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Did I cause my c-section?

post #1 of 10
Thread Starter 
After three successful homebirths, our fourth baby was born via c-section and I am struggling with feeling responsible/guilty.

The Backstory:
We have three precious boys and wanted a daughter to love so we decided to TTC a girl. We used dietary changes, positions, timing, etc. We conceived and suffered a miscarriage in 8/08. Dropped the gender-swaying things, conceived again in 11-08 and miscarried in 1-09. Conceived almost immediately after the loss in January and miscarried a third time at 9 weeks. The losses devastated me. I went through recurrent loss testing and no definite cause for our losses was determined.

We conceived again, a baby we called JingleBelle. I found a great doctor who was willing to prescribe empiric treatment for recurrent losses. I started on progesterone, rx folic acid, baby aspirin and twice daily heparin injections at pregnancy confirmation.

Despite normal tests at every turn, I was paralyzed by fear throughout the pregnancy. I listened to JingleBelle with a Doppler at home until I could feel her move, we had multiple u/s, received lots of TLC from doctor and our midwife, I went to therapy, read encouraging birth stories, etc. But I could never shake The Fear. In my heart, I could never really believe that a baby was coming to live with us. I kept saying, "No baby is coming. I am going to look so stupid when there is no baby-again." Even when I believed that she was healthy and normal, I was terrified that my body would somehow kill her before she could make it out safely.

We transferred to our midwife at 18 weeks. (Same wonderful midwife who caught all 3 of our babies) I bought a birth tub, we put it up on our kitchen at 35 weeks, watched Orgasmic Birth, BOBB and every positive birth video I could find, we planned for and dreamed about welcoming our daughter at home. But again, in my heart, it seemed like too much to actually hope for. I could never believe that my dream was coming true.

My therapist asked me to write JingleBelle's birth story but I was never able to do so. I felt the story was not mine to write. I asked my dh to tell me the story of when she came and he could not either. I wrote a birth plan but never gave it to anyone. We received a gift the day we went into labor and dh said "She can wear this tomorrow" and my immediate thought was "If she is not dead."

It took me about 32 weeks to believe that there really was a baby in my belly and once I started to believe that, I began to fear letting her out of the safe little bubble. I could only picture her in my belly-never in my arms.

Labor began at 0230 December 23. My contractions were mild, spaced out. Called midwife at 9am, we went for walks and did nipple stim. Contractions increased in intensity. Midwife arrived at 12:30. Dilated to 4 cm, 80% effaced. Walked, bounced on birth ball, snacked, did nipple stim, dtd, contractions never lasted more than 50 seconds and never closer than 5 minutes apart. Dilated to 6cm at 10:30pm. I had excess amniotic fluid with every pregnancy, including this one. I asked my midwife to break my water in hopes that getting the fluid out would allow baby's head to engage and dilate my cervix more effectively. There was little change in the strength or frequency of contractions.

Throughout labor, I was never able to go into "Laborland." I was acutely aware of everything, very much in my head. It was just me and The Fear. At one point, I broke down and told my midwife I felt like I had run my own agenda throughout this pregnancy, forced my will, controlled everything so tightly that I felt like I was going to get caught any minute. I really felt my luck was going to run out. Like it was all too much to get away with. I told her I had brought the baby as far as I could and I just wanted someone else to be responsible for her.

At 0130, my midwife checked me. 7-8cm but baby was in a face presentation. Baby literally sucked on my midwife's finger during the cervical exam. Though some face presentations can be birthed vaginally, my baby was not positioned to allow a vaginal birth at home. We had to transfer to the hospital. I was listening to JingleBelle with a Doppler in the car on the way to the hospital and lost her heartbeat. I could see and feel her moving but I could not get her heartbeat back on the Doppler.

When we finally arrived at the hospital, the nurse checked me and I was now 6cm and JingleBelle was at -4 station. Ultrasound by the OB showed she had turned breech. We went from a face to breech. No ECV was possible. This OB does not do vaginal breech births. My labor had arrested completely. The monitor never showed a single contraction from the time we arrived until I went back for surgery 5 hours later.

The baby we had always called JingleBelle came via C-section at 10:25am on Christmas Eve. She weighed 8 pounds (my smallest by 14oz). She is magnificent!

I am struggling with feelings of failure because I believe I let The Fear beat me. I lost my faith in my body, in the process. I never believed that it would actually work. A c-section never entered my consciousness but neither did me actually pushing her out. I wonder if my thoughts, my subconscious mind, caused her to assume two malpresentations so that I would not have to face my fear of birthing her (and in my mind, possibly killing her.) I know I did the best I could but I really hate that it wasn't good enough.

What do you think, mommas? Can our minds effect our bodies to this degree? Was it intuition or the Law of Attraction? Did I cause the c-section?

Amy
post #2 of 10
What I can't stand about the natural birthing community's focus on the power of the mind is that it can so easily be twisted to blame a mother (or allow a mother to blame herself) for anything that goes wrong. No, I personally don't think you're to blame for your c section. Then again, I don't really put much credence in the "law of attraction," either. You were in a terrible situation. You were afraid and so you focused on the worst possible outcome to protect yourself. It is nit your fault that the doctor you saw didn't do ecv or vaginal breech births.

Let me say this again: it is not your fault. It is not your fault. It is not your fault. I think these are words you need to hear not only from us, but from yourself. It's going to take time, but when you catch yourself at it, refocus away from self-blame. You made he best decisions you could. You fought through so much pain and loss. Try to honor yourself for those things, mama.
post #3 of 10
Of course you didn't cause it!!! No way. Big hugs. Please don't blame yourself. This IS NOT your fault. Things do happen that we have no control over, and this is one of them. I know there are some people who feel that we "manifest" our own destinies and medical problems, but realistically, there is no evidence nor reason to believe this to be true at all. Medical problems happen for a myriad of reasons, some which will never be understood. Neither you nor your baby caused anything to go wrong-this was just nature's course this time around. I think your made informed decisions and in the end choose what was best for the both of you. Congrats on your new baby. Remember, she's here and you're here, and you're both healthy and well, and that's what matters.
post #4 of 10
It is not your fault. Have you considered the possibility that you had the feelings you did because subconsciously you knew she wouldn't be in an optimal position for birth-not that those fears caused it?
post #5 of 10
No. You did not cause your c-section. You were unable to write the birth story because as an experienced mom you know the reality that every child/birth/loss is different.

As I was pushing out my 4th child, I still wasn't convinced he'd be a successful homebirth (my former ob put fears of shoulder dystocia in my head). My baby did get stuck, but it wasn't an sd it was that his chest was 1.5 inches bigger in circumference than his head. Logically, I know my fear of sd didn't create a bigger chest than head, but that nagging subconscious part thinks it could've- crazy though right? I had 2 back to back losses 2 children ago and the trauma/hurt from losing them still manifests itself to this day. Checking on my son's breathing isn't just because I'm a nervous mom, it's because in addition to being a nervous mom I've had children make a place in my heart and then lost them before I could even hold them.
post #6 of 10
Quote:
Originally Posted by subrosa View Post
What I can't stand about the natural birthing community's focus on the power of the mind is that it can so easily be twisted to blame a mother (or allow a mother to blame herself) for anything that goes wrong. No, I personally don't think you're to blame for your c section.


Exactly! I say the same thing about doing optimal fetal positioning exercises and not fearing the pain of birth--- they can HELP you have ideal fetal positioning, it can HELP you have less pain... but they are not guarantees! These are things we simply don't have control over!
post #7 of 10
I do not believe you caused your c-section, either.

BUT. What would it mean about you if you did cause it? What would it mean about you if you didn't?

Your beautiful daughter's birth is what it is. It can't be changed. But how you think and feel about it can change - and will change as you learn and grow and live. Blame, of yourself and others, usually isn't something that helps you grow. Being aware of what you are thinking and feeling is a huge big complicated task - then you will start to accept your feelings and thoughts, and maye someday some sort of action will seem right. But for right now it's enough to keep becoming aware of what's going on in your heart and your head.

Take care of yourself and your baby, mama - and let others help!
post #8 of 10
subrosa is absolutely, totally right on the nose. You didn't cause this. Thoughts don't cause babies to have bad positioning for birth.I do believe that the way a mother thinks about birth can help her get through normal birth, but it can't do anything about the way a baby is positioned.

We like to think that we have all this power, because that's more comfortable to think than to think that, in many things, especially parenthood, it's simply out of our hands. But the upside is, you didn't cause this to happen, and you couldn't have caused it not to happen.
post #9 of 10
No, no, no, you did not cause the c-section. And from a mom who has also experienced multiple miscarriages, your reaction was totally understandable. I am 39 weeks pregnant with my third child after having 3 miscarriages (I have two older children). It is very unsettling! Your mind did not play any tricks on you. Everything you felt was very valid and makes perfect sense to me. I do not believe that that thinking would cause the baby to change positions. It sounds like the safest way out for the baby was the c-section and I am glad that you were able to have that as an option. Delivering her breech can be risky (I have seen breech births that were successful, but I also know of ones that were dicey). It is good that you had the instincts and faith to transfer. I'm so glad that your baby is healthy and safe in your arms. And I also want to say, that I really believe that sometimes miscarriages just happen and there is no explanation (even when they happen multiple times). I just really believe that in the past, women were reproductive for longer periods of time and had more children and weren't always even aware that they were pregnant right away. So I believe that we are experiencing a heightened awareness of miscarriage and maybe stressing more about it than necessary. I know it seems like you "beat the odds" by having a baby after multiple miscarriages, but I'm right there with you and there are others like us. Congratulations!! And please enjoy your baby!
post #10 of 10
I agree with subrosa. It's not your fault.
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