It seems like you are required to have an opinion on every single little thing that could possibly ever happen to a child. And not just any 'ole opinion, a STRONG opinion. For instance, am I going to use cloth diapers or disposables? Or, am I going to have my child vaccinated on a recommended schedule or should I be conservative and slow down that pace? Or refuse vaccinations altogether? Breast or bottle, work or stay home, child sleeps in bed with parents or in a bassinette in the same room or in a separate nursery in a bassinette or in a crib...
Note that I haven't event touched the mother* of all topics: childbirth.
Before we go much further, I'm having a cesarean section. It will probably be done at or about 37 weeks. That being said, let's go on.
This week I saw this video at Momversation:
Before I saw this, I didn't even know there was such a thing as a birth plan. What the hell is a birth plan? Clearly the women on the forum think the idea of a written document is a bit over the top, with the exception of Heather Armstrong. Do I need a birth plan? Shouldn't someone who is caring for my pregnancy tell me about a birth plan? I'm almost through my second trimester and I don't even know what a birth plan is!!!!!!!
Listening to the dialogue got me thinking about how I used to talk about pregnancy and childbirth, long, long ago, way back when I was a budding young mother...
Grace was a healthy 7 lb, 15 oz baby born after 14 hours of labor by way of an induced labor, an epidural, an episiotomy, and a forceps delivery. The labor was induced because my doctor was concerned she would be very big and force me into c-section. Her Apgar scores were 8 and 9 and she left the hospital roughly 36 hours after delivery with a slight case of jaundice which resolved itself within the next 48 hours. Prior to childbirth, I had attended childbirth classes and hoped for a delivery in a birthing room in the hospital without the need for an epidural. That was the extent of my "birth plan."
After my daughter was born, I started learning about all the other options I could have chosen. If I hadn't had my labor induced, could I have averted so many other consequential negatives? What about breaking my water artificially, was that bad? Or the epidural that they gave me after 8 solid hours of intense contractions, while I progressed to only 5 cm dilation? My mind went wild. That doctor was a medical menace. He didn't take my feelings into account. He didn't ask my opinion of anything (did I have an opinion?). I got mad at my (now ex-)husband because he never considered anything other than a hospital birth, saying that he wasn't going to have his kid born in "some kind of a half-way house where pregnant women walk around naked and moaning." I learned all about how doctors don't care about women and just want to make money, never even considering whether the recommendations they give women are the best options for their health.
Well. That was many years ago. I still think there is not enough done in research about women's health issues. But after being treated for years for uterine fibroid tumors and endometriosis and resulting infertility, I've come to a different view of gynecology and obstetrics. The medical team who has treated me the last few years has not only tried everything in their power to make my reproductive options as healthy and natural as they possibly could be, they are also active researchers in the exact areas they treat me for.
Back to my scheduled c-section and a birth plan. I plan on having a healthy baby and doing whatever it takes to optimize my reproductive health to hopefully do this again. Though it might not apply to most women out there, choosing to deliver vaginally would put those goals at too high a risk for my husband and I to consider. So we're going to deliver this baby as late as we possibly can, while maintaining that there be as little chance as possible that labor contractions could begin on their own. That will probably be in week 37.
I don't see my doctor as pushing me into anything. My reproductive endocrinology surgical team tried everything they could to avoid cutting my uterus, thus allowing any (hopeful) future pregnancies to progress as naturally as possible. When we got to the point that there were no other options but surgery and making an incision across my uterus to remove a large fibroid out of a mass of adenomyosis, the lead surgeon talked with my husband and I as long as we liked about what this would realistically mean for any future pregnancy and childbirth.
For me, cesarean or vaginal birth is not a determination of whether I am empowered as a women. For me, the whole process of being empowered about my health is working with physicians who always communicate with me and work together with me. This applies not only to obstetrics and gynecology, but also to every kind of medical care I received.
I'm fortunate to have a great set of doctors, both at the infertility clinic and at obstetrics. They work together seamlessly, so seamlessly that I hardly even noticed a shift in my care from one need to the other. I know this isn't the case for most people out there. I hope that we as a society can work towards it.
As for the other things I MUST have an opinion on:
- breast only, hopefully at least for the entire first year
- bassinette, in our bedroom, until she's big enough for a crib, and then she'll probably still stay in the bedroom a bit longer
- cloth diapers
- NO PHOTOGRAPHS of me during delivery or anytime closely thereafter. And none of my dear daughter that make her look like a wet rat or something else disgusting.
- I don't want to see any of the delivery when it happens, nor do I want to have it filmed or photographed. Been there, done that, know myself, wish to stay conscious and not become faint at the sight of my own gore.
- Thinking about getting a Tummy Tub, but I can't imagine the expense is worth it. People will make fun of me for putting my baby in a bucket, I know it.
* Get it? Mother of all topics? Childbirth? A-ha! I made a joke, did you guys see that?
You're not laughing, I can tell.
Damn, I'm still not funny.
2 comments:
I had my kids back in the dark ages of the 1980's.
No birth plan except GET ME TO THE HOSPITAL ON TIME, no ultrasounds, no epidurals,30+ hour labors, no sleepless nights of breastfeeding(my jumbo babies wanted to nurse every 45 minutes-round the clock and I would only last 2 weeks before collapsing into a non-functioning zombie), disposal diapers (I didn't have a washer and dryer)
I was a rotten mother of infants.
Yay to you for deciding to breastfeed the first year! It's a big commitment, especially if you're planning to go back to work. But it's definitely worth it.
I don't think you were naive the first time around. Parents definitely have stronger opinions about things like epidurals, diapers, baby food, etc. I had a birth plan but it pretty much went out the window when my contractions became so intense, I couldn't form words. I could only groan and no one could understand me.
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