Friday, October 22, 2010

Statistics do not matter to the individual

Ok, here I go.  I'm going to try my hardest not to stir the pot, not to fan the flames, not to rabble-rouse.


But holy shit, get pregnant and your ute is up for grabs!  Your mild-mannered friends and relatives will suddenly become rabid upon mention of an idea or notion that contradicts what they have deemed to be right and true and holy.


I'm 15 weeks into this gig and lawd lawd lawd!  Before I had a viable pregnancy, discussions about the birth process were strictly theory, as that finish line was so far off that it seemed nothing more than a topic for debate.  But now that my chances look better with each passing day that I'll actually get to the finish line?  Oooh Jesus!  Errbody has an opinion and it's usually do what I say or your baby's gonna DIE!!!!!!!!!


I remember when Drew and I were first dating.  I mean, still having ultra-protected sex and everything!  I told him I wanted to have a homebirth whenever I got pregnant.  He turned purple and we proceeded to have a hee-yooge fight over how ridiculous I was and how me and my baby would surely DIE!!!!!!!! if I did anything so reckless.  And we were just dating!


With time, things did not improve or change.  He still turned purple at any mention of deviation from a standard hospital birth complete with the wires, bells, whistles and such.  Now, to his credit, he did go to the info session at a birth center with me.  After he turned purple and we fought about it.  But he went.  But then I had a miscarriage so he was off the hook.  Now we're here again, arguing over the same points, rehashing the same topics only it's no longer theory.  It's about to get real.


Here's my issue - I have the nightmares about birth.  It's recurring - the obstetrician/magician/magi-trician comes at me all gowned up, with an evil (stay objective Desiree) glint in their eye, light bouncing off the scalpel and they slice me clean in half and slide the two halves apart - MY two halves, just like the magic trick.  


I have a teensy phobia about C-sections.


But seriously, phobia aside - I don't understand how slicing through abdominal muscle and through a giant blood-filled organ so you can be laid up for eight weeks is preferable to letting something exit through a hole that's already there!  Just so you can 'avoid' some pain?  Really?Because recovering from major abdominal surgery isn't painful?  I'm scratching my head over here.


And for the cheap seats, I'm talking about c-sections by choice, not when you have no other option because I'll be first in line for one if my kid lays sideways the whole time or decides he/she wants to come out feet first.  I'm just reeeeeaaaaalllllly hoping the kid ends up in the right position so I don't have to get cut open.


Now we all know how much I hate needles right?  So I'm rill not sure about a needle in my spine and subsequent numbness from the waist down.  How will I know if they saw me in half?  I'm very against not being able to feel my whole body.  I'm of the mindset that pain is God's way of letting you know you're alive, so I'm okay with pain.  Besides, it's a productive pain that's temporary.  I don't get off on pain and in all other circumstances I avoid it whenever possible - but this pain I understand.


I'm not so sure about Pitocin either because I hear that and I hear c-section.  They use Pitocin to induce labor or to help it along.  Inducing means you're putting your body in labor, making it do something before it's ready to.  THEN they cut you open for 'failure to progress.'  Well hey guess what, your body can't fail at something it was never ready to do!


And again, I'm talking about those who do it by choice, because they want their kid to have a certain birthday or they have something they have to do and need the baby out before then.  AGAIN, if I have no other options I will be first in line demanding they hook me up to whatever they got.  BUT, can we just see if my body will go on ahead and do what it's meant to do, on my baby's schedule, not yours?  


Last week my doctor scared the shit out of me because she off-handedly remarked that she was going to induce me before my due date.  Her exact words were "Well, I'm telling you right now I'm inducing you before your due date."


I was so thrown I couldn't even form a comeback.  I was only 13-ish weeks - I didn't think we were going to discuss the birth process until at least 20 weeks.  I wasn't ready and I was surprised.  I've been seeing my doctor for over six years and I really like her and trust her.  I like the RE and I love the Maternal Fetal Medicine specialist she sent me to, so her stock is high with me.  She's always made me feel comfortable, I like her staff and we click.  But labor and delivery is a whole different beast and I'm scared of her getting all Dr. Jekyll and Mr. Hyde with it.  We're going to have a serious come-to-Jesus talk at my next appointment and we're going to address this induction business as well as everything else, but I'm nervous.  I'm scared she'll dismiss my concerns or worse, fire me as her patient.  They can totally do that!


Talking with other people hasn't helped that much either.  Trust your doctor, your doctor knows!  Hospitals are good and wonderful places and nothing bad every happens in a hospital!  You're old, you're high-risk, you can't do this on your own!  The only thing you should care about is a healthy baby!  You're selfish and a bad mother if you want anything for yourself!  If they have to slice you from your throat to your vag, you should just lay back with a smile and let them do it!  If you don't, your baby will DIE!!!!!!!


So I'm doing my research.  I called in the big guns - Rixa Freeze, Ph.D. of Stand and Deliver.  I kinda just love typing her name because it's the best name in the history of ever.  I sent her an email that may or may not have been "you have to help me, they're going to cut me open!!!"  Okay no, that's not what it said.  I very kindly and politely and non-crazily asked her to send me the link to her publications since I couldn't get them from her site.  


Y'all!  She emailed me back!  Like a real email!  I kinda felt like I got an autograph from a celebrity.  Rixa Freeze (love her name!) has read the books, she's published the papers, she's gone to the conferences, she's talked to the people, she knows what she's talking about!  Plus, she's got other people who know on her blogroll so that's what I've been doing since my last appointment.  I've been scouring the web for REPUTABLE (not anecdotal - anecdotes will not stand up to my king-of-logic, doctor-loving engineer husband) sources of information so I can present a coherent stance to my doctor and to my family members who are convinced that I'm going to DIE!!!!!! if I don't do exactly what the doctor says, question nothing and take full advantage of every single medical intervention that exists when birthing my child.


So yeah yeah I have two clotting factors and my body's a killing machine blah blah blah.  Yeah yeah I'll be 35 when the baby's born - only by a month!  I'm not convinced that those two things automatically mean that I can't go without the spine needle or forcing my body into labor or getting sliced in half.  And I don't care about the statistics - I care about me and the baby.  


But it is such an uphill battle!  I'm going to have to have my ducks in a serious row to go up against  those who have ultimate faith in doctors, hospitals and modern medicine.


And don't get me wrong - if it weren't for modern medicine I wouldn't even BE pregnant.  Clotting disorders don't exactly show themselves in someone like me.  I've never had a DVT or PE, I'm not overweight and I've never had a heart attack.  There was really no way to tell what was wrong with me until I had lost the pregnancies.  I have a deep respect and reverence for the medical field.


I just feel like birth is not like a broken arm.  Pregnancy is not a disease that needs treatment.  It's more like one of those things that you just have to stand back, stay out of the way and jump in only when absolutely necessary.


Wish me luck making my case!

18 comments:

  1. Hi Desiree, Congratulations on your pregnancy. I found your blog a few weeks ago and enjoy your "no nonsense" style of writing. I used to keep a blog or two myself until I had my babies! :) While I don't know anything about the clotting problem you have, I can tell you my experiences from giving birth for the first time at the age of almost 36 (second time at 40). I had problems stemming from pre-ecclampsia (I'm sure you know this is related to high blood pressure). I was induced both times because of that. I had pitocin both times, and I DID NOT have a C-Section. Yes, this was my fear as well but I had vaginal births both times. I totally hate needles as well and avoid getting shots even if it is to help me if I can. But when you get pregnant, you have no choice literally, especially with a hospital birth (I have no knowledge of homebirths). I got the epidural both times (thank goodness). I think with the epidural it depends upon the anesthesiologist who does it. The first one, I could not really feel anything to even know when to push. The second time I had a wonderful epidural where I felt the pressures and when to push but no pain. Everyone's experiences are different, so obviously I can tell you how mine were. I can tell you that the doctor will tell you that if they suspect anything which would put you or the baby in danger, they will immediately go for the C-section. With my second son, his heartrate would drop every time I had contractions. The doctor calmly told me I had to push and if I couldn't get him out, they would take me for a C-section. Luckily, he came out a lot easier than my first one! Good luck, and hope you can come up with a birth plan that will satisfy both you and Drew!

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  2. Hi there,

    I think the words 'Birth Plan' are very valuable and can get you far with the right doctors. They are YOUR wishes in the order that you would like to see things go. If this doesn't go right, then proceed with this, but not until. Natural births are the ultimate goal or at least that is what I am being taught right this moment in nursing school. I just finished my clinicals in the ob and it was great. Every doctor is different, but I think you are right to go to yours and have a heart to heart because you need to be firm and let her know your wishes, even in writing. If you are not afraid of pain, go for it! I did have pitocin, but it really slowed everything down and a c-section was on the verizon...because it just wasn't my body's time. I was induced four days past my due date, but the doctors can all tell you that a due date can be off by TWO WEEKS either way....so if they are already planning on inducing you earlier at all than your due date, what if it is at all off and by two weeks? Stick to your guns! Being informed is the best way to go!

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  3. I swear. Every time you write something, I think we are more and more alike. Seriously. I want a home/water birth really badly (when that time comes) and want to try my darndest to not use medicine. I am an extreme case because I have a strong dislike to medicine and doctors in general (probably because I was raised in a hospital watching my mom be sick). I think about all those cavewomen and prairiewomen and all those other women that had babies the natural way, and I think why can't I? I know medicine and doctors can be good. You're a prime example of why doctors and medical advances are amazing and we need to have them. I am so so so so so grateful for them in that instance and others like this. But why do we need to pump everyone full of meds and cut them open to have a baby that our bodies are designed to have? Let my body try to do what it was meant to do! I have faith in you lady! Don't let those doctors bully you. :)

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  4. You might have already read her blog, but Alexa at flotsamblog.com is a wellspring of information about high-risk pregnancies and infertile medical info. She might be a good person to ping for those reputable sources that Drew requires.

    Good luck, be strong, and take care of yourself! All the best.

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  5. Hey Friend! I wish I had a crystal ball, to see how you feel about this in a year. Not because I think you'll change your mind, but because I really want to know if your feelings will change or not. Everyone is definitely different. Cathy is right. Make a birth plan. And I love that you're collecting information from multiple sources---being well-informed and voicing your preferences is always the best way to go in ANY situation. :) Now, having said that, I do want to say one thing. You're right, being pregnant is not an illness, but before medicine intervened in this arena, a lot of women had a lot more issues in childbirth. (Not going to say the "D" word--LOL) If I were you, I'd get informed, make a plan, find a doc who agrees with your plan, and then make sure you trust your doc enough to throw the whole plan out the window if the sh*% hits the fan on delivery day. And sister, PRAY. You didn't get pg and stay pg without prayer, so do you think God is going to abandon you now? He has a plan, too.
    Love ya lots, C.

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  6. Congratulations on your pregnancy. I was induced with both my babies. The second time I did not get an epidural. What helped me was hypnobabies.com. It's self hypnosis. It relaxed me through the contractions. Good Luck.

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  7. I agree with everything you wrote - and my husband is just like Drew. Good luck convincing him!!! Maybe once you've gathered all of your information you can do a post on it to help out all the other ladies who want to do things the natural way and are having trouble convincing their husbands as well.

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  8. i have mixed emotions about this topic. i'm in the health field, and one of my special interests in grad school was about the dangers of elective (or medically unecessary) c-sections.

    i'm extremely cautious when it comes to my health, so i always knew that i would have my daughter in a hospital. BUT, i was not pleased when my ob/gyn let me know at week 38 that if i didn't deliver naturally in the next week, that they were going to induce my labor and might have to "take" the baby due to iugr.

    long story short, after days of squatting, bouncing on the birthball and doing all sorts of contortionist moves, the induction failed and i ended up getting a c-section.

    even though it kinda sucked (hard) i'm glad that my babylove came out okay and was able to get the nourishment that she couldn't get in utero.

    it just makes me wonder what was up with my body that it didn't do what it was supposed to. and it also makes me wonder what could have happened to her if we hadn't been in a place where those necessary measures could be easily taken.

    p.s. if it makes you feel any better, i wasn't laid up for the whole eight weeks, just had to slow down a little. the no driving thing did make me a little crazy, though.

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  9. I had a lot of fears about C-Section and I did end up having one. HypnoBabies was a big help to my during labor though - I made it to 9cm without drugs *and* I was having terrible back labor. Total credit to HypnoBabies on that one.

    Unfortunately, I was having back labor because the baby was sunny side up. He wasn't descending so I had a C-Section for the dreaded "failure to progress". It was not what I wanted but it wasn't the worst thing in the world. I was up and moving the next day (they want you to walk) and I stopped taking pain meds after a week. My friend who had a vaginal birth with a third degree tear? Notsomuch!

    My point is just that no kind of birth is guaranteed to be easy. The C-Section wasn't all that I feared. I still plan to VBAC one day though! :)

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  10. Might I also recommend The Feminist Breeder? She is a straight up tigress about unnecessary medical interventions. I have learned a ton from her blog and some other mid-wifey blogs I've found.

    Gem

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  11. P.S. You did not get away with the use of 'ute'. Just thought you should know.

    Gem

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  12. Let me just say this- your fears are my fears. Not even joking. That is exactly why I am scare to get pregnant, PAIN!!! I am wishing you luck girl. My cousin told me birth was the easiest thing she has ever done (vaginal delivery) and my friend just had her SECOND C section and said she would never do vaginal because her surgery was so easy, but the one thing they agreed on was the time leading up to the birth was the BEAST.

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  13. It sounds like you are open to logical advice and what's ultimately best for the baby. That I think is the biggest hurdle with birth plans (from what I've seen from friends and family.) I think as long as you have a solid plan with some back-ups, just in case, a homebirth might be just the thing. Plus, you already know how to control your breathing, what with your yoga-expertness and all, and I hear that's huge.
    PS I'm with you on the whole pitocin thing...my sister and best friend who had pitocin had the WORST contractions (they've both had two children, and only once on pitocin and said the pain was 10x worse with than without.)
    I'd say trust your guy, listen to your doc and Drew, and be open to nature taking it's course!

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  14. If you haven't already, sit down with your husband and watch "The Business of Being Born". Fantastic documentary produced by Ricki Lake, tons of info, might just start the process of opening his mind.

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  15. My first child was born very quickly without time to give me options like an epidural - and I did it. I survived and felt strong and awesome. When it came time for the second child and I wanted to do it without drugs again, my husband thought I was insane. Why be in pain when you don't have to be? But I felt like since I'd already done it once, and my body was designed to do this, I could do it again. And I did. My second baby was bigger so it was more painful, but the pain didn't matter once she was out. I'm pretty sure the nurses thought I was crazy, but they did respect what I wanted, and I respected that if something happened they could do whatever it took.

    I think the best thing is to know what you want going in and speak up for yourself about what you want. Good luck with the info search!

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  16. Hey D - sorry I have no experience in this department to share with you but it sounds like you are getting good advice. Just wanted to let you know that I was thinking about you lots, been following your progress on your blog & hoping all is well! Mucho hugs...

    If you get some time, email me! Been wondering about you girl :)

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  17. My husband and I are recently married, but were together for seven years before the wedding. We've talked about so many things over the years, and this post reminds me of the dozens of (fights) discussions we had about natural childbirth. I will say now that he has slowly but surely come over to my side, even to the point where he recommended his older sister watch "The Business of Being Born" when she announced she was pregnant with her first, and then announced that without a doubt, she planned to take as many drugs as the hospital would offer her when it was time to give birth.

    I've been passionate about natural childbirth since long before I met my guy. I was so disheartening in those early years of our relationship when I just couldn't figure out how to express the fact that natural birth wasn't some goal for kooky crazy people, but was a legitimate desire to take an active role in childbirth, to let my body do what it was made to do, not to treat the birthing process like a medical emergency, and to do what I thought was best for the baby and our future family.

    He came around. It took a long time, but he came around, even when his family (mom and one of his sisters) flat out laughed at me when I said I planned to go for a natural waterbirth when the time came. Besides our talking about, and me showing him articles or watching BOBB together, what helped him the most was knowing that people he knew in real life, and not just me, were just as passionate about it. His older cousin has had two natural childbirths in a hospital, and his other sister had her second child naturally earlier this year. It's not such a foreign concept when people you know in real life are doing it.

    I think you've gotten some great suggestions so far, and I know from reading the most recent post that your husband is coming around. I just wanted to add for anyone else reading that watching the Business of Being Born and Birth in America with your partner can help. Talking to people you know or meet in real life who have had or desire a natural childbirth helps. In the end its just overcoming the aspect of bucking the trend and going in a different direction that a person is not all that familiar about. The more he learned about natural childbirth, the more he saw that it wasn't me trying to be a birth martyr or see how much pain I can endure (and I plan to endure as little as possible by using Hypnobabies when the time comes), but instead to do what I think is the right thing to do for the health and safety of our future kids, and yes, the health and safety of me.

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  18. Hi Desiree, Congratulations on your pregnancy. I found your blog a few weeks ago and enjoy your "no nonsense" style of writing. I used to keep a blog or two myself until I had my babies! :) While I don't know anything about the clotting problem you have, I can tell you my experiences from giving birth for the first time at the age of almost 36 (second time at 40). I had problems stemming from pre-ecclampsia (I'm sure you know this is related to high blood pressure). I was induced both times because of that. I had pitocin both times, and I DID NOT have a C-Section. Yes, this was my fear as well but I had vaginal births both times. I totally hate needles as well and avoid getting shots even if it is to help me if I can. But when you get pregnant, you have no choice literally, especially with a hospital birth (I have no knowledge of homebirths). I got the epidural both times (thank goodness). I think with the epidural it depends upon the anesthesiologist who does it. The first one, I could not really feel anything to even know when to push. The second time I had a wonderful epidural where I felt the pressures and when to push but no pain. Everyone's experiences are different, so obviously I can tell you how mine were. I can tell you that the doctor will tell you that if they suspect anything which would put you or the baby in danger, they will immediately go for the C-section. With my second son, his heartrate would drop every time I had contractions. The doctor calmly told me I had to push and if I couldn't get him out, they would take me for a C-section. Luckily, he came out a lot easier than my first one! Good luck, and hope you can come up with a birth plan that will satisfy both you and Drew!

    ReplyDelete

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