Birthrites: Healing After Caesarean.

A Better Future.

By Erika Munton.

I want change! I want the future to be different, better than it was for me, better for the people ahead of me. I write a little about myself in the hope of showing others that anyone can make change. Life itself offers so much that everyone can contribute. When listening to what is important to you and keeping yourself open for change, you may never know where life may lead you.......

Growing up I was never sure of what I wanted to be. The only comeback to any of those sort of questions was I know I want to be a mother. After some time I married. One step closer. With the expectation of being shot we moved to California. Then I became pregnant - yay wed been trying for a year and it was so frustrating every month my period came. But now, I was so keen to have my baby and my birth experience.

Pregnancy went well for me. I enjoyed it and I enjoyed my changing body. I was intending to birth at a free standing birth centre but in my last month of pregnancy my baby didnt move out of breech position. So I was transferred to doctor care along side my midwife. I really had to fight for the opportunity to birth vaginally. The doctor preferred to do a cesarean and told me so. But with certain rules he agreed to be my care provider for a vaginal breech delivery. The rules were: to be in the hospital soon after labour was established, to have an epidural catheter in place (just in case of an emergency), and to be in the operating room when I started to push. When I look back I wished I had thought of looking else where for someone more supportive. But in the huge city of LA I felt supported through my midwife at the birth centre and this was, after all, the doctor she recommended. With only a few weeks to go I didnt feel I had any other options.

When labour started (and at 3 cm) I went to the hospital with my midwife, my husband and sister as support. At 4cm they wanted to put the epidural catheter in place. I didnt want this yet somehow it happened. I said no to drugs and the anesthesiologist put some fentanel in anyway to make sure it was working. That really annoyed me. My contractions went away and so did the pain. As this made everthing slow down they broke my water to encourage my contractions along again. Then several hours later the doctor showed up again and said he wanted to give me oxytocin and some pain relief to get me going. I didnt want to but he said that things were going slow and if I didnt have the strength to push at the end he wouldnt let me. Ha, how would he intend to stop me!!!! But I didnt think of that answer at the time.

A few hours later I was fully dilated and pushing. I was wheeled into the operating room, I was on my back with my legs up in stirrups. They then took over my pushing and instructed me to push for as long as I could, to take a deep breath and keep doing that again until the contraction went away. I was progressing and my doctor called out that I was having a boy. I was annoyed again. My child wasnt even born yet and I wanted to see for myself. They got to see before I did. I started to complain that it hurt and the anesthesiologist pumped some more drugs into me. I hadnt asked for them, I hadnt consented, she just did it because I complained. That took my feeling away and it was very hard to push effectively now. So the whole room of docs and interns, nurses, anesthesiologist and paediatricians left to give me a rest. The babys heart rate was beginning to take a little time getting back to normal after a contraction. 1/2 hour later we started up again with still little feeling in my lower half. But it was obvious that my babys heart rate was very low after the first pushing attempt. We tried one more time to see if progress would be quick but his heart rate bottomed out and the cesarean was done.

Karl was born blue and having seizures. At birth I got to see him for a second before he was taken to the NICU. He was intubated with tubes in him everywhere. I saw him 8 hrs later in the NICU and it was hard to grasp that he was actually mine (ours - my husband off course had his own traumatic experience through this)

It was so hard to feel like I was a mum. I had a baby now but I wasnt able to care for him, perhaps he wouldnt even survive and if so how much brain damage would there be. Should I dare myself to love him?

I couldnt help myself and my mind was totally fixed on being by his side. Thankfully the story ends well. After 3 attempts to breathe on his own he was successful. My husband and I wised up to demanding our right in the NICU and we held him more, bathed him, stayed longer and had hundreds of people praying for us all over the world. (At 3 yrs old now Karl is a normal boy with no disabilities).

Leaving LA and the smog and traffic and some close friends behind, we moved up north. With my second child I decided to birth at a free standing birth centre with a midwife who supported my efforts for a VBAC. I had confidence in my bodys abilities. After only a few hours I met my second boy in the glorified bath-tub and was thrilled. I went home in the wee hours of the morning to sleep in my own bed and have my friends visit me in my house. This birth story is so much less complicated. Naturally I love both my children equally but my memories of theirs births is so vastly different.

Months later a friend told me of a doula-training program. Suddenly I could see what I wanted to be. The years of mush brain, apathy and fatigue of pregnancy, birth and raising little ones decreased. My birth experiences and eagerness to find out more gave me passion and motivation to get out there and become something in addition to Mum. It felt good to be stimulated. I felt alive in my brain with information and usefulness. All I went through could be used to support others. Little ol me could change the future for others so they need not go through what I did in ignorance. Even if it ended up being for a handful of people. And so now I feel blessed for all I've gone through. Its brought me to this chapter in my life and I believe I have changed for the better, personally and as a doula.

-Taken from 'BIRTH MATTERS' (The journal of the Maternity Coalition Inc.) Volume 4.2 June 2000

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