Yesterday we went to the Dr. and got another ultrasound to check on the size of the baby. According to the ultrasound Wiley was measuring about 37 weeks (approximately 6.6lbs), I'll be 34 weeks tomorrow. So if he continues to gain weight at the average rate between now and then we're looking at a possible 9lbs 6oz baby.
So my doctor was saying how we'd need to do a c-section, which I'm not happy about. I reminded her that I'm hoping for a natural birth and she just told me she wasn't sure we could do it, that if he came out today she'd be all for it (except that he'd still be considered a preemie despite his large size, so he doesn't need to come out for another several weeks at least). Finally she said we'd just have to wait and see what it was looking like closer to time.
I have wanted to avoid a c-section this entire time, I am personally terrified of surgery (one of my life-goals as a child was to never have to have a surgery--that's how much I've always hated the idea of them). I'm not scared of pain, pain I can handle. I am a huge control freak, especially over my own body.
When I was in high school I had my wisdom teeth out, I asked my mom before going in if she thought they'd let me be awake for the procedure but when I got there they whisked me back and started going through procedure and we never bothered to ask if I could try it awake. I woke up some time later with a numb mouth crying uncontrollably. They were trying to calm me down so they could take me out to my mom (because there was an 8 year old boy having something done nearby and they didn't want to scare him walking a sobbing girl down the hall). Even once I managed to stop crying, halfway down the hall to where they were taking me to see my mom I started wailing again. When my mom came in it wasn't that long after they had started and I'm sitting there crying my eyes out, she was freaked out that something horrible had happened.
What really happened was they stuck my hand four times just trying to find the vein for the IV. I wasn't as scared of needles at that point as I am now, but I wasn't a huge fan of them (I somehow developed that fear with age--possibly partially because of this). It set me off crying because I was already nervous about being put under, so even though I was crying silently until I fell asleep, apparently in my sleep I was crying and moving and therefor difficult to do the work that needed to be done. They managed to get my mouth numb, but they had to turn up the medicine so high to get me to stop moving that if they left me that way for long it could have possibly killed me, so instead they woke me up and decided I needed to come back in a year. I kept sitting there, so drugged up I couldn't form coherent sentences, telling my mom over and over "I don't want to come back, I don't want to come back!" I knew what I was trying to say, that I wanted to get it done then, I just couldn't find the right words because of the drugs--but they thought I was just babbling and unaware of what was going on. Finally my mom realized my point and asked if I wanted to try the procedure while awake, I nodded and she asked them and they seemed surprised and said they'd ask the surgeon. He agreed on the condition that I didn't make a peep or he'd stop and I'd have to come back again the next year to have them out.
They got me back in the room and started the procedure and I remember sitting there feeling all sorts of pressure in my mouth, no pain though. I could even feel one of my teeth crack in my skull. I didn't make a noise. At the end of the surgery he was going on and on to my mom about how I needed to join the marines because he used to work with them and they are the only people he's met who are such control freaks that they want to be be awake for that procedure, let alone get through it as well as I did.
The point was, I could tell what was going on. I felt like in the end I had some form of control over my body. I wasn't unconscious, I could still move my arms and legs and get away if I needed to, so I could handle it.
People keep telling me c-sections aren't bad, that they're not painful. I'm not scared of them being painful, I'm scared of being unable to control my own body. I'm scared of feeling the pressure as they cut me open, shift around my insides a bit and then pull a possibly 9lb baby from me (although any size object would upset me). I will have no control, no way to get away, my body won't be under my jurisdiction. The only way I feel I could handle a planned c-section is if I were to be put to sleep completely so I would not feel a thing, but I want to be able to see my son as soon as I can so obviously that's out. So yes, c-sections terrify me, probably more than a lot of people. It's not just a nervousness, it's an all-out nightmare to me to have to undergo one. And that's ignoring all the other reasons I'd rather not have one and just focusing on my fear alone.
I am not scared of natural labor, it's not that I think it's not going to hurt, I know it's going to hurt... but it's natural. It's the way nature intended it, it's what my body was designed for, it's what women have been doing since the beginning of time.
I'm not saying there's no way I'd get an epidural or c-section if I felt it was necessary--but my doctor seemed to not even want to let me attempt it my way.
Since I found out I was pregnant I have read numerous pregnancy books, articles, etc. I read two books on natural labor in a hospital alone, a plus-size pregnancy book (because I wanted a book that focused more on issues specific to my body type) and a couple "What to expect" type books. I read 'til I felt like my brain couldn't take it anymore. I've gone to every prenatal class, including the natural childbirth. I have educated myself thoroughly on what to expect and I make every effort to be reasonable and remember that my birth won't necessarily happen the way I want it to, but I want to at least try.
From the get-go Wiley has measured big, the only time he didn't was at our first ultrasound at 5 weeks. After awhile I accepted "Ok, unless he just stops growing suddenly, this is really consistent, he's going to be big." I began mentally preparing myself for an 8+lb baby with a natural birth. When she said he was measuring two weeks big by his fundal height I wasn't surprised, it matched up with what we had gotten all the other times. I knew ultrasounds somewhere after 20 weeks were less accurate about size, but when the doctor wanted to get one to double-check her fundal measurement I felt it made sense. I have no doubt that Wiley is going to be big, so it would just re-affirm what I felt like we already knew.
I feel like I can't get over the shock of my doctor acting like it won't be possible for me to attempt a vaginal (if not completely natural) birth at all. Mostly because I was already concerned about his size and had looked up information on birthing large babies and every thing I read says 1) a suspected large baby is not a reason to induce early (which my doctor didn't suggest inducing early) and 2) a suspected large baby reason enough to get a c-section if there are no other risks.
I have had no real complications with this pregnancy, my blood pressure has been the biggest issue and the truth is it's manageable. It was always just slightly high and I have managed to get it back under control by drinking water and swimming/walking regularly. No gestational diabetes, just a big baby... I might understand more if I did have GD because then I'd be a bit more worried about me vaginally delivering his shoulders. Nothing about this pregnancy has been high risk, were he a more normal size she'd be fine with it, so why can't I at least try vaginal?
I know people deliver large babies vaginally all the time, I understand there are complications but that's true of normal weight babies as well. I don't believe I should be pushed into major surgery just to avoid complications I may or may not have. Especially when there are so many benefits to vaginal birth (quicker recovery time, healthier babies, immediate skin-to-skin contact time and I can attempt to breastfeed sooner). Plus, in my research yesterday I learned that if I have one c-section I'm automatically put at high-risk for any subsequent pregnancy. Forcing me to do something that will have risks on later pregnancies just to avoid taking a chance on me having an issue is a terrible idea to me when I don't seem to have any of the issues that have been drummed into my brain as legitimate reasons for c-section by the classes I've gone to, the books I've read and the websites I've researched on. My own mother at least got to try vaginally before she had to have a c-section with my brother (his umbilical cord was wrapped around his neck, they found this out after she was in labor for 3 hours).
I trust my body, maybe I'm wrong and I'll still have to have a c-section but I should at least have the option to try it my way when size is the only thing in question (and ultrasounds and fundal height are not always as accurate as we might like-- people get c-sections for "large babies" and the baby ends up being 7lbs, totally normal).
Maybe if I weren't terrified of c-sections I wouldn't care so much, the health benefits are very important to me... but I don't know how I'll manage to walk into a c-section of my own volition without ever getting to attempt it my way, without there being some reason that we just absolutely have to do it for the safety of me or Wiley.
So I think at this point I'm going to have to just tell my doctor that unless she has a fear other than thinking he may be big that I am going to have to insist on being allowed to try it vaginal. I love her and respect her opinion, but my gut tells me I can do this and that a c-section is the wrong choice for me.
Funny how the times have changed, when I was a kid I knew I was a c-section baby (my mom elected to have one with me) and that because I was I wasn't shoved through a birth canal so I didn't have that squished look many newborns do. I told myself that was what I'd get if I ever had a baby. Then one day I realized a c-section is actual surgery and thought "Well, maybe not." and now after being told I should have one I'm doing all the research I can so I can go to my doctor and tell her why I refuse to have one unless it's absolutely medically necessary (as in he's breech, his heart rate drops or any of the other things they actually recommend c-sections for).
I guess I could have hit on the prepared childbirth class in this post, but it's already long so I'll save that for another time (likely tomorrow). We'll see.