Can you believe our sweet Evie Joy is one month old today?! In the past I’ve not been a fan of the newborn phase and have wished it away in search of more sleep. But these days I find myself wishing for time to slow down. Our precious Evangeline is just the sweetest little thing and I know she needs to be our last, so I want time to sloooooow down so we can savor every bit of her baby-ness. Sometimes it feels like no one in the world could ever love their baby the way I love this baby. She is such an incredible gift.

I promised I would share about the experience of our only Ukrainian birth, so here I am, as promised, attempting to write it out. This is a tricky one. I don’t want to sound at all like the US system is SOOOOO much better, or like the way it’s done in the US is the only right way. Because honestly, I don’t believe that. I think the US medical system has a lot going for it (ie…money), but I definitely don’t think there is only one correct way to do things. So, even though I can’t pretend the US is the only right way, it is the only way I know. It’s where I was trained.  It’s where I worked for 13 years. And it’s where all my other babies were born. You only know what you know. 🙂

The following is my experience. It’s what I felt and saw and lived. It may be different than another’s experience, but it’s mine. So take it for what it’s worth.

Evie’s entrance to the world was planned for a Monday.  It was a scheduled c-section, and my fourth (which is pretty rare here), so the doctor had me spend the last few nights of my pregnancy in the hospital in case I were to go into labor in the night. We had previously purchased all the supplies for the c-section at the pharmacy across the street and had them in a duffle bag at the ready. A nurse came in to my room the night before the c-section and said “Okay, you have a c-section tomorrow.  Tonight you need to give yourself an enema, and then give yourself another one in the morning.” Uh…hold the phone. Things were about to get real. Hehe. I’m no stranger to enemas (never thought I’d write that! Ha!). I’ve given a lot of enemas in my day. But I’ve never given one to myself– especially when the only toilet available was a communal toilet down the hall! Yeah, that was tricky. Let’s just say I don’t wish a shared bathroom enema experience on any of you.

The list of anesthesia supplies for Jed to buy the morning of surgery

The next morning Jed arrived around 8:30 and we waited for the party to start. Unfortunately it didn’t start out too great. A grumpy nurse was on duty and was telling us all these instructions that we didn’t understand.  Something about Jed taking all the surgery stuff somewhere and me waiting in my room, but we were sure the doctor had told me to go with Jed… We were all confused and she was annoyed at our lack of understanding and I started crying and it was a bit of a mess. To be fair, I was totally freaked out and hormonal and it probably wasn’t a truly cry-worthy scenario. I’ll own that. 🙂

So Jed was gone to who-knows-where with the supplies and I was sitting on my bed, crying, waiting for someone to come and tell me what to do. After a bit, a super kind lady came and took me through back hallways and staff elevators to where the surgery would take place. The staff elevators are so interesting! Each elevator has an older lady sitting in it whose job is to operate the elevator and make sure no unauthorized person uses it. Each tiny elevator has a chair and a little table in it where the operator sits and drinks her tea, waiting for the next customer. Fascinating. Anyway, my guide saw I was crying and did her best to calm my fears. “I’ve worked here 30 years!  Everything will be fine. Don’t cry or your baby will cry! Everything is fine. Today you meet your baby!” She was a sweetie, but I could not stop crying! Geez Louise. I think all the worrying of the last 9 months had just built up and spilled out in that moment. I was a mess until I saw my wonderful doctor. She is the mom of our dear Kenny, and her presence totally calmed me.  Instantly. She put her arm around me and the familiarity of her just made all the difference.  I was never so thankful that we had chosen a non-stranger to deliver our baby.

They brought me to a room with a bed and a changing table. Jed was there! They had Jed change into clean, comfy clothes and laid out all the supplies we had brought for the baby. Directly across the hall was the operating room. The plan was that as soon as the baby was delivered they would take her across the hall, assess her, and then put her on Jed’s chest, skin to skin, while they finished operating on me.  I can’t tell you how it eased my mind to see where Jed would be with the baby and to know he would instantly be with her.  I absolutely loved that plan. High five Ukraine!

Everything laid out and ready for Evie’s big debut

Then they sorted through our duffel, digging out all the supplies we had bought for anesthesia and the operation and took them across the hall to the OR (YIKES…good bye sterile field…I tried to not think about that too hard…).  Then it was goodbye Jed, and off I went to have a baby! It was so strange that he couldn’t be with me. It was the only birth I’ve ever experienced without him.

The anesthesiologist numbed me up and then, before I knew it, we had a baby! They pulled Evie out and the anesthesiologist, who spoke a little English said “Gel, gel!”  I was like “Girl?  Did you say girl?” Then my doctor announced in Russian that we had a girl and the tears started flowing again. A girl!!!  Wahoooooooo!  We totally wanted a girl but were afraid to get our hopes up.  Evie cried right away.  They showed her to me super briefly and then took her straight to Jed. I just laid there crying tears of joy and wondering about Jed’s reaction to our perfect little baby. Jed said that he was pacing back and forth outside the operating room waiting for news when he heard a cry.  Then some random lady came out into the hall and just matter-of-factly said “Girl” in Russian and walked away. Hahahahaha. Hilarious. I have to say that the surgery itself seemed no different to me than my previous c-sections in the US. Everyone was very professional and I felt like I was in really good hands. Again, high five Ukraine!

Light showing a surgery in progress- eeeek!

Evie (who had no name at the time) was with Jed and I was moved up to a recovery room. After about an hour there they brought Jed and Evie up to me. I was to stay the first night in that room with Evie, but Jed wasn’t allowed to stay.  There really wasn’t any room for him there anyway. There was just a bed and then some old equipment stored in the corner. I’ll be honest, that night was the most miserable of my life.  It felt about a million hours long. I was in a bed that had to stay totally flat (it didn’t raise anyway) with zero pillows and no side rails, and Evie with me in bed.  Try breast-feeding a few-hours-old newborn while lying flat on your back with no pillows and no help. Yeah, tricky is putting it lightly- and this wasn’t my first rodeo! A few hours into the night a nurse came in and said “You need to start turning from side to side.” I knew I needed to start moving a bit.  I knew it was important and I didn’t want to lay only on my back. But I had just been cut open and now I was supposed to get over onto my side with no pillows and no side rails and no help and with a baby in my arms! It was quite a feat, but somehow I managed without dropping baby on the floor. Hehe. I think I deserve a prize. Another strange thing about that night was there was no call light. Soooo if I needed help I just had to wait for someone to come check on me, or yell. I preferred to just wait and silently will them to come by my room.  Luckily I had no emergencies. 😉 There was also curtain and my door was open wide to the hall all night. Hello world! No high five for that experience. It was kind of terrible.

The next morning I had to show I could get up out of the bed and then once Jed arrived they allowed me to be moved to a regular room. Hurray! We had paid for a private room so that Jed could stay with me and Evie at night. I’m so glad we did! The room had an entry area with a couch where Jed slept, a little mini fridge and a microwave. Then through a doorway was a changing table, a bed for me, and a bathroom with a toilet, sink and shower. It was a really good setup. A nurse and doctor would come see us in the morning and in the evening and that was it, unless I asked for pain medicine. No one ever came in at night. So interesting! They really kept a much looser eye on us than after a c-section in the US. They took my vital signs twice a day and had me take Evie’s temperature twice a day.  They would just ask me if her temp was normal, if she was eating, and what color her poop was- the basics. 🙂 Since I knew what I was doing I actually really appreciated being left alone. But, I think if I had been a first time mom I would have been a bit freaked.

The food situation was interesting.  We learned that I needed to have my own set of dishes if I wanted food. Every morning, midday and evening someone would come along, knock on the door and say “Breakfast!” or “Dinner!” and I would need to take my dishes to the hallway where a lady with a cart would give me soup and tea. Each day, three times a day it was like a chicken broth with carrots, potatoes, and a little buckwheat or other grain in it. Jed would bring me food from home to supplement the meals. Each day a doctor would tell me what different foods I could add to my diet.  But she was clear on a few things: No fresh fruits or vegetables (only cooked), no fried foods, nothing sweet the first two days (not even sugar in my tea), and nothing red. My doctor was so sweet. She brought me homemade soup from her house, compote (stewed fruit juice) from her home, and some tea cookies that I could have on the third day. Her thoughtfulness really meant so much to me. I’ll be honest though, I totally didn’t stick to their food rules. I just did what we do in the US and ate what I felt like eating. Shhhh…that’s our secret.

There was no wifi at the hospital and I don’t care for Ukrainian TV, so I listened to a lot of podcasts, read some, and mostly just rested and marveled over our sweet baby.  The hospital was on quarantine because of a lot of sickness in our city, so no visitors were allowed- only Jed. He spent a few hours at home (mostly to help care for Boris) every morning and evening, so I had a lot of time just alone with Evie.  It was a completely different experience than my previous births when we had loads of visitors and family members and American TV and wifi and all that.  It was much quieter and simpler. I missed my parents so bad, and it was a little sad at times, mostly when Evie was so cute and I had no one to show her off to, but it was mostly really beautiful and special. The simplicity of it was peaceful and I needed that. We had 5 days in the hospital and it was just the right amount of time.

Hurray! One month old!

The main differences I can point out between my birth experiences on both sides of the ocean:

1. Pain Control. Ouch. Ouch. Ouch. The big push after a c-section in the US is to get the mom on oral pain meds as soon as possible. At the hospital I worked at that usually included a combo of Tylenol, Ibuprofen, and Oxycodone. That has worked like a dream for me in the past. But, alas, it was not to be in Ukraine. From the first day post-op I was only given pain meds via a big ol’ shot in the behind. Oral pain meds were not an option. The only med I was given after the first day was a med similar to Toradol (kind of like a shot of Ibuprofen). It was given every 8ish hours, when I asked for it (not scheduled), and not at all at night. Did I already say ouch? ‘Cause, ouch. 🙁
2. Call Lights. The Recovery Room and our regular room had no call lights. It was fine for me, but I always wondered what would happen in case of emergency???  The nurse in me kinda wanted to freak out over that.
3. Security. In the US, in the hospital I worked at, every patient has a name band and every baby has a name band and the numbers match each other.  Each newborn also has a security band that alarms if they are removed from the postpartum floor.  Before giving any medications the nurse has to scan the armband and then scan the barcode on the med and all of that jazz.  In Ukraine I had no armband, no patient identifier at all.  Evie had a little paper band on her ankle the first day. No one ever checked my identity or anything. I imagine that’s how things used to be in the US, but I never experienced patient care like that as a nurse. Interesting.

There’s so much more I could write, but those are the main things that stand out. My only real complaint is regarding the pain control. My recovery could gotten a much quicker start if I had better pain control, but such is life. I survived. 🙂 I will say that in general, I had a great hospital experience. It far surpassed what I imagined it would be. The staff were kind, and reassuring when I had freak out moments. They were waaaaaay more hands off than in the US, but when I did need something they were quick to respond. My doctor was fantastic and I have nothing but good things to say about her. Sure the conditions weren’t as fancy-shmancy and there weren’t any amenities to speak of (ie. room service, massages, lactation consultants, wifi), but I had what I needed, and besides that first night I never felt like I was lacking care.

Thanks everyone who prayed for us throughout the pregnancy and on the day of delivery.  We are truly blessed by our sweet girl and I’m super relieved to have all that surgery business behind me!