We All Need a Little Help
I’ve been watching Call the Midwife, a British series about a group of young nurse/midwives in London’s East End in the 1950s, and I’m hooked. I tell my husband (who leaves the room when it’s on) that it’s not like those silly childbirth “stories” I used to watch on TLC when I was pregnant. What hooks me about this show (beyond it’s being wonderfully written, acted, and produced) is that shows women being supportive of other women going through labor and birth.
You’re asking now, I know it, “why is she talking about childbirth right now?” Because this whole notion of needing help — and not always clinical help — is crucial to all of us as parents. We forget it, we forget that we need each other, even if we disagree with each other, and we should lean on each other instead of relying on experts and otherwise flying solo.
I’m just going to come out and say this: I’m still unhappy and conflicted about my two birth experiences, which were one long, long slow labor that ended in surgery, and one shockingly short labor that also ended in surgery. As I wrote in an essay for Babble.com, “I know women who’ve given birth surgically whose feelings fall somewhere on the spectrum between neutral and ecstatic. I am not one of those women. I am angry.”
I wrote that piece probably in 2009 or so, though it wasn’t published until 2010. And yet it was not until last year that I realized I was feeling something other than anger. I realized that there was, or is, one major reason my anger lingers, one major reason I can’t “just” move on (as so many wish I would, both well-meaning people who love me, and commenters on that piece who think I’m selfish or silly or whatever), one major reason I experience, on the occasion of my older son’s birthday every year, a gloom that I can only liken to a kind of post-traumatic stress.
It’s because no one was there for me.
Now, let me be clear: My husband was there the whole time. So were my parents, who drove into New York City (an hour-plus trip) in the middle of the night. But what could they do, really? None of them, even the woman who had given birth three times, could really advocate for me. We were, all four of us, alone and terrified and bouncing haplessly around in a system that’s not designed to stop and really care for specific people, that is, laboring women.
I remember one weird moment in the long, dark night I spent in the “birthing” room, while the monitor strapped to my belly spit out a tree’s worth of data, looking across the dim room at my husband, mother and father and thinking we were all abandoned. I remember thinking I wanted to make them feel better for not being able to make me feel better.
And now for the true reason I bring this up now: Last year, my friend and fellow writer Jennifer Margulis got a deal to write what I think can and should be a very important book, called The Business of Baby. She asked — knowing my story, having read my Babble piece — if she could interview me for a chapter on C-sections. Jennifer’s book is about how the entire “baby” industry is not set up to be in the best interests of mothers, fathers and children (and is often the opposite), and knowing that, I quickly agreed to help her by telling my story, again.
In one small moment as we talked on the phone last year, Jennifer — a remarkable, smart, accomplished investigative journalist as well as the mother of four — slipped out of her role as dispassionate interviewer, took off her journalistic hat for a moment, and said, “Oh, honey. I wish I could have been there for you.”
And that is when I realized just how alone I had been. The first time, for sure, as I’ve described. But the second time, too, when my husband and I raced to the hospital like a pair of Keystone Kops. When after a very short time my (disinterested) doctor announced that my baby wouldn’t be born vaginally (despite full dilatation and an overwhelming urge to push) I had nothing left in me to disagree. It was not until much later, when I was going over and over the scene in my head, trying to rewrite the ending, that I thought of all the things I could have said or done to take control of the situation. Let’s try one more thing. Let me turn over. Get me a birthing ball. Maybe if I stood up and you and my husband helped me walk. How about…
And I was upset with myself for not advocating for myself in that manner.
But could I have? Better, should I have been expected to? Or would I have benefited from someone experienced, kind, clear-eyed and nurturing?
Can’t we all use that kind of support, at birth, yes, but also beyond?
I want to publicly thank Jennifer, here, for bravely writing her book and getting it out there, because even though she and I don’t see eye to eye on some things (such as routine vaccinations) she writes with compassion and truth, and she’s an advocate.
And we all can use a little (or a lot) of that kind of help, don’t you think?
Jeneen
April 22, 2013 @ 4:08 pm
I’m so sorry to hear about your experience. I know several people with experiences similar to yours.
I had my first 7 months ago and I was terrified of exactly what you described happening. I paid for a Douala, my husband was skeptical of why we needed to shell out the dough, but the day after our son was born he said that it was the best thing we did in preparing for the baby’s arrival.
I hope that by sharing your experience and helping others prevent the same thing, you find peace.
kristen
April 22, 2013 @ 7:36 pm
I’m sorry you had such a bad experience. When I was pregnant (11 years ago!) I chose a midwife practice for that very reason. I wanted someone on my side, and the midwives more than stepped into that role. The only reason I actually knew to seek out a midwife practice was because my mother had been a midwife in the early 70s and somehow I just couldn’t imagine it any other way. My son was born in a hospital, but he was delivered by a midwife.
By the way, I love that show too…it’s beautifully done.
Carmelite
April 22, 2013 @ 10:44 pm
I second the support for getting a doula. My doula recommended my wonderful obstetrician. The nurse who worked for my obstetrician was a former home-birth midwife. All three were at my bedside throughout my difficult labor, and, though my son’t heart rate was fluctuating frighteningly, their calm, compassionate, wisdom carried us through a natural vaginal birth, against the odds.
I’m so sorry that you didn’t get the treatment you deserved, Denise! I have heard that story from many, my own mother among them. Our medical system is broken in many respects, and certainly birth is one of the worst.
StephJ
April 23, 2013 @ 2:24 pm
I agree with the PPs who mentioned having a doula helped them. It’s also important to have the RIGHT doula. I had different ones with each of my three births, and there were vast differences. The first time, my doula could have done more to advocate for me. The second time, she was just OK. The LAST birth, however, I really hit the jackpot and had both an amazing doula and a fantastic doctor and finally had the birth experience I had wanted. The key, I think, is having someone there who knows what to do at various stages of labour, and knows how to support you and your DH at those times, but not just for a “normal” labour, since I never had one of those until the last time, and went into that time with a lot of fear based on the past traumatic experience from #1.
(HUGS) to you Denise, I feel your pain, and it resurfaces whenever I think of having another baby, or see a woman pregnant for the first time, in all her innocence and joy, and I want to warn her, not to scare her, but to prepare her that sometimes things happen outside of your control. I really think it’s a kind of PTSD when you go through a difficult labour like that, and it’s a hard thing to get over. Like you, I have a hard time even thinking about my first birth. In fact, we have a video of the “blessed event” that I have, to this day, almost 8 years later, never watched. I hope that you can find healing.
Briana
April 23, 2013 @ 3:32 pm
Unlike parenting (where I’ve read far too many books, browsed too many forums), I feel good and justified that I over-researched pregnancy and labor. I ended up choosing a midwife hospital practice, a doula, and natural birthing classes. In the end I got the benefit of knowing techniques for a successful natural birth, the support of doing so, and a hospital setting with the best NICU in the state should we have needed it.
Birth is hard, I don’t have to tell anyone here that. It’s not possible for a woman in labor to think critically about what to do or to advocate for herself. Labor itself took all of my mental and emotional capacity, all of it. Every turn of event during my labor had someone else making the decision what to do next. It turned out good and it’s partly because I prepared by making sure that everyone in the room–my husband, the doula, the midwife, my mom–all had the same philosophy as I did.
I wish that more hospitals in the US were open to midwives, natural birth, and doulas. Margulis is right, the system here is not set up to help us. There’s a reason why the US has high birth mortality rates among developed countries. I feel fortunate to live in part of the country where midwives are very common, but I have relatives in other parts who thought I was plain crazy to have one. I hope that’s changing.
Bee
April 23, 2013 @ 3:45 pm
I’m so sorry to hear about your experience, Denise!
Interestingly, when I think of the birth of my first son, I have similar feelings – even though they go into the opposite direction: I was determined to have a vaginal birth, was well prepared, had a very supportive and competent doctor – and it worked.
BUT: After many hours of painful labour my son’s heart beat was awfully bad, his birth was a vacuum extraction that injured him and me considerably, and he had a massive shock, didn’t breathe and spent a day in the ICU. Hmmm.
So I got what I wanted, and yes he was and is ok, but now, after some years and with the knowledge I now have (of childbirth and motherhood) I keep wondering whether it wouldn’t have been a more responsible, caring and simply a better thing to have a C Section.
It’s certainly not enjoyable to have a C Section, no doubt about that, but spending hours after your baby’s birth wondering, hoping, praying that he will survive is an utterly devastating experience – one which, together with our injuries and traumata, could have been prevented…
Bee
Jmch
April 27, 2013 @ 10:15 pm
I spent three days in the hospital being induced and having an extremely long labor and trying to have my son naturally. Finally he was born by an emergency c section and I had a general anesthetic because my epidural was not working for me any longer. The thing that drives me crazy and i cant get over is when people say things (incl drs when I had my next baby) – oh what a horror story, what a terrible time you had. I had my beautiful baby that was wanted more than anything and he was born healthy and I would never consider one minute I spent trying to have him as a nightmare or awful. I just smile and say – oh it wasn’t that bad but I just wish people would be more thoughtful. Btw, I had that baby in England and my second here in the US so two v different experiences.
edj
April 29, 2013 @ 11:06 pm
a. love love love “Call the Midwife.” Have you read the books the show is based on?
b. I agree heartily with your point! We do need more support for mothers and children, esp during labour and delivery! I was fortunate enough to have friends just a bit older than I am, who’d had home births and midwives, who really taught me what to expect and what I could do, and gave me confidence. They really changed my birth experience, even though neither of them was there at the actual time.
c. I wish yours could have been better. Sorry