I interviewed with a new couple this week, but haven't heard back. I think perhaps I'm not what they're looking for. (The rest of this is musing spurred on by NavelGazing Midwife's
NBA post, and my interview, but is not directly from the interview...)
I don't believe birth should be natural at all costs. I believe it's important to know what all your options are, so that you can make the best decisions possible for the circumstances you're in. As far as I can tell, saying things like "I won't use medications of any sort in my labour and I will never have a cesarean" (or, conversely, "I'll die without an epidural") is a disaster waiting to happen. Because as much as I trust the process of birth, part of trusting is knowing, and I know that birth is both a powerful and a vulnerable process. It sweeps over you, it encompasses you, it takes control. And yet.... the smallest thing can change its course. An unsupportive loved one, a medical complication, an out-dated policy, an unspoken fear.... Each of these things (and many more) can result in your labour going somewhere you never thought it would... can leave you needing to make decisions about options you'd never considered; options you had ruled out on principle.
I'm not quite sure how to sum up what I DO believe, but birth without room to move and change (including the 'natural at all costs' view) is not it.
I hear women use phrases like: "Suffered through", "was in agony", "traumatic", "never want to feel that way again"..... "But I didn't use drugs!" And when they recount their birth story to me, there is not a single positive statement in it. Not even anything neutral - just hurt, pain, negativity, and fear. That makes me so sad. Because even when they say "But I didn't use drugs!", there is no joy or pride in their voice. It's almost like they got what they thought they wanted (unmedicated vaginal birth), only to find out that what they wanted isn't necessarily what they thought it would be.
How a woman remembers her birth stories impacts who she will be (as a woman, as a mother...) for the rest of her life. One of my goals as a doula is to help those birth memories be positive ones, ones that the mother can use to springboard into growth. I don't mean glossing over difficult parts of the labour, or pretending that bad things didn't happen. I mean being able to find at least
something good to hold onto, to help carry her through the dark times.
If a Mom wants a no-meds birth, I will do everything I can to to help her acheive that. If a Mom wants an epidural as early as possible, I will do everything I can to help here with that too. But sometimes circumstances unfold aside from our goals and our plans. Its at those times, that I want Moms to know what their options are, so they can still make the best decisions possible for themselves, and feel okay about it.
I want Moms to walk away from their births having been an active particpant. That is to say, the birth didn`t happen "to" them, but they worked "with" the birth.
I guess the only thing I'm hard core about is Mom's having the information and support they need to make the best decisions possible for them.
If you want me as a doula to tell you "No, you don't really need intervention X", it isn't going to happen. It is not my place to tell you what you need. I'll offer you info about intervention X and even suggest questions you may want to ask your caregivers about intervention X.... but I'm not going to talk you out of it or into it.
So for some parents, I'm just not hard core enough. They are looking for a doula who will fiercely and actively work to prevent anything from happening which is outside their plan. They want a doula to "make" things be the way they envision them. And I just can't guarantee that. I will walk with them every step of the way, no matter where the journey takes them. I will lend them my heart and my hands. I will do all I can to get them the information they need to make choices for themselves. I will work to keep the atmosphere positive and supportive. I will be
with them on the journey. And I like to keep all options open, because you just never know.....