“Write from your guts,” I told my creative nonfiction students on the last day of class. “Don’t ignore the pain. Don’t act like it isn’t there and try tiptoeing around it. You have to write your way through your own dark woods.”

I recalled the excruciating experience of back labor when giving birth to my son. His head was positioned against my lower spine as opposed to the normal, on-top-of-the-cervix way, so whenever a contraction came, instead of him pounding down to open said cervix, his head struck my spinal cord, igniting the nerve center in a ripple of unmitigated agony. After twelve hours of useless back labor, I accepted a drug. “Yes-fucking-please.”

Bam! Ka-Pow!

My cervix went into overdrive and, in one hellish, body-wracking hour, blew open to the requisite ten centimeters, which meant it was time to push the baby out.

But instead of pushing, I stopped. I resisted. I clenched at every contraction, stealing myself against the pain that felt like a reckless trucker was driving his semi through my uterus.

“Push into the pain,” the British midwife urged in a high, clipped I know best voice that left no room for compromise. “When it feels the worst, Sandra, that’s when you must push the hardest.” She had Birkenstocks and long gray hair that would have loved a little Miss Clairol. She was kind, smart, and sensible; I wanted to kick her in the face.

“I don’t know what that even means,” I cried between gasps. “How do I push into the pain?” I actually thought that if I argued enough, I could altogether avoid having the baby.

“It means,” she explained, “that when the contraction is at its worst then you must push the hardest. Don’t shirk from the pain.”

I’ll shirk you! I thought as I felt the onset of a killer contraction and longed to rail against it. How to do this? How do you leave your fingers on the burning stove, or step more deeply onto the tack? How does a person embrace her worst fears and invite more? How does she choose a life of writing pain?

“Now!” the midwife, urged. “Push now!”

I shut my eyes and swallowed back my resistance. With my jaw locked, I pushed my hardest—or so I thought—screaming until tears streaked my face. I did that five more times through five more contractions, the pain so unrelenting that I feared I might die. I pushed as if my life depended on it.

When the baby still didn’t come, the midwife, her face betraying alarm as she watched the monitor, reached for a pair of surgical scissors. “We have to get the baby out now!” she announced. No time to numb me, just the sharp snip of raw flesh like an electric shock on my perineum. My child was in danger. His heart rate had plummeted, and, at that point, only I could save him.

And then, my boy.

Write into the pain, I tell my students. Just when you want to write around the Catholic pretense that hides the abuse, or the sight of your mother in a pink bathrobe dead on her bedroom floor, and how that day, for the first time ever, you touched her cheek and forgave everything; just when you want to ignore the acrid taste of blood, the colorless gray of loss, or the married lover whose forbidden lips, if for only a few minutes in the back of his beat-up Honda Civic, answered every prayer you ever whispered from your lonely bed; just when you want to skip a part because it’s too shameful to remember, then you absolutely have to remember it. You have to feel it wracking your body like a baby that will die if you don’t push now. Sit with each scene until it spins through every pain receptor and is ready to pull you down and drag you back and forth through your longest night, again and again and again.

Because I promise you this: if it doesn’t hurt at least a little, you will never birth your best writing.