Communication deficits

sometimes I wonder if communication and behavioral issues in autism
can't be compared to communication and behavioral issues in other
respects.

I've heard those with aspergers or others with autism who are able to
communicate that things that are trivial to most can be painful to
them.

And I think about my labor and delivery. I've used birthing hypnosis
(or hypnobirthing) and it works quite well, but I get way to anxious
towards the end to use it effectively, so for my second and third
child, I had the plan of getting the epidural at the point where I
couldn't stand it any longer. On every single one of my labor and
deliveries, I didn't have adequate sleep. They were only between 8 and
10 hrs long, but lack of sleep interferes with communication, as does
pain, and with my son, I also stupidly accepted the nubain before the
epidural to attempt to prevent the need for epidural (if you want to
be coherent, epidural yes, nubain no) so that interfered with my
communication quite a bit as well...

Well, at the point I was getting said epidural, the anesthesiologist
said he had to do it between contractions. At the point he said that I
was between contractions. At the point he said that I only had a few
seconds in between contractions. So my response was "well do it now!"
Which came out as I'm in pain, give me meds now, but really was
intended to be, "My contractions are really close together and right
now is an extremely short period of time in between my contractions,
if you don't do it now, you'll have to wait a bit." However, I was no
where near coherent enough to say what I was thinking, so I just
sounded like the crazed mother in childbirth reacting to her pain, who
wanted meds now. (of course I had a frigging monitor on me so I have
no idea why they couldn't use that to verify what I was thinking :P)

That's how I think about it when Tristan is screaming for no apparent
reason. Drives my husband up the wall and admittedly, when my temper
is short, it drives me up the wall, but I think he's in discomfort and
has no way of telling us what he needs, and so it saddens me but
doesn't make me as mad as if say, he was a typical child throwing a
tantrum just to get what he wants.