I’ve never shared the details of Kai’s delivery here on my blog. Mostly because I’ve never had a reason to. It wasn’t ultra-tragic or horrific. But it wasn’t pretty. It was an induction at 38 weeks (mostly because my OB was going out of town and was the only Dr. in the practice. At least, that is my suspicion for her pushing induction that early.) I didn’t educate myself on my options for delivery. I had no idea I could refuse induction. Or an epidural. Or to have my water broken BEFORE getting the epidural. I was naive. And as a result I blame myself for the outcome.
I mean, don’t get me wrong. On the one hand the outcome was a beautiful amazing little girl who I love with all my heart. And that is the most important part. On the other hand? Thanks to a massive dose of Pitocin and an inattentive doctor, my posterior baby was born in one push (as in her entire head and body came out at one time and tore through me like nothing I could have anticipated) and led to a 4th degree laceration that was apparently assumed to be a 3rd degree and repaired as thus, a broken tailbone (as in a piece of it broke OFF) and, later, the humiliation and pain of a rather large recto-vaginal fistula. Click that link if you dare. It isn’t pretty. (Though it isn’t a graphic article I linked to. Just not a pleasant condition to have to read about.)
Eight weeks after my daughter was born I was in surgery to repair this fistula. And it was successful. Something I am eternally thankful for. And at the recommendation of my colo-rectal surgeon I went on to have 2 c-sections lest I tempt fate and incur another fistula that may not be repairable.
But, I was so sad to have missed out on a beautiful birthing experience. Which is why this time I was determined to have a beautiful birth. A home birth. A water birth. And then my blood pressure just didn’t cooperate and I had to switch to a midwife who delivered at a hospital. But, it was a midwife I respect and she was honest with me about her concerns. Two previous C-sections and a recto-vaginal fistula caused by a 6 lb. 6 oz baby? She was willing to let me try as long as things progressed well and the baby seemed smaller than my first or at the very least not a bigger baby.
Fast forward to today when I go in for the sizing ultrasound I was dreading. I had a feeling they were going to say this little girl was bigger. Not because I think she actually is, but because I don’t always trust ultrasounds to reveal the true size of a baby. And of course they found that she is 7 lbs. 3 oz. A bigger baby than the one who charged her way out leaving a massive tear in her wake. And this was the point that the midwife and I had “the talk.”
The one I was dreading. The one where they say a C-section is a much better idea. Because having consulted with my original colo-rectal surgeon the consensus is that if I tear to the extent I did before and develop the same issue again there will be nothing left to repair with. And that leaves me with the good possibility of living the rest of my life having the horrible, humiliating, degrading and (not to mention) unsanitary condition of an irreparable recto-vaginal fistula. Having had to live with it for a short 8 weeks I can tell you that is not something I ever want to endure again. Not for my self-esteem. Not for my marriage. And so I caved and made the reluctant decision to have another C-section.
The thing is, I don’t know whether I’ve made the right choice. The argument could be made that I have just been a victim of bullying from a midwife and doctor team who want to protect their best interest and who don’t trust my body’s ability to do what God designed it for. Or the argument could be made that I don’t have faith that God will protect me in this. Then again the argument could also be made that they are truly looking out for my best interest and that putting my body through a possible fistula again would be reckless. I honestly don’t know.
I know that I am sad. And disappointed. And that I feel slightly robbed of the chance for a beautiful natural birth. But maybe I should feel thankful. Thankful that I won’t have to endure the humiliation of a fistula again. Or thankful that I live somewhere that gives me access to medical choices that will prevent this from happening again.
I could stand and refuse to have another elective C-section. They gave me that choice. They aren’t forcing me. Pleading with me? Yes. Forcing me? No. But having considered my options and my complications and my history, I made the best choice I could. There are going to be people reading this and people in my life who will say I chickened out at the last minute. Maybe they’re right. And I guess I’ll never know whether I could have delivered naturally without incurring another recto-vaginal fistula. But, in the end, I made the best decision I could armed with the medical advice I was given both by my midwives (one homebirth, one not), my OB, and my colo-rectal surgeon. Sometimes C-sections are medically necessary. And maybe this is one of those times. Maybe not. But, either way, I am the one who has made this decision. And since I am making an informed decision after being given all my options and researching possible outcomes on either side I feel like that is the best I could ask for. A choice in how I’m birthing. In life, things rarely go according to plan. And even more rarely do they go according to your preferences. But at the end of the day having a healthy happy baby is what I want most. And I’m vowing to look forward to that without looking back to what might have been.