Let me start off by saying I am not against homebirth. I am all for safe homebirth attended by an
experienced medical professional, preferably a CNM. I cannot in good conscience support
unattended births or births attended by direct entry or lay midwives. However,
I do believe that there should be state or federal guidelines as to what
constitutes a medical professional, meaning there should be standardized
schooling to allow more women the ability to birth at home if that is what they
desire.
I delivered my daughter on July 16th, 2010 at the
National Naval Medical Center in Bethesda, Maryland. I bring this up because I
know there could be someone out there who says “Your doctor induced you to make
more money!” This is untrue, as my doctor is a military member; therefore she
got paid the same amount no matter what kind of birth I had. Homebirth was never an option for me, because
I have multiple medical problems that would have made it extremely dangerous.
The primary concern for my wellbeing, along with my
daughter’s, of course, was my heart conditions. I have a mitral valve prolapse
with regurgitation. This in itself is not enough to be seriously threatening to
my life, but it’s certainly something that needs to be monitored. My symptoms
got progressively worse as my pregnancy went on, and since I am fairly
asymptomatic from that, it was a cause for concern. Additionally, I have atrial
fibrillation, a type of arrhythmia or, put simply, a whacky heart rhythm. This
can cause a myriad of problems, and to be perfectly honest, people with AFib
really should consider the risks of pregnancy with the condition. On top of all
that, I was born with a genetic condition called Neurofibromatosis type 1, and
as with many genetic conditions there are varying degrees of severity. My
family is very fortunate that, generally speaking, we have had no major
problems linked to our NF1. However, one of the major concerns is that we grow
benign tumors called neurofibromas on our bodies, and they can often grow on
the spinal cord or even in the vaginal canal. One can see why this might cause
issues during delivery. The final nail in the coffin, so to speak, was that I
developed community acquired MRSA about 2 weeks before Wiggles' due date. I had
to be on some serious antibiotics, and they are known to cause severe jaundice
in neonates. The doctors needed to be able to monitor Wiggles closely for that
and for any signs of infection in her.
It’s tough to say what would have happened had we not had a
hospital birth. I don’t know what would have happened if I went into labor
naturally, as I was induced at 41 weeks. I’m aware that due dates aren’t an
exact science, and normally I would have preferred to avoid an induction, but
all of my doctors were strongly recommending scheduling an induction. My heart
symptoms had reached an all-time high; I could barely walk up a single flight
of stairs without my heart racing. After a 36 hour labor, including an MRI to
check for tumors on my spine before placing an epidural, Wiggles' heart rate
dropping to the mid 50’s, my own heart rate skyrocketing to nearly 200, and my
poor husband having his hand nearly broken.. Our precious daughter arrived. Was her birth ideal? No, I didn’t really want to be induced and they
had to use forceps as she was stuck behind my pelvic bone. Am I horribly
traumatized and do I need lifelong therapy? Absolutely not.
I know that every woman is different, and therefore her
choices and her reactions to the outcomes will be completely different. In the
end, as long as mom and baby are healthy and happy, that is what matters. One
might argue that the trauma of birth will make mom and baby not healthy and
happy, but, to me, the argument holds no merit. Childbirth does have inherent
risks, there’s no denying that. There is a reason that childbirth was the
number one killer of women for countless years. Sanitation, better medical
techniques, and better nutrition have all added up to make childbirth less
dangerous. Birth is not to be feared, but I’m not sure it should be trusted
either. Birth is to be respected, whether it’s at home, in a birth center, in a
hospital, or in the middle of the woods with you surrounded by your furry
friends. Birth how you want, but please… do it safely.
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