We Made it to Week FOUR!

Week 3 (June 3 – June 10)

Esitmated Due Date: February 11th, 2013

Symptoms: Cramps, a very tender upper top half (okay, fine, I’ll say it…breasts), headaches, being super, unbearably hungry (but losing weight, which is nice, I guess), and the moodiness is still here (the hubs is already cowering in fear of preggers Kirsten). It’s very much like what I remember from being pregnant with E., though I think there is more general discomfort this time around. Lots of crampy twinges all over that I don’t seem to remember from before.

Body Changes: About the same as last week, bloaty and booby.

Cravings: My love for salty things continues. I definitely find myself hankering for comfort foods where as the idea of sweets doesn’t do it for me quite as much (though, again, I won’t turn down chocolate…ever).

High Point: Getting to meet with the midwives of in Bridgton. While the hubs and I have pretty much decided it isn’t in the cards for those lovely ladies to deliver baby #2 (darn insurance), they do offer FREE prenatal care and super inexpensive doulas (only $50!!!). We’ll definitely be seeing more of The Birth House for those reasons!

Low Point: This. Still kind of mad about it, too, but I think, assuming I can get into their practice, All About Women in Portland will be a good option for us. They deliver at Mercy Hospital and seem to have a pretty good view on c-sections and VBACs.

Paranoid Moment: Worrying that every little uncomfortable twinge is a sign of something horrible. I had myself convinced for about two days that I must have an ectopic pregnancy, but then I realized two things: one, it would probably be too early to know, and two, I think if I were dealing with an ectopic pregnancy I would know I was dealing with an ectopic pregnancy, not just worry about it.

What I did to prepare this week: I called and made appointments with a couple of places and am still waiting to hear back from another (All About Women). I also had, as I mentioned that appointment at The Birth House. While I’ll probably only keep one or two of the appointments I made (the others sort of seem pointless now that I know people’s policies of VBACs), it was a good experience to get in touch with all the places I did, because I have a better scope on what’s available out there for me in terms of maternity care (and what I need to start fighting for if I ever become some sort of lobbyist for women’s health organizations).

I also bought five books: The Pregnancy Book, by Dr. Sears (I have The Baby Book, which I love, and I wanted an alternative to “What to Expect”, which I hated); Birthing from Within (yep, bought a crunch/granola pregnancy book); The Breastfeeding Book, also by Dr. Sears (I never had a book on this topic when I had E. and I didn’t have as much success breastfeeding as I wanted, so I hope with will help); What’s Inside Mommy’s Tummy (a book for E.; she has lots of questions and I think a good book about what’s happening will be helpful); and A Baby on the Way, another one by Dr. Sears (Are you sensing a pattern yet? And yes, another book for E.)

What’s going on “in there”: Your Pregnancy Week-by-Week explains: “Fetal development is still in the very early stages, but great changes are taking place! The blastocyst is embedded more deeply into the linning of your uterus, and the amniotic sac, which will fill with amniotic fluid, is starting to form.
“The placenta is forming; it plays an important role in the hormone production and transport of oxygen and nutrients. Networks that contain maternal blood are becoming established. Development of the baby’s nervous system (brain and other structures, such as the spinal cord) begins.
“Germ layers are developing. They develop into specialized parts of your baby’s body, such as organs. The three germ layers are the ectoderm, endoderm, and mesoderm.
“The ectoderm becomes the nervous system (including the brain), the skin and the hair. The endoderm develops into the lining of the intestinal tract, the liver, pancreas and thyroid. The mesoderm becomes the skeleton, connective tissues, blood system, urogenital system and most of the muscles.”

Baby Drama

Have you ever had a picture in your mind of exactly how something ought to go and then have it dashed in one fell swoop?

Welcome to my day.

When I found out I was pregnant I had three places I was planning on checking out for giving birth, a birth that I had planned on being a vaginal birth after a c-section (VBAC) and I wanted to go completely naturally. (I have reasons for all this, but I’m not going to list them now, maybe that will be another post.) Those three places were:

1.) The Birth House in Bridgton, Maine
2.) My family practitioner, also in Bridgton
3.) Western Maine Midwives, through Central Maine Medical Center in Lewiston, Maine

Well, now none of these are on the table, except for maybe The Birth House (which was my ideal choice, but that is now dependent on finances…which we don’t really have). Let me explain how this all unraveled.

Let’s start with The Birth House, which, as mentioned above, is still sort of viable. The Birth House does perform VBACS, both at their birth center and at home. However, it will cost me roughly $2500. That’s $2500 we don’t really have lying around and insurance won’t cover it up front. They might however, reimburse us, which, honestly, doesn’t really help. The hubs and I have to discuss if we’re willing to pay this much when we could pay far less at a hospital.

Which leads me to option number two. Well, first of all, my family practitioner doesn’t do OB work. Fine. Well, maybe she can recommend an OB for me to work with? Well, sure, but guess what? Bridgton Hospital doesn’t allow VBACs. What. The. Hell??? Does no one know the freaking risks in repeated c-sections?? This is ridiculous!! I’m sorry, but I like my uterus, and the fewer people I have unnecessarily cutting it open, the better!

Now, I am by no means anti-cesarean. There are times when they are necessary. BUT just because you had a previous c-section does not make you a candidate for another. That’s ridiculous.

Anyway, once I realized that my FP wouldn’t be an option, I looked for another one. I had heard good things about the midwives and maternity group at St. Mary’s, also in Lewiston. I called, got an appointment, but while I was on the phone scheduling, I was told that I would have to have a c-section if I delivered at St. Mary’s. Again, no VBAC. No thanks!!

So, this leads us to choice three. I called, got an appointment for the the 15th of this month for an intake visit and then another “official” visit with a midwife. Sounded great. But after finding out St. Mary’s doesn’t do VBACs I decided to call CMMC back to see if they do VBACs. Well, they do. But not with the midwives. Which makes no freaking sense at all. The midwifery style of care is WAY more conducive to successful VBACs (as has been proven in numerous studies).

And that leaves me here, with no idea what I’m going to do, with few options, and feeling pretty crappy. I have a very clear idea of what I’d like my birth experience to be like. And I do understand there are always outstanding reasons for why a birth may not go the way wanted or expected, BUT there are lots of things you can do to help things go the way you want and I’m being kept from those choices!! It’s extremely frustrating and heart breaking.

I am going to call two more hospitals/practices to see if their midwifery groups are allowed to perform VBACs, but I’m not holding my breath, as it seems those practices that do allow for VBACs list them on their sites and the two places I’m calling tomorrow don’t say anything about VBACs on their sites. But we’ll see.

So, I leave you now with this thought: If/when you’re expecting, and you want all options available to you in regards to your maternity care, avoid a c-section at all costs, because, in some areas, once you have that done, you’re spent in the eyes of a lot of doctors and hospitals. It’s really, really sad.