Guest Post: Skipping Chapters

May 11th 2010

Guest Post by Zoey Martin, mother of one daughter, and author of Good Goog: Adventures in Parenting. Here she writes about her cesarean, secondary infertility, and the things we often avoid researching during our first pregnancies.

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There I was. Half naked on the table. Freezing cold. In the brace position. So I could stay still while they injected a needle into my back. Staying still would have been challenging enough. But I was in the middle of a contraction and it took all my concentration not to move. Which I managed even when the nurse holding me in the brace lost their grip on me. I couldn’t breathe through the gas mask because my nose was blocked from crying. I was unprepared. Woefully unprepared. I’d never had any kind of surgery, and here I was having a c-section. Something I hadn’t even acknowledged as a possibility.

I recorded umpteen birth stories while I was pregnant and deleted all the ones that involved c-sections. I skipped over that chapter in the book. Because I wasn’t going to have a c-section. Or drugs. Women have been giving birth naturally for thousands of years, how hard could it be?

The procedure itself was violent, but brief. And before I knew it my beautiful baby daughter was in the world – bright eyed, chubby and perfect. The recovery was difficult for someone like myself who likes to do everything on my own, and I couldn’t even bring myself to look at the scar for weeks. I might have had an irrational fear that my innards would spill out at any moment. So I knew early on that I wanted to have a VBAC.

I’m not currently pregnant, but I’m a planner. And planning keeps me distracted from the fact that 6 months in, I’m not pregnant and doctor’s are starting to throw around words like ‘secondary infertility’.

It was only when I started the planning that I realised that the fact that I had a c-section wasn’t an unhappy series of events. I unknowingly made some mistakes which led me to a c-section but also latch problems later on.

If I’d done some research I would have found that our local hospital had a c-section rate of over 50%. If I’d known a bit more about babies, I would said no to the pitocin when I arrived for my induction and found out I was already in labour. As a result, I had weeks of extremely damaged nipples and mind numbing pain thanks to a poor latch. I dreaded feeding and would drench my baby’s head in tears as I gritted my teeth through it. I thought about quitting many times. But I didn’t. Breastfeeding was one thing within the realm of my control, and I clung onto it for dear life.

I cannot know what would have happened if I’d done things differently, but I do know that the chain of events made a c-section pretty inevitable. And ever since I’ve cringed every time a c-section is talked about as the ‘easy option’, the ‘painless way’ or as a (misguided) way of preserving vanity.

I want to have a big family, so a VBAC is extremely important to me. Everybody responds differently and some people are capable of having multiple c-sections but it is very possible that the c-section scar tissue would determine the number of children my husband and I could have. Not what we had in mind when we started our family.

I live in a regional area of Australia. There are three hospitals near where we live. The closest one does not accept high risk patients. Which leaves me two options. The hospital I originally went to has a VBAC success rate of 2%. Not encouraging. Thankfully, the third hospital has recently implemented a VBAC program. That’s who I’ll be calling just as soon as we get those two lines on a pregnancy test. And I’ll be prepared to throw everything at getting a successful VBAC. Next time I won’t be skipping any chapters.

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This post was written by Zoey Martin of Australia for The Feminist Breeder’s Guest Post series.  Zoey is a mother of one, author of the Good Goog blog, and as you can see, trying to conceive a second child.  Follow Zoey’s “Adventures in Parenting” on Twitter @zoeyspeak or on Facebook.

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my thoughts exactly on the 'cringing' when people speak so casually of c-section. Anyone who can think that's an easier recovery hasn't done the homework. I've gone to walmart with a friend less than 24 hours after her son was born. I couldn't even get out of the bed on my own for 48.

I will be rooting for you to get your VBAC.

Also? It took me 8 months to conceive my 2nd child. I had a progesterone deficiency (I suspect, as a result of the fact I was still breastfeeding), which was thankfully easily addressed. The waiting was not a fun thing for me, though. I hope that you get your two lines soon.
.-= Amber´s last blog ..Making Stuff is Awesome =-.

@Brooke It's so easy to underestimate the impact of a traumatic birth. And congratulations on soldiering through with breastfeeding - you must have a spine of stainless steel (my kind of woman!)
.-= Zoey @ Good Goog´s last blog ..Bloggers Without Makeup =-.

@Kelly I think it is lack of information for sure! In all my hospital appointments no one warned me that induction could lead to baby distress or that a c-section could lead to a bad latch. Not to mention when the Doctor said he recommended a c-section it wasn't clear if it was 'your baby is in danger', or 'we are erring on the side of safety', or it's just easier.
.-= Zoey @ Good Goog´s last blog ..Bloggers Without Makeup =-.

You've raised some really interesting points here Zoey. I think it's true that expectant Mothers can unwittingly increase their own chance of a C-section. But whose fault really is this? Personally I feel it's a combination of many things. The increasing C-section rate is a worrying thing. Would you say information is a key element? Women are not given the information they need to make the right choices for themselves? This would include hospital stats. Raised great points here.
.-= Kelly Be A Fun Mum´s last blog ..Play Memories =-.

Great post! I felt myself in a similar situation when I was getting prepped for my c-section. I was woefully unprepared for the emotional and physical result of the procedure and while I was lucky enough to have a successful VBAC/HBAC, I am very aware that without midwives willing to go to bat for me or if I lived somewhere else where the midwife option was not available to me, things could have ended up much differently.
.-= Melodie´s last blog ..Do Nurses Learn about Breastfeeding in Nursing School? =-.

Ah, this story seems quite similar to mine. Had a c-section after transferring to the hospital from 20+ hours of unmedicated labor at home. Having to hold still while having pushing contractions so they could administer the epidural was probably one of the hardest things I've done in my life. I was verbally abused on the operating table, my daughter given sub-standard care in the nursery (leading us to transfer to yet another hospital). It took us 12 weeks to get to the point where breastfeeding wasn't a painful ordeal. I'm not trying to get pregnant again yet, but I'm horrified at the prospect of a failed VBAC attempt--or that I won't even find a doctor in my city willing to give me a shot. I've been reading your blog for a couple of weeks now, so I hope (a. that you get pregnant again soon) to follow along with your VBAC story. All the best!
.-= Brooke´s last blog ..Tuesday lunch date =-.

It is so tough when your choices for birth are limited by where you live, or what label you carry (I have a super high risk label which is ridiculous but means I have to travel into a major city if I want a hospital birth)

I have had one very positive VBAC experience and am about to have another one (hopefully, though I can't imagine why not). I can't tell you what magical things I did to get my VBAC except to say that I just always thought I would... despite declining a repeat c-section at 41+3 and going to 42+2 and having a 4.6kg baby.... it all happened without nearly as much stress as I thought there might have been.

So here's hoping your next bubba is on it's way soon and that you have as wonderful a VBAC experience as I did!

@Sara I was the same - I thought that it would be extremely unusual for someone like myself (with no risk factors) to have a c-section - it was only later I found out that the hospital had a bad reputation for it. Best of luck with getting the birth experience you want! I'm sure your family will come around.

@Anne I was so shocked that a c-section could lead to a poor latch but once I found out about it I felt a whole lot better about our rocky start ;o)
.-= Zoey @ Good Goog´s last blog ..Guest Post @ The Feminist Breeder – Skipping Chapters =-.

Thanks for sharing Zoey. Please don't worry about secondary infertility until you have been trying for at least a year and even two!! Secondary infertility is another thing that the medical community is ass backwards about, believe me I know! It can sometimes take as long as 3 years for some couples to become pregnant even when everything is A-OK. So just relax and enjoy trying! :) All the best to you on your VBAC journey.
.-= Kelly Klassen´s last blog ..New Blog! =-.

Wow, this sounded like my story almost to a T! I too was faced with serious BF issues and was hell bent on sticking with it, much to the dismay of others who said I had given it my best shot. Needless to say my DD loved her BM and we happily got past the difficulties to BF for 18 months before she decided she was done. Expecting #2 in July and planning a HBAC. Good luck to you on your journey and thanks for sharing.
.-= Pamela´s last blog ..Getting all fired up! =-.

Well written! I, too, had skipped some chapters. In my Bradley classes I never really considered that I'd actually have a c-section! And now, two children and two scheduled (yes! scheduled) c-sections later, I now know that not everything comes about the way I had imagined. My births were my happiest, and saddest days. Hoping that if I get a third shot at having a child, someone will believe enough in me to try a VBA2C.
.-= Catherine´s last blog ..It's Mother's Day =-.

I too had a very hard time with breastfeeding after my c-section. Your description sounds just like my experience. It was the one thing in my control so I never thought quitting was an option. Nice to hear that there are other super determined women out there who rise above. Thanks for your post.

@Sara - the thing that really got my husband on board was watching "The Business of Being Born." Men are visual creatures, and he really needed to see the medical model vs. the midwifery model on our television screen to understand what we were going into. I think that movie should be required-watching for all moms, dads, and birth partners.

I knew that c-section was a possibility, however I was determined not to have one. Unfortunately, that wasn't the case and I had an "emergency" c-section after 29 hours unmedicated labor. I feel the same way about breastfeeding and VBAC. I want to make sure I don't "half-ass" the research this time. I thought ceserian sections were rare and were only done at last resort. I now know better and will make sure I know the numbers wherever I go. I'm not pregnant either, but I am researching doctors, hospitals, and midwives. I am already preparing my husband and mother for "non-conventional" birth. Neither are very supportive, but I am hoping with posts like your's and Gina's VBAC story they will come around.
Thank you for sharing!