Sunday, February 22, 2009

The Childbirth Workout

If you watch television or movies, you might believe that labor is something you do while lying in bed. Mom is flat on her back, the soles of her feet waving to the ceiling. This scenario has become so etched in our pop culture molded minds that most people have come to believe that's just the way childbirth is done.

If you're like me and you gravitate toward moving versus being still (and of course you do if you're reading this blog) then step with me outside the box of Hollywood's (and modern medicine's) model of childbirth. If you're an active mom, childbirth is a great workout so long as you...

Don't take labor lying down. I woke up February 11 thanks to a jolt from my uterus. It made my eyes pop open, made me say "wow," made me take stock of the rest of the week. But I went on with my day, which by the afternoon consisted of a nesting frenzy (shoulda known what was coming next). My doula suggests that women labor like pioneers, who no doubt didn't crawl into bed when labor started. There was work to be done on that farm! Children to care for, meals to make, chickens to feed! So I took my prairie woman role seriously and carried on with my modern prairie woman routine sans chickens--by cleaning out kitchen cabinets, my pantry, my laundry room. By that afternoon I thought all the contractions might be due to my activity level. Rather than lying down, though, I took off to the pool. There is something about pregnancy that makes me gravitate toward water and its weightless wonder. I figured the water would slow things down if it was meant to. When things didn't slow down I figured I had better get out and go home: I wanted a water birth, just not at my gym. 

Move things along by moving along. After a proper dinner (a jalapeno cheeseburger--should have seen the look on the nurse's face when I told her what I had eaten last) we kissed our girls good bye and set out for the hospital. We arrived at about 9 p.m. and learned there was only ONE room left on the maternity floor. Despite having 6 to 7 contractions in an hour I was still in early labor. In my grand plan I didn't want to get admitted until I was further along, but I also didn't want to give up the One Room Left. So I put on my sweatpants and made the hospital my track. I walked, squatted and lunged for an hour, until my contractions were such that they made me stop, made me close my eyes, made me breathe deeply and purposefully. Most everything about labor interventions is designed to "move things along." Sometimes those interventions are necessary no matter what we do, but I'm one who wants to take the initiative and try it on my own first. In the words of my three-year-old, "I do it."  It kinda reminds me of what my barbell strength instructor said about doing push ups on your feet. "Get off your knees ladies! If you don't try doing push ups on your feet, how will you know if you can do push ups on your feet?" She makes a good point, don't you think?

Go with the flow. The thing about being nine-months pregnant is that you can't move too quickly. The body is pretty cumbersome at this point. Lying down is a comfortable position until... you get a contraction. When I feel a contraction coming on, my first instinct is to lean forward, either standing against something or on my hands and knees. If I'm lying down, not only can I not flip over fast enough, it hurts worse in trying. That, above all, is why I avoid being in bed during labor. If you're uncomfortable, the contraction is going to hurt worse. If you fight the contraction, it's going to hurt worse. The body will want to take you where you need to be if you listen (and I mean to your body, not a bunch of people telling you what they think you ought to be doing). At about 11 p.m., when I got back to the One Room Left, I took the birth ball in the shower, where the warm water hit the small of my back and I bounced, bounced, bounced and leaned forward when the contractions came on. Around midnight the big bathtub was ready for me and -- heaven! -- I submerged my body in the support of the warm water. The nice thing about being in water is that you can change positions quickly. Forward and back, side to side, flip turn (just kidding) in an instant. 

Remind yourself you can. I love a good challenge. Sometimes these challenges can hurt, in a good way. Most every hard race I've ever done has hurt at least a little in the end. Not enough to make me quit. Not enough to make me believe I couldn't go on. Just enough to make me appreciate how strong I am. I realize not everyone embraces such challenges or has the need or desire to experience such challenges. And as Henci Goer said to me in an interview once: "Every woman has her enough point." The thing about the "enough point" is that you have to be the one to decide that--not a nurse whose job will be made easier if you're not screaming like a baboon; not your partner or other family members, who don't want to see you in such discomfort; not even your pansy alter ego, who might be leaning over that one shoulder saying, "C'mon, c'mon everyone's doing it!" As a mother athlete you have to know what you want and go for it. But just like in a race, you can't do that at all costs. If you get to your enough point, honor it. And like that race, surround yourself with a support crew. In that room with me was my husband, a midwife, a doula, and several nurses. All were positive, encouraging, supportive, upbeat--they were in my court, cheering for me, I never had one ounce of self doubt because there was no place for it in the atmosphere. 

Revel in the endorphins. Pushing was harder than I remember from my previous birth, when JC seemed to just slither out. While the water was definitely a natural analgesic and most definitely kept "damage" to a minimum, the babe was still nine pounds. Okay, Okay, technically 8 lbs. 15 oz., but I figure since we had a water birth all the birth gunk got washed away, which would have weighed at least one ounce... But what? Could I walk away at that moment? Say, this is too much, I'd like to be done now? Although I've written before that giving birth isn't like a triathlon, this time I could see an analogy. The swim is early labor, relatively easy, the warm up for what is coming. The bike is active labor, a long, steady effort. And then while you're in the transition area you realize--Crap! I'm tired! My legs ache! But I still have to run! There's no other way to get to the finish line. There are no short cuts. You must run through it. And then, at 1:47 a.m. there was a baby on my chest. During the pregnancy we opted not to find out the sex of our baby, but having three daughters already, we were prepared mentally and physically to be parents of four girls. But then a strange thing happened. I heard this: "It's a boy!"

When the workout was over that's when I took to the bed to rest. You know what? It felt good to lie down. But sleep? You ever find it hard to sleep after an especially challenging workout? I was too pumped, too energized, too consumed with the memory of what had just happened. And, also very hungry. I'm not sure how many calories I burned during my childbirth workout but I'm quite certain I earned my eggs, sausage, hash browns, fruit and muffin that morning.

Well, that's it. My last fit pregnancy post. When I'm ready, I'll start blogging about postpartum fitness. I'm not even thinking about it yet. What's been your postpartum fitness experience? After giving birth are you itching to get back to fitness or do you take your time? How did you know you were ready?

14 comments:

Lynne Marie Wanamaker said...

I love this post, Kara! I've heard martial arts mamas say that giving birth was like going to "that thousand punch place"--you do a great job of describing the power and athleticism of the birthing body! I had this kind of a strong, active birth too and I attribute it to being fit and trusting my body--something that I learned how to do through training in the martial arts.

I want to share all you posts with my pregnant Personal Training clients. I better get a move on my business website redesign so I can slap your link up there. You rock!

Charlotte said...

What a fantastic post! Way to go, mama! And a boy? Congratulations!! I'm so excited for you. So now that you've got it all figured out, will you come coach me through my next labor? Please??

Kara said...

Lynne Marie, you know how to make a sleep deprived mom feel good about herself! And Charlotte, you are so on! I want to be a doula when I grow up...

Every Gym's Nightmare said...

you make me not so scared to one day give birth. is that weird?

Kelly Turner
www.everygymsnightmare.com

Rachel said...

Awesome. You go girl. I didn't do anything postpartum until I could actually sit down without pain! For my second child, I think I waited till he was 4 weeks at least. I can't remember at all.

Kara said...

Kelly, that is the goal! Yes! Before ever getting pregnant a friend passed along a book called "Baby Catcher," a book of short stories about a midwife's experience and that was the first time I realized birth was something *I* did, not something that was done to me. Too often women are told how they can't or how awful it can be. It's not. It's wonderful and it belongs to you.

Val said...

You are amazing! I'm so glad I found your blog. After going through 2 unnecessary cesareans, I went on to a VB2C. Laboring was the most intense,strengthening and amazing feeling of accomplishment I had ever had. I never felt that again until last saturday when I finished my first 5k!

I have become addicted to the push, the excitment of setting a goal working hard and achieveing it. To pushing my body further than it could go the month or year before. I admit to dh I have a love affair with running now, and it stems from the feelings I felt during childbirth. You prepare, physically and mentally, and then you go on to do something that proves your bodies is so incredibly strong!

Again, you rock! Congrats on a wonderful experience.

Where are you?

Steve Stenzel said...

Wow! This sounds CRAZY!! I've never be jolted awake by my uterus....

CONGRATS!!

Ali said...

Wow, you are amazing! Sure with I'd found this about oh, ten years ago when I birthed my boy. Maybe come day there will be another. Glad to hear everything went well and you have yourself a healthy addition to your family! I am passing this on to my girlfriend who is in labor as I type.

kate hopper said...

Kara, I'm so happy for you! I also felt sad for me as I read you lovely birth story. You've written this so beautifully, and I've never wished I had had a natural birth more than now.

I'm so glad you listened to your body and your gut and went to a hospital that was able to provide what you needed!! You rock, indeed!

Tempa Wheeler said...

This is going to sound crazy to a fitness enthusiast but my Wii Fit has actually been a life saver. I was on bedrest for most of my pregnancy and the Wii has been my gradual get up and get back into the swing of things. Before I was active and enjoyed a challenge, especial raquetball but laying on my back that long completely sapped me. The Wii is like having a friend by your side saying "Hey do what you can and then do alittle more tomorrow." It has keep me motivated and I can watch how in the last couple of weeks I'm gradually (and I do mean gradually) getting my strength back!

Robyn said...

That was so inspiring! It makes me want to hurry and get pregnant with my third to try it out...ok, not really...but I agree. With the right people supporting you, it can be done.

Sue said...

Kara thank you for writing this and congrats on the little boy!
Giving birth naturally is an experience to top all others in my opinion and experience. Take it easy for a while now - give yourself about six weeks to recover - I rushed it after my second, because it was such a fantastic birth, I felt like superwoman, and got back to normal within less than a week. 3 days later I collapsed... Enjoy your down time :-)

keyalus said...

Thank you so much for this post! Stories like yours are really encouraging.

I am pregnant with my first and reading everything I can get my hands on. One part of me (mostly the athletic part) wants to go natural to see what I can do. That part really wants to experience childbirth as designed. Then the other part of me says, "Drugs are cool! Why go through pain you don't have to?"

I am currently reading a book called "Pushed" about medical intervention in labor and it is definitely pushing me towards the natural side. It is great that you were able to avoid all medical interventions while being admitted. It seems that is not the experience of most women.