We must talk about the C-word
Let's kick it off by making one thing clear: If you think I didn't "give birth" to my son because I had a c-section, please leave.
This being 2017, isn't it about time that we end the stigma against c-sections? Hasn't it been proved time and again that this isn't by any means an easy way out? And even if it was - shouldn't one have a choice? Why must we glamourise pain, and devalue any birthing experience that doesn't necessarily involve copious amounts of swearing at doctors or midwives?
To be completely honest, for most of my pregnancy I was a bit in denial that my baby would sooner or later somehow have to come out. I didn't set off wishing for a c-section. Natural births and all that aren't my cup of tea either, but I was set on the idea that I'd have a "normal birth" with an epidural and all would be well. Alas, it didn't go quite as planned.
Despite living in Germany, my husband and I decided that our son would be born in Rio (to the shock and confusion of many around us). My life-long gynecologist had been my mom's obstetrician, i.e. the doctor who once performed the c-section that brought me onto this very world. In this crazy international life that my French-American husband and I lead, the decision to give birth to our son where I myself had been born and raised just felt right. Knowing my doctor would be there gave me the trust and confidence I lacked back in Munich, which was more than enough reason to go back home. We have zero regrets - but now I'm diverging. This topic deserves a post on its own.
Once I flew to Rio at around 30 weeks pregnant, I had to recognize my own veiled prejudice during the first in-person appointment with my obstetrician. The moment I told him I'd like a "normal" birth, he said he isn't a big fan of the term, as it implies that c-sections aren't normal. He prefers to call it vaginal birth instead. Touché.
As the weeks went on and my son's predicted birth weight reached 3.8kg, the thought of vaginal birth started making me uneasy. I never feared the pain or pooping-while-delivering-baby. It was articles about women who ended up with urinary incontinence for life, tried numerous reconstructive surgeries and finally got divorced due to a destroyed sex life that haunted me. Other articles affirmed that "your vagina will NEVER be the same - but that's ok!!! :)". Hm. I'd failed miserably at doing kegels consistently during my pregnancy (I know, I know). Alright, I was doomed.
As I discussed my fears with my doctor, he flat-out said exactly what I needed to hear: "It's your vagina, your choice. Not mine or your husband's, or anyone else's really, but yours". This no-bullshit attitude made every penny spent on my ticket to Rio worth it. At that moment, I still had a choice.
If I opted for a c-section, it would have to be scheduled for the due date or later - not one day earlier. It is often presumed that women and doctors opt for c-sections so that babies can be born sooner, at the most convenient date, with a quick cut of a knife. Not my case.
Anyhow, at this point I wasn't convinced that this was what I wanted. What I really hoped was for my son to decide when he was ready to join us. I wanted to go into labor, to feel contractions. I wanted my water to break in an awkward situation (While out for dinner! During a stroll at the mall!) and have confused onlookers cheer me on as I ugly-cried of joy. Vaginal birth or whatever - I just wanted a healthy, full-term, strong baby, ready to come out.
But life doesn't quite work like that, does it? The 38th week ultrasound showed that our baby had the umbilical cord looped twice around his neck. He was perfectly fine otherwise, but now the c-section was a reality. At first I felt oddly and guiltily relieved; I had a legitimate excuse to let my vagina be. However, as the due date approached and I showed no signs of labor, I started to grieve my lack of options.
To be honest, not one woman I know has actually opted for a c-section. Yet most of them feel somehow guilty, or somewhat embarrassed, for needing to go down that road.
I still held on to the hope that at least I'd go into labor up to the very last minute of July 12th. I never did. My son was born via c-section in the morning of July 13th. I know the moment was right, though I joke that he really didn't want to leave the womb. But his lungs were already perfectly formed, and meconium was starting to leak, so there was no reason to wait any longer.
I do still wish I'd gone into labor. After 9 months of reading everything there is about "how to differentiate Braxton-Hicks from real contractions" or "when to call your doctor and head to the hospital", it is obviously frustrating to miss out on the experience. But still, I was there.
My body had nurtured a new life from scratch, and there I was, being cut open so he could come out safely. I got a cold on that very day and felt life I would die with every cough post-op. The first pee after they removed the catheter made me cry (think full bladder being emptied drop by drop). And you know what they say about "feeling like your organs are going to come out through the scar when you poop for the first time"? Totally true.
Now you wonder if I regret getting a c-section? Not for a second. As my scar heals, I sleep as soundly as it's possible with an infant, knowing that my private parts have never been better. But c-sections are still massively intrusive surgeries, and I never felt as scared as I did while lying tied down on the operating table, fully aware and feeling perfectly fine, while getting a spinal tap and about to be cut open. The risks are real, and the recovery sucks.
Long story short: I would love to deliver my second baby "vaginally" once the day comes - pain, poop, incontinence and all. I would also love to not feel less of a mother if things don't go as planned, for what should really matter is that we're here, and we're ok.