Ep. 324 – Christina Perri , 3 of 3: After – Informed Pregnancy Podcast

Ep. 324 – Christina Perri , 3 of 3: After – Informed Pregnancy Podcast

Elliot: Welcome to the Informed Pregnancy and Parenting Podcast. I’m your host, pregnancy-focused chiropractor, Dr. Elliot Berlin.

My returning guest today is a singer, songwriter, and mom. She has a thriving career and a growing family. Last time we talked, she was very pregnant and about to deliver. And we’re tuning in for the rest of the story. Christina Perri, welcome back to the podcast.

Christina: Hello, hello.

Elliot: I was just saying before we start recording, it’s amazing to see you.

Christina: I know! It’s great to see you, too.

Elliot: And we had quite the marathon of pre-birth episode on your own right. You’re just super entertaining to talk to. But then, there was all this in very intense journey that you’ve been on with one pregnancy that went great, and then when that ended in a first-trimester miscarriage, and then another one that ended in a late pregnancy loss. And just a big journey in so many different ways in terms of your own health and in terms of understanding, what potentially was causing the issues and also for your babies. And then, finding out about clotting disorders and that you have one and that a lot of people have them and don’t even know that they have them. And that’s one of the consequences is pregnancy loss.

You’ve been working hard, not just for yourself, but for others to get to the bottom of it, to try to help other people learn more about it, and to advocate for awareness and for testing. And it’s a huge kudos to you. A lot of people, I would probably, just get knocked down and never pick myself up and dust myself off and try again. You not only did that, but you’re constantly working to help other people along the way.

So, last time we talked to you, you were pregnant, and towards the end of your pregnancy. A lot has happened since for you. I’m pretty much the same as I was. So, first of all, I mean as the pregnancy got closer and closer to the end, one would wonder if that created anxiety for you.

Christina: Oh my gosh! You know, I don’t even know where to begin. I’m sitting here, we could definitely start with anxiety. It’s interesting I feel like I had my daughter a couple days after I talked to you, because I ended up going a bit early. So, I really last spoke with you at the plot twist, right at the top. And I was definitely anxious. And well let me say this, I definitely haven’t slept for eight weeks, okay. I think it’s so funny. I keep saying to Paul, my husband, “You know, if I committed a crime, I could get off with insanity. Because I’m not sleeping or like some form of Chinese torture to not sleep more than four hours at a time for 68 days, but who’s counting.”

Elliot: Yeah, I know.

Christina: No, I want to preface and say that because A, I might be scattered definitely more than last time. And B, I might forget what I’m saying. But anyway, I’m going to try to make sense. But I want to say I was at the height of my anxiety when I last spoke with you, and excitement you know. It was a mix of both because I just was excited to not be pregnant. And then, at the same time, I just really hoped that the baby was alive. And I think in hindsight now, I think it’s kind of funny because I said to everyone in my pregnancy, “My bar is so low. As long as the baby comes out alive, I’m going to be so chill. I’m going to be such a chilled new mom again.” And I, in fact, proved myself incredibly wrong. I was absolutely not chill. I’ll explain it all.

So, I want to say I wasn’t super anxious only because I was really communicative. You know, not just with the people in my inner circle, but with all my doctors. I felt really, really well seen and taken care of. And I just felt like we did the best we could during the whole pregnancy. We, as in the whole team. But definitely, me with just monitoring my anxiety and trying not to let it sort of win. And then, I will tell you at 37 weeks and four days, I took myself to Cedar-Sinai. First time, I pulled that card. So, basically, Dr. Kumetz said to me, my OB, “Any time you’re worried, come into the office. Anytime you’re worried about fetal movement, come in and we’ll monitor you.” And I was like, “I’m good. I’m good.” And to be fair, I was having extra fetal monitoring because of my history of stillborn. So, I was seeing a parentologist and my OB-GYN every two days.

So, I was very monitored and I just felt confident that the baby was alive up until October 20th. And for some reason, I just didn’t like the amount of times I felt her move that day. So, if you are a mom that has experienced any pregnancy loss after you know you feel the baby moving, you’re really counting every single time. You could say you’re not counting and that you’re chill, but you’re definitely more aware than your first pregnancy. So, to be honest, I was really keeping an eye constantly on how often I felt her moving. And it was the first time that I said, “You know what, Paul? I’m actually worried.” Now, I will say it could be because she was bigger. Her movements weren’t as dramatic, or she was just sleeping because she’s ready to go. There are things that like it could have been. But in that scenario, on that particular day after what I’ve been through, everyone said, “Just go. Just go to the hospital.”

So, it was 10 p.m. on October 21st, actually not 20th. And I went to Cedars-Sinai with Paul, and we didn’t bring everything. Because I was like, “Let’s just do the fetal monitoring. And then, go home and try to wait until Monday.” She was scheduled to be induced that upcoming Monday. So, I was only four days shy of my scheduled induction. And so, I was like, “Let’s just go and check out the baby, and then we’ll come home.” I also want to mention that for the first, I felt very brave at the hospital to ask for exactly what I wanted and needed. And I specifically ask the nurse to give me an ultrasound before she looks for the heartbeat. And I want to say that too for any other moms that have gone through this, or hopefully, you don’t but may go through this, I was very traumatized when Rosie died while they were looking for the heartbeat with the little monitor. You know, that they put on your —

Elliot: The little Doppler.

Christina: Yeah. And I said to Paul on the drive over, I was like, “Hey, I can’t survive that. I don’t think I can lay there and have them looking for her heartbeat and not find it.” So, Paul was sort of my knight in shining armor, really, the whole weekend. He was the one that said — because he’s better, he’s from Jersey. He’s better at being a little brass and whatever. And Paul, I call him “Paul, #2.” Because he’s a Gemini and his like number two personality will go, “No, don’t mess with my family.”

Elliot: I have three Gemini. So, this is great.

Christina: Oh gosh! You know, it is very real, that Paul #1 and Paul #2. But anyway, different podcast. So, he said, “Hey –” Well, we got there because you know they pulled out the thing right away. And he was like, “Hey, I’m sorry. We lost our last child and it’s really triggering to look for a heartbeat. Can you please bring in an ultrasound technician?” And they did. Like, within minutes. This guy came in and he immediately found her heartbeat. I could breathe.

Elliot: On an ultrasound?

Christina: On ultrasound. Then they hooked me up to the monitor and decided to do a whole non-stress test while I’m there. And while I’m there, they say, “Call your OB.” And then, a woman comes in who is a doula, like for the — I guess at Cedars; they have a doula who’s around that helps out.

Elliot: A midwife.

Christina: Midwife. So, she came in to talk to me. But Dr. Kumetz was like, “Look, you’re already there. This is your intuition. You felt something was off. You’re only four days away from induction. I recommend, let’s just do it.” And there’s a lot of things I struggle with when I think back and try to think of doing things differently. I’m not good at sometimes going back and thinking what could have been, or should have been, or would have been. I’m pretty guilty. I feel like everyone does that. And I do feel like — and this is just my trauma talking. I want to say I think I have a lot of trauma from what happened in the next five days. And I am going to do EMDR. I have yet to do it because I’ve just been in newborn land, but I think I’m traumatized. So, I still think I could have done it differently. But I feel like if I have this chat in six months, I might say I would never do it differently or I forgive myself for thinking I could do it differently. I’m going to get emotional.

It’s funny. I was kind of procrastinating talking to you because I was like, I really want to be put together. I want to be fine when I do my next episode. I want to be, “Oh, and here’s what was hard and here’s what I did to get through it.” Because I’m such an analytical person, and I wanted to talk to you, and I was so put together, and be like, “Here’s what I did to be better or to help myself.” And the truth is I’m still in it. I’m so in it. So, maybe it’s good that you’re going to get this really honest, raw version of me. And then, maybe we should do a part three, after the healing.

Elliot: First of all, a couple of thoughts through my mind. If you’re not ready, we don’t have to do it.

Christina: No. Please, I think it’s good. I actually think it’s better and more honest that I give this story in this place than the super healed version of me that I think will forget.

Elliot: I just want you to know it’s always you. Whatever you want is what we’ll do.

Christina: Thank you. I’m just like —

Elliot: And I will have you back in six months for next stage perspective, for the retrospective experience, yeah.

Christina: Okay, cool. I just want to say that because, honestly, this is my thing. I’m just honest all the time. And if I pretended I was fine, I wouldn’t be me.

Elliot: Wouldn’t be you.

Christina: Right. So, I think I had to forgive myself for choosing to induce when I did. And I think that I have to just let it go and I think I’ll eventually get there. We induced that night. The reason why I’m so disappointed too — because I have to say, I was disappointed in pretty much everything. I joke around now and say like, you know, because we had the worst experience with Rosie. Paul and I just thought we deserved to have a magical experience with Pixie. By the way, my daughter’s name is Pixie.

Elliot: So, beautiful.

Christina: The little pixie dust that we needed in our family, and oh, my God, there’s so much to her name. But, anyway, she is here and she is healthy and safe. And I am safe and healthy, and fine. I want to say that too. But the story is pretty traumatizing for me. My experience with it because I was so prepared. And maybe in my last episode, you can hear how I think, and how, of course, I was super prepared. I had everything lined up the way that I hoped it would go. And I had wiggle room for real life to happen, but I guess just not enough.

And what happened is, you know, I prepared for this birth. I was doing all this yoga, and doing all this meditating, and working with a doula who was so spiritual and feminine. And I just wanted this like super, feminine, goddess, strong, try not to do it with, you know, drugs. I wanted to just be present, wanted to meet my daughter in a way that was so different than my last experience. This was my intention, right? And I do think it is worth noting that women have this idea or ideal birth situation. And I’m sure with all the episodes you’ve done, I’m sure you’ve heard all of them. And most the time, it doesn’t go as planned. And I just feel a little silly for even thinking I could just plan it and have it be absolutely perfect. But I did certainly try.

And so, when I was at the hospital on October 20th, I called my doula and she was in Utah on a mountain at a retreat. She was standing naked under the moon and she was sending goddess vibes to me. And I was like, “Cool, cool, cool. But you’re not here.” And it was the only day she was like, “Just don’t have the baby on this day.” And I was like, “Yeah, of course. I’m not going to go early. We’re already inducing early.” Well, I did go early. And so, there I am at the hospital. And so, she’s not there and I’m like, “It’s fine. Paul’s here.” But, you know, I have to say, you know, it’s just a guy versus, I don’t know. You know, say that she’s like a fairy, you know, my doula. So, it was going to be — it’s a totally different thing. And so, I was like, “It’s okay. It’s okay.”

So, basically, they started inducing me. They gave me a balloon, which along with the balloon, they gave me Fentanyl. I mean, I’ve been sober 10 years and I’ve never had Fentanyl. I just want to say —

Elliot: Whoa. Well, can we back up a drop?

Christina: Yeah.

Elliot: Do you remember anything about your cervix check from before you started the induction?

Christina: I was two centimeters.

Elliot: Two? And soft, like a face?

Christina: I think so, yeah. Yeah, yeah.

Elliot: And do you know if the baby was kind of higher or lower in your pelvis?

Christina: I want to say lower.

Elliot: Okay. And there’s also you’ve had vaginal births.

Christina: Yeah, yeah. I had two twice before this. But I wasn’t induced like this before. This was my first experience this.

Elliot: I’m just saying seemingly a good candidate for induction. I have no idea where this is going to be. We’ve deliberately not talked. I know you’re holding on to a lot of emotions. I’m already getting a little weepy.

Christina: Oh, gosh.

Elliot: I wanted you to have a beautiful redeeming experience, too. And so, now I see, it’s not exactly like that.

Christina: No. But this is much important for me, to be honest. Because I feel like even in our Instagram-perfect world, I took the drugs. Do you know what I mean? I did immediately the thing I said I wasn’t going to do.

Elliot: So, I’m just thinking to myself, right. With Rosie, you had a fetal heartbeat in the morning.

Christina: Yeah. At 11:30 a.m., I was monitored, yeah.

Elliot: There was a complication in the Thrissur, right? A small hole that was too small.

Christina: No, it was a block in her intestines.

Elliot: So, a block that’s essentially like stuff can’t get through.

Christina: Yeah.

Elliot: And everything was good in the morning. And then, the afternoon or later that day, there was no heartbeat.

Christina: Yeah.

Elliot: Like, if you were concerned about the heartbeat even though it was there and it was good and it was four days early, I mean it just seems like you could look back and say, “Maybe we shouldn’t have done now that Pixie is here and healthy.”

Christina: You’re right. In that moment, there was no other choice.

Elliot: Yeah. And I don’t know where this is going to go. But I’m sad if you’re hard on yourself for that choice. Because you would have, in a flash, made the choice to induce with Rosie.

Christina: Yeah.

Elliot: Now that you know the outcome.

Christina: Yes, totally fair. Thank you. Thank you for saying that. I think because so many things went wrong. I think as a mom, I’d imagine maybe any mom would feel this way. I just keep going back in my brain, “Could we have done it different?’ And you are 1,000% right that there is no way we all wouldn’t have made that choice. Like the doctor, the midwife, Paul, me. You know, my body even. I was already dilated. It was definitely the right time. It’s just that because of what occurs in the next couple days in the story, it’s like, you know, was she ready. And the thing is, okay, what I think bothers me the most about inducing her early — and I did just talk to someone on Instagram about this who had a very public stillborn experience recently. And that’s only how we know each other because I reached out to her. And she was asking me a question and I said, “Look, you know, if I could do it differently, I think I wouldn’t have induced based on my history.”

Now, that’s maybe controversial because again, in the moment, we all would have chosen to take the baby out because it made the most sense. Because it was heightened. Everyone was a little bit worried. Even my whole pregnancy with Pixie, you know because of my history with Rosie, and even though yes in fact, I did have a stillborn at 34 weeks, and I do have a blood clotting disease, and I am on Lovenox and heparin, I didn’t have any complications with Pixie in reality. So, I sort of wish I got to carry her full term without the fear of what could happen. Now, again, you’re right. It’s easy to say now that she’s here. Because in the moment, you’re weighing your risk. So, it’s like, “Do I take the risk and see what she’s like at 40 weeks and potentially lose her before then? Or do we just take her out now?” And of course, we took her out now.

Elliot: It’s like Deal or No Deal. If you knew that the million dollars was in the case, you wouldn’t have settled for $36,000, right? But in that moment, nobody would have gone on. I understand the feelings of guilt, and remorse, and looking back and wanting to know, “Did I do the right thing?” But you did the right thing, 100%.

Christina: Well, thank you. Thank you for saying that. Honestly, I haven’t shared my story with anybody yet. So, I’m happy that it’s you because you’re making me feel better. And also, it is true. I really haven’t totally looked at it with a 2-month postpartum brain, you know. I’ve been sort of upset about it since it happened, but I’ve been traumatized. And then, I’ve been sleep deprived, you know. Now, I’m a little bit clear-headed than I was eight weeks ago. But I’m being totally honest. This is the thing that hurts the most is thinking maybe I did the wrong thing. But I’m glad I’m sharing it because, you know, either someone else feels this way or might feel this way. And I’m unbelievably grateful that she’s here and that she’s alive and she’s safe.

So, also in the moment, I have to say I couldn’t wait to get her out. Do you know what I mean? I wasn’t fighting them and being like, “No, I want to keep her in!” At that point, I was super uncomfortable. As you know, I had that pinch in the back of my SI joint. I was ready to be done being pregnant. And I thought —

Elliot: Was that why you went through the induction?

Christina: No. But I was definitely excited. I remember when we started inducing, I was like, “I’m so excited that she’s going to be here.” Because I do want her out rather than in if something’s wrong. I remember thinking that. But at the same time, I was not ready for what happened. And I don’t think anybody can be ready. And I’ll say this, I saw this really funny meme because I’m totally going to deflect with some humor. Because it’s pretty heavy, but —

Elliot: Great!

Christina: I saw a really funny meme online that was this guy — it’s a famous meme where it’s this guy with glasses and a flip phone, and he’s looking kind of upset. And the meme said, you know, it’s him on the phone with God. And he says, “Dear God. Hi! Can you not make me one of your strong soldiers in 2023? Thank you.” And I swear to you that resonates so deeply with me because I was already a part of the miscarriage club, and then I became a part of the stillborn club, and now I’m a part of the NICU mom club. And I honestly just want to stop joining clubs. I really just want to coast a little, and stop being so enlightened, and stop being given these experiences to grow, you know. I just want to chill for a second.

But I will say Pixie came out. I don’t know how much you want to get into the birth, it was kind of a blur. They gave me the Fentanyl, which by the way I hated. I was in the middle of talking to midwife, and I’m like did a lilla, lilla, lill. And then, I was like, “I am so sorry. I’m extremely high.” I don’t know what’s happening. It came on so fast. Some people call it like taking drugs at the hospital free lapse when you’re sober. Because it’s a free relapse, which is really not funny but it sort of is. And I know that they always say sober people are the only people that like surgeries because they get to go under, you know. But I didn’t like it. I really didn’t like the feeling.

Elliot: Was it a conscious choice? Because you had the other options, you know.

Christina: Yeah. I’m pretty sure I was like, “Sure. I’ll take the Fentanyl.” I was so disappointed and upset. Poor Paul, because he didn’t plan on being my support person. I mean, obviously, he planned on being in the room but we were like so ready to do this with Setha, and me, and him, and just this other vibe. And I kept crying because my ball —

Elliot: I see it behind you.

Christina: My birthing ball. I didn’t bring it because I thought the hospital would have one and they didn’t have a birthing ball.

Elliot: Since there’s COVID.

Christina: Yeah. And so, I just said gave up. I almost I want to say disassociated a little bit. And I will say this has to do with my trauma. So, I did birth Rosie and meet her. And as soon as we started the birthing process, I just couldn’t wait to get it over with. Like it was not something I wanted to enjoy. First of all, I didn’t even mention. So, we’ve got Paul, and in walks my nurse who happens to be a gorgeous man. And I was like, “I’m sorry. Hi. Are you here for me? Are you going to see my butt?” Like what? Literally looked like “Grey’s Anatomy.” Paul and I were laughing like, I mean if he ever heard this, he was so wonderful and lovely and a great nurse. But what? I wanted to have a feminine goddess.

Elliot: That’s the thing. Everything you described.

Christina: Supermodel man, and then, Paul. And I was just like, “Man!” I was like so sad! I was like, “What?” I just kept crying because it wasn’t what I wanted. And then, I was texting my mom group, okay. I think I mentioned before how paramount my mom friends are in our group chat. And they’re going, “Christina, you’re not upset about the birthing ball. You’re traumatized. You’re about to have a baby. You’re scared she’s not alive. This is not about the birthing ball.” And I’m like, “No, it’s about the birthing ball. I need my birthing ball.” Because I thought I was going to labor longer without the Epidural, or I thought I wasn’t going to take any drugs. And then, here I am on Fentanyl. I was kind of just like, “*** it!” Pardon my French.

Elliot: Oh, I speak French. I’m fluent.

Christina: Great! So, again, I just want to be the voice for the people that do exactly what they said they weren’t going to do. I mean, I just was like, “Yeah, sure. Okay, fine.” I just wanted it to be faster and over. And I will say, I did go fast. Within 11 hours, Pixie was here. And what happened, because she came down so fast. And because she came out so fast — because once I did the balloon, I was 5 centimeters, then they broke my water. I labored until 7 centimeters without an Epidural. But without a birthing ball, I was on the bed. I was just like, “Couldn’t do it.” They gave me an Epidural at 7 centimeters. I want to say within two hours, I was at 10. Like, it was fast. I mean this is my third birth, so I figured it was going to move kind of quick once the Pitocin kicked in, my body kicked in, you know, my own chemicals kicked in.

In [roles 00:23:40], in Dr. Kumetz, my doctor, and gorgeous guy. I think his name was Andre. Paul’s a stand-up comedian and he really wants to talk about it on stage, and I just refused to let him. But anyway, there we are. I’m 10 centimeters and I push. And then, I wanted to be squatting. I was on my back. I’m telling you, every single thing I wanted to do, I didn’t do or didn’t go my way, you know. I definitely wanted to get up and get on all fours, but I was like, you know, had the IV in my hand because my veins burst. I just want you to imagine just like a sitcom at this point. Everything that hopefully was going to go well, just didn’t.

Elliot: You couldn’t really script it.

Christina: Yeah, I know. And I was just going along with it just like I said. I didn’t disassociate in the most unhealthy way, I just sort of let go. Because I was like, “Ugh.” I couldn’t hold on. I certainly [unin 00:24:35]. I had two options, so I just went with it. And all of its bad vibes. I just didn’t like the vibe.

Elliot: So, is it both, you know? Is it like, “Hey, you’re giving birth now and last time this happened was really a tragedy.”

Christina: Yeah.

Elliot: And then, also more surface level, you had a vision on how you wanted this one to go.

Christina: A 100%. I think there is no way that I wasn’t the most traumatized — or no, I should say trauma response or triggered. Because I didn’t know I was being traumatized. A whole new trauma I was remembering, right? The body remembers. I was in that memory and in that triggered state of, “The last time I did, this my daughter was dead.” Yes. And the joy someone should feel when they take the baby out and give the baby to you. I didn’t feel it. I was terrified. I mean, I don’t think I was breathing. I don’t know when I breathed, honestly. And Paul was hysterical. And he was trying so hard not to be hysterical, by the way. He’s holding my leg and he’s in my face, and he’s crying. But he’s looking at me like, you know, “Push. Breath.” whatever. And I hardly remember it because you know I’m also terrified. And I just want it to be over. I just want it to be over. I just want it to be over. I think I pushed so freaking hard and fast because I just wanted it to be over. And she came out so fast that her body was still filled with fluid. So, she comes out covered in the goo. What’s that? Vernix?

Elliot: Yeah, the vernix.

Christina: They slapped her on my chest and she’s blue. I mean she was like really blue and white, and grunting. Grunt, grunt, grunt. So, those first seconds, right? I mean, obviously, she’s alive. She’s a girl. They put her on my chest. I’m sort of present for this. Paul’s hysterically crying. I’m not breathing, but she’s not breathing. So, they take her. So, I had her on my chest for maybe 45 seconds, maybe. Maybe less because she just wasn’t coming out. She went through the birth canal too fast.

Elliot: They take her out of the room or off your chest to the warmer?

Christina: Yeah. They take her to the warmer. Paul goes with her. I am staring at the warmer, right? The doctor is talking to me. I don’t know what she’s saying. I’m staring straight through her to the baby, to Paul, to the nurse because three other nurses came in the room at this point. An older lady was with the baby. The handsome guy was near me. And so, I’m staring through her that I’m looking. And Pixie is on the thing, and they’re watching her. They’re sucking, you know. They’re sucking with the bulb.

Elliot: Suction, yeah.

Christina: She’s breathing. She’s just grunting. Grunt, grunt, like crazy. I hear her grunting, grunting, grunting. So, they look at me and go, “Do you want to wait?” Because she might be okay. This is very normal for how fast she came out. She’s like, “You know, her lungs, whatever. She’s transitioning. Do you want to wait and see?” And I was just like, “No. Why would I want to wait?” Because then the NICU team came in. So, this must have been within five minutes, I’m not sure about time. But the NICU team came in and analyzed her, and said it’s up to me.

So, she must have just been on the borderline of she might work it out or she might not. And I was like, “Please take her. Please help her work it out.” I don’t know anyone who would have said, “No, let’s wait.”

Elliot: Not anyone in your shoes, for sure. Two things popped into my head. One is that I used to work in ambulances. I did volunteer ambulance. And I was in college, and there was a college kid, my age, who had called for abdominal pain and it was the craziest thing ever. So, I opened the door to his dorm room, and he was white as ghost, freezing cold. Kind of stuttering his last couple of words and went unconscious and we couldn’t save him.

But in the ambulance, on the way to the hospital, we’re trying desperately everything under the sun. And he had an artery eruption, and he bled out completely, and he had a disease that set him up for that. But I remember while we were working frantically to try to get IV started on him and give him a chance, the ambulance driver made a quick turn. It was in New York City. And I hit my head just over my eyebrow on the little shelf that comes down. And it was painful from the moment. I didn’t think twice about it. I never stopped working on this guy. And we got to the hospital and they tried for 20 minutes to bring them back and they just couldn’t.

I would say 10 years later maybe, I’m getting a massage and someone touches me on the eyebrow right there. And the second they touched that part of my eyebrow, the entire experience came back to me. The sounds, the smells, the emotions, all of it. And that was just my little eyebrow. I can’t imagine what’s stored up in your body. And when you have to do that whole thing again, I just can’t imagine, Christina, what that feels like on any level. Physically, emotionally. And again, I’m not a therapist. I’m not a trauma person. But just as a human being that you are just so strong and powerful for everything that you’ve done. Your kids are so, so lucky that you’re their mommy. That you’re so strong and powerful. And when you have a deck of cards in front of you, and you dealt a hand, you make the decisions you can with the cards in your hand.

Christina: Oh, thank you. Thank you, thank you.

Elliot: I don’t know what happens next, but let’s take a tiny little break so we can get some Kleenex.

Christina: Okay.

Elliot: So, we’ll be right back.

[break]

Elliot: Welcome back to the Informed Pregnancy Podcast. We’re talking to Christina Perri. Mama Christina.

So, you have this intense birth. And then, the baby’s gurgling in blue. And you have to make the choice. “Should we just keep her here and see what happens or send her off to the NICU?” So, you sent her off to the NICU. The other thing is I’ve been to birth many times with none of this history. When that happens, it’s a tough scary call. A lot of people, most people I would think, don’t want to be in that position, you know. But some people intuitively think that, “Hey! Put the baby on me. The love and the warmth of me versus an incubator or things like that.” And sometimes, it works great. It’s still a tense moment and scary even with no history.

Christina: Yes. And also, because I had only the experience with Carmella who was completely normal and healthy. And then, Rosie who is not alive. I definitely didn’t know the in-between, which is like a kid that needs a little help transitioning. So, I didn’t have that experience before. I didn’t know what that looked like. I didn’t know what it sounded like. I didn’t know anything at all. So, because I didn’t know, I just said, “Yes, please take her.” I don’t want to take any chances or I don’t know what is wrong, you know. And in my mind, I mean just from the conversation you had with me last time, you know I was very worried that Pixie was not going to be okay for multiple reasons. I thought, one, there’s my history of not just the blood clot, but the mold. And also, just any birth defects. I didn’t know. I didn’t know if I got pregnant too soon after my detox, and if I was ready. And there were so many variables that made me so scared when she came out and she wasn’t necessarily okay. And so, she goes away. I tell Paul, “Go with the baby.” Because he’s like, “Who do I take care of?” You know, we’re both pretty messy.

Elliot: So, it’s just you and the hot nurse?

Christina: Me and the hot nurse, yeah. Well, apparently my doctor was there for a little while and sewed me up because I had lots of stuff going on there, and I don’t remember. And then, she spoke with me, I don’t remember. And she leaves. And then also, the cute nurse leaves. And for 15 minutes, I was by myself.

Elliot: Like, literally, by yourself?

Christina: By myself.

Elliot: Oh, my goodness.

Christina: Yeah. I’m probably going to have to work through that in therapy, too. Because I remember not knowing what just happened. Here I am, “I’m not pregnant. I have no baby. No husband. No doctor. Like, where am I?” It was a very, very bizarre. Maybe it was five minutes, maybe it was ten. I don’t remember. But Andre, the beautiful man, comes in and realizes nobody’s in here with me. And he was sort of the hero of the day and ended up staying with me, and he kept checking on me every two minutes. He would leave two minutes, later come back. Pretended to do something, leave, come right back. I mean, I know he was not doing anything. I know he was just making sure that like —

Elliot: You’re okay. I mean, based on what I know about Andre, which is just what you told me in the past half hour, that’s how I would have written the script.

Christina: Yeah, yeah.

Elliot: He’s the hero who just comes in and, “Let me check the light bulb.”

Christina: Yeah, literally. So, “Where’d you go to school?” Like, literally was just trying to help me. And I was like, you know, probably malfunctioning and very visually. But at the same time, I got discharged and I got taken to a postpartum room. So, there was stuff we had to do. And then, he put me in a wheelchair and he wheels me to another floor and to my room, which is next to the NICU, which is then where I reunite with Paul. Paul’s been with Pixie, giving me updates. They put a tube down her throat and sucked everything out of her belly. Then they put an IV in her arm, and they did the whole shebang. I mean, so when Paul sent me a picture of her, she looked like they look in the NICU. Where she had the nose thing. She had a thing on her chin. She had all these monitors on her head, and her skin, and her arm. I mean, it was like I said, it’s a whole new club.

So, being all of a sudden a parent with a baby down the hall in a box, you know, that they’re working on and there’s no skin to skin, there’s no nursing, there’s no colostrum coming out, there’s no bonding that happens for the next four hours. They made me pee. They made me pump. They made me walk around. And then, they let me go to the NICU.

And I want to say, the next three days are a bit of a blur. But there was another angel in the whole story, and her name was Carol. Because here’s what I’m going to say, I don’t want to s*** on Cedar-Sinai’s, but I have to tell you — and I’m not even the person that sends food back when I don’t like it. It’s really hard for me to give a bad review, and I don’t know if it’s since the pandemic that they’re figuring things out and I don’t know if it’s because I was on a floor that wasn’t the postpartum floor. I was on the NICU floor in a room that was not a postpartum room. There are a lot of variables here. But I have to tell you that I was treated really badly. And I’m not even high maintenance or bougie when it comes to how I’m being treated. Obviously, I just had a kid. I’m really emotional. I don’t care about how big my room was, or how many nurses I had. I don’t care about that. I waited for 45 minutes to go to the bathroom. Nobody was helping me. I couldn’t get anybody to answer the phone. I couldn’t get escorted. There was a lot of things that felt really funny. And I just go immediately, I’m like, “Okay, Paul. We’ve got to get out of here. We need to talk to somebody. This doesn’t feel like the postpartum recovery I need for how emotional I am and for what we’re going through.”

So, they had a suite available. But I want to say I had to pay so much money to get in that suite only to be treated how I feel like everyone should be treated, if that makes sense.

Elliot: Yeah.

Christina: I even wrote to Cedar-Sinai and I told them my thoughts. I was very nice. I just said I just think everyone should have this level of care and not have to pay a giant amount of money for it. But I will say paying for the suite, I got a doula for the day. So, there was this woman named Carol who’s been there for 40 years. And man, did she hold me together. She knew that I was so scared. And she was like, I mean, she had 15 grandkids, and she had 10 children, and she just held me physically. She was helping me nurse. She was holding Pixie. She was helping with her cords. She didn’t leave my side. I mean, this woman didn’t leave my side for two days. And I just don’t think that that was actually her job. I think she was supposed to check on me and help me with nursing, as a lactation consultant or whatever. When I tell you she didn’t leave my side, like she took me to the bathroom. She held my hand. She was like — I can’t even thank this woman enough. She carried me through that whole week.

So, Paul and I were there. They kept Pixie. They got her stomach and breathing thing immediately resolved. But then, she had these two hematomas on her head that we’ve figured out her from the Pitocin and from her birth journey down the canal. And because of those hematomas, she was jaundiced. Now, I know every baby’s jaundiced, but she wouldn’t go down. Her levels wouldn’t go down because the blood vessels stayed put. So, in order for the jaundice to come out, the red blood cell count has to go down and it didn’t. So, they wouldn’t let her leave the NICU. Because now, and I will say in hindsight. When your baby goes to the NICU, the only great thing is they check for literally everything. So, you know that when the baby graduates the NICU, they’ve checked everything.

Elliot: [unin 38:31], yeah.

Christina: Yeah. Like, they can’t even sneeze. You know what I mean? They are going home with being monitored by a doctor every couple hours, and then a nurse every second, you know.

Elliot: Right.

Christina: So, that was the silver lining. And the only good thing about when we were discharged is we felt like Pixie was ready to come home. But they just kept finding things. So, it was at first, it’s her breathing and her grunting. And then, it was her hematomas on her head, and then it was her jaundice levels, and then they told us we could leave. And we told Carmella we were coming home with the baby, which by the way, just for a moment of joy, we got to FaceTime Carmella and show her little sister. Oh, she is so, so, so excited and so cute, and she just is obsessed with her.

And she said that she knew her name was Pixie all along. And what’s really funny is Carmella did look at me and wink at me when we were reading Peter Pan two weeks before the baby came. And we were reading this story of Peter Pan and it was a bedtime story and Wendy was saying you know, “We need to get to the pirates and bring the pixie dust.” And Carmella looked at me and winked. And I was like — And I said to Paul later, “Did you see that?” And he was like, “Yeah.” He was like, “What was that?’ And I was like, “I don’t know. Did we say the name, ever?” And he’s like, “No, we definitely didn’t.” So, Carmella is probably, you know, molecularly connected to this little girl so much. And she goes, “I knew it! I knew the name all along.”

And so, that moment was the joy that we needed. We’ve actually FaceTime Carmella every time. I did skin-to-skin every three hours. I was allowed to be with the baby and I’m not going to be with her the whole time. But every three hours, I was there feeding, changing her diaper, doing everything I could, and trying to sleep in between. Anyway, then they told us we could leave and then we couldn’t because of her jaundice levels. We finally got discharged. We brought her home. Carmella held her on the couch. It was like that, “Oh, my God!” That full circle thing, it was the best moment in my whole life. And you know, it’s kind of funny because it took three years to make Pixie. I kind of wanted I joked around about giving Pixie to Carmella and leaving. Say, “Here, I did it! I’m so tired. Here’s your sibling.” But truly, truly you know, I can’t even put into words the healing that occurred that day.

And I want to say that then the rest was fine, but the truth is it wasn’t. She was so jaundiced, she had to go on a bili bed in our house. And so, I couldn’t skin the skin or bond with her every minute. She had to be on the bili bed, that she wasn’t eating. But I tried my best. I had maybe three days that my milk was late. So, fortunately, it came in. I had the best lactation consultant ever. This woman named, Rosemary. Again, just an incredible human that found their way into my life and she walked me through getting Pixie off of the bottles from the NICU. And I think she was on formula for two or three days. And then, I was on to exclusively breastfeeding. So, proud of my body. I have been through so much with her because she really had a rough start to life. And now that I’m through it. And I feel like we were texting each week, there was something. It was like the jaundice week, and then there was she had a lip tie, and then we got that removed. And then, she had her tongue tie, and we got that released. And then, Carmella had RSV and was in a hotel.

Elliot: Oh, my goodness!

Christina: Quarantining for week five of her life. And then, she had just one thing after the other. So, much so, we were at the pediatrician 15 times already. She’s got more specialists than I do. She has her craniosacral therapist that she saw every single week of her life so far. She had a little bit of grunting issue. And I think they injured maybe her little flap when they were —

Elliot: Through the intubation.

Christina: Intubation, because she has this little popping that happens with her throat. I will tell you, bottom line — I do not want to sound like I’m complaining, it’s the last thing I want to sound like. I have a baby who’s alive. That was my only goal for 2023. I am so grateful she’s here. I am so grateful for the team of doctors, the NICU, my family, my husband’s family. I’ve flown my husband’s mom back and forth three times. I keep thinking we’re okay, and then I fly her back because we need more help. Everyone has shown up for me. Like, everyone in my whole life has gone out of their way to be there for me. And honestly, the whole year. I mean now that I’m through it, you know. I’m through this what I hope is on to the next chapter of my life. I hope that chapter ended and this one began. I really hope it’s new and it’s different. Like, the next five years, you know. It feels like the last five years were so hard and fruitful. I have two beautiful living daughters. But I am so torn apart and tired emotionally, you know. And now, I can heal. I think that’s the whole moral of the story, or the end of the bow on the present, or whatever. I think now, I can move on in the sense of move forward. And I guess there’s no “on.” I can move forward and I can be so grateful for my little family.

And now, I’m just dealing with fourth-trimester stuff. I’m cracking up. I’m exhausted. And I’m doing all the overnights. And Paul and I are trying to figure out her gas, and she’s colicky, and I’ve quit dairy and gluten and soy. These things feel very normal. I’m in it. I’m having you know challenges in regular new again mom. I’m hormonal, you know. I’m going through all the things. I don’t think I have postpartum depression right now. I feel okay. I feel like my head’s just sort of above water. But I know that it’s waves, and I know that I have to make it through all the waves and all the hormones as I regulate and I weigh as much as I did. Right before I had the baby, my body is not letting go of an ounce. It’s holding on for dear life while I’m breastfeeding. Some women just lose all this weight.

Elliot: Did that happen with Carmella, too?

Christina: Yeah. I kept all the weight until I stopped breastfeeding.

Elliot: So, I feel like it’s one or the other. Either they just suck everything out of you —

Christina: It’s genetic. I’m convinced. But you know, I didn’t bounce back. I don’t fit in any of my clothes yet.

Elliot: Oh, welcome to my world. I have a few more questions for you. We’re going to take a little break. But before we go to that break, when you set your head’s just above water, it reminded me of Jim Gaffigan. When he came out, I think it was his Mr. Universe. Especially when he came out and goes, “Oh, I just became a flower!” And everybody goes nuts, like huge applause. And he goes, for the fourth time, and then it’s dead silent.

Christina: Oh, my God.

Elliot: Yeah, not too much applause for the fourth baby. And he said, if you want to know what it’s like to have a fourth baby, just picture yourself drowning and someone hands you a baby. You know?

Christina: Yes! That is it!

Elliot: At least you’re just drowning.

Christina: Well, because also I have to say, you know, I thought I was going to be with a four almost five-year-old, going from one to two. Because everyone says the transition from one to two is the hardest. And I’m like, yeah. But Carmella is like 14. She’ll be fine. Oh, my God! The feelings in her are so big. And it’s funny because she’s obsessed with Pixie. But for a second at a time — because Pixie just sits there. And so, Carmella will come over and be like, “Hey, sissy!” And squeeze or chase, and then she’s like off and playing. And Pixie’s just like, “What happened? Who is that?” You know? And I know they’ll be friends soon. But right now, Carmella’s like, “Whatever.” She’s so upset with me and Paul, right? So, it was the transition with our time and spreading out our time. So, we have not had it easy with our toddler. And everyone goes through that.

And gosh, I just feel so lucky, too. Because, you know, when we lost Rosie, and I’m just watching all my friends have second, third kids, I was like I knew my family wasn’t done yet. I wanted still so badly to have this experience. So, I’m trying to remind myself of that when I’m not sleeping in the middle of the night, or when I’m frustrated, or when I feel I just want to go to Hawaii alone. I keep thinking, “Well, I’m just going to go on vacation real quick. I’ll be back in a couple weeks.” I keep feeling I need to get in the car and drive, or you know. I know these feelings I’ve had them before. And I will say I’m letting myself feel them, and I don’t feel guilty for feeling them. Because there’s this other brand new guilt that comes from like, “But your baby’s alive, and how could you complain about having a baby.” Well, it’s not so much complaining as it is sharing. But I’m letting myself have all the feelings.

I’m not saying I need to pretend. This is why I came on as messy as I am right now. This is why I wanted to document this with you, too. Because I refuse — sometimes, I want so badly to be the person on Instagram. With the perfect house, tidy rooms, and the organized cupboards, and the kid, and everybody’s smiling. And sometimes, we do look like that. And, you know, I have a really cute picture of Carmella and Pixie, both smiling. But all the moments in between are so messy. And the birth was so messy. And the postpartum was so messy. And I just felt like I deserved for it to be something different. And the truth is just that’s just not life. I don’t know. I said, I’m tired of being a strong soldier. I’m not going to lie. I’m handing in my gear or my fields and stuff. I’m fully, you know, I say that, of course, I won’t.

Elliot: You are such a strong soldier.

Christina: Thank you.

Elliot: And even the fact that you can sort of blend in a little bit of laughter with all the grief and all the guilt —

Christina: I found out, and I posted this the other day and so many people wrote to me just about this one phrase. Because I said that I learned that joy and grief hold hands. And I didn’t know that. I did not know that until I knew it. So, that has been this year, this whole year. This [unin 48:58] definitely the past five.

Elliot: Well, I mean this is going to be great for Paul. Because another similar thing is tragedy plus time equals comedy. So, it’s just a matter of how much time till his set gets really good.

Christina: Oh my God!

Elliot: Let’s take one more break. We’ll come back and wrap it up we’ll be right back.

[break]

Elliot: Welcome back to the Informed Pregnancy Podcast. So, now, we know the rest of the story. I mean, honestly, I think it’s a non-involved person. I can’t imagine anybody would make different choices than you made.

Christina: Thank you.

Elliot: And they’re so freaking hard to make. And it just shows so much strength you have to have been able to do it. And it’s human to go back in question and to think, “What if I had done this and not that?” And, you know, there’s even movies about that. What if I just took that door, not that door, you know? All of life would have been different. I’m grateful that you’re home with your family, with your husband, and your two girls. And that your neck is above water. Your head is above water, not underneath it. And I’m so grateful that you came to share while you’re still going through it. And it’s so, so hard but, you know, life is not Instagram. And if we don’t share and talk open and honestly about the struggles that we haven’t pretend like we’re doing great.

I think I put on my Facebook maybe two years ago, around this time of year is my New Year’s resolution, is to look like my Facebook profile. That guy is amazing. He’s first of all is 20 pounds lighter than I am, He is in the best relationship ever with his wife and family. I want to be like my Facebook guy. I guess now, he’s an Instagram guy. My Meta dude. Anyway, so you know, this is life. This is real life. And I can only pray and hope that you get the pendulum swinging even further the other way, not just being just above the surface, you know, with a living baby but having all the joys and peace that you deserve. So, here we are, how old is Pixie now?

Christina: She is two months old. Nine weeks.

Elliot: Okay. Nine weeks. And it sounds like you’re just getting a little breathing space.

Christina: Yes. I’m also just believing she’s here. I’ll tell you that much. I feel like I’ve been a bit in shock. I have been, you know, regular postpartum shock. Just remembering how crazy the fourth trimester is and feeling overwhelmed. And that causes a sense of survival mode, right? So, you’re in survival mode in the beginning. And I feel like that’s for everybody. But when you add in what I went through, and Paul, what Paul went through, we just kept waiting for her not to be okay. Especially because we came home from the NICU, and then because she had some health issues each week, I just kept waiting for someone to tell me she wasn’t okay and she was going to go away. And I had therapy for the first time this week. It was interesting. We talked about everything but the birth. Because that’s like we need our own session for that. But we talked about — we’re going backwards.

So, we started with where I am now and we’re going back. And that’s the first thing that my therapist said to me was like, “Can we just look at Pixie and believe that she is here. And she is so cute and she is obsessed with me.” Now, I remember Carmella. You know, loving me and bonding with me because we’re breastfeeding. And it’s just this beautiful thing but I don’t remember Carmella staring at me the way Pixie does. And when I hold Pixie, she also makes me hold her around her body, and then I also have to hold her finger, and she has to look up at me and make sure I’m there. So, we have this a little bit of extra bonding to do I think because of her experience, you know, going to the NICU first. And I wonder if other NICU moms have this experience where the bond might actually be a little deeper because we are doing extra to make up for it.

So, I also think, you know, it’s funny and it’s also exhausting that no one can soothe her as good as me. So, I get grandma trying, and Paul trying, and all the aunts trying, and all the friends trying. And then, the second she gets to me, she’s just quiet. She is just like my little buddy, and I am finally letting myself enjoy it. So, that sound, or I should say, because every week has been so different. So, the vibe of week nine really is this me, settling into believing that she is here and she is well, and in doing that, you know, I’m just madly in love with her and she is so in love with me. It’s insane! Everyone even says like, “I can’t get over how she looks at you.” She just is mommy’s girl. So, that is where we are at and she is healthy and safe.

Elliot: I love week nine.

Christina: Me, too. This is my favorite month.

Elliot: I mean, you know, it’s got to just get better and better and better. More of that less of what’s been happening up until now. And, you know, she’s probably going to get more sleep.

Christina: Yes. Yes, [unin 54:16] I’m reminding myself are temporary.

Elliot: And all the self-care, each piece will build you up know get to move around, and do some exercise. Try to find a decent chiropractor to visit, any of those things would be helpful for you.

So, I have a couple of questions. One is just recommendation-wise. If you’re my friend and you’re going through that, is there any right or wrong thing for you that would have felt right or wrong to say or to offer or to do? What did you need and want?

Christina: During which part?

Elliot: Like the post, the NICU, and then coming home. And even now, you said, mother-in-law’s coming back and forth because you need support. What kind of things could your friends do for you that would be helpful and supportive?

Christina: Great question. I feel like — so some things that people have done, my best friend came and just took Carmella out. So, it’s so interesting, I obviously care very much about the baby. But I care so much about Carmella’s emotions, and her transition, and not traumatizing her, or creating rifts in our relationship that we’re going to have to go back and work on. So, I’ve tried to make sure that Carmella is super loved and bonded, and having fun. I don’t want her to just be alone in her playroom. So, it meant so much to me to have people come over and play with Carmella, or swoop her up, put her in their car, and take her to Target or Starbucks, or any little adventure, meant the world to me, for my older baby. And then, for me. If anyone could just grab Pixie, so I could shower or eat or pee.

Elliot: You’re so demanding.

Christina: Yeah, I know. No, but this is what I remember of the fourth trimester with Carmella. It’s just the basic needs. I just want to do them first, and then, you know, I went and got a pedicure. Things like that will slowly trickle in now. And so, in the very beginning, what’s most helpful I think is food. People that cook for me, or brought food, or just fed me, and didn’t ask me what I wanted. That was a lot of Paul and his mom. And then, you know, I think a gentle congratulations. I love that language. So, many people said that to me when I got pregnant, even with Rosie because I had a miscarriage. And then, after we lost Rosie and then got pregnant with Pixie, a lot of people said a gentle congratulations to you and that means so much to me. Because it’s like I don’t want the big, crazy hoopla, you know. Especially because what we went through was hard in the NICU. It was very much about, “Hey, I love you. I see you. Are you okay? Do you need anything? What can I do?” And me going, “I’m okay. We’re okay. I need some more time,” a lot of that. Just a gentle check-in was the best thing.

Elliot: That’s really powerful. And something I think very tangible that is helpful for us, the people who could be there to support you, gentle congratulations. I think that should be a balloon. Yeah, a small one.

Christina: I need gentle congratulations, yes.

Elliot: I know you have to give back to your baby. And I just want to say again, how grateful I am, how inspired I am by you, how special you are, how lucky I am to have any kind of connection to have a relationship with you. And so is everybody around you. You’re just a super special person. I appreciate you.

Christina: I appreciate you, and thank you for this space. I feel like so much healing just happened in real-time in this conversation. Because it’s areas I haven’t yet kind of looked back on, and I will continue to do the work in therapy and trauma work to work through some of the stuff that might get stuck in my body. But honestly, the conversation we had right now definitely just worked out a lot of pain I think I’ve been holding on to and regret. So, I’m grateful to you.

Elliot: Yeah, me too. So, here’s what I have by way of follow-up. As I promised, I sought out a doctor who I respect a lot of. His name’s Dr. Nathan Fox and he’s an OB-GYN and a maternal-fetal medical specialist. And we have a very in-depth, but also broken down and easy-to-understand conversation about clotting disorders. What they are, the different types, how they kind of affect you, how they can be tested for, what the results might mean or not mean once you are diagnosed, and how treatment works.

And, for just as you saw the kind of clotting disorder that you have is treated extremely effectively with the protocol that you used very successfully. So, that’s Dr. Nate Fox on clotting disorders will come after our series of episodes here.

Then, I just interviewed a mom who is also super inspirational. She’s also a NICU mom. And she was in fashion and clothing, and she became a doula so that you know she could be there to help other people transition when it goes well, and also when it’s more complicated. And I think if you listen to that, you’re going to hear a lot of resonation for things that you went through that probably a lot of NICU parents go through. And then, I don’t know. So, six months down the road, we’ll check back in with you, perhaps together with my wife who’s a real therapist. And just kind of see how you healed and the not messy you. That the other, “Oh, not just the Paul #2. Christina #2!”

Christina: There you go!

Elliot: Instagram Christina, but it’s real.

Christina: The integrated Christina, that’s what it is.

Elliot: Integrated Cristina. I’m ready for that. Alright. And I can only assume, like I said, Paul’s comedy will get better, and he’ll have material, and your music will continue to be powerful and inspiring and moving. Just for my sake, tell me where we can find you online.

Christina: Sure. You can find me anywhere on Spotify, on Instagram @christinaperri. And I will say, I’ve already plugged my upcoming lullaby will be songs for Pixie. My third installment of my Lullaby series, and I’m working right now on the track list, which is adorable, and I’m going to make a Lullaby record just for her.

Elliot: Oh, I cannot wait. I cannot wait to hear that. I wonder if your other music will show up randomly on our Pandora for business several times a week. I get to have a little —

Christina: I love that. I tell people that’s me saying hi.

Elliot: I love it. Alright. I appreciate you. I’m going to go visit you online.

And for us, we have this whole new platform called Informed Pregnancy Plus. And anybody who wants to check it out, it’s @informedpregnancy.tv.

Ep. 323 – Christina Perri , 2 of 3: After – Informed Pregnancy Podcast

Ep. 323 – Christina Perri , 2 of 3: After – Informed Pregnancy Podcast

Elliot: Welcome to the Informed Pregnancy and Parenting Podcast. I’m your host, Dr. Elliot Berlin.

You have tuned into Part 2 of a two-part pre-birth episode. My guest today is Christina Perri, and we’re going to jump right in from New Year of 2020 when Christina had a beautiful husband, child, and was nine weeks pregnant at Disneyland and took an incredible picture of what was supposed to be amazing New Year. For none of us did it turn out like that and especially for you, what happens next?

Christina: Okay. So, I really enjoyed our trip, I have to say. We were there for a whole week. We were in Florida and 2020 came. And, as you know, the whole world thought it was going to be the best year ever. Everyone had really interesting, beautiful dreams about it. And I was pregnant, so I just thought this was going to be amazing. And we flew back to New Jersey. I want to say it was January 5th, and I went in for what would have been my 10-week checkup. But I went in at week 11. So, I must have been a smidge late for the appointment and there was no heartbeat.

So, I experienced my very first miscarriage. And the truth is this, there was a heartbeat at our 8-week checkout. So, I’m not sure at this point in time in my life what has happened. It was also so fast how I went from the doctor’s office where they told us that the baby had no heartbeat. They sent us right to the hospital for a DNC. That happened really fast. The OB said, “Do you want to do a testing on the embryo? I think it had stopped at 10 weeks.” So, they considered the little life an embryo, and they asked if I wanted to testing. And I was frazzled. And I remember being in shock and just saying, “No!”

Because here’s the thing, there’s something really beautiful about the advancement of how we talk about miscarriage now in 2022. But I’ve read so much about it now. The information is there now. The support groups are there now. But what I also know is that it’s one in four, and it’s so common. This is, you know, voices echoing in my head, “You’re not alone. You’re not alone. This is really common. This is really common. It’s not your fault. It’s not your fault. It’s not your fault.” So, I didn’t even think twice to do any testing. So, I said no.

And I don’t know if I regret that or not. I just wanted to point that out that it was offered to me and I said, “No, it’s fine.” Because I just thought this was just random. Like the randomness of it was the thing that carried me through. I’m not religious anymore. I don’t practice a certain faith. I have more of sort of a universal love kind of faith and a higher power in my sobriety. So, I didn’t lean on any faith to think it happens for a reason or not. That actually didn’t make me feel better. So, I just kind of went with, genetic abnormality. Completely random. Happens to one in four women. We’re going to move forward.” I was very sort of medical and scientific about it, if I’m being honest. That was the only thing that made me feel better.

People made me necklaces with a Capricorn color because this was January 10th of 2020. That would have been their zodiac sign. I kind of rejected all of that and was just, “No, it’s random. It wasn’t my fault. It happens.” I’m now part of the club, right? It’s a humongous club. No one wants to be part of it, right? But I did not feel alone.

And I will say this is where the social media meets my story in the most beautiful way. So, social media is weird. The internet is weird. People, strangers knowing everything about your life is totally weird. And then, when you go through something like what I went through, I just want to note that I decided to share about it right away. We had a picture with Mickey Mouse holding a little onesie that said “baby,” and Carmella being like this, and Mickey Mouse being like this. And we have an announcement photo that I was six days away from posting. And so, I said that in my post. I said, “I lost the baby at 11 weeks and we were a week away from sharing it with the world.” And I thought I absolutely should share this, right? This was my first time not sharing about something vulnerable because I’ve been doing that my whole career. But this was my first thing to really qualify me into this world of infertility. This was the first thing. Because before that, everything had been just normal with Carmella.

So, now, all of a sudden, I posted this and I’ve never received more comments, love, direct messages, people reached out. It was bigger than my career. I’m not even going to lie. I didn’t know that this community was bigger than the community of people that listen to my music. Or maybe they’re the same thing. Maybe we’re all just growing up together, you know what I mean? Like, the women and the people who like my music, truthfully, might be in their 30s, all making babies. I don’t know. There was something that felt so authentic, you know? It didn’t feel like people out of the woodwork. It felt like my family reaching out. People that had been, you know, following my story or whatever. So, anyway, that happens. We go home, and Carmella is about to turn two. She truthfully did not understand the concept that there was a baby in my belly. Even though Carmella is pretty brilliant. We cried and held her in our little foyer.

I remember it happening. Our nanny, Meredith was there, who’s a huge part of the story. And our parents came. My mom and dad, Paul’s mom and dad, my brother and my sister-in-law. Everyone came to just cook and hang out with us. Because I was recovering now from whatever the DNC was. You know, they knock you out. I literally knew nothing what just happened to my body. I was flushed, had a fever for three days, but we were loved and supported through the whole thing. Like, the most warm love and messages, and flowers. We had a zillion flowers in the house, and it was really intense. It was like for how common it is, it really did feel like a loss. You know, I’m not going to lie. This was my first one. And sure, I had no idea what was coming later in my life, but I allowed it to be incredibly painful. I went to therapy. And three weeks later, everyone said, “Go back to work.” So, I had a trip to Nashville planned, and everyone said, “Go!” Because writing is so healing anyway. And that’s all I do is, you know, tell the truth and whatever. And so, I figured I would write a song about it and get a tattoo, which I did.

So, what’s interesting is this tattoo is a rose. I knew that we wanted to name that baby Rosie. So, I got this rose tattoo and I wrote a song called “Roses in the Rain,” which is maybe my favorite song I’ve ever written. And it’s on my Lullaby album and it’s on my new album. So, there’s two versions of it, one where Chris Martin of a small band called “Coldplay” is singing with me on my Lullaby record, and that’s a whole other story for another day. And then, one where Carmella is singing in a bridge and the trumpet, it’s very pretty in the album version. So, there are two versions of that song that I’m really proud of. The truth is, because everyone thinks I wrote that for Rosie, who then later comes into the story at the end of 2020. But this song was actually written about my experience with miscarriage and the little baby that we lost in January of 2020, who we didn’t get to know.

The day everybody went back to work, I remember it was a Monday. And I thought, “Wow! This is so strange.” Like, I just have to move on with my life, and I felt blown open. And so, I remember sitting with these two brilliant songwriters in Nashville named Ian Fetchick and Daniel Toshin. That was the last day because I was like, I told him on the first day, I wanted to write about it but I wasn’t ready. And then, on the last day of our week trip, we wrote this song. And I think it says it all, about grief and loss, without saying it too on the nose. You know, it’s more poetic.

Elliot: Yeah. You know what? We’ve been through miscarriage ourself several times. And also, I’ve been on that journey with so many people. And it just especially when you were ready to have the baby, you were excited for the pregnancy, even though it’s common, even though it was in the first trimester when it’s common, was towards the end of the first trimester, which I think is even harder. But it’s always hard. It’s always a loss, and I’m just glad you got a chance to process that with a kind of a wall of warmth and love around you, and that you made a song once again that will help other people. So, let’s go into break with a little bit of that and we’ll be right back.

[“Roses in the Rain” playing]

“Maybe in a little while,

I’ll put some coffee on.

Can’t stop wondering where the spirits go

when they are gone.

Maybe it was tomorrow,

but it felt like today.

You and I were walking.

You and I walking.

You and I were walking

through the roses in the rain.

Elliot: Welcome back to the Informed Pregnancy Podcast. We’re talking to Christina Perri. I feel like I’ve been talking to you for like 1,000 years.

Christina: I was waiting.

Elliot: I had to. I had to. And now, that’s going to be in my head for like 1,000 years.

Christina: They’re going to know maybe that’s how long we’ve actually been friends. We don’t even know.

Elliot: It could be. It feels like it.

Christina: I know.

Elliot: I will tell you that much, it feels like it. January 2020 started badly for you with a very tough experience. And then, probably a couple months after that, I was in the ICU trying to stay alive. And then, I recovered, thankfully. And then, you, you continue.

Christina: Yeah. After Nashville, I come home. We immediately go into the pandemic. I think it was late, at the end of February. But I want to say that while I was in Nashville, this is now a month after the miscarriage, I grew a very large cyst on my ovary. I was in excruciating pain in Nashville. Actually, flew home early because they weren’t sure if they needed to operate because it was 6 centimeters. And, apparently, it was the cyst that grows when you get pregnant. I forget the name of it, has a Latin name. And it grows with every pregnancy. But when you lose the pregnancy, it’s supposed to then shrink, and mine didn’t. It did the opposite and it grew very big and it hurt. I flew home and I had to get monitored for this.

Now, I’m only bringing this up because this was one of the, I don’t know, I think red flags that I really missed. But here I am now in 2020 and it starts out with a miscarriage, thyroid medication, a cyst on my ovary. They put me on birth control just to get it down. So, I didn’t need surgery. It went down. I went off the birth control and I immediately get pregnant.

I think it’s important to note that sort of chain of events. And then, May this is now the lockdown. I mean, a lot of people got pregnant in the lockdown. And I thought to myself, truthfully, getting pregnant is so actually difficult. As you get older, you realize that. That if I’m pregnant, I must be okay. Like, if my body got pregnant, I must be okay. The miscarriage must have been a random thing. The cyst is resolved itself. The thyroid thing freaked me out, and I had then put on about 10 pounds with the pregnancy that would not come off.

Now, it doesn’t sound like a lot, but for me, I just like have always been a similar weight. And if I wanted to lose weight very quickly, for a photo shoot or video shoot or whatever, I could just do a juice cleanse. And I get that might have been in my 20s, and now, I’m in my 30s. People are telling me, “Oh, you’re older.” But I had a weird feeling about it. I just want to say there was something about the fact that I didn’t lose an ounce. I mean, literally, the 10 pounds I put on with that pregnancy, it didn’t move from not eating carbs and working out every day, nothing. Like, nothing moved it.

So, again, I just want to point out, I think red flags that I missed. But I get pregnant. So, I’m like, “Well, it doesn’t matter now. I’m going to gain its ton of weight. So, just keep it moving.” So, May, June, July. August, September, October, okay. Completely normal pregnancy. I’m not going to lie. Every appointment — now, it was the pandemic, and it was emotionally hard, and the world was going through a trauma, but I went to every doctor’s appointment. This is my same doctor, by the way, who delivered Carmella, who did the DNC, who now is walking me through this pregnancy. This is now my third pregnancy. And everything’s normal, completely normal. Every doctor’s appointment, my blood work. I’m taking the thyroid medication. So, that my thyroid is normal. Everything is just normal. And, so normal that I’m working. I flew in my producers. She came to stay in our house in Montclair. And I will say at this point, I have now not left the house in Montclair for 168 days.

Elliot: Oh, wow.

Christina: Because of the lockdown. But we turn our house into like a preschool with a slide, and a paint wall, and Carmella is thriving. I feel like any two — now, she was 2 years old. Any 2-year-old was thrilled that their parents were home. So, Paul and I are trying to make it through our marriage, you know, it’s a different story. We’re just a little bit together, too much. But we tried to make it fun, you know? And honestly, I feel very grateful. We were healthy. We didn’t get COVID at that time. So, I know that experience was so different from so many people who lost so many people they loved. But we stayed in our little bubble because I was pregnant. We didn’t go anywhere. And that was maybe a terrible idea.

I flew my producer to New Jersey. I flew my engineer. Paul’s sister came to stay with us. We made a whole album. It was phenomenal. We had the best time. This is October of 2020. We’re in a studio in Montclair, New Jersey. Four girls making an album. It ended up being exactly what my third album is, which I love very much. So, I don’t want to take away from the joy of that. But I have to say I was pregnant. I was seven months pregnant and I had Carmella there at the studio and all these incredible women. And it really was a lovely reprieve from a really hard year, right? We thought January of 2020 was the hardest thing we were going to go through that year. Then the pandemic happened. We thought that was the hardest thing we’d go through that year. And we looked at making this album as a beautiful experience. And I go to my doctor’s appointment for my 30-week checkup.

Now, at this point, I have a high-risk doctor and my OB-GYN, because I’m considered high-risk from having not just the miscarriage actually, but the thyroid medication. It qualified me for extra scans, which I thought, “Well, that’s cool. Who doesn’t love an extra peace of mind?” So, I would go to this special doctor once a month for fetal monitoring, the anatomy scan, all that stuff. But you just get a little bit extra is what happens when you’re, you know, older and whatever.

So, I go in for my normal scan. We just finished the album. This is now November 10th of 2020. And I’m 30 weeks pregnant, and they find that the baby has a Thrissur of the gut. There’s a blockage. And they send me immediately to the hospital. So, this is trauma number one in the course of this week because Carmella wasn’t alerted to why we didn’t come home. We were at the hospital for three days. She was so traumatized from that. I remember almost worse than what happens later because we are so communicative with her. And then, all of a sudden we just weren’t there.

Elliot: Disappear.

Christina: So, that was really jarring for her. But we were really shocked. We didn’t know what was happening. And they told me I might spend the next six weeks in the hospital waiting for baby or she might come, which might be safer, or I might go home. It was very unclear. And that’s so unhelpful, you know? But at the time, it was just no one knew what was going to happen next. So, I’m in the hospital. Now, I’m seen by the specialists, the head of Lenox Hill Hospital. I’m seen by two other fetal specialists. One of them from Westchester came down, a fetal MRI specialist. We meet with the NICU. We meet with a surgeon. She said, “I’ve done 1,000 of these surgeries. Your baby’s going to be fine.” We then researched everything you could possibly research about atresia. There are five types of atresia. I knew about all five, what the outcomes would be, what would happen if she had 1, 2, 3, 4 or 5, how long we’d be in the NICU, roughly. We had ideas. I shared about it online. Thousands of moms reached out to me. “My kid had this. My kid had this.”

We were shocked, but we were like, “Okay.” Just constantly being given hope. It was not doom and gloom. It was, “Hey, this is a complication. We’re going to get through it.” And in my mind, I was, “Okay, but why is there an extra hole in her heart? And why is there fluid under her scalp?” There were other things also. I remember very clearly. But everyone was like, “We’re just going to get through this, and we’re going to weigh the risk. And your kind of going to come for fetal monitoring every two days.” And this is November 10th. She lived for 14 more days. Well, she died on November 23rd at night in utero. I went for fetal monitoring that morning. We broke every rule they have, every protocol they have. Because, apparently, you’re supposed to be good for about 24 hours unless something happens for 36 hours. So, her fetal monitoring was absolutely fine on that Monday morning.

Elliot: Just to clarify that point. When you see that everything looks good on that non-stress test. You know, it’s supposed to be some sort of near guarantee that everything’s going to be okay. And then, you do it again a couple of days later to buy yourself two more days.

Christina: Yeah, exactly. And we were driving in from New Jersey to Manhattan every two days and doing this. And we weren’t told that her dying was an option. I’m not going to lie. We were told that we would take her out at any moment if there was a hiccup. We were told, “She looks great. You look great. Just hang tight. Everybody’s okay.” You know what I mean? We were really told some helpful things. And the medicine science was there. It was like her fluid was great, her heart rate was great, her movement was great. And we went home. This was now between week 33 and 34 for me. We went home, and this appointment was 11:00 a.m. And I noticed she had stopped moving around 11:00 p.m. So, I’m not sure at what point she passed away, but I knew it, and my OB knew it in my voice. I said, “Oh, you know, I’m worried.” And she’s not moving. I’ve tried apple juice and, you know, every, every single pregnant mother’s fear, every single one. We all have the same fear at that point, you know.

So, we get in the car. We drive to Lenox Hill. I didn’t expect to see my OB. So, that made me nervous because she just showed up. They put me on the machine and it was, just honestly — I’m really sorry, this is going to make me emotional. It was like a bad movie where I’m looking at the ceiling because I can’t look at the nurse. Like, I remember her face. She couldn’t look at me. My OB had left the room for a minute. Paul was parking the car, and it’s just me and the nurse, and she’s looking for a heartbeat and there just wasn’t one there.

I’ll never forget that. It was like a time-lapse video then. Where the OB comes in, Paul comes in, everyone’s crying and or upset, or I’m so shocked, they can’t believe it. I’m just staring at the ceiling like I just was disassociated, I think is the word. I just couldn’t handle that. And I kind of come back into my body as what I know you know in psychology because I just really left basically because it was so hard. I’d later dealt with that in MDR, by the way, that exact moment. I come back in my body and I just say, you know, “How is she going to come out?” And, I remember my OB looking at me like, not like it was an odd question in that moment. Nothing is odd, you know? But I was just like such a “What are we going to do about this now” is so…

Elliot: Practical.

Christina: Yeah, practical. And Paul’s crying. And Dr. Manos is crying because she’s been working with us now for four years. Like, there was no, “No one saw it coming, but we did. But we didn’t.” It was very sad, you know? And we’ll say the next three days at Lenox Hill were beautiful for how sad they were. The nurses, unbelievable there. The people are unbelievable there. I’ll never forget the care that we had.

I don’t think it’s because of who I am, I think that that’s wonderful for anybody who goes through, you know, they put a picture on your door so that everyone knows when they come in — sorry. And we got through it. There’s a million things I can say about that experience. I was very present for it, but at the same time, I’m a human. I mean, they gave me like Ativan, just because this was the only time we laughed for three days, I’ll tell you. You know, at this point, I’m sober nine years. And Paul and I are in the hospital, and this is the worst experience I’ve ever had in our whole lives. And they give me an Ativan, they give me an epidural, they give me all these drugs because they don’t want me to feel anything.

And, apparently, I turned to Paul, just was like, “This narcotic or whatever they gave me was so good. Do you want one?” He just starts laughing. All the nurses start laughing, the doctors laughing. Like it was one of those moments — Paul’s like, “No, Christina. This is not a nightclub.” Like, you know, “I don’t think I can have one,” you know? And everyone was just laughing and I remember that so vividly because it was so sad. It was just the saddest thing of all time.

We chose to meet her. I also want to say people have a choice in that scenario to just go under, to have a C-section. I mean, Dr. Manos said she’d do anything. And I wanted so badly to not go through that, not give birth. And I’m so glad I did. I just want to say that because, obviously, I wish no one would ever have this experience ever. But if they do, I’m so glad I chose to give birth, hold her, meet her, and say goodbye. Because the other version of that would have been just to, you know. I don’t think now, I would have been glad about that choice because there’s something about meeting her, holding her, and having that, that was important, I think for us. And me and Paul are glad that we did that. And we have her little box.

They give you a box with the blanket that they put them in. And they have her little footprints. It’s a thing. And I’m proud of myself for getting through that with Paul. And we were there for two days. And I’m not going to lie, the one thing I thought about constantly was what we were going to tell Carmella. Because this is just so hard to do pregnant. Normally, I’m telling this story and I’m very composed, but I’m so pregnant. I just like, anyway. It’s just real. Telling Carmella was — oh, we thought about. Because we had the nursery, at this point, she’s almost 3. But she’s like 3 going on 10. She very much was aware at this point. And we’re in the hospital and I promised her the next time we’d go to the hospital and not come home, we would bring home the baby because we had had that experience 10 days before that. And she was scared to let us go to the doctor because she’s like, “Are you coming home this time?” Like, she had a little trauma.

Anyways, I’ll tell you this. I reached out to that community like never before. I follow six toddler specialists. Dr. Becky Kennedy, who’s the biggest rock star of all toddlers. “Big Little Feelings” is another one. They’re very popular and two beautiful women run that and carried us through that. And also Janet Lansbury, who wrote “No Bad Kids,” who’s like, literally, the rock star of just parenting in general, in my opinion. And I reached out to her because she kind of said, “If you ever need anything…” And this was like THE time to, you know, reach out to her. And Paul and I asked for a script. We were like, “What do we do? What do we say? This child, Carmella’s so smart. How do we do this?” And we practiced for a whole day what we would say, how we would say it. And we had, at this point, our families had shown up in our house. My mom says that her and Paul’s mom were too devastated to get Carmella from her nap. So, the reason why I love Meredith so much is because she was so tough and strong for all of us. She was amazing. And so, she was really helpful with being — She said she would go home from work each night and just sob in her mom’s arms. But she was so strong for us. And so, we told Meredith, you know, “We’re coming home.”

Meredith put her in her room, and our parents just waited downstairs. And so, I said, “We need to go straight to Carmella’s room. We need to get this over with. And then, we’ll see you. Because if we see you, we’re going to just lose it,” you know? So, we had this whole plan. It was so orchestrated. And I cared so, so much about Carmella. And we walk in, Carmella’s in her room. She’s playing and it’s joyful. She’s happy to see us. We’re hugging, you know, whatever. I don’t know how Paul and I kept it together, but we did and we said, “Carmella, we have to tell you something.” She’s only 2 and 3/4. And so, she’s playing like, “Okay, what is it?” And we said exactly what the doctor said, and the toddler specialist, and the social workers, and everyone we asked said, “Tell the truth.” And we were like, “Oh my God! How do you tell the truth to a 2-year-old?”

So, we said exactly what they told us to say, which was, “Carmella, you are healthy and your body works and you’re safe. Mommy and Daddy, our bodies work, we’re healthy and we are safe. And your baby sister was born and her body didn’t work and she died.” And that’s all we said. And I remember I said it’s so calm and so collected and not unemotional, but just really, really soft and gentle and not crying. She looks up and she processes it for a second. And we’re not breathing at this point, you know? I mean, literally, this is what she said. Her little brain just goes, “Don’t worry, mom and dad. You guys will have another baby, and their body will work.” And we just lost it. I’m not going to lie. We just held her and we cried, and she cried. We said, “Thank you.”

Here we are, thanking our child who comforted us. I said, “And Carmella, you’re going to see us all cry this week. We’re all going to cry. Mommy’s going to cry. Daddy’s going to cry. Momma’s going to cry and Popop. Grandma. Grandpa. We’re all very sad and we’re just going to get through together.” And she said, “Okay.” And she just help us, and I still — especially because I’m pregnant right now. Oh, my God, it’s crazy and just want a full circle, but that is what happened.

That is the story of November 24th, 2020. So, we named her Rosie, by the way. She was a girl. We walked through that, hand in hand. Together with me and Paul, and Carmella, and our families, and the whole world. I don’t think I’ve ever seen anyone more sad for us. Literally, I have very vivid memory because after we got back from the hospital, I didn’t take any medication. I was fully sober. I read all the messages and we had a florist. Our house was just — at one point, I put all the flowers in one room because I just was like, “This is just too much.” Like, I can’t handle the smell and the whole experience was, it was just surreal. I was pregnant for eight months, and then I just wasn’t. I just wasn’t pregnant. I just come home. And then, I go into the fourth trimester. My milk comes in. We have this beautiful soul that we’re taking care of. And so, she carried us through. I’m not going to lie. Those next months are weeks before we ended up moving to LA on January 1st.

So, from November 24th, we got through Christmas somehow. I don’t even remember, but everyone we’ve ever known. I mean, I’m talking to my kindergarten teacher, like literally, everyone I’ve ever known in my whole entire life reached out to us, sent us food, sent us flowers. It’s so touching. I’m crying because I’m so emotional, so intense to talk about, but I’m also so filled with gratitude. Now, here I am, almost two years out of it, that was an incredibly loving time in our life. As odd as that sounds, we were heartbroken, but we were carried through the whole thing by everyone. Not just our family, our town, our community, strangers we don’t even know. People were praying for us. People are still praying for us. Like, my mom, she’s a hairdresser. She cuts nun’s hairs. I think every nun in America was, you know, still have us on their prayer list. And it really was such an incredible healing after that experience because we allowed ourselves to be loved, supported, and taken care of.

And Carmella was the star of our lives at that point. Like our little north star that kept us together, you know. I just can’t imagine — I ache so deeply for families that go through that without having a little Carmella, do you know what I mean? Because I think we would have fallen apart, you know. Obviously, because we’re human and I can’t believe I didn’t get loathed. I’m not going to lie, you know. So, many people thought I would lose my sobriety. And also, I don’t think one person would have judged me if I decided to kind of shut it off, you know, or check out. Again, I think this really has to do with so much of my work. All of a sudden, I had so many tools, you know. That I was like, “Oh, wow! The deeper I feel this, the quicker it’ll pass.” I can’t escape this feeling or this experience. I can’t delete it. I have to feel it. I have to go through it. And then, I started to understand grief in a new way.

And then, I was like, “Oh my gosh! Grief is like a house.” It’s not an experience. It doesn’t come and go. You just go from different rooms. There’s the two weeks after Rosie died, we were in a room. And then, I kind of woke up and felt different and I was in a new room. I was like, “Hey, let’s go to Rockefeller and see the Christmas tree.” And that was a new room at the grief house. This is how I described it to people. Like, I felt like it was so wild how it blew me over. And how, truthfully, I’ll never be the same. Like, I will never be the same person. Paul will never be the same person. Even Carmella, who now is 4 1/2. She talks about death beautifully. And again, I don’t wish this experience on literally anyone, but we just felt it so deeply that we leaned into it so deeply that we learned from it. If that makes sense. Like so many people are were just taught to be so afraid of death and we have such weird language around it. And everyone looked at me like I was the Grim Reaper. I’m not even going to lie. I’d walk in the room and people would just didn’t know what, people would freeze because you have people who die. Like your parents or some tragic accident. But babies are just — the worst version. And some people can’t even look you in the eye.

Elliot: I can. And you know, there’s nothing to say.

Christina: Right? But that’s okay. I think nothing to say is better than sometimes saying other things. I’m not going to lie. Like the people that said, “I don’t know what to say,” and “I love you,” and “That’s the worst thing I ever heard of,” or whatever, “What can I do?” I learned so much. I feel like I could write a whole book about grief and what to say and what not to say. All of a sudden, I was like trying to comfort everyone else because everyone was looking at me. Again, like the Grim Reaper. Was the odd couple months where I just sort of laid low, because I was like, here I am, I’m walking in the room and I am bringing the worst, I don’t want to say vibe. But the grief just goes with you. So, I was the grief house, right? To walk in the room and I would just try to kind of level the feelings. It would just be so intense. So, we really just were forced to bond and stay home.

And again, it was a pandemic, and I don’t even know what happened. I know so many people will have terrible experiences in 2020. But my life was so blown open, and so crushed, and so fragmented, and so broken. And then, we moved to LA. And I honestly almost want to say, this is another episode of your show because the healing from this is its own amazing and fascinating I think experience. Because the day we landed in LA, January 1st of 2021, we moved to seek refuge from the pain, from the winter. I mean, if you imagine just like this little cocoon of ours in New Jersey, in this house with our families. And we love our families. We love being near them. But we just need the sunshine. I need the best holistic doctors there are. I needed my OB-GYN, Dr. Mary Kerr, who was a brilliant human I knew would help me get to the bottom of it.

I woke up in a brand new room in the grief house at the end of December and said, “I’m going to get to the bottom of this.” Everyone said that nothing was abnormal. We tested Rosie, her autopsy, my blood work, Paul’s blood work, my placenta. Everything came back normal. And I said, “I don’t believe any of this.” And I’m going to start an investigation and it’s going to help me heal. So, we moved to LA and I begin my own very secret, little —

Elliot: Investigation.

Christina: Investigation, yes, onto what happened.

Elliot: Okay. Again, just how powerful and courageous you are for having shared that. And I’m so sorry that you, and Paul, and Carmella experienced that and there aren’t words to say. But I do have this idea which is that after you have this baby. Maybe we’ll come back and do another double episode and have a longer chat about grief and healing from it at that time. Let’s take a break and find out what Erin Brockovich came up with when we come back.

[break]

Elliot: Welcome back. We are talking to Christina Perri. Okay, so Erin Brockovich. Your kind of had signs that something was up already. I don’t know, you sound hard on yourself about that. Because I think, I don’t know, how many people do you know maybe they don’t tell you that who have a thyroid that’s a little hyper or a little hypo, and don’t really give it too much thought, you know? Other than maybe I need to get more sunlight, more vitamin D, who knows. And a miscarriage in the first trimester, awful to go through. But, again, your part of a very large group of people who have that. I was a medic in New York City for a while. I’ve been working in healthcare for a long time. I don’t know that I’d put those together you know in [unin 02:54]. In retrospect, it’s a lot easier to see.

Christina: Yes. Well, I appreciate you saying that. Honestly, I am hard on myself. Because I wish more than anything I caught maybe a more obvious clue. So, I guess I’m saying health issues started to occur that I didn’t have before. And yes, honestly, they’re all pretty impossible to put together and solve until we solved it and I went, “Oh gosh! You know, they were there.” So, I do want to say you’re right, I am being hard on myself. I don’t think it was possible in the time and space that I was in to have noticed these things. And I truly, really only see most of them now in hindsight. So, I just being a perfectionist, and like someone who somewhat prides myself on health and being in the know of things, I just kind of wish I noticed things just selfishly because of what we went through. I wish I could have like, you know. I feel like, any mom would think this, I wish I could have saved my family from going through what we went through by noticing something. But really, truthfully, you are correct I don’t think that they all line up together and make sense until you start dissecting things and doing all the testing that I then started to do.

So, I’ll go into what happened. So, we moved back to LA on January 1st, 2021, and I truly was in a place where I was like, “Okay. Now, I’m ready to heal.” And I will say I have to credit my sobriety in the sense that I’ve always sort of been into the solution. I’ve learned that early on in AA that like you just have to go into the fire, into the flame, and ask the questions, be your own advocate. All those things were kind of instilled in me as an Italian girl from Philly, you know. I’m also very tough and I don’t take no for an answer, and it’s almost every quality. I’m a Leo. Every quality I ever had in my personality and in my spirit came together to help me get through this. And, truthfully, I also asked an enormous amount of help. So, I think that’s a big theme here, is that I constantly asked questions and asked for help. And I really put together a team of people, mostly women, around me to help me figure it out, but also get through it. So, in so many ways, and I’m sure you know with a wife who is a therapist, there were so many layers to this where I couldn’t necessarily skip over anything. So, if I was going to investigate medically what was going on with me, I definitely needed to do the emotional work too. Because all of it felt quite heavy.

And when I got to LA, I immediately felt, truthfully, the sunshine helped. Like, I just felt better. I was breathing easier. Physically, I mean. Whether I knew it or not, literally, I was breathing easier. It was just like a new chapter and I was like, “Okay. Obviously, I can’t delete what just happened. I’m going to move it forward. It’s been eight weeks since it happened, but I’m going to sit outside in the sun with Carmella, with Paul.” We have a pool here. We bought a house in the middle of the pandemic without knowing at all that it would be our house that we would move to. And we furnished it thinking we would put it up for Airbnb, and like how magical that this became like our refuge. It was just like a furnished house waiting for us. It felt very meant to be. So, we came here. We brought Meredith, our Nanny, our super nanny, my Mary Poppins. We bring her, and the very first thing I did was EMDR. Because I thought to myself — well, first of all, I almost got tricked into it.

My therapist came over her name is Bernie and she’s been my therapist at this point for about 10 years. Very sweet, very warm, very connected, amazing human being, knows me and my core. She comes over and she says, “Why doesn’t Meredith take Carmella for a walk so we have the house to ourselves.” And this is still a huge COVID spike in L.A. If you remember, January 2021. We actually never even went in the airport. We had a car pick us up at the plane because we traveled in the middle of a massive spike. So, we weren’t seeing people when we got here. So, Bernie came over. I think she had either just had COVID or maybe just been vaccinated. I think the vaccination had just come out or something. Anywho, she comes over and she sits on my floor in my bedroom. She tricked me in the sense that I was not ready to do EMDR. It had only been eight weeks since this had happened, and I thought we were just going to hold each other. I could cry, and it would just be a normal therapy session.

And what happened, I really just want to point out I think really helped me with the next six to nine months of my life, which was I went straight into what happened. I remember very vividly. What I love about EMDR is how visceral, I could feel the fabric, I could smell the hospital room. I was sitting outside the door. And interestingly enough, my therapist, Bernie, was in my sort of memory. And I was like, “I need you to help me go in the room. I couldn’t go in the room.” I was outside of a door. I thought this was profound. And she was there. I was even shocked when I saw her in my own, with my eyes closed. I’m like, “You’re here.” I’m like, “This is crazy!” She’d never been in any of my other flashbacks or I don’t know what you actually call those. But I said, “I think I need your help to open the door.” I think I need, I’m shocked. Because this is what she kept saying to me, “You’re shocked.” I’m like, “I’m not shocked. I remember every moment.” She’s like, “No, you’re in shock.”

And so, we went in to the room. It was me, it was Paul, it was Rosie, I was holding her. I mean, I walked through the whole thing with the vibrating things in my hands, and I cried and I screamed. I mean, literally, I’ve never done that in my life. She just said, “Scream. Just scream.” Because I was like, “So, I guess I was holding it all together,” you know. And I’m so glad Carmella went on a walk because I’m sure I would terrify to her from the bedroom screaming. But, again, I think it’s a really important work. I think that was the beginning of me being okay and moved that out of the way to get to the solution. So, I was really, really felt the pain; really let myself remember; really let myself go back to that moment I said I absolutely hated when I’m staring at the ceiling and she’s looking for the heartbeat. Walked through all that all over again with the support of my therapist and doing all the things she said. And I truly felt a healing occur. And then, from the EMDR and the therapy, I added in work with the doula. I had a postpartum doula who has recommended she was going to help me with my postpartum, with my pelvic floor, with my yoga. Like things to actually get my body better.

So, now, I’m working on the physical, right? The emotional, mental, the physical. I’m starting to align this, like I said, web of really, really gentle wonderful women. But the big one for me was going to see my OB-GYN, Dr. Mary Kerr, who was my OB for 10 years in LA when I was living here. I knew how brilliant she was, but she’s also very sweet and gentle with me. I knew she would take the time. Because this is also, I want to say really important to advocate for yourself in the medical world.

A lot of times, people don’t sit there and go through line by line with you, unless you ask. I was just really, at this point, I had nothing left to lose. I was in such a state of, you know, I’m just going to ask all the questions. I just want to know all the answers and I’m not afraid because I’ve already been heartbroken more than any human in my mind could be heartbroken. Do you know what I mean? So, it’s like, I just want to now understand. So, what’s crazy is I thought I would get some answers and I thought I would maybe find comfort in some of those answers I knew it would never change the past. But what I ultimately did find was a huge life-changing moment for me in three different parts.

One is right before we moved to LA, my best friend came over to our house in New Jersey and said, “I think you should test your house for mold.” I was like, “What?” She had just discovered she had mold poisoning. It was super random. And she was like, “Just rule it out. Just do the test. Like on your vents, do the blood test that goes with it. And then, you can at least know it’s not that.” And I was like, “Okay, sure. Fine.” That was the last thing I thought that would be a thing. But I did it because she’s my friend. So, this is where all this intervention started to happen where I was just sort of listening to everyone and saying, “Okay.” I was in such a surrendered place, so I’d test the house for mold. I test my blood for mold. We moved to LA. I do all these things. I’m meeting with these people. I meet with Dr. Mary Kerr, and I bring her a stack of paper with all of my history for the past two years. I had Carmella in New York. So, I had all Carmella’s stuff, my pregnancy with Carmella. Then the miscarriage, then the cyst on my ovary, then the whole pregnancy with Rosie, and then the death and the autopsy, and everything.

And Dr. Mary Kerr, being the angel that she is, cleared her whole day, I think. She’s out with me for two hours. We sat in her office. We cried together. I mean, her and I go way back. Also, I know her husband well. And so, it really was like a beautiful sort of healing. I just kept trying to put the pieces together by doing all the healing things, and this I knew was going to be a healing piece for me because she sees me, she hears me, and she’d explain it to me, and she’s brilliant. So, sat with her, we go through everything. And she says something that I’ll never forget. It was like a scene of a movie where everything goes quiet, and you just kind of hear a train coming or something. And I kept echoing over and over and over in my head what she just said, “You know, Christina. I have a hunch and they get mad at me when I do this…” And I’ll go back and dissect this with you. But she says, “They get mad at me when I do this, but I’m going to test you for a blood clot.” And I was like, “Okay.” And then, in my mind, I’m going, “Wait. Who’s ‘they’? What is this hunch?” And then, I’m thinking, “Well, surely it can’t be this.” I’m sure it’s really rare.” Also, I didn’t have any signs of a blood clot. I figured when you have a blood clot, your leg swells up, your arm swells up. These are things I understand of blood clots. And also, there was no blood clot in my placenta, which I seem to remember my OB checking.

So, I’m just like, “Okay.” We move on. I go home. I want to say a week later, I get two calls that changed my life forever. One is I get a call from the mold company that says that there is 37 types of bacteria mycotoxins and endotoxins that are created by molds. Black mold, specifically. But also, about 11 other types of mold. Because, apparently, there are endless types. All of it is in a chart and explained and emailed to me. I’m looking at all these sort of lines that you can either be yellow, orange, or red, right? Where this is my blood. They tested the house and the blood. And they both line up together that my house is filled with mold, but my blood is filled with mold. And it’s in the red on almost every single line.

Elliot: All the same strains?

Christina: Yes. The mycotoxins, specifically. And the black mold, and aspergillus penicillin, they’re all labeled. There’s so many different types, and my blood is off the charts. So, in that moment, I then realized that this is a massive piece of the puzzle, but I’m also blindsided. Like, I don’t even know what this means. I’ve never heard of this my whole life. The house was tested for mold before we bought it. This is a common thing I didn’t think could ever get sort of overlooked or whatever. So, this is the beginning of a journey, mold-related, I’ll leave that there. And then, I literally get a call from Dr. Mary Kerr the same week that says, I tested positive for anti-phospholipid syndrome, which is the blood clotting disease. One of seven that she believes was the cause of death for Rosie and the baby at 11 weeks. Because she said to me, after there’s a heartbeat, there’s a reason. She said it fits before — I’m referring to the miscarriage. If you have miscarried before you hear a heartbeat or see a heartbeat, a lot of times, it can be completely random abnormality. Just didn’t become viable, didn’t correctly develop, whatever.

After you hear a heartbeat or see a heartbeat, they’re really most of the time is something you can discover. Like a reason. So, I didn’t know that. And she’s then telling me on the phone that it’s because I had a blood clot. And then, I say, “Well, what does that mean?” And she says, “Oh, don’t worry, my darling. That means if you were pregnant again, we would put you on blood thinner and that you would be fine and your baby could be fine.” And so, I hang up with her and completely break down. I remember, at the realization of a couple things, one, “Oh, my gosh! I found it!” What relief!” Like, what relief. I found the reason why Rosie died, the baby died — I trust Dr. Mary Kerr, you know. It was an assumption for her because, obviously, we can’t go back in time and tell but she said I have the antibodies. That means I had a blood clot that’s most likely the reason. And I have this information that I had been searching for and hoping for. And then, at the same exact time, in the same breath, I am livid that it was avoidable. In the sense of “How did we not catch that?”

Like, all of a sudden, a million questions are running through my head, right? How did we not catch that? How many women have this? It must be rare. The only thing I could wrap my head around was this must be so rare, and I must be just incredibly unlucky or just this random occurrence, but I don’t think I am. I had a gut feeling that this was bigger than I could possibly understand, and that I should probably stop there and just be glad I figured it out. But I’m too me to do that. I am too much of a question-asker, a chase-the-truth, bold brave outspoken person, that all of a sudden I felt like Erin Brockovich. And I went, “Wait a second. Who were the ‘they’?” Oh, you know what I mean now? I feel like I’m in a mystery movie. And now, I have to solve how did this go overlooked without also going backwards and blaming anyone. Because I want to be really clear that everyone was following protocol. So, I also didn’t feel malpractice, I just want to say.

I think people get really nervous when people start investigating things or ruffling you know up the past. And I want to say when we had the five best doctors in New York City like in my hospital room, all confirming the same thing over and over again that I was okay, and that they would do this, and then I was listening to them. They were all consulting with each other. They all were asking me, and I was choosing the same thing. Like, nothing feels it was wrong. And I almost feel like we’d all make the same decisions again based on the information we had at the time. I just wanted to know what this all really meant and what I could do about it, and if there was anything to do for other women. Like, I had that intuition.

So, I immediately started to now put another story together. I go, “Well, okay. What’s this mold piece?” So, I started doing research talking to a ton of mold specialists, reading a bunch of things on mold. I will just say this, the things that started to happen to me only happened to me after I moved into that house. I want to be very clear that apparently out of those seven blood clotting diseases or syndromes that you can have and develop, you can also be born with them, you know. You don’t have to get them because of something. You can just be born, genetically, with the disposition. It can run in your family. You can have blood clots, whatever. I just don’t think that’s my story, I think. Because Carmella was healthy, and I was living in LA, and then living in New York, and I didn’t have any of the other things going on. I believe I developed the blood clotting condition from the mold. Again, I’m not a doctor. This is just my theory, my intuition. Because I also then realized that I had Sjogren’s syndrome, which came up later. Six different types of viruses in my body that I was combating against, which means my toxic bucket seemed to have overflowed. I was pregnant two times in that house, which means my immune system was compromised. And I was unable to fight mold like normal people who are healthy actually make antibodies to fight against toxins. So, I can go into that for hours, I will not. I’ll just say that it was an important piece of the puzzle for me, personally, because I think it explains how I got here from being very healthy to not being healthy.

Then, this is still January of 2021. I, very quietly, hit up my entertainment lawyer who’s been my lawyer for 12 years, who is lovely and his wife is an activist, and you know. I know he’s an entertainment lawyer, but I figured he had medical people in his office. And I said, “Hey, you know, this is information I just got. Just between us, would you please do some research for me? Ask your healthcare lawyers in your firm if they can do some research for me. I just want to know how rare this blood clotting condition or blood clotting conditions, in general. How rare it is, how common and how much it’s detected in pregnancy, and whatever.” I just had a couple questions. And so, this is really where my Erin Brockovich kicks in, because he calls me about two weeks later, and he’s in tears. And he says — which again, I kind of felt intuitively. He said, “I don’t know how to tell you this. But just in New York state alone,” which is where he is. He said, “the research came back my team came back to me and discovered that 55% of multiple miscarriages are due to one of the seven blood clotting diseases.”

Honestly, I knew it in my gut, but I was pretty blown away. And also, I was angry and activated and grateful almost that this information came to me. Because in that moment, I realized that I was going to make a massive change. I would spend the rest of my life doing it no matter how long it takes in honor of Rosie. Because she only got to live 34 weeks. And someone said to me in my healing journey, “What if Rosie was only supposed to live 34 weeks?” Like, “What if that wasn’t a mistake in her destiny? What if she was supposed to live that long?” She was supposed to get you, Paul, and Carmella out of a house that was poisoning all three of you. So, she was supposed to teach you just something that’s being overlooked in women’s health, right? It’s not intentional. Nobody’s trying to miss this. I’ve done so much research now and talked to so many doctors and so many people. There’s not been one human being that’s like, “No, I don’t want to save babies.” Like everybody wants for this to not be overlooked anymore.

But I have to say, it’s a huge piece of my healing with Rosie because I just believe that this is what her little life can do. Like, sometimes, I don’t like that narrative and I just wish she was here. You know what I mean? I don’t want to say that I think it was meant to be that she’s not here. I just think that because of what happened, I almost feel like most women don’t get to then turn their biggest tragedy into something so healing, so important, and so life-changing for other families and other babies that I feel I’m responsible. Like, I can do it. I was walking on the treadmill, I’m not even kidding, and I was crying. I was also like, “I can do this.” Like, I’m strong enough to do this, to sit in a room and present it in front of the American College of Obstetricians and Gynecologists. Like, I wore a little power suit, you know, covered my tattoos, and I presented a massive presentation to them of a year worth of research.

I was like, “This is all. I’m a singer. I’m not a doctor. I’m not going to pretend to be a doctor.” I didn’t go on TV right away I spent an entire year working to prove my point in so many ways, medically, I mean. Emotionally, duh! I got that. I got the story. All I have to do is start singing and I can make anyone cry, you know. I have brought the emotional part. I met with the doctors to bring the medical part. I met with my lawyers to bring the financial part. I met with the women who used to work in hospitals who knew about the test. Because all of a sudden, I’m saying, “Well, why aren’t we tested for this?” Well, “What does the test require?” “Oh, 1 cc of blood.” Okay. And, “What does it test for?” “All of them in one.” So, it’s just one blood clotting test that someone needs to do. It’s $42 if you don’t have insurance. It’s free if you have insurance. If you do it in the first-trimester prenatal screening, it is one of 13 tests that already happened. It’s absolutely no extra effort even, you know, for anyone. And every door I looked behind — first of all, every single person I met said yes. It instantly became an ally, right? I didn’t have to convince anyone. It sounds almost ridiculous that this has been overlooked where a woman has blood clotting antibodies for whatever reason, right? Whether it’s their history, their health, their environment, their whatever it is. But they’re not tested.

And I forgot to mention, the only time they’re tested is after two or three losses, which is why I go back to what Dr. Mary Kerr said. And I’ll never forget when she said, “They’d get mad at me when I do this.” Because I only had two. But from listening to my very long episode with you, so you can see just those two miscarriages changed my life forever, right? So, the depth of how important it would be to be able to stop families from having to go through what I went through, what Carmella went through, what Paul went through, what our families went through, what my body went through, right? Like, it doesn’t make any sense to me. I’m not even trying to do something that seems luxurious or extra. It’s like, no, it feels pretty basic. Like, “Hey, what if we just tested women for this in the first trimester? Because the solution is so simple. It’s just to take blood thinner.” So, this is what’s really cool about doing your show before birth and after birth, because I really hope this baby makes it in the next eight days when I deliver.

And if and when, you know, I’m knocking on wood, if she does make it here, the true difference, the really only difference, medically aside from lymphatic massages, and sitting in a sauna, and detoxing from mold, the best I could with diet and exercise and acupuncture, and things like that, and vitamins, you know, the only real difference that I’ve done now with this pregnancy is I’ve taken blood thinner every day. I took Lovenox shots every single day until 36 weeks. And I’ve switched to Heparin, and I take that twice a day. And so far, this baby’s alive. I’m oddly grateful for this experience because I cherish, literally, everything so much more. I also feel it’s important that this happened and I’m glad I could be of service. I had the time, the money to do it. I had the resources to do it. I reached out. Everyone showed up for me. Everyone met with me. Everybody gave me a chance. Everybody listened to me. I spoke as well as I could on the topic. And then, I passed the ball, you know. And said, “Okay, ACOG. It’s up to you now.” That’s their job. They make the protocols for All Women’s Health in the U.S.

And so, that sort of the story. I’m also in a little bit of a standstill with them where it’s taking a while. So, I’m now speaking out about it. This is also my part. So, I was quiet. I did things in their sort of way, and you know, hoped it would be quicker. It’s taking a while. So, I’m also using word of mouth, which is what women just do so great. And I speak to women, mothers, grandmothers, girls that want to be pregnant, girls that know people who are pregnant, families, men, dads, Paul’s, and allies. He tells everyone he knows. We just tell everyone, “Hey, if you’ve had loss or even if you haven’t, there’s no harm in asking your doctor for this blood test and just knowing. And then, maybe, the choice is yours if you want to take blood thinner.” Since there’s no side effects and there’s no harm in taking it. When you want to know if you have a antibodies that could make a blood clot, could not make a blood clot, maybe you’re totally fine, maybe you’re on the scale on the low end, maybe you’re on the high end. To put the choice into the woman’s hands is like my dream, and then to save millions and millions of babies along the way. That was a really long answer.

Elliot: Yeah. I mean, a couple of points here. Back when you were pregnant with Rosie and doing those non-stress tests every day, the clot is not really something that tests can pick up.

Christina: Right.

Elliot: Right? So, with the information that you had, everyone was following protocol. But it was the information that you didn’t have that would have almost definitely changed your decision to not leave Rosie inside longer, to get Rosie out earlier. And so, this is literally you know a life and death piece of information in your case. And again, to happen to someone who wasn’t going to just sit back and be broken entirely by it. But on the other hand, to be strengthened by it and to go out and empower other people with it. It’s just you. It’s the you I’ve known for less than a week. And the you I’m just so inspired by in a million different ways.

I mean, I hope that everyone this thing will also go out then and you know share this episode. My commitment to you is also I’m going to get an expert on and do an episode very soon about blood clotting disorders, and what they are, what the variations mean, how they’re tested, who gets tested, who can get tested even if it’s not been recommended for them, and what treatments look like. And, you know, I want to help also everybody’s your ally because you’re such a magnet.

Christina: Oh, thank you.

Elliot: And I want to make your experience and Rosie’s life, you know, as meaningful as possible and helpful as possible to other people. Right now, though, you’re pregnant and beyond 34 weeks.

Christina: Yeah.

Elliot: And the protocols with the clotting are to get induced to take blood thinners and switch blood thinners to ones that don’t stay in your system as long and they can do. So, that’s coming up very soon just a week.

Christina: I know. I’m terrified. Sometimes, I make it look so easy to be, I don’t know, not anxious or to be brave because I speak about. Like, I’m always talking about it, which I think also I learned in therapy. To make the implicit explicit, and that is how I get through it. But the truth is some days, I feel completely impossible. Some days, Paul breaks down and cries hysterically. If we’re not sure she’s moving, and then I have apple juice, and then it takes her a minute, you know. She’s probably sleeping. She’s probably like, “Why? Why are you bothering me?” I’m trying to give this baby in my uterus, but obviously — I say “belly” all the time to Carmella. I’m trying to give her her own story, you know what I mean? I really don’t want to put Rosie’s story on her. But to be pregnant after loss is probably the hardest thing I’ve ever been through. Obviously, after losing Rosie, but the amazing things that women go through. And obviously, partners. Paul’s right there with me. But the trauma’s in my body, you know.

And when we passed the 34-week mark, I mean I woke up the anniversary of the gestation of the day that Rosie died in my body in this new pregnancy, I woke up crying before I woke up. Like, my body remembered before I did, my brain. I cried that whole day, and I made room for it. And I just leaned on everyone I know. Again, I just never want to sound like I’m doing this alone. I’m asking everybody I know. I have my best friends. I have my mom friends. I have my internet friends that don’t even know, thousands of women who reach out to me. I’m not even kidding. And I do write them back. And I really hope they feel appreciated because I do appreciate them so much. I have this community and I’m grateful for it. I’m so deeply grateful for it because all I have to do is say one thing and I just get all these messages that say, “Me too! Me too! Me too! Me too!” So, I’m still in this terrible club, but I really do appreciate the ability to turn something tragic into something beautiful, and that’s it. Because I definitely don’t wish I went through this, you know. I’m so sad about it. I’ll be sad about it for the rest of my life. But I’m also so joyful at the same time to give Carmella a sibling.

I keep joking with Paul that I’m just going to hand the baby to Carmella. I’m done. I tried. I mean, for three years, I’ve been trying to give her sibling and she’s such an incredible human and I just want to see her have that. And have her little friend and Meredith. I want to just bring her back in the series. She’s flying here in three days. I’m flying her here just to, hopefully, go through this experience with us and hold a little baby who’s alive and heal. Because if you think about it, we really are coming around and the joy this little baby might bring us, she won’t even ever get to know. Like, how healing it could be in a week or so, you know, I’m still so nervous. But I dream of the moment that we’re all holding her and healing, you know, and honoring, thinking of Rosie. Obviously, she’s — oh, my gosh! She’s in our conversations all the time. We talk about her all the time. Carmella is so protective. And when people say to her, “Oh, you’re going to be a big sister.” And Carmella immediately goes, “I already am a big sister. My sister is in my heart.” Like, she’s a stranger on the street, that fast. She’s like almost offended, people don’t know.

Elliot: Wow!

Christina: So, she’s a special little girl. And I’m just hopeful that it all goes well. And I guess, we’re going to have to do the next episode to find out.

Elliot: Yeah. The special little apple doesn’t fall from this special little tree.

Christina: Oh, thank you!

Elliot: And I’m sure, the way you even just talk about him, Paul is also a special little tree. I just don’t know him personally yet, but it’s coming. I can’t again thank you enough. You’re so expressive and you do make it look easy. Like, I don’t see the fear in you. But I know it’s in there. And I’m just hoping that the next few days, you know, you get through them. And then, there’s calm and peaceful way as possible. And then, have an amazing beginning of the next chapter.

Christina: Yay! Thank you.

Elliot: Thank you. We agreed that’s the easiest way to find you online is @christinaperri on Instagram and click on the little link tree-like thing, and we have access to your whole world.

Christina: My whole world, yup. All of my records, and regular records, and I don’t know, whatever I’ve been up to.

Elliot: Yeah, and whatever you’re going to be up to. And then, for us, we’re easy to find too. We’re @doctorberlin on Instagram, D-O-C-T-O-R-B-E-R-L-I-N.

Ep. 322 – Christina Perri, 1 of 3: Before -Informed Pregnancy Podcast

Ep. 322 – Christina Perri, 1 of 3: Before -Informed Pregnancy Podcast

Elliot: Welcome to the Informed Pregnancy and Parenting Podcast. I’m your host, pregnancy-focused chiropractor, Dr. Elliot Berlin.

My guest today is a multi-platinum singer-songwriter and a mother. Since the beginning of her career in 2010, she has released three pop albums, two lullaby albums, and toured the world many times. Her most popular songs are “Jar of Hearts,” “A Thousand Years,” and “Human,” which have billions of streams and diamond platinum and gold awards. In 2017, she settled down and got married to Paul Costabile. And in 2018, they welcomed their first baby, a daughter named Carmella. In 2020, they had a daughter named Rosie, who was born silent. She is currently nine months pregnant with another daughter and due next week. Christina Perri, welcome to the podcast.

Christina: Hello.

Elliot: Well, a million things to talk about. I’m going to jump right in. Where are you from originally?

Christina: Born and raised in Philadelphia, Pennsylvania.

Elliot: What was that like?

Christina: You know, it was really sweet, actually. I had a really nice childhood as far as — I don’t know, it was just that generation of like we didn’t know. We didn’t have money, you know. We were just kids running around in the neighborhood, coming home when the street lights came on. Like, we are so millennial. Like, my brother and I, and we just sort of have this memory of having a good time and getting into trouble what we thought was trouble but really wasn’t that bad. My dad’s from Italy, so we have a massive family. He has eight siblings. I have 50 cousins.

Elliot: Are they here?

Christina: They’re here, yeah. I have a hundred family members in Italy, and 25 in Brazil.

Elliot: Wow!

Christina: So three siblings stayed in Italy and kept their family there. And then, the other six siblings came to America. So yeah, my family’s huge. So all I knew was, you know, family dinners, homemade wine, running around, and growing up in a barbershop. Like so, so cliché. Almost like a caricature. Like, you know, all the Italian men speaking Italian, and me sweeping hair off the floor. It kind of was nice. I can turn it and emotionally look at things that weren’t great and I have for 28 years in therapy, but that’s my brain and my perspective of it. But sort of zoomed out, it was nice. I love Philly. I still go back all the time. And funny enough, I should say Philly loves me, which is kind of hard to do.

Elliot: What do you mean “it’s hard to do”?

Christina: Oh, Philly fans, in general, are like…

Elliot: Oh, they’re tough.

Christina: And they won’t even care me saying that. Like, they literally will just reject someone so fast like Santa Claus at a parade. They’ll throw snowballs at him. And, you know, we’re known for that in Philly. So I feel like when I became sort of popular, my music became popular, I would play shows in Philly and they’re the first shows to sell out. I’m grateful for the town they play my music, they support me. I’ve been sponsored by Wawa at one point.

Elliot: They birthed you.

Christina: Yeah. And I also speak highly of them, I think that helps, you know. I support the Eagles and the Phillies, and you know all those things I’m supposed to do and so yeah.

Elliot: From the heart, though. Can I ask you a question, when did you get your first tattoo?

Christina: Oh my gosh! I was 15. The truth is my big brother got one first. So I blame every single one of my tattoos on him. Because I feel like I wouldn’t maybe have gone down this road if he didn’t make it look so cool, as my big brother. He’s two years older than me, and he got a tattoo on his 15th birthday. And so, naturally, the day I turned 15, I thought it was like my birthright.

And then, I remember it was on the back of my neck. It’s like an Egyptian Ankh. I’m not sure why. I’m not into anything Egyptian other than that, I guess. And it was very emo at the time. I was 15, I had fallen in love for the first time. I had written my first song. And I thought I felt alive for the first time in my life. Like, wow! I’m still that dramatic by the way. And I got it and I hid it from my family, I want to say for like, a good month. And then, I have to share my story now that I’m a mom. I think this is kind of brilliant. Even though maybe I wouldn’t tell my daughter Carmella to do this. But I told my mom when we were in church. My family’s Catholic.

And so, on a Sunday, I’m wearing a turtleneck in August. My mom’s like “What is your deal? I know you’re weird, in general. Why are you wearing a turtleneck?” And I was, “Oh my gosh! This is my opportunity to tell her.” And then, by the time we get out of church, she’s just going to like be less upset. She has to pray about it, you know, or whatever. And it worked! I really think my punishment was less because I told her I was like, “I have to tell you something.” And I leaned over and I whispered it to her. And by the time we got out of mass, I was only punished for like three months maybe instead of like —

Elliot: Oh, wow!

Christina: Yeah. I thought that was quite brilliant.

Elliot: She wouldn’t be incredibly surprised since your brother had already gone down that path.

Christina: Yeah. I don’t know. She was like — well, because she didn’t take either one of us. My aunt pretended to be our mom. And so, she was super bummed. And she was sort of just like, “Just please don’t get your hands or your neck or your face.” And I was like, “Okay.” And so, I have a “16” on my hands and my neck, but just not my face.

Elliot: Not your face. So, one out of three ain’t bad.

Christina: Yeah. I thought that was pretty good.

Elliot: First of all is people get addicted to them. Are you still craving the next one?

Christina: You know what? No, because I learned how unhealthy they are. Well, because I got obsessed with my health in the past five years and I learned that they’re like metal. I’m all of a sudden thinking like — and I don’t mean now, they make them without metal in the ink. But I don’t know about in like the late ’90s. And I wonder if it was just a season of my life where you know I needed them and loved them. And right now like I can’t. I’ll probably get something for my upcoming daughter because I have one for Carmella and I have one for Rosie. But I’m not planning like big pieces where I’m just going to be covered. I feel like I’m waning.

Elliot: Waning down? Do you have one or two that are most meaningful to you?

Christina: Yes. I probably have a couple that I really, really love. This is how I look at it like, “Would I get it again?” Because so many I would not get again. Like it’s a cheeseburger. It’s just unnecessary. And if you ask tattoo people this, they’ll say if they’re tattooed, like me, like refrigerator or magnets is what we sort of call my style. Like portraits and beautiful symmetry. Most people would like not get the same thing again. But the way I look at it is if I would, then obviously that means something to me. So I have a Disney Castle here, that interestingly enough, brings me a lot of joy every time I see it. So I’d probably get that again. I also have a giant Millennium Falcon on my leg.

Elliot: That was one of the coolest ones I’ve ever seen.

Christina: Thank you. I have my daughter Rosie here on my heart. My husband has it, too. I’d get that again, obviously. Yeah, it’s interesting. They all tell a story. Like even the cheeseburger, I guess. But there’s something about it. I used to say, you know, I express myself in three ways: as a writer, a singer, and I get tattoos. It’s just part of my creative expression. And I also like have a belief about our bodies being so finite. And how, “This is just the one I’m in,” you know, for right now. And I could just decorate it.

Elliot: Yeah. I don’t have any. But I think if I had a burger on my arm, I would probably be even less healthy than I am now.

Christina: Maybe. Although, I think your son would probably like my cheeseburger.

Elliot: My son would like it, yeah. Don’t give him any ideas. But I would just look at it and be like, “Okay, we’re going to get burgers now.”

Christina: Well, to be fair, I did go on a burger mission. Like finding the greatest burger in the world. And that is the tattoo in honor of that sort of like quest I went on. And, interestingly enough, the second-best burger in the whole world in my opinion is in Berlin in Germany.

Elliot: Look at that!

Christina: I know.

Elliot: We’re so connected.

Christina: I know. So I do love cheeseburgers. As much as I made fun of that one immediately, like I do really like cheeseburgers.

Elliot: So, yeah. I started this episode by saying, “There’s so much to cover, let’s jump in!” And then, I diverted and spend a whole map of your body art. Okay, music. How did you get into music?

Christina: Oh, my gosh. Well, this one, I’ll try to keep on the shorter side, because I do think obviously the journey of motherhood is maybe more, well I think it’s cooler. But I have a pretty fantastic story, I’m not going to lie. And, you know, people that do know my music sometimes know my story also because it’s so special. But I’ll give it a brief summary.

Definitely, saying my whole life did musical theater and things like that, but was very, very shy. Like, never planned performances or brought my guitar to parties and said, “Hey, look at me!” And sang songs for all my friends. Like, people would beg me to do that actually, some of my closest friends. I just thought when I started writing music, I was about 15, I said I had fallen in love and I’d been studying The Beatles for two years before I actually picked up the guitar and wrote music or sat at the piano. I taught myself both of those instruments.

Elliot: Wow!

Christina: Not very good though. In the music world, we call it songwriter-guitar and songwriter-piano.

Elliot: Yeah, but that’s like come on anyway. It’s a different kind of talent than whatever, pianist.

Christina: Well, what I do like about it is that it was so imperative that I was expressive through music that I found the chords. Do you know what I mean? My brother one time came, he’s a very talented guitar player and classically trained and played with Les Paul. I mean, he’s like a virtuoso from the age of like 7. And so, I also think I didn’t show anyone because I was not him. Do you know what I mean? He’s the star of our family and sweetest human on earth. But anyway, one time, he came home from touring the world because he had a record deal by 16. And I was, “Hey, look what I can do!” And I showed him me playing the guitar. And I was like, “What chord is this?” And he was like, “That’s a B minor.” And I was like, “Ah!” I didn’t know. I truly put my fingers in places until they sounded good like it was kind of cute.

Elliot: That’s incredible.

Christina: Thank you. But I started building a catalog at 15. I said it didn’t perform, I just was like expressing myself almost like a diary. I joke about being dramatic and emo, but I was depressed. Like, even as a kid, I remember my mom being like, “I don’t know why you’re so sad.” Like, I was like, “I don’t know either.” I think I just had depression and anxiety. I was in therapy by 8 because my parents were just like so not sure why I was the way I was. And music really saved me, I’m not going to lie. It was like my form of expression. It was obviously like I wrote love songs because I love The Beatles. But I really think it got me through really emotional hard experiences from 15 to 23, before anyone really heard my music. It was like really just for me and, truthfully, really helpful.

And so, long story long, I went to LA on my 21st birthday, only because my big brother asked me to. Definitely, wouldn’t have — again, Mr. Influencer in my life, with the tattoos and the music. So he said, “Hey, Chris. Can you come to LA?” And I was like, “Sure.” And so, I moved to LA with nothing, just a guitar. I had maybe like 300 bucks. It was just so like out of a movie. He went on tour, I stayed at his apartment for like three months. He said, “Get a job. Get yourself an apartment. You have three months to do that.” I did that. The whole while I’m here, I’m thinking, “Oh, I want to be a songwriter.” You know, at this point, I had realized I had written songs I thought were really good, but I didn’t want to perform them. And so, in this town, I thought like, “Oh, I heard there was a job where you could write songs for other people.” And so, I was a waitress by day, three different waitressing jobs just to pay my rent. And then, I would write songs at night time. Like that was sort of it.

And then, I had this best friend, her name’s Keltie. She’s like my fairy godmother in the story or in the Disney movie. Her and I would be like standing looking over Capital Records, and a shooting star goes by. And she said, “You know, Christina. You need a manager. Someone who believes in you and knows people.” She’s like, “I don’t know anybody.” She was a dancer, like a New York City Rockette. She was like, “I don’t know anyone in the music world. But, I’ll manage you, but I don’t know anyone.” And I was like, “Okay.” And I was so not into being the performer, but she was my only fan, and she thought I should be. I just kind of listened to her and she posted a video of me singing on her YouTube. And now, this is in 2010, when YouTube was not really a thing. It was certainly not like viral, you know what I mean? It wasn’t like — there was Myspace and then YouTube. But no one watched my videos but Keltie. The truth is I had no views.

But, by chance, she tweeted a YouTube video of me singing a song and her dancing, like contemporary dancing, you know. Really like emotional. She was just as emo as me. And I guess, the right person, this kid, an intern in North Carolina saw the video happened to follow Keltie, sent it to his friend Tom. His friend Tom was looking for a new artist to sign, went through my YouTube, and like saw covers. Because I did post covers on YouTube but for fun. Because it wasn’t like a business. It was not an influencer, you know what I mean? Like, that didn’t really exist.

And he reached out to me and said, “Hey, I’m a manager. I manage this guy named Jason Mraz,” who happened to be my favorite artist of all time. And I was like screaming! I mean, Keltie and I both were literally like two little girls screaming. She took a picture of me reading the email. I should have that picture somewhere of me like crying, reading this email. Like, “Oh my gosh! Like, this is it !” Like, it felt like my big break. But I also thought like, not for me. I thought this was my, you know, for me to have a manager and then write songs for other people. I was really not expecting to be like the artist. But I thought this was my way in, like my door.

And then, cut to same best friend, Keltie sends this song. I made a demo. So Tom started managing me, but like unofficially. I made some demos, sent one to Keltie. Said, “Hey, this is [unin 14:44] “Jar of Hearts.” Like, I’m so excited. I’ve never heard myself sing like with myself. I’d never recorded four-part harmony. I was like, “How cool is this!” But like, this is the demo. I’m going to shop around to other artists, you know. And she just like immediately emailed it to the choreographer on the dance show “So You Think You Can Dance,” which is funny because, originally, Keltie’s like, “I don’t know anybody.” But she knew the one person in the world I needed to know for my journey.

And so, she gave this song to Stacey Tookie, who happened to be very successful at the time on this show and said like, “Hey, maybe one day you can play this song on your show.” And Stacey said, “How about Wednesday? You know, 8 p.m., June 30th, 2010.” They played a minute and a half of “Jar of Hearts,” and went all the way to the top of the charts on iTunes. Flew to New York City the next day, quit my job as a waitress.

Elliot: Three times.

Christina: Played it on CBS “Morning Show,” “So You Think You Dance,” I performed it, and then Jay Leno. In three days, I performed it on TV three times. And like, you know, as they say in show business, “The rest is history.” I mean, literally, that was it. And I have to tell you though in all honesty, until I wrote “A Thousand Years,” which then came a year later, I really didn’t think it was me still. I thought like this was a fluke, you know the imposter syndrome that people get. I was like, “They’re going to find out I’m not really a performer.”

But there’s something charming about being so nervous and shy, and I would just talk about it. All of a sudden, I realized my superpower was like, “I don’t know what I’m doing!” I was like trying to get out, back out slowly from the spotlight, and everyone instead loved me more. And I was like, the whole time, it’s in my head. I mean, I would say, “It’s not me, it’s my music! I’m glad it’s doing what it’s doing, that’s really cool.” I never felt like I was the star of the movie.

And then, I wrote “A Thousand Years,” and I finally remember having a moment like, “Okay, I think it’s supposed to be me.” At this point, I can’t fight the universe or the forces that are choosing me to be this vessel, right? Because like that song just like blew up in a way that’s so much bigger than me became, you know, everyone’s love song, or grief song, or like whatever. And I’m so, so grateful for it and I let go at that point. I was like, “Okay, this is what I’m supposed to do.” And then, here I am!

Elliot: You know what? I have two things to say. First of all, what do you call —

Christina: [unin 17:10] of breath, too. You know, I’m very pregnant.

Elliot: Yeah, I’ll give you a little space here. What do you call a fake noodle?

Christina: Foodle?

Elliot: Oh, that’s not bad. Impasta.

Christina: Oh, it’s very Italian.

Elliot: Yeah. You were with your imposter syndrome.

Christina: That’s exactly how I felt. I felt like a fake, fake noodle. I still do, I’m not going to lie. I haven’t mastered it in any way.

Elliot: But one day, you’ll see, you’re the real deal.

Christina: Thank you.

Elliot: I think we should take a little break. And then, talk about your second career. Third, I guess. There was waitress, and now, pop star. And then, motherhood. Wow! That can be, a mother. We’ll be right back with Christina Perri.

[break]

Elliot: Welcome back to the Informed Pregnancy Podcast. We are talking to Christina Perri. Okay. So your career accidentally explodes. And then, you settle down and get married. How did you meet your hubby.

Christina: So, it was very cute and quite nauseating. We met actually at the end of the first day of my second album promo. And I remember it very specifically because it was like a 14-hour press day. I had the “Today Show” at 4 a.m. And then, I walked into iHeart Radio at some point in the evening. Like, it was my last thing of the day, which I think is important or worth noting because I was very, what they would say, like punch drunk. Like, I was just silly. At that point, I was like delirious really.

And so, I was myself entirely, which I will say most of the time I am. But, sometimes, I’m a little bit more professional, or a little bit more like structured with what I’m saying or doing. And at this point, I was just like so silly. You can see, we have the whole thing on video. I walk into this green screen room, and there’s this like handsome Italian man in a suit. And I’m already just nervous and silly, and I’m talking about barfing. I’m just like it is like a sitcom or something. If I look back now, I’m like, “How did I say that?” I feel like this is our first date. But, apparently, it was charming. And so, he says that he fell in love with me that day. He actually has an email he wrote to his mom as proof that says, “Hey, Mom. I just interviewed the girl I’m going to marry.”

Elliot: Wow!

Christina: So, that’s very cute. I was a little slower. I will say I’ve asked my manager, “Hey, did I like show any signs or mention anything about like, you know, just trying to match his romance?” with Paul. And my manager, Tom, was like, “Oh, I’m sorry. You don’t remember fake fainting into the car when we were leaving.” And I was like, “Oh, that sounds like me.” I was like okay, I think I’ve made some sort of like notion that I had, you know, fallen for him. Because the truth is we didn’t go on a date for two years.

So, that was day one of my promo cycle, and you know the music world is going to be very intense. Well, I think pre-pandemic, and also pre-family. At this time, I’m single. I have no kids. I’m on a plane every day. And so, yeah, for two whole years, we became friends. I mean, it’s actually kind of cute. I followed him on Facebook, like my secret personal Facebook. And he, was like, “She loves me.” These were like [unin] times apparently. But, I hate to tell — we laugh about it still. But like, you know Facebook suggests people. You know what I mean? Like it suggests like, “Hey, do you know this guy?” And I was like, “Oh, yeah! The guy from my iHeart.” Like Paul’s reading into it that like I’m pining over him and whatever. Maybe I was.

Maybe I just like didn’t totally realize until he asked me out like 11 times. And like, the 11th time, I was finally like, “Okay. You know, I’m in New York finally –” Because the truth is we just were never really in the same place. And when he would be in LA, I would be somewhere else. So I promised him, “Hey, when I come to New York next, I will go out with you.” And I’m a promise keeper, that’s the thing. That’s what got me, my accountability because I remember thinking like, “Oh, crap! I told this guy like I would hang out with him,” you know what I mean? Like, I felt the need to keep my promise. We’ve been together ever since. That was January 20th of 2016. So, that was our first date. Went to Broadway Show.

Elliot: What’d you see?

Christina: “School of Rock.”

Elliot: Oh, cool.

Christina: It’s very cute. Well, Atlantic Records gave me tickets to “Hamilton” if I would go to “School of Rock” and tweet about it. And I was like, “Absolutely!” I saw the original cast of “Hamilton,” but I didn’t bring Paul, unfortunately. I brought Paul to the other show. Makes sense. I didn’t know him yet. I was like, “I don’t know if I can bring you to ‘Hamilton.’ It’s the hottest ticket in town!”

Elliot: And that’s fun! You didn’t make that promise.

Christina: Right. So anyway, we felt really in love. And Paul always jokes around and says, “I was ready to have a baby the day we met.” Like, I brought it up on our first date. And I could have, I might have. I was already 29. You know, Italian. Huge Italian family. He’s Italian. He’s got a huge Italian family. I was like, “This is it! This is my guy.” I was like, “Let’s go!” Like, “What are we waiting for?” I was like CEOing our relationship a little too much, you know. But I was just ready. I wanted so, so badly to be a mom. Even my OB-GYN would be like — I would go for checkups and I would just like cry. Should be like, “Your uterus looks perfect,” and I would just cry.

I’m like, “What’s happening? Am I [unin 22:38]. She’s like, “If you’re ready,” you know. My baby [unin 22:41] was like just clicked on. And luckily, Paul’s was kind of, too. I mean, he’s my age and he’s like super dad, and I knew he would be, you know. You just like kind of see your partner in a way like, you know. Especially when you’re that age, I think you’re kind of looking for that. So like, I just was so excited to start a family and so. Well, I think we should get married first, but we didn’t. We just got pregnant.

Elliot: But did you have a wedding now since then?

Christina: No. We got married at City Hall in New York City. We did get married, but one month before she came. I was this many pregnant, and at City Hall with like our two best friends. And we had a big thing with our families. But it was funny because it’s the opposite of what you would imagine as like a big Italian kind of like wedding. But I was just, I don’t know. Our families were so Catholic, they just needed us to be married. Do you know what I mean?

Elliot: Oh, before the baby came?

Christina: Yeah. We kind of got a little pressured into it.

Elliot: [Try out of the box? 23:36]

Christina: Yeah. I’m happy with it.

Elliot: I mean, I was all geared up to ask you if they played “A Thousand Years” at your wedding. If I was on the courtroom staff, so.

Christina: You know what? It’s not too late. We joke around about maybe having a wedding like, you know, at 10 years or something, like with our kids and like doing a whole thing. And then, I guess I bet you at that point, I would consider it. Maybe I’d have like my friends play. It’d be really funny.

Elliot: You can karaoke it.

Christina: Oh, that would be even better.

Elliot: Okay, I want to get into that pregnancy and birth. But what keep swirling through my head is how you struggled with anxiety and depression as a young adult through. It sounds like your tweens, and your teens, and your early womanhood. And how music, I guess, was a very powerful tool for you in conquering that. Taking charge of your mind and being in control of that, rather than letting it control you.

And as a human, I think we all have some anxiousness and depression, some sadness, sometimes more than others, and sometimes better control than the others. But also, as a dad, as a parent, watching my teens. I have like, basically, four teenagers now. And the things that they struggle with sometimes. The anxiousness, fear about different things, sadness, and to know that it’s possible, you know, to watch you and see, “Hey, it’s possible to find yourself get control and not have those things ruin your life.” It’s kind of nice. It feels warm inside. It’s reassuring, I don’t know. Just to look at you as an example and say, “Look, this can be done,” is comforting to me.

Christina: Well, thank you. I want to say one point on that, and I love that you paused here and added that in because it plays such a huge role in the next five years of my life. So, if we’re like shooting through my life in its entirety. It’s so worth mentioning that I started therapy day. So like, I do want to just add in the tools that allowed me to get well.

Elliot: Sure.

Christina: So if I started therapy from 8. I did stick with it until I was about 17. And then, I have to say that I got really into drugs and alcohol, which I’m not proud of. But I also will say that, in some ways, it just helped me exist and get to the place where I got sober. Like, a lot of people who get sober will say like, “I’m actually quite grateful that I had had something that helped me get to the next level.” Like, I was so sad. Like, music was so helpful and the best.

And then, college in that time was really difficult. But, at least, I felt so I’m grateful that I didn’t overdo it but at the same time I’m mostly grateful that I got out of it. But I will say I can’t lie and not say there was like a scary couple years from 17 to 23 where I was a bit messy, and I’m sure my parents didn’t sleep very good. Do you know what I mean?

Elliot: Yeah.

Christina: That’s the truth. But I did have music and my family, and I had therapy. Like, I still went but I was a little bit lost. And then, the gift of sobriety, which I have to call it that because it really does feel like — like, I know so many people that want so badly to be sober and can’t get sober or can’t stay sober. So, I would like to think that the surrender of it all, and like choosing to get sober at 23 for me, really did save my life too, and was just the next thing I needed. So in that journey, and I kept going to therapy. But getting sober for me, was a huge, huge thing. Because then, I was present for my career. So my career actually happened after I got sober, which was my true self. My true essence. My true — right, like when people are cleared of substances, that’s just like their most genuine soul, I think. And so, like it’s interesting that that’s when my dreams started coming true.

That’s when I started touring the whole world. Now, I struggled with depression and anxiety on tour, and nervousness and bad relationships, and you know all those things. But like, I really, really also did a lot of work. I did the 12 steps. I had a sponsor. I had sponsees, which I think is also worth noting because I think that’s like full-circle sobriety. I was really spiritual, I did a lot of praying and meditating. And then, gosh, I had no clue what it was preparing me for.

As soon as I became a mom, the transformation that occurred, like chemically, emotionally, spiritually, mentally, physically, like it was so fundamentally shifting. I’m so grateful for everything I had been through and everything that I didn’t even realize I was sort of like prepping for. But I did want to just mention, yes, thank you for noticing. It’s been a mental health journey and a health journey, the whole time. And I did always really, really care about mental health and like putting that first. And I’m really grateful for that. I am, in a way, an example of like putting in the work and being okay.

Elliot: Yeah. You know, sometimes, sleepless dad of teenage kids, it’s just helpful to just sometimes take a deep breath, and relax, and see that sometimes it’s part of the process. And you be supportive and helpful as much as you can and let the process work its way through. But, you know, I’m comforted by looking at you and seeing that if someone puts in the work and someone wants it enough, then they can come through the other side and have benefited from that whole journey. And then, their parents can sleep a little better.

Christina: Oh, my gosh. Well, I’ll call you when Carmella is a teenager.

Elliot: Thanks. I’ll give it right back to you. Okay. And the other thing that made that so clear in my head was just how when you met Mr. Right. You were just ready to jump into motherhood, which is sometimes when if you haven’t really resolved those issues. It’s scary to jump into that role, but you did it.

Christina: Thank you. Well, I will say just very specifically, I did trauma work. I did EMDR, trauma work, six months before I went on my first date with Paul. And I will tell you, if I had not done that, I don’t know if we’d be here. Because I had a break from touring, so I was on tour. I did 19 tours in a row and was on tour for six years straight. And like that alone, was like a little bit traumatizing, but wonderful. And then, when I got home, I was single. Just to be really honest. And I finally focused on me.

And then, I was like, “Wow! I have a lot of trauma just from being a woman in the world.” And going through things as a teenager, and touring when I wasn’t sober, there were so many things I had to go through and work through. And I actually did that. And I remembered telling my therapist like, “Hey! I feel worse. Like I’m mad at the man at 7-Eleven and I don’t even know him,” you know. And she was like, “Trust the process. Trust the process.” And then, boom! I literally went on my first date with Paul, and I was like, “Oh, my gosh! I’m ready for you.” But I have to point out, I really like almost prepped for that and didn’t know it, you know?

Elliot: Yeah, hard.

Christina: Yeah. Yeah, yeah. But I was never I think ready in any other relationship I ever had. So it is cool that by the time I met like the right person, I really felt like, you know.

Elliot: In the right place.

Christina: Yeah.

Elliot: Very cool. So you guys did have a baby kind of right away?

Christina: Yeah, within a year. So we dated a year. And then, I was pregnant by the spring of 2017. And at this point, I had moved to New York City for him by the way. I was living in LA for about 10 years. And then, he was like my New Yorker guy. And I thought, “Oh, I’ll just move to New York. I’m so in love.” Like, it was just like, “I’ve always wanted to live in New York City.” I don’t know why I’m putting on like some college [inaudible 31:35]. I felt like I just was like in the clouds, you know what I mean? Like, “Oh, let me just leave the place I’ve lived for 10 years, and with all my friends and like my favorite people.” Because I find it interesting that like, I circle back. And now, we live in LA again.

But at the time, I was just so in love and I was just like, you know, took the whole year off. Like, I didn’t tour. I was just like in “La La Land,” literally, but not LA. And so, moved to New York City just to be in love, just to live out this like movie and ended up getting pregnant, moving in to a high-rise in New York City. I felt like Rapunzel at the top of a tower. So nauseous. My pregnancy was like — I’d never been pregnant before. What’s funny too, is like it was definitely not planned. So when I got pregnant, I didn’t know I was pregnant, right, for the first couple weeks. And I remember well, Paul tells the story that one day I woke up and I ordered a cake for breakfast. Like, on Postmates, I ordered a Lady M cake from the upper east side or whatever. And I ate the whole cake. And he was like, “Are you all right?” And I was like, “Yeah, I think. I needed this cake.” Like, days later, we found out I was pregnant.

Elliot: But I’m going to have to pee on a stick because I might be pregnant. If that’s the — yeah.

Christina: Honestly, it was so funny.

Elliot: Listen, you said it wasn’t planned. But were you trying to not get pregnant and it failed? Or are you just not most careful?

Christina: I’m not the most careful. And, honestly, like since then, I’ve been the same way with all my other pregnancies. Like, I think I count wrong. I don’t think I’m very good at like figuring out when I’m ovulating. And I truly mean it was an accident. Like, I certainly wouldn’t have tricked Paul into having a baby. But I guess, we were just not being careful. We weren’t trying, but we were trying, but we weren’t trying. That’s what some people say.

Elliot: There was no goalie.

Christina: Yeah, no. We didn’t have that. And then, we were just so in love. I mean, I honestly think it was like I can’t recall when it may have even happened. I don’t know if it happened. And we were so excited and happy. Even his family was happy for us, the very Catholic family that he’s from. And then, you know, that point the “When are you getting married?” questions would come up every day. But I remember it being a time of curiosity, nothing about pregnancy scared me. I had no physical complications. I had a great doctor. I would go all my appointments, everything was normal. I was super sick. Like I said, I felt like Rapunzel in my tower. I would just watch Disney movies all day and nauseous, and eating crackers, and crying. You know, that’s how emotional and dramatic I am. So that felt kind of normal.

I don’t know, it was just like a really kind of nice memory. Truthfully, I didn’t know how good I had it, if I’m being honest. Because of my next three pregnancies, I thought they were all like this. You know what I mean? Like, I didn’t have any experience before. So, I just kind of rode through it, and we got married in December of 2017, on the day we met, in the same green screen room. It was very cute.

And then, we had Carmella on January 17th of 2018. Really great birth experience also, I have to say. Like, it was in a hospital, Lennox Hill Hospital. I didn’t regret any of the things that happened. I didn’t have a traumatic experience. I know so many women have traumatic birth experiences. My water didn’t break, but I labored at home. I knew I went into labor, and I was able to be at home until like four centimeters. And then, went to the hospital. I had an epidural. I slept a little bit, woke up at 10 centimeters. Pushed her out, and she’s perfect!

Elliot: Pretty textbook.

Christina: Right? I only say that and not in a humble breath, sort of way. But in a comparison to then what came next, like you know what I mean? Like it was so —

Elliot: But did you have any vision, or plan, or idea of how you wanted the birth to go? Or just go with the flow?

Christina: I was actually pretty specific. Because I read all the blogs. At this point, I was on all the apps. I definitely was very first-time mom where like I did so much research, and I would even protect myself emotionally and say, “I’m going to stay in the trimester I’m in. I’m not going to read ahead.” And like, I didn’t make a birth plan because everyone I know said don’t. They said like have an idea of what like you maybe want or don’t want, but then you have to just like be open. Paul was even really great. I didn’t have a doula. I had Paul. He literally brought salami and mozzarella in my placenta cooler.

Elliot: Oh, my God!

Christina: And was eating it with my OB-GYN in the hospital room, while I’m like bouncing and laboring on the ball. They’re eating salami and mozzarella. And I’m like, I didn’t hate him. Especially, the journey of like loving and hating your partner through this whole thing is like so intense. I mean, I hated him like two days later. But even that moment was cute. Do you know what I mean? Maybe I’m just romanticizing it a bit. As remembering it almost five years ago. We’re also again comparing it to what the next pregnancies were like, and it just seems like I would take that one any day. You know what I mean?

Elliot: Yeah. Well, we’re going to get into your next pregnancies. And I’m curious what postpartum was like for you from that first birth.

Christina: That was much harder. That one I sort of hit the ground because real life stepped in a little bit. Where it was flu season in New York City, and Paul’s whole family got it one by one, instead of all at the same time. So all of a sudden, our plan of having mother-in-law and Paul’s three sisters helping us, was out the window. Everyone was sick. And my dad had open heart surgery, emergency open heart surgery a week before I had Carmella. So my mom couldn’t come to be with us.

Elliot: Oh, wow!

Christina: I will say like everything was like perfect maybe until then, until we got home. And then, Paul and I had to sort of figure it out on our own. Which, for a couple reasons, I look back now a little bit nostalgically because I can’t believe we made it through that. I almost wonder if we’re still married. Because we worked so hard on us not breaking up after that. Do you know what I mean? Like, it was so hard when it was just the two of us in New York, in the winter. Everyone was sick and we had no idea what we were doing. You know what I mean? Then he annoyed me. Every single thing he did and every sound he made, and you know, like in every way he held the baby, and he did everything wrong. He knocked off her belly button too soon. I cried for four days. You know what I mean? Like, that was more like realistic.

But I also say I wrote a song about postpartum depression called “Mothers,” which I’m really proud of. Because I even had the conscious thought, “This is insane.” Like, how I feel right now. And because I’m so sober, I think sometimes, I have the ability to like know something is like chemical. Because there’s nothing else in my system. So when I would get waves of postpartum, which by the way, the language of that really helped me. Because, at first, I thought postpartum depression was something you just get, and then you have it, and that’s who you are. You know what I mean? We’re kind of taught to be very scared of that. All the books and things I read always said like have a code word or a safe word, and it’s a little bit scary how we talk about it.

And then, all of a sudden, I decided to put my own filter on it. And was like, “Okay. What if they’re more like waves? What if I imagine they’re just chemical right through my body regulating, they’re my hormones regulating?” Like, at one point, my hair all fell out here and here at four months. And that’s when I had a real dip. And I was like, “Well, that makes sense. I’m having physical symptoms.” I started to like do what I do, which is make a formula and understand it. That’s kind of how my brain works I need to like understand. So once I sort of allowed the feelings to come, allowed the waves to come, talked through all of them, worked with my therapist, my sponsor, also got a doula, like a postpartum doula.

I hired this woman, Marta. She’s a polish woman in New York City whom I will love absolutely forever. And she would come over and make me soup. And she would wake up with Carmella in the middle of the night and feed her. I would pump. Because I was also like so terrified of supplementing with formula, which I now have a whole other opinion on. But, you know, 31 years old, reading all these crunchy mom things. They were all saying, “Don’t do that.” So I was trying so hard to pump exclusively or breastfeed her exclusively. And that just made me not sleep for 13 weeks. The whole thing was just sort of challenging, totally challenging. I will not say in any capacity that that was smooth. But we did make it through it.

I mean, honestly, Paul and I learned together. We had to learn to get through it as a team. We also then started asking for help. I would ask for help way sooner now. I would never go 13 weeks without sleeping and not ask for help. But, sort of how you have to learn. And that was that! I feel like the first year of Carmella’s life was challenging, but also, oh, my gosh! She was the best baby. She was just the best. She still is the best kid, but she was so good. And I only say that because I know my mother-in-law who has five was like, “She’s so good.” Like, you don’t know [unin 40:54] you are. “She’s so good,” you know.

And so, I think that really helped. And I think about and me and Paul, we began our bond that would become the most important thing. So I almost look at it like maybe it was all meant to be that it was just the three of us. Because we ended up going through so many hard things just the three of us. And so, like it’s interesting now to look back at it and have fumbled through that so ungracefully, truthfully. It was quite messy.

And then, I was able to again write songs about it because that’s how I heal. I was able to write songs that help other mothers heal, which is a new version of my life. I think that song — I get the most people write to me about that song, like the most moms. Because it’s just like how wild is this fourth trimester. It was insane. But something we all go through. The beauty of it. So, yeah, we made it through. And then, we made the worst choice of our whole lives, which was to move to New Jersey.

Elliot: Oh, all right. So you’re going to have Philadelphia fans, but I don’t know about New Jersey.

Christina: I know. I don’t want to talk trash about New Jersey. But for what comes next, the choice to move to Montclair, which is where we moved, to this 200-year-old house. I feel like now that it’s been four years, I have to forgive myself, Paul, our families who love the house, our realtor, the town itself. I always said, “I’ll never go back to Montclair.” If you paid me, I have to forgive it. I have to because I don’t want to carry it. But like I had no idea what we were walking into.

Elliot: Let’s get into that in just a moment. As we go into this next commercial break, I am thinking a few things. One is, you mentioned EMDR, which is a very powerful trauma processing tool. And it stands for Eye Movement Desensitization and Reprocessing. And it’s one of the forms — my wife is a perinatal psychologist. So she does a lot of work before and after having a baby. For individuals and for couples, and EMDR for processing trauma. Another one called Somatic Experiencing, SE. Also very powerful. There are some great tools available, post-trauma, any kind of trauma. Sometimes, trauma that has to be reprocessed before becoming a mom. And then, sometimes, afterwards. And then, you mentioned postpartum struggles with mental health, which is extremely common. And so, Alyssa and I did a podcast together. It’s the only one where it’s just the two of us.

Her name is Dr. Alyssa Berlin, and the episode is called “Preparing for Healthy Postpartum Transition.” And it’s a powerful episode to listen to for people who have not yet had the first baby. Or every time you add another one, things change also. And so, it’s a good refresher there. And of course, she has a program called “The Afterbirth Plan.” Just because of the experience that you went through and how common it is. And how she was seeing people fall into the same exact pitfalls over and over and over again. And she can only work with so many people directly face to face, so she made it into an online program that people can do from anywhere at any time and it’s called theafterbirthplan.com. On that note, with your permission, we’ll go into this break with a few bars from your song, “Mothers.” And we’ll be right back.

[“Mothers” playing]

“To the mothers who aren’t sleeping

that are having trouble feeding

too afraid to say they’re not okay, no not at all.

To the mothers who feel empty

that I’m sure they’re even ready

to be alone and responsible for somebody so small

To the mothers who are lost

hold underneath the waves

who need to cry for help

but we’re drowning in the shame

To the mothers who are falling

and don’t even make a sound

who don’t know that they’re broken

until they hit the ground

this one’s for you.

I’ve been there too.

I’ve been there too.”

Elliot: Welcome back to the Informed Pregnancy Podcast. We’re talking to Christina Perri. Okay. Well, Montclair. Let’s just start there. What made you choose to move there, and what happened when you got there?

Christina: Okay. So, I would like to make a tiny disclaimer and just say this is just my experience and my opinion. I’m not a doctor. And a lot of the things that happen in the next couple years of my story are up for interpretation, I have to say. Because a lot of it I can’t prove. But I just wanted to say that because everybody has a different experience for sure, and I want to respect that. So, okay.

When I moved to Montclair with Paul and Carmella, we were very excited to have I want to say just sort of like a life for Carmella that Paul and I had we lived in the suburbs right outside of a city. He lived right outside New York, and I lived right outside Philadelphia. And we just imagined, you know, having a big house for our big Italian family to come and visit, which they did, constantly. We had a pool. I mean, it was like such a cute town. I mean, I look back now and some of my friends in LA were like, “Are you done pretending that you’re like a totally normal person?”

Because I was on tour for so long that I wanted the exact opposite. I wanted to like go grocery shopping, and I wanted to just like enjoy my family and feel like I wasn’t constantly being a performer. Honestly, I was not sure I was going to go back to performing after I became a mom. I was like so obsessed with being a mom. And then, I made a lullaby album for Carmella, which by the way, was like one of the best things I ever did. I’m so glad I did that. And I remember my record label being like, “Wait, what? You’re making music for babies now?” They were not super into it. And now, I know they are because like they’re streaming numbers, and whatever. But it was so authentic. It was like, “No, I’m a mom now.” It changed me from the inside. I absolutely love being a mom. And like I want to record the songs I actually sing for Carmella.

And so, you know, life was looking pretty good at that point where I was making music for her. And then, I was also writing new songs based on just like the new version of me, and I was proud of the new songs I was writing, which would then be my third album. But this was four and a half years ago now. So it started like a long time ago. And everyone knows it took me like a long time to put out my third album, which I have just put out.

Elliot: Congratulations.

Christina: Thank you.

Elliot: Some of the songs were birthed at this time. Like, it really was like a pleasant time in our lives, which you know in the movie of my life would really fool the audience because that is how we felt. We just felt like you know we had arrived, you know. There’s also some weird cultural thing in America that’s like you get married, you have the baby, you buy a house, and life is good. And that’s like the goal. And then, what’s interesting is like —

Elliot: But was there a white picket fence?

Christina: No. A stone fence. It was a beautiful house, honestly. But maybe that was the missing —

Elliot: I think, obviously, if we look back.

Christina: But, anyway. So, you know, I only say that because I want to also debunk that that’s like a necessary road to take. Because, in my mind, it was the opposite of my reality, which was on tour. And what’s funny is people would probably want the life I had before that life, you know. People think being famous is really cool. People think you know touring the world is glamorous and amazing, you know. But really, it’s like 4 a.m. and you’re like crying in a bathtub. Yeah, this is life, right? It’s all perspective, but it’s all everyone thinks the other side, or the other thing, or if I would just get to this, I’ll be happy. If I just get this, I’ll be complete. And like, I’m just setting it up here to say we really had all the things checked off the list and lived near our parents. I mean, all of it. And slowly and invisibly, I was becoming very, very sick.

Well, the truth is, I don’t know if you can tell from this podcast or just for me, in general, but like I don’t miss many things. I’m like so observant. I’m so obsessed with my health. I’ve been sober at this point, seven years. And I’m like, all of a sudden, I’m having just like odd symptoms, like colds and flus like that. But like, all of a sudden, I go to my OB-GYN, and like I need thyroid medication. Because my thyroid numbers are weird. And I’m like, “Okay.”

Elliot: Well, is that something that you went in because you felt a change or just on a regular checkup?

Christina: Yep, I’m going to be really honest in the fact that none of the medical issues that started to occur set me off with red flags. None of them. And that, I regret deeply. Because I wish I noticed. But the truth is, even someone like me, who is like really, really aware can absolutely not notice. And so, I want to cut to November of 2019. So that’s a year we’re living in Montclair, but I’m traveling. I’m doing Nashville, songwriting sessions, and Paul’s working in New York City, and Carmella’s thriving, and we have a nanny who travels with us. And now, I’m working on my third album, and life is good. I’m just writing songs in LA, in New York, Nashville. LA, New York, Nashville. Never really consistently in our house for too long. But that was our hub, right? So the New Jersey’s now our hub.

So we go to LA for one of our many trips in 2019, and I have what I think is food poisoning. But it turns out I am pregnant. And so, I find out like two weeks before Thanksgiving, we’re in LA, and we are over the moon. Because, actually, we wanted that, right? We really wanted. Carmella was a year and a half, and it’s kind of all I wanted. Like, it was always the plan. It was definitely just like we were trying, but we weren’t like obsessively trying. But we were just like so ready. And it was funny because I kept saying to people jokingly, “Oh, whatever comes next, I’ll do. Whether it’s a baby or an album.” Like, I just really wanted another baby.

So I get pregnant, we go home, we tell our families on Thanksgiving. And, you know, there’s this image that I always imagine. Like, if I write a book, like putting it in the first page. Because we went to Disney World for the week between Christmas and New Year’s. Me, Paul, Carmella, and Paul’s little sister, Mary, who at the time was like 17. Like, really little sister, but wonderful Zia to Carmella. And we’re in Disney and it’s New Year’s Eve, and we’re looking at the fireworks and someone took a photo of us from behind. And it’s like Paul with his arm around me, me holding Carmella, and there’s a baby in my belly, and we’re watching the fireworks, and it’s 2019 going into 2020. And we are thinking, “This is going to be the best year ever.”

Elliot: Oh, my God!

Christina: [unin 52:25] should start.

Elliot: Okay, right. Are you visibly pregnant at that point or do you just know you’re pregnant?

Christina: No. I’m about nine weeks.

Elliot: Okay. So, very early in the pregnancy.

Christina: Yeah. Early pregnancy. We only told our families we haven’t announced it yet publicly.

Elliot: Christina, just on that point, we have a lot more to talk about. And I feel like that image going to 2020 is where we should stop this episode.

Christina: Oh, okay. I love that.

Elliot: And start part two of your before birth story because there is a lot going on.

Christina: That’s amazing. Okay, that’s a great build-up and a great place to stop. Because it is the beginning of the next chapter of my life.

Elliot: Okay. Well, just to end this episode, let me thank you for joining us. I only met you not that long ago, and I feel like I know you forever. We’re both intense introverts, and I love that about you.

Christina: Farming introverts, I must say. You wouldn’t know maybe that we are.

Elliot: You wouldn’t know. You wouldn’t know. And I do, I feel like I know you for a long time and what you’re about to talk about is pretty intense and courageous. And I know you’re doing it to help other people. I know you’re already helping other people. And it’s going to go a lot farther. So before we go there let me just ask you this question, where can we find you online?

Christina: Wow! All the places. christinaperri.com. Actually, if you go to my Instagram, there’s a little link now they make a thing where like you don’t need websites anymore. It’s like one of those link tree things where people think I’m up to or have updated in the last year is like on this little page. So it’s kind of like the link in my bio. Feels like the new website. And so, from Instagram, you can find me everywhere.

Elliot: Okay. And is it just @christinaperri? Very creative.

Christina: Yeah. I’m glad they had it available. Sometimes, they don’t, you know.

Elliot: No. Then, we’ve christinaperri.286B.

Christina: Or underscore, you know.

Elliot: Yes. Or, like us Dr. Berlin, but it’s D-O-C-T-O-R-B-E-R-L-I-N. Okay, let’s go to a new episode. And also, we’re going to do other interesting stuff together. So, that will likewise, if you just go to @doctorberlin on Instagram, you’ll be able to click on my link tree and see all the stuff that’s not as important as your stuff, but still kind of cool. All right, we’ll be back.

Informed Pregnancy Podcast – Hannah Gill

Informed Pregnancy Podcast – Hannah Gill

Elliot: Welcome to the Informed Pregnancy and Parenting Podcast. I’m your host, pregnancy-focused chiropractor, Dr. Elliot Berlin.

Today, we’re speaking with an operation supervisor for a biotechnology company working in biotherapeutics by day and birth work by night. And we’re going to compare her two birth experiences. Hannah Gill, welcome to the podcast.

Hannah: Hi, Dr. Berlin. How are you doing?

Elliot: I’m doing amazing. What a combination of night and day. By the way, I picture, based on my own introduction, I picture you’re going into a phone booth when somebody’s in labor and putting on a superhero outfit and flying over to save the day. But let’s talk about what you’re doing. Where are you from originally and what’s this biotech business?

Hannah: I was born in Kansas City, Missouri. But I’ve spent the majority of my life in Indiana, with a brief stint in Nebraska, and then back to Indiana.

Elliot: Okay, which part of Nebraska?

Hannah: Tekamah. Very, very —

Elliot: It sounds like not very many people.

Hannah: No. The population was less than my high school.

Elliot: Wow!

Hannah: It’s about an hour north of Omaha, so it’s very small.

Elliot: So, a gas station and a saloon?

Hannah: Basically.

Elliot: And a church?

Hannah: Everyone knows everyone and everyone’s related.

Elliot: Oh, boy. All the people know my business. Alright, and then, where did you go to school?

Hannah: So, undergrad, I went to I.U. Bloomington in Indiana. And then, for grad school, I did I.U.P.U.I., which is Indianapolis University-Purdue University.

Elliot: And you studied?

Hannah: Undergrad, human biology. And then, my master’s is in forensic biology.

Elliot: What does that mean in English? Forensic biology.

Hannah: So, forensic science, what a lot of people see on CSI, but it’s nothing like that.

Elliot: Okay, because?

Hannah: It’s very fabricated on TV.

Elliot: Oh, I see.

Hannah: And the process is taking much longer than that.

Elliot: Oh, doesn’t take 45 minutes to figure it out.

Hannah: No. And most of the time, there’s not an answer.

Elliot: Oh, that’s even worse. And no commercial breaks though, which is nice. Okay. And then, where’d you meet your hubby?

Hannah: We started dating in high school. So, we’ve been together since I was 15 and he was 17.

Elliot: Wow! Did you know?

Hannah: Did we know what?

Elliot: Like in high school? Did that feel like this was going to be a forever?

Hannah: Yeah, probably.

Elliot: Really? Wow, that’s very special. How cool. Alright. And then, kids. Was that like, “Hey, now we should have kids? Since we’ve been dating forever.”

Hannah: Yeah, we always wanted to have kids. We got married in 2016 and decided to not really start trying but not try in 2019 when I got diagnosed with PCOS.

Elliot: Were you having symptoms when you were trying to get pregnant?

Hannah: Yeah. So, I stopped birth control the year prior, and I had been on birth control since I was basically started my period like a lot of women are. And I stopped birth control in 2018 because I was just over it. I was tired of being on it so long, and I was tired of the side effects.

Elliot: THE pill?

Hannah: Yep, the pill. And then, after that, I started having two periods a month instead of one. So, then, I went to my OB-GYN because I said, “This is obviously not normal.” And they did an ultrasound and some blood testing and found like the string of pearls or whatever they call it for PCOS. And then, my testosterone levels were super, super high. So, that’s how I got diagnosed. I don’t have like the traditional PCOS symptoms besides those two things.

Elliot: Oh, so only the diagnostics. You didn’t feel PCOS?

Hannah: Right. So, I don’t have like the insulin resistance or anything like that.

Elliot: Oh, metabolic X syndrome.

Hannah: Right. And the only symptoms I was having was the two periods a month.

Elliot: Wow! With high testosterone, which is like —

Hannah: Yeah, I’ve had acne my whole life, so I just assumed it was just who I was. But it was apparently part of my PCOS. [inaudible 04:24]

Elliot: Symptoms of low testosterone. I feel like, “I’ll take some of yours.” Can we do that? Is that like a thing?

Hannah: Take it away, please.

Elliot: Yeah. Okay. So, then, PCOS, and have you treat that?

Hannah: So, I decided not to treat because they said you can get back on birth control to help. But I was like, “No, I don’t want to do that. I don’t want to be on birth control anymore.” So, my OB-GYN said, “Well, it could take you a while to get pregnant or it could be really fast, it just depends.” And we got pregnant, literally, the first time.

Elliot: The first time that you were off birth control? I mean, no.

Hannah: Like the first time not preventing.

Elliot: Okay. So, after the pill, you were doing something else to block.

Hannah: Yes.

Elliot: So, you were ready. You said, “Let’s try and see what happens.”

Hannah: Yeah, I said, “Well, it could take a while, it could be fast. So, let’s just not prevent and let’s just see what happens and –”

Elliot: Boom!

Hannah: Literally, the first time.

Elliot: How was your pregnancy?

Hannah: Awful.

Elliot: Oh, come on.

Hannah: Not awful. Not horrible, but I was sick the entire nine months for my first pregnancy.

Elliot: Sick. Nauseous, or also something –?

Hannah: As in like vomiting all day.

Elliot: So, hyperemesis?

Hannah: It was very borderline. So, it wasn’t officially hyperemesis because it wasn’t like constant all day every day. But the majority of my first trimester was constant all day. And then, the second and third trimester, it was at three to four times a day. But it never ended after the first trimester.

Elliot: That’s something hyperemesis to me. First of all, did it stop as soon as the baby was born?

Hannah: Oh, yeah.

Elliot: Yeah. So, it does sound like its hyperemesis. Because we have a couple episodes about hyperemesis. One with Amy Schumer discussing her experience with pregnancy and hyperemesis, and then one with a few doctors. But the doctor said is that they’re kind of nailing it down to hormones created by the placenta.

Hannah: Okay.

Elliot: So, [tied it to hormone 06:07] that makes you feel full all the time. So, in excess production so that anything you eat makes you feel like overfull. Like you’ve had too much like you have to get rid of it. So, it’s a little bit sounds like that. But there’s a foundation called the Her Foundation, H-E-R, and they have great resources for people who are struggling like that during pregnancy. And one of them is an app where you can kind of input your symptoms and then send it to your doctor to get a better handle on whether that’s hyperemesis or not. So, I was already grateful that you did the podcast, but now, another chance to help people who experience pregnancy like that.

Hannah: Agreed, because I was never diagnosed with it.

Elliot: Was there a plan for birth?

Hannah: Yes. So, I had planned to do an unmedicated hospital birth. And I just took the basic hospital birth class, and then an advanced labor birth class is what they called it to kind of help you get through it without medication.

Elliot: Also at the hospital?

Hannah: Yes, but it wasn’t after looking back at my experience and what I know now was not very helpful. It was a very fast, just like quick and dirty type of class on “here’s some comfort measures,” but it didn’t really help prepare me.

Elliot: Sometimes, the hospital birth class feels like how to be a good patient at our hospital.

Hannah: Oh, yes! I agree. That’s what I know now.

Elliot: I usually recommend if you want to do something that’s a little out-of-the-box for typical hospital birth to do a non-hospital birth class.

Hannah: No one I knew had ever birthed outside of a hospital, and the majority of people I knew did not birth unmedicated. So, I just thought, “Oh, you go to an OB, go to a hospital and that’s how it is.” I didn’t know what a birth center was. I had never even heard of a doula at that time, or I didn’t know anyone had a home birth. So, I just kind of took the route that I do best, and that’s what happened.

Elliot: Alright. Well, let’s take a quick little break and when we come back, we’ll see how that birth went. Don’t go anywhere. We’ll be right back.

[break]

Elliot: Welcome back to the podcast. We’re talking to Hannah Gill. Okay, so first pregnancy, boom! Right out of the gate and horrible motion vomiting all the way through. But then, you took a hospital birth course on childbirth and you did an extra class for unmedicated childbirth. And how did your labor start?

Hannah: So, I didn’t really feel like the gradual build-up a lot of people talked about. It was more of as soon as my contractions started, they were extremely intense and five minutes apart.

Elliot: Wow! Okay, what time of day was that?

Hannah: About 5:30 in the morning.

Elliot: Okay. So, boom! And so, I assume it woke you up.

Hannah: Yes. I had gotten up to go to the restroom and then try to go back to sleep, and that was not happening. So, I decided to get in the shower to see if that would calm anything and it definitely did not.

Elliot: I mean, it just progressed?

Hannah: It just kept getting worse and worse as far as the pain goes. So, my husband is already at work at this time.

Elliot: What?

Hannah: Yes. And I just called it. Yes, he leaves for work around 5:00 am.

Elliot: Holy moly. Okay.

Hannah: So, I called him —

Elliot: Before he left, nothing.

Hannah: No, it was not until he left, of course.

Elliot: And then, half an hour later, raging.

Hannah: Yeah.

Elliot: Okay. And then, he came back.

Hannah: Yeah. So, I gave him a call at work, or I actually texted him first. And I said, “Hey, I’m starting to have contractions. They’re really intense. I’m going to try to get in the shower, but I’ll let you know how things go.” And I started using that contraction timer and it said, “Go to the hospital.”

Elliot: Oh, wow.

Hannah: So, I called him on like the work line because he wasn’t answering his cell. And I told them, I said, “Get him home now, please.” And he got home and I was on the birth ball and he was like, “What am I supposed to do?” I said, “Just grab the bags. Let’s just get going.” And of course, it by this time, it was getting close to rush hour around where we are. And I was not looking forward for about 30 minutes from the hospital. I was [unintelligible 10:10].

Elliot: Oh, my.

Hannah: So, it was interestingly —

Elliot: If only you were in a small town with 200 people.

Hannah: Oh, yes. Like before.

Elliot: Yes, rush hour would be like rush minute.

Hannah: Yes. So, the drive to the hospital was pretty rough with having to wait in traffic.

Elliot: With that kind of intensity especially.

Hannah: Yeah.

Elliot: We’re you in the front seat?

Hannah: Front seat.

Elliot: Like buckled in like or on your hands and knees?

Hannah: At first, I was buckled in and then I got off buckled, took my coat off because I was sweating. Rolled the window down and mind you, this was December and it was freezing, but my husband was cold. I was like, sweating. So, no, I was buckled in at first. And then, it was just like bracing myself and holding on to the door, trying to breathe through my contractions.

Elliot: I mean, it sounds like a caged animal.

Hannah: Yes. That’s exactly how it felt.

Elliot: I’ll probably get in trouble for saying that, but that’s what it just sounds like. You need to have space and get out of there and move.

Hannah: And I was vomiting my entire labor, too.

Elliot: Oh, in the car?

Hannah: Yeah.

Elliot: What happened when you got to the hospital?

Hannah: So, they had me sign all those fun forms as I’m reading through my contractions and then got me into triage and I was only three centimeters.

Elliot: Ouch. Okay.

Hannah: Yeah.

Elliot: Have you been checked before?

Hannah: Yeah. So, my first pregnancy, I did get checked the day before I went into labor. I was 2 centimeters and I had my OB membrane sweep.

Elliot: Oh, okay. Do you think that contributed to the morning events?

Hannah: Probably, yes.

Elliot: Okay.

Hannah: I think so because it was much more intense than I had expected. So, maybe the sweep kind of escalated that.

Elliot: Was there like any blood after the sweep?

Hannah: No.

Elliot: Okay. So, 3 centimeters only. In your words, 3 centimeters?

Hannah: Yes, because [I had been to 11:59] the day before and with how intense my contractions were, I was expecting to be way further along. So, that was kind of —

Elliot: Six or something?

Hannah: Yeah. And they did check my platelets. I did not mention I had gestational thrombocytopenia, where your platelets are low.

Elliot: Oh, wow. We do have a whole episode on gestational thrombocytopenia with Dr. Nate Fox, that was triggered by Mandy Moore who had it with at least her first pregnancy. Wow. So, does that mean you were borderline epidural?

Hannah: I was borderline. So, I wasn’t as low as where you absolutely know for sure you can’t have it. It was always really borderline. And for my hospital when they checked it, it was like right at the level. So, that’s why I decided, “Okay, I’m just going to get it.” Because who knows, in a couple hours, I may not be able to anymore.” So, I just went ahead and got it because my contractions were so intense and I was right on that level. So, I got them right away.

Elliot: I mean, it also sounds like with the intensity and the progress, like your mind might have been easily persuaded anyway.

Hannah: Oh, yes, it was all mine game. Yeah, for sure.

Elliot: Okay. So, did it work?

Hannah: The epidural? Yes, it worked wonderfully. And I took a nap.

Elliot: Okay, great. And how did the rest of that labor progress?

Hannah: So, I progressed very quickly. I got my epidural around 8:00 or 9:00 o’clock, started pushing around 1:00 o’clock.

Elliot: So, four hours? And this is 1:00 pm.

Hannah: Yes.

Elliot: So, really not that long after your entire labor started.

Hannah: Right.

Elliot: Okay. So, how was pushing?

Hannah: I pushed for four hours.

Elliot: Did the epidural start to wear off? Did they turn it down?

Hannah: No. The epidural was so strong. I could not even tell I was pushing.

Elliot: Oh, wow.

Hannah: Which is part of the problem.

Elliot: Oh, four hours of that.

Hannah: Yes. So, four hours of that.

Elliot: What position?

Hannah: Just like the semi-reclined position. So, I couldn’t —

Elliot: You couldn’t get into like hands and knees or stuff like that?

Hannah: I didn’t know that was an option at the time. So, yeah.

Elliot: Well, if you could go back in time, listen to this episode.

Alright. So, pushing on your back with your pelvis closed and numb from the chest down.

Hannah: Right. And then, the whole holding your breath counting for 10 seconds. Push, push, push, push, push, that type of thing. So, the “coach pushing” that everyone hears about.

Elliot: Yeah. Okay. And in the four hours, was the baby handling it well? I assume [inaudible 14:25].

Hannah: There was one [unintelligible 14:27], but they didn’t make a big deal about it. They just had me put some oxygen on and rest for a minute.

Elliot: Okay. And then, what happened?

Hannah: So, we figured out that baby was most likely asynclitic, the way he was coming down. And we didn’t know if it was a boy or girl at this time, just a side note. So, the way the baby was coming down, just kept coming down, going back up, coming down, going back up. So, after this four hours, I opted for a cesarean.

Elliot: Okay. Asynclitic essentially means not lined up with the runway very well. So, all that pushing is not really coming down, it’s just flexing the head sideways. And then, as soon as you stop pushing, the head flexes back up. Always recommend seeing a baby chiropractor after a labor like that, by the way. Okay. So, how is the cesarean for you?

Hannah: It was not great. Like, I actually felt a lot more than I expected to. So, they gave me —

Elliot: Oh, great. You didn’t feel you’re pushing, but you felt your abdominal surgery.

Hannah: Right. So, I was like basically screaming and telling my husband like, “I need something else. This hurts really bad. I can feel a lot.” So, they gave me some additional medication through the epidural, whatever they give you that’s extra. And I kind of dozed off for a few minutes, I think. I don’t know if I fell asleep or what they gave me just kind of knocked me out a little bit, but I don’t remember my baby being born, basically.

Elliot: I was afraid you’re going to say that.

Hannah: Yeah. I don’t remember hearing him cry. The first thing I remember is my husband saying, “Babe, it’s a boy,” because we didn’t know. And I was just so out of it and so loopy that I don’t really remember much of it all.

Elliot: I’m so sorry.

Hannah: Thank you. I mean, I appreciate the sentiment there. And I know it’s hard for a lot of women who have that experience. I know a lot of people go through it, especially if they’re having to be put under general anesthesia, too. Thankfully, I didn’t have to do that.

Elliot: But it sounds like you’re pretty close.

Hannah: It was pretty close, yeah. I mean, I just had the epidural, so I didn’t need general. But they did give me, I don’t know what they gave me additional to help with the pain, but I kind of dozed off for a little bit.

Elliot: For a key moment.

Hannah: Yes.

Elliot: So, how was your recovery?

Hannah: So, in actual recovery room, I went hypotensive and I hemorrhaged really bad. So, I was like on the verge of completely passing out because my blood pressure was so low and I had a lot of blood loss. So, during that process, I was kind of out of it. But my husband was trying to help my son nurse at the same time, but I was like shaking and I couldn’t really hold him. So, he was helping him do that.

Elliot: Oh, this begs the question, did he get any pictures or video of the baby coming?

Hannah: Not of him actually coming out, but like in the operating room. We got some photos of him on, like the warmer thing.

Elliot: I was saying anything to fill in the blanks of when you were out.

Hannah: Not really. They got a picture of us all three together in the OR. But I don’t really remember that being taken. I just see the picture.

Elliot: Okay, so something.

Hannah: Yeah, something.

Elliot: That you can look at. Okay. And then, recovery at home. Wait, so did your blood transfusions?

Hannah: I did not have to get transfusions. They just said it was more than they would like to see from the cesarean, but not enough to get a transfusion.

Elliot: Related to the thrombocytopenia?

Hannah: I don’t know. I guess it could be. That would make sense. I don’t know if it was that or I know that if you, I guess pushing for a long time cause that.

Elliot: The uterus doesn’t, yeah. Okay. How was your home recovery?

Hannah: It was pretty rough. I was on quite a bit of pain postpartum at the hospital and at home, and I didn’t really feel comfortable doing much of anything for several weeks. And I think it was a lot of emotional pain as well as physical.

Elliot: So, on the physical side at the incision?

Hannah: Yeah. And in my abdomen in general.

Elliot: Are you athletically?

Hannah: I was before I got pregnant. Yeah. Not as much during my pregnancy or postpartum.

Elliot: My observation, it seems to affect people more than people who are less, you know, in tune with the body.

Hannah: Right. And I’ve heard that the like tension, if your muscles are tighter, can cause a lot of issues too. So, if you are athletic and you have really tense muscles and they’re not relaxed, they can cause some issues.

Elliot: Well, again, in my observation, clinically in the office, one of the things that we see is if you’re strong and also tight, combination of strong, tight creates a rigid environment. And if the baby’s not lined up well with the runway, then it’s a bit harder to maneuver in that static environment. And that’s where you end up spinning your wheels a lot in labor.

But the cool thing about that is if you can do something, get rid of that tension, the excess tightness, the dysfunctional shortness, and all you have is the strength, then it goes the other way. Those are like the most powerful births that I’ve ever seen.

And then, emotionally, how were you feeling? You said that was also uncomfortable.

Hannah: Yeah, it was really just kind of thrown off and shocked by my birth experience. And I ended up with postpartum depression and anxiety and had to go to therapy to help talk through that, which was extremely helpful. I recommend it to anyone that needs it. So, it was a rough postpartum, physically and mentally, for sure.

Elliot: Did lactation go well for you?

Hannah: Yeah, yeah. He actually nursed great. Breastfeeding was wonderful and we breastfed for a year.

Elliot: Oh, okay. At least, there’s some things that did go well.

Hannah: Positivity?

Elliot: Yeah. In your way that you wanted them to go. I guess looking back, would you have done anything specific differently?

Hannah: I probably would have waited on the epidural. Or if I would have known at the time, gotten a doula for that birth, but I didn’t know what a doula was. I didn’t know that was the thing. So, that’s probably what it done differently. And then, I also would have, I didn’t mention this, but they did break my water at 9 centimeters. I asked them to break it because I didn’t know any different. And I feel like he could have gotten a better position if my water wasn’t broken.

Elliot: Yeah. It’s hard to know, but one wonders for sure. And just getting ready for the hyperemesis before we move on to your next baby, was it like literally that same day that it stopped?

Hannah: Yeah. I wasn’t sick at all. I was sick all through labor, and that I wasn’t sick at all afterwards.

Elliot: Were you hungry?

Hannah: I was hungry. I think the only other thing that made me sick with my pain meds postpartum. That made me sick until they got the right one.

Elliot: This is when you start going to phone booths and helping other people in labor. Tell me about that.

Hannah: So, I started out with childbirth education first.

Elliot: Okay. Becoming a childbirth educator?

Hannah: Yes, yes.

Elliot: A specific method?

Hannah: Not a specific method. I just wanted to become an out-of-hospital specifically. Because of how my experience with my birth class and how I did not enjoy it. And I thought, “Well, there needs to be a better option for people because that wasn’t great.” So, I just started to do that first. And then, I did not get into doula work until after the birth of my second.

Elliot: Oh, wow. Okay, wow. That sounds like an excellent place to take a quick break. And let’s find out about the second pregnancy, birth, and the doula work. We’ll be right back.

[break]

Elliot: Welcome back. We’re talking to Hannah Gill. And let’s talk about baby number two. So, was that planned?

Hannah: Yes, the second was planned for sure.

Elliot: Super fast again?

Hannah: It took two cycles, but still relatively fast, yeah.

Elliot: Pretty darn fast. Especially, people get very nervous with PCOS. So, that it’s always going to take a while. How was your second pregnancy?

Hannah: So, the first trimester was extremely rough for about 17 weeks. Again, borderline. Probably, this time was actually hyperemesis again. I wasn’t diagnosed. But I did end up in the hospital with fluids because I couldn’t keep anything down, and how to take time off work. So, the first trimester was rough, but then it got better after that this time.

Elliot: Good thing about taking time off at work is usually don’t get the answer anyway.

Hannah: I know.

Elliot: So, nobody will even know you’re not there. Okay. So, wow, you said 17 weeks. Does that mean that got better?

Hannah: Yes. After 17 weeks, it got better. I was still nauseous here and there, and had random bouts of vomiting, but nothing nearly like my first.

Elliot: Right. So, it sounds like the first part of your second pregnancy was worse than the first pregnancy.

Hannah: Oh, yes.

Elliot: But then it got a lot better than the first pregnancy. So, interesting how it works. Who knows? And then, what was your plan for this one?

Hannah: So, this time, I originally wanted to do birth center, but it is illegal to VBAC in Indiana in a birth center.

Elliot: Really?

Hannah: Yes.

Elliot: It’s how they made VBAC outside the scope of practice of a birth center.

Hannah: Yes. It’s not allowed.

Elliot: That’s weird.

Hannah: I know. I didn’t know it was a thing until I looked into it.

Elliot: I could see insurance not wanting to cover it but to [outlaw 23:46] it seems strange.

Hannah: Yeah, it’s a little drastic.

Elliot: I feels like restrictive in a free country.

Hannah: Yeah.

Elliot: Okay.

Hannah: So, after figuring that out, I thought, “Well, let’s go the route of home birth.” But the closest midwife to me would not take the first VBAC after cesarean. She would only take the second VBAC after cesarean. So, the closest midwife to me that would take me on was about two hours away, and I didn’t feel comfortable driving that far for appointments. So, everywhere else was out of my service area, unfortunately. So, I decided to stay with my OB that did my cesarean because she was great as far as supporting me through that. And she was completely on board with me having a VBAC.

Elliot: That’s cool.

Hannah: And then, I hired a doula as well.

Elliot: Okay. And did you have the thrombocytopenia again?

Hannah: I did, yes.

Elliot: Okay. So, that was still a question mark in terms of how that might affect you.

Hannah: Yeah. So, I just completely plan to not have an epidural and didn’t even think of it as an option in my mind, just in case.

Elliot: I think the thrombocytopenia kind of risks you out of the out-of-hospital birth anyway.

Hannah: Yeah, it does. Depending on the level, I believe.

Elliot: Right. Yeah.

Hannah: Mine were never that low, I don’t think.

Elliot: In the second?

Hannah: Yeah. They were low in the second, but it was more of just risking you out of an epidural versus out-of-hospital.

Elliot: If you’re low enough to risk out of an epidural, you’re probably too low for a home birth.

Hannah: Yeah, potentially, I think so.

Elliot: It’s my guess. It’s not my area of expertise. But anyway, anything else that popped up during that second pregnancy?

Hannah: I had a marginal cord insertion with my placenta.

Elliot: Okay.

Hannah: And that was the only other weird thing. So, they just did a couple extra ultrasounds just to make sure baby was growing okay. But baby was always fine.

Elliot: Cool. How did that labor start?

Hannah: So, again, it was fast and furious. But when I went into the hospital, I didn’t know I was in labor. I just had some excessive bleeding. That was concerning.

Elliot: Interesting. So, where is this in relation to your due date?

Hannah: I was two days past my due date.

Elliot: Okay.

Hannah: I was a week early with my son, the first.

Elliot: Was there a sweep on the second?

Hannah: No, I did not have any cervical checks and no sweeps.

Elliot: Oh, wow. Okay. So, then, you just start bleeding a bunch, you go to the hospital.

Hannah: Yeah.

Elliot: No contractions though?

Hannah: No contractions.

Elliot: Okay.

Hannah: So, I get to the hospital and they put me on the monitor. They want to check and make sure it’s not placental abruption or anything like that. And I was 3 centimeters at that time. And they said, “Well, how about we –” Actually, probably closer to four. So, they wanted to sit me on the monitor because I wanted to labor at home as long as possible. So, I plan to go home if we could because I wasn’t having contractions. And they wanted to monitor me for about an hour just to see if I made any progress. And in that hour, I dilated another centimeter. So, we just decided to stay at the hospital at that time.

Elliot: Okay. So, now, you’re like 5-ish. No idea where that blood was coming from?

Hannah: No. They said that it just kind of trickled off. It didn’t happen a lot. They said it could have been a partial abruption. It could just have been part of like, a bloody show that was more intense.

Elliot: Yeah. Okay.

Hannah: They didn’t give me an answer on that.

Elliot: And how the labor progress?

Hannah: So, it was a whirlwind, but we got to the hospital around 8:00. I progressed extremely quickly. And my entire labor was five hours.

Elliot: Oh, wow. And how was the intensity?

Hannah: So, it was still pretty intense. But I had done a hypnobabies course. So, I was pretty good at staying relaxed. And then, my husband was very helpful as well. But they were really intense when they picked up. The first ones were very gradual. But then, right around transition, obviously they got super intense.

Elliot: Were you planning to stay unmedicated?

Hannah: Yes. Yeah. So, I was planning no epidural whatsoever. Unless, it was absolutely needed.

Elliot: And was the team around you, the hospital staff, supportive?

Hannah: Yes. So, the nurse we had was super supportive. I was up and moving. I was on the toilet and the shower. She was great about letting me do my thing. And I had wireless monitors. They tried to keep him on as best as possible, but I was moving so much it didn’t really work.

Elliot: Okay. And then, how does that birth end?

Hannah: So, my doula almost didn’t make it because it was so fast. I was texting her throughout the process on like how I was doing. And I text her around right when my water broke, which was a little after five centimeters. I was GBS-positive. So, I did have to get a round of antibiotics.

Elliot: But we should explain that. Group B Strep is a type of bacteria that can sometimes colonize in the birth canal. Generally, In the United States, everyone gets swabbed for it somewhere around 37 weeks. And if you’re positive, then the general recommended treatment is IV antibiotics during labor. Usually, every few hours.

So, you have the GBS. There’s also an episode on Group B Strep Positive with Rebecca Dekker from Evidence Based Birth. And she goes into a lot more detail about what it is, and if there is anything that you can do to prevent it and other potential treatments. Check them out.

Okay, so you have GBS. You’re getting your IV antibiotics.

Hannah: Mm-hmm. And I was up and moving after that, but my water did break around 5-ish centimeters. And right after my water broke is when things really, really picked up.

Elliot: Where were you when it broke?

Hannah: I was still in the bed because I had just got down to my antibiotics. And then, after that, I basically got up and went to the toilet and sat there for an hour.

Elliot: Was it a big old gush?

Hannah: It wasn’t a huge gush, but it was quite like it. Isn’t like obviously a gush, but it was a ton of fluid that came out. Yeah.

Elliot: Okay. It wasn’t like, “Oh, did I just pee a drop?”

Hannah: No, it was like, “This happened.”

Elliot: Okay. Alright. Sitting on the toilet with people around you or did you –?

Hannah: My husband was with me in the bathroom while I was on the toilet, getting me washcloths for my face, rubbing my shoulders, that type of thing. And so, I was on the toilet for at least an hour and that’s when I started transitioning. At the dilation station.

Elliot: What did that feel like?

Hannah: So, my contractions were on top of each other at that point. Like one, back-to-back-to-back. And that’s when my doula walked in, and I told her — her name’s Julie. I said, “Julie, I need an epidural.” She said, “Well, let’s maybe try to switch positions, get off the toilet.” So, we moved to the shower at that point, which was extremely helpful.

Elliot: Warm. Warm water?

Hannah: It was warm. At first, it was way too hot and it was really sensitive on my back, and I had to wait till it cooled down. So, I was leaning over the sink counter until I could get in.

Elliot: Was the intensity in your back? Was it like more period –?

Hannah: No. It was in my pelvis. Like I felt like I was pushing, basically. My husband got in the shower with me and I was hanging on him around his neck. And then, my doula was behind me putting the water on my back.

Elliot: Sounds streamy.

Hannah: Yeah. And I started basically bearing down and pushing in the shower.

Elliot: Grunting?

Hannah: Yeah. And the nurse was like, “Well, maybe we should move to the bed.”

Elliot: Yeah. Did you?

Hannah: We did eventually move to the bed. I was very reluctant to do so, but we moved to the bed and I got on hands and knees to start my pushing process.

Elliot: Was that instinct or was that planned?

Hannah: So, my doula suggested it because I had a partial cervical lip. So, she said with the position of the lip that being on hands and knees would kind of help push that away.

Elliot: Cervical lip, just a piece of the cervix is not quite out of the way yet for the baby to pass through more easily. Okay. And were you starting to push?

Hannah: Yes. So, I was pushing at that point. I pushed on hands and knees for about 10 minutes. And then my doula suggested switching to squat position to kind of help it become down more.

Elliot: Did you have a squat bar?

Hannah: Yes. We had a squat bar. And I was very reluctant to move to that as well because I was just exhausted, and it was great to lean on the back of the bed. And I said, “There’s no way I can hold myself up with a squat.” So, I had this squat bar and then my husband supported me as well.

Elliot: From behind you?

Hannah: Kind of on the side. Like holding my back up so I wouldn’t fall backwards a little bit.

Elliot: How long was pushing?

Hannah: So, it was a total of 15 minutes.

Elliot: Oh, my goodness!

Hannah: Yeah, hands and knees. And then, as soon as I moved to a squat position, it was maybe two contractions and the baby was out. She didn’t have any head mold or anything. She came out so fast.

Elliot: Just came right through. Did that surprise you?

Hannah: It did. Because pushing was like the one feat I wanted to get past because it was so long with my son that I was pushing. And it was intense, and I just felt like she just shot out.

Elliot: Wow! What was going through your mind at that point?

Hannah: First of all, we didn’t know if it was a girl or boy again. So, I wanted to first find out if it was a girl or boy. But it was just so intense and I thought, “Okay, just if I could just get her out, then there’s no chance I’ll have a C-section.” I just wanted to get her out. I just wanted to get past that. But yeah, the ring of fire was brutal.

Elliot: Oh, really? For how long did that last, would you say?

Hannah: Just probably 30 seconds.

Elliot: Okay, 30-second ring of fire.

Hannah: Yeah.

Elliot: How was your recovery?

Hannah: It was great. So, I just had a slight second-degree tear just because she did come out so fast and I didn’t control the pushing to slow it down much at all. But I had a little bit of a retained placenta as well. So, it took a little bit for them to really get all that out and they did an ultrasound to make sure. I actually had to get more of it removed several weeks later.

Elliot: Later? Oh, wow.

Hannah: Because it’s still there. But, overall, recovery from the VBAC was 100 times easier than C-section.

Elliot: Mind and body?

Hannah: Mind and body, yes.

Elliot: Hmm. Well, congratulations.

Hannah: Thank you.

Elliot: I know you worked hard for that. And what an intense journey from beginning to end even just finding out that you had PCOS and the question marks that that brings up. What would you do with a third pregnancy for the birth?

Hannah: One hundred percent home birth, as long as I’m able to.

Elliot: Because now you can — The second VBAC, now that you have a “proven” pelvis.

Hannah: Right. But as long as my platelet levels are fine and everything checks out, I would 100% want to have a home birth.

Elliot: We just have to do another episode in a couple of years. Before we go, tell me about your new nightlife.

Hannah: Yes. So, I am a childbirth educator, birth and postpartum doula. I am owner of Ebb and Flow Birth Co., is what my business is called. So, I do doula support for postpartum and birth, and I’m in Indianapolis in that area. So, I’m really liking it so far. I just started doula work. I’ve only had one birth for my birth support, but I have childbirth education classes lined up as well.

Elliot: Is that what you named your kids, Ebb and Flow?

Hannah: No, no. They’re Hudson and Marley.

Elliot: Oh, Hudson and Marley. I though they’re going to be like Evan and Florence.

Hannah: No.

Elliot: Hey, Hannah, I thank you so much for joining and for sharing your story. And for now, the amazing work that you do supporting others.

Hannah: Thank you.

Elliot: Tell me where we can find you online.

Hannah: So, Instagram is @ebbandflowbirthco. No underscores or anything like that. And then, my website is ebbandflowbirthco.com.

Elliot: Amazing. And we’re over there on the Instagram as well @doctorberlin, D-O-C-T-O-R-B-E-R-L-I-N.

Informed Pregnancy Podcast – Isabella Zar (After)

Informed Pregnancy Podcast – Isabella Zar (After)

Air date 12.12.2022
Listen here!

Elliot: You have tuned into the after episode of the before and after birth story. My guest today is a nutritionist and founder of Medicinal Mushroom Focus Company, Fungirl. The last time I spoke to her was incredibly pregnant with her first child and now she’s incredibly not pregnant with her first child. Congratulations.

Isabella: Thank you, thank you.

Elliot: Isabella Zar, welcome back to the podcast.

Isabella: Thanks for having me back.

Elliot: I don’t know anything about your birth story other than that you had a baby. And, I’m excited to hear all the little details of it. Let’s start here because, I mean, I always say this like when I introduce, “Oh, she’s really, really pregnant. Could have the baby any minute.” You’re very at the end. Like where in your timeline did things start on your 40, 42-week calendar?

Isabella: So, when we spoke, I was 40 weeks. I can’t remember exactly 40 weeks and how many days. But, things started for me I think the 40-week and 3-day mark.

Elliot: Okay. So, we literally were just a few days before.

Isabella: Yeah. I think it was a day after we spoke actually, when I think about it.

Elliot: Excellent. So, with the magic of podcasting, it’s like the cooking shows. They put it in the top oven and they immediately open in the bottom oven and it’s fully cooked. So, your birth was that simple. So, okay. How did things start?

Isabella: It was so not simple. Oh, man. It was a journey. I started just having little signs and symptoms like losing a bit of my mucus plug and the Braxton Hicks were getting stronger. But, it was on Tuesday, I woke up on Tuesday morning and I felt like I’d woken up in a bit of a puddle. I hadn’t peed myself.

Elliot: Okay.

Isabella: So, I was texting my midwife. I was like, “I think my water maybe just broke, but it doesn’t feel like a lot. I’m not sure what to expect because I haven’t done this before.” And, she was like, “It was probably a bit of a hind leak. Like see how you go throughout the day.”

Elliot: I have hind leaks all the time.

Isabella: It’s not good.

Elliot: Okay.

Isabella: So, I had a totally normal day. I went and got a pedicure with my mom. We went for lunch. We went shopping. I had two of my good friends come over for dinner that night. It was a normal day. Throughout the day, I was still having a little bit of cramping and the leaking was still happening.

Elliot: Can I ask you a question about your mucus plug? What did it look like?

Isabella: It was just like — well, there was a little bit of blood but not really. It was more just like a clear kind of mucus-looking.

Elliot: Goopy?

Isabella: Yeah, a little bit. But, it was clear and it looked stringy.

Elliot: Okay. So, we’re like — oh, did you know what it was going to look like?

Isabella: I’ve seen pictures of various mucus plugs so I didn’t know what to expect.

Elliot: I have posters all over my bedroom.

Isabella: Beautiful.

Elliot: Yeah. I mean, it’s nature’s art.

Isabella: Oh, yeah. I’m sure that’s a really beautiful bedroom environment.

Elliot: I’m picturing my college dorm room.

Isabella: Yeah, just postebbrs.

Elliot: “Hey, what’s that dude?” “You don’t want to know.”

Isabella: “Don’t worry about it.” So, I knew what it was, but like it was only little bits of it. Some people, they lose the whole thing it seems like. I didn’t have that. It was just little bits here and there with the leaking. So, it wasn’t like anything was like, “Oh, it’s go time.” It was more gradual. So then, my friends left our house after dinner that night. And, my husband and I were like, “Okay, my contractions are getting stronger. Let’s just try and relax, watch a movie, had a little wine, put on a funny movie.” I was like, “Maybe we’ll just laugh the baby out.” So naive of me.

Yeah, that night I was just having contractions all night and I was basically just trying to rest in between. But, there’s only so much rest you can get in between a contraction. It’s like, oh, I’m going to have a micro sleep for like 5, 6, 10 minutes.

Elliot: Can you describe what those contractions were feeling like at that point?

Isabella: It was just like this band that was tightening around my lower belly like below my belly button. It was just this surge that would come on. It was like the whole band would really constrict, like a really intense period pain, and then ease after a little.

Elliot: Okay. I mean, now you have your whole scale. But, on a scale of 1 to 10, how intense would you say? And, 10 being the most.

Isabella: It was probably about a 5 or a 6.

Elliot: Okay. So, tolerable. What would you do when it would happen?

Isabella: Yeah. It was tolerable. In between each contraction, I could walk around and do my thing. And then, when it would come on, I’d have to stop just like brace myself. If I had a wall near me, I just lean on the wall and breathe into it. But, they were like stopping me in my tracks.

Elliot: Okay. At that point, is that exciting to you like, “Oh, this is happening?” Or, is it unsettling because it’s something you never really felt before?

Isabella: Oh, no. I felt like it was happening. I was like, “I’m going to give birth tonight, this morning, at some point in the next –”

Elliot: Game on.

Isabella: Yeah. I thought it was game on.

Elliot: Is this going all through the night?

Isabella: This is all night. I remember looking at the clock and it was 11:11, and my contractions were pretty strong and regular by that point. And, that happened all night. It was like that until the morning. And then, it was interesting. As soon as the sun started to come up, the contractions started to settle down. So, they got way longer. They became longer apart. They were like every 30 minutes now. And, I was texting my midwife the whole time and she was telling me that it’s quite common that that can happen. When the sun comes up, your hormones just relax a little, the labor will slow down.

Elliot: It does seem somehow tied into the night-day cycle.

Isabella: Yeah, I mean —

Elliot: When everybody talks about in relation to the moon, which is nighttime. And also, just at a time where you generally feel more safe and relaxed, I think. And so, your body can push things forward. Not everybody, everyone’s got their own pattern. But, that seems to be pretty prevalent. So, does that afford you the opportunity to get some rest?

Isabella: Yeah, I got a little bit of rest, which is really nice. My contractions are about 30 minutes apart like most of the day. So, I was getting some naps in between. But, you know, when I was lying on my side, that’s when my contractions were the most intense, which is really annoying because I wanted to rest so badly. But, every time I lay on my side, they were so much more intense than any other position.

Elliot: So, what would you do?

Isabella: I was walking around and moving on all fours just trying to stay somewhat active. But then, when I was trying to rest I just had to kind of rally and get through them.

Elliot: Yeah. I just wonder if it’s either a semi-reclining or sitting in one of those lazy chairs, something like that. You didn’t have the option. You just powered through your intense side lying?

Isabella: I mean, I can’t remember if I tried a semi-reclining position. I’m sure I did on the couch or something. But, I just remember them being more intense when I lay down, so it kind of deterred me from wanting to actually lie down.

Elliot: Okay.

Isabella: Hard.

Elliot: And, at this point, the only presence is you and your partner?

Isabella: Yeah. It was just me and my husband.

Elliot: And, also your doula assistant, Bubba, the Morkie.

Isabella: Of course. He was there the whole time.

Elliot: I mean, did he have a reaction to you being in labor?

Isabella: He was really chill. He was honestly such a sweet little pup that entire labor. There was a lot of it and he was by my side really sweet and calm like didn’t make a peep. He was an angel.

Elliot: Hmm, wow. They all react so differently. It’s interesting.

Isabella: Yeah, I’m sure.

Elliot: Okay. So, this whole thing started Tuesday night when you had a hind leak and you felt like you wet yourself and were having little strings of mucus plug coming out. And then, contractions all night. And then, in the morning, they space out. So, now it’s Wednesday and they’re spaced out and you’re walking around being active, trying to get a little rest. Anything change over the day?

Isabella: No, things didn’t change until that night until things got dark.

Elliot: Oh. Like dark outside or dark in your story?

Isabella: Dark outside.

Elliot: Oh. Okay, fine. I was like, “That was ominous. Halloween.” Okay. So, I did have one question. Are you still losing fluid?

Isabella: Yes. I was still just having like a little bit of leakage and little bits of mucus and blood like the whole day.

Elliot: Little drops of blood, not like soaking through pans of blood?

Isabella: No it was definitely not like soaking anything through. It was just like little bits here and there.

Elliot: Okay, alright. Great. Then things get dark outside. I don’t know. Let’s maybe take a little break and then we’re going to find out what happened after dark. We’ll be right back.

[break]

Welcome back to the Informed Pregnancy Podcast. We’re talking to Isabella Zar. And labor, you thought it was going to be quick. It was not quick I can tell already because a full day has gone by. What happens when it gets dark?

Isabella: Okay. So, it got dark and my contractions by like 10:30 went out a minute long, so it’s 3 minutes apart, so they were happening. And, it was still just me and my husband at this point. I really just wanted to have —

Elliot: And Morkie.

Isabella: And Morkie. I really wanted to have just a sacred space to kind of lean into the intensity without having anyone around watching, waiting.

Elliot: Oh. So, that’s by design it’s just you guys?

Isabella: Yeah, yeah. I didn’t want to call anyone until I felt like I really needed them and it was go time. So, that time actually was really special. It was really nice just to have the two of us, three of us. But, by 1:00 am Thursday morning, that’s when I called my mom who’s also my doula. She came over and then text my midwife Katie, and she arrived about 1:30 am. So, we had the whole team there at that point. And, the pool was up. It was partially filled. And, we were just all ready to go. And, my contractions were super strong, super regular. I was trying all the positions.

Elliot: Trying them for what?

Isabella: Just trying to progress. I was having these regular strong contractions and I was pushing, but the baby wasn’t coming down far enough.

Elliot: So, does this mean your midwife checked you already?

Isabella: She didn’t check me.

Elliot: So you’re just pushing on instinct?

Isabella: Yeah, yeah. So, she likes to go off reading the situation like where I’m at, and how my contractions are, and everything that comes with that. So, I was just pushing on instinct. It kind of got to the point where I was like I feel like I needed to push like I got that urge, so I was pushing into it.

Elliot: With the proverbial rectal pressure that everyone talks about?

Isabella: Yeah. Yeah, yeah, yeah. Very much had that.

Elliot: So, this is 1:30 in the morning?

Isabella: Yeah. This is 1:30 am on Thursday.

Elliot: So, when you started the whole thing on Tuesday night, you went to Wednesday night. Well, this is Wednesday night/very early Thursday morning?

Isabella: Yes, yes.

Elliot: Like 28 hours or something like that into it.

Isabella: Yeah.

Elliot: Okay. And, you said that the surges were closer together and lasting a bit longer. Were they more intense?

Isabella: They were more intense for sure.

Elliot: Same sensation just on steroids or was it like a different sensation entirely?

Isabella: It was different in that the constricting feeling, it felt like the surges were more of my tummy as opposed to just that lower part. Like they had spread further up my stomach. So, it felt like my whole tummy was contracting.

Elliot: Okay. Because before you said kind of belly button down. Now, like your whole uterus all the way up to underneath your ribs?

Isabella: Yeah, yeah.

Elliot: But still, all in the front?

Isabella: I had a little in the back, but not a ton.

Elliot: Okay. What kind of things were you doing for comfort?

Isabella: I was in the tub at one stage, which felt really nice. But, I felt like it was actually slowing things down for me because it felt too nice to be in there and I just felt like it was slowing them down. So, I actually didn’t stay in the tub for long.

Elliot: Okay. Was that before the midwife came?

Isabella: No. That was once midwife was there.

Elliot: So, before that, were there any other comfort measures?

Isabella: I would [indiscernible 00:15:43]. I would hang out with my husband okay he would squeeze my hips and that felt really nice. Just applying like some even pressure on my hips or even on my lower back like around my tailbone, that helped. I also was using doing the comb trick, which was —

Elliot: In your hand?

Isabella: Yeah. So, you have the little tips in like the line where your fingers in your palm meet and squeeze into that. And, I actually really liked that. It just took my mind off the pain happening anywhere else in my body.

Elliot: Yeah. Oh, that’s so cool. I’ve heard a few people now say that. I haven’t really seen it in practice. But, heard a few people say it was very helpful.

Isabella: Yeah. I definitely recommend the comb trick. I think it’s such an easy thing to do and it definitely helps.

Elliot: Yeah. I do the honeycomb trick. It’s surreal for sure. It helps. It definitely helps.

Isabella: For sure.

Elliot: Alright. So, those are your comfort measures. You got the comb trick, you got your partner. I am curious, were there any mushrooms involved at any point?

Isabella: You know what, there were no mushrooms.

Elliot: I can’t believe it.

Isabella: I couldn’t stomach the whole thing.

Elliot: Oh. You couldn’t eat anything. It wasn’t a fun birth. So, there’s that. And then, what music were you listening to? What kind of things?

Isabella: Oh. I had a playlist, which is really nice. It was a whole mix. I had Fleetwood Mac, I can’t even think. I’m blanking. But it was a nice one. It wasn’t too chanty, meditation music. It was a little more upbeat. It was just music that made me happy.

Elliot: That’s great.

Isabella: Yeah.

Elliot: Music that generally makes you happy.

Isabella: Yes, exactly.

Elliot: It makes you happy in the moment. I can kind of you’re setting a good scene here.

Isabella: Yeah. No. The setup was beautiful. The music actually was really nice because when a more upbeat song came on, I actually tried to just kind of dance through the contractions a bit as well, which is good. I just moved my hips side to side or in circles

Elliot: That felt good?

Isabella: Yeah. It did feel good.

Elliot: You didn’t end up sitting on the toilet for a long time like people do?

Isabella: I did. I tried sitting on the toilet. I tried —

Elliot: Were you facing normal or were you facing the other way?

Isabella: I was facing normal. I think I tried the other way but I didn’t like it, so I faced normal.

Elliot: Okay. But, did that give you any sense of like more opening? People sit on there because you’re used to opening up.

Isabella: Honestly, not really.

Elliot: No, okay.

Isabella: We tried that and the birthing stool and neither of them felt like they helped a ton. One thing that we did do was the peanut ball.

Elliot: Oh, yeah.

Isabella: Laying in bed was torture. I hate to say it but it was excruciating.

Elliot: Really? So, you’re like in bed laying on your side with the peanut ball between your legs?

Isabella: Yeah. Katie was like, “Do 15 minutes each side.” I did 15 minutes on one side and then about three on the other. I was like, I physically cannot. It was too much for me. It was a lot. So, at this stage, Thursday early morning, we’re doing all the tricks. It was just a whole night of that basically, and then same thing happened as the night before like the sun started to come up and things slowed down a little bit but not a ton. But, Katie was basically giving me like all her midwife tricks. So, I had my breast pump on.

Elliot: Oh, wow.

Isabella: Walking around the house. I started taking a certain herb. Every 30 minutes I’d have a dropper of this herb. I was doing the side steps. That really helped. Every time I did like the crab walking, that definitely brought on a really strong surge.

Elliot: Oh, really?

Isabella: But it was just like another day of intense active labor and she still was not progressing. I wasn’t progressing.

Elliot: So, it kind of sounds like a much more intense version of your stepping on the gas, the engine’s revving, but the gears aren’t engaged?

Isabella: Yes, exactly. Exactly.

Elliot: That seems frustrating.

Isabella: It was. I remember in the moment, well, this was a Thursday during the day. I remember just feeling so disheartened because I’d done so much work already and I was becoming really, really exhausted. I couldn’t sleep and then my husband came to me and he was like, “We need to get this baby out.” He’s like, “I’m going to help you in every way I can.” And, he was incredible. Like he was the birth partner. I honestly could not have gone through this without him. But, he just put a pep in my step and he was like, “Okay. Let’s do the pumps. Let’s do the herbs. Let’s walk around.”

He just got me doing all the things to try and bring on those contractions even stronger to get things going because that’s what I needed. I just needed to kick into another gear that I wasn’t getting to. So, he was just like, “Let’s go.” So, that whole day Thursday, we were doing all the tricks.

And then, I mean, it went into the evening again and it was about 1:00 am and I was in the bedroom at this point. I had my whole team with me and I was lying on my side. Aaron was holding up my top leg and I was pushing in that position. And, I felt like I was making progress like that, and then I just wasn’t. I could reach down. Katie, she said to me, she’s like, “See if you can feel the baby.” And, I could. I could feel the baby’s head.

Elliot: With your fingers from the outside?

Isabella: Yeah, yeah. I put my fingers inside of me and I could feel her in there, but she was still like two inches up. She wasn’t quite far enough down.

Elliot: Did you do that during a push?

Isabella: Yeah. It was during a push. She said, “Just put your fingers in.” And then, a contraction came, and then I could feel.

Elliot: It seems like sometimes that gives the person a little more perspective if you can feel what the baby’s doing in relation to your push. Okay. Well, this is not the quick birth you were hoping for. I mean, it seems like you must have had to reheat the water in your tub.

Isabella: We definitely had to reheat the water a few times.

Elliot: A couple of times, yeah.

Isabella: Yeah.

Elliot: Is there — I guess two things. One is, are you still leaking fluid and stuff? Did your water break at any point?

Isabella: No. So I was still leaking fluid. And, at this point, before I felt the baby’s head, my midwife, she checked me and she could actually feel my bag, not the baby’s head. So, she was like, “Okay. Your bag is still intact. You’re leaking. It’s just a hind leak, but your bag is still there.” So she just kept her fingers inside of me while I was going through a few surges. And, that pressure against the fingers basically burst the bag. So, she didn’t intervene, but she just applied a little pressure there for it to break.

Elliot: Okay. So, this is after? Because you said you kind of had one leg up. You sort of felt like you’re progressing, but then you weren’t. This is after that?

Isabella: Yeah, yeah.

Elliot: Okay. Great. So, my other two things is once she’s in there, is she checking your cervix at all?

Isabella: Yes. So, she was checking and I was fully dilated. She could feel a little like lip of my cervix was kind of in the way. And, she also felt that baby’s head was posterior.

Elliot: Oh.

Isabella: I know.

Elliot: The double curse. The dreaded lip and posterior baby. But, were you feeling back labor because you never mentioned it?

Isabella: I was feeling it more in my hips. And, that radiated to my back like the back of my hips as well, but I wasn’t having crazy back labor like some women experience. It really was like more in the front.

Elliot: Wow. Okay. I don’t know. I’m exhausted. I’m going to take a little break. I feel defeated. Alright. Let’s take a little break. Obviously, the baby’s out so there’s more to the story. We’ll be right back.

[break]

Welcome back to the Informed Pregnancy Podcast. I had a bread bowl so I can hear the rest of the story here. Isabella is in labor. Started on a Tuesday night with some contractions, water breaking. Not water breaking, water leaking, hind leak, and it’s a mucus plug and blood. And, that just continued all through the night. In the morning, it slowed down a little bit, then at night it picked up a lot, then no progress. Now we’re on Thursday night?

Isabella: Well, Thursday night/Friday morning.

Elliot: Oh, my gosh. Okay. Well, you’re 10 centimeters. You’re trying all sorts of things to help your baby into your pelvis and you find out two not-great pieces of information. There’s a cervical lip, a little piece of the cervix blocking the baby from coming through. And, the baby skulls against your spine, bone on bone. Alright. What happens next?

Isabella: We are in that same position, the side-lying position because I felt like I was making the most progress like that and I was just pushing and pushing and pushing. I was putting everything that I had left in my body into those pushes, but my eyes were literally starting to shut like I couldn’t keep them open. I was so exhausted. I had barely slept. I had like two slices of apple in like the past three days.

Elliot: Oh, you glutton.

Isabella: I was just a shell of a human. It was a lot.

Elliot: Did it feel different after your water broke?

Isabella: It did. It felt more intense.

Elliot: Okay. But, not more productive?

Isabella: Not really, not really. And, I think it’s a combination of things like the position, the cervix. But, also just me being so exhausted. I don’t think I had the energy behind the pushes that I really needed to bring her down.

Elliot: Out of gas.

Isabella: Yeah. I was so out of gas.

Elliot: No, I remember from the pre-birth episode you said it took you a minute to get behind home birth, and then you did. But then, along the way, I think normal natural fears bubbled up about this, that, or the other thing. And then, you went in fairly excited, confident, with a little bit of anxiousness like everyone. But, I remember you saying distinctly, which I was sort of excited about for you, that you had processed a lot and you’d come around to the fact that maybe it’ll happen at home, maybe it’ll happen at the hospital, maybe it’ll happen medicated, maybe it’ll happen unmedicated, maybe it’ll happen vaginally, maybe it’ll happen cesarean. It’s going to happen the way it needs to happen.

But, your wish, your goal, your desire, if you can pick anything, would just be have an intimate birth setting at home surrounded by your Morkie and a few other people. Are there thoughts at this point of like maybe I should go to the hospital?

Isabella: Oh, my God. Yes. I was having thoughts well before this.

Elliot: Okay.

Isabella: I even had moments where I was like, “What am I doing? Why didn’t I just go to the hospital and get an epidural?” But, they’re just moments of weakness. When you’re going through something intense, it’s only natural that those thoughts pop into your mind. But, they’re exactly that. They’re just thoughts. So, I allowed them to come in, and then I allowed them to leave. And, I didn’t think much more about them.

Elliot: Were you the only person having those thoughts?

Isabella: I was. And, my husband, when I voiced that, he would remind me that this is ultimately like what I wanted to do and that I needed to stay strong and he was really supportive. But, at this point, it’s about 2:00 am or something in the morning after laboring since Tuesday night. I just said to everyone, because everyone was with me at that point, “I physically don’t have it in me and I think I need to go to the hospital.”

I mean, personally, I was feeling a lot of guilt, and disappointment, and defeat in that moment. And, I could tell that everyone around me as well. Everyone wanted me to have the bath that I ultimately wanted, so there was definitely a bit of disappointment amongst the birth team. But, I think everyone knew that it was the right thing. That they could see what I’d gone through and the state that I was in, and that I was just physically too exhausted and mentally. And, that I just needed relief and I needed to rest.

So, once I made that call, everyone was just like up, and scrambling, and getting all the things together. And, Katie’s on the phone to the hospital. And, she notified them that we were doing a home bath and that —

Elliot: [indiscernible 00:29:07]

Isabella: Yeah, exactly. So, she was just getting everything lined up.

Elliot: I know you live very close to the hospital. Did you have a specific doctor?

Isabella: No, we didn’t have a specific doctor lined up. But, the doctor that I ended up getting, he was amazing.

Elliot: Okay. How was the drive?

Isabella: So interesting. It was a lot. I was in the front seat facing the back gripping my nails into the headrest. I thought I was going to puncture holes into that thing. My husband’s driving, my mom’s in the back, and my midwife went in her own car. And, there was just this silence in the car because it was just this intense period of trying to get somewhere, and then there was just me just going through the motions in the front just, you know, the deep groans, and the breathing.

And, as soon as we decided that I was going to the hospital, it was like everything unraveled. I felt like I became weak. So, I couldn’t stay strong for the contractions. I just felt everything, the most intensity that I had.

Elliot: But also, you’re in a very confined space in a moving vehicle.

Isabella: Not ideal.

Elliot: I mean, not ideal. On top of everything else, it’s hard to focus, concentrate, feel strong, and free, and open in that environment. So, when you got there, how was the handoff?

Isabella: It was great. It was quick. They got me in there. They had to check me.

Elliot: But, you knew you were 10.

Isabella: Yeah. I knew I was 10, but it was just protocol. They had their baseline to work from. They administered the IV really quick, and then they got the epidural in. And, that was all within like half an hour. It was quick, which is amazing.

Elliot: How was the epidural, both the placement and the effect?

Isabella: Placement was all good. There were no issues and it started to take effect within like 20 minutes. And, it was just like, “Oh, my God.” Everything started to ease and I cannot tell you the feeling that I was experiencing was just so much relief. I so badly needed that. I fell asleep immediately. As soon as they put me on the bed, they came out, the nurse put like three blankets straight from the dryer on me. They were so warm and toasty. I’ve never felt more comfortable in my life. I passed out for like six hours.

Elliot: Oh, my goodness. I can’t believe there were still six hours left here.

Isabella: It was still going.

Elliot: Okay. So, six hours later.

Isabella: Six hours later, I wake up in the hospital. I wake up, I’m having contractions.

Elliot: Is it Friday afternoon now?

Isabella: It’s Friday morning. It’s about 9:00 am now.

Elliot: So, you went in the middle of the night?

Isabella: Yeah. I went in about 2:30 am, I think.

Elliot: Okay.

Isabella: Yeah. So, I wake up. I’m not feeling the contractions, but I’m feeling the pressure. I didn’t realize, with the epidural, you don’t feel the intensity or the pain that comes with the surges, but you still feel the pressure.

Elliot: Would you say it’s like you feel muscle contracting and relaxing? Like not painful but the tightening and releasing?

Isabella: I guess that’s what it is. But, I was feeling more like a pushing down kind of —

Elliot: Like into your pelvis?

Isabella: Yeah. Into my pelvis and into my rectum as well. That whole area, I was just feeling like a downward pressure every time I had one. So, that was a good sign.

Elliot: All that pressure through the epidural?

Isabella: Yeah, yeah.

Elliot: Catheter? I assume you got a catheter too.

Isabella: I had a catheter, but I had to count that up but I was asleep when they did that. I didn’t feel a thing.

Elliot: That’s nice. Great.

Isabella: My mom said she saw them start to get it ready to put it in. And, she came over and held my hand and I was just a zombie.

Elliot: You couldn’t care less.

Isabella: I don’t remember any of that. I was fully passed out.

Elliot: That’s nice. Well, Isabella, this is what happens sometimes. The birth goes on for a long time and three segments doesn’t do it justice. So, I say we take one more little break and then find out the rest of the story. We’ll be right back.

[break]

Welcome back to the Informed Pregnancy Podcast. Believe it or not, we’re still with Isabella and her labor went at home for a very long time. They went to the hospital. Everything’s fine. Epidural, six hours of sleep, and you wake up and?

Isabella: And, I felt like a whole new human being.

Elliot: More energy. You had energy.

Isabella: More energy. I felt rested. I felt strong. I felt motivated to get this done. Yeah. So, I was having the contractions, and then my midwife arrived. And, she could see me having the contractions, but you know, they were —

Elliot: Wait, how did your midwife get in there? Oh, the hospital midwife?

Isabella: No, my —

Elliot: Your midwife?

Isabella: Yeah.

Elliot: Wait a second, how did you get extra people on there?

Isabella: I don’t know, but I think it’s because you can have family members in there. So, I had my husband and my mom. They slept on the little pull-out sofa together.

Elliot: And then, you were able to bring your midwife?

Isabella: And then, my midwife came the next day when I woke up, yeah.

Elliot: I think they lost track. Because right now, the protocol is you plus two.

Isabella: That’s what I thought. But, I don’t know. We got an extra one.

Elliot: Yeah, they probably didn’t know. Whatever. Okay. Lucky for you. So then, your midwife came. She saw you having contractions. But, you can see them on the monitor too, right?

Isabella: Yes. That’s what I mean. They could see them on the monitor, but they just needed to be a little closer together. There was too much space in between.

Elliot: I’m smelling a tiny bit of Pitocin.

Isabella: Tiny bit of Pitocin, you’re right. And honestly, that was like exactly what I needed. It just kicked them into gear and then it was happening. And then, my nurse that I had, she had the most amazing nurse. She was incredible.

Elliot: Wow. So, you had a great doctor who you never met before and a great nurse.

Isabella: I felt so lucky I had —

Elliot: A great hospital experience.

Isabella: Great experience.

Elliot: Wow. Okay. And, just to be clear, it didn’t sound like you hated the hospital from the beginning. It just sounded like for birth, you were wanting a more intimate experience. Less clinical, less random people around. And, it’s not like you were anti-hospital or anything. You were just like, “That’s not my first choice.”

Isabella: Yeah. I mean, there was totally a time and a place for the hospital, you know, all the medicines and everything that they use there. I’m definitely not against it. But yeah, as you said, it’s not my first choice. I much prefer a more intimate, natural route. But, at the end of the day, it’s like I just wanted my baby to arrive healthy and safe.

Elliot: It is for sure a part of the plan.

Isabella: Yeah.

Elliot: So, okay. Alright. So, you get a little bit of Pitocin. Things kick into gear finally, that second gear that you were looking for.

Isabella: Things kick into gear, I’m pushing, and —

Elliot: Can you feel the pushing?

Isabella: Yeah. It’s the same thing, I could feel the pressure. Can I tell you what was helpful is it was helpful that I’d also labored without epidural because I knew where to push the energy into. Like you have to push into your butt, basically, which doesn’t feel quite right.

Elliot: Not intuitive, yeah.

Isabella: Not what you want to be doing, but that’s where you’re meant to push the pressure.

Elliot: The baby does kind of back out first and then come forward.

Isabella: Yeah.

Elliot: You have to push back first.

Isabella: Exactly. So, I was doing that. Even though I couldn’t entirely feel it, that’s where I was directing my pushing energy. So, I was doing that, I was pushing with my nurse, and then my doctor came in. He saw me go through a surge and he was like, “Okay. This baby is coming. Your pushing is looking great.” He checked me. He could feel baby’s head, but he could also feel that she had her hand up —

Elliot: Oh, no. Now, you have the trifecta.

Isabella: Another thing.

Elliot: Blockages here. At this point, is the cervical lip gone?

Isabella: Yes.

Elliot: Is the baby rotated into a better position?

Isabella: No.

Elliot: So, posterior, skull against your spine, and hand up by the face.

Isabella: Yeah, yeah.

Elliot: Dreaming.

Isabella: I was like, “Great.”

Elliot: Alright. Just quickly, two thoughts that popped through my head. One is what position are you in while you’re pushing here?

Isabella: I was on my back at this point with my knees up.

Elliot: Like legs up, stirrup kind of thing.

Isabella: Very classic hospital position.

Elliot: And then, my other question was along the way, did anybody think that you were going to end up in a cesarean birth

Isabella: No one mentioned the word C-section.

Elliot: Okay. So, you never felt like this wasn’t going to be vaginal?

Isabella: No. And, I knew that if this pushing stage went on too long, that they would bring that up.

Elliot: Bring it up, yeah.

Isabella: And, I really didn’t want to because I felt like I could do it. So, I was just putting everything that I had into that pushing. I was just like, “I’m getting this baby out of me through my vagina.”

Elliot: Yeah. So, if the baby’s by the head, is there any practical advice with that?

Isabella: The doctor was amazing. He basically, while I was pushing, he was able to get in there and he basically just sort of swiped her hand down from her face to her chest. So, her head was able to just come out on its own.

Elliot: Oh, my goodness. Wow.

Isabella: So, he just maneuvered her a little.

Elliot: Oh. Okay.

Isabella: Yeah. I mean, that totally helped because then her head started coming out and I could feel it.

Elliot: Feel it with your body or feel it with your hand?

Isabella: Feel it with my body. I didn’t feel it with my hand. I was holding my knees at that point.

Elliot: Did they bring the mirror?

Isabella: I had the mirror until the doctor arrived because then it was obstructually awkward. But, I actually liked having the mirror there. It helped because I could see things happening.

Elliot: Yeah.

Isabella: Yeah, it helped me.

Elliot: The visual is important.

Isabella: Yeah, I agree. But, yeah. Once I felt her head coming out, it was strange. It was like, “Oh, this sensation…” but the sensation kept going. I was like, “Oh, my God. That’s her head.” And, everyone was excited around me and starting to cry. And, I was like, “Oh, my God, it’s happening” I could barely believe that it was happening myself because I’d been going through it for so long. And then, her head came out. And then the doctor told me to stop. And, they used some oil on you —

Elliot: To avoid tearing.

Isabella: Exactly. And then, her little body just like one more push, and then she just came out.

Elliot: Oh.

Isabella: Oh, my God. It was the most emotional thing. The nurse was crying, my midwife, my mom, Aaron, me. I was bawling. There’s the most ugly cry photos of me when she came out.

Elliot: Oh. I can’t wait to see those.

Isabella: They’re not cute.

Elliot: Who cares. It’s a cute moment.

Isabella: No. There’s nothing cute about it. It was so emotional. Oh, my gosh.

Elliot: I can feel it right now.

Isabella: Yeah, yeah. It was a lot. It was a lot.

Elliot: You worked hard for this one.

Isabella: Yeah, I know. And, you know what, the entire time the baby’s heart rate stayed around the 140s.

Elliot: Strong like mama.

Isabella: I know. I was like this strong patient baby. She wasn’t distressed. And, I think that’s why we stayed at home as long as we did. It’s like the baby was fine, absolutely fine.

Elliot: You made a prediction on size. You said 7.2.

Isabella: Yes, and I remember you said bigger.

Elliot: I said 8.

Isabella: She was 6 pounds 14 ounces.

Elliot: Dang.

Isabella: I know. I was surprised. I was like, I’m having a larger baby than I’d like to.

Elliot: I don’t think that you didn’t. I mean, I was wrong. Wow, that’s interesting because I’ve been doing this for almost 20 years and I never get the gender right and I don’t really get the size right either.

Isabella: You’re so intuitive.

Elliot: Yeah. I feel it. Alright. Well, I just guess in a quick moment, I would ask two questions. One is how is the postpartum? We started this and you were just feeding your baby. How’s the breastfeeding going? How old’s the baby now?

Isabella: She’s on day nine of life.

Elliot: Oh, wow. Okay.

Isabella: Yeah. Breastfeeding has been great. Honestly, she latched really quickly in the hospital. I went through a couple of days like day three and four like my nipples are definitely sore. My midwife also happens to be a lactation consultant.

Elliot: She’s huge on lactation.

Isabella: So nice because she helped me with any issues. She was like, “Send me photos.” I sent her the close-ups of my nipples and all the things, and she’d give me all the tips and helped me a lot. But yeah, breastfeeding has been great. Feeding on demand. She eats a lot. She’s a happy baby. She’s already like 7 pounds 8 ounces.

Elliot: Oh, wow. Still not my predicted birth weight, but still.

Isabella: She’s getting up there.

Elliot: So, my final two questions. One is, what, if anything, did you learn about you, about your partner, about life from the experience?

Isabella: I am so much stronger than I ever thought I could be. I came out of this whole experience feeling so empowered and just honestly feeling like I could do anything. Nothing phases me right now. I went through a really intense few days and I saw a side of myself that I didn’t know I had. It’s very animalistic. Like it just comes out. You’re like this mama bear and you’ll do and go through anything to get your baby here.

And then, same with my husband was just a literal angel like I could not love him more. Having him, just as he is, he’s such a good human, and was there for me, and was not grossed out by anything. He was down in the action like wanted to be there just allowed me to fully lean into it, and open up, and be myself, and not feel awkward. There was just no shame, or judgment, or anything like that. So I was yeah, it was really special definitely.

Elliot: Really beautiful. Very cool. Very cool. You said “mama bear.” It reminded me of when you said koala bear in one of our sessions. And, I was like, “Oh, koala bear.” I don’t know if you realize this, but they’re kind of mean. Most of them have chlamydia.

Isabella: Yeah. It’s true.

Elliot: Yeah. It’s cute. But, I mean — And, I was like, “Wait a second. First of all, I had no idea.” Not good for tourism. I’m just going to say right now. But also, I was trying to put that trio together because it sounds so familiar. Then I remembered, it’s all the girls from high school. So cute, but they could be so mean to me. And, I’m sure some of them have chlamydia I’m sure.

Isabella: For sure.

Elliot: Yeah. I guess the last big old question is maybe too soon nine days afterwards on round two, would you do anything different?

Isabella: Round two, I’m for sure going to go for a home birth again round two. I’m not scared of the experience. I know it’s going to go differently. I think what I’ll do differently is I don’t know. Maybe I’ll just watch my positioning throughout my pregnancy. Maybe I was — I don’t know. It’s funny, we always take the blame on ourselves and her position was her position . But, was I sitting too much? Was I slumping too much? That comes to my mind. Maybe I should have done more Spinning Babies or whatever. I don’t know. I really felt like I was doing as much as I could throughout my pregnancy.

Elliot: No, there’s like a million things about that. You definitely, from day one, the first time I met you, you have the athletic pelvis. You have a very strong musculature that was also quite tight. It takes time for babies to push through that. Even if you’re at 10 centimeters, even if your cervix is open, it takes time for your baby, a lot more time to push through that than someone who is not strong, or not tight, or weakened type. Those babies come out easier.

If your baby’s not 100% lined up with the runway, which clearly points wasn’t, then it’s a lot more effort to maneuver through you than somebody else. I mean, it’s not extremely surprising. The good news I can tell you is this. When I’ve seen this exact scenario in the past, around two-tenths ago, a heck of a lot easier.

So, I guess you have to have a baby so we can do a follow-up podcast and see if I’m at least right about that.

Isabella: You’re going to have to wait a little while.

Elliot: I’ll give you three months.

Isabella: No, oh, my God.

Elliot: Isabella, you’re an amazing person. I just noticed all the mushrooms on whatever it is that you’re wearing there.

Elliot: My mushroom robe.

Isabella: Your mushroom robe.

Elliot: And, that’s a reminder, Fungirl mushrooms. Your mushroom fanatic. And, eat, and live, and breathe the medicinal power of mushrooms, and you put them into your cool products. Where can we find you online?

Isabella: You can find me at @fungirl on Instagram, Facebook. You can find all the mushroom things there.

Elliot: Amazing. Can we find the mushroom robe there?

Isabella: Unfortunately, not.

Elliot: Not yet.

Isabella: Nope, not yet. Maybe in the pipeline.

Elliot: See what I did there? Okay. We will find you there online. And, if you’re looking for us online, the Instagram is going to be @doctorberlin, D-O-C-T-O-R-B-E-R-L-I-N. But, we are literally going live right now with our new streaming platform, Informed Pregnancy Plus, which you can find at informedpregnancy.tv. And, this week, we’re going to do a video version of your birth story. The one thing I now can’t wait to see is the little pictures of you all weepy. Tears of joy.

Isabella: They’re so ugly.

Elliot: Ugly sweater pictures. And, that is going to be at, again, informedpregnancy.tv.