Monday, December 20, 2010

Where do we stop with the "high-risk" designations?

The other day as I was scanning new books at my local library, I noticed one about high-risk pregnancy. I picked it up and glanced through it.

To be perfectly honest, I stopped when I saw the list of factors that may put you in a high-risk pregnancy.

I honestly think it would put more than 50% of the birthing population as high-risk.

Some are, to be certain, legitimate. Placenta previa, where the placenta covers all or part of the cervix, is more complicated than regular pregnancy and requires education and cesarean birth in almost all cases. I can understand the worries with existing diabetes (particularly if poorly controlled) or high blood pressure, even previous birth defects or preterm births.

But some of the others had me flabbergasted at the level of fear present in obstetrics today.

Pregnancy at less than 18 years old or more than 35 years old.

Low-socio economic status

Being underweight or overweight

Fertility treatments

Having a previous pregnancy loss (yes, singular loss. It's estimated that 10-20% of pregnancies end in miscarriage, but many may feel they have had a late, heavy period).

Having five or more pregnancies

ETC.

The list was quite long.

Why is there such fear? I'm afraid - BRUTAL HONESTY FOLLOWS - that our culture has gone so far away from death being a part of life that we are fearful from the point of conception that someone might die. We are willing to do anything to prolong life. Mothers, in particular, are pushed to self-sacrifice in order to give life to children (I am not talking abortion here. I am talking general pregnancy).

I had a miscarriage before I had my son. It was devastating and took a long time to work through. I still cry thinking about my lost little one; hearing of another's loss provokes the same pain. I lost a child and will always mourn that.

However, I fully feel there was a reason my little one should not have been born. It was his time in life to go. I won't speculate as to what the reason was (that leads down a dark path). It doesn't make it any easier to accept his death, but it is what it is.

I certainly agree that obstetrics has saved some lives that would have otherwise been lost. However, we cannot use that nor the fear of death as an excuse for the mistreatment women, babies, and families currently deal with in the system. In many cases. when presented with an unknown, watching and waiting is less deadly than the "well, we must do SOMETHING ANYTHING" attitude so prevalent in modern medicine. (Certainly we've all heard the scares regarding the current radiation levels we're subjected to with unnecessary ct scans and x-rays? I've been x-rayed for a stomach virus and high fever before. Also, think of the current MRSA superbugs in hospitals due to over-prescribing antibiotics, and the chicken-pox vaccine leading to increased shingles cases. It's got to stop somewhere soon)

We need to stop being so fearful and take back our health. For the vast majority of women, pregnancy and birth are times of health. Your best bet - see a care provider who believes this to be true rather than a care provider who believes pregnancy and birth are times where something could go wrong at any time and you need careful monitoring. Ask your WHY? questions and get second opinions. Loose the "all that matters is a healthy baby" mantra.

5 comments:

  1. Hi,
    I live in Martin County, KY, which is about two hours from Charleston. I am interested in having a doula for this birth (my fourth child). Are you available or do you know anyone who is?

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  2. I think 2 hours is a bit far in order for me to get there to provide the support you'll want and need. I've started asking around for someone closer. :)

    I would however be interested in coming and helping even if I wasn't the primary support doula. When are you due?

    I'll let you know once I hear something!

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  3. Heather - I've asked an Ashland-area doula, but she too feels it's probably a little far to really give you good support. You might try some of the following websites for searches as you'll know KY-area better than I will.

    skydoulanetwork.com - Southern KY

    Dona.org
    ICEA.org
    Cappa.net
    childbirthinternational.com
    birtharts.com
    doulanetwork.com

    Also feel free to email more about your situation: healthymamachildbirth @ gmail.com (remove spaces)

    Thanks!

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  4. Hi Amber, thanks so much for replying! I thought 2 hours might be a little too far for you, but I still thought I should ask.

    I'm due in August, so I'm not terribly far along. I just figured I should get a head start in looking for a doula.

    Actually the hospital I plan on giving birth in is in Ashland, as is my OB---we're about a hour from there.

    I will search those websites, thanks! I had already looked through a few of them and found nothing, but maybe one of the ones I hadn't checked will give me something.

    Thanks so much for your help!
    - Heather

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  5. It's definitely a good idea to start looking! I'll let her know that you're traveling to Ashland for the birth, but I think that if you're wanting in-home support before you go to the hospital (which is a good idea in my opinion) that you'll want someone closer.

    Another option that I've seen work sometimes in an area where there is no local doula is if you know someone who would doula for you if you paid for their training. Sometimes a sister or close friend will consider doing the support in that case. They may have to travel a little for the training (depending on which organization, though a couple have distance options). The cost to pay for training is comparable to hiring a doula sometimes.

    Best of luck! Let me know if there's any other help I can give!

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