Wednesday, March 25, 2009

Quick, Safe, and Easy

Is that a pipe dream? For birth I mean. Well for anything really, I suppose nothing is really quick, safe, and easy, unless its a cup of water or something. And even that lately...
So here comes a pregnancy gripe.
It really gets on my nerves when women press other women to use their childbirth experiences as a path to a heightened spiritual state. Meaning, I don't care what you do in your own life, do what's best for you. But don't pretend to think that it's also best for me.
I'm a cynic. And a skeptic. I don't do yoga, meditation, or hypnosis. Amazingly, I actually can deal with pain somehow rather stoically anyway. But that doesn't mean that I like to, nor is birth an opportunity for me to express that part of myself. Birth is how a child is born. That's it.
This all stems from a discussion I had with a doula the other day. I'm on the lookout for doulas. (And names by the way. I see girls names everywhere. Often, I say - ooh that's the one. And then later, nothing.) And I spent almost an hour on the phone the other day with a doula, who, aside from the fact that she would just not stop talking, seemed pretty decent. In fact, I was really pretty impressed with what she offered and really would call her back except for one thing. She basically said that I must be totally and completely committed to having a medication free birth, or that the hospitals here would just send me for another emergency C-section (I'm hoping for a VBAC). It seemed pretty extreme, but she said the risks of a uterine rupture are high enough to make medication pretty much not a good idea. I came out of the conversation thinking that really the decision was between planning a C-section and carrying a med-free birth through to the end.
And I'm just not sure I'm that committed. I don't really care about it, philosophicaly. It's not going to do anything for me. I don't think that non-medicated a "better" way to go, although it has its good points, and has been proven safer in the long run. But, from what I understood, if I wasn't full on about it, better off with a planned C.
So I started reading up on planned Cs. I read up on how they do it at Laniado Hospital in Netanya (hebrew, IE only, sorry), and that sounds pretty darn good to me. Quick, safe, easy. True, there are risks in later pregnancies, but women can have many many C-sections, especially here in Israel. Besides, do I really want so many kids that it would be a problem? There are of course other complications, internal scarring, etc. But our doctors are good enough, aren't they?
All in all, sounds a whole lot better than a non-medicated birth. And certainly a whole lot better than a trial of labor and another emergency C-section. All that trauma, for both me and baby. And it could be so easy.
So Ben thought that what this doula had told me was a load of bunk, and that surely I could have an epidural for a VBAC also. Apparently they do it in the rest of the world, why not here. I asked a friend of mine who I thought might know, and she seemed to think it was bunk too. I have yet to really verify it with a professional, but it just gets to me. Why would she say something like that if it just wasn't true? She must really, really, really believe that medication in a VBAC is dangerous. Ben later expressed just what I was feeling, that some people - and so many of them doulas, lactation consultants, childbirth class instructors, etc - are so ungrounded and in the clouds about this stuff that they don't present the facts right. We had that same experience with the woman we took our course from before Eden was born. She presented things as such FACTS, about birth, nursing, pacifiers, and just everything having to do with newborns. And I realized after Eden was born was that there really are no facts. Each baby does its own thing. And each mother does her own thing. And each family has to adjust and do what is right for them.
So, bottom line here. I'm looking to have VBAC, because it is safer, because its supposed to be easier in many ways, and because its supposed to be easier to nurse afterward. (And the nursing is a priority for me, not because of any superior holy feelings. In fact, I decidedly do not like feeling like a cow. But it is good for the baby, and its easy on the wallet if it goes right, so it would be nice if it did this time.) And I'm looking to pay someone to help me through that VBAC. But I'm not looking for a quack whose going to get on my nerves the entire time with her 'oh how holy is this birth' bit going on that so many of them have. Just get it done.
Recommendations and advice welcome.

For the record - I know I'm exaggerating a bit. Its hard to really express how I'm feeling about this, so I'm overcompensating. I know that they aren't all really that terrible, and many are really very down-to-earth.

Related Posts - Cloth Diapering 101. This I can relate to. And not for the environment.

3 comments:

Leah Goodman said...

my sister-in-law had a medicated (epidural) VBAC in December at Shaarei Tzedek. If you'd like to talk to her, let me know.

Anonymous said...

Hi, I just found your blog through googling laniado and doulas, and enjoyed reading through your blog (a definate bunny trail from why I origionally did the google search.) I too am a doula and thought what the doula you interviewed said was a load of rubbish. I hope that you did not hire her, but instead someone who values how you feel and supports your choices and helps you find actual facts. May you have a beautiful birth! Blessings, Sarah Vine

Bethami said...

Hi Sarah! Thanks for commenting. No, we didn't hire her, in fact we have a meeting this afternoon with a doula who seems really right on. I'm planning on blogging about it afterwards...