I've been informed that it's offensive that I don't believe women should just be able to choose elective C/S and elective inductions for no (medical) reason. There are many reasons I feel that way. But what it really comes down to is choice. ( Choice and
jealousy, which I'll get to later.) The freedom to CHOOSE what we want. Birthing our children is one of the most monumental events in a woman's life. With it being such an important event, that will be remembered forever, it should be a happy one. One where we get options, and have choices, and don't have to FIGHT for them. If one subsection of women is going to be given choices galore, then why not respect ALL women's choices? If a woman can choose a section because she doesn't want to labor, and a woman can choose an induction at 39 weeks because she's tired of being pregnant, that is all hunky dory. But RESPECT MY CHOICES TOO.
Don't tell the woman who would rather drink than be tied to an IV, that isn't not a choice. Or that keeping the lights dim just isn't acceptable. What about mandatory monitor time? If I come in laboring, and my baby looks good on the monitor, then TAKE IT OFF. Why must it be a fight? Why would the nurse ever say to someone that refusing continuous monitoring is dangerous? It's simply not true. What is true is that our rate of fetal death and complications has not decreased AT ALL since continuous monitoring became popular. Would you like to know what has gone up? Why, the c-section rate of course. Shocker.
Women who come in willing to go with the flow, and do what the majority of women do, don't seem to have a problem. But not everyone wants an IV, epidural, and their water broken. But if women can choose that, then let women who DON'T want that also have their freedom of choice.
If a hospital offers elective/convenience sections and inductions, are they offering a full range of options to all women? Because that's what it's all about. Choices for all women. ALL, not just the ones choosing options that are making the hospital money. It's great that you offer state of the art OR's, but do you also offer birthing tubs in your rooms? Can I labor in the jacuzzi tub, can I give birth in the tub? Choices for all women, that is what I'm all about. For my next birth, I can't have a waterbirth because there aren't tubs. But yet that hospital offers convenience C-sections and inductions. What would I like to see happen? NO MORE ELECTIVE procedures until I get my waterbirth. This is where the jealousy issue comes in. I'm jealous, and pissed off because I feel like I'm treated unfairly. Why isn't my desire for a waterbirth taken as seriously, as the woman who gets induced at 39 weeks for being tired of pregnancy. When every woman, and her wishes for childbirth, get equal respect, then I will be happy.
Somehow this is kinda turning out to be a wish list for my future L&D nurse. I asked some fellow natural birth mamas what they fear/fight for in a hospital birth. I wanted some input, so this doesn't come straight from just my opinion. These are legitimate issues and "beefs" that women have. These are also women who, in general, don't "approve" of convenience inductions and sections. Maybe when we get the respect we deserve, for wanting and demanding a natural and intervention free birth, then we'll be a little more willing to respect others who have their every wish catered to.
So, to my future nurse and/or doctor:
Please be educated about alternative ways to birth naturally. Know the basic concepts of Bradley, Leboyer, Hypnobabies, Hypnobirthing, and Lamaze. When I come in wanting, and having planned for, a natural birth, I don't care to explain it in between contractions. If you know how to prep a woman for an epidural, then you should know about those programs. Fair is fair after all.
You know I want a natural birth. So, do not offer me drugs. Yes, I know they are available. Yes, I know there is a CRNA available for the almighty epidural. Do not offer me drugs. I will ask for them if I need them. Your interruption and suggestion of drugs just disrupts my focus, and is rude. Stop it.
If the lights are dim, we have them that way for a reason. Don't automatically flip all the bright lights on every time you walk in. Again, it disrupts my focus. If you need more light to read my strip, then let me know what you are doing.
I understand that you need an admission strip. I've got no problem with getting that 15 minute strip. But after that (assuming baby looks good), I will take off the monitor whether you like it or not. I'm sorry if you are too busy to intermittently and come in and check me with the doppler. Find the time. I'm a patient too, and I have choices as well. I choose to decline intermittent monitoring. Your department found time to admit the convenience induction, so please find time to respect my wishes as well.
I understand that it's easier for you and the doc/midwife if I push and deliver in stirrups. I understand, but I don't care. Not. one. iota. I choose to deliver in whatever position my body is telling me, not what is convenient for you. If I ask for a bar to hold onto while I squat to push, then get it for me. Don't waste time trying to convince me to throw my legs in stirrups.
If I'm not progressing fast enough for you, then let's look at our possibilities. Please don't tell me the number one option is pitocin. If you do, then I'll know right away that I don't like you. What about walking? Nipple stimulation? Position changes? If you are any type of caregiver that I would want anything to do with, then you will suggest these first. First and foremost.
You should have already asked about my plans for the actual delivery. Please respect the fact that I want my baby on my chest, and not across the room in the warmer. This is of course assuming baby is doing well. You can give the Vitamin K shot while he's on my chest. You can listen to his heartrate and breathing while he's on my chest. You can take his temperature while he's on my chest. Don't even think about coming in and "telling" me that you are taking my baby to the nursery. He'll be staying with me, thank.you.very.much. You've been respecting women's decisions that I don't agree with, so now it's your turn to respect my decision that you don't agree with. Fair is fair.....
Unless my baby's life is in serious peril, do not even *think* about an episiotomy. I know it's good for you to hurry up and get this delivery done; you can transfer me to postpartum and then the doc can go home. There is *no* reason for an episiotomy unless my baby is in distress, and I won't consider it. Don't bother mentioning it, and don't even think about trying to bully me into it.
Have alternative equipment available. Like a monitor that can be worn while walking, with waveforms transmitted to a monitor. It's just like cardiac telemetry. It's a nice compromise; I get to walk, and you get your monitoring. Please have plenty of birth balls. They are like 20 bucks at Target, and your department should have plenty to go around.
Bathtubs, ahhh bathtubs. I understand that most hospital rooms are equipped with showers for a reason. But the next time the L&D department gets renovated, could you please just put in jacuzzi tubs? Please? Did you know that laboring in water is considered "the midwifes epidural"? A tub may be just the thing a mommy needs to get through transition. We don't all want drugs to get through transiton; a bathtub may do the trick all by itself. I know waterbirths are a touchy subject. But seriously, read the research and get over yourself. Get the tubs, and allow waterbirths. Please?
The whole counting to ten thing----I'm so over it. My body knows when to push. I can feel things, remember? I'm not numb, and my body knows what to do. Leave us alone and quit yelling numbers in my ear. Thanks!
Okay, so enough of my hypothetical letter to my future caregivers. Yes, it's written with a snotty undertone and tongue in cheek. But I am sick and tired of people who just want a natural birth, having to fight these same battles. Yes, I am aware I don't get a medal. Yes, I am aware that it doesn't make me superwoman. But it does get me to my goal.....a drug free baby.
I was so lucky, blessed, and fortunate to have had an amazing birth with Drake. I firmly believe that not going in until I was "dying", AKA 10 cm, helped that cause. They barely had time to set up a delivery table, much less hassle me about stuff. My midwife Tina and I had talked extensively and in great detail about my wishes. She knew them up and down, and was really good about respecting them. Before I went in, I reminded the office nurse to request a nurse who was friendly towards natural childbirth. She did, and I got Marilyn, my angel nurse. She got the monitor off me as quickly as possible, and only used a doppler after that. Her and Tina got me through that last hour. But, at the same time, it could have been better. There were WAY too many people in my room. If my husband or doula had made it there in time, they could have helped with that. They could have refocused me on my hypnobabies. At least the million people in my room all seemed to have a purpose. One awesome nurse was there just to be my photographer. Tina asked me where my camera was, and the nurse found it and started snapping away. I am SO thankful for those photos, since I was by myself.
Anyhow, I think I've rambled long enough for now. Look for a continuation.....