Showing posts with label pregnancy. Show all posts
Showing posts with label pregnancy. Show all posts
Friday, 12 February 2010
The C Word
The pain shoots through me in waves, one directly after another. Nothing has prepared me for this, nothing could have. I haven’t been to any antenatal classes yet, haven’t covered any breathing exercises. I’ve been in denial, didn’t think this would ever happen. Now, like it or not, I’m going to have to improvise.
I inhale through my nose to the count of four, then exhale, slowly, through my mouth. One… two… three… four… Sweat breaks out on my neck and forehead, gathers between my shoulder blades. A high-pitched tinnitus-like ringing starts up in my ears. I spread my thighs a little wider apart, lean forward. Palms down, fingers straight and turned in towards each other, tips touching, I brace against my bare legs with some force. I can do this. I have to do this. A muffled grunt escapes me.
The door opens. Footsteps. Someone walks into the neighbouring cubicle, the lock clicks into place.
Shit. Or rather, not, as the case may be.
All of the pregnancy books warn about constipation, yes, but it was not one of the symptoms I decided I would suffer from back when this all began. Cravings for gherkins and white chocolate chips with a side of coleslaw at 2am? Show me where to sign up. Minor backache that prevents the lifting of heavy items? If I must. Constipation? I figured it could join morning sickness, swollen ankles and shortness of breath in the ‘only to other pregnant people’ category.
Worse, nature’s siren call is evidently oblivious to the fact that I’m at work. A digestive system that has been carefully honed over the years to kick into life only when comfortably near my own loo has failed me. Not that I’m as bad as one particular ex-boyfriend who, as a child, would only crap at home, and, for this reason had to be repatriated from his first overseas holiday by his concerned grandparents on day five of a two-week holiday in Greece. Although the fact that this random story has stuck after all these years… well, I must have been able to relate at least on some level. Indeed, it may well have been five days since my last… evacuation.
Has whoever’s in the next stall picked up on my heavy breathing? I’m practically panting. I could masturbate more quietly. Are they never going to flush and get out of here? Is this some kind of punishment for all the laxatives I took during the bulimia years?
Under normal circumstances, I would buy medicine to ease the problem, but medicine seems to be out of bounds if you’re pregnant. From hacking coughs to severe hay fever, this is not the time to get sick.
Who am I kidding? Under normal circumstances, I would smoke a cigarette to instantly fix the problem. Or, in a previous life, do a line of coke. Bad coke, that is, the kind that’s been cut with baby laxatives. It would be cheaper, and safer, of course, to buy the laxatives direct, cut out the middle man, but where would be the fun in that?
During pregnancy, however, it seems that, even more than usual, prevention is better than cure. I’m going to have to wave goodbye to the morning banana, even if it does ensure that I’ll have a girl. (Or was it a boy?) Everyone knows bananas cause constipation. (And banana milk? Who do I direct questions like this to?) It’s adieu to peanut butter on white at Franco’s and bonjourno to boring old brown. Good riddance to grilled cheddar cheese with everything, greetings to daily greens. Oh Goddess of All Things Good, if you happen to exist up there, just let me finish what I’ve started here today and get me out of this godforsaken cubicle. I’ll take the post-delivery cigarette and plate of ripe runny Brie and crackers off my birth plan – even though they are currently the only things on my birth plan – and vow to never crave either again on entering motherhood. Nor lust after baby laxatives, in any shape or form.
There’s the sound of flushing from the next-door cubicle, and I grab the opportunity to strain with impunity, safe in the knowledge that any groans of agony or splashes of success won’t be heard. ‘Push,’ I command myself, mentally. ‘Push, goddamn it.’
And, just like that, something happens… It’s crowning!
Constipation, it would appear, is like a hundred little preparations for birth. Except the wrong orifice.
The door to the Ladies swooshes closed and, mercifully, I’m alone. I give it my final few ounces of energy, silently reciting an old familiar mantra: ‘No pain, no gain… No pain, no gain… No pain, no gain…’
Nothing. There is no proceeding, no receding. We are stuck. This is starting to scare the bejesus out of me.
Unbidden, a memory surfaces, a momentary distraction from the discomfort, the almost long-lost memory of a small, male cousin sitting on the toilet at our house, newly toilet trained, clearly constipated. There was the holler, ‘Mummy!’, then my aunt traipsing upstairs, me banished from the bathroom. Afterwards, the hushed voices of our mothers, the horror on realising my aunt had had to, whisper it, pull it out.
Now I’m panicking. How long have I been in here? Hours? Days? Can I still invoice for this time? Should I call my aunt?
The door opens once more. Voices. Voices I recognise: Hannah and Victoria. And there are only two cubicles, so one of them is going to have to wait. Will whoever’s waiting start to wonder what’s going on in here? Be tempted to look under the door? Recognise me from my footwear? Why, oh why, did I ever wear boots as conspicuous as these: black, high heels, so shiny you could quite feasibly see your face in them if you bent down to check them out under a cubicle door. Worse, you could see my face, all twisted and stressed and humiliated, a slave to my own bodily functions. Subjugated by my baby already, before it’s even born.
I try again, give it all I’ve got, and am rewarded with a solitary sheep dropping. It hits the water in the pan with the force of a bullet. The embarrassment of being heard is a small price to pay for the security that certainly no one is now going to look underneath the door. You might do that to ascertain if someone’s died in here, or if the door’s somehow locked itself shut, but only a crazy person would investigate further after hearing shots like that being fired in the vicinity.
Another ‘ping’ follows, then, accompanied by a searing pain that I don’t even want to consider the reasons behind, I’m rewarded with a barrage of small artillery fire. Euphoria washes over me, almost better than ecstasy. The toilet bowl, I dreamily imagine, must be filled with at least a bunch of grapes’ worth.
The other toilet flushes and the girls switch over. I can hear hands being washed, paper towels being pulled out of the dispenser, the door swinging open and closed as one of them strides off back towards her desk.
I yank a handful of paper from the roll on top of the sanitary waste bin and press it gingerly to my still-smarting point of exit. Pulling it away, I cannot help but look. After all I’ve been through, this is no time to be coy.
It’s a good thing that I’m sitting down, because my legs start to wobble when I see the scarlet splodge soaking through the paper.
It’s what I’ve been dreading; what I’ve been looking out for every time I pee: I’m having a miscarriage.
No, again, wrong orifice.
My head starts to throb; I can feel my blood pressure soaring, although the problem here is clearly less high blood pressure than common or garden pregnancy piles. Easing myself into a standing position, shaking my stiff, cold legs to get some feeling back into them, I think about how ironic it is that now, on the verge, loosely speaking, of motherhood, embarking on the journey that woman was biologically programmed to travel, I feel asexual in a way that I have never done before. Robbed of my femininity. Because suddenly, without any shadow of a doubt, I know that this is only the first of countless indignities. Over the coming months I will be weighed; blood will be taken from me; there will be urine sample after urine sample after urine sample. I will rapidly outgrow anything in my wardrobe that doesn’t have an elastic waistband. Which is everything in my wardrobe. There will be heartburn and headaches. Spots and sciatica. Christ, there will even be dizziness, swollen ankles and shortness of breath, no matter how much I want there not to be. And somewhere along the line, there will be hospital food…
I flush and step out of my cubicle, surprised to see Hannah still there at the mirror, squeezing a spot.
‘Hey sexy lady! Love the boots.’ she says. ‘They new?’
And turning on the tap to wash my hands, I nod, say ‘thanks’. I don’t mention that they’re from Clarks. Or that I bought them because they have non-slip rubber soles and boast a patented in-built secret comfort system, called ‘Active Air’. Or that there’s an elasticated panel at the top of each to allow for calf swelling.
A woman, after all, should be allowed to have her secrets.
Labels:
birth plan,
Clarks boots,
constipation,
Julie Alpine,
piles,
pregnancy,
public toilet,
The C Word
Friday, 20 November 2009
Smoking When Pregnant
I squat over my Hard Rock CafĂ© mug. Pee. Dip. The result appears on the test stick in all of 0.6 seconds. I hold my breath, count elephants until the full 120 seconds are up. The blue plus sign is still there, positively glowing out of the window. My first thought is: “We did it.” Second thought: “What have we done?” Third: “I need a cigarette. Now.”
Standing on the terrace in the sunshine, a delicate Vogue super-slim clamped between my trembling fingers, I question whether I would have wanted us to buy this place were it not for the alfresco smoking I envisaged ahead. Okay, the new ceilings are as high as our old flat was long, the period details gorgeous, the key to the communal, seven-acre gardens a godsend, but after years of living on the fourth floor in Shoreditch, descending to pavement level or ascending to the roof every time I wanted a smoke, it was this beautiful, plant-dotted terrace in Brighton’s Kemp Town that had been the answer to my dreams.
I stub out my cigarette into a champagne bottle, one of three stuffed to overflowing with soggy butts, and go back inside, where I eat a handful of dried figs to cancel out the nicotine.
Work doesn’t come easy. Staring at the blank screen, I think about the injustice of it all. The bad planning. I’ve spent my whole smoking life saying I’ll give up at 35 or when I get pregnant, whichever comes first. And then this happens. Now. Before my birthday. When I still have six-and-a-half weeks of smoking pleasure to go.
Elvis gets home late. The sun has long since disappeared. I insist on a walk in the gardens anyway, steer him to a secluded spot. If he doesn’t act more excited than he did yesterday, when the Weber barbecue was delivered, I’ll cry.
“I’m going to have to ask you to change the cat litter for a while.”
“What?”
“I can’t change the cat litter any more.”
Nothing.
“I thought everyone knows that coming into contact with cat crap is dangerous for pregnant women. It can cause toxoplasmosis.” Whatever toxoplasmosis is.
Elvis passes the Weber test. He jumps up and down, hugs me, kisses me. I cry anyway.
“Come on, Pussycat,” he smiles, stroking my hair. “This is a big adventure. You said you wanted to start a family.”
“Yes, I know I said I wanted to start a family, but more than that I want to smoke.”
As we start towards home, a neighbour comes into view, out walking his dog. Afraid that Elvis is going to say something, make an announcement, I tell him we must keep quiet until the 12-week mark. I don’t know how I know this, or if it’s true, but I do know it’s too soon for announcements.
“I wanted to tell the guy in the shop where I buy my cigarettes. I almost did, too. Imagine it: ‘I’m sorry, I won’t be seeing you for nine months. I’m pregnant.’”
“You'd have said eight months and 15 days.”
By day two of knowing we’ve got a bun in the oven it’s become apparent that it’s not going to be a piece of cake to stop smoking “from the very second you find out you’re pregnant”, contrary to the repeated assurances I’d received from Elvis’s mum. I thought, having had three kids of her own, and a plenty-a-day habit, she was talking from a position of authority, but it seems she was just talking from a position of grandmother-in-waiting. While I’m smoking less, taking fewer drags and trying not to inhale, the craving’s as strong as ever. Stronger.
Online, an hour passes, two, and I don't find a single voice contradicting the cigarette packet warning that “smoking when pregnant harms your baby”. All the talk is of low birth weight, breathing lapses, cot death. A poor Apgar score, long-term mental and physical deficits, hyperactivity.
In Waterstones, I consult a stack of books, in vain. Not even Vicki Iovine, in her encouragingly titled The Best Friends’ Guide to Pregnancy, has a good word to say about sneaking the odd cheeky fag when the fear of impending motherhood becomes too much. Some best friend. What about the huge levels of stress faced by a pregnant woman on stopping? Isn’t that worse for the baby? Apparently not. How I long for the days when doctors prescribed cigarettes to combat everything from psoriasis to high blood pressure, when whatever was ailing you could be cured by a few nice puffs.
I meet my new GP for the first time. He tells me he won’t need to do a pregnancy test, having complete faith in the brand of home test I used. I’ve already passed the first hurdle of being a good mother by not going for the £1 test Asda had on offer. He checks my blood pressure, tells me it’s “good and low”, and then, almost as an afterthought:
“You have stopped smoking and drinking, haven’t you?”
“Yes,” I say, not wanting to spoil the good first impression as I wait for him to write me a referral to see Vanessa.
It’s only three days later, at the community mother and baby centre, that I confess.
“Are you here to see the midwife?” asks the receptionist.
“No, I’m here to see Vanessa,” I reply, still unable to believe that a midwife and I could have any possible business together. Midwife, it would seem, is not a word I have ever spoken aloud. It strikes me as a term that belongs in the 15th century, not the 21st, back when women rode side saddle and babies were born with boiling water on hand and straw underfoot.
On hearing that I’m smoking one, maybe two, cigaretes a day – though they are super-slims and therefore very skinny – Vanessa, the midwife, says she’ll refer me to Jo, the NHS smoking sessation counsellor. No slap on the wrist, no being cast out of the office, struck off the register; just a gentle reminder that it’s important to quit while expecting and that the success rate is much higher when smokers are offered help to stop.
Back home, I step onto the terrace and light up, sucking the smoke deep into my lungs. I am going to stop smoking. A sweet, white calm comes over me. Stopping is easy when you're holding a lit cigarette.
Less than 24 hours later, Jo calls. I’m scared. Isn’t the NHS overstretched? The speed is a clear sign that every second counts. We make an appointment. An hour after I get a call asking if I can cover for an editor who’s off sick, her magazine on deadline. I leave a message on Jo’s voicemail asking to reschedule. My phone beeps with a text from Jo offering a 2pm slot on Thursday. It’s only when I put it in my diary that I see it clashes with our dating scan at the hospital. I leave a voicemail telling Jo I’ll be free between 1pm and 3pm, Wednesday, or after 6pm, Thursday. She emails with an alternative. I let her know I can’t make it, hit “reply”. She rings again but I miss her call because I’m out on the terrace not inhaling a cigarette, wondering how I can enjoy the noxious cocktail of tobacco, tar and carbon monoxide now that I’m with child; whether it’s possible to harm one’s unborn baby through sheer guilt alone. I’m connected to Jo’s voicemail, hang up. This is ridiculous. Or maybe it’s all part of the programme. Smokers are forced to spend inordinate amounts of time dialling, texting and emailing in order that their fingers are kept too busy to take a cigarete out of the pack, light it and raise it to their poor, chapped, pregnant lips.
Deciding it will be easier to stop without help than to arrange a meeting with Jo, I hunt out my copy of the Allen Carr classic, Easy Way. It’s dog-eared, bought before the smoking ban came into force. When the ban came in, you recall, it was summer; there was always a perfectly good pavement to smoke on. And my 35th birthday was still some way off. Why rush things?
Something flutters out of the book, a list of my top reasons for wanting to quit. I half remember reading it to Elvis, trying to convince him I was serious about giving up. I was probably stoned at the time. I glance at the first point:
“I want to watch a film and get lost in the plot rather than lost plotting when I can reasonably next get up and go for a fag.”
Going for fags during films is no longer a problem. Pregnant, I fall asleep before anything is even a quarter of the way through.
“I want to stop worrying about having to stop at some point in the future, to face the worst and have it over with.”
Face the worst? This was obviously written before I’d given any thought to childbirth. The pain of quitting pales in comparison.
“I don’t want to have to work out how many cigarettes I need to stock up on every time I have a holiday or weekend away.”
With Vogues not being available just anywhere, planning has always been key. But in the unlikely event of any holiday or weekend-away plans with a baby, I’ll be so busy working out how many nappies, bottles and babysitters I need to pack, I won’t even have time to remember what tobacco tastes like…
And suddenly, as the smoke from my cigarette curls upwards, getting in my eyes and making me squint in that old, familiar way, the insidious architect of untold wrinkles in the future, I stop thinking of my long-nurtured addiction as a much-loved friend.
I see it for the enemy that it is.
The final point on my list: “I don’t want to stink of stale smoke.”
Why not baby vomit instead?
I stub out my cigarette.
My last cigarette.
Blame it on the hormones, blame in on the baby books, blame it on Kerry Katona. Charlotte Church was right. Pregnant, stopping isn’t as hard as it used to be.
Nor is staying stopped.
And even if, as the thought crosses my mind every morning, noon and night, I were to have put off stopping, postponed the difficult day for another month or two, well, I would only have reached the 35 mark and stopped anyway.
At least, this way, that’s what I can keep telling myself.
Standing on the terrace in the sunshine, a delicate Vogue super-slim clamped between my trembling fingers, I question whether I would have wanted us to buy this place were it not for the alfresco smoking I envisaged ahead. Okay, the new ceilings are as high as our old flat was long, the period details gorgeous, the key to the communal, seven-acre gardens a godsend, but after years of living on the fourth floor in Shoreditch, descending to pavement level or ascending to the roof every time I wanted a smoke, it was this beautiful, plant-dotted terrace in Brighton’s Kemp Town that had been the answer to my dreams.
I stub out my cigarette into a champagne bottle, one of three stuffed to overflowing with soggy butts, and go back inside, where I eat a handful of dried figs to cancel out the nicotine.
Work doesn’t come easy. Staring at the blank screen, I think about the injustice of it all. The bad planning. I’ve spent my whole smoking life saying I’ll give up at 35 or when I get pregnant, whichever comes first. And then this happens. Now. Before my birthday. When I still have six-and-a-half weeks of smoking pleasure to go.
Elvis gets home late. The sun has long since disappeared. I insist on a walk in the gardens anyway, steer him to a secluded spot. If he doesn’t act more excited than he did yesterday, when the Weber barbecue was delivered, I’ll cry.
“I’m going to have to ask you to change the cat litter for a while.”
“What?”
“I can’t change the cat litter any more.”
Nothing.
“I thought everyone knows that coming into contact with cat crap is dangerous for pregnant women. It can cause toxoplasmosis.” Whatever toxoplasmosis is.
Elvis passes the Weber test. He jumps up and down, hugs me, kisses me. I cry anyway.
“Come on, Pussycat,” he smiles, stroking my hair. “This is a big adventure. You said you wanted to start a family.”
“Yes, I know I said I wanted to start a family, but more than that I want to smoke.”
As we start towards home, a neighbour comes into view, out walking his dog. Afraid that Elvis is going to say something, make an announcement, I tell him we must keep quiet until the 12-week mark. I don’t know how I know this, or if it’s true, but I do know it’s too soon for announcements.
“I wanted to tell the guy in the shop where I buy my cigarettes. I almost did, too. Imagine it: ‘I’m sorry, I won’t be seeing you for nine months. I’m pregnant.’”
“You'd have said eight months and 15 days.”
By day two of knowing we’ve got a bun in the oven it’s become apparent that it’s not going to be a piece of cake to stop smoking “from the very second you find out you’re pregnant”, contrary to the repeated assurances I’d received from Elvis’s mum. I thought, having had three kids of her own, and a plenty-a-day habit, she was talking from a position of authority, but it seems she was just talking from a position of grandmother-in-waiting. While I’m smoking less, taking fewer drags and trying not to inhale, the craving’s as strong as ever. Stronger.
Online, an hour passes, two, and I don't find a single voice contradicting the cigarette packet warning that “smoking when pregnant harms your baby”. All the talk is of low birth weight, breathing lapses, cot death. A poor Apgar score, long-term mental and physical deficits, hyperactivity.
In Waterstones, I consult a stack of books, in vain. Not even Vicki Iovine, in her encouragingly titled The Best Friends’ Guide to Pregnancy, has a good word to say about sneaking the odd cheeky fag when the fear of impending motherhood becomes too much. Some best friend. What about the huge levels of stress faced by a pregnant woman on stopping? Isn’t that worse for the baby? Apparently not. How I long for the days when doctors prescribed cigarettes to combat everything from psoriasis to high blood pressure, when whatever was ailing you could be cured by a few nice puffs.
I meet my new GP for the first time. He tells me he won’t need to do a pregnancy test, having complete faith in the brand of home test I used. I’ve already passed the first hurdle of being a good mother by not going for the £1 test Asda had on offer. He checks my blood pressure, tells me it’s “good and low”, and then, almost as an afterthought:
“You have stopped smoking and drinking, haven’t you?”
“Yes,” I say, not wanting to spoil the good first impression as I wait for him to write me a referral to see Vanessa.
It’s only three days later, at the community mother and baby centre, that I confess.
“Are you here to see the midwife?” asks the receptionist.
“No, I’m here to see Vanessa,” I reply, still unable to believe that a midwife and I could have any possible business together. Midwife, it would seem, is not a word I have ever spoken aloud. It strikes me as a term that belongs in the 15th century, not the 21st, back when women rode side saddle and babies were born with boiling water on hand and straw underfoot.
On hearing that I’m smoking one, maybe two, cigaretes a day – though they are super-slims and therefore very skinny – Vanessa, the midwife, says she’ll refer me to Jo, the NHS smoking sessation counsellor. No slap on the wrist, no being cast out of the office, struck off the register; just a gentle reminder that it’s important to quit while expecting and that the success rate is much higher when smokers are offered help to stop.
Back home, I step onto the terrace and light up, sucking the smoke deep into my lungs. I am going to stop smoking. A sweet, white calm comes over me. Stopping is easy when you're holding a lit cigarette.
Less than 24 hours later, Jo calls. I’m scared. Isn’t the NHS overstretched? The speed is a clear sign that every second counts. We make an appointment. An hour after I get a call asking if I can cover for an editor who’s off sick, her magazine on deadline. I leave a message on Jo’s voicemail asking to reschedule. My phone beeps with a text from Jo offering a 2pm slot on Thursday. It’s only when I put it in my diary that I see it clashes with our dating scan at the hospital. I leave a voicemail telling Jo I’ll be free between 1pm and 3pm, Wednesday, or after 6pm, Thursday. She emails with an alternative. I let her know I can’t make it, hit “reply”. She rings again but I miss her call because I’m out on the terrace not inhaling a cigarette, wondering how I can enjoy the noxious cocktail of tobacco, tar and carbon monoxide now that I’m with child; whether it’s possible to harm one’s unborn baby through sheer guilt alone. I’m connected to Jo’s voicemail, hang up. This is ridiculous. Or maybe it’s all part of the programme. Smokers are forced to spend inordinate amounts of time dialling, texting and emailing in order that their fingers are kept too busy to take a cigarete out of the pack, light it and raise it to their poor, chapped, pregnant lips.
Deciding it will be easier to stop without help than to arrange a meeting with Jo, I hunt out my copy of the Allen Carr classic, Easy Way. It’s dog-eared, bought before the smoking ban came into force. When the ban came in, you recall, it was summer; there was always a perfectly good pavement to smoke on. And my 35th birthday was still some way off. Why rush things?
Something flutters out of the book, a list of my top reasons for wanting to quit. I half remember reading it to Elvis, trying to convince him I was serious about giving up. I was probably stoned at the time. I glance at the first point:
“I want to watch a film and get lost in the plot rather than lost plotting when I can reasonably next get up and go for a fag.”
Going for fags during films is no longer a problem. Pregnant, I fall asleep before anything is even a quarter of the way through.
“I want to stop worrying about having to stop at some point in the future, to face the worst and have it over with.”
Face the worst? This was obviously written before I’d given any thought to childbirth. The pain of quitting pales in comparison.
“I don’t want to have to work out how many cigarettes I need to stock up on every time I have a holiday or weekend away.”
With Vogues not being available just anywhere, planning has always been key. But in the unlikely event of any holiday or weekend-away plans with a baby, I’ll be so busy working out how many nappies, bottles and babysitters I need to pack, I won’t even have time to remember what tobacco tastes like…
And suddenly, as the smoke from my cigarette curls upwards, getting in my eyes and making me squint in that old, familiar way, the insidious architect of untold wrinkles in the future, I stop thinking of my long-nurtured addiction as a much-loved friend.
I see it for the enemy that it is.
The final point on my list: “I don’t want to stink of stale smoke.”
Why not baby vomit instead?
I stub out my cigarette.
My last cigarette.
Blame it on the hormones, blame in on the baby books, blame it on Kerry Katona. Charlotte Church was right. Pregnant, stopping isn’t as hard as it used to be.
Nor is staying stopped.
And even if, as the thought crosses my mind every morning, noon and night, I were to have put off stopping, postponed the difficult day for another month or two, well, I would only have reached the 35 mark and stopped anyway.
At least, this way, that’s what I can keep telling myself.
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