Wednesday, January 27, 2016

My African Birth Story

Zachary Louis Potter
The pants I was wearing... if you are looking for
the dry spot, there isn't much of one except
the sides
We had just finished making predictions on his arrival day, weight and length, as well as name at dinnertime with the Rices when I received a call from the maternity that they needed help evaluating a couple of laboring patients in the maternity. Dr. Jen and I walked over around 8pm on our way back to our house. Ryan and Sydney continued on. We were in the midst of the second exam and evaluation when I felt like I lost control of my bladder. I didn’t move, but kept talking to the medical student and resident, hoping that I could hide the fact that I just peed on myself and we could slip away in the darkness and get home where I could change. It just kept coming, and I kept being in denial, until water was literally dripping into my shoe from my pant leg. So I nonchalantly told Jen and the others that I thought maybe my water had broken. Jen looked down and laughed. The medical student had to be told several times because he was incredulous. We were in the delivery room, but I wasn’t having many contractions. The other medical staff left and Jen checked to see if it was true. Indeed it was obvious to everyone but the one in denial-> me. I was only 2cm so we decided to head back home to wait for labor.

Nancy came up to sleep so we’d have childcare when the time came. Ryan and I contemplated watching a movie, but at this point, I didn’t need distraction because I wasn’t having frequent nor strong contractions. I felt tired so I decided to sleep… or at least try. My mind raced with the amount of unfinished business we had left to do the next day. Thursdays are prenatal clinic day as well as obstetric and gyn ultrasounds, so there were patients planning on coming to see me for plans of action, etc during our scheduled surgery day on Friday. I made mental notes to discuss these with Jen. And finally went to sleep, fitfully and interrupted, but at least I slept.

Jen was surprised to wake in the morning after getting a full night’s rest. She checked me before heading off to see patients and do surgery. I was 4cm. With very few contractions overnight, that was encouraging. As she left, she reminded me, “95% of patients with premature rupture of membranes deliver without any intervention in 28 hrs. Let me know!”Around 10am, I started keeping track of the contractions on my phone, while getting a few things ready, responding to email etc. Sydney was playing with Nancy. At 11:30am, I texted Jen in the operating room that I felt like things were getting stronger with contractions about every 6-7min. She came at 12:30pm and checked—I was 6cm. She returned back to the OR and I started getting ready to go to the hospital. The contractions came strong and frequent every 1-2 minutes from that point on.

It was hot at mid-day, when most people are resting and work stops. I told Ryan to quickly eat lunch but that I wasn’t hungry. I instead took a shower, cold and dribbling, to get cooled off before we headed down to the hospital. I texted a fellow female doctor named Lauren that I thought I might need help getting from our house to the hospital. I was starting to get that same sinking feeling that I’d had with Sydney that maybe I’d waited—again—too long. But she had just checked less than an hour ago and I was 6! I told Ryan I needed to start walking. He quickly gathered up the duffel bag we had full of emergency/hospital supplies. I was at our front gate when I saw Tim riding his bike up to check on me. He looked a bit confused/worried when he saw me walking alone, but I assured him that Ryan was right behind me. The sun beat down on us as we made the 5 minute walk in only 15 minutes, stopping for contractions and hoping it was in a shady spot of the walk. Lauren met us about halfway down the path. She had figured it had taken her too long to find someone to watch her only 5 wk old infant and come so she had gone directly to the maternity and was now searching for me on the road. I had told her and several others, “It’s ok to have the baby at home (cause that means it went quick) or at the hospital, but just not on the road!!” I was grateful to see her and have an extra support person. I had just been the same for her 17 hr labor just 5 weeks prior. I was also happy that the usually crowded path had only a few people selling produce now due to the mid-day sun, so I was a bit less of a spectacle.
Patches of shade on the road to the hospital
We made it to the maternity room, and to my surprise, there were quite a few nurses still around when normally there are just a couple who are staying for emergencies over the lunch break. This included two of the head nurses. I think perhaps they were waiting for me. It was no secret that my water had broken the night before, and there is definitely no HIPPA (privacy law) here- people talk about your business as much as they please. They busied themselves setting up the cloth privacy screens as the delivery room has 3 delivery beds (more like platforms or halves of beds) and 1 labor bed in the same room. There are also plenty of windows because natural sunlight is how they work most of the time.
Three delivery beds. Like the three bears:
small, med, and large :)
The bed I chose was the large one, complete with privacy curtains,
the sink on the right and the floor drain for cleaning up afterwards

 I asked someone to run and get Jen out of surgery, and quickly. And for the medical students to leave, all of them. Suddenly, I felt another contraction come and the urge to push, and Jen was not there yet. We realized that we had sent nonessential people away and now there was no one to go tell Jen not to delay. We looked around. Tim was essential as pediatrician. Ryan was essential as the father. Lauren was essential as my unofficial doula. And the nurses left were the ones who knew where medications and  equipment was. Finally, I think Tim went running off and to my relief, Jen was there for the next contraction. My other closest Congolese friend (besides Lauren) was with Jen as a translator, and mentioned that she needed to go back up to her house for a second. I said, “Don’t leave. The baby is coming now!” So she stayed, Kathy Rice arrived in the nick of time, and less than a minute later he was born! It was 1:30pm. We’d been there for about 15 minutes. I didn’t get vitals taken or give a medical history or anything—course they all knew me to some extent.

My favorite moment was turning around to look at him for the first time. I immediately said, “oh he looks like me!” delighted as Sydney definitely resembled her daddy. Jen gave him to me and we breathed a sigh of relief that everything had gone smoothly, and everyone had gotten there in time. Ryan commented, “Well, she (meaning me) is two for two. I know when she says she needs to go to the hospital NOW, she really means it, and probably should have gone a half an hour earlier!” We took pictures as he snuggled back into a ball on my stomach, and after several minutes we clamped and cut the cord. There is an open drain in the floor next to the delivery bed, and a couple of people poured water over me as my shower J.


Family selfie

We transitioned into the room adjacent which is private and was supposed to have been the new maternity OR (which still has yet to function, side note). But we got to rest for several hours there on a mattress they laid down and entertain a few visitors, drink orange fanta and eat mint M&Ms (specially imported for me by Jen from my mom). One thing I noticed culturally is that birth is a very spiritual experience here. Every one of the Congolese said, in effect, “Praise God. Glory to God. Thank you Jesus. Praise God.”Every. One. From the first moment he was out, and the first moment they got to see his face when visiting. It was a great testimony and something I’ll treasure about his birth.

Sydney came down with Nancy about an hour after he was born. She was very excited to hold and snuggle him, though at times her emotions made her a little too intense for holding gently. After some great family time, we heard thunder in the distance and approaching (it is still rainy season after all). I had been resisting the idea of getting driven home in a vehicle. I mean, it’s a 5 minute walk in normal circumstances and none of the Congolese ladies have the luxury of a vehicle for their much much longer walk home. But I finally agreed, especially with the impending storm and not wanting Zack out in the rain just yet.
First family pic
Checking out his toes
Checking out his eyes
We walked out to the vehicle with assistance from the nursing staff and a couple of medical students. As we walked out, a general buzz started and by the time I made it to the vehicle (perhaps 15 yards), people were pouring out of everywhere to see the white baby that was just born. Perhaps 100 people from the maternity to the post-surgical ward to the families staying in the courtyard to the pediatrics patients. They were all waving excitedly and cheering. Also something I’ll cherish, although I was very glad to be able to get away from the crowd by getting into the vehicle to drive home. I can’t imagine at my slow pace how many people would have paraded up to our house.

We got inside before it started to downpour. Rain is a sign of blessing here in Congo, and it certainly was a welcome relief from the heat. Tim and Kathy brought up a quiche for dinner for us, and we celebrated the day. And around 9pm, our German neighbors and their two visitors showed up at our back door, singing happy birthday to Zachary. Despite the hubbub and the community excitement, they were unaware of his birth until they checked Facebook just before the internet turned off. So they promptly came over to greet him. Oh the irony!

And now for the significance of his name. He is named after one of our mutual friends from college named Zachary (Zack) Saint. He was influential in Ryan’s first lonely semester in college, showing him how friendships should be more important than getting perfect grades and achieving for achievement sake, how being there for someone can make a bigger impact in the world than increasing one’s GPA by  a fraction. He is the reason that Ryan decided to become a part of the Kappa Zeta Chi (KZX) society at LeTourneau. He and Ryan were likely to have been co-captains of the soccer team during Zack’s senior year, but he unfortunately suffered a relapse of childhood leukemia. They anticipated his return the following semester, but received the news in January that he wasn’t doing well. A large group of guys piled in a van and started a cross-country roadtrip from East Texas to Pennsylvania, in the middle of a week of classes just as Zack would have done for them. They got a call when they were still a few hours away that he had gone to be with Jesus. But his legacy remains, alongside the legacy of his relative Nate Saint who died as a missionary to Ecuador. Our son is not the first to be named after him. And I doubt the last. Hard to believe it will already be 10 years on February 3.

Our Zack’s middle name comes from Saint Louis, a place that we left over a year and a half ago but that still is in our hearts. Louis is a bit less presumptuous than Saint as a chosen name, and reminds us of our friends and church and work family there.