Last Wednesday I was asked by Anne from
SANDS to accompany her to a midwifery professional development day at
The Women's to speak about my experience as a newly (well,
fairly newly) bereaved mother. A group of midwives were participating in a whole-day series of seminars about perinatal loss and were keen to hear from someone who had been there - someone who might be able to talk about the things midwives did that helped and the things they might be able to do differently in the future.
I jumped at the opportunity to speak. I was so heartened that they were intent on finding ways to improve their practices for bereaved parents and that this was considered by the hospital to be a valuable pursuit. Of course I was also very glad of the opportunity to talk about Max and to be recognised as his mother, something which happens less and less the further away from his birth and death I get.
It was much harder than I anticipated to come up with things to say. Lately I've had trouble finding the words to express anything much. I've noticed myself becoming quite insular as this pregnancy progresses, my worries and fears too big and unwieldy to even attempt to give voice to. As a measure of protection for myself, I imagine, I've also found it hard to talk or write about Max or my experience without him. The memory of profound and searing pain seems too great to invoke when so much is at stake. I'm tiptoeing through the days trying to
anaesthetise my brain so that it cannot go back and so that it cannot go forward. Both are scary places for me right now.
I was so proud of myself for being able to do this, though. It was for me another way I could give something back, or to create something valuable from Max's life. Though I was absolutely emotionally exhausted afterwards I was very glad I was there that day. My story was received with great respect and many of the midwives present were visibly moved by the description of my experience and by the few photos I showed of Max during his short life. I received quite a few sincere hugs afterwards and much genuine gratitude that I had been brave enough to share such a painful, intimate experience with yet another room of strangers.
Here is the talk I presented that day, in memory of Max, and in gratitude to the people who had helped him into the world, and who helped me afterwards.
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On 24th November last year I gave birth to a beautiful, perfect baby bay, Max. He was a long-awaited first baby, but he would not be mine to keep. With no warning, I went into spontaneous preterm labour at 23 weeks, and Max was born weighing only 682 grams. He died in his daddy's arms when his heart finally stopped beating almost six hours later. Though his life was brief, his impact on
our lives was profound and ongoing. A year on, Max is still very real to me. Sometimes I can still feel his feather-weight in my arms.
When I arrived at this hospital that day with back pain and cramping I had no inkling of what was about to unfold. I was not prepared with support people or even a change of clothes. I shared the very worst day of my life with a room full of strangers - obstetricians, midwives, neonatologists. Though the shock meant that so much of what happened that day is a blur, I remember vividly the small things some of those strangers did to help and support me. The things I remember most weren't grand gestures, but they will stay with me forever.
At only 23 weeks pregnant I was very unprepared for labour. I hadn't attended any antenatal classes yet and I could never have been adequately prepared for the fact that I would have to go through that process with the knowledge that all the pain would be for nothing, that my baby would die. The midwife who looked after me for the majority of the labour seemed to know exactly what to say and when to say it. She would say 'now this is going to happen' or 'now it's going to feel like this' and it really did. She never lied to me, but she also didn't overwhelm me. She told me not to be scared and I trusted her. She helped me feel like I had some measure of control over a situation in which I had
no control. She made me feel as if I was not alone, and that meant
so much. Having the same midwife for the majority of the labour was really important. I don't remember her leaving my side.
The midwives who cared for me sat with us after Max was born for what seemed like hours as we held him in our arms. They genuinely shared our sorrow and they expressed their regret and sadness openly. Those two midwives were the only people on earth who met our Max aside from the two of us and it has given me great comfort to know his life had meaning for them, too - that we're not the only ones who will carry his memory.
We were fortunate to have a midwife who was a talented photographer. As she sat with us that lonely night she took some beautiful, tender photos of us all together. I can't begin to tell you how deeply those photos are treasured, though of course there could never be enough photos. Those images were the greatest gift we could have been given.
Other mementos we were given, which are so valuable to us, are imprints of Max's footprints and the hospital ID tag he was wearing. We were given the sweetest outfit to dress him in. This helped to normalise our experience. At all times Max was treated as tenderly as a live baby - always with great respect. My partner was offered to cut the umbilical cord when Max was born, something else that recognised our role as 'real' parents of a 'real' baby.
The midwives' gentle encouragement and guidance was very important to me. I was in shock and looking for someone to tell me what to do and how to be. I needed someone to tell me what was OK and what was 'normal' as I didn't know the answers to any of the questions I was asked, such as whether I wanted to see Max and hold him after he was born. Or rather, I thought I would want those things but I didn't know if that was OK. Without being pushy the midwife made it seem like those would be normal things to do and I really needed that reassurance and direction.
Having spoken to other bereaved mothers over the last year, I feel very grateful for the compassionate care I received from all of the health professionals at the hospital, and for the protocols that enabled them to respond to our situation in such a careful manner. I was very sad to realise afterwards, though, that the reason the staff responded so well was because our baby was not the only one they'd seen die. It is absolutely heartbreaking to know that they'd done it all before, and have probably done it all since. Nevertheless, I was so grateful to benefit from that shared experience.
Of course over the past year I've also had a lot of time to think about the things I'd like to have happened differently, and while I have no specific complaints about experience, there are some things I have reflected on in hindsight that I'd like to highlight for, if God forbid, I had to go through this experience again.
I wish some of the questions I'd been asked were repeated a few times. As I was in shock, exhausted, and in a drugged haze, I don't think I took a lot of what was said in, or I didn't realise its significance at the time. For example, the midwife asked me if I wanted to bath Max shortly after he was born and for some reason I said no. I really wish someone had asked me again as I regret not having had that experience with him. I don't think I knew what I was saying or why I was saying it.
I wish someone had explained to me what death was like. My son's was the first dead body I'd seen, let alone touched. I couldn't have articulated it then but I was scared and ignorant of what would happen to his dear little body after he died. I thought he would disintegrate before my eyes, go horribly stiff and rigid, or start leaking blood out of his mouth or nose, and I know now that this fear contributed to me wanting to leave the hospital before any of these horrible things started happening to my poor little boy. I wish someone had demystified this for me as I regret feeling as if I had to go home and leave my baby the very next morning.
I wish someone had come to talk to me to discuss the very scary question of 'what now?' before we walked out of the hospital with empty arms. I wish they had made sure that I was really ready to go because in actual fact we just didn't know what to do
except to go home. For example, it didn't occur to me that I would be allowed to invite family and friends in to meet Max even after he'd died. I also didn't think to change his clothes so I could keep something of what he had worn, what had touched his precious skin. When we left a new staff shift had just begun and a nurse I'd never seen before came to take Max away - the last time I ever saw him. No one told me exactly what would happen to my baby after we left the room and I didn't get to see where he'd be taken. Leaving him so abruptly was the most distressing moment of my life, far more distressing than the moment that I realised he had died. That I survived to tell you about it today still truly astonishes me.
I wish there were emergency packs of toiletries for women in my situation. After Max was born I just wanted to shower and wash my hair and clean my teeth, but no one could find me a toothbrush or a hairbrush. Those things sound silly now, but I'm sure they would have helped, if only momentarily.
Lastly, I wish I'd been told about some of the external organisations that could have offered their services to me whilst I was still in the hospital. Places like SIDS and Kids and SANDS have a lot of literature, especially about how to create memories with your baby while you still have the chance, but it's too late to find out about these things after you've already gone home. This kind of support is time specific and I wish the hospital had provided it to me earlier. Likewise, there are places like Bears of Hope that provide care packages for parents so they don't have to leave the hospital with empty arms like we did. I would also dearly loved to have known about Heartfelt, an organisation of volunteer photographers who could have come to take professional photos of our family while there was still time. We can't get those moments back so it is crucial for parents to know about these things straight away.
If I could end on perhaps what has been a very special moment I experienced from a wonderful member of your profession recently. At the moment I am 18 weeks pregnant with a little brother or sister for Max, which is a whole other anxious story. However my first hospital appointment with a midwife at 12 weeks, by stroke of fate, happened to be with one of the midwives who'd cared for me on the day Max was born. I can't tell you how much it meant to me that she remembered us, and because she'd seen us go through this experience she really understood the stress and fear that have consequently become a part of this pregnancy. I felt known and understood, and not having to tell my story from scratch to a stranger was about the best thing that's happened during my care for this pregnancy so far. She even offered, personally, to accompany me back to the birth suites where Max was born in the new year so that I can deal with some of the fear and trauma I might associate with the place before this baby is born.
These are the things that count. It is the small kindnesses and moments of true empathy and compassion that make a difference.
Thank you for making a difference to me; to dear little Max.