Hearing about a cesarean being performed on The Today Show* this morning triggered a lot of traumatic feelings for me. I cannot watch. Just knowing it’s out there is bad enough. Knowing that the Today Show is passing out bad information about the supposed necessity of this operation makes me feel that the odds are forever going to be stacked against healthy birth. It hurts my heart.
One thing I have not addressed so far on our journey toward conception is my very real, all consuming fear that despite my best intentions, this birth could end in another cesarean. This fear paralyzes me. Part of the reason I announced our plans to conceive was because I needed other people to be excited for me. I cannot be excited for myself right now. I’m simply too afraid. I’m trying – desperately – to get excited about conception. I do want another baby, this part I know. But I also know if I never get pregnant again, then I would never be exposed to the risk of another cesarean. It is a 100% avoidable surgery, provided that I avoid pregnancy. When we started talking about conception plans last week, for a few minutes I tried to talk the husband into getting his vasectomy right now (which he has already agreed to do after we’re done having kids). But he wants another baby. And I want another baby. And I’m trying not to let this uterine scar make these decisions for me. But – it’s hard. (<–Boy, if that isn’t the understatement of the year…)
I know that my chances of having a cesarean are dramatically decreased by my education about the birth process. I also know that my chances for a VBAC are incredibly high, especially since I’ve already had one. AND, I also know that I willed my last VBAC into existence by the sheer power of my determination. I can do anything; my VBAC taught me that. I could never let another cesarean happen to me if I had any control over it whatsoever. However, once the doctor cut into my womb, my uterine health was forever changed, and I will never get to experience pregnancy or childbirth with an unscarred vessel.
A friend once told me, as she was trying desperately to find a provider who’d let her have a VBAC, that she felt like she walked around with a Scarlet C on her chest. If we want a vaginal birth after cesarean, many providers won’t touch us. Many providers won’t help us. Many providers treat us like ticking time bombs – or worse – like bad mothers. And even when they do agree to see us, we are often forced or coerced into “mandatory” interventions that other non-cesarean moms can opt out of. It doesn’t matter if it’s illegal and unethical – providers can often talk a mother into anything when they threaten her baby’s well-being. Even when luck is on our side, and we can find a provider willing to treat us like a “normal” mom, we often still carry a fear that makes us envision an exploded uterus and the unhealthiest of outcomes. I believe that anxiety alone is what causes the vast majority of repeat cesareans. How many non-cesarean mothers fear uterine rupture? I’m willing to bet, not too many – even though it is certainly something that can happen to first time mothers.
I carry plenty of emotional baggage from my cesarean, but I also carry scar tissue – The Scarlet C. I hope the Hypnobirthing can help me overcome this fear once and for all, but at this point, I really have no idea what will ease my concerns. I just want to feel…normal, again.
UPDATE: To hear me speak about this subject, listen to Karen Angstadt’s radio show A Labor of Love – episode titled “A Healthy Baby Isn’t All That Matters.”
___________________________________________________*I’m not linking to the Today Show video because I don’t think anybody needs to see it. If you do, you can find it with a Google search.























It is really difficult to find a provider who will accept vbac patients without incorporating a lot of fear tactics. I have found that working with homebirth midwives is really helpful. They are often more accepting and many have experience with such cases. Also, they emphasize relaxation and being honest but encouraging to the mother. In my experience, they are much less likely to use coercive tactics.
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