The Guiri Guide to Having a Baby in Spain: Third Trimester

I stood in front of the mirror, belly bowing out like a gorilla’s, totally naked. I had a cotton pad in one hand and a bottle of rubbing alcohol in the other.

Was it really necessary to prepare my nipples for breastfeeding this way? I shuddered and consulted Google. No, no it is not.

As my belly swelled, so did the unwanted advice. “Why don’t you schedule a C-Section?” “Oooh, seven kilos? You should be seeing a dietician.” “Working out is bad for you when you’re pregnant.” “Put rubbing alcohol on your nipples, lest they get bloody and gross when you nurse.”

And to boot, I kicked off my last stretch of pregnancy seeing a movie about a mother who dies of cancer when her son is 12 years old. SERIOUSLY. I was not prepared for that one.

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Summer abruptly left, turning Madrid into a damp, lonely, grey city. My belly was blossoming, rendering most of my winter clothes useless – including all of my winter jackets. I had a problem with maternity clothes, refusing to buy anything until week 32, save a winter wedding dress.

Just a word to the wise mamá: pregnancy tights are a gift from God. Add that to the list of tonterías that I let slide during my pregnancy – do not fear maternity clothes, ladies!

Once I’d passed 28 weeks and was officially into third trimester, my pregnancy changed. I became a little more stalwart about getting out and doing all the things “you can’t do when you have a little one,” about researching baby gear, about drafting my birth plan.

This is when the clash of cultures became apparent, more so than not wanting to know the baby’s gender until week 20. Other expectant mothers were appalled to hear that I was heavily considering an unmedicated birth, or that I didn’t want to shower my child with a million fancy outfits porque sí. I had to remind people that I did not have an illness – just a little extra mass – when they treated me too delicately or reemed me for shoving one more mini croissant into my piehole on a work outing.

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So, third trimester. In which I discovered how much amazing maternity tights are, in which I cried quite a bit, and in which I did my best to ignore everyone’s advice but my doctors’.

Vocabulary

You think you know it all, but you have no idea. Even with a stack of pregnancy books and interrogations to mommy friends, I found out that I was clueless about the baby vocabulary that mattered closer to the due date.

cesárea: Cesarean section, or C-section. Not the most beautiful word to start with, but an important word. The rate of C-section births is scary high in Spain (a reported 25% in 2015!!) and something that concerned me when deciding where to give birth. For this reason, I listened to my doctors and made it clear that I’d prefer not to have one unless it was the only medical option.

clases de preparación del parto: prenatal classes. If you’re in the public or private system, these midwife-led classes will prepare you for the birth and what happens beyond that. In Madrid, there were seven consecutive weeks of classes, which began around week 29 or 30; in Seville, I am told there are five weeks of classes.

contracciones: contractions. This one is easy, and Braxton Hicks are known by the same in Spanish (Brastohn Hiss). What I didn’t know was that I’d have them as early as 32 weeks!

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epidural / parto medicado: epidural / medicated birth. Maybe it’s a cultural thing, but medicated births are quite normal in Spain, and I caused a scandal in class by announcing I wanted to go it 100% natural. Women are now beginning to ask for a walking epidural, usually referred to as “el walking.”

lactancia: nursing or breast feeding. While I haven’t tried this on for size yet, the general consensus is that Spain is lacking in lactation experts.

madre primeriza: first-time mother. After asking if it’s a girl or boy, most people will ask if it’s you’re first. The masculine form is padre primerizo (though I’ve found that no one pays much attention to the Novio these days, pobrecito).

monitores: heart rate monitors.  From your eight month, you may be asked to get hooked up to these machines that register both your baby’s heart rate and whether or not you’re having contractions. Eat just before so that your baby will be active and bring a book – I once was hooked up for an hour because the midwife got pulled into a surgery!

paritorio: labor and delivery room. Not ones to overcomplicate terms, this is the brutish word used to describe the room where you do active labor after you’ve fully dilated. Many hospitals in Madrid now have paritorios with more than just the potro (see below) and will allow you to give birth in positions that favor gravity, such as laying on your side or on all fours.

parto: birth. Though this singular moment has so many different names (such as one that literally means to give light), this word actually refers to the moment your baby is born. Pujos is the pushing phase.

plan de parto: birth plan. Midwives these days will push for you to plan your perfect birth, knowing that there’s a chance that you may have to alter it. And many hospitals are opting for a patient-priority birth.

potro: birthing bed. You know how you see women in films with their legs up in stirrups and sweating as they push the baby out? This particular, adjustable bed is known as a potro. Fun fact? It’s also the word for foal and pommel horse or vault (speaking as a former gymnast!).

romper aguas: to have your water break. Little did I know that this is a part of the birthing process when you’re dialating, and not that holy-crap-here-it-comes moment you see in movies.

suelo pélvico: pelvic floor. This is a buzz word these days as doctors now coach women on how to Kegel their way to strong pelvic floors. This is essentially the hammock that holds all of your innards, in.

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Maternity photos by Anna Primavera

tapón mucoso: mucous plug. A former coworker told me that this was an indicator that you could go into labor at any time. This is the sticky goo that protects the placenta, located high up in the vagina.

Unidad de Cuidados Intensivos (UCI) Neonatal: Neonatal ER. When I quizzed other mommy friends on where to give birth, they told me that it was 100% important to choose a hospital with a neonatal ER just in case. I was delighted that even the small, private hospitals I was considering had them!

But new words are not even the half of it – my friend Susana asked me what of her daughters’ baby items I might want. Makuto? Capazo? Trona? I had to look up all of the baby gear-related terms so that I’d allow her to gift us a diaper bag (makuto is super Andalusian, they’re called pañaleras in most other parts), a carrier and a high chair.

The one word I prefer in Spanish over English? The portabebé, or one of those baby dangler things. Not the Michael Jackson sort, but the harness you wear so that you can carry your child to the market for bread rather than pull out the stroller (and it apparently favors their hip development. The more you know).

Third Trimester Exams and Doctor Visits

I soon found my agenda filled with exams, tests, weigh-ins and prenatal classes – sometimes as many as three per week (and I’m low-risk and healthy). It seemed like I was going to the doctor every other day, between public and private, Madrid and Sevilla.

At my third trimester scan just shy of 32 weeks, the routine was the same: small talk, cold goo on my belly, measuring the femur, and a baby acting like someone had rudely intervened in the little space he had. This exam was quite quick – maybe 10 minutes between pulling down my tights and rubbing the jelly off my growing stomach – but because Micro was within his margins and alive and kicking, there was little to be done. My due date was moved up by two days to January 1st, meaning this baby came to be during a party and may very well be coming into the world on one, too.

Apart from the scan, your doctor will have you do another blood and urine analysis to, again, rule out things like toxoplasmosis, gestational diabetes and any infections as you enter the recta final of your pregnancy. This typically happens from 32 weeks, and, depending on your situation, may continue to happen each week or every other.

I also got a flu shot (vacuna contra la gripe) around 31 weeks, as pregnant women are considered a high-risk group. This will likely be your case if you’re heavily pregnant during the winter months. I hadn’t had a flu shot since I was a child, but it was quick and with my absolute muñeco of a nurse – and he even allowed me to be seen early as a prize for arriving 10 minutes before my scheduled appointment!

Between 28 and 38 weeks, you will have to go for the tosferina, or whooping cough, shot. From 28 weeks, your baby absorbs any medicine you put into your system through the placenta, as it has thinned significantly to adapt to your growing child. For this reason, your whopping cough shot happens so late in your pregnancy. I had to again see my nurse for this shot, which was asked for by my gynecologist; your GP can also write an order to have it done. Be forewarned: I had dead arm for two days due to the dosage, though no other symptoms.

Tosferina is a bacterial infection that can be fatal in recently born babies, so it’s important to buck up and get the shot.

Though it’s falling out of favor, I got the monitores test performed at 37 weeks. My belly was hooked up to a fetal heart rate monitor for about 30 minutes, capturing the heart rate of the baby as he rested and when he was active. This exam was repeated at 39 weeks, at 40 weeks and after I’d been induced.

My doctor also tested me for the Group B Strep virus, streptococo, at 37 weeks by sticking a swab up my rear end – I was NOT counting on that, but this is to determine that you do not have an infection that could be passed on to your baby through the birth canal.

Even though I hoped to have a non-medicated birth, my doctor sent me to get an anti-stress test with the anesthesiologist to determine if I could have an epidural and which dosage I could handle. This consisted of blowing into a plastic tube a few times while hooked up to wires and answering a dozen questions about past surgeries and family health history. My doctor asked for this around 37 weeks, in case I went into labor earlier than 40 weeks (I didn’t).

Finally, I had the weekly prenatal classes plus one last check-up with each doctor and the midwife to get copies of my records to take to Sevilla. From week 30, it was a visit a week… y lo que me caerá!

Pre-labor classes and the Novio as a father-to-be

Getting to 28 weeks was a wake up call. Shit! I could go into labor in a few weeks! Shit! I don’t know where I want to have the baby or what kind of birth I want! Shit! We only have one of those fancy baby carriers and some onesies! The anxiety that had disappeared during the first two-thirds of my pregnany had come back, as did the tears. Any time I thought about giving birth, I got a weepy.

I was anxious to start my clases de preparación del parto, the free prenatal classes provided by my social security coverage. Due to the number of women in my medical center with a similar case of BABIES, I couldn’t begin the classes until I was at 32 weeks, in early November. The Comunidad de Madrid offers seven consecutive sessions that cover everything from how to prepare for labor and donate your stem cells to nursing and caring for your baby in its first days. I dragged the Novio along so that I wouldn’t have to re-explain the stage of labor or why I would randomly start lactating soon.

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Maternity photos by Anna Primavera

I have to say – he’s been a great sport. Apart from doing the heavy lifting around the house, he has been active in discussions and asking questions about how to best help me prepare, mentally and physically. Whereas most of the dads-to-be in the class are mum (one even passed out when we talked about the perineal massage technique), my matrona says he’s been comic relief for the shell-shocked male crowd.

As the due date gets closer, I’ve noticed that he’s more reflective and even looks at me differently. We talk about the baby non-stop when it’s just the two of us, and my belly is the focal point of every mirada and snuggle. There are more questions about my comfort and how I was feeling with each day – and concern if I call him rather than sending a quick whatsapp.

But that brings me to another point: sex during pregnancy. When you’re trying to get pregnant, it all flies, and I found myself fulfilled and lusted after. Almost immediately after finding out I was pregnant, his libido dropped and I found myself achy. Everything hurt – my boobs and my belly especially – making sex painful and less enjoyable. Some women find their sex drives skyrocketing: my rocket stayed on Earth.

Just as a forewarning.

The nesting period, or el síndrome del nido

I was so excited to find out that many of my friends were pregnant at the same time, especially a sorority sister who was due on the same date. The last time I emailed Fish, I asked her how she was feeling. She and her husband are waiting to find out the gender, and she gushed about setting up a nursery.

Many of these women are in the US and not in Spain, meaning there was a huge disconnect between the milestones and emotions we were all feeling. Things that are typical in America – a baby shower, planning and decorating a nursery and counting on the help and experience of friends and family – were foreign to me, and most of the mommy advice I got was from women whose daughters were of childbearing age, as well (exhibit A: the hydrogen peroxide nipple treatment).

De hecho, I was pregnancy outed to my aunts at my sister’s wedding when my mom’s best friend asked, “After the lovely bridal shower we threw Catherine, how will we give her a baby shower from Spain?!” I was initially iffy about having a baby shower, especially considering that most of my closest friends are down in Seville and we only have so much space in our rental apartment. But the girls down south pulled through and threw Micro and me a lovely baby shower at my home in Triana.

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When H came to visit in early November, she was shocked at how much baby clothing I had accumulated from other mommies looking to clean out their collections. And this was, of course, in addition to the lists I’d been emailed about necessities for Baby’s first six months. So she listened when I said that I didn’t want to make a registry full of chismes that I’d likely not use: instead, they pooled together to get us a car seat and high chair.

Because I stayed in Madrid until week 37, I didn’t have a full nesting period (unless, of course, you count the hours I spent in bed just resting and my nights in with take out and Law and Order: SVU, or the maniacal cleaning I did a week before leaving La Capi). What the Novio and I thought would be a child’s room in our house in Sevilla will be a room we rent on AirBnB, so I didn’t have to worry about decorating a nursery and placing Micro’s teeny socks and gifted onesies in a drawer. My nesting, once I arrived to Sevilla, became deep cleaning the cabinets, meal prep and moving our personal items to a locked closet – and, admittedly, ironing all of Micro’s sheets before tucking them into a crib. I LOATHE ironing.

And then there was the question of doing maternity photos versus newborn photos or just leaving it. I’ve been fascinated by how my body has changed and adapted, and I wanted to remember it. You know that motherhood glow before the baby is born and the eye bags start? I took full advantage and asked my acquaintance Katriina, a Finnish photographer who normally does professional head shots for her company, Anna Primavera, to do the honors. We got a beautiful autumn morning in Casa del Campo while I was still feeling fit and feminine.

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Maternity Photos by Anna Primavera

I have been making lists and checking them twice as Micro’s due date looms. This is mostly stocking up on baby necessities, and there’s far more to it than I ever imagined. My mother-in-law is perhaps the most prepared; apart from having raised three children over the span of two decades, she’s knit adorable sweaters, bought us a ton of gear and helped calmed my nerves as she patiently spells out all of the items we’ll need. My problem is the lack of vocabulary. How do you say nappy cream? And up to how many kilos or centimeters are these diapers good for? Apart from Dodot and Chicco, what are other baby-friendly brands?

I am the proverbial fish out of water; in fact, you’d probably see my fish culo in a frying pan in Castilla by now.

Tying up the loose ends: Matenity leave, reading materials and choosing a hospital

Call it being a recovering journalist, but as the nerves set in, so did the need to spend time reading and researching. I began first with hospitals in Madrid in case Micro decided to show up before December 10th, the date that my 10 days of vacation began. Truthfully, my employer and my immediate boss was supportive of my decision to disclose my pregnancy before signing a contract.

For general pregnancy, I read the Healthy Pregnancy Book by Dr. William and Mrs. Sears, a midwife and OB-GYN couple who have nine children of their own. The book is written from the perspective of seasoned grandparents, and it breaks down your pregnancy by month, including post-delivery care for both mom and baby. I sometimes rolled my eyes at the little quips added by the unborn child such as, “Mama! Please rest up for the symphony of birth!” but found the book non-invasive and calming.

The book came suggested as a bundle with The Guide to Pregnancy, Childbirth and the Newborn, by a whole slew of doctors. While it was helpful, over half the book was about things that could go wrong in delivery. I appreciated the science-y aspect of it, but didn’t like flipping through to find a whole lot of bad things.

Finally, a friend recommended a Spanish language book on breastfeeding called Un Regalo Para Toda la Vida by Carlos González. Despite the challenge of reading in Spanish about something medical (who knew the boob had so many parts?!), the book gave me a lot of insight about the natural process of breastfeeding. Everything I’d ever heard from other moms is that most hospitals lack nurses specialized in breast-feeding, and the number of women who go straight to bottle feeding is quite high in Spain. This book has been, so far, the clearest and also a big cheerleader.

I also relied on an English-language prenatal class video to complement my classes in Spanish.

Even though women have been getting pregnant, giving birth and raising children for millennia, doing my own research was paramount, and it helped me to feel more prepared and empowered. Chances are I will forget everything once I’ve arrived to the sala de dilatación, of course.

Next on the list to sort out was my maternity leave. I spoke with the HR director at my new job once I’d passed my probationary period, and she explained the process of registering the birth and taking off my 16 weeks of paid leave. I had nine vacation days to use up, plus two weeks of university holiday, so I was able to travel back to Seville to rest and nest when the baby was just reaching full term. More about fourth trimester – social security payments, new mom benefits and the libro de familia in my forthcoming fourth trimester post.

It won’t come as a surprise when I say that we’ve decided to have the baby in Seville. The benefits for me were enormous: my own space and comfort, having family nearby and a car just in case. I narrowed down my list of hospitals to one public and two private and asked my mother-in-law to join me in seeing each one.

In the end, the private hospital right down the road from my house won out. Part of it had to do with the pristine facilities and the care and attention I received from the staff, but part of it was also because of culture clash. My parents and sister will be joining us for Christmas, and I didn’t think they’d cope well with me sharing a room in the public hospital or having different doctors carouseling in and out while I dilate with every other woman in Sevilla.

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And, por mis narices, Enrique will be born trianero.

The Pesky Thing About New Mom Advice

I asked the girl in the monitores with me how far along she was. “Just about 38 weeks,” she said as he partner took a picture of her. She looked uncomfortable as she was being hooked up to the machines. “You?”

Her due date was four days before mine, but she went on and on about how much having a baby during the holidays was an inconvenience for her and her family, so she’d be getting induced at the end of the week. The matron shook his head and whispered to me, “Christmas and New Year’s happen every single year.

“Becoming a mother does not.”

More than ever, I have been entertaining A LOT of advice. Some of it’s been helpful and welcome – take a new mom in Madrid showing me how to feed before confessing she needed to pay for an expert to help her out – but most of it has been unsolicited, unwanted and sometimes even hurtful.

I am someone who takes things to heart (even negative comments on my blog from strangers), so rather than nagging the Novio with my aches and pains, I’ve been venting about side remarks and the mess of advice that’s cluttering my brain. “But women have been mothers forever,” the Novio says. “You’ll figure it out, and you can always call my mother.”

I really wish I had a good way to deflect the negativity or find a holistic, mindful way to cope. But usually I smile and nod then roll my eyes, then ask my midwife. I am not keeping calm about it all, and I often end up flustered. Fine, touch my belly, Rando Abuela in the Súper, but don’t tell me I haven’t gained enough weight or that my shoes are inappropriate or that I should have waited another month to get pregnant so that I don’t give birth on Reyes.

You and your no-sex-no-excercise-no-spicy-food-sleep-only-boca-abajo-te-lo-digo-yo-que-soy-madre-eh! advice can ir a tomar por you-know-where.

Reflecting on Change, Motherhood and Swelling

I’m finishing this post and setting it to schedule on December 20th, two weeks before my due date. I’d like to unplug, to meditate and to sleep all afternoon, but that’s not me. I’ll be maniacally cleaning and preparing for Micro and savoring the last few days where I am my own boss.

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Maternity photos by Anna Primavera

Part of me is a tad remorseful that this stage of my life is coming to a close. My pregnancy has been a beautiful string of changes, of reshifting my priorities, of milestones – and one that I’ll remember forever. Even when I feel the flicker of jealousy that I can’t have a glass of wine or that I’ll have to turn down a trip, I know I’ll have a far greater reward in the near future.

Being this pregnant and waiting on my baby’s arrival is not like ticking off days until the Feria de Abril, a trip home to Chicago or even the minutes until work’s over. There is no D-Day on a delivery. When I had a bit of bleeding following a pelvic exam at the end of week 36, I said to the Novio, “What if we become parents tomorrow?” even though I didn’t believe it myself.

Despite the, “you must be so excited to meet your little boy!”s and the, “Pff, pregnancy has to be tough,”s, I often find my hand on my belly as he kicks and squirms and feel pangs of sadness that he won’t soon be with me at all times, wedged up between my ribcage and my pelvis. He’s safe inside, and I’m content knowing my body is helping him grow and develop. I’m misty eyed as I write this, knowing that it’s nearly at an end.

And this goes beyond the sleep I’ll loose or the sore nipples or the fact that I’ll likely be signing off from Sunshine and Siestas for a while: I know this is the beginning of the end with Enrique. From his first breath, he’s one day closer to not needing me in the same way anymore. Yes, there’s time, and yes, children always find a way to need their mother, but time is so, so fleeting.

Am I prepared for all of this? Yes and no. Am I excited? Like never before. When all of those women became mothers and said they had never felt unconditional love – I get it. This amazing thing we’ve done carries a great responsibility and an even greater reward. I can’t wait to see Enrique begin walking (or, if he’s anything like me, running), find things he’s passionate about, fall in love, travel for the first time. There’s no telling what he can do, but I want to be with him every single step.

Vente, Microcín – we are so very excited to meet you.

Read my pregnancy story through first trimester and second trimester by clicking on the photos below.  

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The Guiri Guide to Pregnancy in Spain

Exploring the Wonders of Dalt Vila, Ibiza’s Old Town

There’s more to Ibiza than Pacha, the jet set or kitesurfing.

Dalt Vila, meaning ‘Upper Town’, is a significant fortified acropolis that has retained all of its charm; in fact, it is one of the most picturesque old towns in Spain. The winding, narrow and steep cobbled streets, the vast terraces and the high ramparts all exude wonder, magic and a colorful history. Listed as a World Heritage Site, UNESCO describes Ibiza’s old town as exceptionally well preserved and note the evident historical imprints of the Renaissance, the Catalans, Arabs and Phoenicians. Dalt Vila is a sublime place to visit for lovers of history and culture. Join me as we explore the wonders of this magical town on this popular island.

The Cathedral of Our Lady of the Snows

​​Image by juantiagues, used under Creative Commons license (CC BY-SA 2.0)

With a history that dates back to the 13th Century stretching through to its gothic refurbishment in the 18th Century, the cathedral of Dalt Vila is a central attraction of the town – one you certainly do not want to miss. Sitting at the top of the acropolis, it offers tremendous panoramic views of Ibiza. The beautiful cathedral also holds several significant pieces of art.

The Puget Museum

This museum is also one for the art lovers and is home to a number of works by Ibizan artists, such as Narcis Puget Vina and his son, Narcis Puget Riquer. The Puget Museum hosts temporary exhibitions, too, so it is always worth having a look in advance at the artwork they will be displaying.

The Necropolis of Puig des Molins

This massive necropolis houses over 3,000 tombs that date back to the Phoenician era and the era of the Punics (Carthaginians). Exhibited in the Monographic Puig des Molins Museum, the magnificence of this archaeological find is only bettered by the tremendous collection housed at the museum – a collection consisting of the Phoenician, Punic and Roman artifacts found in Ibiza. It is here that you will discover the depth of Dalt Vila’s history.

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Es Caná and Santa Eulalia

These two resorts are great places to utilize as a base to explore Dalt Vila. Es Caná is a relatively small resort that is relaxed and friendly but with a lively air thanks to the popular weekly Hippy Market. Santa Eulalia, on the other hand, is a quieter destination popular with families and gastronomes, what with its long-established reputation as the culinary centre of the island. Both have golden beaches to enjoy as well.

Fine Dining

Talking of fine dining, eating in Dalt Vila is also an easy affair with a plethora of fine restaurants to choose from. The dishes to try are the two delicious traditional specialties: guisat de peix, which is a fish stew, and peix sec, which is dried fish.

Even more wonders

There are even more wonders to discover in Dalt Vila, this brief guide does not even scratch the surface of the treasures that await you. From the awe-inspiring castle that stands on top of the acropolis, to the sixteenth century fortified walls that embrace the unique architecture, to the monumental Sacred Heart of Jesus, to the many nearby beaches, Ibiza’s old town is a richly rewarding experience. Just remember to take a comfy pair of shoes, for the simple pleasure of a romantic walk with stunning views is what Dalt Vila does best.

​​Image by Michela Simoncini, used under Creative Commons license (CC BY 2.0)

Ibiza and the Islands are on my short list for next year – though partying with a newborn is not happening. Any great tips for food, sites or excursions?

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