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Seriously considering unassisted birth (Update post 13)

post #1 of 24
Thread Starter 
I know this is an issue that is very sensitive for a lot of people. I am going to state up front that if you think I am crazy/dumb/whatever flamewar type of thing please just keep it to yourself. Polite feedback is ok even if it isn't completely 'on my side' I've just had a bad enough week that I'm not up for being slammed on the internet over this situation even though I would appreciate some feedback. Thanks in advance.

This is my second attempt at a homebirth. My first ended as a transfer at 40 hours because I was hallucinating from sleep deprivation and I had been unable to progress due to massive cervical scarring. I had contractions every 6 minutes for those 40 hours so I wasn't sleeping at all. The hospital birth was vaginal, though not completely natural (I had an epidural so I could sleep and I had pitocin during the last hour of my 3.5 hours of pushing). Not my ideal birth, but I can live with it.

Last Friday I started having contractions pretty seriously and intensely. I started tracking them and when they were varying between every 6-13 minutes I called my midwife and she decided to come on over because she lives an hour to two hours away depending on traffic. Then I discovered how overwhelming my 'birth team' is in my little house. My midwife has her assistant, ok no problem. But she also brings her 9 month old daughter and her 12 year old daughter as a babysitter. My 2 year old was also here and having all those people around wound her up like crazy and the situation got very overwhelming very fast. I went out walking with my husband and doula and contractions were coming every 2 minutes. (This did go on for hours btw.) I came back to the house and.... complete stall out. Ok. This isn't real labor. Everyone says they are going home. I have a huge crying fit with my husband.

I'm going to digress for a moment and say that my midwife's attitude/speech/physical mannerisms are 100% different when she is in her office at appointments vs. when she is at my house for potential birth. She's really warm and friendly in the office and just... not... when birth might be imminent.

Then on Monday I started leaking fluid. It wasn't all that much fluid and it was coming out very slowly, but I was filling cloth pads and that isn't something I have done before. I called and told my midwife what was happening and she said that means my water is leaking and I'm now racing the clock to have the baby at home before I have to transfer to the hospital.

On Tuesday my doula came over in the morning with some abortifaciant herbs and we do everything we can to kickstart labor. (Herbs, castor oil, pumping, bouncing, walking, she does positioning stuff, all kinds of things.) Throughout all of this my doula is alternating between providing good care and playing with her 9 month old, who is at our house with her. Our 2 year old is off staying with friends. My midwife shows up around 1pm and watches how my contractions are going and thinks that things look serious so she starts bringing all her gear in again. She only had the 9 month old today the 12 year old is in school now. Once again things got loud and chaotic and... contractions stopped completely.

So we sit down and have a chat. I state that the kids being there is just not working for me. My midwife says that she can try to find childcare but it is going to take a few hours. My doula has her husband come get their kid. We chat again about the fact that my midwife thinks I have less than 20 hours left at this point before she is going to transfer care. [digression: the folks who had our daughter at this point were about to leave town so we were scrambling to find other childcare. The next day would have been kind of a pain in the ass because we would have had to deal with shuffling our daughter between people because no one else was volunteering for open ended 'sure I'll just keep her for days'.] We decided that it was probably better to just go into the hospital immediately and hope that pitocin would get things going fast enough that we could come home with the newborn quickly and our daughter wouldn't need much more childcare.

Off we troupe to the hospital. The on-call doctor did exam stuff like an ultrasound and internal. Then I gain this revolutionary piece of information. THEY CAN DO A QUICK SWAB AND WIPE IT ON LITMUS PAPER AND KNOW IF MY AMNIOTIC SACK IS LEAKING. At this point I become quite livid. He tells me to go home and wait for labor but before he can sign me out he is called away because a baby is being born RIGHT NOW. I have to stay on the table with the monitors and other crap until he comes back.

Once he leaves the room my doula says, "I'm going to go now. And remember the next time I see you it should be real labor--five minutes in between contractions, for at least a minute for an hour." Her tone of voice *sucked*. She was hungry and needed to pump so I get that she was cranky too, but we had been offering her a meal all day and she kept turning us down. My midwife bailed with a quick, "Bye! I'll see you later!" We waited for about half an hour for the doctor to come back and then he and the nurse on staff gave us this long lecture about how when labor actually starts we need to come right back to the hospital because what we are planning isn't safe.


So at this point I am furious that my midwife didn't do this simple test to see if it really was amniotic fluid (the doctor gave me a variety of things it could be and said that it is really hard to tell which it is without doing this kind of test) before stressing me and everyone out by telling us that this was an emergency. I feel that was pretty unprofessional and unacceptable. Why in the hell am I paying someone for their medical knowledge if she can't do something that basic? And I'm really upset with my doula. My midwife has been the one telling me to call her each time (my doula lives 20 minutes away and it makes my midwife feel better to have her here early) and I feel like I just got a smack on the wrist to stop being a hypochondriac. I'm not feeling like I want to go back to that hospital because boy howdy do they have a long list of rules (although they do allow the husband and baby to stay in room over night--that's a huge plus over the other hospital options around here) I don't really want to follow.

I know that I conceived on one or two specific days (really there weren't other options) so I'm either 40 weeks today or on Friday. There aren't any other homebirth midwives who will come to my town I want to work with and I don't really think I could afford it if there was one. So at this point I'm highly considering just.. doing this alone. I'm kind of scared of unassisted birth because I've listened to a lot of hype (and it really and truly is more risky especially given that I have not been doing lots of research to help me learn what I would need to know to do it maximally safely). But all of my other options really suck. I'm really really unhappy right now and I don't know what to do.
post #2 of 24
Have you checked out the uc forum here? http://www.mothering.com/discussions...play.php?f=306

Not that I dont think your post belongs here, just that I know some ladies post there that dont here and may be able to help you out more.

Im sorry you are dealing with horrible attitudes from people who should be supporting you!
post #3 of 24
Oh, mama! I am frustrated for you! It sounds like you were put through the ringer for no apparent reason and the attitudes of your care givers were less than professional and caring. I have played with the thought of UC myself, having recently lost faith in my HCP and not having the option of a certified midwife/doula. I will not do it, because this is my first child and I am, quite frankly, terrified that if something were to go wrong I would be ill-equiped to deal with it. That said, I completely understand the urge to take matters into your own hands!

I wish you the very best of luck! Please keep us updated as to what you decide to do. You are in my thoughts.
post #4 of 24
After what youve been through this week, i cant say im surprised by this. How does dh feel about uc?

Nothing but support here. I was planning a uc w my first.

If you want to start the research at this point, i can gather up some books and jump in the car when the little one wakes from his nap.
post #5 of 24
I understand your feelings. I was the support for a good friend during her labor/delivery/pp time and was appalled at the hospital and the staff. Just disgusted. I was due in 2 weeks to deliver at that same hospital. My dh had been home from Iraq for about 24 hours and I came home and said, "I can't go there. I can't have this baby there. It was just awful."

But, I did. My care provider was different than hers, and my experience was totally different, but I was terrified. I just wanted to go in a closet by myself and get the whole thing over with. After talking a lot to my dh, and to my mw at that hospital, I began to feel better and revive a bit of confidence. By the time he was born, I was okay. And everything went very well.

I think you need to start with a frank talk with your midwife, and then go from there.
post #6 of 24
Do you feel comfortable without them being there? Do you have any friends who have UC'ed that could come over and be with you during the birth?

If so, I'd say go for it. It seems like you are just plain unhappy with your midwife and doula. I cant believe thay would talk to you that way. You are paying them money to be there for you. It is their job to come when you think you may be in labor.

If she is going to transfer care in 20 hours anyway, it seems like you could just go ahead and be at home and if you feel like everything is going well, stay home. Otherwise, you'll have to go to the hospital. Isnt that pretty much the exact same thing that would happen if you had the midwife there?
I would try to get a fetal doppler if it were me Good luck!
post #7 of 24
First off, I would be incredibly ticked if my midwife brought her infant over. Was that something you had originally discussed? Even with a babysitter, I know for me at least [and it seems for you] having a baby there just STOPS everything.

I would first [before deciding on an UD] talk with your midwife/doula about your feelings. I *personally* would be scared to have an unassisted delivery if I had problems with previous births.
post #8 of 24
That is one of the reasons why I ordered that paper from Amazon. Towards the end I tend to leak sometimes and get false starts. So I use the ones that I can get from amazon.
post #9 of 24
Good luck with your hospital birth is that is where you are going now. I would be upset that they brought their kids too. And the way you were talked to by both of them and the hospital. Sorry you had to go through that momma.
post #10 of 24

Oh I'm so sorry to hear how stressed you are!

As already noted, MDC on the whole is supportive of UC. I believe most UC mamas seem to agree that you should choose UC if you feel it's what you really want & how you really want to birth - it should not be something you go with because "all the other options suck." Although I understand the desire. It seems feeling really confident & truly wanting a UC helps the whole thing along.

I'm sure it's difficult to do, but could you try to take a step back & see if there's any way to improve your options you do have?
1. Ask the MW to not bring her kids. (Worse comes to worst, offer to pay a babysitter, if having her 2 kids there was something you 2 had agreed upon in advance.)

2. Find another sitter for your DD - maybe post in your tribal area for another MDC mama. That way you'll have someone else to call since it sounds like your options now are just too limited.
Obviously that's problematic if she's fearful of strangers. I'm lucky that my DS warms to people very quickly & will go off with anyone.

3. Call or email the doula. Explain:
"First off, NO ONE IS MORE UPSET THAN ME over the fact that it wasn't real labor. So bear that in mind. But second of all, the MW told me to call you. I would think you'd rather come for false alarms then miss the whole thing anyway - & there are just no guarantees in birth! We all agreed both these times seemed like the real thing. How was I supposed to know it would stop? I feel badly enough as it is, so I'd appreciate if you chose your words very carefully, since I'm understandably sensitive right now."

My guess is she'll feel guilty & apologetic for that comment. Also, maybe she was trying to be encouraging & optimistic i.e. "Next time I see you, it will be the real thing!" Maybe.

It seems to me like your situation could be salvaged & your heart really isn't in UC anyway, so for those reasons, I personally would advise trying to fix things & stay with your HB MW. Best of luck!!
post #11 of 24
If I were you I wouldn't have the UC. It doesn't sound like something you really want to do or feel comfortable with. I would also be an emotional, hormonal basket case in your situation and completely unable to communicate with my midwife or doula in an effective way (that's me, you may be different so feel free to discard my advice!). I would have my husband talk with my doula and my midwife and express my (our) concerns and attempt to come to a satisfactory agreement about your care. You should be focusing on the baby right now and trying to prepare mentally and physically to give birth after such an ordeal.
post #12 of 24
I really hope you can find a situation that will work for you. I have known a few mamas who have Uc'ed, personally not for me but it is for some.

I would have a serious taling with the whole bringing of children things... I kinda got from your post that that brings stress onto you
post #13 of 24
Thread Starter 
Right after posting this my midwife called me. She thought we should process. This was a good thing because she opened the conversation somewhat neutrally and then she accepted complete responsibility and apologized. She explained that she has been feeling really bad and trying to figure out why she didn't suggest the test to start with. She said that she thinks that it was an emotional reaction because she didn't want me to feel like she didn't believe me. I told her that I would have jumped on the chance to know for sure because I don't want to be put on a timer. She acknowledged that in retrospect she knows that and she is really sorry she made the call she did.

We also talked about child care logistical issues at great length. We figured out a compromise that I hope is going to work out well--she also doesn't have a whole lot of good options for childcare (which in my opinion is a bad thing for her professionally but that's a different matter). That was very useful.

We talked about her ambiguous feelings about driving this far and how it is obvious she is irritated with driving up here. She feels like every single time I have called her it was 100% appropriate and she wants me to continue calling her for the things I am calling her for... but man she hates the drive to my town. I get that. But it means she is sending mixed signals that feel bad for me. This overall part of the conversation was left at the place of--she is glad she is doing this for me because she cares about me but she needs to never get herself in a position like this again. This is just too far for her to really handle for work. So it's not the best situation but we need to work with it for now and make the best of it and she is going to try and check her irritation.

We talked about the 180 degree behavioral change she has between her office and showing up here to check stuff for potential birth. I told her that my logical brain feels that she is more casual in the office because there is less pressure on her to 'perform' and when it comes to showing up for births she has to be more clinical and distant so that she can potentially make decisions that have serious weight so she doesn't read as 'friendly' any more. I pointed out that I feel like I can read her body language pretty well in the office to know when she is having different moods/reactions but in my house it feels like trying to read a brick wall and that's hard. She said she will reflect on this and see how true it feels for her and decide what to do about it. That's perfectly valid and fair.

I brought up the parting crack from my doula and she agreed that she was pretty shocked and unhappy with that comment. She agrees that I need to have a serious conversation with V because that just wasn't ok. I didn't do anything wrong at any point and I didn't deserve that.

So yeah. I'm feeling significantly less pissed off. I feel that my midwife calling today was a really good thing and absolutely the best thing for figuring out stuff between us. I feel that I was really brave in laying out my issues the way I did (God it was hard) and I feel like she totally validated me and listened and was supportive. I feel that she did a really good job of listening to constructive feedback that was probably more than occasionally uncomfortable without being defensive. I don't think I can ask for more than that. She continually stressed that she really wants to work with me. She really wants me to keep calling her early. She really thinks that I have done everything right. I needed that.

I'm really happy with how she has chosen to deal with this conflict. I'm not completely 'over it' at this point but I'm most of the way there. It's good because I don't really have a lot more time to be fusstastic before I'm probably going to really need her help. Overall I've been really happy with her which is why it was so disappointing to have this whole fiasco. I'm so glad she called.
post #14 of 24
I am so glad you are feeling better and had a positive conversation with your midwife! that your conversation with V goes just as well. You are in my thoughts.
post #15 of 24
What a wonderful update, I was so angry for you! Let us know how the conversation with your doula goes.
post #16 of 24
I'm so glad things are looking up! The last thing anyone needs at this point in a pregnancy is drama with birth team. I hope you go into true labor soon and that it's fast and uncomplicated!
post #17 of 24
i'm really glad you feel better. what a relief it must be! i would reconsider unassissted childbirth because of your history of having a difficult birth - i hope the next round of labour is the real thing and that your team arrives with better attitudes!
post #18 of 24
Thread Starter 
So I gave birth today. Callidora Lyra wasn't real happy about leaving her nice comfy womb but she finally did it. (And it's a girl! I swore up and down I was having a boy.)

It turns out to have been a really good thing I didn't UC. I hemorrhaged pretty noticeably. I needed oxygen and Pitocin and if my midwife wouldn't have been here I may very well have died. (I'm not an especially melodramatic person.) My husband has very tactfully not said "I told you so" even once because he was 100% dead set against UC.

Most of the labor/birth was fantastic even though it was longer than I hoped for and festive as birth is. It's going to be a long slow recovery but I'm very happy with all of my choices.
post #19 of 24
Congrats on your little girl! So glad you and babe are doing ok, rest up and recover well!
post #20 of 24
Congrats! I'm sorry about the hemmorrage, that must have been scary. So glad you were able to work things out with your midwife.
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