Monday, March 31, 2008

Motivation.

Today, something occurred again that makes me wonder why there is so much pain and anger directed at women who don't choose to have a repeat cesarean, no matter how many cesareans they had, be it one or be it five.

I wonder if it's the anguish over the choice. Not knowing if you made the right call. Knowing you will never know if you made the right call. The lack of control over the issue in realizing that you made a sacrifice and worried and wondered about the outcome while someone else "had" a vaginal birth. Or worse, had a loss that they can then be blamed for. It's that woman's fault, after all, that her uterus ruptured or that her baby died. Obviously, if she had made the other choice, then that NEVER would have happened.

But the truth is still the same. Life is not safe. Birth is as safe as life gets. And life...is 100% fatal.
And that VBA4C mom doesn't care less for her baby, no matter what you might think. She cares differently and is in a different process from you. I sincerely doubt that most women who sign up for elective repeat fifth cesareans are told of the risks of their baby dying from stillbirth or the first few weeks of life from respiratory issues. They aren't warned of the placental abnormalities that kill more and more women and babies as the cesarean rate rises. They don't worry about those things because they feel that by scheduling, they are circumventing those risks. They are doing "safest." and "the best they can."

But the truth is still the same. Elective repeat cesareans are more risky than vaginal births. So..if you feel that you care more because you would pick "your baby" over "your VBAC" then perhaps you should ask yourself ...what if they are one in the same and you have control...over neither?

Noah's Ark - A Midwive's Tale Found on the Internet.

God told Noah..you will need midwives on the Ark. There are a lot of babies to be born, both animal and human. They need a loving touch.

So...Noah brought two midwives.
The first was a CNM and the second was a CPM.
The midwives said that anyone who had had more than one baby could not be on the Ark. It was not in their protocol. The wolves got off, because they had litters. The Cows who had had twins got off, because their calves had come together.
The midwives said that anyone who had large babies had to get off the Ark, because it was out of their protocols. All of the hippos got off. Their babies were always large.
The midwives said that anyone who had small babies had to get off the Ark, because it was out of their protocols.
All of the mice got off. Their babies were always small.
The midwives said that anyone who did not go to 40 weeks gestation had to get off the Ark, because it was out of their protocols. All of the guinea pigs got off the ark. They would never make it to 40 weeks.
The midwives said that anyone who went over 42 weeks gestation had to get off the Ark, because it was out of the their protocols. So all the elephants got off. Their babies never came at 40 weeks.
The midwives said that anyone who's babies came breech had to get off the Ark, because it was out of their protocols. All of the horses got off because their babies often come out feet first.
The midwives said that anyone who had a cesarean had to get off the Ark, because it was well-known that many midwives can't or won't attend a VBAC. So all the bulldogs got off the Ark.

At the end, all the CNM and the CPM had was each other, sitting on the Ark, with Noah's wife who was done having children, condemning the younger generation for their lack of activism and using low risk care with midwives...

...and meanwhile, across the Earth...those animals bred and birthed and flourished...because life finds a way to happen despite protocol.
-Author's name withheld.