I'm a big planner. I like to prepare for things, to know what to expect, and to go into things with a good idea of how to be successful. One of the worst feelings, to me, is the feeling of being unprepared. I still have dreams, more than 10 years later, of not knowing my lines for the high school play. One of my most vivid classroom-related college memories is when I waltzed into a blow-off class one day not knowing we had a scheduled quiz. I was completely unprepared, and although it wasn't a class I really cared about, I felt mortified. I just hate not being ready.
That's why I find myself surprised at my lack of preparation for labor. I am four weeks, give or take, from giving birth, and I'd say I've given the actual birth process much less thought than, say, what stuff I want to take with me to the hospital.
First of all, I never really considered giving birth anywhere but a hospital. Maybe it's naive of me, but I trust that my doctors and the hospital staff want to take good care of me, that they're not simply out to make money off me and get me out of their hair. I can see why a home birth would appeal to some women, and that's fine for them. For me, the idea is scary. I like knowing I can get an epidural at the hospital. And since we've found out about Luke's heart problems, I can't imagine having him anywhere else -- I want doctors there to immediately monitor his condition.
So a hospital birth it is. I read early on about writing out a birth plan, but from the beginning, the idea of that has seemed a little backward to me. I look at it like this -- you can't write a plan for something so unpredictable. If I've learned anything in this pregnancy, it's that I can't control everything. This has been unpredictable from the start, from the shocking news that I'd be becoming a mother to the heart problems to his growth issues -- who knew a year ago what my life would look like today? Certainly not me. I imagine birth will be much the same. I can't predict how it's going to go, what I'm going to feel, what my preferences will be in the moment, or what the safest course of action will wind up being.
I worry that if I was to write out a list of my dos and don'ts for the birth, I'd be setting myself up for failure. I can write that I don't want any interventions besides an epidural -- no Pitocin to speed things up, no episiotomy, and by all means, no C-section. But then... what if in the situation, I realize one of those things really is the best thing for me and the baby? Would acknowledging that fact mean I'm also disappointing myself, going against my feelings in the heat of the moment? If I go in wanting the lights low and soft music playing, and then my iPod breaks down and the lights have no dimmers, am I going to then be focusing on the birth not being exactly the way I planned rather than just focusing on the moment?
That's why I've chosen to go into this fairly open-minded. I know that I don't expect myself to be a martyr and that I'm open having an epidural. I know I'd rather not be induced, simply because I'd like the baby and my body to be naturally ready. But I also know that there are probably reasons to induce, when it is the safest, most reasonable route. I go in believing that the doctors and nurses want the best for me and the baby, not what is most convenient for them. I believe they'll listen to me if, in the moment, I have questions or concerns about what is happening. I believe I'll be the one signing off on most decisions.
I think no matter what, whatever I chose and whatever happens will be the right thing for me and Luke. I don't want to walk away feeling any disappointment or failure, and I think going in with this kind of mindset -- that I and the doctors will do the best we can and make the best decisions we can in the heat of the moment -- will be key for that.
No matter what, I'm bringing new life into the world, and that's a sacred thing. I don't want to waste too much energy feeling bad about the particulars of how I get there. Sometimes I read articles that make me question my lack of planning -- this blog post today for instance -- and the way I'm just going along with the medical establishment. I realize it's a big business that is churning out births all day, every day, that my and my baby's needs could get lost in the shuffle. But I chose to be optimistic for this first birthing experience. If things don't go well, well, maybe I'll feel differently in a few years when it's time to make Luke a little sister.
That's right, a sister. Maybe I can't really control that either, but in this case, I'll willing to pretend.