Birthrites: Healing After Caesarean.

Thoughts and Questions.

By Paula Bredden.

These are a few questions I asked myself in my 'birth preparation'. I had a lot of 'stuff' to deal with and it was a long journey......

  • What do I want from this birth?

I think my main desire with this birth (and pregnancy) is to feel as though I am in control. That by taking care of myself, physically and emotionally I can prevent most situations that would cause interventions. I want to find the strength to let my body do its job this time; I just want a chance to have another go at doing it myself. I want to know if there is intervention it was only because it was absolutely necessary, that there was no other option. I want to feel the power of my body giving birth; I want to experience it without fear. I want to have a baby that is not pulled from my body, but birthed the way nature meant.

  • What do I want from you during this birth (partner)?

To believe and trust in my body's ability to give birth peacefully and gently. Just to support me. To understand what I want from this birth & to learn a few ways to help get me through the tough stages. I want to know that when I am at the stage where I can't control the situation that you know what I want and need and can look out for me.

  • What are my strongest feelings about our last birth?

Both of our last births seem a bit like scary memories to me. I know neither went anything like I had hoped or thought they would. I understand that those birth have helped me to become who I am today, but sometimes I wish things had a gone well for me. When I here other women's glowing birth stories, I feel very sad and worried that I will never know those feelings.

  • What was it like for me when the decision was made to have a caesarean?

Well I believe that my caesarean was necessary, although some days I still go through my head and try to find ways I could have prevented it. I sort of blame myself that I let situations develop that made the caesarean necessary. I feel like if I had done more preparation during my pregnancy, and took better care of myself I could have had my natural birth. But I also believe that at the time I wasn't emotionally ready to handle labour and birth, I was still very scared from my first birth. At the time of my caesarean the hospital staff were very good, they allowed us to make all the decisions, and involved us in the process which I am grateful for. I was happy with my caesarean, it was very positive. I feel like my midwife deserted me and the most final crucial hour though.

  • What feeling did I have during the surgery?

I was terrified. I was sure I was going to die, or at feel the whole thing. But the doctors and nurses where really lovely and made me feel better. I was sad that my dream of a home water birth had come to this, I was grieving for that. But when they put my little girl in my arms, she just lay there and looked into my eyes. I can still see her face so clearly even today. I felt so much peace and joy and love at that moment.

  • What feelings surface when I think about another caesarean birth?

I am scared of the surgery, the pain, the recovery, and the risks. I wouldn't want to have another one unless there was a very real medical reason, and then I would want to make sure there were no other options left. I think surgery should be an absolute last step measure, taken only after much consideration or in the case of an emergency. I would still want to have some control in the situation, as in when I held and fed the baby etc.

I hope I don't have to have another caesarean ever again, but if one is absolutely necessary I will be grateful for them being possible.

  • What were those first weeks at home like?

Physically very difficult and painful. Lonely because Mark was away a lot then. But I felt relaxed and happy all the same. I was enjoying my new little baby and amazingly I didn't suffer any depression after my caesarean birth like I had after my first birth. I felt like we had done the right thing. We had no troubles feeding or with my health, although it took a while, I recovered, physically, very well.

  • How do I imagine this time will be different?

Well I imagine lots of things different this time. I have lots of hope and dreams. I so badly want to experience a gentle birth, to allow my baby to be born and not have it pulled from my body. With this birth I had hoped for a home or water birth, but as neither is possible we have opted for an Ob and hospital. I have research them a lot and asked a lot of questions and I feel the ones I have chosen are my best chances for the birth I want. I want to take better care of myself up to the end of the pregnancy this time, and to have as much of my fear and worry dealt with before labour arrives. I feel I understand birth and my own feeling better now then ever. I want to try and labour at home for as long as possible with my support people and children around me. To just relax and lets things happen as nature intended. I am worried that when we transfer to hospital the medical staff will try to take over and I will get stressed. I plan to have plenty of understanding support with me to help get through this stage.

  • What will I need from you (partner) if this birth is a caesarean?

I will need to know that you were there for me to help support me so that together we have done everything we possibly could to have a natural. If I have a caesarean, I would like you to be there again to support me like last time (when you were wonderful). I would like a bit more time with you and support after the birth though. I would like to see you and the kids more often while I am in hospital recovering.

  • What will I need from you (partner) if this is a vaginal birth?

I really need you to believe that I can do it. To know that I can do it. I want you to learn a few methods of helping me to get through the tough time. I want you to keep reassuring me (during labour) that I am doing it, that I am doing a great job, to tell me to relax and let my body work, just to help me get to a place where I feel safe. I would like you to know what I do and don't want done to me and the baby during labour and birth, so if I am unable to communicate you can do it for me.

  • What feeling do I have about this pregnancy?

I am really enjoying this pregnancy. I can't wait to have this baby. I don't have as many fears with this one about how we are all going to cope. I know everything is going to be all right no matter what this time. I am enjoying learning more about the birthing process and myself with this pregnancy. Sometime I call this baby my healing baby, because it has helped me to come to terms with some many things I had tucked away. Sometime I get tired of all the 'planning' and preparing for the birth, and wish I had just had natural and easy births with our girls so I wouldn't have any fears or issues to worry about this time. I guess this may be our last baby, and I really want to enjoy this time.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

I just stumbled upon this today. I wrote it sometime during my pregnancy with Scott. I can't recall when and hadn't dated it (preggy mind!) But it really amazes me now when I look back and see what a peaceful and beautiful place I was in during my pregnancy. How sensitive and aware of my inner self I was then. Somehow it seems so far removed from the chaos of life with 3 little children now. Paula (13/12/00 - (Kristina's last day of pre-school today)

Well I have decided to write my thoughts down during this pregnancy. No doubt like everything else in my life they will not be in order though. I feel like I am training for the biggest marathon of my life, or at least an event that I know, one way or the other is going to change me forever. I am growing more and more everyday, realising things so amazing about myself and healing pains I had hidden so deeply I had almost forgotten them myself. I am crying a lot, feeling sad and lost sometimes but mostly I am feeling a sense of peace starting to grow in me, I can feel my strength building day by day. I am presently about three quarters of the way through reading "Silent Knife" a book that I feel has changed my life in small ways already. It is such a powerful book and seemed to speak to me directly from the very first page. I have a lot more clear views of what I believe my birth should be like now, and am starting to learn how to sort our what I want out of all the feelings of what I should do. A rather large task! I don't know 'anyone' in our small world that feels so strongly about pure birthing as I do. I sometimes feels so alone and strange. Its good to at least be able to read a book and know I am not alone in the world, but how I would love to meet just one person who feels like I do.

Well I have spoken to both my doctor and hospital (both of whom I don't trust at all, regardless of a lot of talk about supporting VBAC) about having our children at this birth, they were both very dubious about this and thought it was strange. It seems perfectly natural to me. I had started to think about some of their points and think maybe they were right, after all they know much more about these things then me. Or do they. I spend a lot of time talking to my daughters (6 & 4 yrs) about the baby and its birth and they are very excited, reading lots of birthing books (well looking at the pictures really) and watching videos. The pain and mess doesn't seem to bother them at all, they seem to instinctively know that it is ok. And upon talking to them one day they asked what things they will need to do at the birth, and can they hold the baby when it is born, can they watch it have its first feed? It hasn't even entered their beautiful minds that they would be alienated and locked out of their sibling's birth. How could I have ever believed that having them there would be wrong? I know I have a fight on my hands to have them with me which bothers me a lot. I can't understand how we (our society) has gotten so lost from our natural ways of birthing. How can we as mothers keep letting it happen? Well somehow, some way I am going to have things the way 'I' want them at my birth. It is my birth, my husband's birth, my children's birth and I refuse to let any strangers control a moment of it!

I keep seeing images of what I dream my birth to be........They seem so far from reality though I don't know yet how I am going to make my 'dream' become real.

I imagine myself alone in early labour enjoying the thought that my baby is going to be here soon. Working out my thoughts, clearing away any last minute worries and just relaxing, dreaming, dreaming of my baby of my children's and husbands faces when they see this baby emerge into the world. I am in a quite and peaceful place, usually the bath. I always imagine water around me when I think of birth. I often dream of dolphins in my sleep and I imagine them as a symbol of peace, love and strength for me. I am amazed at how my body is working to bring our baby to us, I am also a little sad the baby is leaving my body forever and I acknowledge this and let go of my baby, let go by offering it life. Every now and then one of my children or my husband come in and hold my hand, kiss me and tell they love me and I say I love them. They are so excited, but I need to be peaceful and alone right now. Gently things move along, I need my family now, they support me, they bring me food and drink and rub my back and tummy. Everyone talks to the baby inviting it to come and be with us. Everyone is waiting to give you a wonderful loving hug baby. My body is limp; I welcome each contraction and enjoy the feeling of my body doing what it was born to do. I am along for the ride, being swept along.

  • What are we like sexually during this pregnancy?

I guess I'm still not a wild thing like my husband was hoping for. I do enjoy sex, although it is starting to get awkward now. I get tired a lot so I don't really feel like it. I think this pregnancy has been a little better (sexually) then the last one though.

  • What are my fantasies about this birth?

I dream of having a water birth, I am really drawn to it. But when I think of my labour I imagine labour at home, alone early on, meditating, welcoming the contractions, dreaming of my baby coming soon. Then as thing more along I imagine my family there supporting me, I am calm and relaxed, I can feel everything happening this time, the way it should. Then I start pushing and the baby comes, my family are watching it emerging into the world, their faces are awed. Mark and I deliver the baby safely into our arms. The girls are smiling and touching their baby sister or brother, the baby is quiet and watching everyone. I feed the baby, then deliver the placenta, we have a bath and clean up. Then we all have a lovely meal together, just the five of us.

  • What would I settle for?

Well I would like to labour at home as long as possible with my family. Then I know we are going to have to transfer to hospital sometime, I hope this is not too difficult. I hope the hospital staff are warm and welcoming and understanding of my wishes. I still want my family around me if they choose. I want to be left to labour on my own for a while until I get to the stage of needing support. Then I wish for my support people or midwives to use natural unobtrusive pain relief methods. I don't wish to have any medications or any interventions at all. I would like to relax in the bath or shower. When the birth comes, I would like minimal people present, I would like a quiet dulled room, I don't want to be told when to push unless I need help. I would like support to try to prevent a tear. I would like my husband to have a chance to assist if he wishes or I would like to be involved myself if I feel up to it at the time. When the baby is born I want it placed straight onto my body, I do not want any examinations or treatments done for about an hour to allow quiet time for us to bond and feed. I would like to spend this time alone with my family. I want to deliver the placenta without any false hormones, and to delay cutting the cord until it has stopped pulsating. I would like my children to be allowed to be present whenever they wish.

  • How do I feel about all the preparation that is necessary for this birth?

Sometimes I find it all a bit tiring and wish things were simpler for me. But I also enjoy gaining so much knowledge, and I feel more confident because I know how things work this time. I hope that all my planning and research can help someone else to have a peaceful natural birth someday. Somedays I get worried that I am not going to know everything or get all of my 'issues' sorted out in time for the birth and things will go wrong again. But I also understand that this is just a fear to and I can find a way to deal in time like all the others. I hope I can learn to relax and let go better before the birth.