This morning I am going to tell you about nuchal cords and true knots. Many of you know that I have been to my share of births, so my experience of having babies is informed by those experiences. I'm grateful for that. So when I knew Clementine was gone, I did wonder if we'd be able to determine the physical explanation. There's no answering the big "Why." The little "why" is that she had a nuchal cord times five and the tightest true knot I've ever seen. In other words, her very long umbilical cord was around her neck five times- tightly- and there was a tight knot in another part of the cord. Now, cords wrapped around necks are fairly common. Sometimes the cord is wrapped around their little chest and they come out looking like tiny crossing guards or miniature Miss America contestants. Sometimes the cord around their neck is tight and you have to clamp it and cut it before the body is born. But sometimes, as for my sweet Anna, there's a true cord complication.
I pushed her out and caught her myself, but then I asked my mom to get the nurse (an angel who deserves her own post). When the nurse came in, I asked her to hand the baby up to me, because I kind of suspected the cord thing and I wanted her to do the unwrapping. She immediately understood this without me having to say anything. But let me tell you, those first couple of minutes holding her, in which I realized that there was a time my baby couldn't get oxygen and I couldn't help her- that was heavy. How I wish I could have saved her.
So there you go. If you're into asking why, it doesn't get more clear cut than that. And I shouldn't have to write it, but no, it has nothing to do with midwives and home birth. No one could have seen this coming. The doctor and nurses agree with me on this one. Even if we'd had weekly ultrasounds, it could have been minutes too late, or they could easily have missed a tight cord, and weekly ultrasounds aren't standard even for OBs. I guess I get all crispy about this because I feel like it's trendy to see every accident as preventable. Of course that's rubbish, but another way to look at it is that death is not preventable. There's no curing our condition. You and me, we are worm food in the end. And I'm all for accepting that and working with it and keeping it in mind when I get to pondering the big questions.