Episode 54 SN: The Complicated Emotions that can Accompany an Unintended Pregnancy: Jennie’s story

These days the word mother can mean a lot of different things. As today’s guest shares, she sought out the birth of her first child, but the second pregnancy was unintended. Her preference for family size clashed with her partners, Although she may have been open to terminating the pregnancy, her partner was not; she was living in a state whose majority is not particularly supportive of a woman’s right to choose, and she was brought up in a religion in which abortion is not considered a reasonable choice. and so began a very emotionally taxing pregnancy and birth. She shares how she managed these challenging circumstances which I think is an important story to share, especially right now when such black and white ideas about pregnancy and birth are in abundant circulation.

You can find Jennie’s writing here

Average Time for Labor

https://www.verywellfamily.com/length-of-labor-how-long-will-it-be-2759011

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982443/

Audio Transcript

Paulette: Hi, welcome to war stories from the womb

I’m your host Paulette Kamenecka. I’m an economist and a writer, and the mother of two girls.

These days the word mother can mean a lot of different things. As today’s guest shares, she sought out the birth of her first child, but the second pregnancy was unintended. Her preference for family size clashed with her partners, Although she may have been open to terminating the pregnancy, her partner was not; she was living in a state whose majority is not particularly supportive of a woman’s right to choose, and she was brought up in a religion in which abortion is not considered a reasonable choice. and so began a very emotionally taxing pregnancy and birth. She shares how she managed these challenging circumstances which I think is an important story to share, especially right now when such black and white ideas about pregnancy and birth are in abundant circulation.

after we spoke I talked with a fantastic OB who has much more exposure to ambivalence about pregnancy than most of us and she shares her insights

and one other note to add: Everyone in this conversation has dogs at home, and it seems all dogs were desperate to be a part of this episode..so you’ll hear everyone’s dogs at some point.

Let’s get to this inspiring story.

P: Hi, thanks so much for coming on the show. Could you introduce yourself and tell us where you’re from?

Jennie: I am Jennie Case and I am currently in Conway, Arkansas.

P: Oh, wow. Wow. Cool. Excellent. Jennie. We’re going to talk about the family you and your partner created but sometimes the family you came from influences some of those choices. So I’m just wondering, Do you have siblings?

J: I do. I’m the middle child of three. So an older brother and a younger sister, 

P: Are the three of you close in age? 

J:  my brother is 14 months older than me 

P: Oh wow

J: and my sister is four years younger. So he and I are very close in age. Oh, yeah.

P: So did that influence your thinking at all about how many kids you want or how close you want them 

J: it did when I was growing up? I was close with my brother. Until we both became teenagers, which I think is pretty typical, especially male female siblings. And I wasn’t very close with my sister. She was four years younger, right? And so my brother and I, kind of excluded sometimes from our childhood games. So when we were contemplating having a second child or thinking about having more than one, I worried about the age difference and my kids I have two are four years apart, and I worried that they wouldn’t be close as a result and four years might just be too too large of a gap. 

P: Well, I’m interested to see how that turned out. So when you walked into pregnancy, what ideas did you have about what pregnancy to be like? 

J: I was just curious about pregnancy I wanted with my first child in particular, I just wanted to have that bodily experience that seemed significant, something that it seemed like experiencing life meant, or the fullness of life for me meant also trying to experience the fullness of a pregnancy so I was really curious. What that would be like, and I wanted to hopefully, feel grounded and whole in my body and have it be really a kind of embodied experience for me.

 

P: That’s super interesting. And did you get pregnant easily.

J: I did. Yeah, I was one of those lucky people, I guess.

P: So you found out with a home kit. 

J: uh huh

P: And what was the pregnancy like?

J: The pregnancy it was pretty smooth. With my oldest who’s my daughter. I didn’t have many complications except for the high blood pressure. At the end. I had my blood pressure. I think during the third trimester just kept going up. And so I worked with a midwife and she started to get concerned, which made me start to get concerned. So otherwise, you know, I was interested in an unmedicated birth and I was fairly active you know, kind of a green crunchy vegetarian, so I thought I was doing everything right and was really interested in being as healthy as possible and doing prenatal yoga and then to have my body seemed to rebel by just having a high blood pressure was a strange adjustment.

P: So it sounds like you hadn’t had that experience before. There’s no high blood pressure. No,

J: I usually have pretty low blood pressure.

P: So so let’s get to the birth then. How do you know today’s the day? 

J: That’s with with both my pregnancies that’s a really interesting question, right? Because how I approached pregnancy I wanted to feel my body I wanted just to be really present in that experience. And I was really frustrated near the end of my first pregnancy because I kept having Braxton Hicks contractions every night from like 2am to 5am 

P: Oh, wow. 

J: To where I couldn’t sleep. I thought maybe this is it. Maybe this is it, but then it wasn’t they would go away. You know, as the sun started to come up, and I was so frustrated because I was exhausted from being up for three hours every night. And you know, thinking is this is is this it? So in the end with her I had to I was induced for high blood pressure. So they did Pitocin and everything and so that experience was…

P: wait, so slow down there. So where do you get to the point where they say, Okay, we’re gonna have to induce you and how does that unfold? 

J: Yeah, I had, I think I had a, you know, at that point, I was meeting with midwife once a week. And so I had an appointment on Thursday.

P: And you’re like, like 37 weeks? Are you closer?

J: 38 about 38 Yeah. And it was high. Right. So they made me go to the hospital and their kind of triage area for pregnant women and lay there for a while to see if my blood pressure would go down on its own. And then they sent me home and said I need to be on bedrest that weekend in order to get my blood pressure down, and then go back on Monday and they were hoping the two midwives who I was working with at that point, were hoping that my body would just go into labor on its own or my blood pressure would be down and they could, you know, wait it out a little longer, but instead it was still high. On Monday, of course, right? Because I was nervous.

 

P: Did it feel like anything to you?

J: No, no. it didn’t 

P: that feels like a particular cheat for someone who wants to be embodied. 

J: Right. 

P: that you can’t control and don’t feel 

J: Yeah, exactly generating this birth. 

P: So you come in on Monday, and they say, we’re just we’re gonna have to induce you.

 

J: Yep. I said, Well, we have to do this. It’s not safe. And then, you know, I was rushed off. I think I was crying because that’s not how I wanted my birth to be.  It’s hard to have an unmedicated birth if they immediately start you on Pitocin right.  So it seemed like what I had wanted was sabotage from the start before anything could even happen. 

P: I assume they’ll do an unmedicated birth with Pitocin if you have high blood pressure, or no that’s not 

J: Yeah, cuz they’re worried it’s preeclampsia, or it’s going to develop into preeclampsia. So I think their thinking is if your blood pressure is consistently high like that, it’s not safe and you need to get the baby out.

P: Okay, so does that mean that they’re you’re definitely having an epidural or what does that mean? 

J: They did Pitocin it was up to me and whether or not I’d have the epidural. So what was interesting about my first birth is I was on Pitocin it was fast, right? So I was actually only in labor for about five hours, which I’ve been told is extremely quick for a first time, mother, especially an induction so my body probably was about ready, even if it didn’t start the way I wanted it to so they started me on Pitocin I tried. You know, I kept refusing other pain meds not because I’m against them, but just because my goal was not to have an unmedicated birth. So I kept refusing them.

 

P: And what’s the pain like how do you how do you feel? 

J: It was intense? Yeah, it was intense like I lost. I don’t know if most women feel like this. But I just all the sensations went inward, right? I lost sight of what was what else was happening in the room. Someone could be looking at me their head, two feet away, and I wasn’t entirely aware of them. I was just internal at that point. But so I probably would have asked for an epidural if that part lasted a lot longer but but it didn’t then suddenly. You know, they said it was time to push them.

P: Wow, that is really fast for a first one.

J: Yeah. And I mean, the midwife had come in to check me in the hospital and thought she had more time. So she left to go get lunch or dinner. And then the nurses suddenly had to call her and say no, you need to come back here. She’s about there. So it was unexpectedly quick.

P: It sounds like you’re doing unmedicated, right?

J: Yeah. I had Pitocin. But I didn’t have an epidural. So it was okay in the long run.

P: And was the birth what you expected it to be?

J: It was That’s a good question. I think I was kind of in awe of how physical it was, and how much you don’t control at some point, right. Felt very much probably around the time I was transitioning that your body just takes over. 

P: Yeah. 

J: What I wanted, didn’t matter. It was my body. I wasn’t telling my body to do things. My body was going to do it and he was going to work to get this baby out whether I was ready or not. And that was a really, you know, for someone who wanted that embodied experience that was a really powerful realization for me to just feel my body do what it needed to do.

P: It feels like the high blood pressure is a bit of a teaser. Yeah, like look, you already have no control. 

J: Yeah, 

P: but it’s not  painful yet? Yeah. And then after the birth was that look kind of the way you had envisioned that you were hoping for?

J: it was so physical, right? I wasn’t prepared to be bleeding that long and to have to do so much postpartum care every time you have to go to the bathroom and the smells and everything that was just very surprising to me. And I had stitches because she came so fast. I had a second third degree tear, I forget which one so I have stitches and just all that care surprising. I don’t think I was adequately prepped for that part of it. But so the physicality stood out to me there as well. 

And then I breastfed both of my kids and it surprised me how long it took to become comfortable with that. Like it was those first two weeks are hard and I can definitely understand why. Many women just can’t make it past those. First two weeks if they want to breastfeed, especially if they don’t have supports. I mean, I remember one night my nipple was burning and I couldn’t get my daughter to latch and I was crying and I was frustrated and my husband was calling the clinic to see what to do because he didn’t know what to do. And you know, his crying wife here who can’t breastfeed at 11pm and so that surprised me.

P: You thought it would be more quote natural and 

J: I thought natural easy, right? But natural does not mean easy.

P: Yeah, yeah. I mean, it’s particularly interesting. I just saw some article today about the infant formula shortage. Yeah. And my youngest is 18. And I like it set me in a panic. Yeah, you know, it’s a terrifying thing to imagine. 

J: Yeah. 

P: And people suggesting you should just breastfeed. Yeah. It seems like that is a suggestion that comes from someone who’s never breastfed. 

J: Yes, yes. and who isn’t? I mean, even if you do breastfeed, there are so many challenges you face like, you know, I worked. So pumping has its own issue. balancing all of that, and yeah, it’s complicated.

P: So, how was as the baby in the fourth trimester? She’s fine. She’s,

J: yep. Yep, she she was. 

P: And now it sounds like for the second child, it was unplanned. Is that what you’re saying? 

J: Yeah, this was unplanned. So he was an unplanned pregnancy.

P: So is that you caught that because you missed your period or how that happened?

J: Yep, I’m missed my period. So we had I had actually told my husband I was done having kids. I didn’t want to have any more and then a month and a half after I hadn’t gotten my period. And then I took a test and it was positive. So psychologically, it was a lot to adjust to.

 

P: I can imagine what were there. What was your husband? Looking forward to having more kids or were you guys on the same page?

J: We weren’t so that was part of part of what made it so difficult. He wanted more than one kid a lot more than I did. So we weren’t in agreement there.

P: And that child is how old now? 

J: He’s now five, 

P: five, so obviously, we kept the child Yep. Can you remember that road? How did you how did you sort of get over the initial resistance? The idea?

J: Oh, that took a long time for me. And, you know, I was caught up a lot and questions of choice and questions of bodily autonomy and what do you do in this situation? And you know, that can be a big rift between partners and it certainly was for us and then but what do you do when you’re caught in the middle of it right, and how much do you want to put a relationship that risk?

P: I can look online at places like the Guttmacher Institute or the CDC to see that almost half of all pregnancies are defined as unintended. But to give a broader context to Jennie’s particular experience. I took her story to a trusted OB today…today we’re lucky enough to have Dr. Matityahu on the show a fabulous OB from California who’s got a lot of experience with these issues. So Dr. Matityahu, who thanks so much for coming on.

Dr. Matityahu: Thanks so much, Paulette, I love being on your show.

P: Great. Okay, so today we’re gonna talk about Jennie who’s a writer, and I’m gonna read from her writing about her issues. And she’s a piece called the political pregnancy published in the rumpus, and I’m just gonna read little excerpts here. So she writes the spring that Trump wins the Republican primary I discover I’m pregnant with my second child. The pregnancy is unintended. A surprise. A month after I tell my husband that I want to stop at one child. My urine on a stick reveals two pink lines. My reaction isn’t joy. I’m deeply conflicted. But when I mentioned potentially terminating the pregnancy, my husband walks out of the room refusing to discuss it. Earlier that winter when we were still debating a second child. My husband had said his purpose was to be a father. The fact that I no longer wanted a second child snared The Space Between Us, so that it was me holding him back me stopping him from fulfilling his vocation. I’m guessing that this isn’t Jennie’s experience alone. And I’m wondering if women have brought these kinds of issues to you in your practice?

Dr. Matityahu: Yes. And I actually have a couple that I can even think of in particular, because this is a little bit different from someone who’s not in a stable relationship that comes with an unwanted pregnancy. It’s more memorable and sometimes a more emotionally charged conversation when someone who’s in a stable relationship has an unplanned pregnancy maybe has a child already. It’s a really it’s a hard conversation and not I mean, I would say not a hard conversation for me personally, but but definitely I can feel like it’s an emotionally much more challenging conversation and decision for the for the woman

P: and just grappling with all of those and what cultural messages were we bring into the conversations and so that took me I would say, I mean, five years. So work through, I’ve done a lot of writing. I’ve written a lot of essays about motherhood, trying to work through all of the social and cultural and personal issues that came up.

P: talk a little more about the cultural message. What do you mean by that?

J: I think, I guess I don’t think or in my experience, there’s not a lot of supportive cultural messages out there. For women who are experiencing an unintended pregnancy. There aren’t a lot of stories I at least didn’t have access to them. I’m from a Catholic background and there, it’s very clear what you should do if you have an unintended pregnancy, right. There’s no option available. So that’s one cultural message and then I think even within more progressive communities, there’s a sense that you make a choice you want to make and you approach birth or reproduction or pregnancy from as empowered a position as you can. And it was hard to find guidance for kind of that messy middle ground where you know, you just have all these conflicting emotions and you don’t quite know what to do. And it seems like you’re going to disappoint someone no matter what, whether it’s yourself or your husband or your mother, or, you know, whoever voices in your heads and I found that challenging, you know, even especially right now, right, Roe v. Wade is likely going to be overturned or weakened and I’m in Arkansas right, which is I’m now in Arkansas, which is a very conservative area, part of the Bible Belt and most of you know there are a large percentage of the community here is what we’d call pro life. So what happens if someone has an unintended pregnancy surrounded by cultural messages that say abortion or choosing something different is taboo or not something you should even consider? And those can be heavy messages to try and work through especially if you yourself are struggling with what to do

P: outside the doctor’s office, just don’t see the hard conversations that may be happening. I took this issue to Dr. Matityahu And there’s so much cultural baggage around ways to handle unintended pregnancies that you do not want to carry out. So this is very much a struggle for her. So here’s another excerpt. She says, when I say I’m not excited for this child, he says, I’ll be excited for both of us, and something inside of me shrivels and cracks, because what does that mean for him to be excited enough for both of us, for me to become the body carrying your child others want? So when Jennie is living in writing about reflects our larger cultural conversation about bodily autonomy, do patients come to you with questions about abortion and share their conflicted feelings and how do you navigate that?

Dr. Matityahu: So I I have a lot of those conversations. I think those are two two aspects of the of the problem. I often will have the conversation with most women about this decision to keep or not keep the pregnancy will impact you for the rest of your life, no matter which decision you make. This is a life changing decision because for the rest of your life, you will either regret your decision that you kept or didn’t keep the bit you know, like for the rest of your life, you’re gonna say I would have had a one year old at this point, I would have had a two year old I would have had this or for the rest of your life. You’ll say, Oh, I’m so glad I had this baby even though I didn’t want it or you might say I love my child, but I would have completed school I would have kept my job I would have this I would have that. And so it’s an impactful decision no matter which way you go. And I think that most people, it’s about do I keep this life or or do I feel like it’s going to ruin my life either emotionally? Or etc. You know, and then what’s it going to do to my relationship? Like if you’re in a stable relationship, and you’re making this decision, and your partner is against that decision, that has a huge impact on your relationship? Because if you’re keeping the baby because your husband really wants it, but you don’t Okay, now your husband is happy, but you’re feeling resentful and miserable and how what’s that going to do to your relationship is like it’s so charged when you’re in a monogamous relationship. You already have a child together and now, you can’t even have a discussion about a current pregnancy.

P: Oh, I totally agree. And in fact, I’m, I’m working on an episode on abortion. And it’s very hard to get anyone to come and talk about it. 

J: Yeah. 

P: Because whether you’re from a Catholic background or not, that message is so pervasive. feel shame. 

J: Yeah, 

P: I keep I keep saying to people, let’s normalize this care choice. Your reproduction has got to be in your control. It’s too dramatic transformation of your entire life for someone else to decide that for you. 

J: Yeah. 

P: But people are still completely reluctant to talk about it because they feel shame around. Yeah. So what you’re hoping the standard and the ideal is is very much in conflict with Yes, a million other messages

J: And that makes it so difficult in that moment, right when you do have to make a decision. Because I think that decision, many people whether or not to continue or terminate and unintended pregnancy is going to be complicated. Sometimes it’s not right. Sometimes the answer is an easy, yes or no for many women, but I think oftentimes, it’s not an easier yes or no, it’s something people grapple with. And I think it’s hard to grapple with that personally. But it’s especially hard, I think, maybe even impossible sometimes to grapple with that when there’s so many cultural messages and taboos and so much shame associated with with that choice. 

P: So unintended pregnancy is very common, as mentioned before, it accounts for almost half of all pregnancies. The lion’s share of those happen when birth control isn’t used properly and the rest happened when birth control is being used properly. In your experience is unintended pregnancy usually a complicated issue or by the time people get to you they’re they’re more settled.

Dr. matityahu: That’s a great question. I would say off the top of my head maybe it’s like half and half and so so I feel like there’s a lot of young women who come in and unintended pregnancy, maybe they’re not in a stable relationship. They’re not sure what to do we talk through what are the pros, what are the cons? What are they thinking what are the consequences? You know, are they in school, or do they have help? You know, and so, so I think that there’s, there’s definitely a number of women that will come in and be really conflicted. And then you know, there’s women who are married and their husband wants another one. They don’t you know, this is unintended, you know, and there’s a lot of conversation around that. And then there’s a number of young women who get pregnant and they are very clear like they call or they send me a message and say, I’m pregnant How soon can we talk about taking care of this and so for a lot of women, they see a positive pregnancy test. They’re like this is not for me, and then they they just proceed without you know, without having much of a conversation about it because they know what they want. 

And then there’s there’s women who come in they’re like, this wasn’t planned and they’re, you know, they sort of voice through it, and they say, You know what, unplanned but welcomed and so we have a lot of unplanned but welcomed pregnancies where they’re like, Well, you know, I wasn’t careful. I knew this was a possibility. I was just being stupid, but I think I’m coming to terms with it. it really runs the gamut 

P: it reflects that. It’s a complicated issue, right? So there’s a lot of different responses to it. 

Dr. Matityahu: Yeah. And I think it’s a hard conversation to have and I and I sort of applaud women who feel comfortable coming to the office and sitting and having that conversation because I think women that come in I think that they anticipate being judged. there’s so many women that come in with an unplanned pregnancy, and think that they’re supposed to act excited. And when they come to my office and I and I say right up front, how are you feeling about this pregnancy, then sometimes they’ll take a step back and say, you know, I’m actually not sure and you can tell they’re embarrassed to even admit that and it allows me to say you know, there’s no judgement here. Why don’t we have a conversation about how you’re feeling about this? You get to decide on what happens with your body and your pregnancy and there’s no judgment. So if you want to have that conversation, we can have that conversation, and it opens up the door for women who are really embarrassed to talk about their ambivalence about the pregnancy. I think that most people feel like, well, I’m supposed to be happy about a pregnancy, especially if they’re in a committed relationship. They feel like well, I’m in a to committed relationship. I was being stupid about birth control. So this is my fault. I just have to suck it up. And I think that there’s a there’s a lot of hesitancy about bringing up whether they feel okay about the pregnancy people. I think women are embarrassed or uncomfortable or guilty if they don’t embrace a pregnancy and I think that there should be room for them to express their desire not to have a pregnancy or maybe to eventually come around to wanting to pregnancy I think there’s there’s a there’s definitely a discomfort with expressing there’s a discomfort with expressing like not wanting a pregnancy. But But mostly, I think the discomfort is if you’re in a relationship. That’s a committed relationship, especially if you’ve had another kid it’s almost like, like, how could you not know and so there’s a lot more judgment for that subset of women.

 

P: So what was the pregnancy like, given that you were ambivalent?

J: It was hard. I mean, it was really hard. I you know, struggled for someone who wants body pregnancy I felt not very embodied because it was hard for me to feel present in my life at that particular moment. So it was, you know, I struggled a lot with the fact that I wasn’t excited and what that would mean, and if that meant I would be a terrible mother and, you know, if I was ruining his life already, because I wasn’t excited and wasn’t welcoming of the experience. So it was really difficult.

P: As you can imagine, it’s a real struggle for Jennie throughout the pregnancy, and she develops Peri Partum Depression, and she writes, I get counseling and try to think positively about the birth. But a journal entry of mine written in early November is full of fear, fear that I won’t bond and I won’t be happy that something will go very, very wrong. I won’t be a good mother to this child. So I’m imagining, you know, fear of not being a good parent is normal enough. And you know, every first time mom probably has that is a very different situation. And Jennie’s conflict is that she feels so negatively about this baby, that she’s worried about what the consequence of that is. And I’m wondering if you think there is a consequence or is she creating a chemistry that is somehow affecting the baby?

Dr. Matityahu: A couple of different things in that so women that are depressed, anxious having mental health issues during pregnancy? There have been some studies done to try and parse out what kind of impact does that have on the unborn child? I don’t know that we have a great answer for that. But I think in addition to women feeling depressed and anxious, now they’re worried is my depression anxiety impacting my unborn child and so now it just magnifies their depression and anxiety. That’s that’s one thing. Well, I don’t think we have a good answer for that. You know, I wish I could just wave my magic wand and say, Fine, then don’t be depressed and anxious. But that’s not a reality. You can’t just wish that away. You can’t just can’t take that out of the equation. On the other hand, I do have a lot of women who are ambivalent about the pregnancy or just have depression, anxiety and then have concerns about bonding, not feeling excited about the pregnancy, not feeling connected to the pregnancy, worrying that they’re not going to be connected to the baby. And that’s that’s a real concern. That is a part of serious depression and anxiety that needs to be addressed. And so you know, to be able to see a therapist and potentially they need to be on medication during the pregnancy. I mean, that’s one aspect. I have a number of women who after the birth having postpartum depression a huge aspect of that is I don’t feel connected or bonded to my child. I bonded with my first one and I just don’t really feel much for this one. I feel resentment or I just feel disconnected or I just feel tired and aggravated or there’s so many different things that a mom can feel and then they feel guilty. So in addition to not feeling what they think that they should feel, they feel guilty that they’re not feeling what they think they should feel, and then they feel depressed and anxious about what they’re feeling and it just spirals. It’s a form of pretty intense postpartum depression when you’re not bonding with the child not feeling attached to the child not feeling happy about the child. I mean, it’s, that’s pretty serious. And so, again, having mental health support is is incredibly important. And it’s really challenging to get mental health support in this day and age and so there’s that and then feeling maybe ambivalent about taking medication when you’re feeling depressed. Then going back to Jennie, of you know, her peripartum and and postpartum depression has a very strong basis in But the whole lack of communication with their husband and lack of desire for the pregnancy and lack of ability to have that conversation with him in a productive way and come to an agreement where they both feel like they’re heard and and getting their needs met. And so there’s so much baggage behind the postpartum depression that she writes about. That’s not just something that an antidepressant is going to fix, right? And then there’s the religious guilt. So you are adding a whole new dimension of guilt, you know, in addition to society and husband and culture and religious guilt is is pretty intense in real.

P: I’m so sorry to hear it. That sounds really hard to manage. What was it like at your house? Was your daughter excited? At some point when she she was

J: yeah, she wanted a sibling. We ended up my second pregnancy had a boy and she she wasn’t excited about a boy. When we found out the sex of the baby, we told her and she threw herself onto the couch and started sobbing because she really wanted a sister rather than a brother. And then she was playing with her stuffed animals later that day, and she had them go to the hospital and have a baby and then return the baby to the hospital and exchange him for a sister. So she had to work through something.

P:  so I’m wondering for and my sister is eight years younger than me. And I completely remember saying to my mother, don’t come home from the hospital with a boy. 

J: Yeah. 

P: And it was, you know, kind of probably, I wonder if it was probably on the cusp of ultrasound, so maybe they didn’t know the sex. 

J: Yeah. 

P: So I have all sympathies for your daughter. Yeah. thing to do. Was the pregnancy physically relatively straightforward.

J: Yes, that one was physically fairly straightforward mentally and emotionally. It wasn’t. But physically, it progressed pretty smoothly.

P: Well, I’m grateful for that. Because if you had, you know, high blood pressure in the second trimester, yeah, you’d be like, Are you kidding this? Yeah. And it’s hard and really my body. Yeah. So then let’s go to the birth and how does all that unfold?

J: Yeah. So you know, and here, it echoes my daughter’s birth in interesting ways, because I didn’t know what my body starting labor would feel like I just didn’t know. So as the due date, actually was well, he was born about a week early before due dates, you know, they’re all hypothetical anyway. But as the due date neared, I started to have those Braxton Hicks contractions again for like two to 5am and so I was like, is this it? Is this it again and frustrated with that? Once again, and then one night, you know, I was having these Braxton Hicks contractions. I couldn’t sleep but that had been the case for the past three nights. So I was just walking laps around inside the house and you know, eventually they became stronger but they weren’t consistent yet. So sometimes we’d be two minutes apart, and then there’d be 10 minutes apart and it just, you know, I was like body, what are you doing? But then all of a sudden, it just switched. And, you know, they were consistent and they were strong. So it’s like, Okay, I think we need to do something so I woke up my husband, but we aren’t from Arkansas, so we don’t have family nearby. So we needed to call a friend to come watch our daughter’s so that we could go to the hospital and she lived 30 minutes away so we allow for her to come and in the meantime, it’s like, we don’t have 30 minutes. So you know, he was just coming so he ended up being born and in our bedroom.

P: Wow. What so that sounds like a fairly stressful, a fairly stressful thing to understand in the moment like, Oh, we’re not going to get to the hospital. are you doing all this figuring out or your husband is doing it or

J: it was mostly me. But it Didn’t it feel stressful to me it felt like all right, this isn’t happening, right? Are this is happening? Not going anywhere. And again, there’s no choice right? So it felt once again, like, you know, my body wasn’t giving me the option was saying this is what’s happening right now. So let’s do this. I think it was a lot more stressful for my husband than it was for me. He was very nervous. And I was like,

P: it almost seems like the universe heard you say I didn’t want the intervention I wanted unmedicated and they’re like, no problem.

J: Yeah. Yeah, I did. I had I had hired a doula. Who I was working with for that pregnancy. And she ended up saying afterwards, I think you were just in labor denial, because you didn’t want to go to the hospital, which I don’t know maybe, you know, deep in my subconscious that was the case. But I, you know, I was actually pretty pleased with how that birth occurred. I felt more empowered in that situation than

I had expected to just somewhat the 

P: do midwives arrive after the baby’s born or how does that all work? 

J: Yeah, the baby was born in July arrived at our house and then eventually we called in the hospital and ambulance transported me to the hospital to have him checked out and everything.

P: But you guys cut the cord and you deliver the placenta and all that stuff by yourself. 

J: Yep, yep. 

P: Wow, that seems incredible to me. And then you like walk to the ambulance or they carry you out or hearing me out. As the baby was totally fine,

J: and the baby was fine. Yeah, he was a little cold. So they warmed him in a heated incubator for a little bit after we got to the hospital. But otherwise he was fine.

P: And given your entrance into that delivery. Are you feeling in any of the euphoria of having delivered once it’s over?

J:  I think I think a great deal of relief. Yeah, I think I felt a great deal of relief, and I was impressed with what my body did and that my body was able, you know, was able to do that on its own really,

P: and are you happy to jump back into breastfeeding or what’s your relationship with that?

J: I was, it’s so strange because you forget a lot once that time period has passed. I feel like I forgot a lot from my daughter after that time period to hip cast. And then when my son was born, it was like, oh, yeah, I remember this part. I remember what it’s like to wake up, you know, every hour and a half throughout the night and have one half of your shirt soaking wet from milk, spraying out of the other breast while you’re trying to breastfeed on the other side and be wet from those nights so that you get those first few weeks afterwards and yeah, familiar in an intense way. 

P: Yeah, yeah, I bet. I know. High blood pressure this time. No high blood pressure. Yeah. Well, that’s good. That’s excellent. What was this postpartum like?

J: It was? I mean, it was a challenge. Mentally and emotionally much more than it was with with my daughter. So I definitely struggled with some postpartum depression afterwards, just because of how physical that period is and how much work it is right? You can’t half time being a parent of a newborn. Or, you know, it’s it’s demanding physically, mentally, emotionally. And since this wasn’t an experience, I felt I had signed up to do a second time. That was a challenge for me. So I struggled with that adjustment. But persevered I guess.

P: I’m glad you made it. To the other side, although that sounds like a difficult road to traverse, especially if you’re not if the switch does not flicking you at some point during the pregnancy, right? Because it just gets harder to manage and there’s and you know, you thought your autonomy was being pressed when you were pregnant. Yeah, wait till he’s here. 

J: Yeah. 

P: So that sounds difficult. Having gone through that, would you have advice for younger Jennie? If she do it again? Or are you too close in time to the birth of a pregnancy? To have a perspective on it?

J: I mean, my advice for younger Jennie would be. I mean, I guess my advice for myself in the moment during those, some of those difficult periods would be that this is normal, right? I think. We don’t always recognize how normal complicated reactions to pregnancy in the postpartum period can be and it is couched or framed as abnormal or pathological when in fact, you know, any, any woman who is pregnant or raising an infant in a situation where she doesn’t have the support she needs, is going to feel strained right? And is going to be anxious or depressed and things like that. So I would tell myself, it’s normal and that you’ll get through it. I would also tell myself that it’s okay. To be more assertive about your choices and your autonomy.

P: It’s such a good point to say that it’s normal because there are no other experiences that you have in your life that are complicated and first of all, in my experience, nothing as physically demanding. As Yes. Yeah. So to imagine that it’s all not even like rosebuds and rainbows, but that you’ll be happy aboutit all the time  Yeah. Oh, yeah. It’s such a weird fiction. Yeah, that is present everywhere.

J: Yeah. And, I mean, if you think about childbirth throughout the century, especially, I’d say pre, pre modernization, globalization. Women were never alone, right. If they had a baby they had sisters, mothers, grandmothers, aunts, community members around them all the time helping it was a community you know, it wasn’t like what six what I experienced and what I think a lot of women today experiences. It’s you in the baby in a bedroom at night, right? Or, you know, people come by to see the baby and say hi, but there are long stretches of time where you’re alone in the house with a newborn and that’s not normal, right? So no wonder so many women struggle.

 

P: That is totally true.like you. We lived not close to family. And so family would visit for a week and be super helpful for a week and then leave. Yeah, you’re alone. Again. Yeah. It is a totally different experience when you’re doing it by yourself. Yeah, yeah. That is a very good point. Now I’m excited to read about all your writing. Tell it tell us a little bit about what you’ve written and where we can find it. 

J: Sure. I’m gonna let the dog and quickly so he stops barking

P: that’s fine. I’m excited. It’s your dog and not mine.

J: Yeah, well, as a writer, you know, my impulse when feeling conflicted or about something occurring in life is to research it and write about it and try and unpack and understand it that way. So I’ve written a lot about motherhood, and a lot about evolutionary biology in the context of motherhood and feminism. So I written somewhat political essays. About bodily autonomy in the context of the Trump administration when I had my second pregnancy. And then I’ve also written a lot of essays exploring motherhood from that perspective of evolutionary biology and what kind of environment were most humans raising children and during that long hunter gatherer period, and in what ways do we not have those environments in place right now in a manner that causes complexities and makes it especially difficult, or lonely I guess to be a mother today.

P: That’s sounds so interesting, and and so on point and something that gets lost in the discussion of motherhood and what you should be and what the cultural expectation 

J: Yeah, yeah, yes. 

P: Do you have a website?

J: I do. If Jennifer L case.com. There are some links to essays there. So I’ve published some pieces. And I have one in the rumpus and one on breastfeeding and evolutionary biology. Currently in the North American review, and I have a piece and literary mama and eco tome so and then I have a short piece actually, that just came out in diagram magazine that’s available online.

P: Okay, cool. Well, I will definitely link to that. 

J: Yeah, 

P: Jennie, thanks so much for coming on. And sharing your story is so interesting. And I look forward to seeing more of your writing. Yeah.

J: Thank you for having me. It was so fun to talk about.

P: Thanks again to Dr Matityahu for giving us a larger context in which to understand the often complicated set of feelings that come with an unintended pregnancy. Thanks also to Jennie for sharing her story–this is not the kind of thing you’ll see on most social media, instagram and facebook, or Meta now I guess, are for bright shiny moments..and seeing those all the time sometimes makes us lose track of the whole picture. I will include links to Jennie’s website on the War Stories from the Womb website in the show notes. Thank you for listening.  If you liked the show, feel free to subscribe and share it with friends. We’ll be back soon with another inspiring story.

Episode 53 SN: Surprised by Preeclampsia: Jess’s Story

Today’s guest did not anticipate that pregnancy would offer a totally smooth ride to parenthood, but the ride she did encounter included a number of experiences that were nowhere near her radar. Managing a lot of challenging conditions like preeclampsia, and post partum anxiety had significant effects on her: first it encouraged her to reimagine what her family would look like and to find contentment in this family even though it wasn’t what she originally pictured; it made her really engage in caring for herself, to focus on both her mental and physical health; and lastly, this experience made her feel grateful for the life she has now.

Find Jess’s podcast, Only You Podcast

Patent Ductus Arteriosus

https://www.mayoclinic.org/diseases-conditions/patent-ductus-arteriosus/symptoms-causes/syc-20376145#:~:text=Patent%20ductus%20arteriosus%20(PDA)%20is,called%20a%20patent%20ductus%20arteriosus.

Audio Transcript:

Paulette: Hi welcome to War Stories from the Womb. I’m your host Paulette Kamenecka. I’m an economist and a writer and the mother of two girls.

Today’s guest did not anticipate that pregnancy would offer a totally smooth ride to parenthood, but the ride she did encounter included a number of experiences that were nowhere near her radar. Managing a lot of challenging conditions like preeclampsia, and post partum anxiety had significant effects on her: first it encouraged her to reimagine what her family would look like and to find contentment in this family even though it wasn’t what she originally pictured; it made her really engage in caring for herself, to focus on both her mental and physical health; and lastly, this experience made her feel grateful for the life she has now

Let’s get to her inspiring story.

P: HI thanks so much for coming on the show. Can you tell us your name and where you’re from?

 

Jessica: Absolutely. My name is Jessica Meyer. I’m from the Seattle area. And I host only you a one and done podcast with my husband. Cool. Wow.

 

P: So I’m gonna get to ask it sounds like you have one child. 

 

J: I sure do. 

 

P: So before you had this child, I imagine you had some idea about what pregnancy would be like. What did you think it would be like?

 

J: I thought I would be anxious during pregnancy. I definitely was aware of that. I’ve struggled with anxiety my whole life, but I also kind of had this sense of confidence. Like, this is what my body’s supposed to do. I’m going to be able to roll with it. You know, whatever comes my way. I had this intuition. I think somewhere that it was not going to be the easiest pregnancy.

 

P: Okay, that seems much more attuned to how complicated the process really is.than most of us are on the entrance, but I’m interested to hear so did you get pregnant easily?

 

J: That part was easy. So I am one of five children. And my mom has always told me that it’s like for our family getting pregnant is usually the easy part. And also for my mom, her deliveries were really fast. So I only tried for a week, and I was pregnant. 

 

P: Oh, wow. 

 

J: Yeah, I got off birth control and I was pregnant one week later.

 

P: Was that exciting or were you like, Oh, my God, I I’m not ready.

 

J: I was so mad at my mom because she told me it would take a little while she told me it would take after birth control that it would take about six months. That was her advice. She was like, it’s easy to get pregnant. But if you’ve been on birth control, sometimes it takes your body a little bit of time to like, you know, catch up and so give yourself three to six months after birth control and it should happen pretty easily for you. But it happened immediately for me and so I was like, You lied to me. You told me I had three to six months. And now let’s just here just like that. 

 

P: Yeah, that does sound like pregnancy on demand, which makes for wafer thin adjustment period. So you find out with a home kit is that how you found out?

 

J: Yep. My husband knew before I did. I was particularly moody and emotional, a different part of our lives. We were also closing a business that we used to own. So I was sort of in the process of cleaning up the retail store and saying goodbye to this really important chapter in my life. So I was really emotional anyway. And I remember one morning before one of the last days or no it was the very last day of my business being open. I was crying. And my husband was making me an apology breakfast for for nothing right. But he didn’t have bacon and so he went to the store to get some bacon and he came home with a pregnancy test. He was like, just in case, you know, he knew that we had been trying and he was like, You seem a little different. And I know it’s the last day of your store. But why don’t we take that too and I was just like, flippant, you know, whatever. I’m so sure. I’ll take it fine. And wouldn’t you know it? It was positive. So 

 

P: wow, 

 

J: we found that out on the last day of this other chapter. It was really beautiful.

 

P: There’s a story book element that timing. As you’re closing the doors on the store, you’re opening them onto this new adventure. So take us through your pregnancy. How was it the beginning? What did you have morning sickness or anything like that?

 

J: Yeah, I was a waitress at the time. So I had left that business and I started waitressing because we knew that I was probably going to want to stay at home with the baby so I just wanted the job for the in between times. And I was very sick in the first trimester. I remember potatoes would make me really really nauseous and I worked in a restaurant that had a lot of French fries. And just the smell of that would make me so sick. But it was I didn’t actually like throw up that much. It was more just a general feeling of queasiness all the time.

 

P: Yeah. And did that go away after the first trimester? 

 

J: it sure did

 

P: Good. Okay, good. And then and then how was the pregnancy after that?

 

J: Well, it was at the 20 week scan that we found out that my daughter was small. She was you know, in a low percentile, I think about the 20th percentile at that time. And we also found out a couple other things. I had marginal chord insertion, which meant that the umbilical cord was sort of right at the end of the placenta, and that can cause growth restriction as well. And then we found out that her kidneys were not developing quite right. And that’s an issue that my nephew had struggled with as well and he kind of just grew out of it. So that 20 week scan, for me was very confirming for a lot of the anxieties that I had kind of struggled with. I remember at the very beginning of my pregnancy and pretty much throughout the whole thing I was glued to this website that tells you how likely you are to miscarry that day. It’s a percentage, and it goes down every day as you get further along into your pregnancy and I was terrified of losing this baby at that time. I didn’t know I’d be one and done. But I still don’t know it was my first pregnancy and I already an anxious person. So I just felt fear and so when we had that 20 week scan it was like see you were right all alone to be scared.

 

P: well that sounds regrettably eventful. That’s a lot going on.

 

J: It was it. It scared me. 

 

P: Let’s go slow for one second here. You’re sitting down but you don’t look giant like somebody

 

J: I’m very small. 

 

P: So somebody has to be in the 20th percentile like why not? Your baby?

 

J: Totally. Yes. I’m, I’m five to and like, you know, 120 pounds or something before pregnancy. So the doctors were like, Yeah, you’re small. My whole family is small. We’re all you know, petite women. My husband is like six five or six something I don’t know. So it could go either way with our daughter. But they weren’t so worried about the small aspect, but it was that plus the marginal court insertion that had them a little bit worried because they needed to be able to keep an eye on the blood flow. 

 

P: Yeah. 

 

J: And to make sure that she was actually getting everything she needed and not to spoil the story, but she wasn’t

 

P: and the kidneys. Is that a genetic issue since you said your cousin have as well or

 

J: it may be genetic. It’s also just a common issue for babies just in general and it’s almost always something they grow out of. It’s just one of those things we had to keep an eye on as she it was like, I don’t even remember anymore. Whatever her kidneys were connecting to that connection was too thin. I’m sure there are folks out there who know more about it. But luckily that didn’t end up being one of her long term health issues going forward. 

 

P: Good. And so what do they do after this? Can to kind of keep an eye on you?

 

J: They just did more ultrasound so I think we did an ultrasound after that every month. And I think that was pretty much it. I was with maternal fetal medicine instead of a midwife at that point. They were just watching us really closely watching my weight watching the baby’s growth and she went from the 20th percentile at 20 weeks to like the 10th or maybe the fifth by 30 weeks. So she was definitely growing very slowly and not in line with her own curve. You know, so if she were at the 20th and stayed at the 20th that wouldn’t have been an issue but they could see her kind of getting smaller and smaller. 

 

P: Well, that sounds stressful. How are you between ultrasounds?

 

J: I was a wreck. Oh my gosh, trying to eat as much as I could. And I remember feeling really guilty. Because I am such a small frame. I wasn’t. I felt like I was putting a lot. I felt like I was putting on a lot of like water weight. You know, I felt very swollen. But I wasn’t really gaining that much and I just felt like I blamed myself. All the time, because it must be me because I remember when I was sharing with my husband’s mom one time how anxious I was. She said Don’t even worry about it. The baby’s going to be fine on our side of the family. We’ve never had any trouble with newborns. They’ve always been perfect. And those words were just ringing in my head like okay, so you’re saying if anything goes wrong, and it’s 100% me, it’s not your side of the family. I hear that. I’m going to take that in. That’s all I could hear but she was trying to comfort me. 

 

P: also Pregnancy is a weird state have 100% responsibility and no control. 

 

J: totally right. Yeah. 

 

P: So it is hard not to feel responsible for something going on inside you. Yeah, but you really obviously you didn’t put the umbilical cord where was 

 

J: I did not. Not intentionally,

 

P:  that there’s not you know unless you’re not like, you know, smoking or you know, drinking too much alcohol like there are limits to what you can really do. 

 

J: Right. 

 

P: But I’m sympathetic. We’ve been into trouble during my pregnancy that required a lot of extra monitoring. I’ve never been a smoker, the anxiety of the waiting between those scans. definitely piqued my interest in becoming one. This is like a terrible…

 

J: Yes, completely.

 

P: It’s very hard not to feel like you’re personally being evaluated in those scans. And it’s hard to separate out, you know, the distinction between what my body is doing and what I’m doing. 

 

J: Sure,

I think honestly, during pregnancy was the beginning of a long journey that I had with hyper vigilance. So during pregnancy, I was extremely by the book, you know, I was checking every single thing before I ate it. I wasn’t taking any medications that weren’t on the list even you’re drinking tea right now and it reminds me I was checking tea. What tea can I have? What do you can take out, you know, things that most pregnant women I think don’t worry too much about. I was hyper focused on the safety of my baby. And that was before I even knew about some of her health issues. So the whole time I was trying to take control of the situation that I had very little control over

 

P: let me ask you this. Were you were you physically healthy before you got pregnant?

 

J: Yeah. Oh, yeah. I’ve always been pretty healthy. I mean, even now, I haven’t ever had any health issues, which was why my pregnancy being the way it was, I think came as such a shock.

 

P: Yeah, that is super hard. You know, once you dig into the details, like the chemistry and all that a pregnancy is a miracle that anyone’s born ever. Like, it’s so so many things have to go right in just the right way. that it’s it’s a tricky thing to nail totally. So anyway, we’re in your story. We’re we’re getting ultrasounds were 30 weeks and what happens then?

 

J: So I think we were at the 35 week scan, or maybe it was right before the 36 week scan can we go in it’s just a regular growth scan. And the night before I was a wreck. I remember I was crying my eyes out with fear of what was going to happen at that next scan. And again, I think that’s going back to some of this like, anxiety, but also some intuition. Like I was really feeling like something was wrong. And it had been, I think, I think I was at a month between scans. So the last one was 30 and this one was 34. Somewhere around there. 

 

P: Yeah. 

 

J: And I was just feeling so scared. So I was there anything

 

P: was anything physical going on. Like did you feel pain or no nothing. You just had a sense

 

J: and she was kicking like my kick counts for good. I just want to correct myself. It was 36 weeks. I had the last one at 32 This one was 36. So when we were getting ready to go the morning for we would do our appointments before my husband had to go to work. So he was in his work uniform. He had his lunch all packed. We had our coffees, but I had my go bag ready pretty early on, just in case. And we drove separately to the doctor’s appointment like we always did. And they took my blood pressure. And it was crazy high. And so they were like that can’t be right. And I remember my eyes were swollen my whole face. was swollen, but I thought it was just because I was crying so much the night before. And so they took it again and it was extremely high. And then they didn’t tell me it was high. They did the scan, and she had dropped below the fifth percentile. So she was like somewhere in the second I think. And I remember the maternal fetal medicine doctor came in and with like, tears in her eyes almost, she was like just so sorry. You need to go to the hospital. You’re not going to be able to leave without your baby. We think you have preeclampsia. You gotta go 

 

and I was just like, what you know this was not an outcome I had prepared myself for preeclampsia. 

 

P: did you know what preeclampsia was?

 

J: I did from my you know, feverish research throughout the pregnancy of all things birth you know, I listened to a lot of birth podcasts. And I read a lot of birth books. And so to me preeclampsia was almost like a death sentence. I was really scared because I had heard a lot of really terrible outcomes. So she seemed scared. And that made me feel scared. 

 

P: Yeah, yeah. Yeah. 

 

J: And she basically said for the safety of you and your baby, that you got to go. And so I remember they put you in a wheelchair, wheeled me over the hospital. It was just like, This is crazy. Pierce called out of work. It’s like I think I’m gonna be on paternity leave now I got a you know, so I was already you know, I had already taken leave, I think for my job that so they wheeled me over, took my blood pressure again. I think at that point, like normal is 120 over 80 And I believe it was to 220 over 120

 

P: Oh my god. It was Yeah. Oh my I think the cutoff for preeclampsia is 140 over 90. 

 

J: Yeah, it was very it was like scary high and so they put me on, I don’t know some kind of medication right away They put me on a high dose of low beta low almost right away and that actually I continue to take for a long time. And I remember one of the first things they did when I got into my emergency triage room was they gave me a shot in my back for pennies. Like a steroid shot for her lung development. 

 

P: Yeah, 

 

J: is there like this is happening now. We need to get this baby ready so that she can survive. It’s just, I mean, those kinds of words being thrown around pregnant mother where she had probably stopped growing somewhere between those two scans. So not only was I having a 36 weaker, but it was a 36 weaker who was probably the size of like 32 weaker.

 

P: So but she was still kicking for that. Those weeks right between 32 and 36.

 

J: Kicking. Yeah, yes. Okay. Yeah, she was still moving really great. So when I would do my kick counts and stuff that was all good. She seemed, you know, she seemed pretty strong to me. Yeah. And, you know, she, they were checking her so they put a monitor on my belly pretty quickly as well. And that was kind of the beginning. of my birth story, right then, you know, kind of suddenly on a random Monday morning at 36 weeks.

 

P: And so are they saying it’s gonna be a C section or are they saying you can try to like did you have had you have imagined what the birth would look like?

 

J: Yeah, I had a doula who unfortunately was out of town because we were away before my due date. And they told me that they were going to try to induce because they, they wanted to avoid a C section. I don’t remember why. Something about losing Blood, I want to say they wanted to do it naturally, at all costs. That was the birth plan. So they were going to bring me in and have me stay in a room and induce me. And because I didn’t have my my midwife or like my actual doctor there. They were changing care plans a lot. So it was like, Alright, we’re gonna get you in a room now. And start inducing you or we’re gonna send you home and have you come back Friday and induce you no if you go home. You probably won’t be okay. And so they were kind of changing up my care plan a lot because the way Badal did lower my blood pressure. 

 

P: Oh, good. 

 

J: So that that worked pretty quickly on me. It was a very high dose but it didn’t have too bad of side effects or anything. And it was just funny because I felt fine. Like I felt swollen but yeah, I blood pressure. It doesn’t really feel like anything for me. At least I didn’t have the tunnel vision that they talked about or the headache. 

 

P: Yeah, 

 

J: I wasn’t really getting any of those. So it was just kind of a real surprise for me that I was even sick. And I remember them saying, honey, you’re really really sick. And just being like, how I feel fine.

 

P: That is kind of a weird disconnect. Right? 

 

J: Yeah. 

 

P: So how did the How did the induction you know?

 

J: That’s okay. So they ended up giving me a room and I spent about five days being induced. So I was there a long time. 

 

P: Oh my God. 

 

J: They had such a hard time stabilizing my blood pressure, like the labetalol would work one day the next day, it would not be working anymore. So they try a different dosage and they tried it intravenously. And then Penny is like her heart rate would go down with too much medication. So that was on Monday. I think the Pitocin didn’t even start until Wednesday, because they were still just like trying to get me stabilized. And the Pitocin and the magnesium I think happened on the same day. 

 

P: So are you in the hospital feeling anxious? Do you feel like I am where I need to be and we’ll sort this out.

 

J: It was kind of a blur at a certain point. Like the first couple days I was really glad to be there and I was really against them. sending me home. Like I do not want to do this at home like my anxiety is going to be out of control if you just have me sit there and monitor my blood pressure. Because you know, all throughout the night and day I had this monitor on my belly for a penny and then I had a cuff and I think every hour the cuff would go off. And then I could hear Penny’s monitor every moment. And so I was just like in full on hyper vigilance mode. 

 

P: Yeah. 

 

J: And like my mom was there my husband and like, luckily, this was pre COVID. So I could have, you know, a couple people there with me, but I just I wanted to stay in the hospital at all costs. And they weren’t going to send me home anyway. I don’t think so. The first couple days. I was definitely feeling like part of the care team. You know, I was really trying to make sure whatever medication I was on wasn’t affecting her and trying to manage my dosages and stuff. And then once they put me on the magnesium on Wednesday, I was kind of I was kind of useless to the world. There were a lot of side effects for the magnesium. I was very shaky. 

 

P: Yeah, 

 

J: like almost tremors they put me on. They put me on some drug at some point that they told me it would be like a glass of wine. And it was not like a glass of wine. It was like a bottle of wine for me. My husband always teases me and says that I asked the doctor I kept calling him man. I was like hey man. How are you? Like what? He said, I just seemed like I was my old self. But like way before being a mom like I was at a party.

 

P:  I feel like that’s the way to do it. That sounds right.

 

J: I wasn’t worried about anything for that amount of time but I was still very shaky and so the cervadil and the Pitocin. I think those both started really working on Thursday. And then I was about four centimeters dilated on Thursday. And there was a point where they felt like, although the induction medications were working, they were actually putting too much strain on Penny. So every time I would have a contraction, her heart rate would go down. So they started talking about a C section at that point. They were like this induction is actually going to be too much on her. If we keep trying to go this route. She might not make it. You might not make it. So we were talking about a C section and I was really pushing for that. I was like I do not care about natural birth versus a C section. Whatever is safest like, please just take me down there. I want to be done like I want to be safe. But they were really adamant on doing it naturally. So we kept laboring, things kept moving. And then finally very early Friday morning she was born.

 

P: Wow. So have you slept at all of these five days. I feel like….

 

J: no

 

P:  I feel like the blood pressure cuff alone would wake you up every hour. 

 

J: Certainly not more than an hour at a time. No. Wow. I I was in a fog. I hardly remember. My husband was kind of updating our family in a group chat. I remember watching movies. We watched Shrek at one point I think it was sort of like a dream state.

 

P: Can you can you push when you have magnesium?

 

J: I did. I guess 

 

P: Wow. 

 

J: can I say something kind of gross. 

 

P: Yeah. 

 

J: Is that okay on a podcast like? So I’m very stubborn. And I remember when they finally took me into the birth room, so I had been laboring in a labor room and then they are going to take me into the birth room where they had a NICU team at the ready. And they had like a warming table. It was a huge room. I think this was the room they take women who are having a high risk labor so there’s like 10 people in there. Yeah. And it felt like a spaceship. I was so out of my mind. And for some reason on TV, there was a space show. So I felt like I was giving birth like on a spaceship. And they were like okay, they gave me the epidural. 

 

P: Yeah, 

 

J: there was nothing. That was fine. I was like that was fine compared to all the other things you guys have been doing to me. And they were going to do a catheter because after you have the epidural, you know, you kind of need to do a catheter. And I was like, I’m not doing that. I’m not gonna get a catheter because I didn’t want them to have to take it out later. After all the drugs had worn off 

 

P: where’s fun bottle wine girl.

 

J; Those drugs had worn off. She would have been fine with it. This was like hungover so fun bottle of wine girl was no more and now it was hungover shaky magnesium girl. Yeah, and she was refusing a catheter. So they were like, I don’t think this is your choice. You have to go pee right now like we can tell your bladder is full and you don’t have any control. of your body. And I was like yes, I do. If you put a bedpan under me I’m gonna go pee right now.  They’’re like that’s not possible. And I was like yes if this so they put it under me and I did. I totally went pee right there. And I don’t know if the epidural totally like took because I felt a lot of labor in my back. So I guess maybe it like, halfway worked because I had total control of my bladder as well. 

 

P: Yeah. 

 

J: Which was I mean, it wasn’t super painful. It worked where it needed to work. Yeah, but I just I remember that because it was a good example of me just being so stubborn and of all the things like catheters don’t hurt that bad when you take them out. It’s not fun. But I was about to give birth and I wouldn’t let them just so stupid. 

 

P: gotta’ plant the flag somewhere

 

J: that’s where I draw the line. So the actual birth it was hard. I pushed for probably an hour and a half. Because I was so exhausted, like my body was tired and magnesium made me very out of it and I hadn’t slept. So I was just having a really hard time mustering up the strength to push so it took quite a bit of time for me to deliver her. And she was born at 1:44am on the Friday.

 

P: Wow. Oh my god, what a long labor. 

 

J: Really long 

 

P: Yeah. And what was her state when she was born?



J: So she was about four pounds. 11 ounces.

 

P: Well done.

 

J: Thank you. Not so bad. Yeah. She passed the Apgar tests greatly. So that was all good. She was cold. So she didn’t need to be in the warming table. They let her do skin to skin with me. She lashed right away. And then she did skin to skin with her dad under the warming thing or I mean like, I remember I had him wear a button up so he could do skin to skin with her, but it was like a wool button. So he was just sweating. It was way too hot. But they kind of stitched me up I had a couple of tears and yeah, she was tiny. But she was mighty. 

 

P: That’s awesome. And did she stay in the NICU for long?

 

J: So they didn’t put her in the NICU. She was just rooming with us she had like mid level jaundice. So they were just having us nurse her a lot. And unfortunately, I think our care team maybe dropped the ball. I think she probably should have gotten in the NICU. And I think she should have been observed more closely. Because they sent us home the next day that I think maybe it was the Sunday. Yeah. So we spent Saturday there and I think they sent us home on Sunday morning.

 

P: Wait, this this is too fast for me to send you home. 

 

J: I agree. 

 

P: wait,  your blood pressure is fine. Now

 

J: my blood pressure had stabilized but I was on the beta low. Okay. So I remember they were discharging us and she was doing the carseat test, which is what they do for infants under five pounds to make sure that they can like sit in a car seat. Yeah, when she passed him. And I remember being like to the doctor, hey, do you want to test my blood pressure again before I go? And he was like, No, you’re probably fine. Like they had completely stopped taking care of me. And they were just focused on her. And she seemed to be doing fine and they tested her jaundice just the one time and it was medium. So they’re like just put her in the light and feed her. Like okay, so we got home on the Sunday and she was getting yellower or and yellower and I hadn’t been able to get an appointment to get her seen for her first ever doctor’s appointment. until Tuesday. So Monday came around and it’s like she wasn’t eating very well. And they hadn’t given me any information on like supplementing with formula. I remember calling and being like, can I give her formula because I don’t know if she’s getting anything like I don’t have that much milk coming out right now. I think it’s just colostrum. They’re like hers. Her belly is the size of a nut. You know, she doesn’t need very much. I was like But she has jaundice. So we ended up getting an earlier appointment with a pediatrician. And she opened up her diaper or I did and there were crystals in the diaper because she was so dehydrated. 

 

P: Yikes. 

 

J: And she was like so she’s really dehydrated and she’s really yellow. So we’re going to need her jaundice. You know, we’re gonna have to check her jaundice. So what we’re going to do is I’m going to get you a room in the children’s hospital, so you can just go ahead and go straight there and you’ll get right into a room

 

we were like what? We have to go back to the hospital. And as it turned out her jaundice levels were like, off the charts. And she had to be she my little one day or two day old baby had to get an IV of fluids because she was so dehydrated. And that that was really hard, you know, high jaundice levels and dehydration that can that can kill an infant, you know, and I just feel like my care team really dropped the ball with us. So we ended up actually being at the children’s hospital for a few weeks, because while we were there, they found some other issues and she had a heart murmur. And it turned out she had a PDA.

 

P: Okay, according to the Mayo Clinic, a PDA is a heart condition. It stands for patent ductus arteriosus and it involves an opening between two major blood vessels that lead from the heart. This opening is supposed to exist in the fetus, and at birth is supposed to close for a baby that’s born at term. Whether it becomes a significant issue or not depends on how big it is. If it’s big, it can allow poorly oxygenated blood to travel in the wrong direction. And can weaken the heart muscle and cause all kinds of complications.

 

 J: for babies that are preemies that haven’t developed all the way it doesn’t close completely. And it’s supposed to just close over time but because she stopped cooking, it never did. So you can just hear this big murmur this big opening in her heart. And so we had to, they had to decide if they want to try to close it with a surgery or if they’re going to do a couple other things. They decided to just let it close over time. And as of today, she’s 19 months old, it still is not closed completely. It went from really big to really really microscopically small. So we’re gonna check back when she’s two to see if it closes. But she was having some issues. Like with her breathing, she was having some issues with her heart and then her jaundice was you know she had all of these different problems that probably should have been caught and taken care of in the hospital. And she should have been in the NICU getting 24 hour care, but they just kind of sent us home.

 

P: Yeah, that seems like a weird decision. Also, I guess when you told me it was going to close on its own and I wasn’t thinking of a two year timeline. Is that what you were imagining?

 

J: Most of them don’t take that long. So usually when they say it’s going to close on their own, it’s like before the three month appointment or so. 

 

P: Yeah, yeah. 

 

J: But sometimes it does take longer, just depends on the kiddo and how big it was to begin with. There’s other ways that they can do it like when it’s really big and not getting smaller for really tiny infants. I think of them like Tylenol, or ibuprofen or something like there’s there’s non invasive ways for them to fix it. But if she does end up needing a surgery, it’s pretty not easy, but it’s not even open heart. It’s just like a catheter that goes under her chest and into her heart and it just kind of like this little tiny filler where that hole is so it’s kind of you know, almost 100% success rate, but they’re not, they’re not really important. Yeah, no, no, it’s not something that’s going to follow her throughout her life. Like a lot of people who have that condition never even know about it until they’re in their 50s or 60s and they have their first heart attack. And their doctor is like, oh, when you were a baby. This part never grew in. And it’s a lot harder to do this surgery or this procedure when you’re an adult than it is when you’re a baby which is why they find it. They’d like to nip it in the bud.

 

P: Now talk to me about you How are you feeling in the fourth trimester and what’s going on with preeclampsia? And does that all work out?

 

J: wouldn’t you know it, I was still super sick. I remember when I was in the children’s hospital I felt pretty bad. And I don’t think I was taking any medication anymore. I think they just let it all come out of my system because traditionally they say the number one way to cure preeclampsia is to have a baby. I did that. And sort of I think just assumed it would solve itself. So my mom had encouraged me to get one of those at home blood pressure. cuffs at one point but we were in children’s hospital so I wasn’t going to leave her for even one second. I was having some really bad postpartum anxiety and depression and seeing her in the lights, the biliruben lights that was very traumatizing for me. So I couldn’t leave her I just couldn’t step away even for a second. And so I think it wasn’t until like a week later that I finally got out and got my blood pressure checked and it was super, super high. 

 

So I called my midwife or my doctor and they’re like, Yeah, you have to go to the emergency room. I had to leave my infant, go to the emergency room with my mom. And they were trying to decide if they were going to admit me, put me back on a magnesium drip because they were like you have postpartum preeclampsia. 

 

P: Yeah, 

 

J: you’re still a risk for a stroke or a seizure. We can’t like just let you walk around like this. 

 

P: Yeah, 

 

J: but I didn’t even notice and I think even if I was having symptoms, I wouldn’t have done anything because I just wanted to be with her. Like my my mom’s sense was too strong. I couldn’t take care of myself. But it was actually my mom. You know, convinced me so I have my baby but I’m still her baby. You know. So that was kind of a special moment for me that my mom was so involved in making sure that I was getting taken care of as well. So they ended up not admitting me I remember I was crying asking them begging them. Please don’t make me stay here. I need to get back to my baby. She’s in the hospital. And they just put me on more labetalol and I think one other medication and had me monitor it again every day on my own and it actually took three months for it to stabilize.

 

P: Yeah, that’s how it goes sometimes, right? 

 

J: Yeah. 

 

P: And how’s everyone now?

 

J: Oh, good. I’m good. I mean, I checked it for a long time, I think up to the six month mark. And then now whenever I go to the doctor and it’s been completely normal since Penny is growing amazingly well. She like skyrocketed in growth because I ended up pumping for the most part at the Children’s Hospital. They had me kind of 24/7 hooked up to have planned and so they could measure her feeds because they we had this big chart up on the wall and we would write down exactly how many milliliters she would take. You know it was like that my and then we would supplement with formula or donated breast milk as needed. So for the first few months of her life, I was nursing concurrently with pumping and doing measured feeds. And so between the first and third month she like bumped right back up to a decent percentile. You know she’s still not huge, but she was back up to like that 20th percentile range good of like, not even one. 

 

P: Yeah, 

 

J: but between birth and that first doctor’s appointment. She went from four pounds 11 ounces to just four pounds even. So she lost 11 ounces just the first day of being alive. She was really having failure to thrive, basically And the pediatrician who sort of sent us to the Children’s Hospital the first time is still our pediatrician now and every time she sees Penny, she’s like, I cannot believe this is the same baby as that stick of butter you brought it as she was the size and the color of a stick of butter.

 

P: That seems like a triumph. Right? That’s that’s a great endorsement of all parenting. Yes, I’m working on another episode of the show that includes the story of a woman who experienced preeclampsia in ways that are different from yours. And I’m putting together that story. I talked to a maternal fetal medicine doctor who specializes in preeclampsia research. And she said we need to get away from using the word cure because there’s no quote unquote cure. Preeclampsia has this extended reach and that even after delivery, both the mother and the baby from the preeclamptic pregnancy are at higher risk for cardiovascular disease going forward. In her lab at University of Chicago they’re working on biomarkers to help identify preeclampsia much earlier. Oh, she said preeclampsia comes with all these kind of vague symptoms like swelling, or you might have a headache really have a little hypertension, but there’s no protein in the urine and so it doesn’t get caught. And so her lab has figured out the ratio of these two chemicals that a preeclamptic pregnancy produces if you look at the ratio and so they can predict, you know, a month beforehand, kind of which path that you will go on because some people have hypertension and it doesn’t develop into anything. 

 

J: Sure. 

 

P: So talk to us a little bit then about your ongoing care of yourself or like what you’re doing

 

J: so I think preeclampsia basically what led to us being one and done. First and foremost. Yeah. It took me about a week from having, you know, been past that experience to say I’m not doing that again. Yeah, and talking to doctors because we’re in the hospital setting and saying Is this likely to happen again? And I’m saying well, yeah, if you’ve had it once, it’s not unlikely that you’ll have it again. It’s not 100% Guaranteed right? And then talking to my primary care doctor after having postpartum preeclampsia. They told me that because I’m like, so predisposed to hypertension, and then it kind of stuck around for so long that he would think it actually is more likely for me to have it a second time. I’m 29. Now so if I were to get pregnant again, I would be a little bit older. And for me, from what I can tell from my care team, it feels like a 5050 split, whether it would happen again in my second pregnancy. So that was my first decision. We were gonna have several kids and we decided to cut it short at one. 

 

And aside from that, I’m just a lot more involved in my care, you know, I go to my doctor’s appointment, I do yearly physicals, I try to stay active, all these kinds of things. I actually just found out that I have like permanent damage to my eyes. My optic nerve was damaged somewhere in my pregnancy. It’s possible that it was that time of very, very high blood pressure that did damage my optic nerve, but it puts me more at risk for Glaucoma. So that’s like another thing.

 

P: Can you do you feel any symptom of that now or no?

 

J: Well, I just got new glasses, but I went to the doctor just to get a routine eye exam because my vision had changed a lot pre pregnancy to now about 19 months later. And that’s normal, right? When you have a baby your vision changes, but it had gotten substantially worse. And I had this new optic nerve issue. So that’s something I have to do yearly eye exams and eventually I might have to do some glaucoma risk care. So there’s like these eyedrops that you can take to make sure there’s not too much pressure on your eyes. It’s actually very treatable if you catch it early, which luckily I seem to have done.

 

P: So Pregnancy is a stress test, obviously on everyone’s bodies, and that’s one thing it is hard to, I think, carry the burden of a potentially chronic condition. At the same time. It feels like you’re getting in at a time where maybe you can affect that trajectory. 

 

J: Yeah, 

 

P: so. That’s kind of you know, if there’s any good news to be had in this

 

 J: I feel like you know, my husband and I met and we pretty quickly got married, like within a year and a half of our first date. We are married and how to house like we moved very quickly. And we had already known each other a long time so his sister is my best friend. 

 

P: oh lovely

 

J: So we knew each other but like our first date, I should say not really when we met anyway. It just all moved so fast. And sometimes I wonder like wonder what made me want to move so quickly. And I wonder if somewhere deep inside like I wanted to do my pregnancy as early as possible before I was any older, because maybe my intuition was telling me like this isn’t going to be super easy on your body. And I don’t know. I just wonder if the universe helped me out with that or something. Because 

 

P: Yeah, no kidding. 

 

J: I kind of got out lucky all things considered. And so Penny,

 

P: totally, totally. I’m curious here. We’ll say this. If you could give advice to your younger self, what do you think you’d tell her?

 

J: I don’t think I would change anything. I wouldn’t have wanted to have a baby any earlier. That’s for sure. Yeah, just like emotionally and maturity wise. Yeah. Right. So I think I would be pretty proud of my younger self for everything that she did to get me here and get me to a place where I can be a good mom and and survive this really difficult pregnancy.

 

P: It is amazing, right? I’m sure you look at Penny as she grows every day and think I can’t believe it.

 

J: Yeah, I absolutely do. She’s my lucky penny. That’s what I call her.

 

P: That’s awesome. So how old is she now? She’s she’s not too yet.

 

J: No, she’s 19 months old.

 

P: So we’re her tricks. What does she like to do?

 

Unknown Speaker  13:40  

Oh, she’s got a big personality. She’s really funny. She likes to make people laugh a lot. So she’s like our little comedian. If she does something that makes you laugh once she will like do it a lot to try to keep getting a rise out of you 

 

P: super cute. 

 

J: She likes to copy what you’re doing so like today, or yesterday we were doing like a Baba Baba bad and then she would do it back to us. Yeah, like she’s very musical. And I don’t know, I think she’s going to be somewhere in the entertainment world because she just like she likes to be the star of the show. And being an only child is only going to add

 

P: I was gonna say to the stage already. Yes. Nice to know, totally carved her path is awesome, Jessica. Thanks. So much for coming on the show and sharing your story. It’s an important one to share and one that I think is totally hopeful.

 

J: Oh, good. Yeah. Thank you so much for inviting me and if there are any parents out there who are struggling with the decision to relive anything that they went through with their birth experience, I would just like to say to them, you know, your mental health is really important. And your physical health is really important. And if that means your family has to look different than you thought it would, that’s okay. And you can give yourself a little bit of grace for that.

 

P: Yeah, that’s a great ending message. Thank You 

 

J; Absolutely