I’ve had three C-sections. And while I’m grateful to say I welcomed three healthy children into this world, I’m less than thrilled with the manner in which they arrived.
None of my C-sections were by choice. Sure, I signed my name to a consent form each time. No one literally forced my hand. But they might as well have.
With the first, I was told by my physician that inducing me at 41 weeks would lessen my likelihood of a C-section. I didn’t have enough information at the time to know that was bullshit.
With my second, I searched high and low for a midwife backed by an OB who would “allow” me not just a trial of labor, but the chance to go into labor on my own. My mother had three children, all post-term (and all by normal vaginal birth). I knew my kids needed more time to bake. Do you know how hard it was not only to find a licensed practitioner, let alone someone who would “let” me go to 42 weeks without forcing me into a repeat C-section? Practically impossible.
By the hair of my chinny chin chin, I went into labor on my own at 41 weeks 6 days. (A repeat C-section was scheduled for me the next day.) I labored for 15 hours, but when the baby stopped dropping, I was given a window of two hours to show any sign of progression. When there wasn’t within that window, I was sent to the operating table. He wasn’t in distress; neither was I. It didn’t matter. Rules were rules.
As I laid on the table awaiting the surgery, the OB on call said to the intern before he cut me, “She’s a failed VBAC.”
When I got pregnant with baby #3, there were even less options. The only way I could even contemplate having a trial of labor after two Cesareans was to find an unlicensed homebirth midwife. No hospital in NJ would take me unless I scheduled a Cesarean. And not even the most VBAC-friendly OB or midwife in the state would entertain the thought of allowing me a trial of labor as a “VBA2C.” Repeat C-section it was.
Now, new guidelines supposedly seek to reduce the C-section rate in this country, which have risen to obscene rates. I appreciate with pleasant surprise the honesty displayed by writer Denise Grady in this recent article from The New York Times, when she writes that decisions to insist upon scheduled repeat C-sections are due largely to fear of lawsuit and liability. You won’t hear those words coming out of a doctor’s mouth, though.
What will you usually hear instead?
“Risk’s too great.”
“Your pelvis is too small.”
“You make babies a little too big for your frame.”
“The hospital is not VBAC-friendly.”
And it’s not just doctors who practice near me. Almost every single one of my female friends who had a C-section with her first (and it’s a frightfully high number), chose a repeat C-section for her subsequent pregnancies. And most did so out of fear. (A handful did so out of convenience, but that’s a bitch of a different color.)
It’s not easy too chose VBAC. Even the most natural-minded woman needs to be very brave and very sure of herself to consider VBAC when her doctor tells her she risks killing her baby by doing so.
It’s once again the medical industry pressuring patients to make fear-based decisions. Sharing some of the facts, but withholding those that don’t support their case. (My doctor never told me about the increased maternal death rate for a woman giving birth by C-section. I had to learn that fun fact on my own.) And it’s once again, individuals placing blind faith in what their doctors say.
A holistic approach to childbirth? It’s not natural vs. epidural. Nor VBAC vs. C-section. Nor hospital vs. homebirth.
It’s taking the time to know each woman and each pregnancy. It’s providing all the facts, not just some. It’s allowing women the time and opportunity to labor on her own, while also supporting her in the case of a true, medical emergency.
Educated, informed choice is not too much to ask for.
TIPS: International Cesarean Awarness Network. Choices in Childbirth. BOLD.
You say WHAT?!