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View Full Version : Something to consider about elective c-sections...


DoulaAmanda
11-06-2002, 08:18 PM
During my doula workshop in September, someone asked rudely WHY on earth would someone CHOOSE to have a cesarean instead of a vaginal birth (in a healthy, normal delivery that was a c-section for no reason other than mother's choice). Everyone there, being new doulas and most very into natural birth, thought it was of course a better idea to at least try labor/vaginal birth.

A very wise doula mentor friend who was helping the instructor with the class said something like: "I used to wonder that too... til I had a client who said she needed a doula but insisted on a cesarean. She later told me she was badly sexually abused by her father, step father, and uncle as a young child. She could not think of anyone touching her there, even a doctor... she said it was many years after she met her husband before they could have sex and years after that til she was comfortable with it. Now I never question it if someone says they would rather have a cesarean delivery-- that's what birth and being a doula is all about, empowering women to make their own choices and helping them through whatever stresses they may have. It is not my business to question their past or their choices, just to help them have a great experience in the way they choose."

Of course everyone in the room was teary eyed after hearing the woman's story. My main job as a doula is to inform the woman and support her choices no matter what... whether her choices are similar to my own or not. I personally would never choose a c-section over vaginal birth... but not everyone thinks it's so great. I'm just glad we live in a country where we have so many choices on where and how to birth our children.

Amieee
11-07-2002, 08:05 AM
I appreciate that input. I think it is great that you are able to be so supportive and keep an open mind.
I have heard the same type of argument with regards to breastfeeding.
I do however, think that it would probably be very beneficial for the women who feel this way to possible get some therepy to cope with what happened to them and then make the decision to BF or have an empowering, natural birth.
I think that it would give back to them some control and help them to see themselves and their bodies in a positive, powerful way.
I don't express myself well, but hopefully someone understands what I am trying to say. Those here that are more eloquent can probably rephrase for me!

DoulaAmanda
11-08-2002, 12:24 AM
I agree with what you are saying, but it is up to the woman to get whatever help she needs (therapy etc). I don't feel that it is my place to try to get her into therapy, just to support her choices for her birth. If she were to tell me the situation and ask for help finding someone to talk to, obviously I would do as much as possible for her... but if she said "I'm choosing a cesarean for very personal reasons, and am not ready yet to deal with those issues." it would still be an incredible honor to be there to support her during/shortly after her baby's birth.

I would hope that she would eventually seek out some sort of help for whatever trauma is holding her back, but that is entirely up to her. I can't judge if she never wants to go to counseling, or if she chooses to birth all of her children by c-section and not breastfeed any of them.

LadyEo
11-08-2002, 06:45 AM
I just want to thank you for such a supportive post on elective c-sections. It took me from 5 weeks to 27 weeks to make my decicion to have an elective c/s and I know I could go through a TOL first. But, I also know that it would not be very productive for me considering my circumstances and hospital regulations.

Again, Thank you so much!

djk42
11-11-2002, 01:49 PM
I agree with Amieee that giving birth and breastfeeding- using our bodies in the way they were meant to be used- is very empowering. I cannot stand to have someone touch my breasts- doctor, midwife, husband, nursing child, but actually nursing them doesn't bother me at all. Why? Because it is a blessing to use them the right way. Sexual abuse is one reason I found a midwife. I had a woman doctor, but no one had the decency to tell me that the male orderlies or whoever would be the ones who did everything but catch the baby. I wanted no men ever around me, but my OB was barely there, with either of my first two deliveries. With a midwife, you know everyone in the room and you have the choice about who touches you. I personally wouldn't want a man to touch my lower stomach area, even while doing a c-section delivery, and the thought of being 'under the knife' terrifies me with my trust issues. I think that midwifery really can and should make a place at the heart of servicing abused women. Women need other women.