside for a bit and I feel nothing. I am afraid we are in it for the long haul and feel almost guilty for wanting to get this step over with. Finally at 1pm the doctor comes back and drops another bombshell; a very small 2cms dilated max. Another tablet and 4 more hours of waiting to go. 
But within half an hour of the second tablet I start to feel some minor cramps. My mum asks the nurses to set up the epidural. Why wait? The doctor has already explained to us that in these situations they tend to be very lenient on requests for pain relief. Epidurals are not given very easily in The Netherlands and I would normally never have wanted one. Even now, I feel almost guilty towards our baby boy but I know it’s silly. I don’t know how long this labour will be, but I do know that our time with him will be so very short and I will want and need all my strength for that moment. 
The epidural is quite painful but fairly quick. I am no longer allowed to leave my bed. I slowly feel my legs and feet going a bit warm and tingly. The pain from the contractions is hardly noticeable anymore. I can tell something is happening but it doesn’t hurt.
Our own midwife stops by to check on us. She will come back for the birth.
It is around 3pm when I tell the nurse that the pain from the contractions is getting much stronger and my legs are no longer tingly. I can move my legs perfectly as well. They up the epidural but it has no effect. 
At 3.45pm the day shift is going home and the nurse comes to say goodbye and introduce her colleague. The hospital midwife for the evening shift has also arrived and comes to check how we are doing. I feel devastated when she tells me I am 2cms dilated, maybe a very small 3. She tells me she will try to break my waters to help things along a little bit. It takes her a while and quite some prodding but eventually she manages. A flood of brown amniotic fluid comes out and the midwife explains that the colour comes from the meconium our baby passed when he died. It feels like a knife in my heart to hear this and to realise that my little boy was under so much stress. I am heartbroken to think that he was fighting for his life without me even realising it.
The midwife gives me one more extra dose of the epidural but it makes no difference anymore. I am having very strong contractions coming close together and I am in a lot of pain. Just after 4pm my husband asks the nurses to call our own midwife because he thinks our baby will be born soon. The nurses tell him it will be a while longer as I was only 2cms dilated just now. But my husband recognises this stage from my previous birth and insists they call our midwife.
I can’t do anything apart from concentrate on the contractions. Of course I was in pain when I gave birth to our daughter but I cannot remember this extreme pain, this totally overwhelming feeling. I tell myself it must be the emotional impact of this labour.
Our midwife arrives at 4.30pm but I hardly notice. I am completely consumed by the natural forces that are taking over my body. I need all my strength to get through this. I feel sick, I throw up, I cry and hyperventilate all at the same time. I can’t do this, it is too much. I really start to panic when I can’t breathe and I shout that they need to do something, anything.
The midwife decided to check me before considering any other type of pain relief. To everyone’s shock, and relief, I am fully dilated just before 5pm and can start pushing. Just like with our daughter, I don’t feel the urge to push yet. It’s too late to get any other pain medication and I am now almost hysterical. My own midwife is standing by my head talking to me nonstop. “The head is there already, you can do this, he is almost here, honestly.” I call out a few times asking how much longer but then I can feel it myself.
A tiny little head that slowly drops between my legs. I can do something with the pain from the contractions now and that is a huge relief. Only a few minutes later the head is born and I can feel the rest of his body slide out. At 5.01pm our son Thomas is born.
Because I gave birth sitting on my knees on the bed, I can’t see him immediately. My husband is crying and telling me not to look. I want to turn around and see my son but I am getting scared. What is wrong with him? 
But nothing is wrong with him. He is perfect. He is so beautiful and the spitting image of his big sister. He is still warm from my body and has ten lovely little fingers and ten lovely little toes. His little pink cheeks and so soft and his lips are red. It is such a beautiful, sad and scary moment. I hold him and look at him. I recognise him. And as perfect as this little boy in my arms is, something is also very wrong. He is no longer alive. 
I hold him and admire him. I want to remember everything about this moment. The time we have with him is much too short. His skin is a little broken in places and his little head is quite soft. Slowly his hands get colder and instinctively I pull the blanket around him.
The placenta takes a little while to come but then that scary moment has also passed. Does anything look wrong? But the umbilical cord and placenta look just as they should. 
My mum very gently and tenderly washes her first and only grandson. I sit next to her on a chair and together we dress him in his gorgeous clothes. The clothes we so lovely chose for him. We carefully wrap his fragile head in a tiny hat. Then we wrap him up in his own blanket and my husband gets to hold his son for the very first time. An overwhelmingly sad and proud moment. 
Our daughter is on her way to the hospital to meet her little brother so I have a shower while I can hear my husband crying and whispering to his newborn baby boy.
When our daughter comes in she is a bit confused. She touches Thomas carefully and tells me he is cold. We explain that he is feeling nice and warm in his blue outfit and his warm blanket lying in daddy’s arms. She notices the bruise on his eyelid and pokes it with her little finger. She is not very impressed by this new brother that doesn’t even move. 
I sit back on the bed and hold my child again. The child that was already such a big part of us, the child we so very much wanted in our lives. He is so loved already by everyone. And yet the time has come to say goodbye. It seems an impossible task. I look and look, try to absorb every detail. I want this moment to be etched onto my memory. Because even though there is an all consuming sadness in me, I also have a beautiful boy in my arms. My child, our daughter’s brother. I open the blanket and kiss his small hands with those tiny fingers and blue fingernails. I stroke his cold little feet and we take picture of all these details that we never want to forget. 
To help our daughter be involved in what is happening today she is allowed to help make hand- and footprints on small pieces of paper. She loves being able to put green paint on a small baby. The nurse makes some handprints and then, very carefully, I make the final footprint with his cold little foot that I will carry in my heart forever. We clean him up and put his socks on.
And then the inevitable moment has come to say goodbye. We take Thomas downstairs ourselves and my husband puts him in a little white coffin. We ask that they leave the lid off. My husband carries the small coffin to the car and they drive off to take him to the funeral home. My heart hurts more than I ever thought possible but then suddenly my daughter starts to cry uncontrollably calling out for the baby. And I give up. I can’t be strong enough for this. I feel the enormity of this loss, of the pain. This pain that is not only so overwhelming for me, but also for my wonderful little girl. And I will have to carry that with me for the rest of my life. 
Then, only 4 short hours after giving birth, we are back in the car. Back to being with the three of us. The fourth member of our family no longer a physical presence in our house, but a very real one in our hearts. My tummy is empty, no longer full of expectation. Yet my heart is so full of hurt. I feel the loss within my very soul. But I am also overwhelmed with a sense of guilt. Guilt towards both my children. I have been unable to keep them safe.
Our son Thomas is cremated several days later. We talk about him a lot but the pain does not get any easier. We miss him every day. And for the rest of my life he will have a very special place in my heart. A place where I will keep him warm until the day I die.’
DSC02119 (2) DSC02156If you have been affected by anything in this story please contact SANDS for more information and support.

Remembering Baby Eliza

This is a really hard post for me to write. It’s a part of my job which I wish I didn’t have to do but it’s life and with that comes death. Some babies sadly never make it to full term, some babies die whilst still inside their Mother’s tummy, some babies are born too soon and are too small to survive. We don’t always know why this happens.

Last year on my birthday I was working on labour ward. I’ll never know why I chose to work on my birthday but in a way I’m glad I did because I wouldn’t have got to meet Hannah and her little Eliza. Hannah has very kindly agreed for me to share her story on my blog.

When Hannah was around 28 weeks pregnant her baby stopped moving and she went for a scan but was told the devastating news that her baby had died. In this situation the labour has to be induced to deliver the baby so Hannah and her husband made to difficult journey to the labour ward to begin this process. I was assigned to care for her and spent the whole day with her supporting her through what must have been the most terrifying painful labour. Baby Eliza was born asleep in her bag of membranes at the end of my shift. The only noise in the delivery room where those of sobs from all of us, it was so so sad. Eliza’s birth will never leave me, and I feel so honoured to have been part of it and meet Hannah and her wonderful family. This year I didn’t work on my birthday but I thought of little Eliza and was overwhelmed to receive a birthday card from Hannah. We will always share those special memories from that day. My words don’t really tell this story, but Hannah made this beautiful animation about Eliza, narrated by her 6 year old daughter.

SANDS the stillbirth and neonatal death charity are a wonderful support for anyone who has been affected by the death of a baby. But like many charities they rely heavily on the generosity of donations and fundraising from the public. I know Christmas is only just around the corner and money can be tight, but if you feel you could donate just a few pounds it would really support people like Hannah and her family through such difficult times.