Matrescence Mama Feature – Traumatic Birth

mother holding her baby after a traumatic birth via c section
Picture of Lauren Hays

Lauren Hays

Psychiatric Nurse Practitioner, PMHNP

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"Birth Trauma is Rarely Shared, As It Doesn't Always Have a Dark & Ugly Ending"

Trigger Warning: This Content Describes a Traumatic Birth and may be overwhelming for some.

Deciding to get pregnant during a global pandemic meant choosing nearly a year of feeling very isolated, but oddly enough, it also helped me to fully enjoy this pregnancy. I was so thankful to have a pregnant free of complications and all nice months truly seemed to fly. I knew I would mourn the end of this pregnancy! I was already a mom of an almost 6-year-old as I was preparing for c-section #2 (mama of breech babies), so I knew exactly what to expect. I had been discussing our plan with my anesthesia team for a couple of weeks. My husband and I decided not to find out the sex of the baby, so my number one request for delivery was a clear drape. I didn’t want to miss a thing! I wanted to shout whether the baby was a girl or a boy. I wanted to put the baby on my chest and breastfeed as soon as possible. Beyond that, I didn’t care about much else! On the day of my scheduled c-section…I remember walking to the operating room, elated to meet this baby and find out if I’d been carrying a boy or a girl. I remember getting my spinal. I remember the clear drape getting hung. I remember handing my phone to the CRNA to document as much as she could. I remember my husband joining me in the operating room. The next thing I remember was the raw, intense pain of the scalpel blade cutting me open. I had been cut open in what felt like the most barbaric way. My spinal had failed. I was the 0.1%. My mind was racing in the seconds before I was asleep. How could this be happening to me? Would my husband be able to stay in the operating room? Would the baby be born without mom AND dad? How long will baby and I be separated? Will I wake up?! What if there are complications with myself or baby? I remember tears falling down my cheeks while I held my husbands hand and inhaled anesthetic gas through a mask.

“I remember tears falling down my cheeks while I held my husbands hand and inhaled anesthetic gas through a mask.”

The next thing I remember was holding a healthy baby. A girl. I couldn’t have been happier in that moment. But, at the time, I felt robbed. It all felt very flat. My physical recovery in the hospital was rather fast. After all, I didn’t have to wait for local anesthesia from a spinal/epidural to wear off. I fed around the clock, hardly slept, and was giving all the love to my sweet baby girl. I gave zero consideration to the lingering pain I would carry from this traumatic birth. I hardly spoke about it. Was this even “real trauma”? Many of the people who knew were quick to respond how “lucky” and “blessed” I was to have been in the best physicians’ care, to eventually be home, healthy, and holding the most perfect baby girl. “Of course,” I thought. How could I feel anything other than complete and utter gratitude for this sweet angel? I was tired, my body was exhausted. I was emotionally drained. Any big of energy I had was going to my baby. I was already a mom. I had also been a nurse for 10 years. I knew the importance of self-care. I knew what physical healing looked like. But I was in complete denial and neglected my mental health.

“It took months before I really stared to come to terms with the fact that her birth story could never be told firsthand by her mama.”

It took months before I really stared to come to terms with the fact that her birth story could never be told firsthand by her mama. I will never be able to recall her birth. I will never experience her fresh squishy body being lifted from my womb and laid onto my chest. I will never know how her very first cry or the overwhelming emotion of this new life entering the world. Her birth story can only be told through the photos and videos taken by someone else on her mama’s cellphone and by her daddy. I completely missed my daughter’s birth from my body. I was pregnant and then I was holding a baby. There was an enormous gap between the two.

My spinal had failed. However, I couldn’t help but feel a deep sense that *I* had failed. It took this experience for me to realize that not all trauma fits in the tiny box I once thought it did. Birth trauma is rarely shared, as it doesn’t always have an ugly or dark ending. Trauma is about an experience, not the way your story ends. All trauma is valid! Your trauma is valid. Coming to this realization was the beginning of the healing process for me. It also helped open the conversation with my husband regarding the different, but very real, trauma he experienced during her birth. I owe so much to The Matrescence for getting me to this point and helping me tell my story. I’ve finally been able to find grace while I continue to define and unpack this trauma. The community, support and other resources have been invaluable. I’ve made connections that will be lifelong. This journey into motherhood for the second time has been far more meaningful and transformative than I could’ve ever imagined.

In my first pregnancy, I tried to be a hero. I didn’t want help. I vowed not to do that again. This time, I accepted any and all physical help. My husband was more helpful than I could’ve imagined. We had friends, family, and neighbors rally around us. There was nothing more I could’ve wished for. I had everything I’d ever wanted. And I still ended up in the trap of suffering silently. I had felt defeated by my birth experience but as I began healing, there was a certain heaviness that was lingering; completely unrelated to that trauma. I wasn’t myself. I felt sad a lot of the time. I was irritable, anxious, short-tempered, and not enjoying things to the extent I had previously. But I was in denial. Every day, I would wake up hoping things would be different. I told myself numerous times – “pull yourself together!!!” I felt like I had all the tools and resources I needed to identify and to avoid postpartum depression and anxiety, but even so, it took me months to recognize that I needed more support. Postpartum depression and anxiety had crept up on me. I had lost weeks worth of time that I would never get back. Medication made me nervous, but for me, it was the answer and it saved me! As so many before me have said, I wish I had asked for help sooner. It was the single best thing I did for myself.

If you need immediate attention contact the National Suicide Hotline: 1-800-273-8255 or go to your local emergency room.

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Picture of Lauren Hays, PMHNP

Lauren Hays, PMHNP

Lauren was a licensed and trained registered nurse in the NICU and has since made a career shift to focus on mental health. Lauren is now a board certified Psychiatric Mental Health Nurse Practitioner, focusing on women’s health and wellness. She is a mom of three precious little men who has turned her pain into passion.