September 24, 2008
How We Get Here
There are some things in the news lately that have had me thinking about birth in America. This is a touchy subject for me. Actually, it's usually a "no touch" subject for me. It's like a splinter too excruciating to touch. The reason for this, I suppose, is the stark contrast between the birth of my daughter and the birth of my son. You see, Quinn was born by cesarean section and Nichola was born, naturally, in my own bed.
With Quinn I was strapped, cruciform, to a board and sliced open to the core. I was given seconds to see (not touch) my crying baby before he was taken away to be heated by a machine while I cried, silently, listening to the nurses gush about how speedy was the doctor's technique. Then I was wheeled to a room to sit by myself, numb, and wondering about my tiny baby for nearly an hour. The time passed at the speed of an eternity and when he finally arrived that eternity was felt. The critical period of connection between mom and baby, where we should have been gazing into each others eyes and knowing one another... it had passed... separated by miles of florescent lights and beeping machines.
When Quinn did not want to nurse on the predetermined hospital schedule they threatened me with drawing blood from his head and "more tests if we have to, or you can just give him formula." I wanted to breastfeed my baby, but I was not allowed, and as it turned out all of the excruciating screaming that he was doing was a result of an allergy to the formula they had forced. All the sleeping he was doing, which determined for them that he could not be exclusively breastfed, was a known side-effect of the epidural, pitocin and morphine I was given. The best recovery for him would have been... should have been... immediate skin to skin contact with his mother, sleep and breastfeeding.
They denied me a way to clean myself for four days, they denied me a meeting with a doctor, and after four days of asking, I was finally granted a visit from a lactation consultant... on my way out the door.
I was sent home with an infection in the giant incision through my abdomen, a baby sick with formula allergy, and a bill for more that thirty thousand dollars.
This book crushed my heart and then rebuilt it, and my soul, stronger than ever before.
After my experience, and the promise from the doctor of a repeat cesarean, I did not think that I would have another baby.
However, three and a half years later, with the pain deeply buried and armed with the knowledge of this and many other books, doctoral theses, and research reports, we conceived Nichola and began planning our homebirth.
Nichola's birth was the single most healing, empowering event of my entire life.
After five days of prodromal labor, in the careful and supportive arms of my husband and midwife, I went into active labor and delivered Nichola in three hours. No incisions, no trauma, no tears, no memorable pain... physical or psychic.
She was perfect.
And so was I.
We had a warm bath and our midwives stayed, keeping an eye, offering wisdom and generally taking care as we prepared for our first sleep... separately, together.
Through the night I woke to nurse my new little girl, feel her breath and watch her sleep, soundly next to the heartbeat she had been hearing all along. In the morning we woke up, a new family, and I walked myself the 10 feet to my own shower. With this shower I washed away the ripping, raping, disempowering pain of my hospital experience and felt the greatest sense of power and being I have ever felt.
When we speak about the right to choose in this country, we fail to understand that the right to choose how to have and raise our children is in serious jeopardy.
The World Health Organization states that no region in the world is justified in having a cesarean rate higher than 10-15%. The cesarean rate in the US has increased five fold in the last 20 years. Cesarean rates are higher for women who have private medical insurance, are private rather than public clinic patients, are older, are married, have higher levels of education and are in a higher socio-economic bracket. Why??
The American College of Obstetricians and Gynecologists
(ACOG) has ranked getting rid of home birth midwives as #2 on their list of
State Legislative Issues for 2008! You can see the whole list at:
www.acog.org/departments/dept_web.cfm?recno=15
The more you know.
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20 comments:
U.N.B.E.L.E.I.V.A.B.L.E!
I'm so angry that something so pure and so natural has to be compromised and commercialised. Your story has really touched me... thank you for sharing.
I'm sorry you had such a terrible experience with your first baby, but glad that you had such an empowering experience with your second. I have a completely different opinion about my hospital birth. I made the decisions along the way, and I made the best decisions I could at the time. Therefore I have no regrets at all. I also really struggled with breastfeeding (inverted nipples), but the hospital really helped me to accomplish my goal - exclusive breastfeeding. A midwife came to my bed every time I nursed to help me get Rose latched on. If I'd been at home I would've given up. Anyway, I just wanted to say that I understand your opinion and approach, but also to offer that home birth is not for everyone, and hospital birth is not a nightmare for everyone.
Watching those brought tears to my eyes and made me shake all over.
I have 3 children fairly close together. I was a teen mom and so went into my first just not knowing and my second knowing but feeling like I had no other option (then to go into the hospital). And then there was my third birth which was a planned homebirth (turned hospital transfer after 44 hours) with a midwife. That birth still makes me want to vomit to think about- it was that traumatizing. LET ME BE VERY CLEAR HERE! I am just now (almost 2 years later) getting comfortable with the idea of having another baby and I will have a homebirth but it needs to be said that midwives are capable of bullying and being forceful. Please anyone who reads this choose your midwife wisely!
None of my birth experiences were that of peace and unity. NONE. I have been robbed. My husband wasn't there for me emotionally because he thought it just wasn't a big deal (which is his fault but also societies). I have never been so excited to hold my newborn. When that time comes I have always felt like that was the last thing I wanted to do but that it was my "duty". I find that I am always excited while pregnant to meet my baby and I think on it often but the birth itself sucks that out of me.
This next time- whenever it is- will be different. I will surround myself with people who are there to support me and who will stand by me. One big thing about birth that isn't talked about is that it is emotional as well as physical and it can leave you emotionally destroyed just like it has the potential to leave you physically destroyed. The trick is to respect birth and yourself and only allow those around you who respect birth and you.
WONDERFUL post! Thanks!
-Maggie
Damn. I know I'm a guy, but I do NOT want my wife to go to any freakin hospital. ....
I tell ya, it seems as though this world is getting more fucked up by the min.
It seems to always hit rock bottom before it gets better though.
I think that it's awesome how those people are speaking out and making movies and educating people on these things. Thanks for sharing that, and for opening up to share your story. I'll never forget it.
Thank you so much for sharing this. One of the reasons I don't have kids is because I am terrified of a hospital birth. My best friend had a HORRIBLE hospital birth and my sister was only slightly better. Even before my BFF had her child, I felt that the hospital is not the place to be having a baby. Thank you for sharing your experience.
I wasn't even really aware of homebirths until recently. I am due to have my fourth child in February and looked into it, but a midwife will not touch me. I have extremely high risk pregnancies, all preterm or with complications.
My first delivery in the hospital was good from the doctor point of view but the nurses SUCKED.
The second and third deliveries, I left with the babies within hours of delivering. Nurses and such were highly upset and tried to intimidate me telling me I COULDN'T leave. My response was "I am leaving at 3 when my husband comes to get me, if the doctor wants to see me or the baby she will be here BEFORE then or she won't see me at all." I couldn't handle the poor attitudes of the nurses and rough treatment at their hands.
So, while I agree a little with what you say about hospital births, sometimes the delivery is necessary, but once that is done, hightail it out of there LOL!
I would like to state that I am in no way saying that hospital births should not be an option.
I am saying that what we need to do is make sure that we continue to HAVE an option. If the ACOG is successful in removing homebirth midwives that choice disappears.
I would never tell a woman that she should have a baby at home and no woman should be told that she cannot.
I support HAVING A CHOICE.
Good for you to take control of your second birth! You touched on a hot button for me! My first birth was eerily similar to yours (in a teaching hospital, horrible experience), fast forward through two other pregnancies (one with twins and a necessary c-section), I finally had my dream delivery...not at home, but started with the help of accupuncture. I highly recommend accupuncture to help start a natural delivery. It was wonderful, I got to the hospital last minute, no time for meds :) I only spent 1 day there and went home with my gorgeous baby.
One other note...the reason I didn't have a home birth is because it was illegal for a midwife to care for me unless I was in a hospital, because I had 2 previous c-sections (this was in VA, but may vary by state. But it's highly unlikely that women would have the choice of a home birth after more than one c-section unless you find an underground midwife). Yeah.
Many OBs would have it be illegal, not just after repeat cesareans, or one cesarean, but on principal for all women.
What's more, is that a woman is more likely to die of a repeat cesarean than of a VBAC...
shudder...
Yes, I perceived "having a choice" completely, when I read your blog.
My brothers wife had a cesarean because the nurse cut a vein with her a "ring" that she had on underneath her gloves! She was stretching her servics when this happened. This goes to show you that anything could happen, and she "chose" to go to the hospital to have her baby. I think at home births are better because they are more personal and... like you said,
you don't get your baby taken away after you have them. My personal opinion is.... "keep it simple, and you'll keep your smile :)"
I am so happy that your birth experience with your Nichola was so wonderful. If I were ever going to have another baby I would consider a home delivery, for sure.
I had both of my babies in hospitals. My experience was terrifying for my first delivery, my daughter. The nurses were rough and unsympathetic. They even tried to tell me what to wear or not to wear. They refused to believe that my water had indeed broke. After my baby was born they did allow me to try to nurse her which I was unsuccessful at and they insisted that they take her away to bathe her right away. My husband went with her and never left her side. Her little hand held tightly to her daddy's finger the whole time while she screamed. I sat in the delivery room for over an hour wondering where my baby and husband were. My parents were in the waiting room and very confused too. Nobody knew where I was. Eventually they took me to my room, but told me the baby should be in the nursery so I could rest. We tried to nurse again, unsuccessfully. They threatened to give her a bottle. They made me feel horrible. The nurses did try to help me nurse but told me my breasts were too large. I eventually got angry and decided I wanted my baby with me in my room and that I wanted to go home right now. When I called for my baby they brought her to me with a bottle of formula and a pacifier in her mouth!! She didn't need a pacifier to help her stop crying she needed her mama. Needless to say we left the next morning. I visited a lactation consultant who was wonderful and helped me and my tiny baby girl learn how to nurse successfully.
My second birth, my son, was so much better. I still had him in a hospital (a different one) but everything was so much nicer. The nurses were wonderful. Each woman in labor had a full time nurse assigned to her. But there were times when there were two nurses with us. They gave me full body massages and lots of loving advise on how to have a wonderful birth experience. When my big baby boy was born, they did not rush him away but let me hold him as long as I needed to, they helped me nurse him and eventually they washed him up right there in the room. He did not cry. This hospital doesn't have a nursery so your baby stays with you the whole time and they even have a bed for daddy. You stay in the same room through labor, delivery and recovery.
My experiences were night and day.
While in labor we felt very close to our wonderful nurse. We shared our previous experience with her. She mentioned how the nurses at this hospital were treated well and they were very happy with their careers and employer. They only worked 3 twelve hour shifts a week and were able to be with their families for the rest of the time. Plus with a 12 hour shift they were able to really bond with their patients.
Maybe I was naive to think that this was the direction many hospitals in the US were heading.
Aimee, you failed to mention that the person in charge of that horrifying first delivery in the hospital was a midwife. Maybe the ACOG is trying to get rid of those incompetent people that midwife through the pregnancy, then don't keep everything in check as far as complications are concerned. Your complication should have been caught by your midwife, right?
You are quite mistaken.
I am sorry for your misunderstanding of my experience, but my first delivery which took place in the hospital, every horrifying aspect of it, was under the care of an Obstetrician.
I transferred from the care of my midwife, into the care of an obstetrician after three days of prodromal labor at home. There was no complication. There was no emergency. I believe that my labor was poorly managed by a midwife who should have sent her back-up because she was unwell. I would have liked to have had a midwife better able to provide emotional and psychological support in addition to assisting in slowing down the contractions rather than speeding them up. None of these things would have been better provided by an obstetrician. I could go on for a year about the regular and intentional mismanagement of labor by Obstetricians, but this is not at all the point of my post.
It was a very difficult step for me to share the little that I have, and have spent the last two days with my heart feeling a bit raw, discussing with my partner the option of sharing the very long and dramatic story which is my pregnancy, labor and delivery of Quinn.
Not one thing happened during either of my labors which would lead me to believe that a woman should not have a choice of where to birth her child.
The ACOGs single-minded, well funded war on direct entry midwives disgusts me, and the research that I and many others have done regarding the safety of midwife attended homebirths vs. hospital births in the US gives a shocking picture of where the ACOGs
priorities lie.
Take a closer examination of the complications, injuries or deaths occurring under the care of a certified midwife and contrast it to the incidence under the care of a physician. You might be a bit surprised.
Here's some food for thought:
The Journal of the American Medical Association states that medical treatment is the third-leading cause of death after heart disease and cancer in the United States.
All of this aside, my original point still stands... I believe that women have the right to choose how and where they birth their children.
the bliss of nursing after birthing at home is something id pay big bucks to be able to do again. Babymoon is a very good descriptor. If only more women knew, really knew that we are built for birth and trusted birth more. I feel modern obstetric practice and the bullying of women (by men, women, obs and medwives)is removing us from a very fundamental human spirit. Vets will tell you how important it is that a labouring mammal is left alone in a dark place; humans are no different exceopt we have lost this intuitive appraoch. Moden medicine has its place in labour(real emergencies) but the term emergency is bandied about too much and often due to iatrogenic effects of interventions. Nice blog by the way, emmani suggested i take a look. kel
One question that may lead to a few more:
Was Quinn born in Austin?
And if so, do you mind sharing the name(s) of the hospital and the midwives you used for Neeka?
I was reading an article about how a lot of women, especially older, professional, educated women with private insurance schedule their c-sections before their due date so they can work it into their schedule properly.
Blew. My. Mind.
Ages ago, I found a community of home birth advocates and, as I'd never really considered it as an option in 2000whatever, I stayed out of curiosity. I'm sooooo glad I did, because now I cannot imagine ever giving birth in a hospital. So many terrible stories and needless complications. Good for you for doing it at home and shame on anyone who thinks that women can't or shouldn't be able to birth at home after oh.. THOUSANDS of years of doing just fine at it.
Thanks for sharing these video clips... the discussion surrounding home vs. hospital births has been important to me for over 30 years. I was not able to birth at home, due to lack of a qualified midwife, then because of a high risk pregnancy. I haemmorhaged badly with both my third & fourth children. But, here in Woodstock, home birth has been a viable and acceptable option since the 70s. My friend, MorningStar, had her eldest daughter call me when she went into labour and I brought my children with me. We all participated in the birth, encouraging her and helping (my kids played with her older children while she laboured). After Orion came into this world, we all gathered around and sang Happy Birthday. It was a wonderful experience! Another friend, Adelinda, gave life to her 2 youngest, Aidan and Rowan, at home. She has always been most happy that she made that choice. I'm very distressed to learn of the ACOG's latest assault on the rights of women and will be keeping my eyes & ears open, and telling friends. Have you read Stephen&Ina May Gaskin (Spiritual Midwifery)? It was my prenatal bible!
I had my son in the UK, where midwives are the norm. Almost all the other Americans I knew agreed that we would rather have our babies in the UK than in the US. Every woman was not only encouraged to breastfeed, but would send midwives to the homes after release from hospital (if a woman did decide to go into hospital, as home births are a choice available to women) to help women with any problems with breastfeeding. Because of severe engorgement, I would not have made it breastfeeding without the help from the midwives.
That said, I have the most awesome obstretrician here in a small city in the Midwest - the last place you would expect. She is not only completely schooled and up to date on all the conventional medical knowledge and techniques, but on all kinds of alternative treatments to complement traditional medicine, all of which is ultimately up to her patients' to decide after consultation with her: acupuncture, yoga, tai chi, herbal supplements, meditation, etc. etc. She has a midwife who helps her in her practice. She completely empowers all of her patients to create their own birth experience, to the degree possible as unexpected things do happen! So there are enlightened doctors and hospitals out there!
The higher rate of c-sections may also be due to the fact that many women choose to have a c-section these days instead of going through labor. Especially because the cesarean can be scheduled ahead of time and there's no rush to get to the hospital. Not saying its a smart choice, but it is pretty common now.
I've never heard of someone having these types of experiences with a hospital birth. Its sounds more like an issue of poor hospital staff than hospital births in general.
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