My midwife emailed this to me today (she knows I am going nuts). Not that it says much new, but I did find some comfort in it-- long, sorry.
Just some more info for you ( and for James, as well). Written by a wonderful midwife in Salem who is perhaps the least interventive midwife I know -- Maybe this gives you a little more piece of mind???....see you soon..........e
"Due Date" Blues
-by Pamela Hines-Powell, CPM, LM
Birthlove
This is the time in the pregnancy where it becomes a real pain in the ass tobe a pregnant mama. Everyone calling your house, asking if you've had the baby yet. Have they forgotten that you told them you would call them right away when you did have the baby? "Oh, I'm sorry, Uncle Fred, we had the baby two weeks ago and just completely forgot to call anyone..."Within the medical model of (s)care, the placenta is viewed as an organ that has an expiration date. Just completely fails at a certain date. We know from studies and experience that this is not true. A placenta CAN start to deteriorate at any point in the pregnancy- usually from poor nutrition, smoking, or unknown causes. For normal, healthy pregnant women, the placenta is an incredible ever-changing organ specifically designed to meet the needs of the baby. I trust that our bodies are wise and know exactly when the perfect time for birth is. Our western model of medicine does not have that same trust. This does not mean that I am naive. That I don't realize that these babies that go longer sometimes need to be watched a bit closer in labor. The vast majority of the time, things are beautiful and go well without any help from me. What is the DUE DATE, really? It's an approximation of gestation. What influences gestational length? Many things COULD influence it- we don't know for sure. Sometimes familial history, baby's health, mother's health, etc.What I do know is that most women aren't able to find out how long their babies "cook" for- they are routinely induced on their due date, sometimes before. This is not a fault necessarily of our medical system. Women
ask-BEG- to be induced. They need to know in their last month of pregnancy how far dilated they are. Family and friends now have enough information about labor/birth that they ask. Just like asking if people are having a boy or girl- it's just expected that after your prenatal you'll be able to report to Aunt Susan the condition of your cervix. Most women (or their
partners)
in their last month of pregnancy don't touch their vulva/vagina as often as their care providers do! This should be reversed- less touching by those not intimately involved with them- more touching in loving, feel-good ways by themselves and those that are in love with them! Besides, what the cervix looks like doesn't matter. I've seen mamas at 5cm for weeks. I've seen women be closed and thick one day, then start labor the next and have a smooth, fast labor. It's no indication of WHEN that twinge will turn into the "real thing." Since so many labors are started for convenience, many people get freaked out if a woman is over her due date. There must be something wrong, they chatter amongst themselves.
"How long will you let her go?" is a common question I'm asked by relatives and friends. Like it's my journey- like I dictate when labor starts. I usually smile and remind them that the baby is doing fine, and that mom is healthy. We cannot ask for anything more than that- and we are grateful to have that. The longest I had a client go? Well, we weren't completely sure of her dates, but if we went by her one and only period (she was nursing), then it was five weeks past the due date.
However, after the birth and all (from looking at her baby), I would guess she was only a week over. It's pretty rare to have a mama go a full four weeks or more after the due date. Not unheard of, just rare.
Usually it's a dating issue. This mama labored beautifully and had a VBAC at home- after being told she had a pelvis that was too small to birth a baby (and this baby was only six ounces less than her big
brother) That five weeks, though, was not easy. We ended up doing some testing and a biophysical profile at week three- which revealed all was well. The nurses at the hospital, however, were flipping out. They couldn't believe it...even after I explained the whole dating thing and her nursing - that we weren't sure about the dates. The physician we scheduled the testing through spoke to me on the phone at the nurse's station... "Get out of that hospital now before all hell breaks loose!
Don't stay any longer!" We had the doc on our side- and managed to slide out peacefully.... but not without two nurses tentatively asking me, "How much longer are you going to let her go?"
Self-nurturing is important these last weeks. Massage, baths, going to movies, crying, laughing, and spending time with friends and your partner are important. So is not answering the phone. Having a blessingway. Making a belly cast. Getting a facial. A haircut. It's all about self-love and savoring those last few days/weeks where your baby is much more portable and easy to carry about. I usually call my past dates clients a couple times a week, aside from our regular prenatals, to check in. I make sure, usually from their partners, that they are releasing emotion (although, most of the time, the tears flow easily at the visits when
asked) and that there is no undue pressure from the outside about the dates. We go over conception dates, last menstrual period dates, and varying ways to determine due dates beyond the typical common method (Nagle's Rule). We play with baby through palpation more at the visits. I listen to baby longer, expecting rises in the heart rate with movement and some variability in the rate.I make sure mom is feeling safe and supported- and that there is no underlying fear holding her back.
We wait together. My family waits... Still, I think I have the easiest time waiting. My back doesn't ache, I don't have heartburn, I'm not looking microscopically at the toilet paper for plug or bloody show, and my feet aren't swollen. I don't have the cashier at the grocery store tsk-tsk'ing me when I come in STILL pregnant.