After birth pains. The night I almost died......

Dramatic title for a birth story isn't it? Well technically an “after birth story” because things only went wrong after the birth. The birth itself was real, raw, amazing and beautiful. No, I didn't title my story that to grab your attention or to make my story sound super sensational, but those were actually the words running through my mind as I was rushed to theater after the birth of my son. Trust me, I rehearsed my birth story in my head many times before it actually happened and I was hoping to title it something sweet and probably very cheesy. I had imagined one of those beautiful calm Youtube home water births, (You know the ones where the mother sweetly stares into her newborn's eyes and there is no blood or pain, only happiness and peace. She then climbs into her own bed with her baby and they all live happily ever after.) Sadly, for me this was not to be. Instead I was the poor helpless patient in a dramatic and very bloody episode of ER.

But this is all without context so let me rewind three years back….

On 23 November 2013, my husband, Ashley, baby proposed to me. Six months later we were still not pregnant and to cut a long story short, over the next year, I underwent three different surgeries to remove three different polyps that were preventing us from becoming pregnant.

But when things still didn’t happen I decided it was time to give up and reasoned that God probably wanted me to focus on ministry and my music career. Even though I wanted four children, it seemed that I was probably not meant to have another child.

However, God's ways and His timing are not mine. On 1 September 2015, after having no expectation of falling pregnant, we were absolutely overjoyed to discover that I was pregnant. 

        

                    

Except for morning sickness in the the first trimester, and spotting until 16 weeks, I had a wonderful pregnancy. I made sure I ate well and worked out, I did hundreds of squats as I was told it makes for a fast and easy labor. I ate dates and drank raspberry leaf tea in the last trimester, as this is meant to help the cervix soften and strengthen the uterus. I read all the books I could on home birth and natural birth after cesarean. I spent many hours researching the effects of natural birth on the baby and how the baby benefits from a drug free natural birth. I was particularly influenced by a documentary called Microbirth that researches the effects that natural birth has on a baby's immune system.

I so desired a natural birth, with all its textures and in all its realness and Leora Sweidanrawness. However I had two cesareans. The first one because my daughter was breech, and the second, because, well, my gyne said natural birth after cesarean is not an option. The danger with a natural birth after cesarean is that there is a 1% chance that the previous uterine scar can rupture. Small, teeny tiny chance but very few South African gynaecologists want to take the chance.

We were overjoyed to discover that we were expecting a son and chose to name him Quade (number four) because he is my fourth baby. I found a midwife and a doula who would support me and specifically asked God to take the burning desire to birth naturally away, if it was not from Him. 

I created a Whatsapp prayer group months before my due date and asked close friends to pray for us and the birth. But, most importantly I myself spent hours in prayer, pleading with God and begging for a supernatural birth experience.

And that is exactly what I got…

I had my 36 week gyne appointment, my gyne told me he is not in favor of me having a vbac (vaginal birth after cesarean) as he said my uterus is too thin. So, I had a detailed scan with The Fetal Assessment Centre to check if there was anything to be concerned about before attempting at hbac2 (home birth after two cesareans.) Baby Quade's heart was checked at the detailed scan, and all seemed well with both of us for the birth.

Home birth is in fact not as dangerous as it sounds and many women are choosing home birth over a hospital birth because of all the interventions in hospital, slow labor and make cesarean more likely to be the end result. The stress of being in hospital and not in a familiar and safe environment, the bright hospital lights, the constant interruptions of nurses and doctors, as well as being strapped down to a bed and forced to labor lying down all increase the chance of a cesarean.

Studies show that home birth is as safe as a hospital birth when a qualified midwife is present.  

The danger comes in when there are undiagnosed complications like I had….

40 weeks came and baby was still comfortable in utero and we were still at peace with our decision and on 8 May (Mothersday) at 9:30pm my water broke and I excitedly thought our little man would be born soon. The scene was set, birth box packed and birth space prepped. Labor lasted through the night,yet nothing happened. I went for a long walk the next day trying to "help" labor along, but contractions remained 15 minutes apart.

I continued to labor through the night on Monday and when I was examined on Tuesday morning I was 10cm dilated. I could feel Quade's head with my fingers, he was so near yet so far.

"It is well" by Bethel was my anthem during labor and the labor at home was amazing. (Still sore though!) My husband and I had many "God moments" of feeling such peace during the labor. It was amazing.

After another entire day of contractions being 15 minutes apart, my midwife told me at 9pm that I need to try and push with every contraction. I pushed for 4 long hours and still my baby didn’t want to budge. It seemed so simple, if only he would push down on the pelvic floor, he would crown and he would be born! After 51 hours of labor, after hours of pain and lack of sleep, I sat in a warm bath trying to cope with sleep deprivation and pain, and my husband, with tears in his eyes said, “Please give up now. You tried and now it is time to give up.” I agreed it was time to get my baby out. Miraculously, not once, did Quade’s heart beat show that he was in distress… I would often tell my son throughout the pregnancy and labor to be calm and trust God… And I believe this is why he never went into distress. There was no medical emergency, except that I was exhausted. We called my gynae and I had a hospital transfer. My husband drove me to the hospital and our doula Vania Truter met us there, and when the doctor arrived, he assisted me with a suction and episiotomy, as I was too exhausted to push and Quade didn’t want to crown. I had to have a drug free birth, as my baby was already almost there when we got to the hospital, and he would’ve been born before any medication could take effect.  At 2:20am on 11 May, Quade Fletcher Hertz was born, and it was beautiful moment. God blessed me with the natural birth I so wanted… My husband cried beside me, we were so elated… we did it! We did it!!!

The gynae stitched me up, but then noticed that my placenta didn’t want to deliver, and when it did, it was in pieces. He realized something was wrong when the placenta wasn’t whole and I started to bleed. After already being stitched up, he now had to stick his entire hand back into me to see what was going on.  It was then that he realized that my uterus was busy inverting. I had placenta accreta, (the placenta had grown into the uterus, so when it was delivered the uterus turned inside out like a sock), and because of this it needed to be “fixed” as soon as possible, resulting in the doctor having to literally fist my uterus back into position… repeatedly and forcefully, tearing the stitches open, in an attempt to save my life.  Bear in mind that I had a drug free birth, so this was the most excruciating pain I have ever felt in my life, I can’t even describe it.

And then suddenly, I started to feel light headed. I asked my doula who was still breast feeding her own twin boys to please breast feed my son for me, but due to hospital policy she wasn’t able to. Thankfully she then managed to latch Quade and he was able to drink from me, while I began to go in and out of consciousness, slowly bleeding out. I would wake to my husband standing over me and crying, I could see the fear in his eyes, I could see the panic as nurses were running and rushing about, I could feel the blood pumping out of me. I then heard the nurses read out my husband’s ID no, and somehow, by some miracle, I suddenly realised that in all the confusion the hospital thought that I was Ashley…I managed to shout "I am B positive, and that is not my ID number, I am Melissa!"   I would have received the wrong blood type! As I was being rushed into theatre I prayed, "God you know Ashley needs me, I trust you, I trust that I won’t die".  I was still praying when the surgeon put his hand on me and said "She is ice cold, we are losing her.” I continued to pray, “I trust you Lord, I know that tonight I have almost died… I trust You for a miracle."

How is it that I was not afraid? I’m not exactly sure, because it freaks me out now... all I can think is that this must be the peace that surpasses all understanding that only God can give (Philippians 4:7). Supernatural is the only word to describe it, and supernatural is what I had prayed and asked for.

The next thing I can remember, is waking up in the ICU. There were drips, drains and machines everywhere and oxygen pipes in my nose. There were three of these drips in my arms, one in my neck, a catheter and a drain…  I was sore everywhere.  I had received 5 blood transfusions, life saving blood that had saved me from bleeding to death.   I had lost 4 of the 5 litres of blood in my body, and an emergency hysterectomy had to be performed.  When I woke up, the doctors told me the news, they were words that broke my heart… "we had to remove your uterus to stop the bleeding and save your life."

My heart was broken for what could have been, but I was alive, and it is an absolute miracle that I didn’t die that night. The average person can survive a blood loss of 25%. Blood loss of 40% or more, would result in the average person going into organ failure and dying  http://lifeinthefastlane.com/ccc/major-haemorrhage-in-trauma/ 

I had lost 80% of my blood…80%!  

It is only by His mercy and a miracle that I am still alive today, with no organ damage. Yes, it seems impossible and unreal, but here I am, living proof. Doctors and nurses could not believe that I had survived, and I was the talk of the Durbanville Medi Clinic for the next few days.

I was in ICU for 3 days, I breast fed and did skin on skin with little Quade as often as I could.  I made a decision to breast feed despite the challenges.  I had breast fed my other two children and wanted the health benefits and bonding experience with Quade too. The hospital staff were so helpful and accommodating. They helped me change Quade’s nappies and bath him, and when I needed sleep they would take him back to the maternity ward. I was unable to walk until day five, so their help was so appreciated.

So what actually happened after the birth, and why did I bleed out like that? The answer, I had undiagnosed placenta accreta (http://www.mayoclinic.org/diseases-conditions/placenta-accreta/basics/definition/con-20035437 ).  

It was severe, and so I would have lost my womb regardless of how I gave birth. The complications of my birth were unrelated to how I gave birth. Natural birth was not the reason for placenta accreta, but as a result of my previous c sections. This was the reason for my placenta growing into my uterus and then causing it to turn inside out like a sock after I gave birth. The body then tried to reject the placenta and this caused the heavy bleeding. Placenta accreta affects 1in 533 women… and I was one of them.

When I went for my check up two weeks after the birth, the Dr showed me the pathology report on my uterus. Not only did I have placenta accreta, but also a condition called adenomyosis (http://www.mayoclinic.org/diseases-conditions/adenomyosis/basics/definition/con-20024740).  This is very difficult to diagnose, and is only really diagnosed after a hysterectomy. Adenomyosis makes it very difficult, if not impossible to conceive, and in the unlikely event of conceiving, a miscarriage is highly probable. Our little miracle was conceived against the odds, and God’s hand of protection carried him to full term. His life is a miracle, and the fact that I didn’t die is an absolute miracle too. Was anyone to blame for not diagnosing the placenta accreta? No. it is very difficult to detect and only an MRI scan that costs around R6000 can detect it. It is not a routine test done in pregnancy as it affects so few women.

I know and believe, without a doubt in my mind, that the hours I spent in prayer for the pregnancy and birth, and the many prayers of my prayer warriors, both throughout the pregnancy and when fighting for my life, are what kept Quade safe and me alive. The Lord hears the prayers of His people (Proverbs 15:29), He heard our prayers and He made miracles happen.

   

(Above: Friends praying at all hours of the early morning. Note how they support one another!)

• Miracles, like Quade being kept from being born at home. Saving me, from what would have been certain death.
• Miracles, like my doctor being there in my hour of need with his vast experience and a softened heart.
• Miracles, like me realizing in spite of the mental and physical state I was in, that the staff thought I was Ashley, and almost gave me the wrong blood.
• Miracles, like losing 80% of my blood and still being alive without any organ damage.
• Miracles, like ensuring provision of enough blood to be available that night.  I was later told by a nurse that there is a huge blood shortage in our country, and sometimes the hospital hasn’t got enough blood or has to wait a day before blood arrives.
• Miracles, like my breast milk actually coming in at all, especially after the severe stress and trauma that my body went through.
• And the miracle of life and a second chance.

How did all these miracles happen? Only God could’ve done it! I am truly grateful for all these miracles, even though it still hurts… both physically and emotionally.

Looking back now, I had faith to move mountains, so then why did this happen? I had so much faith, I labored for 51 hours without giving up!  So then why did all this happen, why did I lose my womb when I still wanted more children? Why did God allow me to almost die from complications after childbirth? Why... because we are not to lean on our own understanding, this was His will.  Everything that happened, happened just as He had planned, and no matter how much faith I ever have or don't have, if something is not God’s will, then it won’t be. God is not a genie in a bottle. God does not serve us, but we serve Him.

God kept Quade from being delivered at home, if He hadn’t … I would have bled to death. God didn’t take the desire to have natural birth away from me, because now in hindsight, I can see I was going to lose my womb regardless, yet He still blessed me with the birth that I desired.

God allowed me to lose my womb and almost die, and although I don't know why, I do know that, I can and do trust His plan for my life.  I also know that I have a voice and a story, and I will tell all who will listen about how He saved my life and gave me another chance to glorify Him. God is not done with me yet.

Recovery has been hard and painful. Physical pain, from an episiotomy and a hysterectomy. Sore nipples from a hungry baby and a slow milk supply, all due to the trauma my body went through. Then of course, there is the emotional trauma, of almost dying and leaving my husband without a wife, and my children without a mother. And tissues and tears and a face puffed up like a punching bag, mourning for my womb. Mourning for a child I still dream of having. Mourning the sad story, of my sad womb.  Poor little womb, now incarcerated medical waste. 

Two weeks later, still reeling from all that had happened,  my episiotomy became infected. I was in so much pain I literally cried. My episiotomy stitches tore because the tissue was damaged from when the doctor had to use his fist to get my uterus back into place after the birth. I’m not going to pretend that I’m not hurting, because I am. My heart is raw and I have had to let go of my dream, let go of my ideal, my plan... And surrender to whatever God wants for my life. I suppose this is the realness of what is meant by dying to self (Matthew 16:24)

I don’t have it altogether, but I know, without a doubt in my mind, that God will put the pieces back together...(Romans 8:28),  I am safe in His mighty hands. My husband almost lost his wife, and my children almost had to go through life without a mother, and it’s a big and uncomfortable pill to swallow, but a good reality check too. A near death experience has an amazing way of putting things into perspective.

To all the mothers reading this I want to say this to you; you are worth far more than rubies or gold, you are invaluable to your family. No one can replace you, not a teacher, a friend, a nanny or aupair, a chef, or a nurse, a driver, psychologist or personal shopper… can ever fill the void a mother leaves when she is absent. Ask anyone who has had to grow up without a mother and you will know just how valuable a mother and wife is to her family. Ladies, do not underestimate your colossal importance, and the enormous importance of our task and calling as mothers… to raise up the next generation for The Kingdom.

Do I have any regrets? About the birth… no. I could run through fifty different scenarios of “what if” but, I have to embrace all that has happened as part of my story, part of His story for my life.

The only regret that I do have is that before the night I almost died, I didn’t let me husband and children know, without a doubt, over and over and over, that I love them, adore them, cherish them more than anything on this earth. Yeah, sure as mothers we tell our families that we love them each day… but do they FEEL loved, do they know without a doubt that they are so deeply and passionately loved??? 

Because in those moments, when the doctors were fighting for my life, my family were the only ones I thought of, and nothing else. They are my joy and they are my treasure and they are my tribe, my wolf pack, I love the hell out of them.

And from now on, every day for the rest of my life, I will love the hell out of my life and be so thankful for another day on this earth to spend with the ones I love. I will be the happiest person I know, because God has given me another chance at life and to love more, give more, serve more.

Because one day when my time does come and I die, this is how I want to be remembered.

A special thank you, to my amazing husband, my rock, my pillar of strength.

THANK YOU to my friend and doula Vania Truter and birth photographer and friend, Amy Green. Thank you to the prayer warriors on my whatsapp group who fought for me in prayer, and all those that I don’t even know, who prayed for me, on that night I almost died. 

You can follow Melissa's blog at http://arise-butterfly-glorify.blogspot.com

Hope after loss. Marelize's journey.

Here is how my journey began: I was 19 weeks pregnant with my second child (boy) when we travelled to Australia for a very good friend’s wedding. About the third night after we arrived there, I started bleeding heavily and we rushed to the hospital. After extensive sonar tests the doctor said that he thinks I have Placenta Accreta, and he was very worried about my safety and travelling back to SA. He also said it was a miracle that they were able to pick up this problem so early in my pregnancy.

We stayed on in Australia till the end of our holiday, to make sure I am okay – luckily the bleeding stopped and I had no problems during the flight back to South Africa. The following morning I had an appointment with my gynaecologist, and he was also very worried. We stayed in Thabazimbi at the time, and I was told to move to Pretoria to be close to the hospital in case I would start bleeding again. We drove back to Thabazimbi the Friday, I had loads of washing a planning to do (after a long overseas holiday J) – but the Friday evening I started leaking amniotic fluid. We drove back to Pretoria the Saturday morning and I was booked into hospital. All I could do now was lie flat on my back.

The Monday morning I went for more sonar scans and a cat scan to see if I did indeed have Placenta Accreta or worse. My amniotic fluid was almost gone, but my baby boy still had a strong heartbeat and kicked me all the time. That evening my gynaecologist told my husband and me that he would have to operate on the Wednesday morning, because my life was in serious danger and it wasn’t about my baby anymore. I was prepped on the Tuesday and said all my goodbyes (signed my will), but also prayed that myself and my baby Liam would make it out fine.

I was 22 weeks pregnant when they pushed me into theatre. Liam didn’t make it – he was just too small, but fought till the very end. I lost 3 litres of blood, had a hysterectomy, they removed one of my ovaries and part of my bladder. I also had a catheter for 3 weeks after and a stent for 6 weeks.

I am thankful every day that I survived and that I have another little boy to look after!

Marelize and her beautiful family.

In October 2014 I decided to have an art exhibition in remembrance of Liam. I painted 7 paintings and far beyond my expectation, sold all of them! I really did it because I find healing through painting and not because I wanted to make money….but now I am happy to say that a new season started in my life, where I paint for a ‘full time’ job. (I used to be a self-employed Graphic Designer).
https://www.facebook.com/Marelize-Bester-Art-171346499904731/

An art exhibition in remembrance of Liam. 

My journey with Percreta. Rachel's survivor story!

Well here goes my story. I started having problems at week 20 with spotting so I went to my gynecologist at Hillcrest Hospital. He did an ultra sound and he suspected placenta Previa. At 23 weeks I went back to him due to heavy bleeding. Another ultra sound and by this time my placenta was looking like Swiss cheese. I was admitted into hospital to try and stop the bleeding, which they did. I had another big bleed at 26 weeks. My doctor then decided to admit me into hospital for bedrest and to send me to a fetal specialist for a second opinion. I was diagnosed with Placenta Precreta. I was told that it was life threatening. He wanted me to stay in hospital until the delivery of the baby, to get the blood on stand by and my medical team on standby as well.

I got a dull pain and it got worse at 29 weeks into my pregnancy they decided to do the emergency C section on the 4^th June 2015.

My husband and I, the night of my delivery.

My son's paediatrician and nurse.

My son was born premature, weighing 1,3kg at 29 weeks. The picture is of him in the NICU, where he stayed for 7 weeks.

In the theater while my medical team was delivering, I started to hemorrhage. They had to perform an emergency C-section and an emergency Hysterectomy. While this was happening I flat-lined. They had to resuscitate me. During that time 12 units of blood were used. That night while I went to ICU my anesthetist stayed with me in case of more bleeding, which happened. I was rushed back into theater (another 8 units of blood) that evening they managed to stop the bleeding (2 more units). I was in a critical condition, incubated on life support. My gynecologist told my husband that the next 24 hours they would know if I was going to make it or not. It was a very stressful time for my family at that time. Overall they used 30 units of blood. They say that blood is a gift of life they were sure right about that. It helped save my life. During that time In ICU I was incubated for three days and they had me sedated. I was awake a couple of times during that time and remember thinking that I must swallow hard. I did have another surgery done in hospital due to an abscess and infection around my pelvic area. That caused me to have antibiotics and Vac therapy on my wound.

Me with the Vac.

 

The first time I held my son!

I had great support from my family and friends and my church they even held a service for myself and my son. I was even surprised how strangers even came up to me and wanted to pray. During this time my husband was also a pillar of strength he supported me in every way possible taking photos and keeping me updated with our son. I was in the hospital for seven weeks in total, on the Vac machine for another eight weeks and had two more operations over the next five months. During my road to recovery over 6 months after my ordeal with the beast, my mom was a big help. 

 

My mom with my youngest son.

I am glad that I am alive today it was one challenging journey but I am glad to say that I have beaten the beast. I am so thankful to all the staff that assisted me and my son in Hillcrest hospital. And of cause to my family,  friends and all the others who played part in my journey. Of cause the big thank you to God. 

My special family!

 

Marinda, survived an undiagnosed PLACENTA PERCRETA!

In October 2013 I found out that I was pregnant with my 5th child. My husband and I was very surprised but exited!

All my previous pregnancies I took in the stride. No morning sickness or symptoms of being pregnant. With this pregnancy everything was different. I had morning sickness, constant perineum pain and a painful burning sensation on my right lower abdomen. All these symptoms I contributed to being older and the fact that I had 3 previous caesareans. 

33 weeks pregnant with my beautiful children

Every 4-6 weeks I went for my regular check-ups and scans at the gynaecologist. Our baby girl was healthy and there was no problems except for the fact that she was lying in a transverse-breach position and that I had a little Placenta Previa.  

At the 35 week scan little Emilie was still in the transverse-breach position. Her delivery was booked for 12 June 2014. 

Middle May I had to stop exercising. The burning sensation on the right side of my abdomen was just to painful, especially when I had to stand up to stretch on my indoor spin-bike. 

Saturday 7 June 2014 we went to my son's bicycle race. At the race I didn't feel well. I had a headache and felt grumpy. I also had a little mucus show when I went to the restroom. From that day I had uncomfortable abdominal pains. It was not the sporadic uterine Braxton Hicks contractions. It was more like the pain you will get when your cycle starts. Constant pain that just won't subside. 

I still had a lot to do before Emilie could be born. Both my oldest children were busy with exams. I tried to rest and think the pain away. I knew that I didn't had contractions, because the pain was more constant. The Monday night I couldn't sleep. The pain was unbearable. At 4am I took a hot bath, that relieved the pain. I slept about 2 hours. At 8 I phoned my gynaecologist and talked to the nurse on call. She said something was definitely cooking. At 12 the doctor did an internal exam and said that my cervix was thinning and was booked for a caesarean at 7pm that evening. 

For some reason I was very nervous and very unlike me. I was a veteran in birthing terms! Ha-ha-ha!

My husband and I had fun taking some last photographs of me being pregnant. It also helped calm our nerves. 

Waiting in theatre for my caesarean. Not knowing what lies ahead. 

At 7:16pm Emilie was born. The doctor showed her briefly to me and she looked like an angle! She was so beautiful. 

Welcome into the world Emilie!

I saw in the reflection of the theatre lights that there was a lot of blood. I briefly looked to my right where the Paediatrician was checking Emilie out. About half a minute after she was born I lost conciousness, while my Gynaecologist was explaining what was going on. 

00:30am Wednesday 11 June 2014 while they were wheeling me off to ICU, I heard the theatre-staff briefing the ICU-staff that I had a full hysterectomy and was still receiving blood. 

I was in an incredible amount of pain, was extremely cold and was so thirsty that I couldn't even talk two words without my tongue sticking to my palate. 

I was unable to move myself. The Anaesthetist slept in the hospital just in case I started to bleed again. The following morning he told me what happened in theatre. I was resuscitated and lost more than 10 litres of blood! Due to a life threatening condition called Placenta Percreta. 

Now, I truly appreciate the importance of blood donors. Sometimes a small selfless act of kindness can save a life! 

My husband brought videos and photo's of Emilie from the maternity ward. He is the most wonderful and supportive husband I could ever asked for. 

First kiss! 

You can see the IV line in my neck where they gave the blood transfusion.

16 hours after Emilie was born, I could hold her for the first time! They moved me to a private room in ICU so that they could bring her to me. That afternoon my other children also visited me in ICU and they were all so happy to hold their new sister for the first time. 

Brother and sisters meet their little baby sister for the first time. 

The next day I was moved back to the Maternity ward. After 4 days I stood up from my bed and gave 2 steps. It was one of the toughest steps of my life.

Sweet Emilie 2 days old.

On day 6 they discovered that my right kidney was under pressure due to ureter damage. On day 8 I received a nephrostomy. It is a procedure where they put a drain into your kidney so that it does not loose its function. 

I could not breastfeed, because I was dehydrated and was heavily medicated.

Bonding time in the Maternity ward.

After 8 days I finally went home with a healthy baby and a catheter and nephrostomy still draining my bladder and right kidney. 

Finally going home after 8 days in hospital.

The supra-pubic catheter draining my bladder came out after 14 days and the nephrostomy came out 7 weeks later after a stent was placed in the ureter to keep it open.

It was a long journey to recovery, but I am really grateful that I can see my children grow up and that I am alive and well today! I am truly blessed. 

My special family!