Saturday we attended an all day "Labor and Delivery" class at our hospital. It provided a basic overview of the three stages of labor, vaginal births, and C-sections. We watched two births on video and got a virtual tour of the maternity ward (H1N1 restrictions meant we couldn't have a real tour). The hospital delivers 300-350 babies a month, and has an average first time mother age of 39. It's an older facility where you're greeted by little old lady candy stripers and there are few, if any, emergencies (aside from rush deliveries). It's a very calm and serene place for having your baby and we are very pleased that Baby Lamont will be born there.
The most shocking thing on Saturday was not anything about the birthing process, but rather the look of shock on the instructor's AND the other couples' faces when I asked about a non-medicated birth. Everyone seemed to want to know when exactly they could get their epidural and how to make sure they didn't wait too long to get it. Except me...
The debate started a few months ago when Carrie told me that, because I'm athletic, a natural birth would be easy for me. It wasn't a challenge, but my competitive side immediately took it as an athletic challenge: Am I in good enough shape to handle a natural childbirth? Can this marathon runner handle the ultimate marathon: childbirth?
Needless to say, I started to consider natural childbirth much more of an option than I ever had before. I asked our doctor about it when we talked about birthing classes, but he recommended the general childbirth class first before we decided to take any additional classes. I'm trying to get as much information on both options, but am having trouble finding a book or literature that balances both.
I guess Stephen and I never really discussed it because he was pretty surprised that I asked the question in Saturday's class. To be fair, he would bear a significant amount of the brunt of an unmedicated birth, just by having to deal with me. So this started our dialogue: Why do an unmedicated birth?
There are a few upsides to a natural birth: You get more of the real experience, you (apparently) are more in touch with your child, you can move around more which speeds up the process. And, you get to say you've had an unmedicated birth, which is quite an accomplishment. Downside: SEVERE, GUT-WRENCHING, SHARK-TEARING OUT YOUR INSIDES PAIN
The upsides to getting an epidural: Far less pain, you're not super-tired from labor, you can enjoy the experience. Downsides: You're in pain when the medication wears off, you need to lie in bed after it's administered (because you can't feel your legs and you and the infant need to be monitored), and it can cause drops in blood pressure.
There is little to no literature to show any effects of epidurals on infant outcomes, aside from sparse research that suggests infants may have trouble latching on. The birthing class instructor mentioned some evidence of inflated birthweights (due to the IV line which provides saline solution, potentially bloating momma and baby) that drop off faster due to more pee and bowel movements. There is, however, evidence that pitocin, which is used to induce and speed up labor, is associated with a higher rate of C-sections. However, women sometimes get pitocin even if they have a natural childbirth.
Which way am I currently leaning?
As I have learned time and time again, doing something just to "prove to myself I can do it" is poor reasoning that I often come to regret about halfway through. And for an experience like childbirth, I would probably REALLY regret that reasoning. I really want to enjoy the birth experience and enjoy our new baby as much as possible. So....
It's going to be a game-time decision. I am keeping all of my options open. There is not much you can do to control labor so plans often change. My mom had all three of us very quickly, so my labor will hopefully go very quickly. But if it's too fast, my options might be limited. Then again, when I'm in the throws of labor and screaming in pain, pain management may not be a choice so much as a given...