Friday, 06 November 2009

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    Deliver This!: Make the Childbirth Choice That's Right for You . . . No Matter What Everyone Else Thinks
    By Marisa Cohen
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    Deliver This!

    When I was pregnant with Mercy, I struggled with how to proceed in planning her delivery.  We live in a community in which home-birth is a big deal.  However, I knew that given some conditions that I struggle with, that would be a bad idea.  In fact, one of them (which is of a nature you simply don't blog about) can interfere with childbirth so heavily that many doctors who are familiar with it won't even attempt a natural delivery.  I was conflicted.  A large part of me simply wanted to go straight to the c-section.  I knew how much pain I had been in as a result of this condition in the past and couldn't imagine what delivering a baby would do.  However, I was hearing over and over again how superior a natural delivery was, and it seemed to be some sort of "rite of passage."

    So I chose a local doctor who had a reputation for not intervening until the mother and/or baby were absolutely in danger.  He also hadn't really heard of my medical complication, which isn't terribly unusual.  It is rare, and typically affects post-menopausal women, so if a doctor primarily sees women of child-bearing age he very likely hasn't encountered it.  I figured that this way I would be in a hospital should something go wrong, but even the home-birthers liked this doctor, so I wouldn't get as much pressure to rethink my birth-plan.

    Things went wrong.  I didn't end up with that c-section, but there was intervention.  Mercy suffered some pretty significant head-trauma (which is, in part, the cause of her gross-motor delays) and my recovery was very difficult.  This coming from someone who had undergone 5 surgeries by the age of 22.  My recovery from my "better, more natural" delivery was the hardest of them all.  My frustration level would go through the roof when people would learn I had a frightening and difficult delivery, but comment "well, at least you didn't have a c-section."  As if that would have been worse than the possibility that the delivery had worsened a pre-existing condition and caused potential damage to our baby.

    Toward the end of my pregnancy with Mercy I came across a book entitled "Deliver This!  Make the Childbirth Choice that's Right for You...No Matter what Everyone Else Thinks."  I felt better about my choice to have Mercy in the hospital after reading it, and this time around I have gathered even more confidence.  Gilead is a scheduled c-section.

    Yes, it is medically advised c-section, but I still get raised eyebrows and shocked "why's?"  I suppose I could have just gone with the doctor's advice and not told anyone until the last week of pregnancy, and then simply stated that he was breach.  If that turns out to be true, that would be a great alternative, but if it isn't, I couldn't lie.  But, as he said "very few who have had a delivery that is even close to normal are going to understand why this is necessary."

    I'm not having a baby for the "experience" of delivery--I want the baby at the end, no matter what kind of delivery is necessary.  For me there is no emotional trauma or feeling of inadequacy for having a c-section.  I don't feel like any more of a woman for having pushed Mercy out, nor do I feel like less of one for having Gilead cut out.  I'm sure very few people who push natural delivery so hard would state that they are in it for the experience as much as the baby, either, but is certainly the impression that I've left with after hearing a passionate speech about the wonders of natural birth.

    In the introduction to "Deliver This!" the author, who is a health-writer, states "I have found that no matter what your opinion is on a health issue, somehow, somewhere, there is a published study to back you up (it may have been done on a dozen subjects in a small town in Sweden, but still, it's there and you can quote it.)"  I wanted to shout "Thank you!" when I read that.  I believe we all need to keep it in mind when trying to sway another on a non-salvific or moral issue.

    In the chapter dedicated to medically advised, pre-planned c-sections, a paragraph early on says that "while no one grows up dreaming about giving birth in an operating room, these women want you to know that a cesarean can be just as fulfilling and just as wonderful as a vaginal birth--and in some cases, they believe it can be even better for both mother and baby."  Later in the chapter the author emphasizes that we really don't want to hear "oh, I'm sorry" when you learn that we're headed for c-sections--as if we don't end up with beautiful babies just like everyone else.

    While I know that many, many people have uneventful, and even relatively quick and easy deliveries, it seems that the fall has affected some of us more than others in that department.  And quite frankly, I am incredibly thankful to live in the day and time that I do.  I will always believe that the interventions that are now possible are part of the redeeming of culture that those of us Reformed circles talk about so readily.  Without them neither me, nor my babies, may have survived delivery.  Yes, I'm having a c-section.  Unless Gilead tries to make an earlier appearance, he'll be coming via a surgeon's hands on February 18.  And we are completely at peace with that.  His delivery is just as much in God's hands as it would be if he arrived at home, or via a natural or medicated delivery in the hospital.  That alone makes the whole thing seem much less an issue than we finite beings want to make it!


Comments (6)

  • setapart1979

    I'm so happy that you are at peace about this decision my friend.  You've made the best possible choice for your family & it's so true when you say that the most important thing is that your baby will be arriving safe & sound!  Hugs & prayers.

  • barksum

    LOL  Preach it, sister!  Oh, how we've BTDT.  We experienced that subtle, unspoken suggestion that a c-section is for 'failure women' who can't deliver naturally. Or that I, as the mother, wouldn't bond with the baby like a mother who actually birthed her baby.  *rolling eyes*  This doesn't even go into the spoken and unspoken condescension regarding a decision to actively not have more biological children....

    Now if you were to adopt...well, then you'd find out that you aren't even a "real mother" and that your children are not "real children" amongst all kinds of other things.  We've even been asked, I kid you not, why we would "take on someone else's problems."   Funny, that, considering that we are the adopted children of God.

    Oops.  Sorry.  Climbing off my soap box.  LOL  You hit a nerve! 

  • Ghillies

    That sounds like an interesting book, Amber!  Thanks for recommending it.  I knew people took a strong stance on birthing methods, but it IS surprising what people think everyone should do, whether they know you or not!  


    I'm glad you're doing a c-section for Gilead, especially if your body had trouble delivering Mercy safely. It's true, as long as you and the baby are both safe, why should anyone care if you have a c-section or not?  It confuses and annoys me to no end that no matter what one chooses or does in life, there is always SOMEONE (often complete strangers, ha!) that will think less of you for it.  
    God bless you as you prepare for a c-section, and may Gilead be strong and you have a great recovery!  
    Oh, and p.s. - I love having a husband who can back me up!  When we make a difficult decision and people question it, I always mention Luke.  It helps to have that reminder that I shouldn't feel guilty about it, because Luke made the final decision.  So then I'm defending my husband, which is easier for me to do that defend what *I* say. :)
  • Pianorose

    @Ghillies - It is a very interesting book.  I highly recommend it.  Granted, the author isn't Christian, so there are some things to toss, but overall it really seems to do well at exploring the mentalities of women who chose various options.  She states that hopefully it will help pregnant women decide what is best for them.  If you come to a chapter and think "yes!  That's the way I feel" you might feel better able to chose a direction.  It certainly helped me. 

    It absolutely helps me to throw Ryan into the conversation as well.  He doesn't particularly care to spend hours being concerned for the lives of his wife and child again.  The few times I've mentioned something to the effect of "maybe I should talk to the doctor about trying again..." he says "no!"  It helps that the doctor agrees!

  • Pianorose

    @barksum - What people say, I'm sure often without thinking, never ceases to amaze me.  I keep hearing that regardless of what I, or the doctor, thinks, this recovery will be more difficult.  And that we won't bond as well because I won't be able to hold and nurse him as quickly.  As if I did with Mercy--I was shaking and vomiting so violently that it was over an hour before I was able to hold her--and we bonded just fine.  I suppose what really irritates me are the subtle and not-so-subtle suggestions that no one who has educated herself would possibly go for this option (sounds much like the vaccination debate, doesn't it?).

    So, do biological children not have problems?  Okay, so that was sarcastic.  Maybe we're just more blind to them because they are such direct reflections of our own...

  • barksum

    @Pianorose - LOL!!!  I also use my Dh to back me up. Whenever I play the "Barry" card people suddenly have absolutely nothing to say.  I've suggested that people talk with him about various things and no one ever has. (EVER!)  So strange...it's almost as though he has this intimidating presence or something. 

    I don't know what kind of a recovery time I would have had if I
    hadn't had a c-section...well, I wouldn't have recovered and Dh would
    have been planning a double funeral.  So I guess the recovery time with
    the c-section was much less! I wasn't able to hold our oldest until she was over 24 hours old.  I can't remember if it was the first or the 2nd day that I got to hold her?? We seem to have bonded fine.  Don't sweat the small stuff.  Seriously. 

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