The Birth of Katherine Elizabeth

I awoke at 4am experiencing contractions every 15-20 minutes. Just often enough to not be able to really get back to sleep. I tried though, and told myself this might not be the real thing. For the last week and a half, contractions started and stopped, leaving me unsure about knowing when labor was really there. But something told me this might be it. After eating breakfast I found a ride out to the hospital to see my DR for the regular weekly checkup. We were staying at a guesthouse about 10 minutes from the hospital. The DR does rounds in the mornings and then begins seeing patients who are waiting outside his office. I arrived at the hospital around 8:30AM so I went over to see if the dentist had any openings. (The dentist is my DR's wife, and she had just repaired my root canal that had been chipping away. And now I had lost part of another filling in a different tooth.) She said she did not have any immediate openings, but would call me if she had a cancelation. So I went back to the DR's and waited for him. He showed up at 10AM and saw me right away. I was 3 1/2 cm and he said he could stretch it to 4cm. He predicted things would be happening today. I wanted to go back to the guesthouse right away, but I didn't have a ride. The person I came with would be there till 11AM. I decided to wait for her instead of calling a taxi. I walked across the street and bought a drink and some bananas from a vendor. I experienced a few harder contractions after my visit with the DR. On the way home we stopped at the towns biggest 'grocery' store. It is basically the size of a a gas station snack shop. So I bought a few things we needed for the next couple days. Then we went home and I had lunch with the family. They all went swimming after lunch, I thought about joining them, but thought I should try and rest. My contractions were still 20 or so minutes apart, but when they came they were strong. I laid down and read a bit, and sometime between 1-2pm my water broke. It was then I was convinced that this was really happening. The kids and Jeff had blown up my birthing pool for me to labor in and Jeff was in the process of filling it up. We were on the second floor of the guesthouse, so we were a little concerned about it getting too heavy for the floor. We only filled it halfway. I got in when my contractions were closer to five minutes apart and it really relieved the pressure I felt in my back. My contraction coping techniques were to be on my knees and lean over something, to take slow deep breaths in and out, and when they were more intense, to breath out with horse lips. I read about this in a book and it really seemed to help me. Jeff also poured water on my back. At around 3:30 we started timing contractions. For the next hour they averaged 3 minutes apart. I said we really needed to head to the hospital. We did not have our own car, but Jeff had talked to some people about borrowing one. He really didn't want to leave me to go take care of packing a car. He asked Drew to go get the keys for us. By the time Drew brought the keys back it was about 4:45 and the contractions were really intense. It became clear to both of us that we were not going anywhere at this point.




Side note: We had really wanted a home birth for this delivery, but we were not able to find a DR or midwife who would come and do that with us. I had no intention of delivering without a medical person in the room. Our plan had been to labor for as long as possible in the comfort of the guesthouse, and then head to the hospital. You have to understand the hospital here. The hospital in this town is run by western missionaries and it is the best one by far. But it is still a hospital in Mali. Their delivery room has three delivery beds in it. There are small cloth dividers that separate you from the next woman. Men are never, ever a part of the delivery process here. If Jeff was in that room with me and other women were also having their babies, it would make them very uncomfortable. So we wanted to stay in a place where we could be together comfortably for as long as possible.

Jeff was helping me stay focused and reminding me to breath and relax through my contractions. This is the point where they became so intense that I wanted to quit. I told Jeff when he told me to relax that he had no idea what I was going through, and I think I even told him to shut up once. (Sorry Jeff...) He was doing a great job of helping me... Then I had a contraction that felt different. Oh it was powerful and I felt pressure in my bottom. (Is this really happening here and now I wondered?) As I tried to keep breathing and coping with these monster contractions I felt intense burning. Then with a third and final forceful contraction my body flung itself over and I sat down as my baby was pushed down and out of my body. I didn't know she was coming out until she was out in the water. Jeff quickly scooped her up and handed her to me saying, 'and it's a girl!' And then I sat there in shock. 5:05 pm and our little girl was laying in my arms. We called the DR right away to see what we should do, and he was in surgery. (So even if we had made it to the hospital, he wouldn't have been there for her birth.) We talked to our moms, and we invited the kids in to meet their new sister. Drew was excited to post something to my facebook page about having a new sister.








There was a Swiss nurse, Marlene, who was staying at the guesthouse. She arrived home from the hospital at 5:45pm and came up to see us. It was good to have her there to check me. Jeff clamped and cut the cord. He and Harley dried Katherine off and dressed her. I climbed out of the pool and delivered the placenta. Marlene helped Jeff clean up while I rested. And just like that we were done. Katherine Elizabeth had safely arrived into this world, and was now a part of our family.



I had really struggled with this birth in the months leading up to it. And I want to thank God for really giving me peace when the time came. There are many things in the life that are hard, and that is not bad. But it can be scary to wait for something hard that you know is going to happen. I know many people were praying for me to have peace and strength when the time came, and He blessed me with both of those. Praise God!

Birth Number 2

I was called to another birth on Friday. It was 4pm, not even the middle of the night. So I thought I better jump on the opportunity to go help out. When I arrived I found out this was an 18 year old girl delivering her first baby. She was outside walking around and had been found to be 8cm dilated.


She wanted to have a rest and came back inside to sit down. They checked her again and had me check her. Again I am no good at this part. I must need much more practice. Aparantly she was 9 centimeters. Shortly after this she expressed a desire to eat something so her friend went off to find some food. When it arrived she sat down to have a snack.



After that she was tired again and wanted to go in and lie down. She was told she need to walk to get her contractions going. They were coming, but not real close together. Like any first time mother, she did not want them closer together or to feel any more pain. But she was very brave.


Here sit the three midwives/nurses waiting for things to progress... When she got so tired she had to lie down, they hooked her up to an IV and gave her some pitocin to make the contractions come along faster.



Here came the difficult part of the delivery for me. As we had checked her the nurse commented on her circumcision. It is very common practice here in Mali for a girl to be circumcised in her childhood. Unfortunately for this girl, she was sewn up too small to allow for this baby to be born. As the baby began to crown the midwifes had to perform an episiotomy to allow the baby through. This makes me so sad. It is a very traumatic experience when a girl gets circumcised, and now in childbirth it becomes more traumatic again because of this. There was no anisthetic used to aid in pain relief either.


A healthy girl was born around 6:30pm. I asked them what the sex was so that the mom could hear. Then after the baby was weighed and left on the scale, I asked if I could hold her. I took her over the the mom and showed her beautiful baby to her. That part gave me great joy.


Pray for me as I plan to talk to the midwives about working on educating their patients about the negative effects of female circumcision.

Crash course in Birthing

We are working hard to learn Bambara. And I thought maybe combining my need to learn Bambara with my desire to help women and learn some midwifery skills might be a good idea. And so the following story was 'born'.

I was called at midnight by a local midwife to find out if I wanted to assist her with a delivery. I had previously explained that I was interested in womens health and delivery. So I decided to go. When I arrived the woman was six centimeters and was laboring outside. Shortly after she was tired and went in to lay down.

When it came time to check her again the midwife handed me a glove and said, OK, go ahead. Hold on, I was not expecting that. But I guess that is the only way to learn. So sure, I checked. Knowing how much these checks hurt when you are in labor, I felt a head and that was good enough for me. She asked how many centimeters I thought she was. When I responded I had no idea, but I felt the head, she just laughed. She was 7 cm at that point.

This is a very small clinic. Aparantly women go there that do not want a hospital experience. So I was expecting more of what our culture calls a home birth or birthing center experience. It was not so. There was no one there to encourage this woman. Her husband waited outside. An other woman came, but only to clean up after her. It is the families responsibility to clean out bed pans, puke buckets and throw the placenta in the outhouse. She was told to keep her legs in one spot but no one held them for her. Finally I went and held one leg in place, so she didn't have to work so hard on that part. When the head was out the midwife pulled the baby the rest of the way out. I became VERY light headed and felt faint. (Unexpected) I think it was mostly from the roughness of it all. After that she quickly cut the cord and sucked out the babies nose. She then pulled out the placenta. There was no putting the baby on moms tummy, or waiting for nature to take it's course. I was surprised and a bit bothered by how much intervention there was. The baby was weighed and taken out to the family. I don't think the mom ever saw him or was told he was a boy.

This photo was taken after I took a seat. I really thought I might faint and I have NEVER in my life felt that close to fainting. My legs were weak and trembling and my heart was pounding. It was a very strange experience. I think it came from understanding a bit of her pain, and feeling for her that she had no one on her side so to speak. It felt very lonely and joyless. I prayed for her a lot and wondered what I could do to bring some comfort and joy to the birthing rooms in Kadiolo. Or is that even my place?

I wondered at first if this little guy was even alive, but after sucking out his nose and slapping him around a bit, he made a little sound. I think he is a healthy little boy and despite the difficulty of the experience for me, I am thankful for his little life. Praise God, the creator of LIFE!