Thursday, May 28, 2009

Room Service? or a Busy Resturaunt?

Tuesday night we had an appointment with our midwife and instead of having to travel to go see her (usually about a 45 min trip) she came up to see us! She had another client who had just had her baby and so she was coming to do a postpartum visit. It was REALLY wonderful to have her meet with us in our house, to lay on my couch while she measured my belly and listened to the baby, to have Asher running around in his PJs and trying to bring the midwife his story books, to talk about Baby Bird and how she was doing, to have the midwife get a feel for our house and who we are, and mostly to feel a sweet assurance that this pregnancy is a normal, healthy, and extremely joyful event in my life. After the midwife and her midwifery student left I realized that this was one-- of the many-- reasons why I am choosing to have a home birth again-- because everyone comes to me instead of me going to them!

I was trying to explain to someone the other day why I choose to have my babies at home and the best way that I could explain it was that that home birth is like having 24 hour room service with your own personal chef who knows how to cook your very favorite foods-- so you get EXACTLY what you want, when you want it, with complete personal attention, and in the comfort and privacy of your own room (or in this case-- house). In contrast, a hospital birth is more like going to a busy restaurant where there are lots of people demanding attention, there are limited choices on the menu, your movement in confined to your table ( room-- or sometimes even just your bed), and while you can tell the chef (the doctor or nurse) what you want they may or may not remember to bring it to you, plus if you stay too long the staff will try to "speed you up" or "get things moving" to make room for other customers or so that they can go home.

While there are sometimes in my life when I really love and enjoy busy restaurants, birth is not one of those times for me. I've attended enough hospital births to know that while it is possible to have a nice, peaceful, and natural birth at a hospital it doesn't even come close to the kind of experience that a woman and her family get from birthing at home. As hard a you try it is impossible to make a busy restaurant feel like room service, and while you can come fairly close it still isn't quite the same. I really believe that birth is one of the most sacred and intimate events in the life of a woman, her partner and the baby and it just makes sense to me to have it happen in what should be one the most sacred places on earth-- the home.

My cousin Liz has this phrase posted at the end of each email she sends and I think it is SO true, "Peace on Earth Begins With Birth". I truly believe that the birth experience is INCREDIBLY important to both a woman and her new child. It really does matter how we are born and how we come into this world, just like it matters how we leave it. I don't think it is any coincidence that in the United States we have a hard time treating elderly and dying people with respect. We tend to think it doesn't matter and that they are "just going to die" so we stick them in nursing homes and make it hard for them to die with dignity. If given a choice most people would never choose to die at a hospital, they would almost always rather be at home, surrounded by people who love and care for them and with things that are familiar. Fortunately in recent years hospice services have become more common and people are being given the opportunity to die at home with great peace and great dignity. Now I know that birth is not death, in fact it is just the opposite (ha! okay, lame joke) but just like how someone dies affects the whole family and all of society, how a baby is born has the same kind of impact on society and on families-- whether we are aware of it or not.

This is why even though we have to travel a bit for our prenatal appointments and have to pay for our midwifery care out of pocket (we have Medicaid and if we were at a hospital everything would be paid for-ugg. But hopefully after the new Medicaid bill passes home births will be covered! Keep your fingers and toes crossed!) it is SO worth it to Jon and I in order to be able to have the intimate, peaceful, spiritual, normal and natural birth experience that we believe that is best for us and for our baby. This is also why I am so passionate about improving maternity care in the United States, because not only is it a matter of making sure mothers and babies receive the best care (which they are NOT getting right now-- c-section rates are at 31%-- that is almost one out of three women-- not healthy!) but how a society treats birth influences how they view the importance of life and how they treat life.

5 comments:

Jenny Bay said...

Heather,

I really enjoy reading your blog and I truly admire and respect your passion for natural and home births, and I admire how you speak out and stand up for what you believe. You are amazing!

I just had a couple of comments though. I delivered James in a hospital with an OBGYN and I had an epidural (so, pretty much the opposite, in some ways, as your birthing experience!) However, I wanted to point out that in the most important ways (to me), it was very much like your experience, and it was definitely not like you said in your room service analogy.

My birthing experience was absolutely wonderful - it WAS exactly what I wanted (as much as I KNEW I wanted, that is, without actually having given birth before :)), and I really, truly, honestly felt that I had complete personal attention from the nurses - they were just wonderful. My nurse who was assigned to me was absolutely amazing and was assigned to JUST me. Her attention was not divided and she was very helpful and very kind. It was nothing like a "busy restaurant" where I didn't get enough attention - I got plenty of great attention. My experience was comfortable, private, and wonderful. They most definitely did not try to speed me up or get things moving by any means. They were there to help me give birth to my baby, and not to get me in and out of there as quickly as possible.

What I'm trying to say is that my experience (along with probably many, many others' experiences) having my baby at a hospital was wonderful and beautiful, as well as very, very sacred and intimate. I also came away from it with a much increased respect for doctors and nurses.

I (respectfully :)) very much disagree with what you said about our society generally NOT treating unborn babies and infants with dignity and respect. Obviously all experiences at a hospital (or at home) are not the same, but as for my experience, the doctor and nurses present at the birth of my sweet boy did nothing BUT treat him and myself with respect - their overall attitude toward birth was of respect and reverence, just as it should be. In fact, I am so, SO grateful for the many medical professionals who were present at his birth, because he had a few unforeseen problems (which would have happened whether I had him naturally or with an epidural) and without their immediate care, he might have been in trouble. To me that is respect - making sure our babies are healthy and safe and that any problems are addressed quickly by those who have the knowledge and experience to address them.

Thanks for letting me share my opinion, I'm not trying to offend anyone but just trying to help others see the OTHER side of it - because BOTH sides can be beautiful, sacred and right.

Good luck with your pregnancy and the upcoming birth of your sweet baby. I'm so happy for you and Jon! Love you guys!

Heather@Women in the Scriptures said...

Jenny, Thank you for your comment. I am so glad that you had wonderful birth experience! You are right there are many women who have wonderful experiences in hospitals and there are some hospitals who are "5 star" hospitals and do a really good job of giving women individual attention and treating babies with respect. I'm glad that you were able to experience one of those!

Don't worry about offending me, I LOVE hearing other people's sides of the story. You are absolutely right that both ways, at home and at a hospital can be beautiful, sacred and right. Every woman has the right to choose to birth where she feels safe and supported. I know my analogy of room service versus a resuraunt isn't perfect-- I was just trying to get across how incredibly different a home birth is from a hospital birth-- even a "five star" hospital. It doesn't make one "right" and the other "wrong" or one better than the other-- they are just COMPLETELY different and I was just trying to find a way to explain why I choose home birth rather than hospital birth.

Thank you so much for your comment! That is what makes blogging fun and interesting-- to hear everyone's opinions, experiences and perspectives on life.

Jessica said...

I also had my baby in a hospital. It was a truly amazing experience. My nurse was amazing. She was not only paying attention to every detail with Matthew, but she was so concerned about everything that I could possibly need and want. I delivered Matthew at Utah Valley. UVRMC has, at least I would think, to be one of the busiest Labor and Delivery units in the nation. While I was there I felt completely at peace and unrushed. They were all so accommodating to me. My doctor was great the whole time. He walked me through every step.

Because of experiences family members have had, I was very set on having my baby in the hospital. I have relatives that would have died from complications that couldn't have been predicted by the best doctor in the world. Not only would my relative have died but so would their mom. Even a simple 5 minute ambulance ride would have been too long to save them both. For me, I wanted to be as close to medical attention as I could just in case something went wrong. I didn't want anything to happen to my baby. I was so worried that there would be some terrible complication. That I would hemorrhage or some other tragedy would occur.

I will have all my babies in the hospital for that very reason. Matthew had to spend his first few hours in the NICU because of breathing issue. If we had not been in the hospital he may have been just fine on his own, but it could have become a serious problem very quickly. I am so grateful for the medical attention that we had at our every need when Matthew was born.

I could not have had a more spiritual experience than I did with Matthew. I think birth is absolutely amazing. You only get to participate so many times in your life and I think those moments should be savored and planned with the greatest care possible. Having said that, there are parts of the birthing process that I personally would not want in my home. My home is my refuge. As such, I would personally prefer to have the pain associated with labor be kept at the hospital and not at my home. That is again, my personal preference.

Anyway, that's my two cents. I feel that birth is a very personal thing and that people should decide how they want to do it in their own way. For me, my babies will be born in hospitals simply because I feel it is the safest and best place for me and my newborn.

Good luck with everything!

Jessica

MortFamily said...

Here in Alaska medicaid pays for home births. I went to a midwife with my second and I could have had her at home and they would have paid for it. It was actually cheaper for them.

Anonymous said...

Interesting thoughts. Do you realize that c-sections actually save women's lives on many occasions though? Do you ever wonder why the mortality rate for both women and babies have gone down? It is because c-sections can save them from complications that would otherwise take their lives--just as they did 100 years ago. That being said, of course people will abuse things and this happens with csections but, overall, they and new technology has helped to keep mothers and babies alive.

I can see why you gave the analogy you did but I just disagree with it.