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Thoughts on this - need advice  

post #1 of 10
Thread Starter 
I really need some advice on this because I am stumped. I am not a new doula and have had plenty of experience, but with this latest mama I am stumped, frustrated, surprised and just trying very hard to go with the flow.

The mom started out wanting my services and wanting to take my hypnosis for birth classes. She wanted an all natural birth as her last was horrible. She took three of the five classes and then said she was having panic attacks so she didn't want to take the class anymore. I told her I could help her with the panic attacks, but she said she didn't want to. That very same day she also informed me that she decided that instead of an unmedicated birth she was going for an epidural the second she gets to the hospital and that her doctor is going to start with a "light" epidural so she can walk and will increase as needed. I should say that in my area I have yet to see a light epidural, yet to see them let a mom out of bed once she has one, etc.

The mom then had a migraine the other day and went to the hospital. While there her bp went high and then low and then high again. The doctor told her he wants her to come to the office every other day for a bp check and that if it went up and stayed up she would be induced. He also told her that he felt that all of her issues were self induced and not a truly medical situation. She went to see the doctor today and her bp was 137/83 and she was still high, tight, 0% effaced and 0 cm dilated. He also told her that at 39 weeks he would allow her to have an elective induction. She talked with him about use EPO and he said that there was not enough research and that he felt it didn't work so he told her she couldn't do it.

I know this practice well and know that this practice has a high induction rate, high cesarean rate, and that they tell mamas whatever they want to hear while pregnant and when they get closer to their due date they change everything around. I tried talking to the mama about this way back when and all she keeps saying is that she trust her doctor 100%. In fact she e-mailed me yesterday and told me the same thing - saying she trusts him 100% that he will do whatever is best for her and her baby's health. I am trying very hard to respect her wishes and desires to have this doctor and keep telling myself that she chose him for a reason, but the closer we get the more I see this train wreck waiting to happen.

This is her second child and the last baby went to 42 weeks with a 4 day induction from you know where.
post #2 of 10
Let it go, let it go. This is her birth. You cannot do anything but offer her support. This is what she is CHOOSING for her care. Obviously, her last birth experience was horrifying, but she's still suffering from it. Some women move forward and change things, others haven't gotten there yet.

It may be a train wreck - and you may be privvy to the observation of the sight. However, it also might be a straightforward, medicated birth. You never know.

I say try your best to work on yourself: your boundaries, your expections, why you have a stake in the process and the outcome. She needs you for support - not to sway her in any way. She's already making her choices.

I know it's hard. I know, I know, I know. s
post #3 of 10
Quote:
Originally Posted by pamamidwife View Post
Let it go, let it go. This is her birth. You cannot do anything but offer her support. This is what she is CHOOSING for her care. Obviously, her last birth experience was horrifying, but she's still suffering from it. Some women move forward and change things, others haven't gotten there yet.

It may be a train wreck - and you may be privvy to the observation of the sight. However, it also might be a straightforward, medicated birth. You never know.

I say try your best to work on yourself: your boundaries, your expections, why you have a stake in the process and the outcome. She needs you for support - not to sway her in any way. She's already making her choices.

I know it's hard. I know, I know, I know. s
: I have been there done that and know how you're feeling. Those are some of the toughest situations and sometimes you have to dig SOOOooooooooo deep just to muster up the ability to be supportive. It's hard but she's choosing that path, you have offered the education and it is up to her to take it or not.
post #4 of 10
ITA with pama, although it's hard! I've BTDT with a client last year.

Client had had a different doula with her first birth, and the doula had moved out of town and recommended me for her second. She planned to go med-free in the hospital. As we got closer to her edd, she learned that baby was not in "optimal" position, and her CNM started pushing for a scheduled c-s. I cannot tell you how many links to sites like spinningbabies I sent to her. She was like 36w when the CNM mentioned it, and I really encouraged her that she still had plenty of time for the baby to turn.

What happened?-- she had a scheduled section and didn't call me til AFTER the baby was born. (I don't even know why she called.) I told her I'd be happy to visit the day she got home from the hospital. She said yes, and then avoided all my calls after that.

So, yeah. Let it go.
post #5 of 10
Thread Starter 
Quote:
Originally Posted by pamamidwife View Post
Let it go, let it go. This is her birth.
I know it's hard. I know, I know, I know. s
I know you are right - I just hate that she did such a huge turnaround and am pretty sure she is going to have huge regrets just like last time, but I know - it is her birth!!!!

Quote:
Originally Posted by balancedmama View Post
: I have been there done that and know how you're feeling. Those are some of the toughest situations and sometimes you have to dig SOOOooooooooo deep just to muster up the ability to be supportive. It's hard but she's choosing that path, you have offered the education and it is up to her to take it or not.
I know you are so right!!!

Quote:
Originally Posted by YumaDoula View Post
What happened?-- she had a scheduled section and didn't call me til AFTER the baby was born. (I don't even know why she called.) I told her I'd be happy to visit the day she got home from the hospital. She said yes, and then avoided all my calls after that.

So, yeah. Let it go.
Honestly I am pretty darn sure if her doctor would offer it she will most likely take an elective cesarean!!! Of course I am just waiting for that to happen too!!!

Anyhow, thanks ladies!!!! I know you are all right and normally my head is in the right place, but with this one I just want to scream and I don't know why.
post #6 of 10
She's trusting her doctor, and he probably doesn't have her best interests at heart. Nothing you can really do about it. You've done all you can, IMO. It's unlikely she'll have a better experience this time if she's doing the same things she did last time (isn't that the definition of insanity? Doing the same things and expecting different results?). It's too bad, but it's her choice.
post #7 of 10
I am a newer doula, but I have done a lot of thinking on this; I guess this issue of power in general surrounding birth in our culture. I think some women, for whatever reasons, are just unable to embrace their own strength and stand up for themselves regarding their birth experiences. And who knows why? Probably many cumulative experiences from their lifetime that we will never know about. Perhaps they don't even know, themselves. The fact that she's having panic attacks to me means things are rising to the surface that are freaking her out, and instead of choosing to deal with it in a new way, she's choosing the old, "train-wreck way". I don't remember who said this, but ever since I read it the words have acquired more and more resonance: "The choice not to choose is also a choice."

It is soooo hard to shed our own stuff regarding these seemingly crazy choices some women make, and of course impossible to ever do it completely. But as was said a few posts earlier, all we can work on is ourselves. It's a mystery to me why some clients/choices/scenarios seem to cause so much internal discord for us as doulas; it's that "helpless bystander" feeling almost - which is the exact opposite of why we do this work! But then, what would life be without Mystery?
post #8 of 10
Hey, M.

This is hard, and I know you know Pam has it right -- we all have to apathetically watch while still giving unbiased support.

As I was reading this, though, I was struck by the "trust" issue. I think, when women put all their trust in a caregiver to implicitily see to their health and their babies' health, what they are really doing is removing the responsibility from themselves and putting it on someone else's shoulders -- then if things don't do well (not that they are planning for a bad outcome), they can then blame someone besides themselves.

I am not saying we should't have an element of trust in our caregivers, because we need that, too. But women have to remember their place in all of this -- that they ultimately know their bodies best, and that they have the capability to know what's right an wrong for themselves. That, coupled with genuine care of a person's whole being (mind, body, baby, and heart) by a practitioner, is the ideal, although many don't get the full picture of how it could be.

Keep us posted.
post #9 of 10
Quote:
Originally Posted by ldsapmom View Post
As I was reading this, though, I was struck by the "trust" issue. I think, when women put all their trust in a caregiver to implicitily see to their health and their babies' health, what they are really doing is removing the responsibility from themselves and putting it on someone else's shoulders -- then if things don't do well (not that they are planning for a bad outcome), they can then blame someone besides themselves.
This is exactly it. I was explaining my UC the other day to someone and said I was taking responsiblity for myself and my choices. No one to blame on outcomes. It's a hard concept for some because they rely so much on others' opinions and base their decisions on what others want
post #10 of 10
have you ever read the book "getting the love you want"? It talks a lot about how we choose partners that reflect a quality from our past (i.e. a distant husband because our mother/father was distant) and we are recreating the situation so it will end differently. I always think of that when I have a client like you discribe. I always assume that they are recreating the birth that tramatized them so they will have a different outcome. Instead of the birth that was forced on them, they will CHOOSE for themselves rather than the situation being forced. So if a client fears having a emergency c-section after 40 hours of nonprogressing contractions/induction..a planned c-section that she choose gives her back the power.

all we can do is let them make the choices and hold their hands. Then call up a fellow doula afterwards and get drunk
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