10/16/2019
TW/CW: birth trauma
Yesterday, my kiddo turned 7.
Seven years ago yesterday, in the wee hours of the morning, my homebirth midwives and I were shocked to discover that the baby I was attempting to push out (magnificently, in an inflatable pool, in my 3rd floor apartment) was actually squeezing into the world led by a single butt cheek.
As a birthworker (even a currently-busily-birthing one), I knew that breech presentation was a variation of normal. But my heart dropped into my stomach with the acute awareness of how hard it was to make even a well-planned breech delivery happen in our area, let alone a surprise breech, without an incredible amount of advocacy and connections to the right providers. Emergency transferring to my local L&D at 2:30AM was unlikely to land us with any care providers willing and eager to let me attempt it.
My baby was born via emergency cesarean a few hours later. When we asked (as they performed an ultrasound whilst shaving my p***s for surgery), the staff told us they did not have anyone on shift that was trained to vaginally deliver a breech baby. I spent almost two hours fighting the urge to push.
I went into the experience very well-informed and knowledgeable about birth, having incredible support and resources at my disposal, and fully prepared to work the hardest I’ve ever worked at anything. Asserting my bodily autonomy through pregnancy was as jubilant as it was challenging. Ultimately, many of my choices got taken away, including the choice to trust my body to birth my baby. And it sucked. But we weathered it. And I’ve healed.
When I talk to my child about their birth story, and even my prenatal yoga students, I use this as an example of being capable of doing hard things. This article makes me want Med schools and OB/GYN students to use that same affirmation when they are considering accessibility of training in things like breech birth and abortion care. May these conversations help build a world where patient-centered reproductive healthcare blooms from the roots of full spectrum reproductive justice, and where we support autonomy and trust for our bodies in all care.
“But a strange thing happened: The pendulum never shifted back. Breech vaginal delivery never became the norm again. The widely accepted explanation is that it’s a problem of lost skills: An entire generation of obstetricians had been trained without the skills to perform breech delivery maneuvers. The reality is more complex. As a doctor, I believe it’s partly a problem of legal risk—i.e., obstetricians’ fears of being sued. As a woman, though, I believe it is, more than anything, a problem of trust.”
As a doctor, I knew the data. As a woman, I knew my body.