Last night we went on the hospital tour. They say you should do this tour in your third trimester, so we waited until now. I wonder if I’d done it earlier, if I might have chosen a different path.
Up to this point, my idea of the hospital had been only that; an idea. Based on what I’d seen at the one birth I’ve attended. But that birth was at a special Birth Center, in a big room with homey furniture, floor-to-ceiling windows, and even a reasonably cozy waiting room.
While the hospital I will be going to on the big day(s) is by no means shabby, it is not exactly swank either, and well, mostly, it just feels like a hospital. As we walked the halls, inside me there was a voice screaming (I’M NOT SICK!!!!!!)…
With every preparation class and workshop we’ve taken, I’ve cultivated my little mental picture of what the environment where we will be doing all these things (hypnosis, meditation, stretches, positions, birth balls, tennis balls, aromatherapy) while giving birth, would be like.
The reality was not as pretty as I would have liked. It’s a hospital. The Labor and Delivery room was barely big enough to hold the bed, baby warmer, monitoring equipment, computer table, vinyl couch, small window, not to mention all the people that will be in there (Me, Scott, doula, various nurses with their various roles, doctor). Apparently they have three “big” rooms, but those ones don’t have any windows, so that could be depressing. And the room where we are to spend the next two nights after the birth? Less equipment, equally drab.
It feels just like the wards where I have visited friends and family after various life-threatening accidents, life-saving surgeries, and mysterious bump and lump removals. It feels like the full-service care facility where my 96-year-old grandmother currently resides.
It’s a hospital, not a hotel.
Hello? I guess I was in denial. Firmly. In. De. Nial.
I wish I wish I wish I wish…
What should the place where a blessed event occurs really look like?
…What surprised me most was how emphatic the tour guide was about the “fact” that we would be giving birth on our backs. If nothing else, the idea that I could choose what position to birth in has been hammered into me repeatedly by the various doulas, yoga teachers, et. al. at all these damn classes and workshops.
She was so blithe about it, as she briskly whipped and flipped the various parts of the end of the bed to show us the hidden foot rests and leg supports that will suspend our lower halves in mid air as baby is pushed out.
What about the squat bar? What about all-fours?
I asked, and she said, yes, some people will use the squat bar for pushing, even with that quaint old practice of tying the sheet around the bar to make a knot for mama to pull on. And yes, back in the day, people used to give birth almost anywhere in the room, on the toilet, in the tub, on the floor. But it’s easier for doctors if we’re on our backs.
Plus, she said, most times these days women are getting epidurals. She seemed a little wistful in relaying that information, remembering how it used to be different. More raw.
I also asked about bringing our own diapers, because Pampers, or Huggies, whichever, is not what I want on my baby’s butt. Or what I will want to be smelling.
Sure, of course.
* * *
I checked with my doctor today about the position thing. Yes, she said, our goal will be to have me laboring in whatever position I like, but when it comes to those last few moments, from crowning to the finale, on my back is best. It’s best for her to help me not tear, best for helping if baby gets stuck. Of course, she has had patients pushing the baby out in a squat — to the point where the doctor was lying on her back, on the floor, helping to get the baby out; but this is not ideal.
I was sad. I told her that it’s difficult for me when I feel like I don’t have a choice.
She asked me if I’d thought about birthing somewhere other than a hospital. I said yes, but that I’d wanted the comfort of having the medical assistance available. Which is mostly, sort of true.
And then, I got it. This whole thing is one big control issue.
Man.
Another painful learning experience. And we haven’t even gotten to the real pain. Or the real loss of control.
But please don’t pat me on the shoulder and smile knowingly. If losing control isn’t painful enough, being condescended to in my hour of deflation is even worse.
Can we bring enough twinkle lights to make the place seem more warm and homey? Can we drape some sparkly fabric over the monitors?
No condescencion, but total empathy here. My hospital is a lot like you described (I don’t think the tubs are even standard size–they’re smaller). The thing is, down the hall and through some double doors is a “free standing” birthing center. Beautiful rooms with normal beds and a HUGE bith tub. PLUS, the security of knowing there was a state-of-the-art NICU right through those double doors. I had planned to have W~ there.
Unfortunately, my water broke and my body refused to go into labor. I had to have pitocin, which killed my chance to labor in the birth center with him. He ended up being delivered by c-section, which killed my chance to labor there EVER (insurance won’t let them do VBACs).
So, C~ was born in the hospital, as will this baby. And I have to be strapped to those idiotic monitors that come automatically with a VBAC, knowing that, down the hall and through some double doors, is a beautiful, homey place where they start a loaf in the bread maker as soon as you show up.
You’re right. It sucks.
Katie, thank you for the sympathy. What an amazing story!
Darned monitors! Grrrrr.
And the bread maker… wow. At least it’s nice to know that there are places where people are trying to change the paradigm, even if there are limits on who can enjoy them.
Darling, my sympathies… I seem to remember that my friend in NYC picked a birthing center with midwives only, in Greenwich Village. It had all the groovy accessories you would want.
Sadly, however, she started to have complications during the birth (she was 36, it was her first) and the center did not or would not call an ambulance or even a taxi to get her to the hospital, where she needed to go to save the baby. Some kind of insurance issue. She then got out of the bed and walked, yes walked, about five blocks through Greenwich Village while in full labor, to get to St. Vincent’s where just about everybody else has their baby in lower Manhattan.
It’s a drag not to have the great environment – I was disappointed, too. And man I hated it that they wouldn’t let me walk around during labor with baby #1 – I was induced and they were worried about his amniotic fluid so they didn’t want me moving. I had to be in bed for something like 36 hours. Yes, I gave birth on my back – I was just glad it wasn’t a c-section, and grateful for the light-drip epidural because the final pushing didn’t hurt.
I do know how you feel…
Oh boy do I hate those monitors, too. One of my nurses, a temp, spent her whole shift on a chair, with her clipboard on her lap, facing the monitor. She just didn’t want to touch me at all except to check my dilation. I think I asked the doula to ask her to switch off of the computer screen, please.
Here’s hoping that all your preparation and hoping will aid you well in this momentous journey. Whatever happens, you’ll get through it, and then you will have a baby to learn to care for! Woo hoo! (and you are going to take the baby care class, right? That was one I skipped for scheduling reasons and I ended up being so sorry – I needed some training, and it was overwhelming to have to learn about diapering and umbilicus care while recovering from labor and deprived of sleep.