Tuesday, 16 August 2011
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How Important Is A Good Birth Experience?
I remember when I was pregnant, I would pray often that I wouldn't need a c-section and that I'd get to have a vaginal birth. I was terrified of the idea of a c-section and yet I knew it was a 50/50 shot at either one. Well, recently, my sister, who is a pediatric/labor and delivery nurse, said she had a patient who needed a c-section and was very angry about it. She really wanted to go through a completely natural vaginal birth, but her baby was breech, so they had to do the c-section. She was so angry, after it was over, she didn't even want to hold her baby. My sister thought that was crazy and that it was nothing to get that upset over. I agree with her...
I would have been disappointed If I needed to have a c-section, but I came super close and I can say one thing. I would rather have a c-section than a dead baby. My "birth experience" isn't as important as the health of my child. I remember going in at 32 weeks and telling the doctor to check me because I thought something was wrong. I was 2 cm dilated. I remember being bed bound for that week and crying of boredom and wondering how long that would last. I remember at 33 weeks being hooked up to monitors and being told that my baby's heartbeat was dipping. They said the safest thing would be to deliver the baby now. I remember thinking, boy, I'm glad I came in today. Otherwise, what could have happened! I got the vaginal birth I wanted, but I was so close to not. Even though she came 6 weeks early, she needed to be out of me to get better and she did just that. I didn't get the "birth experience" I thought I would, but she was healthier in the long run. For that, I'm eternally grateful!
I feel like sometimes the birth experience itself can be put on a pedestal, when it shouldn't. I think it's great to plan and research and go for what you think you want. I just know from experience, that if the plans need to change, that's that. Actually, I didn't have a plan. I just said, whatever I needed to do (pain meds) or whatever the doctors needed to do, was going to happen. Most likely, I would plan the whole thing out and it wouldn't go the way I wanted anyway, so why do it? That happens to be the way my sister thinks now, too. I would have loved to have had a water birth and been walking around and on a birthing ball, but I had to have an internal fetal monitor to make sure her heart rate didn't dip really low. I was stuck in bed and wondering if she was going to be okay, being that early. So, I agree with my sister's stance on this. It's really just about delivering a healthy baby, not want we really want and desire.
I think the same thing goes for pregnancy experience. After a while, after my daughter was born, I wondered what it would have been like to carry to full term. I wanted to know what all the swollen feet and big belly was all about. I feel like I missed out on 6 more weeks of the amazing feeling of carrying a baby inside me. Obviously, that's not as important as her health, though.
I think pregnancy is an awesome thing, and I would love to go through it again. Even if that means I'm puking my guts out just as much as I was the first time. I think there's nothing quite as amazing as feeling the baby inside, kicking and all that. All the other stuff doesn't matter (even though at the time, I did think it was a big deal
). Being on bed rest isn't a picnic either... and I think I would go a little crazy If I had to do it the whole time (like some people I know had too), but I still think it would be worth it. It's not about having the greatest experience, it's about the end result. A happy, healthy baby!
Was your birth experience what you had envisioned? Were there complications that prevented you from having your "dream birth"?
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Comments (20)
I've only recently begun to think about a birth plan and the birthing experience but no matter what my preferences or desires are I know that my baby's safety and health is the highest priority.
So many of my friends have ended up having to get C-sections, and I realize how extremely disappointing this can be, but they all said that as soon as they saw their healthy baby they didn't care so much about the c section and were so glad their child was healthy.
This post has given me a lot to think about! Thanks for sharing!!
Most women with healthy pregnancies would be at a much lower risk of needing a c-section than fifty percent...not unless this was referencing your pregnancy alone.
Also, I am surprised at your sister thinking the woman was crazy. As a L&D nurse she should know how exhausted and hormonal the whole experience of delivery is. From a medical standpoint, it is a huge difference than having a vaginal birth. I don't know anyone that doesn't think major abdominal surgery isn't a big deal. Who cares if the woman did not want to hold her child because she was upset? It is a common reaction for many people. She was a stressed-out mother who obviously when through medical complications that were potentially life-threatening to her and/or her child and you people expected her just be okay with everything and happily accept a recovery that is now going to be weeks longer and much more painful.
I agree that people seem to be putting a lot of emphasis on birth plans and should expect to be flexible depending on the current needs of the mother and baby, but the experience affects you psychologically just as much as the end result. That is why so many women put it on a pedestal. Just read through some of the posts and comments that have been made over the last three years on Momaroo and you can see why the birth experience is put on a pedestal. Negative birth experiences can affect women for a long time even if they are happy their child is healthy.
I can understand the pregnant Mom's dismayal at having to have a cesarean. The thing is, having a c-section effects your future pregnancies and deliveries for the REST OF YOUR LIFE. Drs can even tell you how many babies you can safely have based on how many "zippers" you have. It is a big effing deal. It is a serious surgery, cesareans are. It makes me furious how they are minimized in today's American society.
It is not, absolutely NOT, about choosing health for the baby, as you judgmentally write here. You know nothing else about this Mom and her pregnancy and her medical history other than what your judgmental sister/nurse has presented. And YES, ABSOLUTELY, negative birth experiences ARE A BIG DEAL.
It is a big freaking deal to have your choices taken away from you for protocol reasons have NOTHING to do with your medical history, the birth presentation, or anything else.
My feelings, I know, are from fighting what felt like the whole WORLD to get a VBAC after my first pregnancy ended with cesarean. How would you like it if you had a cesarean with your first, induced pregnancy and have that, by protocol only, determine the rest of you life, even to the point of how many pregnancies you can have??
NO, my first birth was not as envisioned. I regret it. I regret inducing. I regret being coerced into the epidural. I regret being coerced into every bit of the delivery. It caused unnecessary pain, argument, and fear with my second pregnancy. Yes, your first birth experience can and likely will impact your future childbirth experiences. And it has nothing to do with "dream birth." Next time you have a cesarean you did not consent to, talk to me. THEN you can pass judgement on those who are upset about it.
@sarahsmurfette@xanga - No, you're right. I wrote this post well over a year ago and someone, in a much nicer way, pointed out something similar to what you said. Then I changed my opinion. Honestly, I would be upset if I had a c-section and I definitely see what you're saying. Whether or not it would interfere with me bonding with my child, not so sure. I had a hard time bonding with my baby, despite how I gave birth.
Ultimately, and this is why I wondered if I should allow this post to be submitted, I realized a long time ago that calling this woman crazy, as my sister did, was incorrect. My sister doesn't quite understand, because she's never had a child. At the time I wrote this, I should have, considering I did (though, yes, I didn't have the choice taken away from me in that way). She's wanted a baby for so long and I think to her, it was just hard to see and understand. And, yes, I would hate to have the c-section determine how I could deliver any future children or determine how many kids I have. I agree with you there.
Anyway, I sincerely apologize for how this post came off. I knew it back then and I should probably have not allowed it to be posted, because that's not how I want to come off.
@snarkius@xanga - I agree with what you're saying, as well. Seeing it from my sisters perspective, at first, I did agree and then I realized that this woman was probably dealing with a lot more than my sister could understand. I should have known that. My sister knows that c-sections are a big deal, being major surgery and all. However, she's trying so hard to get pregnant and I think, from her stand point, it was just hard to understand being that upset over it. I can understand that, too. But, calling her crazy was wrong. I agree with that. I wish I could edit that part out. Because, since I wrote this years ago, I had quickly changed my opinion on that and never edited it, before someone recommended this. I apologize for how this came off.
@snarkius@xanga - very well said!! Thank you for putting some of that out there.
@sarahsmurfette@xanga - AMEN!!!
Also, many women don't consider how important diet is during pregnancy and what role that plays in preterm labor / needing a C-section. many times C-sections can be avoided and prevented... the sad thing is that many women are just not educated about it, and go along with whatever doctors want/tell them, and don't research on their own.
I had a pretty long and horrifically painful natural home birth, and it went differently than i'd planned (although my baby turned out just fine -- she was extremely healthy and chunky and
pink and never once had a problem at home - midwife checked heartbeat
very frequently) and it still took me MONTHS, almost a year to get over the trauma of it. I am not sure I'd do it again like that but I am still wary/skeptical of my country's (USA) hospital system.
@Brilliant_Innocence@xanga - you are allowed to write what you want and make mistakes and change your opinion! Dang it, we are all so hard on each other! :)
I can't believe I'm reading this. This is EXACTLY part of the reason why we choose a homebirth midwife (and yes, we absolutely considered there could be a chance I could have to transfer to a hospital and have a c-section).
My sister thought that was crazy and that it was nothing to get that upset over. I agree with her...
Even if my son had been breech, I would've gone ahead with my homebirth. Three women in my birth circle through my midwife had full-breech births at home just this year. Breech does NOT equal death of a baby. If he had been breech, i would've been more motivated to go to my homebirth midwife, because you cannot find mainstream doctors this day in age that will consent to attending a natural breech birth, and most are not even trained to handle them anymore. Worst case scenario, I would've gone to Ina May Gaskin's farm.
But that's beside the point. You can call it "putting it on a pedestal" if you want. But I am more concerned and worried that interventions and c-sections are becoming the norm, rather than the occasional necessity. Women are becoming convinced with each passing day that birth is an emergency, and that they can't give birth without any number of drugs. I don't judge those who choose pain medication, but even when women try to deny them while in labor, they are still pressured and pushed into making decisions in which they are not comfortable.
@sarahsmurfette@xanga - I'm sorry to hear about your experience. And it couldn't have been said any better.
@DirtyAndShaken@xanga - And, again, I'm sorry this post came off the way It did. My intention wasn't to be judgemental and, when i wrote this, there were things that I didn't know. As for the "I'd rather have c-section than a dead baby", I really wasn't comparing that to the breech baby. I was just saying that, if i had needed a c-section in my experience, i'd much rather have had it than have lost my baby. I realize that breech doesn't equal death.
yes, I think unnecessary procedures/interventions are being done and forced and I don't agree with that and I can realize that that would make someone upset. I wasn't trying to be hurtful or judgemental, but I realize that this is how it came off and, at the time i wrote this, I wasn't very good at expressing myself.
@Brilliant_Innocence@xanga - I respect that. Is there some reason that this was published if it was written so long ago and you don't really feel this way? I'm finding this to be really confusing. Not judging, just asking. Perhaps it would've been helpful if you'd been able to take this post you'd written long ago and compare it in your writing to how you feel now? Just a thought.
And for the record, I doubt there is a single woman out there that would rather have something happen to their baby rather than have a c-section. I'm not trying to be harsh, but I find it kind of silly when people imply otherwise.
I think it's important. But not so important as a birth plan or a "dream birth". Birth plans don't really make sense to me, since childbirth is not really something you can control. I don't understand people who freak out when their birth plan doesn't work out. I'm not judging them - I just don't understand them.
My first childbirth experience was totally fine - you could say it was a "dream birth". My doctor said I had a "textbook delivery". I didn't even tear or anything.
My second - and last - experience, not so much. It was the most terrifying experience I've ever been through. My miracle baby made it through, though and so did I. I learned a lot from going through such a terrible time. There are some things you don't have any control over and you just have to go with it. You can't fight it, it'll drive you mad. Positivity and not dwelling on what you wish would have happened can take you a long way.
So, while I think it's important to have a good birth experience - if I hadn't already decided two children were enough, my last experience would've made up my mind pretty damn quick - I think it's more important to realise plans can and do change quickly in childbirth and that one must go with the flow.
That's my two cents, anyways.
@DirtyAndShaken@xanga - The part of this where I agreed with my sister that the womans situation was crazy, Is what I really disagreed with. I was using it as an example and it was a poor one. My thought process was basically that, yeah, it would stink to have a c-section, but if it's for the good of my baby then I shouldn't be so upset about missing out on what could have been. But, I realize that everyone experiences different emotions and handles things differently.
This was recommended by someone. I thought that she liked it and agreed and I just didn't really think about it. I didn't really read back through it, even though I know I hadn't changed the one part. IN the past, after something has already been accepted by momaroo, I know i couldn't go back and change things in any way. i've tried and it hasn't worked. Ultimately, I shouldn't have allowed this to post because it has been so long and I knew I wanted to edit it even back then. So, yeah. Hindsight is a pain and I really should have thought about it more before I did. My mistake, there.
And, yes, no mother wants anything bad to happen to their baby and would get what needs to be done if truly necessary. it was silly of me to imply otherwise. I really didn't mean it, but can see how it came across that way. i just really can't win for losing with any of this and just wish I hadn't allowed it to be posted. But, I probably will make another post about this just to clear the air and explain myself a little better.
i had both of my babies early one was 33 weeks vaginal and the other was 28 weeks and he was c-section. so of course i did not get to the point of i want this baby out now till it was time to push or have a c-section. and after 13 years i will never have that. ahd to have my tubes tied. all people want is a healthy baby. well my baby was not healthy when he was born. he was very sick so now people just need to be happy they have a baby that is alive.
@Brilliant_Innocence@xanga - I'm really sorry. I know this has to be discouraging, and I hope that I didn't seem rude or pushy. I have had one thing published on Momaroo, about a year and a half ago, and it was an awful experience. I doubt I'll ever do it again. I was asking for advice, and I can't believe the insults and comments people made.
For the record, when I said this is why I chose homebirth, I didn't mean you. I meant your sister's statement (and I don't know her, so I don't mean specifically her, either). I just meant that I started off in an OB/GYN office with a midwife even, and I was being pressured already at barely 6-8 months pregnant to consider "scheduling" my c-section, and they were appalled when I kept expressing I wanted a fully natural, non-medicated birth. Any experience I had with mainstream medicine had the attitude of "it's nothing to get upset over".
I just thought I should clarify that. I wasn't attacking you specifically.
@Brilliant_Innocence@xanga - If you'd like to do another post, I'd be more then happy to post it on the front page. I was just going through blogs and finding well-written posts and when I found yours I liked it. I'm sorry if anything being said in the comments is hurtful or making your head spin! As editor, I'm just trying to grow the site. Like I said, feel free to write a "then and now" post and I'll get it up if you submit it! I'd love to read it!
And here's reminder - Good writers take the heat and warm their fingers for more writing :)
@Mandi - I'm sorry I never messaged you back, but I really did appreciate you recommending things. I really have no problem with that, but I knew this one was an iffy one. I actually did just write out a response to this one.
And that's a good reminder! I know when I first started submitting posts, I was very nervous how people would respond. Then I kind of got over it. Not everyone will agree and you do have to take the risks of it. I've been called worse than "judgemental", lol. But, for some reason, this one was different and I did genuinely feel bad. So, I ended up writing a big long response to it. I'd have no problem with that one being featured.
My SIL had three C-sections so far with all three of her children. She can only have two more children because if she has any more than five children it will kill her so she is on BC (the shot) to prevent pregnancy until and if she decides to have another child. C-sections are not even medically necessary the majority of the time, doctors just pressure C-sections because it means more $ in their pockets than a natural vaginal birth. I would be PISSED if I was told to have a C-section just because my baby was breech. I think it's sad that so many women in this country don't know their rights about child birth and go along with what the doctor says and I am alarmed at the growing trend of C-sections in this country. Giving birth now is nothing more than a $ maker for doctors and a business. It's bad enough you have bad doctors who don't care about their patients and act like their patients aren't even human. Breech births are possible to be born vaginally. A C-section shouldn't be the first resort to a breech birth but you can't expect much from people who aren't even trained to deal with breech births anymore. I think women should labor at home as long as possible so their doctor isn't an incompetent ass and forces them to do something they don't want.
It matters not what method your child is born with. When they put your baby in your arms, you know you've done something special. Technology is such, that were I a practicing physician, I would always err on the side of caution. Who wants to risk causing harm to a mother or baby. 35 years ago I had a horrendous birth experience, with my child being forced from my womb with an electrical vacuum extractor. It ripped off the skin of her skull, caused my uterus and bladder to drop, and eventually I had a hysterectomy because of that. Don't white wash this with kegals. I've also had two bladder suspensions done because of that experience, and, even after having an episiotomy, tore through my rectum. C-section? Hell yes.
maybe if the crazed helicopter mom types weren't so sue-happy, we in the healthcare field wouldn't be so quick to intervene...we can't win. we either give you the natural birthing experience you demand, lose the baby, and get sued, or insist on a c-section or induction, and you bitch forever. and we get paid regardless of how you birth...it isn't about money. believe it or not, we went into medicine to HELP YOU....we miss our family functions, birthdays, time with our kids, sleep...because YOU have a book written about how you want your kid to be born, and we try and make that happen. but when your body goes wrong, we step in and fix it, because we want YOUR CHILD to be born healthy/avoid the lawsuit you will slap on us if anything goes wrong. you want birth to be more natural, start lobbying for a cap on medical lawsuits and affordable mal-practice insurance. until then, all you're doing is whining/making us less inclined to even want to be your medical professionals.
I never quite got the whole "birth experience" thing....I mean, I never thought it was about ME and my experience. It was all about the baby or babies in my case. I love and completely embrace the birth I was given. I had identical twin girls who suffered the rare Acute Twin To Twin Transfusion Syndrome and upon diagnosis I had them 20 minutes later. I had a general and it all happened so quickly. Hours later I would have lost both babies. Some woman have asked me do I feel cheated from having a good birth experience. I have to stop myself laughing...this was the birth I was given, I loved it, I embrace it and it was beautiful. Was it more beautiful than another mother's? Ummm...who cares? I mean, I have never given a second thought to anyone's elses' birth experience! And here is another point....it has been said that giving birth vaginally is the very "epitome" of being a woman....? I just don't understand that! I am a WOMAN who gave birth, I am a WOMAN who is a mother, I am a WOMAN who is a wife. I was a woman before I gave birth! There was many many woman who adopt and foster children, who may not physically give birth, but are women indeed. Indeed!
I could understand being upset over a c-section. It does limit the amount of children you can have. The recovery takes longer. But for me the birth experience does seem important.
When a third of all women get emergency c-sections, I have to question the legitimacy of it. I don't think that a third of all women are broken. Breach birth doesn't always mean that vaginal birth is not possible. With frank breach, the risk is only a little higher. But a transverse baby can't be delivered vaginally, as the baby can't engage in the pelvis. Footling breach is a little riskier since compression of the cord is higher. But most breach babies are at an increased risk simply because babies who are breach tend toward having a higher chance of other medical issues in the first place.
I would be upset if I had a c-section for a long labor if the baby seemed fine. I would consider that failure to wait on the doctors end. But if the placenta was coming off or covering my cervix or something, then I know that the risks of vaginal birth outweigh the benefits.
Also, a c-section doesn't always lead to the same complex release of hormones after the birth. So bonding can tend to be harder. The woman who has just had a surgery she didn't want now has a baby thrust at her. Maybe she just needed a little to process what had happened.
My theory is that if you pick your provider carefully, then in the moment that something is happening you can actually trust them. Most health care providers just want to make people well. They truly want to help. If you pick the provider that has the same views as you do, then you can trust when things don't happen according to plan, that they are doing for you what you would have done.
That said, most women don't need intervention. But for those who do truly need help, I would want them to have it.
The birth experience is more than just what the woman feels or what is done to her. It is also about how safe her environment feels. It is about what she wants her baby to experience when it comes into the world. Some women have great natural births. Some women have great births in the hospital with meds. Women do want healthy babies. Both extremes tend toward the same thought pattern. What is best for mother and baby. If the chance of baby dying went up 2% for vaginal birth, but the mother's chance for dying went up 2% for a c-section then I would think that it was up to the parents of the child what they wanted to do.