One thing I don't think I've mentioned in here is that Dan and I have been trying to have another baby. We've been trying since June, and next week I'm going to try the fertility drug Clomid. I think one of the reasons I've been avoiding writing in here is because I'm having a hard time with the constant failure to get pregnant, and Elise's role in that. I thought I was dealing with the stress of grief well, but I can't help thinking that our inability to conceive means I'm not coping well.
No less than 12 people who are either friends or acquaintances have had babies since we started trying to get pregnant again. Most of these babies are second children. If we don't manage to have another baby, I can see my relationships with two-children friends begin to deteriorate further. Not all of them: there are some who struggled with infertility before their children came along who understand, or some who are just the sensitive type. I don't begrudge them their children; I simply don't relate, and it takes effort from both sides to relate, and I'm too tired to try to help them understand me.
To get started on the Clomid, I had an exam and history with a certain OB's Physician's Assistant the other day. After the visit, I felt deflated and depressed. She treated my pregnancies, including Elise's birth, as purely clinical events. This is how part of my visit went:
"So you have one living child and one that was stillborn. How may weeks into the pregnancy?"
"Thirty-three."
"And did they find anything wrong with her?"
"Nothing. An autopsy was done, and also my placenta and the umbilical cord were fine as far as they could tell."
"No chromosomal abnormalities?"
"No. With both my son and daughter I had a nuchal translucency that showed no risk of defects."
"And was it a vaginal birth?"
"Yes."
"You were induced?"
"Yes."
"Okay...and the medications you're taking..."
"An antidepressant, Lexapro 10mg."
"Nothing else?"
"Prenatal vitamins, herbs." I've been taking the Lexapro since August, and had taken it before when my son was born and I had postpartum depression."
"Were you taking it at the time you got pregnant with your daughter?"
"No. I was off it for most of 2006, until my daughter died."
I took strange comfort in the extra notes she jotted down about these. How pathetic is that?
No "I'm sorry for your loss" or "That must have been so hard." It was as if we were talking about having my appendix out. She was a pleasant person in every other way, but perhaps hadn't much experience with traumatic events in patients' lives, and so probably didn't know how to treat Elise like a child of mine who had died.
The other day I was talking with the very nice gal who waxes my eyebrows, and after she'd talked about having her twins by C-section six years ago, she asked if I gave birth to Elise. When I said yes, she said, "God Marilyn, that must have been so hard." But I said I was glad I could give birth to her naturally because it felt like an affirmation of her life, and that I was glad to birth her in the same way I had Felix, instead of having her be just a clinical procedure.
I ask myself why I haven't written in my blog for so long, and I think it's because I haven't written about wanting another baby. Our lack of success seems tied up in my emotions over Elise, even though it's felt numerous times like I am clearer and more accepting of her death as time goes by. I know that recovery from my grief doesn't mean I'll forget her. I know and accept that the pain of her death will always be with me. I am ready to move forward, and have been for a while. I talk about her to others when I feel they will listen respectfully.
As far as I can tell, I don't feel as if our desire for another baby is a betrayal of her. But I seem to feel that our inability to conceive is connected to her. My doctor says it's probably the stress still. I've felt stuck also in not doing any creative pursuits I dream about. Some more stuff inside me needs to be expressed, emotionally and spiritually, but it's hard and it's scary.
The puttering and restless wandering around the house is just like I was feeling last year, in the first months after Elise died. I've come full circle again, revisiting those times unconsciously, which is probably what I need to do. But I really, really want to take that giant step forward and have another baby. In the meantime, I've picked up my guitar again, and last night Felix and I made our own Valentines for his schoolmates: I cut out red, purple, and pink hearts from construction paper, and had him squirt gobs of glitter glue on them and pile on the heart-shaped sparklies. It felt like an act of love.