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Option for a Healthy Birth

I am not typically a big writer on my blog. I usually just post a few dozen photos of my adorable child and make little comments below. Well, I need some sort of outlet for all of my frustrations and thoughts and would love some feedback on them.
As many of you know, I ended up getting a C-section with Brooklyn after planning on a completely natural birth with the help of Hypnosis. That is a whole nother story, and I wont' go into it, but I learned a lot about the what I want and need to have a healthy delivery.
After extensive research into the process of birth, I know that it is possible for me to have a beautiful, natural birth and the things that that entails really aren't extreme and are in fact proven to be healthier choices for both me and my baby. (For our book group this month, we are reading "Gentle Birth Choices" by Barbara Harper, which is one of several books I have read on the topic and one that I would highly recommend - as well as the documenary "The Business of Being Born").
I want to be able to birth my baby in a quite, uninterrupted environment where I can move around and eat and drink as needed. I want to have the support I need from experienced women to birth my baby (as billions of women have done in the past.) I don't want an episiotomy, drugs, a Heplock nor constant Fetal Monitoring and when my baby is born, I want to be able to hold my baby immediately, skin to skin, perhaps let the baby do the Breast Crawl, not cut the umbilical chord until it has stopped pulsing, and hold my new baby boy for at least an hour before he is taken from me for routine exams.
Considering these are all very normal practices in the rest of the developed and even undeveloped world, this shouldn't be that difficult to get, but because of the crazy medical situation in America, it is!
According to the World Health Organization's recommendations on birth, "There is no evidence that a caesarean section is required after a previous transverse low segment caesarean section birth. Vaginal deliveries after caesarean should normally be encouraged wherever emergency surgical capacity is available." Yet, there is only one doctor's practice in my city that will perform them.
"There is no evidence that routine fetal monitoring during labour has a positive effect on the outcome of pregnancy." Yet there isn't a hospital that will agree not to do routine fetal montioring here!
"The healthy newborn must remain with the mother, wherever both their conditions permit it. No process of observation of the healthy newborn justifies a separation from the mother." Yet as soon as the baby is born, it is routine for babies to be whisked away from their mothers for vaccines, eye drops, cleaning and weighing before the mother gets the baby! It's crazy!
Let me clarify, I am not "ani-doctor" or "anti- hospital." I am thankful for the wise, sensitive doctors and hospitals and appreciate that there is a time and place that they are absolutely essential in the many births, but they are trained to do surgery, to deal with crisis, to intervene. A normal birth does not need intervention. Woman's bodies, with few exceptions are capable of creating and birthing healthy, normal babies. I know mine is.
Now, if I had had the birth that I envisioned with Brooklyn, finding a professional to work with me in having a birth like this would need some research, but would be quite a lot easier than what I am facing. However, because I had a C-section, I now need to find someone that will assist me in doing a Vaginal Birth After Cesarian (VBAC) and this is not an easy task. Because of fear of fear of litigation and high insurance costs, most practitioners will not assist in VBACs and insist that women continue to have C-Sections even though this is proven to be less healthy for the mother and baby.

Shocking Facts about Birth:
The U.S has the 32nd highest rate of infant mortality in the world and ranks 37th for quality of health care.
Over 90% of all babies in America are born with driugs from epidurals and inductions in their systems. ort of intervention.
It is proven that homebirths and births attended by midwives are just as safe, if not safer than hospital births (lower mortality rates and lower interventions that cause harm to baby and mother)
C-section rates are between 25 and 30% while the WHO recommends 10% rate normal.
20% of births are induced, 44% of those are because the doctor wanted to

On another line, it is SO frustrating trying to find medical providors that fit my needs because the information just isn't out there!
As the WHO recommends, "Information about birth practices in hospitals (rates of caesarean section etc.) should be given to the public served by the hospital." That same information should be given about Doctor's practices and statistics, but they are not and when a Mother wants to make an informed decision about which practicioner she wants to use to bring her baby into the world, it becomes a full time job!
Why can't we find a sheet that says things like:
Years in Practice
C-Section Rate
Epesiotomy Rate
Guidelines for pregnancies
Fees and what they include
Required routines during birth
Medical Philosophy
Schools and certifications
Birth Practices and Policies
Hospitals they work at
Etc.

Unless I can get in and interview each doctor (Paying for a visit and having to change my insurance policy with each interview) it is extremely difficut to get all that information!

I am also insulted by how I am made, from the first visit to the doctor's office to feel powerless. 2.5 hours for a 20 minute visit with the doctor, left sitting in the waiting room, then the doctor's office for 45 minutes each and then for 20 minute intervals in between seeing the nurse and doctor or doctor and being able to leave makes me feel infuriated and mistreated.

Each doctor's visit frustrates me. I plan on talking to the doctor before I go to the doctor's office about what I envision for my birth, but don't even get a chance to tell them as they are so busy telling me how it works for them.

Ok, I'll stop there. From now on, I am going to focus on the positive points of birth!
I'd love to hear what you think!

Comments

Unknown said…
Wow, Paige. I can tell you're really frustrated. The hospital here provided all those things that you want, so I'm sorry you're not finding the care you want. I remember you telling me how well your birthing went at home before you went to the hospital. I think it sounds like a good option for you. My one caution with that is this: try to get a midwife who can provide the testing for the Strep B test. I have a friend that does home births but didn't have that test done for one of her babies and he had to be on oxygen, etc. I hope you can make it happen the way you want it to!
The Friday's said…
Paige, your are the most wonderful woman a person could have as a daughter-in-law. I recall Brooklyn's birth and have a tiny bit of understanding about your disappointments and frustrations.
You probably already know this but Logan was born as a VBAC just 13 years ago. Our room at the hospital was more like a family bedroom suite with furnishings of a home like nature, not hospital. It was quiet, except for me eating tortilla chips and almost like being at home. Judy had a birthing mother's assistant and a high risk OB/GYN. Although for other health reasons she had some pain medication Logan was born and I 'delivered' him. Caught him actually, and placed him on her chest shortly after birth. She kept him there for quite some time. I know she enjoyed that experience as I know you will.
We hope you can find a plan for you and Trey where you two can enjoy the birth of your son in a private setting where you share that most wonderful experience of birth. It is truly a miracle. We love you. Fred
Unknown said…
Paige, I know the statistics for home birth but remember that's a class of the population that is very different from the whole. I honestly feel that you'll be able to find a doctor who can do what you want in a safe hospital setting as we had with Logan.As an older Mom who had a c-section , Vbac , and also a still born birth I look at the process of birth and delivery a bit differently and possibly from a different perspective. To me Brooklyn's birth, labor & delivery were a 100% success. To me a successful labor & delivery result in a healthy baby , healthy Mama.We got that ;therefore it was a success.Remember I left the hospital without a baby once & it's been a long time & that hurt never goes away.My suggestion is to call the hospital that does VBAC's and ask for labor & delivery and then talk to a nurse who works there and ask her for the name of the best Doctor is for what you want. Engage her in a discussion before you ask the question. You'll get the answer that you want. They love to talk. If you get one that doesn't want to talk call back during the next shift.Another suggestion look up Doulas in your area-they know the OB's who will work with you but please don't do it at home. I don't think that we'd have Brooklyn now if you had had a home birth. I really don't.I love you and everything will work out. Judy
Alisa said…
Again, blog-stalking...but I certainly have opinions about natural childbirths. I, like you, planned on a natural birth center birth for my first, but had to go to the hospital when labor didn't progress. The 2nd time, I did a hospital birth with a midwife (midwives in the area quit delivering at home or birth centers)...and it was a wonderful experience. A hospital birth doesn't have to feel as clinical, if you can still have a midwife. But I understand your frustration with fetal monitors, etc. I felt comfortable with my midwive's intentions (less intervention, etc), and I, like you, don't trust doctors in deliveries. In fact, I understand COMPLETELY what you have argued for. So, are there no practicing midwives in the area that will do a VBAC delivery at home, or at a hospital? Where do you live? Could I be of help, in any way? (Brooke has my email, if you want me to ask my high-profile former midwife if she knows of anyone in your area? She's connected all over the country...)
Chandler Family said…
I'm sure you have already talked to these people but I'll tell you just in case. Amy Formenti had a mid-wife in my doctor's office that tried to help her have a VBAC, she wasn't able to but I know that they did try. And Jen Archer's midwife helped her through a natural delivery. She also told me to go the hospital in Hobart since they provide free doulas (sp?) and I think water tubs for birthing. (also it is the same hospital Stephanie Sims works at, i would also talked to her...I bet she would try to be your nurse and help you with getting you needs met) You have probably already talk to the blond hair girl from Michigan city branch(for the life of me I can't remember her name) she found a doctor that did VBAC. I would recommend not going to Porter's hospital (the one Nikki and I went to) if you want more options on natural birth...it does not view that very important.
Anonymous said…
Paige,
If you would like I can post on Lactnet (for lactation consultants and the like and LLL) and look for a possible solution for you. I would need to know what area you are in. The LC's are pretty good at knowing what doctors offer "natural" services that you are looking for. Let me know if you want me to do that for you. Vanessa
Gooch Family said…
Paige I'm so glad you are getting everything worked out the way you want! Sounds like you have got everything in place now, I'm so excited for you! Call me sometime.
Hey Paige, This is Dani Gooch (Heather's sister in-law). I read your post and I could not agree more. After my experience with Triston I realized I was uneducated about the whole "birthing process" and wished that things had gone as I would have like instead of how the doctors wanted them to go. With my second baby we took Lamaze and we planned for a natural birth. My doctors were a bit hesitant at first but they told me they would fully support however I wanted to do things. I was grateful that they were honest and that they did things MY way instead of theirs. It was such a fabulous experience the second time! Everything was better because I actually knew what I wanted and the doctors followed suit. I really hope you are able to find a doc that will do a VBAC! Congrats on the little boy - you and Heather will have such cute little playmates!! Good Luck!
Brooke Lowry said…
Well written Paige. You are clear on what you want and there are some really frustrating things about the Health Care system in America. The whole world knows it so let's hope Obama can do something about it:)It is important to give credit where credit is due however and appreciate what we do have with the standard of care we can get when emergency calls for it. Having said that, I think there are alot of women like you all across the US that are frustrated with their birthing experience. We all have expectations and healthcare providers should be there to facilitate those as best they can. You will find the provider that you are looking for. I like Judy and Alisa's idea to start asking the women who are in the circles you are wanting, even if they are in a different part of the country, and they will direct you to the person you need. I love you and are praying for you to find the person you are looking for that will facilitate a beautiful and natural birth. You are right your body is healthy and can do it!

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