No Thanks Dr Lisa- I Like Old Fashioned Vaginal Birth
It was brought to my attention that there was spot on the show "The Doctors" recently concerning the two modes of delivery. It was hosted by Jillian Michael's and "Dr" Lisa Masterson.
The segment is actually titled "Which is worse, C-section or Vaginal birth?" And you can watch it by clicking here.
First- I will ignore the fact that the segment is a discussion between Jillian (yes I wish I had her body) and an OB who publicly has mocked women who birth naturally.
Then, let's ignore the fact that the segment is titled "which is worse" as though childbirth must either be horrid or...well, horrid. Either way you will have lots of chopping on your abdomen or lots of tearing in your nether regions. And as Lisa points out, you have to "poop" down there. (Poop, yuck! Bodily functions are so disgusting!)
Also, we should ignore the cringing women in the audience as Lisa rips a foot long piece of fabric to demonstrate what happens when that baby who "has to come out someway" claws its way out of your vagina. The description of a full fourth degree tear, from the vagina all the way through the rectum is enough to convince Jillian that her decision to never bear children was a wise one indeed. Sheesh, I already have children and it scared me.
We might as well also ignore the fact that a fourth degree tear (from vagina through the rectum) is pretty rare. And lets not talk about the fact that frequent obstetric practices like supine delivery, forceps and vacuum extraction, purple pushing, episiotomy and a numb mother most likely contribute to the likelihood of such a terrible tear. Actually, I have talked to home birth midwives who have caught a thousand babies or more and have NEVER seen a fourth degree tear. Makes you wonder why they happen so much in hospitals, doesn't it? But even there, the chance of a third or fourth degree tear is very low, probably about 4%.
While we are at it we might as well ignore the props given to the epidural, which as Lisa points out, even if you manage to get through labor without, you will sure wish you had it for when they stitch up the gigantic anal fissure. She shows a nice syringe full of Lidocane, but points out how horrifying it would be to have that needle injected into your bum. Of course a much larger needle pumping medication into your dura would be FAR more pleasant.
Yes, I could talk about all those things, but what I really want to focus on is how Dr Lisa refers to vaginal birth through the entire segment as the "old fashioned way." I got the distinct impression that Lisa was saying "old fashioned" but what she meant was backwards, stupid, silly, and how animals do it. Surely "modern" women and modern technology have found a better way than the old fashioned vaginal birth. TV is better than radio, cars are better than bikes, antibiotics are better than death and the c-section is better than vaginal birth!
She is right about one thing- vaginal birth is old fashioned. It is how women have birthed babies for centuries. It is how I birthed my babies and if nature, natural selection, or God are any indication, it is how women SHOULD birth their babies.
I am not trying to be offensive. Are c-sections sometimes necessary? Of course they are. And when necessary they are miracle of modern medicine for the mother and baby that needed them. Have they improved in safety and comfort in the last twenty years? For sure, and thank goodness. Can you have a positive c-section with a quick recovery? Most definitely.
But the fact that something "new" exists does not mean it is better than the old fashioned way of doing things. Yes, vaginal birth must sometimes need be replaced with the c-section, but only when there is a NEED.
Is there recovery involved in a vaginal birth? Well, of course there is. I have had four children. Does it slow me down for a few weeks? It does, and I believe that is for a reason. The newborn baby needs constant care, love, attention, and food. I could numb myself with medication post partum or get up and start back to normal life to prove something to the world, but nature seems to be sending a strong message to new mothers. That message is this:
"Take some time to take care of yourself and your very dependent child. Rest. Eat. Relax."When we talk about birth we are not talking about an infection in your leg. A few hundred years ago a bad infection in an extremity would have to be amputated to prevent death. (The old fashioned way: some whisky and a rusty saw.) Now medications and sanitation can often ensure the healing of that infection. (The newfangled technology/science way.) This same logic does not apply to birth. C-section (newer) does not automatically trump vagina (old fashioned) just because it is new.
The cesarean is a wonderful invention with a lifesaving purpose. It is not however an improvement on the female body. It is not better than the vagina. It is correlated with more maternal deaths. It is correlated with more infant deaths. It requires a very invasive procedure. It often requires longer recovery and sometimes resultant complications. (Just an aside- if your doctor has so much distaste for the female body that s/he jokes about surgery being better, you may want to run like hell. Same goes for a doctor who has only seen incredibly traumatic vaginal birth- he might have something to do with his track record.)
Women of the world- you have more than two choices when it comes to childbirth. Dr Lisa would have you believe that your options are these:
1) The modern and relatively safe cesarean section.
or
2) The old fashioned, private ripping, vaginal birth.
But there is another way.
3) Really old fashioned, drug free, triumphant, natural birth. Pushing when you feel your bodies need to push. Positioning yourself and your baby as your body moves you. Feeling that ring of fire so that you back off at the end. Receiving that cocktail of amazing birthing hormones at the birth of your baby. Joy at the work you have done when it is over.
Add in the modern advances that are awesome: sanitation, anti hemorrhage drugs, and skilled help when you need it and you have got a winning combination.
Ladies- I know what I would choose, your choice is up to you. I also choose a long time ago that for public safety and my own heart I would no longer watch episodes of "The Doctors." This started when I saw their horrid presentation on vaccines, but I digress.
I am not ashamed to admit that I like my old fashioned vaginal births very much. Thanks anyway.
(Yes I realize that there is a fourth option, the joyous epidural. Please don't send me hate mail. I am into natural birth.)
Comments
I think the one divide still comes in here:
C-sections, while over-done, can be good for more than just 'need'. For some women, c-sections might be a better option than a vaginal birth, but it still might not be a technical 'need'. (Unless you were more flexible with that word than I thought.)
Seems to me a true educator would present all of the options as factually as possible. Obviously, anyone who follows your blog knows you advocate for natural birth, but surely you understand how vital it is for women to get a well-rounded picture of ALL options.
As for your comments about The Doctors, I couldn't agree more and I'd love to see you send a letter to the producers saying what you said here. It can't hurt, and you never know, if enough of us send them mail expressing how unhappy we are with their presentation, it could be the impetus for change. Hey, it could happen! ;-)
1. Told by family members I'd never be able to handle the pain of childbirth, that "They'd have to knock me out." Which, I believed.
2. Told by my own family physician as a teenager that my pelvis was too small to birth vaginally.
3. Got the epidural because, well, "they" said I wouldn't be able to handle the pain.
4. Pushed for 4 hours with an occiput posterior baby that no one knew was OP because I couldn't tell them what I was feeling (i.e. tell-tale back labour) because I had an epidural.
5. Baby was "stuck" so OB came in with vacuum.
6. Vacuum didn't work so out came the forceps.
7. Forceps required an episiotomy.
8. Episiotomy extended into 4th degree tear.
My baby had a birth injury. I was in terrible pain. My baby never nursed because of the pain she was in and our challenges with her birth. Bonding was difficult and I ended up with significant postpartum depression.
Know what my answer was to all of this when I became pregnant with my second child?
A natural vaginal birth with an awesome doula! Yeah, put up roadblocks and I'll knock them down. Give me my OLD FASHIONED NATURAL BIRTH!! I loved feeling every sensation!
I've had a c-section. I've had an epidural once. I've had natural,vaginal births (VBACs,thankyou). By far, my best births were the Good Ol' Fashioned Vaginal with absolutely no drugs. I'm a very small individual and thankfully, birthed large babies without tearing at all.No vagina ripping here! However, my c-section scar is a hideous reminder (belly button down to pelvic bone) of a very bad,bad birthing experience.
I don't think I ever said that all c-sections are bad or all vaginal births are awesome. But I don't think I need to present a well rounded picture. The supportive stuff out there in favor of medicated birth is enormous. I won't support that.
And I added it on at the end half as a joke- because every time I say something, somebody gets offended. Yes- some people have good epidurals. But when I talk to women, many many medicated mothers have either A) a bad experience or B) a kind of "meh" experience. It wasn't bad- but it wasn't what it could have been.
I want people to know what birth can be- it can be incredible, and the women of the world deserve to know it.
Individualized care means offering options. It means using the right tools at the right time. Dr. Lisa's scare tactics push people away from their options by giving them the impression that birth is fraught with danger in all cases - and homogenizing everyone's birth experiences removes the option of individualized care.
You've written a few that I thought were almost purely opinion, leaving significant, and in some cases what I perceive to be irresponsible, gaps. (I generally don't leave comments on those, because, you know, if you don't have something nice to say...)
This is the first time I can remember where I can say, "yes! 100%. That sums up my feelings on it as well as I ever could have." For once I'm not the one with the "except for." I totally get your parenthesized epidural comment.
Thanks and well done.
My sons shoulders got stuck. Than I was of the 1% that didn't heal and had to get re-sewn up at 2 months. So..when it came to having my baby girl long before she was due my doctor and I decided on a c-section(she ended up being breech anyway). Mind you when I delivered my son my doctor was out of town and I got the stand in...pretty sure she didn't sew me up right. Anyway had my c-section, 2 months ago and it was the best thing ever! Breastfeeding is going great.
After my 1st experience you could not pay me to have a vaginal birth! You just can't judge people until you are in their shoes and you have given birth.
C-sections are a big deal, and I can't stand how people don't seem to get that. Neither can we make a blanket statement that epidurals are always great - it seems like the voices of those saying, "My epidural was fantastic and I wouldn't do childbirth without it!" are drowning out the "My epidural totally sucked and made me feel miserable" group. It seems like those who want everyone to think they're so fantastic and wonderful and always necessary want to tell everyone to just ignore that small minority of people over there who had very bad experiences. And I wonder, really, if we'll ever know how many women died in childbirth from complications of an epidural? Rare, yes, but not impossible. Just a thought.
The way they're handed out like candy these days makes me gag. But you shouldn't be denied one if you want one. The way people act like they carry no risk whatsoever makes me want to gag as well, because I truly think more women would be able to cope with the pain if only they were allowed to and knew how, instead of being told to lie down and be strapped to the bed for the duration. Dr. Lisa's rant (which I can only imagine, having seen her crap on TV before) sounds like an Ad Council poster for promoting cesareans. She probably has no idea what normal childbirth is like because she has probably never seen one.
I have talked to women who have had pain "down there" for months on end. Women who have not been able to control their bowels for months. Holy cow- never would I blame a woman who had to go through that for scheduling her next c-section.
For real, real life- no judging here. It makes me sad- but I can 100% see how that (healing from a really bad tear) could be as bad or maybe even worse of a recovery than a c-section.
I totally get that a vaginal birth can be incredibly traumatic to heal from physically.
On a case by case basis I GET IT-
But when it comes to obstetrics at LARGE- I would like to see more support of NORMAL NATURAL BIRTH rather than more access to the c-section.
Women should be allowed and supported to birth in a way that helps prevent those kind of birth injuries.
I would like to say that Ms Michaels has been misquoted about her 'want' to not have a natural birth. In a subsequent interview to clarify the erroneous quote, she mentions previous history with PCOS and that her plans to adopt are to ensure she doesn't harm herself or bring a child into the world to die from complications [etc].
I'm not saying she was right to be on the episode which ultimately painted a one-sided horror-show view. I like the show in general but I don't make it my life's guide. I hope any woman who was terrified by the information was sensible enough to turn to a search engine which would yield arguments supporting and discrediting what she had seen.
We should be very, very cautious.
I don't blame the doctors as much as I blame the whole medical system that medicalizes childbirth in the first place. The Doctors are just doing what they are trained to do. But, to quote my midwife, Birth is not an emergency, it's an emergence, see? She also said that the baby wasn't conceived in a bright, noisy, sterile environment full of strangers, why would I want it to be born in one?
One last thought: We all, ALL of us living on this planet, come from a long, long, long line of successful vaginal birthers. Indeed, at this particular time in space, there are no better women poised for excellent natural childbirth than we. Blessed Be!
Carry on.
Ugh.
Thank you for this!
Baby #2 - VBAC in hospital au natural but on my back and controlled and dose of pitocin to get placenta out and stitches, arms all up in there to check no placenta left behind. Result less time healing, easier bond, emotional trauma.
Baby #3- HBAC with a supportive loving HANDS OFF midwife. Pure perfection. Went by my body, pushed leaning into my husband, felt everything and felt amazing after the birth. Short healing period, minimal tear, no stitches and lots of hugs. Yeah I'll stick with old fashioned.
I get that visual aids can be helpful when educating. But really, when your message is so skewed it's no longer true education, but rather, support for your non-evidence-based opinion - that's manipulation of the low-down, dirty tricks and deceit variety.
C-sections do save lives. But, it doesn't change the fact that it is more dangerous for mom and baby, and is not the way the birth process is designed. I'm going to say this because I think you'll understand- I think that the rising c-section rate is absolutely Satanic in nature. As his influence becomes stronger, the rate will continue to rise because he wants mothers and babies to suffer. C-sections are only necessary because our bodies are imperfect. They will not be necessary after Satan's influence is removed, and humans are brought back to perfection as the Creator originally designed.
Unfortunately, I think that the c-section rate and disregard for women's bodies will only rise until that time.