personnel. “I’m not getting anything on the monitor . . .”
“Try it again—”
I grab the nurse’s sleeve. “Is she . . . is she too little?”
“Zoe,” the nurse says, “we’re doing everything we can.” She fiddles with a knob on the monitor and readjusts the band around my belly. “I’m still not getting a heartbeat—”
“What?” I struggle to a sitting position as Max tries to hold me back. “Why not?”
“Get the ultrasound,” Dr. Gelman snaps, and a moment later one is wheeled in. Cold gel squirts onto my abdomen as I am twisted by another cramp. The doctor’s eyes are trained on the ultrasound monitor. “There’s the head,” she says calmly. “And there’s the heart.”
I look frantically, but I see only shifting sands of gray and black. “What do you see?”
“Zoe, I need you to relax for a moment,” Dr. Gelman says.
So I bite my lip. I listen to the blood pounding in my ears. A minute passes, and then another. There is no sound in the room except for the quiet beeps of machines.
And then Dr. Gelman says what I’ve known she’ll say all along. “I’m not seeing a heartbeat, Zoe.” She looks me in the eye. “I’m afraid your baby is dead.”
Into the silence rips a sound that makes me let go of Max’s hand and cover my ears. It is like the strafe of a bullet, nails on a chalkboard, promises being broken. It’s a note I have never heard—this chord of pure pain—and it takes a moment to realize it is coming from me.
This is what I have packed in my hospital bag for delivery:
A nightgown with tiny blue flowers printed all over it, although I haven’t worn a nightgown since I was twelve.
Three pairs of maternity underwear.
A change of clothes.
A small gift pack of cocoa butter lotion and soap leaves for a new mom, given to me by the mother of one of my recently discharged burn victims at the hospital.
An incredibly soft stuffed pig, which Max and I bought years ago, during my first pregnancy, before the miscarriage, when we were still capable of hope.
And my iPod, loaded with music. So much music. While doing my undergraduate degree at Berklee in music therapy, I had worked with the professor who first cataloged the effect of music therapy during childbirth. Although studies had been done linking music to breathing, and breathing to the autonomic nervous system, nothing had been done until that point to formally connect Lamaze breathing techniques to self-selected music. The premise was that women who listened to different music at different parts of labor could use that music to breathe properly, to remain relaxed, and to subsequently reduce labor pain.
At nineteen, I had found it amazing to work with someone whose research had become widespread practice during childbirth. I didn’t realize it would be another twenty-one years before I got the chance to try it myself.
Because music is so important to me, I selected the pieces to use during labor and delivery very carefully. For early labor, I would relax to Brahms. For active labor, when I needed to stay focused on my breathing, I chose music with a strong tempo and rhythm: Beethoven’s “Moonlight Sonata.” For transition, when I knew it would hurt the most, I had gathered a combination of music—from the songs with the strongest positive memories from my childhood—REO Speedwagon and Madonna and Elvis Costello and Wagner’s “Ride of the Valkyries,” whose angry lifts and falls would mirror what was going on in my body.
I wholeheartedly believe that music can alleviate the physical pain of childbirth.
I just don’t know if it can do anything for the grief.
While I am delivering the baby, I am already thinking that one day I will not remember this. That I will not remember Dr. Gelman talking about the submucosal fibroids that she had wanted to remove before this IVF cycle—a surgery I declined, because I was in too big a hurry to get pregnant—fibroids which are now so much bigger. I will not