Showing posts with label pregnancy. Show all posts
Showing posts with label pregnancy. Show all posts

Wednesday, June 13, 2012

Math teacher adds up the birthing options (Guest post)


"You are risking your baby.” 

 “I would never do that, what if something goes wrong?”

 “You are so brave.”

These are a few of the phrases I heard when I told people I was planning a homebirth.  Interestingly enough, I had previously uttered pretty much the same things before I had children.  I believe I said that I wanted to be in the hospital just in case something went wrong, so I understand that sentiment.  We see in the media the mad frenzy of excruciating pain that is labour.  It is reinforced regularly about how dangerous it is and how our Doctors are trained to make sure we don’t die (as most of us would, it seems) and that our babies will live as well.  So what changed my mind?

I can’t say that it was a sudden epiphany, that one day I woke up and said, “I shall now have a homebirth.”  It was more a series of experiences – either my own or ones that had been related to me; and research to see just how the safety compares.  For example, before I had my third, in my group of close friends between all of us, there were 13 children; 7 were born via C-section; 4 were inductions, two were spontaneous labour and even they had interventions (epidurals or Demerol).  So wait a second, NONE of us had bodies capable of giving birth without help?  If hospitals didn’t exist ALL of us would have died in child birth?  How did the human race survive to make over 6 billion people then?  Something didn’t add up (and as a math teacher with a degree in Astrophysics, I know when things should add up).

This is where the research came in.
I discovered several interesting facts, but two really stuck with me:
- In low risk pregnancies, the chances of serious complications are similar to that of giving birth in hospital, but the chances of having interventions are significantly lower.   1
- Exposing the baby to the natural flora in which he will be living is aids in getting his digestive system going and further, as I breastfeed, I already have antibodies to pass onto him for the microorganisms in my household (not to say my house isn’t spotless though); this will help to keep him healthier longer.  2



Further, my own hospital birth experiences lead me to want to make a change.  My first was fairly typical for a hospital birth: I started labour at home, went to the hospital, ended up lying down in bed with an epidural and a blood pressure monitor going off every 15 minutes; not being allowed to eat even though I was hungry and about to embark on a very physically demanding activity.  My OB-GYN wasn’t with me much until the actual pushing part and then I had to be told when I was contracting as the epidural cut off that information to my brain.  My overall labour was about 12 hours with 55 minutes of pushing.


Large baby on the way

My second labour, on the other hand, was an induction on my due date because my baby was going to be “huge” from my supposed gestational diabetes (I say supposed as I gained about 19 lbs for the pregnancy, but the sugar water test came back positive therefore I must have had it, right?).  Anyhow, they used the cervical ripening gel, which I later found out contains pig semen, yummy.  My OB-GYN went in to break my water for me … that hurt enough that I was scooching up the bed to get away.  She was saying sorry, but it still hurt!  Anyhow this caused my contractions to come fast and furious.  One would end and the next would begin.  I begged for the epidural.  I got it and the relief was fantastic.  The problem was it also stopped the contractions, so they gave me the Pitocin drip.  That brought them back.  

Eventually, I told them that I felt like I needed to pee and they said that was odd, I should feel like pooping when I was ready to give birth.  They checked and I was fully dilated, so the nurses asked me to do a test push.  I did and the result was that the baby move back into the uterus!  At this point they told me he was anterior breech (sunny side up instead of over easy).  The Dr came in and said that she would leave me there for a while to see if the contractions would flip him or labour would be much harder.  Later, I found out that he never would have flipped unless I got on all fours to give him the room to do it and gravity to help.  I stayed there wanting to push, for two hours, ignoring the urge.  Then the nurses came in and saw that every contraction led to a rapid decal in the fetal monitor heartbeat.  Things happened fast then.  They got my OB-GYN in and a bunch of equipment.  She said that we had to get the baby out right away.  

Vacuum extraction birth

The vacuum came out and so did Logan … in four minutes.  She pulled hard enough that the vacuum tube actually separated from the suction pad three times and she went flying backwards.  Once Logan came out, they checked to see if he was okay – he was; meanwhile I was stitched.   I asked how badly I had torn that she was there so long and she said that she had done an episiotomy to get him out and that she hadn’t counted the stitches, but they were in three layers.  Further they weighed him and my huge baby was 7 lbs 3 oz.  The pain of healing from the episiotomy isn’t something I would wish on my enemies (well, maybe my worst enemy, but no-one else).

I relayed his birth to others and I realized that it didn’t have to be that way.  He wasn’t ready.  If he had been left alone and I had done some of the baby turning activities I read about later, then maybe he would have flipped and none of it would have happened.  I then read more about homebirths, but as we were done having kids I reconciled myself with not getting the chance.  It seems that fate, and one New Year’s Eve celebration had different ideas.

A change is made


As soon as I found out I was pregnant I contacted the local midwifery organization.  I met with them and was immediately put at ease.  They were so professional and caring; I knew I had made the right decision.  When I mentioned that I wanted a home water-birth, they practically jumped up and down with glee.  They told me which pool to get (I got it on sale for $20 at Canadian Tire), and though I was a bundle of nerves; after all this was the first labour I was going to feel; I felt ready.  I went into labour, at exactly 37 weeks – what an impatient boy!  After twelve hours of labour I gave birth at home to a 7 lb 4 oz boy in one push.  The biggest difference I can say was that I was in charge.  No-one told me when I was going to push, I told them.  Actually I am fairly certain I growled unintelligibly, but they got the point.  It was so serene, so much more peaceful, the lighting was quiet, people weren’t walking in and out of the room, there weren’t monitors beeping everywhere and I ate and drank when I felt like it!  

I guess what I am trying to say is that it felt exactly right and I am grateful I had the opportunity to give birth the way I was designed to.

Alison Kennedy
Hon B. Sc.; B. Ed. 




Tuesday, June 12, 2012

Choices in pregnancy, empowering mom

Our bodies are amazing. We heal so easily, we have so many ways to just be - I really believe that almost all of the minor health problems I have are related to MY ACTIONS and not related to my body, DNA, et cetera.

This goes for birth as well. I was naive when I was pregnant the first time. Naive, excited and trusting. Nothing wrong with any of these, but when put together, it can be dangerous.

Dangerous? Yes, dangerous.

The first thing that I chose to do that led me to this path was not researching my options when we moved in the middle of my pregnancy. I went online to a "mommy board" found some options from other moms and picked one nearby. I liked that they had a few different OBs on staff and had two hospital options. I chose the hospital that was both closer and had a lower cesarean rate. I had a friend who had a cesarean after hours of labor and I SO didn't want that. How horrible, to labor all day and then end up being cut open!

Anyway, here are the warning signs that I was destined for induction:
- multiple, unnecessary ultrasounds through the end of my pregnancy (basically waiting to find any reason to find something "wrong")
- the practice had a high cesarean rate
- no discussion regarding preparing for labor at any of my visits

And with induction, we have cesareans MOST of the time. Did I know that going in? NOPE. Did I need to be induced? Most likely not. What I didn't know was that I could question the doctors.

What I didn't know is that I could have used their on staff midwife. My insurance excludes midwives and I thought that meant I couldn't see one. Nope. I could have and I'm sure my experience would have been different. Most midwives who are in an OB practice are eligible under the OB for billing... I wish I had known that.

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I wish I had known that I could have said "what are my options"?

I wish I had known that the nurses who were not nice during my induced labor could have been kindly asked to not come back in my room. I could have asked for a new nurse. I didn't want to be rude. But, they surely didn't mind.

Can you see the lack of emotion in my post-baby post that I just found. I'm excited about my baby, but instead of feeling emotion about the birth of my daughter... I had facts and times. Nothing more. The birth of my son was so much different. Even if it wasn't entirely natural, I was a lot more in control of my birth.

That's the thing. My pregnancies are mine. I CHOOSE to share them with providers. I want their support and advice. I'm not just their patient though. If they don't know my name, do I really want them seeing my entire body? Do I really want them to be around me when I'm most vulnerable?

I wish I had known. I hope for someone reading this... you understand that the birth is yours to behold... yours to experience.

If you want to be in control and feel empowered, trust your body. Trust birth and find a provider who feels the same. A non-arrogant one will refer you out if they don't feel comfortable with you. You need someone you trust and someone who trusts just as much in YOU.


So I'll end by admitting this post is not as it was meant to be... I lost my post after I'd researched, written, re-written... and when I went to find a photo of my swollen hand from being induced... I accidentally cut all the text from the post and deleted it. Maybe some day I will get back to that post... 

Tuesday, November 24, 2009

The Pain of regret or the pain of lack of sleep

I was having some pretty severe lower stomach pain in my left side. It wasn't really in one spot and wasn't a stretch, ligament pain or gas. I was doubled over for a few minutes and so I was laying over some pillows and it sort of migrated to my back, but not really. After a while, I was able to get up and get some water to drink. I had my husband look some stuff up on line and most were saying round ligament, which I know what that feels like for me and it wasn't... It subsided a bit but after an hour I called the OB line and they called back and by then it was mostly gone but it still comes every so often. She said that nothing internally is on my left side but to go to the ER if it didn't seem like it was going away or if I wasn't able to sleep because it was still painful.

We have to to Scottsdale to go to the ER since that's where they have privileges in case I'd have to be admitted. Ugh. Is it bad that I'm NOT going because I'm too tired to wait in the ER? I'm about to head to bed now and if it does get bad again I'll go, but honestly I'm just too tired. Last night V was up from 3 am - 5 am and I just need sleep.

I hope I don't regret it. Ugh.

Links:
http://www.marchofdimes.com/pnhec/159_15241.asp
http://www.womenshealthcaretopics.com/bloggingpregnancy/2006/05/19/abdominal-pain-during-pregnancy/
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Edited to add... I slept fine and all is good :)

Friday, September 11, 2009

OH no! What if I fail the sugar test?

In spite of not being in the best shape, I did not have gestational diabetes while pregnant for V. For the first 7.5 months I did pretty well regulating my diet. I find, actually, that I eat much better while pregnant.

In a 'due date group' someone mentioned in their past pregnancies they had to test their blood sugar three times a day. What many do not know is that the 'uh oh you failed your sugar glucose test' is not generally that bad. Besides giving you a second chance on the test, those who do have gestation diabetes often can regulate their blood sugar through diet. According to medscape,
“Abnormal maternal glucose regulation occurs in 3-10% of pregnancies. Studies suggest that the prevalence of diabetes mellitus (DM) among women of childbearing age is increasing in the United States. This increase is believed to be attributable to more sedentary lifestyles, changes in diet, continued immigration from high-risk populations, and the virtual epidemic of childhood and adolescent obesity that is presently evolving in United States. Gestational diabetes mellitus (GDM) is defined as glucose intolerance of variable degree with onset or first recognition during pregnancy. Gestational diabetes mellitus accounts for 90% of cases of diabetes mellitus in pregnancy. Type II diabetes mellitus accounts for 8% of cases of diabetes mellitus in pregnancy, and given its increasing incidence, preexisting diabetes mellitus now affects 1% of pregnancies.”
Medscape. Diabetes mellitus. Retrieved electronically from http://emedicine.medscape.com/article/127547-overview

Basically if you are in that 3-10%. there's an 90% chance you'll need to watch what you put in your mouth and when it goes in there and you'll be fine. I am NOT saying that GD is nothing to worry about, but what I am saying is do not assume that all is over if you fail the drinking test (and tell me again why they use artificial dyes in these tests? I asked for a color free one last time and they only had orange. I don't get it. I'm trying to prevent issues and you're causing me more! Anyway, again, I degress...), find out what you can do NUTRITIONALLY to get things going in the right direction. Talk to you midwife or OB and find out what can be done to get things under control. GD can cause birth defects, so of course, the first step is to prevent GD if possible in the first place.


Links of interest:
2007 Study on GDFoods to Avoid in Pregnancy
Prevent Diabetes in Pregnancy so you don't increase your child's risk of being overweight
General info on GD
(BTW, a large baby is not a defined reason for a cesarean! That's called an unnecessarian if there's not another (legitimate) reason!)