Monday, July 13, 2009

Why Choose A Natural Birth

Even Dooce has been converted to a natural birth philosophy. Check it out pregnant folks: (From her most recent blog post)

[. . .] I didn't know if I was going to be able to summon the words to describe what a sacred and spiritual experience labor was for me this time around. Yes. Sacred and spiritual. [. . .]

Up until about the 30th week of my pregnancy I hadn't given labor much thought, only that I was going to ask for the epidural two days before contractions started. I'm not kidding, that was the extent of my birth plan. There was no need to experience any of the pain, I thought, especially since I had been through this before and I remember thinking that the pain was so awful that it was going to kill me. Give me the epidural and any other pain relief, maybe throw in a couple dozen shots of bourbon, oh and how about you just put me under general anesthesia and wake me up two days later. I'm not good with pain. I tend to complain and holler and call people regrettable things. It's like the Hulk, only he's on his period.

I was also under the impression, having never really researched the subject whatsoever, that any woman who would opt for a homebirth was not only COMPLETELY OUT OF HER MIND but also not interested in the safety of her unborn child. I mean, there's a reason that infant and maternal mortality rates are so much better than a hundred years ago, right? HOSPITALS. And MEDICINE. And smart people we call DOCTORS. Yes, women routinely used to go out into the field by themselves and give birth without any assistance, and many of them routinely did not return BECAUSE THEY DIED.

But then out of no where the publishers of Ricki Lake and Abby Epstein's book Your Best Birth sent me a copy, just like the publishers of many books send me copies of other books all the time. Internet, I have rooms full of books that publishers have sent me. ROOMS FULL. And I was just about to toss this onto the mountainous pile of ones I'd eventually drop off at Goodwill when, I don't know, I flipped through a few pages and gave a full minute to one or two paragraphs. And those two paragraphs happened to be ones that really pissed me off. So much so that I read them aloud to Jon and said something like GOD, THOSE HIPPIES! or I BET THEY SMELL LIKE PATCHOULI!

You know, something totally open-minded.

Those paragraphs pissed me off so badly, in fact, that the one part of me that resembles my father the most — no, not the pointy chin or the metabolism or the absolute inability to watch a movie where everything goes wrong and the protagonist just keeps getting pummeled by life and I'm all MAKE IT STOP and then I have get up and actually leave the theater, no, none of those things — my righteous indignation, it flared up so magnificently that I sat down to read the whole book, just so that I could be angry at it. WHO DOES SHIT LIKE THIS? Me and Michael Hamilton, that's who. Both he and I will go to our graves filled with an inordinate amount of unproductive anger, but a smile will mark our faces because we will feel so justified. So RIGHT.

And then, oh God, the worst thing happened. And I didn't even see it coming, but I'm sitting there reading that book, gritting my teeth, shaking my head when all of a sudden it started to make sense. I started to see just how medicalized labor and birth have become in America AND THERE GOES MY WORLD VIEW.

I'm not going to get into the specifics and the really convincing and at times jaw-dropping statistics of it here, there are so many other places and people who can write about it better than I can, but I will say this: if you are pregnant or are planning to become pregnant, GO READ THAT BOOK. From now on when someone asks me what is the one piece of advice I would give to a pregnant woman, it will be: GO BUY A COPY OF THAT BOOK. Listen, I am not affiliated with that book in any way, I do not know Ricki Lake, she and I do not vacation in St. Tropez together (although if she'd like to come ride four-wheelers at my Mom's cabin in Duchesne, Utah, THE OFFER STANDS), I do not owe that publisher any favors. But IT CHANGED MY LIFE. I'm not even kidding, I'll say it again: IT CHANGED MY LIFE.

So then I watched the documentary Ricki Lake made, The Business of Being Born and that sealed it for me, I got my hands on everything I could read about natural childbirth. I read websites, forums, several other books including the excellent Birthing from Within, and then I talked to everyone I could find who had experienced birth without drugs. It just made a lot of sense to me, and after working through the specifics of what I went through when I was in labor with Leta — what I would call a classic example of a medicalized American labor and delivery minus the c-section — I decided that I wanted to have a natural childbirth this time. [. . .]

Read the rest here.


HT to Stacia for turning me on to Dooce.

4 comments:

Jessica said...

Oooh, are you planning on a VBAC? Homebirth? Exciting stuff! In Colorado a licensed midwife can't do homebirths--what is the law in CA?

kirsten michelle said...

this is excellent information to have on hand. :o)

Nikki said...

I appreciate you posting this. I seriously doubt I will have time to find/read/digest the referenced book before I am in labor in the hospital, which is probably just as well for my mental health at the moment, since I am finally peaceful about our choices and ready to go (this, after trying to get a doula and not receiving a response :( ), but I would be curious to know how the authors handle the existence of genuine medical concerns during pregnancy for people who have complicated pregnancies, as I have had from day 1 of both of mine.

I guess I am the sort of person who thinks that when everything is working as it ought to during pregnancy, a home birth can be a really beautiful thing and, in many respects, the ideal. When, however, you know of the existence of medical complications that are not part and parcel of the medicalized setting (especially things like a placenta previa, which can cause hemorrhage and is a result of where the ovum implants, as opposed to intervention-induced problems), then why not seek a medical solution? In other words, childbirth is *not* a medical problem, but spontaneous eclampsia and related disorders, placental problems, gestational diabetes, and other medical issues are legitimate threats to a mother or a baby, so does our thinking about birth have to be all or nothing?

What tends to bother me about homebirth advocates more than anything in general is the often-present convert zeal, which can contribute to a judgmental tone that makes it feel to someone like me that any other choice than homebirth cannot be legitimate, caring or wise. It's the other side of the coin that says that it's irresponsible to do anything but have a baby in the hospital, preferably while drugged to the gills.

Nikki said...

To clarify, lest I offend inadvertently - I don't think *you* are saying there aren't other options or that you have posted anything judgmental in the way I have described! I am genuinely curious about how the book treats the medical questions, since my own mind is not made up on the homebirth/hospital debate in general, even though I have found medical support to be essential in this pregnancy so far. We'll see what I think next week - a lot may depend on what happens in my first birth. :)