If you somehow missed the news... yes, I am expecting again. :) Baby #2 is due in February. We are happy and cannot wait for newborn snuggles! And I know Ari will be such an amazing big brother - he is so gentle and loving and adores babies. He is excited about the baby in mama's belly!
Aside from getting through the first trimester, I have been consumed with finding a provider and place to birth. After my last hospital experience, I am not eager to go back. But since I did have a c-section, my options are more limited. I want nothing more than to have a healthy vaginal birth with our next baby. This actually means that it would be best to birth outside of a hospital (I will explain more about this below). Sean and I found a midwife and birth center in Mesa where we have chosen to receive prenatal care and birth our child. It is called Women's Birth and Wellness Center. Unfortunately the only birth center in Tucson does not currently deliver VBACs (vaginal birth after cesarean) onsite but instead they have VBAC moms delivery at TMC. So, we have to drive an hour and a half to Mesa. But I'm happy that we found this birth center and I have the option to deliver outside of a hospital!
So yes, we are planning an all natural, medication free vaginal birth in a birth center with a midwife. We have done the research and feel this is the safest and healthiest option for our family. Am I super excited to delivery without medication? No, not really. But I feel like this will be the best and healthiest option for my baby and myself. With all that said, I admit I am feeling defensive about our choice. A handful of people who I have told about my plan for a natural birth, some before I was even pregnant, have not reacted with enthusiasm or understanding. I would really appreciate positivity and support from loved ones during this time - believe me, I have enough fear and doubt all on my own, without others adding to these feelings. So, I present the following account of what I would love to hear from our family and friends, and what I would not so much appreciate hearing in my tender hormonal pregnant state... with some explanations according to all of the research I have been doing the past two years. ;-)
(I should clarify: I don't think anyone has been or will be purposefully negative or unsupportive. But when someone cares about you they will express concern and hopefully this information will help everyone understand the amount of time and research that has gone into this decision, and put some worries or questions to rest. :)
Top 4 Things I would Love to Hear from Loved Ones
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“I support your decision to birth your baby where and with whom you feel most comfortable.”
- “I know you can do it without medication or interventions.”
- “I am proud of you for doing all of this research to make the best possible decision for your baby’s health and your health.”
- “I understand that you have a different idea of what an ideal birth is than I do, and I respect that.”
Top 5 Things NOT to Say to Me in the next 7 Months
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It hurts too much, you will need drugs. Yes, it hurts. If it were truly UNBEARABLE our species would have died out long ago. Many women all over the world today give birth naturally. It is possible to do it drug-free. So aside from not being true, this statement is discouraging and dis-empowering. If women have done it for millennia and continue to do it today: I CAN DO IT.
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A hospital would be safer. Nope. Just not true. For healthy pregnant women, home births and birth center births have been proven via research to be just as safe IF NOT SAFER than hospital births. This is especially true for a VBAC attempt, which is MUCH more likely to end up as repeat surgery if a woman is laboring in a hospital rather than anywhere else. The interventions that hospitals offer and often push on women (epidurals, breaking of the waters, constant fetal monitoring, mandatory IVs, etc) create a scenario where a successful VBAC is much less likely to happen (again, I have done the research and read the data).
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Doctors/OBs can provide better care than midwives. Nope, again, not true. They provide *different* care – they are surgeons and diagnosticians. Did you know that the maternal mortality rate in the US is higher than most other industrialized countries? That a woman giving birth in the US today is MORE likely to die than her mother was? Maternal death rates have risen alongside c-section rates in our country in the past five decades, probably not coincidentally. Many other countries, such as Japan and Holland, have the opposite model of maternity care that we do. They have far more midwives than OBs and most women give birth at home or birth centers – and they have lower/better maternal and infant mortality rates than we do.
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A repeat c-section is safer than a VBAC. And again… no. Even the American Academy of OB/GYN issued a statement as recent as 2010 stating that women with uncomplicated pregnancies should attempt a VBAC as it is safer than a repeat c-section. This did not used to be their position but they changed their position based on RESEARCH and DATA. The statement even says that many women who have had TWO previous c-sections should try for a VBAC rather than a third surgical birth. C-sections are more risky for moms and babies. If you wonder why our country has such a high rate of c-sections, think about money. Hospitals are for-profit businesses. A doctor gets paid more money for a c-section, and performing a c-section takes LESS of their time than attending a vaginal birth. More money, less time = a c-section rate three times what it should be according to international health standards. Also, liability – surgeons feel that they have more control of the outcome with surgery (although, really, they don’t).
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You won't get a medal/award for birthing naturally. Well, no kidding. And I'm not doing it to show off. The reward I am hoping for is a healthy pregnancy and delivery with a healthy baby and easier recovery for myself - that's all.
Finally, if you're curious about the reading and research I have done, I can share some references with you. I cannot possibly keep track of all of the studies and articles I have read, but there are some basic sources chock full of info about all of this.
* the documentary "The Business of Being Born"
* the documentary "Pregnancy in America"
* Ina May's book 'Birth Matters' (chock full of data/statistics, history of childbirth in the US, etc.)
* the book 'Your Best Birth'
* ACOG's press release concerning VBACs that I mentioned above: http://www.acog.org/from_home/publications/press_releases/nr07-21-10-1.cfm