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Last night, Chris and I went for a tour of the maternity ward at the hospital we’ve chosen. Chris hates hospitals and started complaining as soon as we walked in. This was turn-off number one for me.
After making our way through the maze of buildings (bad news: we parked on completely the opposite side of the hospital grounds from where the tour starts; good news: we parked right where they recommend labouring women park), we settled into comfortable lobby chairs to wait on everyone else to show up. Score one for the hospital! Within five minutes, one bed-ridden woman and one baby, both hooked up to IVs, were wheeled by us at a casual pace; turn-off number two. We were joined by four other pregnant women (my due date in the middle of us all) and our friendly little tour guide, a nurse named Cheryl who had been working there for 19 years.
We started in Labour & Delivery. And yes, somewhere down the hallway, a woman was moaning in her labour, which seemed to make the tour guide far more uncomfortable than me (honestly, as pregnant women, only one of which was expecting something other than her first child, do we need to be shielded from the sounds? it’s an experience we are going to go through); she kept saying, “Usually it is very quiet in here, since 85% of delivering women end up choosing an epidural and make very little noise.” Turn-off number three — I expect a labour & delivery ward to be an active, lively, noisy place; after all, this is where babies are being brought into the world.
We head into a labour room on the opposite side of the ward from where the one woman is labouring; all of us fit into it easily. Score two for the hospital. There’s no window in the room and as soon as we walk in and close the door, I’m suddenly aware of how many machines and monitors there are; something like six different cables poke through the wall behind the bed. Chris is so tense beside me that when I glance over at him to try and share an empathic look, his knuckles are white from being clenched so tightly. Turn-off number four.
Cheryl explains how when we come in, we’re immediately hooked up to a monitor. She points out how most women end up being hooked up to the IV as well (100% of women who get an epidural are, and then there are others who are hooked up for reasons like exhaustion). I have a deep and abiding hatred of needles. Turn-off number five. She talks about how after delivery, they like to place the baby skin-to-skin with the mother for “bonding time”. Score three for the hospital on skin-to-skin; turn-off number six is that she puts “bonding time” in air quotes and there’s no mention of breastfeeding.
Following skin-to-skin, the nurses will take the baby to a little side table to clean its eyes and inject some vitamin K. Then, Cheryl says, if baby hasn’t been fed yet, they will encourage the mother to feed. She says nothing about breastfeeding vs formula, only that the hospital provides formula if needed. The hospital does not, however, provide any diapers. What the fuck? Turn-off number seven.
At this point I desperately want to leave. I’m literally at the point of antsiness where I know this is not where I want to be and if I do not leave I may donkeypunch someone, but at the same time I’m aware of the fact that if I do end up coming here for one reason or another, we really ought to know where we’re going. Plus, I gave the homebirth class all the time it needed, and I should do the same for this hospital tour — I want both sides of the picture.
Only one labour room has a jacuzzi tub, and the hospital does not allow water births. Turn-off number eight. Cheryl shows us to the other jacuzzi tub that is not in a labour room, which is at least nice to have there as an option. I ask about the monitors we’re hooked up to and whether they can be removed so we can walk around; she says that in a normal labour, that’s not a problem after the first half hour or so although monitoring will continue on a regular basis. She seems happy to explain how walking around is a great way to make labour progress. Score four for the hospital.
After the tour of this area, we head up to the post-partum / maternity ward. It’s silent up here, which is more than a little disconcerting. However, the hospital has a “rooming in” policy, which means that the baby stays in the same room as the mother after being born, and the mother is responsible for all of the baby’s care. I like this. Score five for the hospital. The hallways here are bright and uncluttered, the walls painted in soothing pastel hues with little pony-shaped, pink and blue plaques marching across them listing the babies born in the ward. My kid would have her name on the wall here? Score five for the hospital. The plaques are $100 apiece and you don’t get one to take home with you. Turn-off number nine. If you want a telephone in your room, it’s a $20 hook-up fee; television is the same. The use of cell phones is not permitted in the maternity ward. Turn-off number ten.
Visitor hours are only 2pm-8pm; fathers cannot stay overnight even if the mother is the only person in a two-bed semi-private room, and it costs $25-125 to upgrade to a private room. Turn-off number eleven. I cannot fucking fathom the thought that, if I have to stay in the hospital for an extended period (vaginal deliveries stay 24-48 hours generally), my husband cannot stay with me and his baby; I have to be alone in a strange place, having just given birth, unless I want to pay extra, even if there’s an empty bed in the same room with me. As it turns out, this is the thing that pisses Chris off the most.
I honestly feel like a big oversight of the pregnancy care I’ve received so far is its failure to acknowledge and include the father as an important part of the process. It’s like he helps make the baby and then he doesn’t matter again. His health coverage can’t cover ultrasounds; his presence at the baby’s side isn’t considered pivotal. I don’t need Chris just for making babies; I need him around to make me feel whole. I couldn’t do this without him. He has been so supportive and so involved that everytime someone slights the role of father I want to scream from the rooftops that this would be miserable without him. Am I too dependent on him? I don’t know. I just know that I feel stronger and more capable when he’s around, that he is full of pride and love for his girls, and I couldn’t find better support than he provides.
I ask how often labours are induced; the answer is approximately 27% of the time. If the mother is 1 week overdue, labour is automatically induced. Turn-off number twelve. Admittedly I hope Maia’s not late, mostly because the longer I have to wait the crazier I’ll go, but I am anticipating it nonetheless. I do not I want my labour artificially rushed to try and get her out on someone else’s schedule when she’s perfectly healthy and safe just chillin in my womb.
Then I ask the question that apparently is more unexpected than I expected it to be: I ask what the benefits of a hospital birth over a homebirth are. Now, I admit, my midwives have the edge here, as both are something they deal with on a regular basis whereas someone who works in a hospital clearly only deals with hospital births. Cheryl makes it clear that she respects midwives and understands that homebirth can be safe, but points out the extra emergency precautions of a hospital birth. Honestly, I wanted more. I wanted her to give me facts and numbers, not a vague statement about emergencies, but I guess this probably came out of nowhere for her and it’s not something she really thinks about. So I greatly appreciate that she acknowledged the training and qualifications of midwives, but since I came into this tour with the expectation that I’d have an ardent spokesperson for hospital birth just as I’d had for homebirth, I was a little disappointed.
When the tour ends shortly thereafter, Chris and I walk in silence, hand-in-hand, down the hallway. Finally he asks, “So, we’re doing a homebirth then?”
Yep.
I was so happy to walk out of that hospital. We will still go to the maternity registration clinic on Wednesday afternoon, so if I do change my mind or end up there, they have all of my information and preferences written down. But it is certainly not our plan.
Last night, after quickly eating a slice of cake apiece, we headed out to the midwives office to learn more about home birth. Now, I’ve been dreading this. Seriously. I couldn’t think of many more unpleasant, non-life-threatening ways to spend the evening of my birthday than going to this.
We were the first couple to show up, which is surprising in and of itself since Chris is one of those people who is eternally “fashionably” late. My secondary midwife, Sarah the English chick, was one of the teachers tonight, so I was really happy to see a familiar face. We settled down next to the water cooler, since I’m thirsty like all the time these days, and waited on everyone else.
The next three women to enter the room were all wearing purple shirts — SO WAS I! Seriously, did someone send out a memo to all the pregnant chicks to show up in that colour? It made me laugh, and then I had to explain to Chris why I was laughing, and then I felt like a total moron. But I mean really, that’s pretty funny, that we all show up in purple shirts.
When everyone (four couples, two midwives, a student midwife, and a guest speaker with her four week old) arrived, we all introduced ourselves — giving our names, due dates, and reasons for being here tonight — standard stuff. Then the meeting took off.
I was surprised — and happy — at how laid-back everything was. The midwives really engaged all of the couples in the very open-ended discussion, letting us lead with our questions and filling in any awkward silences with anecdotes about home births they had attended. They quoted studies done within the last two years in Ontario that determined that for a mother, a homebirth runs less risk of infection and intervention, as well as a faster recovery rate than a hospital birth, although for a baby there is no difference whatsoever between the two. They showed us the equipment that we will be provided upon saying we want a homebirth, and also the equipment that they will bring to our household — this really amazed me. Mini oxygen machines, materials for suturing and IV, a package of sterilized clamps and scissors for handling the umbilical cord, injections of Vitamin K, eyedrops, etc, everything that you would expect to find in a normal, low-risk hospital birthing room, the midwives bring along in a portable format. And they offer options for pain relief, like sterile water injections, that a hospital might just forego in favour of an epidural.
We discussed everything: the “mess” of giving birth and how to handle the placenta (they suggested freezing it and then planting it in your backyard in the spring, wtf?); the size of a 10cm dilated cervix (and let me point out that 10cm diameter is frighteningly huge); how your pets may react to you giving birth at home (curious and very aware, inordinately interested in the fluids etc, often agressive towards the midwife); giving birth in an apartment building (you may want to tell your neighbours, but really, you’re probably not going to make so much noise that they’ll be banging on the door or calling the police); what qualifies you for a homebirth (good health, normal pregnancy, single head-down baby); when a midwife will transfer your primary care to a hospital (any emergency situation, which they can normally tell is coming by the monitoring they do); the length of active labour and how your midwife determines that you’ve entered that stage (generally 6-12 hours, and when your contractions are 4 minutes apart from the beginning of one to the beginning of the next, at least 1 minute long, for at least 1 hour — “the 411″ as one of them called it); and so, so much more. By the end of it, I didn’t have a single question left.
But I had made a decision. And so had Chris.
We are absolutely fine with a homebirth. In fact, we’d prefer it at this point. The way I envision my labour and delivery going, I can’t imagine that the confines and controlling atmosphere of a hospital will be any good for me. I would rather be at home, in my environment, with my support team around me. I don’t want to pick and choose who gets to come into the delivery room with me at the hospital; I want my husband, my mother, and my mother-in-law all to be able to be with me, not to have to relegate one of them to another room. I don’t feel like a hospital offers any significant advantage to me at this point, and when I enter the active stage of labour, it seems to me that having my midwife come to my home rather than having to leave here and meet up with her at the hospital will be much more convenient. I’m really happy that we went to the homebirth night.
So, barring the unforseen, Maia will be born here…. probably in this very room. I can’t wait!
I’m reading this really excellent little paperback called “Easy Labor: Every Woman’s Guide to Choosing Less Pain and More Joy During Childbirth“. It’s not so much about how to avoid pain during labour as it is about the available ways to cope with that pain, and it includes sections where various women (including ob-gyns, midwives, doulas, and anesthesiologists) relate their own childbirth stories that I’m really enjoying.
And moreso, I’m grateful to be reading it because it’s making me think. My stance right now is that I’d like as natural of a childbirth as possible, attempting to avoid medication — but now I want to understand why I feel that way. I’ve always been kind of a pansy when it comes to handling pain, so why do I feel like I need to experience labour pain? I’m the type of chick who, on her period, pops a Motrin with her breakfast, inhales peppermint tea all day, has a heating pad ready to go at the least sign of cramping, and still bemoans this unpleasant state of being while thinking it’s really not funny that only women have to suffer this way.
Maybe I’m just incredibly stubborn and feel like I need to prove something — like I’m a tougher woman if I suffer labor pains (my mom tells me that I always take the hard way through life, which is so true it’s scary). Maybe it’s because I’m still not sure whether this will be a homebirth, and if it is, there’ll be no such thing as an epidural, so I might as well not get used to the idea. Maybe my deep-rooted hatred of needles paired with Chris’ aversion to the thought of one being inserted into my spine (he is seriously icked-out by that thought) can be blamed. Or maybe I’m just trying to fool myself into thinking that I will be a superhuman while in labour, as if I won’t take the very first opportunity I can to soothe my pain.
Anyhow, rethinking things, I just don’t know. As far as I understand from a friend who also used the same group of midwives as I am, the midwife will encourage me to undertake the majority of labour at home before heading to the hospital. Her husband works with mine and when I called one day to talk to Chris, this guy answered the phone instead and was like “You wouldn’t even believe it — there wasn’t any time for an epidural once we finally went to the hospital, the baby was literally RIGHT THERE waiting to come out and putting in the needle and waiting for the medicine would’ve taken longer than just delivering him.” It actually makes me kinda happy to think that might be the case for me, as well, if that’s the philosophy that this group follows. It’d make things vaguely easier. I just re-read their website and it says that the midwife will be in contact via phone for the first stage of labour, then will attend me once I reach active labour, which I guess is when I’d go to the hospital? Dunno. And the website also says that they can get me out of the hospital as soon as 3-4 hours after giving birth, pending no complications, which would be just phenomenal and make me very, very happy.
I think I’ve gotten a little off-track here. It’s too bad I can’t just take a few shots of vodka for “pain relief” and deliver that way, eh?
Started writing one out yesterday when I got home from my midwife appointment. If I’m in a hospital to give birth, here’s what it looks like so far (along with notes for myself in parentheses):
- do not want to be hooked up to an IV at any point; would like to be able to walk around
- having a birth ball and tub available for pain relief would be nice; do not intend to give birth in water
- fridge/freezer available for cold drinks (gatorade?) and popsicles if possible (heard something about frozen fruit pops being good?)
- do not want to be given pitocin nor experience artificial rupturing of membranes; would rather let labour proceed as it will, but will do my best to consider the suggestion of others who have more wisdom & experience than I do
- prefer no epidural, but am flexible on this
- non-supine position preferred for delivery
And then notes for a homebirth:
NO FLASHES ON CAMERAS
cover clocks
turn off the phone (but keep it near Chris in case Mommy calls)
get a padded toilet seat
One note that they both share:
WHAT I SAY IS LAW AND I SHOULD NOT HAVE TO REPEAT MYSELF!
God, I’m such a bitch.
“Most American women today have little confidence that they are able to bear labor pain. They worry that they will lose their composure, yell or scream, writhe, and lose their ability to think or express themselves clearly. They worry about embarassing themselves, scaring their loved ones, or being judged by the staff. The specter of losing control of their own behavior may be as much of an incentive for women to have an epidural as their fear of pain.”
- from “Easy Labor” by Camann & Alexander, pg. 47
This really resonated with me, because I think it’s probably the closest thing I’ve read to describing how I feel. I expect pain. I expect a lot of pain, more than I can probably conceptualize at this point in my life. I don’t think I’m afraid of the pain so much as I am afraid of losing control.
But, most of all, I think I am just a generally ‘uptight’ person in a lot of physical ways. I’m not touchy-feely, I don’t hug friends often, I’ve never found it easy to smile casually, and I don’t giggle when people fart or burp. Sure, I can open up verbally to someone without a problem, but when I hug them at the end of the conversation I’ll still feel awkward. I worry that I’m not as in touch with a more relaxed, accepting, and maybe even ‘primal’ side of myself as I need to be to really just stop caring during childbirth and let my body do what it needs to. I have a desire to read as many accounts and watch as many videos as I can that relate to labour and childbirth that contrasts sharply with a gut feeling to stay away from them and not base my expectations on other people’s experiences.
I will have to give up intellectual control of my body and let that crazy “instinct” thing take control. And this loss of control in general isn’t even temporary, this is a permanent thing; I don’t know what life is going to be like in two months, once she’s here. It’s going to be like having my heart living outside of my body. I’ve started referring to her as “baby” again rather than by name, and I don’t know why — I used to call her by name to make her feel more real, and now everything about her is so incredibly real that it consumes every minute of my days, so am I calling her “baby” to try and get distance from that?
I signed all of our Christmas cards this year as being from Chris, Tatiana, and Maia, but into each of them I tucked a wallet-sized photo of Chris & I taken in July, and it feels like a silly, hollow gesture to have just the two of us smiling at the recipients when really, there’s a third party who already determines the pattern of most of our days. Next year I’ll get to put a picture of all three of us, or maybe even just Maia, in our cards… and I can’t wait for it.
I’m not afraid of whether or not I’ll be a good mother. I will be. And if that doesn’t scare me… why does giving up my physical control during labour?
I am now, finally, a legal permanent resident in Canada.
Tomorrow we get me a social insurance number (like the US SSN) and an OHIP number (which will take 3 months to kick in).
Semi-related, I talked to Chris more about the homebirth thing and it turns out that he is very very much in favour of a hospital birth. This is funny, since I have started to lean away from the hospital. But his reasoning is pretty sound: he doesn’t want to look at our bathroom/bedroom/whateveroom I give birth in and be like “omg my suffering wife dripped birth juices all over the place in here and it was as gruesome” for the remainder of our stay here. My response was “First off, I totally agree, but on the other hand you’d be able to say ‘THE COOLEST THING IN MY ENTIRE LIFE took place in that room.”
Tomorrow I call the hospital to get an appointment for a ‘maternity registration clinic’ and a maternity ward tour. When we attend the tour, I’ll have an OHIP number and all the paperwork on hand, as well as a date for when my insurance will actually be active, and we’ll see if we can work anything out with them. From a lot of my reading, people who work in hospitals tend to be pretty anti-homebirth anyhow, so hopefully that’ll hold true.
But in the future, for another baby, I’m pretty positive that if I remain low-risk and if we have a house… I will do a homebirth. I really can’t see myself doing it in this apartment building if there is any other option (I don’t think there are any such thing as birth centres in Ontario since midwifery is legislated here and they have hospital privs).
Yesterday afternoon, I was sitting around utterly bored (aka “procrastinating cleaning”), and decided to do a little research into this whole “homebirth” thing. Maybe I’m so against doing it because I haven’t read enough about it, right? So, following a group of links from the wonderful A Mamma in the Making, I ended up on the MotheringDotCommunity forums where they have just a ton of topics about the homebirth experience. And I started to feel a little better about things in general, except for the fact that I’d be doing it in this particular apartment (we love this place so much that we call it “the apartment of rot” … yes, really…), until I decided “Alright, time to watch some videos.”
IF I HAD WATCHED VIDEOS OF GIVING BIRTH 31 WEEKS AGO, I WOULD NEVER HAVE GOTTEN PREGNANT. Holy moly. How scary is that shit? Of course, at the end of every video I start crying when the baby finally slips out and the mother looks so relieved and happy, because all my hormones were like awwwwwhh! I then did the most logical thing I could think of: I called Chris.
“Hi honey,” he said.
“Hi,” I answered, “I’m just calling to let you know we’re never having sex again.”