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The weekend
had been cold. Prospect Park was blanketed under 16
inches of snow, with a fresh powderfall that made the
icy runs down Mount Prospect a little gentler, made
our hard landings into the frozen meadow a little softer.
That Saturday afternoon, February 12th, our family was
part of a larger outing, a group of eighteen bundled
kids and foot-stamping adults, gone sledding en masse.
We
rode single and double; airplane style and traditional;
tobogganed with our kids in front, the better to feel
the sting of the snow over the sled's metal runners.
The hotdoggers among us, more than a few, slid down
on plastic garbage-can lids, gripping the molded handles
tight. As the light began to fade and the bare trees'
ashy shadows lengthened, the group parted company. Once
we got home again, each of us trouped to the bathroom
-- the afternoon in the cold made our bladders' needs
plainly urgent, as we relaxed in the comfort and warmth
of home. I went last, only to discover three dime-sized
drops of bright-red blood on my briefs, and nearly fainted.
Red
is the color of Valentine's Day -- red hearts, red roses,
red-velvet candy boxes chockablock with praline creams
and chocolate truffles. Acres of red greeting cards
arrive in early February, for lovebirds to send and
receive. Even Hershey's wraps their chocolate kisses
in red foil, for an edible prelude to romance. But this
red, of blood, was the last red I wanted. I was 14 weeks
pregnant with our third child, a pregnancy that I had
longed for and lobbied hard to achieve, convincing my
cautious husband with the tenacious fortitude of water
dripping on a rock. This bright vermilion meant no good
news.
I
counted ten and stood up, buttoned my Levis and washed
my face. I looked in the mirror: Was this the face of
someone about to lose a pregnancy? I looked unfamiliar
to me, with hooded, guarded eyes, and splashed water
on my cheeks again, to bring back the color I had expected
to see there. To bring back the red.
My
husband and our kids were taking turns, seeing who could
dunk a bigger piece of challah into their soup, when
I came downstairs for the phone book. Call the midwives,
a small voice within advised, call them now. Was I losing
the pregnancy, I wanted to know. Maybe, and maybe not,
Laurie, my favorite midwife, answered. Wait and see.
Should I lie down, take it easy, drink tea, forgo sex?
"Out
of our hands," she said. "It can hold or you
can lose it, no matter whether you rest or go sledding
in the park." I had been sledding, I said, was
that wrong? "Time will tell," said Laurie,
"you can't second-guess this stuff."
The
evening was calm, no blood, no cramps, and we put the
idea of a loss aside, counted the days -- 18 -- until
my amnio.
"You're
past the first trimester," my husband encouraged,
now utterly committed to the pregnancy. "You can't
lose it now, it's too late, if it happens it happens
by 12 weeks, right?" Who knew? Previous pregnancies
for me were a breeze, a snap, a pleasure. I was the
most boring patient a midwife could wish for: everything
fine, baby growing, and eventually, good labors and
uncomplicated births. What did I know about miscarriage?
We
kept ourselves together until the girls were tucked
into bed, then crawled into bed, to wait for something,
or nothing, to happen.
Sunday
dawned; the sky was clear and so was my lingerie, we
were elated. Midday, at lunch at a pizza joint in the
city, I went to the bathroom to wash my hands and checked
again: bright red blood, this time a ragged splotch
of many, many dots, all run in together.
"I'm
losing it," I whispered to my husband as I cut
our little daughter's pizza into bite-sized triangles.
"You
can't be," he said, his blue eyes dark and focused
hard into mine. "It's going to be fine, it's just
a spot." We finished lunch and walked west on 23d
Street.
Monday
morning was Valentine's Day. I woke up in the half-light
of dawn soaked through with blood, quantities so vast
that even the fifteen steps to the bathroom from our
bed left a pitiful trail of red connect-the-dots. The
water in the toilet bowl turned red. I flushed. The
water turned red again. And again. I slammed the tile
wall with my palm: I knew it now, it was over, the hope
was gone, all that remained was rage and sadness. My
husband came into the loo, wadding up the damp paper
towels that had sopped up my bloody trail. "Hey,"
he said, utterly lost in this mess, "the kids are
up, and they're scared. They want to know why you're
crying."
They
knew nothing of the pregnancy -- we were waiting until
the amnio to tell them -- and I didn't want to tell
them anything, just then. I went back to bed, three
towels underneath me, and we said I was sick. My husband
got them ready for school while I lay in bed upstairs,
bleeding and crying.
But
it wasn't over, not yet. We called Laurie again, who
rallied: "Go to Methodist, to the emergency room.
Tell the resident you're my patient and I'm on my way."
My husband helped me dress; I bled through three pairs
of pants, one at a time, while he ran to the corner
pharmacy for pads.
Birth
is a big messy business, I can promise you that, but
there's that fabulous bonus, you get the baby. The blood
of it is astonishing, though, as you marvel, at psychic
arm's length, that your body could contain and even
make so much red stuff. But the miss, that was all bloody
loss, and the red kept coming, coursing really, soaking
through everything in its way. We drove the half-mile
to the hospital, and I had ruined another pair of trousers,
as well as the towels that covered the front seat of
the car.
In
the ER, we were triaged into a curtained area -- apparently
and understandably, potential miscarriages rank lower
than gunshot wounds and motor vehicle traumas, but higher
than strep throat and twisted ankles. I say "potential"
because that is what we were encouraged to believe --
that a fetus could and sometimes did survive vast blood
loss. One earnest resident, in sea-green scrubs and
a St Christopher medal, swore that he had delivered
the baby of a woman he first met when she was 4 months
pregnant and came into the hospital "with blood
running down her legs and out the tops of her shoes."
The image, of bloody stockings and blood-sloshed footwear,
shocked. I was afraid to feel any hope, which was what
he was trying to offer. To feel hope again would be
to lose it again as well.
Laurie,
our valiant midwife, arrived in a blur. Her stethescope
bouncing on her chest, she asked whether I'd had a sonogram
yet, had anyone looked to see what was going on? "No,"
I said, and my husband added, "they're looking
for a machine now, but can't get one."
"I'll
be back," promised Laurie, who announced to the
resident and the nurse nearby that she was going to
Labor and Delivery for a sonogram machine, they had
better be there when she got back.
I
had to pee, and I was afraid. Afraid to see the sea
of red again, afraid to see the clots of tissue that
I felt in blobs and lurches, afraid of everything, wanting
to be anywhere else, anywhere at all. But still, I had
to pee. The nurse said, "go ahead," and I
went to the bathroom in the hallway. I locked the door
to the stall and started crying again, clear salty water
far distant from the red rushing from another part of
me. As I sat, my body recognized an urge that it hadn't
felt for years, since my last daughter was born. My
body wanted to push. My muscles contracted; I resisted
but only briefly. I pushed, a little easy push, and
a loud blop sounded out of the red water.
That
was it, I realized, the "products of conception,"
the baby that wasn't meant to be. I realized I could,
and probably should, retrieve the clotted mass and deliver
it to the resident. He would want to see it. I looked
between my knees down into the water. I knew I was leaving
behind a piece of me. I could choose to retreive it,
but I simply couldn't do it, couldn't dunk my hand forearm
deep and feel around in the opaque red water for some
physical stuff that I had created and now lost. I flushed
the toilet.
I
sat there a long time, long enough that the ER nurse
came looking for me. I didn't say what happened. I flushed
again and washed my hands and face while she waited.
In
the exam area, Laurie had set up the sono machine and
we gelled my deflated belly to look for some sign of
fetal life. I knew it wasn't there, but went through
the motions, did the dance, wanting to be the compliant
patient, afraid to hope, knowing it was fruitless. My
uterus on the sono screen looked textbook perfect, pear-shaped,
and completely empty, the two sides of the inner hollow
now as closely matched as two palms faced in in prayer,
nothing there but blood. My husband cried then, and
Laurie did, too. It was decided that I would have to
undergo a confirmatory d&c, and the doctor was called
who would do the procedure.
We
spent the day in the ER hallways, me bleeding, my husband
asking for more pads and bringing me, variously, coffee,
seltzer, the paper and, at long last, nacho-flavored
Doritos. I lay under a green paper sheet, bleeding and
chomping Doritos, waiting for the doctor to come and
erase the physical evidence of this horrific day. When
he finally arrived, I was rolled off into an operating
theatre and dosed with splendid medications. I remember
crying as they began, then I remember nothing.
At
last, it was over. We went home; the private mourning
began and continued for some weeks, until it ebbed into
a fleeting daily remembrance, less a preoccupation than
a familiar touchstone in my mental landscape. Time passed;
the girls knew nothing; three months passed, and I was
pregnant again.
This
was a wild pregnancy, completely calm physically, but
a mental roller-coaster ride. I was classed as an elderly
multipara at 39, I was in the outer spheres of
low-risk pregnancy -- but the midwives were unruffled.
For me, it was different. An hour without fetal movement?
panic! A pinhead-sized spot on my underwear? terror!
But the baby grew despite my hysteria, and finally,
the time was right for his birth.
I
was in the early part of labor, when the contractions
wrap around your midsection like a brace but don't yet
steal away breath, and we were putting our daughters
to bed. Both my husband and I thought the baby would
certainly come in the night, and alerted our neighbor
that she might spend part of the night on our sofa.
I read the girls their bedtime stories and kissed them,
breathing heavier to ride the contractions, pulled up
their quilts and clicked on their nightlights. It was
February 13th, 9 pm, and no-monkey-business labor was
kicking in. I rocked, I breathed, I showered, I felt
my body pry itself open. By 11:20, our neighbor arrived
and we left for the hospital (my husband, who loves
his sleep, hadn't wanted to awaken her in the middle
of the night).
The
snow that year was less thick than when we had gone
sledding, but the ice was wicked, and walking from our
parking spot to the hospital was a virtual tightrope
of glass. Catherine was the midwife on call that night,
with our pal Laurie due in the next morning. We settled
in for another sonogram and what we thought would be
hours of hard labor, but even then, our son had a surprise
for us: The labor went rocket-ship-fast, and he was
born, in a beautiful birth of power and quietude, at
2:11 AM. February 14th, Valentine's Day.
A
day that I had wished so much to cast aside, to blot
out of consciousness, now was exquisitely transformed,
as our boyo squalled and complained while the pediatrician
examined him. "He's good to go," the doctor
said as he snapped off his gloves, and left us alone
together. It was the middle of the night; the girls
were home, sound asleep. A year had passed, we had lost
yet we had gained, and here he was, a new person in
the world, a glorious, red-faced, flat-nosed miracle.
The next day, we went home. At bedtime, we read stories,
just like always.
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