32 Weeks

Today marks exactly thirty-two weeks of my pregnancy…

I had originally planned to give birth to our baby in St Lucia, but my husband and I decided that returning to the UK would be a better option, and I flew to London at the start of November. Time moved quite slowly whilst I was in St Lucia – the Zika virus and intense heat had me largely housebound, and as a result I didn’t have many activities to fill my time. Since arriving in London I’ve been busy meeting friends and catching up on all the things I missed whilst I was living abroad. When I moved abroad it was the small things I missed the most: Shopping for all my favourite foods at my local supermarket, taking walks in my local park, and the changing of the seasons. The cool UK weather has certainly made pregnancy much more comfortable – taking long walks in nature is such a simple pleasure.

Pav is still working in St Lucia and plans to fly to London for the birth in January. He’s only allowed to take three weeks off, so we’ve decided to hire a Doula to help me through my labour and the birth in the event he isn’t there. I decided early in my pregnancy that I wanted to use hypnobirthing techniques during labour. My Doula is a trained hypnotherapist and fully supports this. When I tell people I plan to hypnobirth they often ask me if I intend to spend labour in some sort of trance. I imagine this highly amusing misconception has been brought about by that dodgy Paul Mckenna show in the nineties! Others associate hypnobirthing with the sole purpose of achieving a natural birth. Whilst hypnobirthing advocates certainly promote and encourage the idea of a natural birth, this isn’t the ultimate goal of hypnobirthing. Hypnobirthing is a state of deep relaxation, achieved through controlled breathing and meditation. It encourages parents to educate themselves on the process of labour and birth, facilitating greater awareness, and as a consequence, helps to alleviate fear and panic. It treats the birthing process as a natural and spiritual one, rather than the highly medicalised event it has become today. It asks women to believe that their bodies are fully capable of birthing their babies and that birth is something which women do, rather than something which happens to them. Some women will practice hypnobirthing techniques from the start of their pregnancies but still ask their doctor or midwife for an epidural in labour. Others plan to have a natural birth, but their labours do not progress as intended, and as a result their babies are delivered by emergency cesarean section. Hypnobirthing does not deem these women failures. Hypnobirthing aims to empower women in all circumstances, so they may approach their situation from a position of calm confidence.

My hospital offers women two options; a birthing centre led by midwives, and a delivery ward offering consultant-led care. I have chosen the midwife-led centre which offers a more holistic approach and minimal intervention. I would also like to have a water birth and this isn’t available on the consultant-led unit. I’m preparing myself with three sessions of meditation a day. I do a mindfulness meditation at the start of the day which focuses solely on the breath and calming the mind. At lunchtime I complete an analytical meditation where I examine any areas of tension in my life that I need to let go of. I finish the day with a long guided hypnobirthing meditation that relaxes the mind in preparation for labour and birth. I am also practising the breathing techniques which my Doula gave me for the different stages of labour. More than anything, I think a positive mindset is the most important tool in overcoming life’s challenges and I express gratitude every day that my body is healthy and doing such a wonderful job of growing and nourishing my unborn baby.

I’m interested to hear from other mums on how they prepared for labour and birth, and other mums-to-be on how they’re getting ready for the big day – but positive stories only please! 🙂

Having a Baby in St Lucia

I’ve looked after children as part of my professional life for the past four years. Those four years brought about some of the biggest challenges I’d ever faced at work but I’m exceedingly grateful for that time. Armed with ideas for educational activities, the knowledge of developmental milestones and how to establish routines, I’ve a better grounding in early childhood development than most parents to be. However, I’ve no idea if this knowledge will translate to real life when I’m severely sleep deprived and suffering chapped nipples. What’s more, having a baby abroad is uncharted territory. Who will handle my antenatal care? How do I meet other mums in my community? How will I feel when my husband returns to work and I’m at home on my own with a screaming newborn? I’ve been told that parenting is one of life’s toughest gigs. I’d imagine that parenting in a foreign country doesn’t make things any easier.

I had my first antenatal appointment in St Lucia at approximately eleven weeks and two days into my pregnancy. We’d had a disappointing experience at SAMS hospital in Grenada and were desperately hoping that the medical care in St Lucia was on a different par. From what I understand, British women initially make an appointment with their GP who refers them to a midwife at a hospital or birthing centre and most give birth at the same establishment. In St Lucia, women tend to seek the services of a public health clinic which offers antenatal care led by midwives, or the services of a private obstetrician. Some opt for a combination of both, then refer themselves to the public health hospital once in labour. Others opt only to receive private care, either using just the private hospital or a combination of the hospital and private health clinics. Antenatal counselling such as breastfeeding advice and breathing techniques for labour are only available at public health clinics. Depending on your outlook, you could say that antenatal services in the UK are more streamlined, or that the care in St Lucia is more flexible.

We’ve chosen the services of Dr Nadia Samuel at the private Tapion hospital in Castries. She’s a St Lucian obstetrician and gynecologist who has worked in the UK for twelve years and has vast experience of dealing with obstetrical deliveries and emergencies.

After being weighed, Dr Samuel asked me a series of questions about my medical history. She took my blood pressure then asked me to lie down on the bed for my first ultrasound scan. For numerous reasons, I’d been unable to bridge many emotions to my pregnancy until that point. Being pregnant is a lot like partaking in your own wedding – it feels oddly surreal. I’d also spent a month concentrating all my efforts on the exhausting task of morning sickness boot camp. This had left me little time to ponder life’s changing course and if I’m being honest, had me feeling partially unresponsive.

As Dr Samuel slid the ultrasound Doppler across the jelly on my stomach, a beautiful image came into view on the screen. For the first time, we laid eyes on our unborn baby. My husband mentioned something about being surprised the baby was moving so much and I fell silent in a rare moment of speechlessness. What I felt in that moment was a surge of pure love that was both primal and all consuming in it’s nature. Any suffering from previous weeks was suddenly eclipsed in the miracle of maternal biology. Mummy and Daddy already love you more than you could ever imagine and we will do all we can to protect and guide you in the years to come. 

We left Dr Samuel’s office on cloud nine, heading downstairs to the laboratory in quiet contentment. She’d been professional, thorough and sensitive to our questions, and seeing our baby was the icing on the cake to our first successful appointment. I’ll have an ultrasound scan and appointment every month. These will get more frequent as I approach labour.

The laboratory took a blood test and urine sample. I was given a total of twelve tests which included:

  • Diabetes
  • A test to establish which blood group I belong to
  • A complete blood count
  • A few tests for sexually transmitted diseases, including Hepatitis B, HIV and Syphilis
  • A hemoglobin test which can identify serious illnesses such as sickle cell and leukemia
  • A test that establishes the likelihood of a series of serious illnesses, including a rare type of cancer called adult T-Cell lymphoma
  • Rubella
  • Thyroid
  • Urine infections

A week later Dr Samuel emailed me to state that all my tests were clear.

Before planning our family, Pawel and I sat down and discussed the sort of parents we’d like to be. We believe children should be shown the same love, respect and understanding as adults. We believe children need gentle boundaries, but that these should always be given from a point of love rather than fear or threat. We are strongly against the idea of corporal punishment. We’ll strive to put our child’s needs before our own but try to avoid the pitfall of becoming martyrs to them. We’ve agreed not to read a single book but to parent entirely on our gut instincts. The problem with books is they facilitate the idea that there is one way and only one way to parent. Children are actually fairly individual in terms of the communication, boundaries and affection they require and parents are just as unique as their offspring. Some parents work. Some parents stay at home. Some parents roll around with their children in the mud. Others prefer to cheer them on from the sidelines. All possess the universal goal of wanting what is best for their kids. None of us really have any idea of the type of parent we’ll be until that becomes a daily reality. One thing I know for sure is that life will never be the same again.

DSC_059313 weeks and 3 days. Our baby is approximately the size of a lemon.