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Help with answering some tough questions....

post #1 of 3
Thread Starter 
....as honestly as possible.

I haven't decided on a UC, but it appears that it might be a real possibility for us. I'm hoping I can express some concerns here and get some honest feed back and information.

My last birth was a 'natural' one in a hospital with midwives. It was a water birth and was labeled a beautiful birth by the attending midwife. It was intense and empowering. However, the more time that has gone by, the more I realize how much it wasn't at all what I wanted. I was induced with prostoglandin gel because my DH at the time was in Iraq and only home for a week to see the birth. It was 20 hours of 1cm-6cm. After much pressure and threats from hospital staff I was given a second dose of the gel and then went from 6cm to holding my baby in 45 minutes. Afterward I told myself I would never birth in a hospital again. I had an IV of antibiotics. I wasn't allowed in the tub until my water broke over the toilet and I finally jumped in myself (against the wishes of my midwife) to push my baby out. The midwife did a 'stretch' of my cervix to further dilate me against my will and even as I was shouting 'no'. All in all, I don't want to do it again.

In a perfect world, I would love to have a homebirth with a hands off midwife in attendance, my DP, DD, and my mom who is a doula. I'm going through a divorce, am unemployed and am very broke right now. I've looked into birth centers in my area and they are all booked for Aug when I am due. So that option is out. I haven't started phoning midwives yet, so I can't say for certain, but I'm guessing we'll need to save up around $3,000 in 5 months. Next week I'll be calling around and trying to find a midwife who will work with us financially, but that option is looking more and more unlikely. DP and I sat down and went over finances and the absolute most we could save up is $1500. That is if we literally put away every extra penny. So naturally my mind has gone into perperation mode. Worse case scenario is that I'll end up having to chose between UC and a hospital birth.

I'm naturally being drawn to wanting to UC. I trust my body, and the birth process. I know things can go wrong, but I also think that society makes birth out to be such a high risk scary event. I think it is much more risky to get in my car than it would be for me to UC. Yet I drive everyday for reasons that are not even close to necessary.

On the other hand, there are reasons I haven't decided to just go for it. First of all, my family is not supportive of it. My mom is a doula and is extremely supportive of a home birth and has said she would love to be there for this one as well......as long is there is a midwife present. My sister is also really supportive of natural birth and is planning a homebirth herself, but holds the same view that UC is unnecessarily risky. They both feel it would be irresponsible on my part to risk my life and the life of my baby to save some money. I obviously disagree, but I have to admit they bring up some valid concerns.

The two major concerns that they have are shoulder distocia and hemorage. They say that both of these concerns would be something that would go unnoticed until it is too late. I guess I'm wondering what my actual chances of something like that happening would be. I know it's a touchy subject, so I hope it's okay to ask this here. As I understand it there are factors that play a part in things of that nature. Yes, it can happen with no warning, for no reason I suppose, but I'd assume the chances for that would be extremely low??? I guess I feel like I've already had one vaginal birth with no problems or hang up pushing, even though it was induced. I also seem to carry small babies. DD was only 6'4 and this one seems to be measuring similar to the way she did. I just don't feel that worried about it. I know a lot about birth, and it's not like I would go into this blindly or unprepared. I also don't feel like I HAVE to stick to it. I would plan on having a back up midwife or OB that I trust. Doing regular prenatal care up until delivery. I wouldn't be apposed to going in if things just didn't feel right, or if a problem presented. I think in most transfer cases, there was plenty of time to make that decision.

My issue is that if I decide to go this route, I would really want the support. I'm close to my family, and I don't know if I can argue about this with them for 5 more months. We talk a lot about pregnancy and birth, so it's not like I could easily chose to just not tell them. I don't want negative thoughts pounded into my head. I don't want to go into the birth expecting the worst case scenario. Also, I really want my mom there. She was such a big help last time. Especially if I don't have a midwife, I'm going to need someone to be willing to grab supplies as needed, water or food, or help me change positions, or help take care of DD, take pictures and video. I have no idea who else I could ask to do that. All of my friends are really mainstream and I can't see having to educate someone enough about what to expect.

I'm sorry for such a long post. I'm mostly getting it all out and looking for some feedback, or btdt advice. I'm hoping to be able to talk about the risks that UC presents and how to handle them if they pop up. For me, going to the hospital presents a whole new mess of risks. Risks that I'm not prepared to have to deal with again.
post #2 of 3
you might want to do a search in this UC subforum to see about prior SD and PPH discussions. there is a lot of discussion on this topic in here, about different people's comfort levels, how they will avoid these problems or handle them during a UC and so on. tht will give you a rnge of those opinions.

personally, i like to talk more abut the interpersonal issues related to UC.

my family is not quite as seeped in the birth culture, but like many families, they were not really initially supportive of UC. in the end, we had to agree to disagree, and i told them tht i didn't want to discuss it any more. i offered them books and essays to read to answer any questions, and for the msot part they didn't take me up on the offer.

in the end, the did become "supportive." by this i mean, they kept their negative opinions to themselves. they didn't question me or badger me in any way--because quite frankly i do not tolerate that and i demonstrated this by saying "i don't want to discuss this with you any longer. we have informed you of our choice, offered you resources to learn more about it, and answered the questions that we wanted to answer. we are not asking for your advice, opinion, or input on this matter. if you continue to badger me about it, i will leave." i only had to get up and leave twice, and they got that message.

but that's how i am.

for their own ends, my mom convinced herself that i was having a midwife. why she did this, i do not know. power of denial i guess. my father never spoke of it and said that he would call an ambulance for us if we needed it. he wanted all of these phone numbers--the hospital, our family doctor, the local midwifery group with whom we had no relationship, the nearest police station, fire station, etc, so i wrote down 911 for him.

now, after the fact, my whole family is proud of the UC. my mother and father tell their friends that i had a UC, proudly descriving what it is.

in your family, if you are going to UC, you will simply have to stand up to them and tell them that their harassment is undue stress on you and the bby--if they choose not to support you in your UC. tell them that it will nto be tolerated and that is harming your relationship. you are educated and informed and prepared in every way, and that this is the decision that you have made.

it is often difficult to stand up to family, but sometimes it has to be done.

of course, this is only if you do choose to UC. it is perfectly fine to choose not to UC due to family reasons. these are important factors and you know yourself and your situation best.
post #3 of 3
Ditto what the other ladies said. I am having the same issues with a few of my family members and am trying to figure out how to handle it. MDC is a great place to come for info and support. I hope your mom comes around.

The Gaskin manuever (Ina May Gaskin) is a good resource for shoulder dystocia. My understanding to lower the risk is to not birth on your back and that moving around and changing positions also helps. I would definately start researching on MDC and the internet. They will send you in a good direction for other resources.The Stickies in the UC forum are a good place to start and http://www.unassistedchildbirth.com/
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