Michael and I leave for the hospital at five in the morning. I’m 39-weeks pregnant and scheduled for a C-section because our son is breech with a cord wrapped around his neck. A nurse’s assistant takes Michael and me to our room, where there is a sink, a bed, a cot, a monitor, and a round bath with jets I will not use.

I ask Michael to grab the birth plan from the hospital bag. The fold is uneven and my punctuation is sketchy. Not as glamorous as I had envisioned, and I’m embarrassed about its lack of professionalism. I give it to the nurse when she comes in with a surgical robe for me to put on, and she reads it.

“Skin to skin?” she asks, looking over the paper. “You’re having surgery. Your abdominal cavity will be completely exposed.” 

“Will my chest be covered?” I ask.

“Yes,” she says. “Your entire body will be covered.” 

“How long will it take for them to finish the surgery after he’s born?” 

“Not long,” she says. “It shouldn’t be more than an hour and a half.” 

For the hours I spent looking up C-sections, I missed the detail that I would be in the operating room for an hour and a half, and I’m disappointed.

I need my body for that hour after birth, the so-called golden hour of skin-to-skin. And not just for my baby. I need it for me, too.

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The nurse starts an IV on the back of my hand but it blows out, a dark balloon of puffy skin, and she restarts it on the other side. 

My OB comes in wearing green scrubs. At our last visit, he said, “We’ll have a birthday party.” He looks at the birth plan and says it looks great. The nurse asks about skin to skin, and he says, “We usually do cheek to cheek.” Not what I had in mind, but it’s something. 

The anesthesiologist comes in. He’s friendly, calm. He tells me what I will feel at each step as he is working: it will feel like cold water here, like I’m pressing your back here. I assume he’s washing my skin with iodine, but he soon says the spinal is done. 

I start to feel nauseated, and I tell him, almost choking. He says he can fix that, and I close my eyes and wait.

This is what I have done for so much of pregnancy: closed eyes, waiting, trying to stay still while my body tells me to puke.

More voices. Another doctor comes in. 

They put a giant paper pillow inflated with warm air over me in the cold room. After a few minutes, it occurs to me I don’t feel nauseated anymore. I tell the doctor I feel better, and he says, “I thought so.” Everything seems a little hazy and disjointed. I am about to have my abdomen cut open, about to give birth. A body is about to come out of my body. 

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The production starts, faster than I expect. I tell Michael, who sits by my head, that he isn’t allowed to look at the surgery. I check out again, like I have been doing all morning. On the operating table, I don’t even try to eavesdrop on the doctors performing my surgery right in front of me, though they are talking the whole time in a light, casual tone.

I catch one of the doctors saying, “Definitely a boy,” followed soon after by a baby’s cry, the harbinger of all good things in a delivery. Someone explains to me that the room must be very cold for the operation, so they are going to take my baby out and put him in a warmer.

I no longer need to check out. I hear the doctors clearly, surprised they are mostly talking to me. I am able to pay attention, granted the lucidity of joy.

My son is carried in, swaddled in receiving blankets, and wearing a hat, his eyes open. I kiss him as many times as I can, his cheek held by mine for a minute or so.

They take him back to the other room, and Michael follows.

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A pediatrician tells me they will need to take my son to a transitionary NICU to recruit excess liquid from his lungs. But they aren’t quite ready: he is being weighed or bathed or something. I am quiet and jittery with surprise, the terrific reality of it all, the actuality of the baby I could never quite believe in when I was pregnant. But somehow, here he is. Even in the other room, I hear him. I hear Michael, suddenly and fervently a father, calling him by name. 

Previously published on the author’s blog

Alizabeth Worley

Alizabeth Worley recently graduated from BYU’s MFA program in Utah, where she lives with her husband and two kids. She was a 2017 winner of the AWP Intro Journals Award for her poem “Kid” and she has published poems, essays, and graphic nonfiction in journals Sweet: A Literary ConfectionHobartJukedReliefSegullah and Waccamaw. Her husband, Michael, is an attorney with spastic quadriplegic Cerebral Palsy. You can find her at alizabethworley.wordpress.com and on twitter at @EarfulLizzie