“There’s no medal for giving birth unmedicated, you know.”
If I had a dime for every time I got this response from well-meaning people when I shared that I wanted to have an intervention-free birth, well…I’d have at least, like, $1.10, but it’s still enough to be frustrating, annoying, and invalidating.
When I got pregnant with my first baby, I read and watched anything I could get my hands on in order to prepare for the birth. I have a very all-or-nothing personality, and I’ve wanted to be a mom for as long as I can remember, so I spent hundreds of hours scouring the internet and our local library in order to figure out all I could about birthing and parenting.
I decided that I wanted to have an unmedicated birth. While I know it’s not for everyone, it just seemed like the best decision for me. And even now, I have to stop myself from trying to justify my reasoning for this birth preference, but “It seems like the best decision for me” is reason enough. Always.
With my husband on board, I proudly took this birth preference to my provider. My “I would like to try to give birth unmedicated,” was met with a smirk and a “We’ll see.” While I could harp on myself and point to this as the red-flag moment that should’ve pushed me to change providers, the fact is that I didn’t. I stayed with her. Like so many expectant first-time moms, I was nervous about my baby’s health and so stressed thinking about my job, work coverage for my maternity leave, preparing our home for a new baby… the list is neverending. And, honestly, I’m a very assertive person, and I knew I had my husband in my corner. I never thought that I could be taken advantage of, nor did I believe any provider would make any decisions out of anything other than concern for me or my baby.
I had been telling my provider for a couple of weeks that I was fairly certain that my baby was upside down (breech), but after feeling my belly multiple times, my doctor dismissed my concerns. Still, I knew something was off. At my 35 week appointment, I started contracting, and I was still adamant that my baby was breech, so before putting me on a monitor for these contractions, my provider pulled in a bedside ultrasound machine in an effort to quell my fears. When the machine clearly confirmed my suspicions, I started to panic. Though this is not the norm everywhere in the world, most doctors in US hospitals will not deliver a breech baby vaginally, so I knew if I was in labor and the baby was breech, I’d certainly be heading for an operating table.
I will spare you the full story, partially because it’s long and partially because it’s very emotionally taxing for me to recount. What I will tell you is that I ended up delivering my baby that day, at 35 weeks and 3 days gestation, via c-section. The surgery went about as well as it could’ve gone. I became nauseated and vomited post-op, but I had no major complications. But the scar on my lower abdomen was not the only one the experience left behind. I did not get to see my baby right away. I did not get to hold my baby right away. I did not get to nurse my baby right away. Lying helpless on an operating table with my arms strapped down, my body still longed for her in a way that was so intense and so foreign to me up until that point. I know now that this is biology’s way of keeping babies safe, that the mother has this instinctual need to nourish and protect her baby from birth and the fact that I was not given the opportunity to do so with my first baby still brings me to tears nearly two years later.
We stayed in the hospital for 6 long days, which included a NICU stay for our baby. It was an experience that I would not wish on anyone. While there were some fantastic nurses there during our stay, the ones who were less-than-kind are the ones who stick in my mind. We had to fight tooth and nail for and were given so much grief about our requests that our baby not be bottle fed formula or given a pacifier. Despite their assurances that our baby’s NICU care could be done in our room, they ended up taking her because the nurse on duty at the time “didn’t feel like” going out to a patient’s room. My wishes and concerns were dismissed at every turn, during my pregnancy and our hospital stay.
I knew from the moment we left the hospital with my first baby that I’d be trying for an unmedicated VBAC (vaginal birth after cesarean) if we were lucky enough to get pregnant with a second child, and all I could do was hope and pray that it was a better experience than the first time around.
Now, I have to pause here to tell you that all of this is not to say that I am ungrateful that my first baby came into the world safely, after all was said and done. However, when people asked how I was and I lamented that the birth experience was not at all what I had hoped for, I was met with refrains of “All that matters is that she’s here and healthy.”
As if that’s all I could expect.
As if my emotional and physical wellbeing did not matter.
As if feeling properly cared for and listened to by my provider and hospital staff would just be way too much to ask.
And as I got to thinking about it over my first few months postpartum with my first daughter, I started to realize that “All you should care about is a safe, healthy baby” is perhaps the first time mothers are encouraged to put our baby’s needs before our own at any cost. While mothering does go hand-in-hand with sacrifice, it shouldn’t mean that the mother becomes a doormat who should have no hopes, dreams, or even preferences of her own.
We found out we were pregnant with our second baby just 9 months after our first was born, so they are 18 months (and a few days) apart. 12-18 months between pregnancies is the minimum amount of time between births that’s generally recommended for a VBAC, so I felt good about pursuing it.
By this time, we had moved back to my hometown, which is about four hours away from where we had our first daughter. I was so excited to have a new doctor and, hopefully, an entirely different experience. I joined a VBAC support group online, and everyone there recommended having a doula. We cloth diaper and breastfeed, but a doula sounded a little too crunchy, even for me. However, the more I looked into it, the more I knew that having an experienced advocate this time around would be incredibly helpful and maybe even essential if I wanted this birth to go better than the first. (I’ll add here that my birth doula was 100% essential. I don’t think I will ever want to give birth or go through pregnancy again without her. Honestly, I could dedicate an entire blog post to how wonderful she was and how amazing it is to have someone knowledgeable in your corner. If you’re in the Southwest Indiana region, check out Doula Group of Evansville).
The doctor I had originally decided to use for the birth of my second child was one I was familiar and comfortable with as I’d been in her care as a young adult before moving away. I was excited to see her and share with her my hopes for a VBAC and thought she’d be supportive. While she was not downright against my having a VBAC, she told me I should “mentally prepare for another c-section” which just didn’t sit right with me. After getting a list of recommended doctors from my doula, I decided on a female physician about an hour away who’s had three of her own VBAC births.
I felt so proud of the decisions I’d made and the birth team I’d decided on, and I was eager to share about my plans when people asked. So when I was met with almost nothing but negativity from so many people, I was truly shocked.
“Oh, that’s way too hard. I tried to go without the epidural and couldn’t do it.”
“I gave birth in 1988 before they were offering epidurals at my hospital. It was *awful*. I don’t know why anyone would want to put themselves through that.”
“Isn’t a vaginal birth after a c-section really dangerous? I just wouldn’t want to risk my baby’s life like that.” (By the way, the stats are in favor of VBAC over repeat c-section, as far as safety goes. You can read more about that from the American College of Obstetricians and Gynecologists here.)
“Seems kind of silly to drive an hour away to see a doctor when you live right down the street from the OBs in town.”
“You’re paying *how much* for doula? Won’t [your husband] just help you?”
And, of course: “There’s no medal for giving birth unmedicated, you know.”
Looking back, I’m not sure why, but I was honestly astounded by the things people said to me about my own birth plan and preferences. There are so many misguided assumptions about birth in general, and especially about VBACS, so all of this shouldn’t have surprised me. For real though, how hard is it to just be like, “You sound really excited about this. Good for you! I hope all goes well!”?
I expressed my annoyance about all of this with my doula, and she gave me some of the best advice: “Choose who you let into your bubble.” She advised me to listen to the people who were supportive and not to let other people project their own fears and past experiences onto me. I tried as best as I could to follow this advice, but it wasn’t easy because it seems that the farther along you are in a pregnancy, the more people have to say about it.
Even as my husband and I were on the way to the hospital for the birth of my second baby, I received a text that read, “Remember: there’s no medal for giving birth unmedicated.” I wanted to be annoyed, but really, all I could do was laugh. I’m sitting in the passenger seat of my van on top of a towel to catch all the amniotic fluid coming out of me and *that* is what you want to say to me? Okay.
When my doula arrived at the hospital she asked how I was, and in between contractions I told her about the text I received while we were driving. She said something along the lines of, “Well, there certainly can be a medal.” We continued to talk and make jokes throughout my labor which was wonderful for a lot of reasons. One being that it took my mind off of the intensity of the contractions, and another that it helped me stay relaxed enough to do the darn thing. Throughout labor, she and my husband supported me both mentally and physically, always ready with a hip compression, joke, or a sniff of peppermint oil to stave off labor-induced nausea.
My second baby was born, via unmedicated VBAC, within just a few hours of me being admitted to the hospital, and it was one of the most euphoric experiences of my entire life. I felt powerful. I felt strong. I felt unstoppable. And I could not have done it without the support system and birth team that we built. It was an entirely different experience from my first birth, all the way from the prenatal care to postpartum recovery.
The first weeks of my second daughter’s life were definitely a bit hectic. We had an 18 month old adjusting to life with a new sibling, and transitioning from one to two kids was an adjustment for me and my husband too. However, I am so grateful that my postpartum time was not made any more difficult by my having to recover from surgery. (Kudos to you repeat c-section mamas because that has to be difficult!)
A few weeks after the birth, my doula and I had a postpartum check-in. She brought lunch and some useful gifts– including a burp cloth that I still use almost daily. We talked about postpartum life, breastfeeding, how my oldest was adjusting, and sometimes veered into completely unrelated topics, like Lizzo’s song “Coconut Oil” and some shows she recommended. Before she left, she pulled out a little box and handed it to me. I opened it to find a medal hanging from a red, white, and blue ribbon emblazoned with “WINNER”– the kind of thing you might buy at a supermarket for a peewee soccer league. Laughter overtook me, mostly because I was surprised she even remembered that comment, and tears soon after. It was just a funny gesture, but it meant so much to me because it validated my choices and my accomplishments, and every birthing person deserves that kind of support because no matter what path you decide to take, all of it– the birthing, the feeding, the mothering– is hard.
Bottom line is: whether a person wants to give birth via repeat cesarean or try for a VBAC, whether she decides to go with or without an epidural, whether she wants to give birth in her home or in the hospital, she deserves unfailing support, and she sure as hell doesn’t need any flack or negativity about the way she’s chosen to bring her baby into the world.
So for all the mamas who’ve been made to feel guilty or ashamed of the way they brought their tiny humans earth side, you did a damn good job, and I’m proud of you and all the hard work you did on your baby’s birthday and every day since. Here’s your medal; it belongs to you too.