Wednesday, March 18, 2009

lo, the winter is past

Last year our March, according to the average temperature, was actually the coldest month of winter. This year it has come back in an unrecognizable form, as if it decided to switch its allegiance to spring and be forward-thinking. We have had some beautiful days lately-- sparkling, unbelievable for March in South Bend. Yesterday, St. Patrick's Day, was the best so far. We went walking in short sleeves; we stayed outside for hours. We didn't have to put our sweaters and jackets back on until the sun began its final descent.

For me the day simply oozed with traditional connotations of St. Patrick's Day, which is to say, it felt charmed, lucky, merry, blessed, lighthearted, persisting in green upon green, then ending in hues of gold.

I've never experienced a St. Patrick's Days which so predictably conformed to leprechaun-friendly, four-leaf clover stereotypes. Instead, my experience of St. Patrick's Day is that of a late-winter pseudo-holiday which, like its lame February cousin Valentine's Day, takes a stab at an unpopular calendar month, trying to puncture the dreariness and thus provide some distraction during the long interval between the first-rate festivities of Christmas and Easter. School rooms, beauty shops, and dry cleaners pin up some dreary pre-cut paper decals of hearts and clovers in an effort splash a bit color at an unflinching facade of gray. Couples try really hard to enact romance; bar patrons try really hard to re-construct some iconic ideal of Irish pub merriment. The terrestrial remains terrestrial and accentuates human powerlessness against winter's longevity. All the candy hearts, thematic cupcakes, green beer, and green rivers of our towns and cities are not muscular enough to float the weight of a single human soul upward.

Well, I exaggerate. But my point is that my personal experience has conditioned me to temper expectations and distrust the approach of these holidays. I do not make plans for them, nor do I expect them to be remotely inspiring. Instead it has become habitual in me to ignore them and treat them as supra-ordinary. Jeff and I totally forgot about Valentine's Day this year until the day was almost over, at which point we barely so much as tipped our hat to it. That was my idea of a very successful Valentine's Day.

So, my doctor's appointment yesterday was naturally dominating my thoughts more than any official notation in my date book that it was St. Patrick's Day. As far as I was concerned, this appointment could not get here quickly enough. This is because, in the few days preceding, I really felt as if this baby had turned head down, and I was on edge hoping that an ultrasound would confirm that this was so. My morning was spent at home watching Esme and her best friend Lukas--both of them about twenty times more rambunctious than usual. Or it may have been that I felt twenty times less comfortable than usual, a large, unwieldy, short-tempered pregnant woman, uncomfortably full-bladdered, red-faced on the windy playground, unable to read even a paragraph of my novel due to snack and sippy cup requests. It took all my resources to herd the two of them out to the playground, then back in, up and down the stairs, later cleaning up Esme's potty training playground mishap (the worst kind), and finally wiping copious amounts of lunch off their hands and faces, nevermind the sploshes of yogurt on the floor. The moment when I would break away to go to this appointment lay just beyond the moment when Lukas would go home and Esme would go down for her nap. The promise of this moment did not make the morning seem shorter. Jeff would come home to take over and I would mercifully make my exit and drive away in a bubble of Personal Space.

When the appointment finally came, it happened almost too quickly after all the waiting. Without any ostensible delays, (although I almost was delayed by Esme deciding to resist her nap and throw a hysterical fit at my departure) I found out about the baby. It was head down. It suddenly was, so simply, true. The very fact of it sent me home in a cloud-car. All the anxiety, emotion, and fatalistic musings of last week came to weigh less than a cloud. This baby had turned, and would not likely turn back, and that was the simple truth. There were no other solutions required or decisions to be made about an external cephalic version. The pending notion of a scheduled c-section was promptly removed from the table by my busy doctor before he moved on to his next thing. I left the office with only the sparkling afternoon of an unexpectedly beautiful St. Patrick's Day before me. I was surprised to find myself subscribing to the feeling that, in fact, it was a holiday.

In the end, my friend and I decided to walk to Notre Dame, corral our husbands respectively, then eat outdoors at one of our favorite spots on campus. These were not very illustrious plans involving live Celtic music, imported beer, or corned beef, but I didn't care. The day was so beautiful. Esme's hair was a wild, tangled yellow mane, blowing in all directions like a royal flag as she ran around in squirrel patterns in the sunshine. I didn't care if all we were doing at one point was sitting outside the library on a stone wall amidst air that was remarkable for its freshness and civility toward the range of human temperature tolerance. I was in sandals, short sleeves, and carrying an almost full-term baby who was (and still is) properly situated for her birth-- all utterly remarkable and unanticipated realities whose very realities were sufficiently marvelous to hold me in a state of composed passion for this day and my existence within it. Undergrad students, exiting their classes and streaming by in clusters here and there, were invariably in bright kelly green, some with died green hair, green mardi gras beads, green top hats, tights, or clover-patterned bobby socks. St. Patrick's Day outlandishness probably may only happen in such a degree at a university whose mascot is the fighting Irishman, and part of me always rolls my eyes at this, but yesterday it only served to increase my sense that I was swimming in a particular kind of day, in which earthly hopes and pleasures were allowable, indulged, even freely granted.

I suppose I believe in the possibility of such a day (this feeling tends to come each year in some form at Pascha, for example), but I never actually expect it, and certainly not on St. Patrick's Day because it is St. Patrick's Day. I suppose I also believe that things can come to us that are shaped in the precise shape of our fears, and thus designed to displace them absolutely. But I never genuinely expect that either. I certainly would not expect all of the above on March 17, any given year.

Last week, in my situation, I knew I needed to pray. I thought about praying that the baby would turn downward, but that didn't seem right. Instead, one night in my sleepless worry, I did pray that God would simply be with us in the birth of this child, whatever "kind" of birth it turned out to be. I burrowed into my heart and found the capacity to be stubborn with God. I would stubbornly insist on believing that, even if the birth were the kind most seemingly managed, scheduled, and acted upon by human will and planning (a scheduled c-section), I would stubbornly believe that the date and time were chosen by God, and that his action would be at work in, with, and through this event of our little human family. I have always felt a certain disappointment and horror at the idea that my child's birthday could be pre-selected according to the convenience of a doctor's schedule. But I decided, in praying, that I would refuse to see things that way. It would be a stubborn, hard-headed, impossible interpretation of events, that others would find kooky, I think, but it appealed to me as correct, and, feeling my way in the dark, I think that it was the only possible prayer to pray. It was the only possible faith.

I remember my grandmother, who struggled for years with a chronic headache which would never fully lift, told me that one day, at my sister's birthday party at a pizza restaurant, her headache suddenly lifted without explanation, and she felt for the first time in years what it was like to not have a headache and simply enjoy a moment of life free of that burden. It came back eventually, but she interpreted the moment as a sign to herself of what it would be like to one day have all of our burdens lifted, so easily and completely after they have harassed us for years with their unbreakable yoke. She said is was a silly and humble moment for it to happen-- at a child's pizza party-- but from the way she talked about it I could tell that she regarded the moment as an instance of God's action in her life, and she held onto it as such.

I know at this point in my pregnancy that anything still could happen, and having the baby turn downward is no guarantee of anything. Pregnancy and childbirth are, in themselves, inherently fragile and crazy endeavors. But I do believe that God is acting among us, in us, behind us, and with us (something like what it says in the Shield of St. Patrick) and that this particular winter is pretty much over.

For, lo, the winter is past, the rain is over and gone; the flowers appear on the earth; the time of the singing of birds is come, and the voice of the turtle is heard in our land; the fig tree putteth forth her green figs, and the vines with the tender grape give a good smell. Arise, my love, my fair one, and come away." Song of Solomon 2:11-13

Thursday, March 12, 2009

alive to the mysterious nature of tummies


I haven't really blogged much through this pregnancy, and now, as I enter into the narrow tunnel of its finality, in which All Things Childbirth comes into sharp focus, high relief, and dramatic potency, it is difficult to tidy my thoughts.

Because I'm not just thinking of myself and the birth of this mysterious new baby who likes to push so strongly against the walls of her in utero apartment. I am waxing philosophical about humanity at large. And humanity in particular. Some friends of ours who are our age and have two daughters-- a girl close to Esme's age, and an infant under the age of one-- have been in the hospital for several weeks now with their youngest girl. I learned that something was going on when I caught a cursory glance of one of their newly uploaded photos on flickr and saw the unmistakable pink and blue stripes of a standard hospital baby blanket-- the kind you always see on photos of newborns before they go home. I thought irrationally: why are they just now uploading birth photos? Then I looked closer and saw tubes and wires hooked up to their baby girl, clearly lying on a hospital bed, and my heart leaped. Next I investigated facebook and learned the news that something mysterious was going on with her intestines that required emergency surgery. That was a few weeks ago. Since then they haven't been able to leave the hospital as doctors are still trying to figure out what exactly is wrong. As of yesterday J, the father, updated his status to say he was "still worried-- [my daughter's] tummy is still a mystery."

There are successful television dramas built around the tantalizing potential of a difficult diagnosis-- when the human body doesn't do what it's supposed to do and an entire staff of brilliant, over-achieving doctors must solve the puzzle. These cases get tidied up in one hour on TV. But how agonizing to be a parent, sitting by your child's side for weeks in the hospital, while her continued well-being may or may not skitter just beyond the fingertips of the best human effort, intelligence, care, and control. How frustrating and confounding when a seemingly automatic component of nature, whose functionality should not require even the slightest effort of conscious human will-- the bowels-- suddenly decides to malfunction in one small, new person, for no apparent reason. A tummy that doesn't work is indeed a mystery, when tummies almost always, in all cases, work just fine without our ever telling them to do so.

A few weeks ago I was trying to leave the house for a routine pre-natal appointment in the afternoon. I had been busy at home all day with Esme, doing housework, keeping her entertained and her two-year-old energy reigned in. In my bustle and distraction I had forgotten to eat properly, and then, on a whim, made myself a really strong cup of hot chocolate. A neighbor had agreed to watch Esme while I was at my appointment, so after the hot chocolate I started rushing to get her in her coat, shoes, gather her sippy cup and other items into a bag. Then I started feeling strange and my eyesight seemed spotted. But I didn't think anything was really wrong until I started to write a note for Jeff and the words came out scrambled and dyslexic. I couldn't believe the nonsensical words and random letters that were coming from the tip of my pen. I knew what message I wanted to communicate, but it would not transfer from my brain to the paper. I crumpled up four different notes before giving up and thinking: whatever is wrong, it is probably a good thing that I'm headed to see the doctor at this very moment.

My mind seemed to clear by the time they called me from the waiting room, but of course I wasted no time in describing to my doctor what was clearly an alarming incident. I was disappointed in his lackadaisical reaction. I wanted to shake him and say: Can't you understand??? My verbal ability just abandoned me!!! Ironically, it was this appointment at which I was to learn the result of my gestational diabetes test, which came back clear. I thought for sure I would be told that I had tested positive for gestational diabetes, with my blood sugar levels performing such crazy tricks. Instead I was told that everything looked fine. The doctor said I had probably had a hypoglycemic episode, and I just needed to be sure to eat protein snacks regularly and not let my blood sugar drop. It appears that an hour or two of total mental murkiness is, according to all standardized modern medical care, within the range of normal. Interesting.

Bizarre as this incident seemed to me, I decided to let it go. Then, a few weeks later, it happened again, this time a little more dramatically, on Forgiveness Sunday, which is the day before Lent in the Orthodox Church and thus the last chance to eat dairy. Ice cream being (need I even state this?) the pinnacle of all possible dairy foods, we went out with a group of friends for ice cream at Bonnie Doon, our local retro ice cream parlor. Pregnant women do not fast for Lent, but I was still happy to indulge in the spirit of the excursion. I won't go into the tedious details of what I'd had to eat that day, but it had been a strange eating day for various reasons that were somewhat out of my control, and I could tell that, once again, something was amiss, when I started seeing blackish spots in front of people's faces. I knew better than to order anything sweet so instead I opted for the cheesy, deep-fried genre of 1950s diner indulgence. After about a half-hour of sitting there, chatting with friends, I noticed that my words were not coming out correctly. In fact, I was speaking gibberish. Again, like before, I knew what I wanted to say, but the words were morphing and distorting themselves upon exiting. Alarmed, I managed to say to Jeff pointedly: I need to go home.

We did, and I was fine within a few hours, but still really alarmed and confused about what had happened. I later spoke with a diabetic friend who said that it was clearly a case of low blood sugar-- hypoglycemia. Another woman I told said that something similar happened to her after the birth of one of her children. She was speaking nonsense and the hospital staff thought she had had a stroke. It turned out to be a migraine headache that was putting pressure on the speech center or her brain. Well, I had had a headache too while this was happening, so perhaps somewhere between blood sugar and headache something somewhere was "putting pressure" on the speech center of my brain. I like that term: speech center. It is good to know that my brain has a speech center, and that most of the time it works just fine, but that it is not always guaranteed to do so, as I would have naively presumed. Twice now, in fact, it has roundly betrayed me, in a way that I was helpless to control. This experience-- though harmless in the long run-- has now become a part of my own history. It has left me with a distinct impression-- an impression of human beings, starting with myself, as strangely plastic, changeable, mysterious things.

If there is anything that pregnancy twice over has also taught me, it's this mystery. Obviously, it is very mysterious to have an autonomous being, separate and distinct from myself, grow from seemingly nothing and then poke its elbows at you from the inside. Of course. But there is also the mystery of an unwritten drama as I approach the birth of this baby. I guess I should mention that at my 35 week appointment I found out, as I had suspected, that this baby is breech. The vast majority of babies turn head down just before birth, but some do not, for various reasons. Esme never did, and my doctor didn't catch it until 39 weeks, which made it far too late to do anything about it, so they scheduled a c-section, and I was knocked off my feet by the disappointment of having a "normal" birth taken away from me.

I thought that perhaps if I wanted a VBAC badly enough in my second pregnancy (which I do), and also sought out better, more attentive pre-natal care (which I did), that I just might achieve it. Now it is not looking very sure. Now it is looking like I may very well be headed for another surgical birth and the long recovery that follows. If the baby cannot flip on its own, and/or will not be flipped by the doctor's hand, this is what will happen. I will not know what it is like to wait for the exciting surprise of spontaneous labor. I won't know what it's like to have a single contraction. I will not experience the gratification of pushing a baby out. I won't have a story about the full moon breaking my bag of waters, and so on and so forth.

Please don't tell me. I know too well: in the spectrum of human griefs, losses, and disappointments, this is really quite banal and insignificant, and reifying this into something next-door to tragedy is not entirely valid. In fact, it is arguable that my disappointment in not being able to have a natural birth is quite irrational, given how difficult and painful natural birth can be. I cannot think of very many solid arguments for why it should necessarily be important (although, in the circles I move in, it certainly seems to be, without question).

I think of friends who have trouble conceiving, and who pine and pine for pregnancy. I think of friends who have been pregnant, and miscarried. All is mystery, mystery, mystery. Nothing bears comparison or questioning. Some tummies digest food while others do not. Some tummies grow babies while others refuse. Some tummies specialize in breech babies. One tummy, if it is not irreverent to call it that, was the expansive dwelling place of God. Tummies are mysterious indeed.

At my last doctor's visit, after a quick ultrasound confirmed that the head was up, the doctor actually said, "Crap, there's the head." (This wasn't my regular doctor, by the way.) Then he proceeded to explain that sometimes the shape of a woman's pelvis can prevent the baby from getting comfortable with its head down, and showed me with his hands what a "normal white woman's" pelvis is shaped like, and other--narrower--possible shapes. My own pelvis is now a mystery to me. Perhaps it is not "normal." But I can't see it to confirm this, so perhaps it is. Perhaps I'll have another c-section. Perhaps things will still right themselves, and I'll have the birth of my heart's desire. Right now, I have to live within that ambiguity and accept it.

But is it not totally absurd that I could go away from that appointment envying the pelvises of other women (of all things), even while some women, unknown to me, might be envying my pregnant abdomen, even while these friends of mine in the hospital might be envying their own lives before they were suddenly turned upside down by the problem of a mysterious little tummy?

I have a mounted reproduction of the above icon on the wall in our bedroom. It is the Theotokos of the Sign. The night after finding out about the baby's breech position, I took it off the wall and put it near me, so I could face it and think about it. The baby had an unusually active night of churning, kicking, stretching, pushing. I was on high alert for whether or not turning might be included in all of this activity. I did not really think my baby would turn downward, but the very hope kept me wakeful. It would be natural. It would be supernatural. I wonder how often hopes of various kinds like this keep people awake at night, fully alert and alive within the reality of the ambiguity we all appear to inhabit.