Today on the
news they are talking about revised NICE guidelines which will allow women to 'choose' a Caesarean birth. There's some debate around this, of course, with some people against the proposal, saying that women only choose one because of fear of birth (rather than experience of it) or because, having had one bad birth experience they are fearful it will happen again.
I had an unplanned (but not emergency) Caesarean and I can say without hesitation that next time I have a baby (and I would like a second child one day) I will be having an elective Caesarean.
Before having one myself, on hearing of a friend who'd had one I would feel very sorry for them, thinking something awful must have happened to prompt the surgery. Having had one, I no longer feel that way. I appreciate that some people's experience of one might not be as good as mine, but this is my experience.
My baby was very very late (this runs in the family, something the NHS does not take into account) and there was massive pressure to have an induction. Imagine being overdue and a succession of medical bods looking you firmly in the eye and mentioning the word 'stillbirth', repeatedly and with ever-increasing frequency. I defy anyone to hold out for very long. I gave in and was rushed in for induction the very day that I agreed to it.
Five days later my son was born. The induction drugs started the contractions, then would die away. Dose after dose had the same effect - that is to say no effect at all. My cervix refused to dilate. Finally, after 3 days, I had got to 3 centimetres and was told that they would break my waters the next morning. They broke on their own that evening but I was told I could not go to the labour ward because there was a queue. Meanwhile, the countdown clock was ticking - after 18 hours of broken waters you have to go onto antibiotics. Because of induction and the antibiotics, by the time we actually hit the labour ward I had to be fully monitored, which means a great lack of mobility (you're hooked up to a number of drips and heart monitors). Looking back at my notes I see I was in 'labour' for 15 hours (that's after the four days of being induced with contractions coming and going which apparently doesn't count at all) and then started pushing. I got to fully dilated and my second stage (pushing) was marked down as 4 hours. I lost all sense of time so I can only see this by my notes. During all of this I was told my baby was very nearly out, very well placed, only about a finger's length away from being born.
Suddenly, though, he changed position and almost retreated back to his starting point. When they told me this I asked if they couldn't use ventouse or forceps, but he was too far away. That's when I heard the word Caesarean. I said yes almost immediately. I was exhausted, we seemed to be back at square one and apparently the baby was getting 'distressed' (though he can't have been that distressed as his Apgar scores were very high). All that time I was only on gas and air (and my husband pressing my back, which was extraordinarily efficient at removing the pain, amazing.).
The last few moments in the darkened labour room are a blur. I remember signing my permission (though I could barely see the page between contractions) and someone reading out the risks, which I nodded to. I didn't care by that point, certainly didn't take any of them in. I'm sorry for my husband, who must have heard a terrifying list of risks recited in front of him. I remember my nightie being taken off as they tried to remove it so they could put me in a hospital gown and me saying 'it doesn't matter' as I heard it rip. I remember them almost prising the gas and air out of my hands so that they could wheel me away.
From the moment we arrived in the surgery everything got better. There was a big team of relaxed people who seemed to find the whole process almost dull, they were so laid back. There was light and the radio was on. The pain disappeared as they gave me an epidural and my midwife (exhausted, bless her, after hours and hours awake but still kind and following me into surgery) said 'You're smiling again!' The screens went up and just as I was wondering if they'd started yet (I never felt anything, not even the 'rummaging' sensation that some people feel) they held up a furious, screaming baby next to my head and said 'a lovely baby boy'.
They took my husband into the room with the baby, let him 'cut' the cord for a second time, washed and dressed the baby, then took photos of my husband, in his scrubs and a huge smile, holding his son. Then he came back and sat by my head while they stitched me up so I could see our baby. Once in the recovery room the staff made sure I had skin to skin contact with him and later on Vivienne (Life! as my mother pointed out) came round and ensured he learnt to breastfeed.
I had painkillers for 7 days and then stopped them, tentatively. No pain. A tenderness, or a sort of 'awareness' of the area, but nothing more. The stitches were taken out at home and again did not hurt. Well before 6 weeks my scar was neat and healing well. I felt well.
I know two mothers who had supposedly 'natural' births who recovered a lot slower than I did and both were very much put off any future children.
Because it was unplanned I hadn't even read up on the operation. So here's my advice to anyone pregnant:
- Read up on it so you know your stuff if it happens. It won't jinx you, I promise.
- Don't be scared of the Caesarean if it happens. You're in safe hands. Know that there is a big team of people so don't panic when you see them all. It's standard.
- Buy a multipack of BIG pants (seriously, 3 sizes too big and full Bridget Jones) from M&S. They're cheap and you can bin them afterwards if you don't need them. They will be much more comfy over your scar at first.
- Buy this book or at least have it ready to order from Amazon. Most of the (very good) exercises in it are valid even if you had a vaginal birth, so it's not wasted. Caesarean Recovery, Chrissie Gallagher-Mundy.
My experience leading up to the Caesarean was a bit frightening (all those 'stillbirth' comments), excruciatingly slow, exhausting and very invasive - the thing I hated most in the whole process was the internal examinations to check on the (lack of) progress, over and over again, painful and somewhat humiliating. The Caesarean, by contrast, felt safe, quick, painless and professional.
For the future, the idea that I could choose a date, arrange childcare for my first child, make sure I was rested and relaxed, take the right items to the hospital, walk in, say hello to the team and lie down, before being given my baby soon afterwards, is exactly what I would want next time. My body, my choice.
And hey, apparently I can wear a bikini now! Yay! I never wore one before, but
still...