Friday, March 7, 2008

Why I Chose A C-Section

So I have had a couple people ask me why I had a voluntary (planned) C-section with Preston. I first want to start out by saying that I think we are fortunate to live in a time and place where we as women have several options for childbirth. There are women who have their babies at home to those who have planned c-sections, the unfortunate thing is when another woman judges another for their choice. I think we each have our own personalities and circumstances when we go to make that decision. I guess the reason I begin like this is because I have received some negative comments when I tell people why I chose a c-section. I also hear people talk about how horrible it would be to have a c-section. So now I will being my LONG story (you can skip if you don’t really care).

The funny part of the entire story is that I wanted to be a midwife when I entered nursing school at BYU. I thought that having a baby naturally with no drugs was the best way to go and that doctors were the enemy. I studied how the whole experience having a baby in a hospital was just for the conveneience of the doctor. I did internships with midwives at clinics, in homes, and midwives at hospitals. I also did an internship with an OB at a hospital. So after all my internships and seeing about 20 natural births with no medication, about 10 births with an epidural, 1 emergency c-section and 1 planned c-section I decided the natural way was not for me. So I quit nursing school to go into family science (which I loved, and realized I had a passion for).

So before I got pregnant with Preston I had a couple of things happen: 1) I read an article in the Time magazine about how 90% of births in Brazil are by C-section and it is considered the norm. They talked about how today the complications of a planned c-section equal that of a vaginal birth. The article went on to debate why we look at the statistic of 25% c-section rate as such a negative thing when really it could just be another childbirth choice for women. The article also talked about how women in this country are asking for c-sections because of several benefits. When I read that article I went: hmmmm. The next thing was that I had 2 friends that told me horrific stories about having 4th degree tears. I was horrified. So I started to do research and read about it, but then I put it in the back of my mind.

Two months into my pregnancy with Preston another article came out in Time Magazine, titled "Too Posh to Push" and once again I was reminded about planned c-sections. On my first visit with my OB I asked her if she would do a planned c-section on me if there was any indication that my baby was big and she said yes. I decided to keep that ob (which I used for Wesley and absolutely loved). So each time I went to my appointment, Preston was measuring 2+ weeks every time. And it was obvious that I was going to have a big baby. I talked to my mom about a planned c-section, and being the wonderful mother that she is said she would supported me in whatever I chose.

Two weeks before I had Preston my doctor did an ultrasound and estimated that he would be about 9 ½ lbs. She said that the ultrasounds can be wrong so it isn’t a guarantee – only a prediction. She talked to me about a vaginal birth vs. c-section and then told me to let me know what my decision was at my next appointment. I talked to Tom about it and he wasn’t happy. I had pretty much made up my mind by now that I wanted a c-section… all the negative things that most women perceive of when having a c-section didn’t bother me too much. And I guess that’s because of my type A personality.

Tom wanted me to at least try going into labor, but my doctor explained that a planned c-section is a whole different experience than when you go into labor and your body is tired and then you get a c-section. An emergency c-section takes almost 2 times as long (sometimes more) to recover because the body is exhausted from labor. Tom was worried that I would feel like I missed out on the experience of going into the labor – really, seriously? My worst nightmare is labor (especially after seeing women naturally have children). Who REALLY wants to experience that? Okay, I guess there is some of you out there that want to.

The bottom line was – it is so ME, so my personality. Everything is scheduled. I know when I will go in, what will happen, what time the baby will be born. Everything can be planned. What a control freak, huh? Yep that’s me.

So I went back and told my doctor I wanted a c-section and a week later I had Preston – weighing 9.7 lbs with a big head. I loved it. I really did. I felt so good about and looking back I realized that it probably was divine intervention for me. I had 3 nurses tell me that I probably would have had a c-section because of his size. When Wesley was born my doctor said that the umbilical cord was loosely tied around his neck 2 times, which would have probably resulted in a c-section.

I hope this explains why I chose it. I find the recovery from a c-section worse for about a week but then I have pretty much caught up with my vaginal birth friends. By six weeks you would could never tell the difference between a vaginal birth mom and a c-section birth mom. I guess just to end this huge long saga, I just want to say, life is all about expectations. The real loss is when you have your expectations set on giving birth vaginally and when a c-section happens you feel less as a mom. That is poppy cock – change your expectations and realize that a c-section isn’t bad at all. There are lots of positive things about a c-section that you can focus on instead. One of my favorite – you get a baby with nice round cute untraumatized head!





So when I went to my first appointment pregnant with Wesley my doctor asked if I wanted to try a VBAC (vaginal birth after c-section) My reply – absolutely not!

If you have any more question, please ask. I won't be offended at all. Promise.




You can read more about my c-section experience (just incase this insanely long description does not satisfy your need to know!) on the following pages (click on the 1st picture and there is a description of what happened when you scroll throug the pictures):


Preston's Birth

Wesley's Birth

2 comments:

Jenni said...

Hey Heather - I'm glad you posted this. Thanks for being so open and willing to share your experience with this and the reasons why you chose it.

Ever since my Dr has mentioned it to me as a possibility I have been thinking about it a lot. Part of those thoughts have been what you told me on a comment in my blog about how it was nicely scheduled, you didn't have to experience the labor etc.

My parents though are very against it - probably for the same reasons you stated in your blog about being negative and judgemental. Sometimes I just want to say "And exactly HOW is this a decision of yours? Either way you are getting a grandson out of it." LOL

However, I am actually not afraid of giving birth. I know I might change my tune once I start going into labor. But my pregnancy has been awful (healthy baby, but uncomfortable me) and the thought of labor is just the light at the end of the tunnel for me. I'm actually REALLY looking forward to it. I figure labor is only several hours, where pregnancy is 9 months. And I am SO ready to not be pregnant anymore.

After a lot of thought, I think I am leaning towards a vaginal birth. At least for now. Simply because I AM one of those women who would feel like I cheated if I didn't at least try. And that is entirely my own opinion about myself because I know myself. I have nothing against csection and don't judge anyone for chosing it (obviosly I wouldn't have been considering it if I was so against it).

So that is my decision right now. BUT - I am leaving the option still there if I decide to change my mind later as it gets closer to my due date. I might not be afraid if labor and giving birth, but the one thing that does terrify me is tearing. I cringe when I think about it and almost want to throw up. If my baby ends up being projected to be a big enough baby where I might have really bad tearing, or he has a huge head...I may change my mind.

My mom had a 10 lb baby (my younger brother) and she did tear with him. Her doctor performed an episiotomy on her, and she raved about it. But nowdays doctors are not so keen on episiotomies, and when I tried to explain that to my mom she had a fit. So....there are a lot of things that they do different nowdays from when our moms had babies. I'm slowly learning that it might just be best for me to not go to my mom for advice. :) LOL

I do have some questions for you though about your csection - what is your email? Mine is suitedreamer@gmail.com

Mindy said...

I absolutely KNOW that you have told me the story of your c-section before, but I'm so glad you posted about this because I could not remember a thing about it. I have the worst memory! It was very interesting to read about it. I never judged anyone about having c-sections, but I think I was conditioned to think that c-sections were a 'negative' thing, so I always felt sorry for woman who HAD to get them. But now my perspective has changed and it's very interesting. I'll have to look up some of those articles you were talking about.

I had a 4th degree tear with Luke and WO MAMA was that the worst experience ever. I still suffer some things regarding that tear and my doctor just informed me that those results will be with me forever. You're welcome, Luke. I won't go into details, but I'm scarred for life.

And I have always been so jealous of woman whose babies have perfect heads. So adorable! The way little, tiny, precious adorable babies should look. Cone heads are almost inevitable with my babies. Usually, for the first week after I deliver, I am constantly asking Jakob, "Do you think he's cute? Is he cute?" because it's hard to see past that head (and usually the baby acne).