That's MRS. Elliottpreciouspants to you!!

I just got married, and I talk about it. A lot. I also have pet bunnies, which I talk about, sort of a lot, too.

Wednesday, March 15, 2006

Surely, you must be joking.....no, I'm not, and stop calling me Shirley.

For the first time today, I felt something new regarding my impending baby delivery--it was excitement, it wasn't exhaustion, it wasn't glee--it was fear.

Amazingly, I haven't been too worried about the actual giving birth. I figure hundreds of thousands of women around the world do it everyday, and if they can all do it, why shouldn't I be able to do it?

But then I read this thing, where these women told horror stories about birth-giving, words I didn't know before or fully understand like back labor, labor down, and descriptions of pain I never considered before, including pain so horrific that women lost control of their bodily functions and pooped all over the delivery room floor.

Now come on people, that's a lot of pain. I've never felt pain so bad that I actually lost control of my bodily functions. That's a whole new level of pain. I didn't know it was that bad.

I used to think that a vaginal delivery was what I wanted, and that it was better for everyone involved. But now, I don't know. My mom spent a long time on the phone convincing me to ignore the scary stuff, stop reading it, and that a vaginal delivery was STILL better, for both mom and baby, and that vaginal deliveries encourage your milk to come in, and they encourage the baby to start breathing on their own, and that you heal a lot faster from a vaginal delivery.

Incidentally, one woman said that she stood for days after her vaginal birth, because her tearing and swollen genital area made it too painful to sit down.

Then my mom assured me that I would be fine, and that she was fine, and that she had back labor, and it was no big deal. She said she just had my dad push on her back during the contractions to help with the pain, and then it was all over with and she had a baby. And not to worry about the tearing and the awfulness, because if I have an episiotomy, it'll be fine, I won't tear. Then she told me that I had nothing to worry about really, because people like her and like me, we were BORN to give birth, nice big bone structures, and high tolerances for pain, and she knows I have a high pain tolerance, so she suspects that even if there is pain, I'll do just fine. She also suggested that there's not a lot of pain, just mostly really strong pressure.

Yeah, really strong pressure that results in loss of control of bodily functions. Awesome.

I asked her why she never mentioned back labor before--and she told me that it just wasn't even worth mentioning, because it was no big deal. Then she told me that if possible, unless there is something wrong with the baby, I should not have a c-section. She told me that if everything is progressing well, it's just taking a long time, then the best thing to do is just wait. If there is something wrong and I have to have a c-section, then that's what will have to happen. But honestly, she says vaginal delivery is really the best.

There were no scary stories about c-sections, fyi. At least not any so horrifying that they are burned into my mind. Not yet, anyhow.

Then she told me that because I work out a lot, that my labor will probably be a piece of cake, because she heard that women who exercise or are in really good shape have really easy labor and deliveries.

I read in another book that that doesn't make a difference, but ok.

Anyhow, just to get her to stop talking about it, I told her she convinced me and I feel better, thanks.

But I really just feel scared. I guess it's good that I know now, right? Does anyone have any words of advice that aren't scary, or refute any of the scariness I mentioned? I would love someone to say "It's all lies! All that bad stuff, all lies!"

My mom didn't actually say it was all lies.

11 Comments:

At March 16, 2006 1:37 PM, Blogger S said...

1.) I love you, but PLEASE give us a warning that you're going to post about VAGINAL TEARING. It's 10:30 a.m., I'm sipping coffee at work - and suddenly I come across VAGINAL TEARING. For those of us who are not anticipating any VAGINAL TEARING anytime soon, we need a heads-up. Or at least I do.

2.) I always heard that it's not the pain that causes the loss of bodily functions - it's the, erm, pushing. Apparently when you try to push a baby out, you might push poop and pee out too. Melissa - can you shed any light on this?

3.) What is a episiotomy?

4.) Don't people just get epidurals these days?

 
At March 16, 2006 2:42 PM, Anonymous Anonymous said...

1) everyone shits when they deliver. it's the pressure. you use the same muscles to push out a baby as a turd. sorry for the graphic language. some ridiculous women want the "pretty" birth, and want it on tape, so they shave their genitals, and get an enima. still, you could have hemorrhoids by then- who wants to see that...

2) episiotomy is this great idea some man thought up. he thought, if women's perineum (the tain't, the "missing three inches," that piece between your vagina and anus) tears, rather than allowing that, we should just CUT it first- then maybe it won't tear. WHAT?!?! there is very little data to support episiotomy as a good idea. it doesn't decrease the rate of infection, doesn't cause less pain to the mother, and best of all, DOESN'T DECREASE THE RATE AT WHICH ***warning**** PERINEAL TEARS OCCUR!!! don't have one. most tears can be avoided by laboring in a non-traditional position (talk to a midwife or a doula or both, even if you still see your doctor).

3. if your doctor would allow you to have a c-section just because you want to (not because medically you need it), RUN AWAY! there are way to many c-sections in this country. here's the horror of it- it's a major surgery. you have to heal, you can't lift stuff, they cut your uterus, you can't have many of them (like 3 max), so if you want, say, 4 kids... good luck. the risks are low, and they are for a vaginal delivery as well, but risks include bleeding 2x the amt as vag), death infection, hysterectomy or ruptured uterus, DECREASED BOWEL FUNCTION... blagh... longer hospital stay, respiratory probs (like pneumonia), reaction to anesthesia, DVT (which will kill you or give you a pretty stroke), and bladder injury. NOT DONE! Risks to your baby: prematurity, breathing probs (transient tachypnea of a newborn, TTN), meconium aspiration, lower apgar scores, and actual injury (like from the knife. it's also not a pretty, delicate procedure. they haul your flesh around and wrestle your muscles apart until they can wrangle your baby free of your bleeding parts.

Vaginal deliveries hurt some, like really intense menstrual cramps. c-sections hurt like a mutilation, they damage your body, and they put you and the baby at higher risk. the US has the highest rate of c-section of nations considered to be "first-world," and we have the highest rate of infant AND maternal mortality of those same countries. most c-sections here are done for legal reasons- nothing's really wrong with a vaginal birth, but you get sued if you say that. if the mother or baby has a bad outcome in a c-section, dr. can say, "but i was doing all i could." not that i have an opinion on the topic...

as for 4) lots of people do have epidurals. i think your mom is probably talking about that when she says there isn't pain, just pressure. otherwise, it's painful. an epidural is just that- epi meaning on or upon, dura, meaning the stuff that covers your brain and spine. they give you an injection there. i'm not going to have a baby, and it's a totally personal decision what kind of pain relief you chose, but some people avoid or refuse epidurals. you should either watch discovery channel births (censored, to be sure), or get some live, uncensored birth footage to watch- maybe a medicated vaginal, a "natural" vaginal, an episiotomy, a c/section, etc. I think a chat with a doula or midwife would go a long way. they rule.

Summary- vaginal birth is the only reasonable thing to do UNLESS you or the baby develops a medical reason for a surgical delivery. you are a tough woman, and bazillions of strong (and wimpy!) women have gone before you. poop and pain and tearing and healing are the least of the difficulties you'll face as a mom. it's your intro to being amazingly happy about pain and mess. it's really normal to be scared during a pregnancy or apprehensive, even in a planned pregnancy. relax yourself, exercise, be confident with your body and your abilities, and listen to yo momma- it's no big deal (scary, but not insurmountable!).

 
At March 16, 2006 3:39 PM, Blogger ElliottPreciousPants said...

OK. I actually feel much better. I totally thought that bodily function loss was pain related.

If it's just normal and part of the process, and happens to everyone, and is NOT a result of incredible mind and body-numbing pain, ok then. Sounds much better.

But why did everyone but me know about that?

Melissa, you make a c-section look much less attractive than it previously looked in comparison with the pain I was imaginging in vaginal delivery child birth. Ok. I can do this. This is ok. God I never felt so scared.

But I guess you are right.

But my mom totally didn't have an epidural. Are there any negative side effects to an epidural? Why would people avoid or refuse them? Isn't it some kind of shot in your spine? That sounds painful to me, and I don't know if I would want to do that.

I don't feel so tough. Honestly, I just feel really scared.

Sorry about the ***warning*** vaginal tearing. I'll warn next time.

Really intense menstrual cramps don't sound that scary. I am just going to have to take that phrase, and every time I get scared, just repeat it: "Really intense menstrual cramps. Really intense menstrual cramps. Really intense menstrual cramps. Really intense menstrual cramps."

Melissa--did you say you aren't having any kids? Did you mean ever?

 
At March 16, 2006 4:07 PM, Anonymous Anonymous said...

I didn't have an epidural with my last two births -- I'd had back surgery that would have complicated the process and my neurosurgeon said I shouldn't get one, so I decided to go without.

It is totally, totally do-able.

I'm not going to lie to you and say it doesn't hurt, but it doesn't hurt CONSTANTLY (you do have spaces between contractions) and it is honestly pain with a purpose, which makes a huge difference. I am sad I am never going to have the experience again. It is awesome (in the true meaning of the word) and life-shattering. The euphoria after giving birth more than makes up for the pain before.

I learned the hypnobirthing method of childbirth, and it helped me tremendously.

So there you go, one happy story about vaginal delivery without an epidural. And of course there's probably not any reason why you won't be able to get an epidural, so you shouldn't even have to worry about that.

 
At March 16, 2006 5:15 PM, Blogger ElliottPreciousPants said...

s-thank you for your happy vaginal delivery story:) It was very very good:)

And thank you for adding me to your blog register--I checked that out, and it's really cool!


What is the hypnobirthing method?

Your happy story really made me feel a lot better. So there's a euphoria afterwards that makes it all ok? Thank God. I guess I always figured it would be 'unpleasant' but I never figured it would be like torture or something. Now I am starting to worry that I'm wrong, and it's going to be like torture....

 
At March 16, 2006 7:36 PM, Anonymous Anonymous said...

ok- i sort of want to mail you my copy of "our bodies, ourselves..." it's a very touching book, that makes me go, HELL YEAH I'M A GIRL!!!! i'll have kids eventually probably. i just meant that i don't kid myself in thinking i can advise people for or against pain relief or other interventions in a delivery. your body, your baby, your birth, ultimately- even kevin can't decide some of it. as for "why not an epidural," there are side effects, and some people think it takes away from the experience. like anything, it's something to weigh, pros and cons, etc. Check out:

http://www.babycenter.com/refcap/174.html

A really good resource about your rights as a mom (remember- you aren't a patient, you don't have a disease!):
http://www.childbirthconnection.org/home.asp?Visitor=Woman

There's more where those came from! I've never read it myself, but lots of my patients really love "what to expect when you're expecting," and "girlfriend's guide to pregnancy and childbirth."

You are tough. an epidural is a shot in your spine. there can be problems. you can have one if you want to, since there can be complications to not having one- again, weighing pros and cons. i THINK (again, can't advise) that i would want to try to deliver without one, but i'm a hippie. it's perfectly reasonable to have one also.

 
At March 17, 2006 11:02 AM, Blogger * said...

Totally agree w/the comments Melissa made.

People have gotten so used to c-sections, they think it's no big deal. They point out the possible vaginal tearing or other issues with labor, but all that means is that vaginal labor should be made better where possible, instead of surgery being used as a substitute.

While there are always people who are exceptions to the rule, there are risks to having surgery and it also impacts your choices in future pregnancies. You don't want to be limited to having only this option in the future (which is becoming more common), especially since now the doctors will have to go through scar tissue to get to the baby.

With a vaginal birth, sure there is the BM. Actually, often before the labor (few hours or a few days), you may experience an increase in BM - sorta nature's way of cleaning itself out. But that doesn't mean it won't happen. And when you want to push, it will feel like you're having one, but that's just the way it is. There's no reason to let that stop you.

Also with the vaginal tearing, yes, that's unpleasant, but if at all possible avoid the episiotomy. If you try and tear a piece of cloth with your bare hands and then try to tear it after making a cut, you see how much easier it is to tear after making a cut. Sometimes they are medically necessary to get the baby out quickly, but they are often overused.

When a baby is pushed out, the pressure helps to better expel the fluids inside the lungs on its way out.

You may want to look into the Bradley method. That's the class I took.

My water broke and labor was okay for the first 6 hours. Then it went to hell in a heart beat. I had major back labor and was in constant pain.

The key for me was that I made a choice ahead of time to avoid an epidural and went to a birth center. I'm glad I did that because I think I would have given in if the medicine was readily available in a hospital.

Often women will make a choice for the epidural when they are close to the end because the pain intensifies shortly before the pushing stage.

The best thing is for you to research your options and decide ahead of time what you really want or don't want in terms of intervention. It helps to rank the intervention in order of what you would like to avoid the most. That way, for example, if you wanted to avoid all medical intervention unless necessary, but they offer you the option to break your waters to have labor progress, you can determine is this more important to avoid than say another larger intervention down the line and so on.

I was at a birth center with CNMs and was in labor for over 30 hours (and my water head broken at the beginning). I had to go to the hospital for a c-section because my son's heart rate was low and he was in fetal distress.

It was not a labor I had envisioned and I had some difficulty accepting it when it happened. But now I am glad things went as they did because at least I know I gave it my best shot to try things naturally. And when intervention was necessary I accepted it.

Also - in regard to your comment to my post, I hope you don't fail the GTT, but if you do, let me know. It sucks to be on the diet, but you deal with it. I can answer any specific questions if you have them!

 
At March 17, 2006 11:09 AM, Blogger * said...

Also wanted to recommend a book.

http://www.amazon.com/gp/product/0452276594/sr=8-1/qid=1142611569/ref=pd_bbs_1/102-6057450-4313744?%5Fencoding=UTF8

It's a book about the bradley method. It's the method class I took. The book talks about the importance of the natural method, discusses a ton of relaxation exercises you can practice (practicing really does help), and discusses some of the negatives of various medical interventions.

I realize you may not have made up your mind to go this route, but there will be plenty of info on the other side of the fence so this may give you a different perspective. And remember, you don't have to take an all/nothing approach. E.g. you may decide yes on the epidural but no on the other stuff.

 
At March 17, 2006 4:45 PM, Blogger ElliottPreciousPants said...

chunky monkey-

I appreciate your comments so much. There is actually a birthing center here where I live, and this morning I looked up there website and called them to make an appointment, because their website made it seem so much--nicer. So much nicer than a hospital. So I am going to see what they have to say.

I'll let you know about the GTT. I would really like to be GD-free.

Thanks!

 
At March 18, 2006 10:04 AM, Anonymous Anonymous said...

http://hypnobirthing.com/

We took a class with a trained instructor, I'm not sure if you can learn very well just following the book and cd. Basically, you just learn how to put yourself into a state of deep relaxation. It truly worked for me. I mean, I could feel everything that was happening, but I was calm and accepted the contractions, kind of became a part of them, rode on the wave. I am making zero sense, I know. :-) I've heard wonderful things about the Bradley method as well.

Even if you plan on having a medicated birth it's not a bad idea to learn a method of natural childbirth. Sometimes you're not able to get an epidural as quickly as you'd planned or even at all.

 
At March 21, 2006 2:26 PM, Blogger ElliottPreciousPants said...

I think I probably am going to take a hypnobirthing class. I have heard a lot of great things about them recently. I also think I am going to check out the Bradley method. My mom, of course, is really pushing a lamaze class. But I can't find a lamaze class, and I don't know enough about any of the methods to know how similar they are.

 

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