I became a writer, in part, because writing has always been how I made sense of things. It’s how I figure out not just what I think, but how I feel. Yet I have never written a full version of any of my three birth stories.
I’ve written lots of vignettes and partial stories. I’ve shared my experiences orally with friends, family, and the children whom I labored to deliver. But I’ve never set down a definitive, full version.
Each time you tell a story, you have to choose where to start and where to stop; what to include and what to leave out. You get to interpret what happened and decide what it all meant. There are just so many different ways to tell the same story. It can be hard to decide which is the most true.
On the shelf by my bed sits a little teal journal. It contains only two entries, both addressed to my oldest daughter. The first one was written on my last day of maternity leave, when she was twelve weeks old. I wrote:
The first few days after you were born, I kept replaying labor and your birth in my brain. As I processed and internalized the whole experience, I mentally wrote and rewrote your birth story so many times. I kept meaning to actually write it down, but it took me a while to make it to the store to buy this journal, and by the time I did, somehow it felt less urgent—I think because I had made sense of the experience in my head.
My mom told me that a big part of the time immediately postpartum consists of processing the birth and integrating the experience into your understanding of yourself as a mother. For me, that was definitely true.
My mom has been such a support and source of strength in the last few months. I hope that I can be the same to you if/when you ever become a mother.
At The Institute for Family Studies today, I share a story that my own mother and father handed down to me—the story of how I was born. I also tell part of the story of my first time giving birth.
My parents love to tell the story.
How, while in active labor, my mom—a medical doctor, giving birth at home for the fourth time—told her midwife not to hurry.
How, in between contractions, my mom turned to my dad and said, “Wayne, I think you’d better go wash your hands.”
How my dad gripped the bathroom sink and swayed dangerously, trying not to pass out at the thought of this unexpected duty.
How he was the one who caught me. How he gazed into my eyes in the quiet, otherworldly moment of calm after my head had emerged but while my body was still inside my mother’s womb.
This was the vision of birth that I grew up with: beautiful, intimate, natural, and sacred. I still believe that birth can and should be all those things. But after having three children of my own, I know that our medical system makes this almost impossible.
In the essay, I talk about anthropologist Robbie Davis-Floyd and her framework of the technocratic, holistic, and humanistic models of childbirth. These concepts have been so helpful to me in making sense of our maternal medical system—and the philosophical anthropology it takes for granted. Too often, we accept that we have to choose between two different visions of what it means to be a human being, which are both deeply lacking. This comes to the fore in the clash between the standard operating procedures for in-hospital birth and the soothing mysticism of free-birth advocates.
Are our bodies machines that operate according to predictable laws? Or are we shimmeringly powerful spiritual beings who can do anything, if only we free ourselves from the evil medical-industrial complex?
Obviously, neither of these capture the depth and complexity of what it means to be a human being—and, more specifically, what it means to be a woman, a body-soul composite with the capacity to bear children. In particular, I think that mainstream maternal medical care deeply underestimates the impact of a woman’s emotional state on the progression of her labor.
If you’d like to share in the comments, I’d love to hear if reading this essay brought up any memories of your own experiences with birth. How did your encounters with your doctors, nurses, or midwives affect your labor? Do you find yourself revisiting or revising your birth story (or stories) over time? How have the birth stories you’ve told yourself shaped your sense of self as a mother?
This definitely resonates with me. I've had five c-sections-- which would not have been my plan.
My first birth started with my water breaking and checking into the hospital at about 10pm. I slept that night and labor didn't really progress. The next morning after my husband brought me breakfast, a bagel and orange juice, the doctor came in and they did an ultrasound and found the baby was breech. Suddenly they were telling me they needed to do a C-section and then that they would need to wait 8 hours since I had just eaten. It was a very long day. I was very thirsty because they wouldn't let me drink. They gave me IV fluids, but I still felt horribly dehydrated. I didn't understand, and still don't why they didn't try to turn the baby or let me try to give birth even if she was breech.
My second pregnancy ended before I even saw an OB. I had a very traumatic miscarriage in the ER.
Then I got pregnant within a few months of the miscarriage. This time I attempted a VBAC. Again it began with my water breaking. After laboring for more than a day with no progress, despite the Pitocin, it ended in a c-section. I had hemorrhaging after the birth and the my milk took too long to come in and the baby ended up dehydrated in the special care nursery where I had to drag my post-csection body up to a different floor to nurse her. My feet swelled like melons and it was horribly painful. After they discharged me they moved me to a room on the floor with the special care nursery but they no longer brought me food because I was no longer a patient. There are so many things I'm still angry about with that whole experience.
My third baby was born via planned C-section as no one would consider letting me try a vbac after two c-sections. I was so traumatized. I dreaded it so much. I cried all the way home after my pre-surgery appointment the day before the birth.
With my fourth baby labor started days before the planned C-section date. I felt the gradually increasing contractions with dread for a night and a day before I checked myself into the hospital.
With my fifth baby I was considered high risk-- I was never clear why. Was it advanced maternal age? (I was 38) Or was it the placenta accreta? I was in a huge practice where I never saw the same midwife or OB twice and I hated it, but I was too sick and overwhelmed to try to hunt for a different doctor. They sent me to MFM at the hospital for lots of extra ultrasounds. I ended up having my C-section four days after the planned date because I had just got over an awful stomach bug when I went in for my pre-op appointment and a kind nurse took in my wan appearance and pity on me: Are you sure you want to give birth tomorrow? You look awful! I agreed so fast: I am positive I don't want to. I had no idea I could even decline.
I am not good at pushing back against authority figures. I had undiagnosed anxiety. (It was only diagnosed and treated in the past couple of years, after my youngest was 10.) I hated the technocratic model-- an apt name!-- but I feared the holistic midwife births even more. Oh how I wish there had been a third way. I had so much trauma surrounding all my births and my miscarriage. I haven't even touched on half the details here in these very abbreviated birth stories.
I love your proposals at the end for doctors and midwives working more closely together to find a more humanistic way.
Lots of that resonates, and I appreciate you getting personal. One note that may be helpful to other readers is the “rituals” of prenatal care as well as what you mention surrounding labor and delivery - namely, urine tests and ultrasounds, which are essentially looking for problems. And as ultrasound tech gets better, we see more potential problems and make more murky measurements that require follow-up ultrasounds that cause anxiety, extra expense (and radiation), on repeat.
My third baby was a home birth with a cnm and one of the best parts was the whole prenatal focus on nutrition, my symptoms as the sign of health, not just urine tests (we did those), and I only had one ultrasound the whole pregnancy. Highly recommend.