It's All About the Learning
I don't mean to wallow in regret or revel in self-flagellation over my stupidity, but if I WERE to have another child (Don't get any ideas, now. For the record, IF we have another child, and it is still a pretty big IF, it won't be until cadence is at LEAST 4 years old, which would put the timing at around September of 2008. And it probably won't be until she's at least 5, because Ted's brother is getting married October of 2008, and I'd rather not be full-term or nursing a newborn anywhere near that time.), IF we were to actually get pregnant on purpose, there are a few things I would do differently—during the pregnancy, birth and after the baby's born—than I did the first time around.
I don't think I'll be able to get through all the stuff in one blog post, so I'll make this an occasional series.
These lessons are what I, an individual, have learned. They are not the same lessons that someone else would have learned from their own experience of pregnancy, birth and parenting a newborn and toddler. That being said, for someone who has never been pregnant, or who is newly pregnant with absolutely no info about being pregnant or a parent, I think my lessons may be useful.
Let me say upfront that much of my perspective comes from an attachment/natural parenting mindframe. Not 100%, but probably a good 70.3%. It's what works for our family and for who we are and for who Cadence is. Everyone has to find what works for their families. I would hope that they would do so not just from what's convenient to the parents, but out of sincere concern for the children's physical, emotional, mental and spiritual well-being.
Also, I am not a medical or health professional of any kind. Every woman's body is different, every baby and toddler is different, and it is our wonderful, mysterious and oftentimes mindboggling job to learn about our own bodies and to learn about our own children—their bodies, their personalities, their quirks and charms.
Ok, now that the legal disclaimers are over, here goes.
Lesson # 1—Learning About Stuff Ahead of Time Is Probably a Good Idea
So you get pregnant, you wait 9 months, give or take a few weeks, and then you go to the hospital and have a baby, right? I mean, they've got drugs so it won't hurt, and the doctors and nurses will know what to do. So what's the big deal? Well, that's one way to do it, I suppose. However, since we're going based on the lessons I have learned, that's NOT what I would recommend for myself (or anyone else, for that matter).
I don't think you need to read EVERY SINGLE book on pregnancy or birth or parenting a child from newborn to 6 years old. If you did, you'd need a lot longer than 9 months to do it. Let's face facts. We've been going through a bit of a baby boom lately, and the pregnancy/birth/baby industry is a HUGE economic force to be reckoned with. It only takes one trip to the Babies 'R' Us to know what I'm talking about. If you browse the parenting section of your local megabookstore, you will find at least 2-4 ceiling-to-floor bookcases full of books. Inquiring newly pregnant or sleepdeprived new parental minds want to know, and there are a large gaggle of self-purported experts who will tell you everything and anything about pregnancy, birth, infant care, sleep training, breastfeeding, discipline, potty training/learning, education, etc.
Yes, a LOT of these books are just rubbish. Even some really popular books are not helpful. I don't want to name any names, but a certain line of books considered essential reading for expecting and new parents may not actually inform you accurately on *ahem* what to really expect. Unless you are a hypochondriatic apocalyptic megapessimistic masochist. Then you might like those books.
Instead of stocking up on random books from the Borders or your local library, I recommend talking to women who are currently pregnant or have recently given birth and asking them about their experiences and if they have any books that they recommend. Whether you are excitedly looking forward to your drug-free, intervention-free empowered homebirth of your dreams, or you're scared to death of this whole pregnancy and birth thing and are totally clinging to every word that falls out of your OB's mouth, it's probably a good idea to talk to women on both ends of the spectrum and those in the middle.
If you want to go the natural, drug-free route, more power to ya. That's the route I wanted too, and I eneded up w/ a C-section* without even a chance at experiencing labor. Some women need an epidural to relax and let labor progress so that they don't have to get a C-section. So regardless, you want to be prepared so that you and your partner can make the choices that are right for you. It's kinda hard to do that if haven't done the research BEFORE labor starts. I know some women who blog right until they give birth, but others might not have access to a computer or google at that point.
*Granted, if I had done things differently (like pick a doctor whose response to my birthplan wasn't to laugh in my face), things might have been different. When you're at the mercy of doctors and your insurance company, though, your choices can be limited. Which is why it's good to get this info and research done so you know what kind of birth you want WELL before your insurance company locks you in to a doctor/midwife(many insurance plans will not let you switch medical groups after you begin your 3rd trimester).
Maybe you are 10000% sure that you want an epidural or medicated birth. If so, just make sure that you still do your research so that you are aware of the impact an epidural can have on labor and on breastfeeding after the birth. Not all medicated births are created equal. Being knowledgeable about interventions can greatly enhance the quality of labor, birth and postpartum experience. For example, babies born to mothers who were administered narcotics may be extremely sleepy and not want to nurse as much at first. A lot of new moms are not aware of this, and so they just think the baby won't latch on and they give up on breastfeeding entirely. As long as you know how to rouse a sleepy newborn to keep nursing, there is no reason that getting an epidural has to result in breastfeeding not working out. Also, it turned out I wasn't able to get an epidural for my C-section because my spine was too tight, so you may want to check into that too.
Anyhoo, I'm going off on a tangent here. To summarize, it is my firm belief that it is a woman's choice to give birth naturally or with the aid of a painkiller. However, what I have learned from my experience is that unless you educate yourself on what your choices are, you may miss out on the kind of birth that you want because you didn't have enough information to make informed choices.
I am going to wrap up Lesson #1 with a few suggestions to help you Learn About Stuff Ahead of Time.
1) Take a childbirth class. Not just a one day seminar offered by your hospital. Many insurance plans will cover the expense of a more extensive childbirth class. There are many to choose from. And just because you plan on a medicated birth, don't shy away from the natural childbirth class. Most childbirth classes go over both unmedicated AND medicated births as well as C-sections so that you will be prepared regardless. We took a Bradley method class with Juli Billings-Walter, which met for 3 hours once a week for 9 weeks. It was intense, but it was well worth it. Not only did it prepare me to make informed choices when my pregnancy turned a little risky, it also provided me invaluable information on things such as breastfeeding, babywearing, and learning to respond to my baby's cues. Much of the way we parent now stems from the things we learned in that class. It's also a great way to meet other parents who will be having babies around the same time as you. Juli has about a 75% success rate for her students who want to deliver naturally. Obviously, I was part of the 25% failure rate, but let's not dwell on that...
BirthLink has a lot of info on birthing classes and other resources.
Also, Alejandra Valera wrote an excellent article about Childbirth Classes in her Car Seat column on Gapers Block a few years ago soon after the birth of her son. It gives a summary of some of the options available in the Chicago area. Note that some of the info is date-specific to the year 2004.
2) Check out some websites. There are plenty of places to get information, like babycenter.com, etc., but I would also encourage you to check out lesser-known sites like mothering.com, kellymom.com, askdrsears.com, and drgreene.com. Even if you want to be as mainstream as possible and not waver from the middle of the pack, it never hurts to get other perspectives. You may even find that these other 'alternative' birthing/parenting ideas resonate with who you really are and what you want from your birth and parenting experience than some of the more 'mainstream' ideas. Don't knock it 'til you've at least googled it, that's what I say.
3) Read some books. Browse or read thoroughly as you see fit. Many of these books are available at your local library (many large libraries even let you search their catalog online, so you don't even have to leave your chair to locate some of these books). Most megabookstores also carry them, and you can grab your drink of choice, find a nice comfy armchair, and browse away before actually purchasing the ones that jive with you.
The Thinking Woman's Guide To a Better Birth by Henci Goer—Somewhat intimidating with its small font and whatnot, but is very thorough about medical interventions. Biased towards natural, unmedicated births, but still provides a lot of valuable information that you'll probably never hear from your doctor.
The Pregnancy Book, The Birth Book, The Baby Book from the Sears Library. No, not as in the department store. William and Martha Sears are a husband and wife pediatrician/RN team who've parented 8 kids over a number of years. Some of their kids are also pediatricians and contribute to some of their books. Their website askdrsears.com is also very informative. They have a whole library of parenting books. I haven't read them all, and I hear some are better than others, but I trust them in general. They're also pretty accessible to more mainstream parents.
Father's First Steps—25 Things Every New Dad Should Know by Robert Sears and James Sears. Yup. Sons of the aforementioned Searses. I got this for my cousin so I had a chance to browse through it. I think it's important for dads or birth partners to learn as much as they can prior to the birth so that they can feel a part of the whole experience and so that they'll know how best to help mom and baby after the birth.
Pregnancy, Childbirth and the Newborn: The Complete Guide by Penny Simkin, Janet Whalley and Ann Keppler. I haven't read this one myself, but I hear it's very, very good.
Birthing from Within by Pam England. Again, another book I haven't read, but my friend Ann highly recommends it, and based on what I've read about Pam England and the philosophy behind Birthing From Within, it sounds awesome. There are childbirth classes based on this book as well.
The Womanly Art of Breastfeeding by The La Leche League (We'll talk about LLL in a future post). This is handsdown the Breastfeeding Bible. Why read it BEFORE you have a baby? Believe it or not, breastfeeding is a skill that must be learned by both mother and baby, and when you're both exhausted after a long labor/birth, that's no time to be learning the basics. I'll be posting about breastfeeding in a separate post. Y'all know how I feel about that one.
There are so many other books, but I'll stop with those for now. If you have others that you think deserve mention, feel free to comment.