Green Options

Money and C-sections. They go together like, uh–well, they don’t really go together. Unless you notice that cesareans cost a lot more than vaginal births. Add to that recovery time in the hospital for mama and babe, medications, and follow-up care, and you can almost hear the cha-ching!

Washington state has a new cost-cutting program that may also dramatically lower the rate of C-sections.

They’re going to start paying the same amount for an uncomplicated C-section as they do for a vaginal birth.

And because C-sections in that state cost on average $5000 more than vaginal births, this will help make sure the motive for the surgery–the most common in the United States besides circumcision–are the best interests of the patient.

We are choosing to improve quality mostly by using carrots rather than sticks.

Annmarie Schulte and her husband Matthew had planned on a natural birth for their fourth daughter. They had also planned the perfect name for the babe. What they didn’t plan on was Annmarie reaching down and delivering the baby while stuck in rush hour traffic on the I-43 near Milwaukee.

Annmarie shouted to Matthew at 7:48 a.m. after she felt her baby crowning,

She’s here!

As we all know ad nauseam, OBs generally warn against a vaginal birth after C-section, or VBAC.  And in this case, it would be a VBA3C; all 3 of the Schultes’ daughters were born by cesarean. This time, to ensure they’d get the natural birth they wanted, the couple worked with two doulas, a midwife, and a physician throughout the pregnancy.

And whoa boy. They got a natural birth; an unassisted natural birth.

Editor’s Note:  This VBAC birth story is from guest writer Heather Garvet. Heather blogs at A Mama’s Blog, where she has written other posts on C-sections, VBACs, breastfeeding, pregnancy, and birth issues, as well as her two boys.

I had a C-section with the birth of my first son, Ryan, in 2004, only because he was a breech baby, and refused to turn.  I wasn’t very informed on other alternatives for turning breech babies at the time, other than the external version, and accepted having a C-section was the only way to give birth to my baby.

I was thrilled of course, to have my new baby after the C-section.  The hospital was very baby friendly and I was “allowed” to nurse Ryan while I was in the recovery room.  As soon as I was out of recovery though, the problems started for me.  I had a bad reaction to the anesthesia, and stared vomiting.  That was the worse pain I have ever experienced.  The nurses were trying to get me out of bed to walk around, but I was too weak, vomiting, and almost fainted every time I sat up.  That evening, I started itching like crazy- another reaction to pain medication.  On top of that, the pain from the C-section was intense as well.

Without going into all the other details, my recovery from the C-section was very long.  After twelve weeks post-partum, I was still sore and having pain occasionally.  I had a sixteen week maternity leave, and it killed me that most of my leave was spent recovering from the C-section.

After having such a negative experience from the surgery, I decided with our next baby, I was going to have a vaginal birth, or VBAC for short.  I started researching everything I could about VBAC’s, and found out that in most cases, VBAC’s are very safe for the majority of women.  I was troubled to learn though, that the majority of hospitals and doctors don’t “allow” VBAC’s, because of the small chance of uterine rupture.

What never was said though, that just being pregnant again increases the chances for uterine rupture after a C-section, because of the baby growing and stretching the uterus.  However, the chances  for uterine rupture was 0.05% higher than having a repeat C-section.  I was still convinced I was going to have a VBAC.

Until my first daughter Carly was born by an ER-style emergency c-section, I had never been to the hospital except for the couple of times with minor injuries as a small child. The experience was so extraordinarily shocking to my system that it catapulted me into a determination that my next delivery would be VERY different. The birth of Carly, was traumatizing on so many levels. That I was only 21 and relatively immature and inexperienced probably didn’t help. I had wanted her very much and did everything to prepare, but like most of the cliches you hear about becoming a mother for the first time - nothing could have prepared me, especially for the frightening, dangerous, surgical birth.

After going through a rough post-partum depression, my reaction was to get pregnant again pretty quickly and immerse myself in research so that I could be more empowered the next time. I had been shocked into a state of alertness about my body and had a strong intuitive knowledge my next baby and I didn’t need to go through this same situation again.

I had done my homework and knew that what happened with Carly and I was unusual and not likely to repeat itself. I also learned everything I could about VBACs (Vaginal Birth After Cesereans). If my doctor had done a good job of patching me back together, and I believe that she had, my uterus and I stood a good chance of having the strength to give birth naturally.

Any mother knows, birthing a child is a labor of love. Inspired by a discussion amongst the writers on Eco Child’s Play about our births and the safety of home births in particular, we decided to share our labor experiences with our readers. One of the things we hold in common as eco parents is our desire for a natural birth, however, we may not always experience the birth we envisioned. From VBACS to home water births, our experiences are diverse, and we want to share them with you. We believe what is important about birth is that parents are given an educated choice about how and where their baby is born, as well as be flexible to deal with any medical issues that arise.

We don’t only want to tell our birth stories; we want to hear your stories too! As a pregnant woman, I could not read or hear enough women’s birth stories, because they were all unique and different. The experience is not the same for any two women. By sharing our stories, we hope to build a community of parents who can support and share with one another. Therefore, we are hosting a Labor of Love contest!