FamilyEducation Blogs

January 31, 2008

Birth order (of a different sort)

I recently heard a story on NPR about how here, in the state I live in, midwives cannot legally deliver a baby without the presence of a licensed doctor. And, of course, doctors never do attend homebirths because of how afraid they are of malpractice lawsuits.

Learning this surprised me at first, but then it does make sense. The area we live in is rich with medical resources, but the flip side of course is that everything is just so medicalized. Still, this has not bothered us too much, since we have needed many different medical services at various points in the almost seven years we've been here, and we have been incredibly lucky to have such good resources and skilled doctors available.

But the news report did make me reflect on how different my children's two birth experiences were--for them, and for me as well. When pregnant with L. I flirted briefly with the idea of a homebirth, but my understanding of what it entailed didn't extend much past what I saw on the TLC show "A Baby Story." When it came down to it, both my husband and I decided fairly early on that we just didn't feel wholly comfortable with the idea of a homebirth (well, I didn’t feel wholly comfortable; my husband broke out in a cold sweat at the suggestion), but because there just wasn't a middle road available to us, we found ourselves having a completely antithetical experience--this, I suspect, happens to quite a few couples.

My son was born at a huge teaching hospital affiliated with the university where we were graduate students. He was also born at the beginning of July--a month when, I was later to find out, the new interns rotated through the birthing center. From the minute we checked in to the minute we checked out we were constantly surrounded by medical staff. There were ten people present in the room when I got my epidural, craning their necks for a good view of the needle slipping into the space between my spinal column and lower back. Each night following my delivery, a steady stream of interns and doctors paraded through my room, turning on my bedside lights to poke and prod at me. L., who inhaled meconium at birth, spent three days in the hospital NICU, his little plastic bassinet right under a bank of lights, and a noisy air vent, and with a nasty IV line snaking out from his beautiful, rounded newborn head. Even our first attempts at nursing were carried out under the watchful eyes of several NICU nurses, who kept a stash of tiny formula bottles on the shelf right next to the glider, and who clucked with concern constantly at L.'s reluctance to latch on.

My daughter, however, was born in a different state, at a small community hospital (one that has since been swallowed up by a major giant of a hospital). No one bothered me at night at all while I recovered there. T. was with me throughout; the first sounds she heard were our voices, the first touches our hands, as we cradled her, swaddled her, and as she nursed, her little hands opening and closing against her cheeks.

It never ceases to strike me as fundamentally ironic that my first-born, who was and is always the high-needs child, who is so sensitive to all aspects of his environment and so easily thrown off-kilter by the presence of people around him, was born into such hospital world, and that for his first three days of his life he spent much time lying on his back, sucking his fingers, and squinting at the white glare around him, and at the endless circles of strange faces that came and went. And my daughter, our little social extrovert and charmer, the one who leaps with both feet into every new situation, was born at that sleepy little community hospital, where the nurses called me honey, and left us alone, she and I, to discover each other in the quiet of a sunlit room.

Maybe we are shaped more than we think by those first few precious minutes, or hours, or days after birth; maybe our beginnings are not so incidental, after all, but instead leave their imprint on us in ways we can’t imagine.

  I, too, noticed medical progress with birth.  My mother had been unconscious for the births of each of her five children.  My husband was unable to attend the birth of our first child, so my mother and I shared our very first experience of witnessing a human birth.   It was in a very small community hospital, with people attending that I knew from town, whose homes I had been in as I grew up.  A tender and intimate experience, recovery  interrupted by relatives and mentors, in a room I shared with a highschool classmate.

  My second child was born in a larger town, larger hospital, the only person present that I knew was my husband.  My doctor happened to be out of town, so a complete stranger supervised the birth.  Recovery in a 4 bed ward, with a Mrs. Greyeyes, and a Mrs. Brown whose self-employed husband had no insurance, so she left before supper.   And more interruptions.    

  My last child, number 6.  Behind the bed and the soft flowered curtains, out of my sight, all the medical miracle support technology, ready just in case.  The doctor, the one who attended number two years before, now a familiar and admired colleague in this process, nurse, husband, and teen-age daughters one, two, three, all there to watch the squirmy slippery ultimate baby slide from heaven into friend doctor's hands for an acrobatic routine that freed her from the yin-yang life-giving strangling cord. 

  We put a sign on the hospital room (blessed private room) door.  "No visitors, please.   Come visit us at home next week."  30 hours of Jenna and me, enhanced not interrupted by family, and lovely food for my ravenous hunger, and a never-used button to call the nurse.   

  That, my dear friends, is progress.

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6 kids!  I can well imagine that each birth experience was unique.  Yes, progress has been made, fortunately--I know my mother was all-but unconscious for her first birth as well.

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