Food for Thought - U.S. C-Section Rates

According to the Centers for Disease Control (CDC) - 


The overall cesarean delivery rate in the United States increased 60% from 1996 through 2009, from 20.7% to 32.9%. 



Since 2009, the cesarean delivery rate has declined slightly, to 32.7% in 2013; however, nearly one-third of births continue to be delivered by cesarean every year. 



In November of 2005, the CDC reported the national cesarean birth rate at 29.1%, which was the highest rate ever recorded involving more than a quarter of all births. In 2005, more than 1 in 4 women were likely to experience a cesarean birth. 


In 2013 delivery rates, according the CDC, were as follows:
  • Number of vaginal deliveries: 2,642,892
  • Number of Cesarean deliveries: 1,284,339
  • Percent of all deliveries by Cesarean: 32.7%


Information and statistics were found at the following Sites: American Pregnancy & Center for Disease Control



From Pre-Surgery Room to Operating Table

I write this blog post as a continuation of the previous post. I'm trying to take you on my journey from one room to another...from one mind set to the next.

You will see (**) throughout this post. I am clarifying on what happened in the operating room.


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~


Imagine yourself dressed in a light blue hospital gown, wearing a hair net, your feet covered by brown hospital socks. You are lying on a hospital bed and are being rolled from the room where you put your hospital gown on, to the operating room. The nurse kindly wheels your IV machine as well.

The walls on the way to the operating room are mostly bare. A bold, blue line rolls along with you, a touch of decoration for the common hospital. You hear the wheels of the bed turn on the beige ceramic tiles. You come to a brief stop at a huge door. The automatic doors open and reveal what looks like your typical TV or movie operating room. It comes along with the standard "The room feels cold" thought. It's a big room, roughly 800 sq ft.

You look around. You start by looking at the door you just came through. You see it by turing your head to your left.  You hear your name. Your attention is turned to the nurses who are talking to you about preparing to be transfered from the bed you are on, to the operating table. You make a comment about being heavy. Everyone smiles, they've heard it before. It took little effort for a group of women to get you from point A to point B. You are on the operating table.

You continue to look around. To the right of the door there is a baby warmer, you figure it's the place where they will place your baby once its out. You continue on. You see the telltale instrument in any operating room, the big light. It's off. In the back you spot your name. You see your information, weight, notes, written on a dry erase board.

The anesthesiologist you spoke to earlier in the morning, comes to speak to you. He helps you sit so he can administer the spinal (common for a C-Section). As he prepares, you are asked by a nurse how you feel. You tell them you feel nervous. They say not to worry.

You feel the anesthesiologist touch your back. You nervously stiffen your body. He asks you to breath and relax. You feel the poke of a needle. The are he poked has your entire attention. You ask yourself if he did it right. He begins to ask you questions regarding his touch. He helps you lay down. A blue sheet is placed at about what you estimate is at arms length from your face. You are unable to see in front of you anymore.

The anesthesiologist extends both of your arms out. He straps them both down. Before you can ask why, he apologizes. He tells you he has to do it (in case you try to get up or remove the partition). Minutes later, perhaps as he studies you from afar, the anesthesiologist returns and offers to unstrap one arm. Based on your promise to remain calm. He tells you he could get in trouble. You thank him. Promise not to go crazy.


**

That was my arrival to the surgery room. All that happened, along with fear, stiffening and shaking of my body. Nothing that others would not expect. I was feeling many emotions.  I grit my teeth now, I probably did it then. I've never been so nervous. I visualize every aspect of that room. It's etched in my brain.

How to convey what it felt like? Words do not take place for the sensory aspect of the experience...Know yourself. You'll be alone for some time (mostly in mind). If you tend to panic easily, I suggest you talk to you doctors and nurses before hand. The operating room is a place for decisive action. You are there to go in and to come out, safely. With a healthy baby and a healthy you. If you feel overwhelmed, then your baby and your team of doctors do too. Don't wait until the last minute to say how you feel.

I was extremely scared. I was scared of this human that was coming out of me to take over my life. I was scared of the operation. I had never broken a bone, never needed to visit an emergency room.

I cried. When I was laying down. Partition on. My hair in a hair net. I cried salty, scardy cat tears. But I knew I had this! I didn't know what would come next. What type of pain came along with it. I knew that others had gone through it and had been OK. Women are strong! Regardless if the baby comes through your vagina or through a battle scar.

In the operating room, as I lay thinking those sad thoughts and cried, I was asked the most on time question, ever! "Would you like me to play some music?" Music? I thought. I didn't think of it as even a remote possibility. F! yeah! Music!

**

The nurse asked what I wanted to hear. My body was shaking. I was hardly able to speak. My senses were heightened, but everything was thought. Not action.

She began to call out the artists she had on her phone (she knew I was having a hard time).

Then she said, "Selena?"

"Um, YES!" (Selena Quintanilla, the amazing Tejano music artist)


**

I love her. I love her! I remember coming home from elementary school and hearing the news she had died (to put it mildly). I cried. I was devastated. She was beautiful. A rose.

I wrote a Poem, dedicated to Selena, on October 3rd 2012. A couple of years before the birth of my son. If you would like to read it, please click on the link above.

Back to a sunny morning in March...


**

As Selena was playing, my doctor walked in. He always had the same sing song voice when he said hello. He smiled and asked how I was feeling. I said I was Ok. He told me not to worry.

He then bagan to explain the procedure. He estimated it would take about an hour to finish. It would begin by him cleaning the area where the incision would be made. He explained that I would feel tugging, but he would warn me when that would happen. He also mentioned that he would ask a nurse to let my husband know when the right time would be to come in (he was not allowed to be in the operating room until my son was ready to be delivered). I also spoke to a female doctor that would be assisting him during the C-Section. I can't remember what was said after that. I think they updated the dry erase board. They also went through a checklist. A few minutes later, Dr. V came over to me, pulled down his mask and said, "We're ready." I smiled. He walked away, putting his mask back on his face.



I'll leave you with two Selena Songs. I hope you enjoy them.



-km

Selena Quintanilla - Song in Spanish 





                                               Selena Quintanilla - Song in English



                                                 


Scar Tissue (that I wish you never saw)

Today was a day for scars. I started searching scars from breast implants (just curious) and ended up looking up C-Section scars (curious as well). I also read a blog post regarding C-Sections (link bellow). The blogger made valid points, specially since everyone's C-Section experience is different. What she wrote on her blog was her truth. Just as what I write here, is mine. Her C-Section experience was not a good one. It was one followed by infection, pain and anger. She seems angry about not being given other options besides a Version or a C-Section. She says that a breech birth could have still been a possibility but that doctors are not willing to participate in one. A colleague who was planning to have her child, naturally, at home, gave me studies on breech babies being born vaginally. As I did more research I found both successful and not breech vaginal births. Reading birth stories of women who tried having their breech babies vaginally, but ultimately had to go in for emergency C-Sections.

My gut told me there was a reason my baby was breech. I knew something was wrong and I did not want to jeopardize his health. Although I truly wanted a standard vaginal birth, I felt that it would be selfish of me to go through with one and have the possibility of harming my son. That in no way is to say that if someone makes a choice to go trough with a vaginal birth with a breech baby, is wrong. 

I then read the comments on her blog by posters. Many women had no idea what would happen in the operating room. Some had been in labor for over 10 hours and had to go in for emergency C-Sections. Even when I took my lamaze class I remember our instructor glossing (I write glossing because after facing the reality of a C-section, I realized how little I knew about it) over it. She stated the terms and told us the difference between a standard C-Section (conscious when your baby is being delivered and "bikini line" incision) and an emergency one (The person is put under anesthesia and the incision is vertical on the stomach). Little did I realize that weeks later those terms would haunt my days and nights.

It did haunt me. I felt like a bad mother. A BAD MOTHER! What in the world was wrong with me? Why would that fact, one which I had no control over, make me bad? I stigmatized it. I put it on myself. The failure of my body to go with the flow. To do what is "right." When I told my parents about what was happening they felt bad. Why feel bad? Why the sad faces? I knew there was a reason my son didn't turn. They kept telling me that there was still time for him to turn. They said they would pray, that I should too. I had been praying for days. Asking for my baby to be delivered safely. I had made up my mind that the best thing I could do was to comfort him and accept things as they were. I was tired of being worried.

Then I went and told some folks at work. The first thing our receptionist said was, "Yeah, your belly looks too high for 8 months." I walked to the restroom, looked in the mirror and for the first time (first baby, what did I know about belly placement) I saw what she said. My belly was high. Yup world, my baby is breech. I walked around with shame.

So here we go. Our overnight bag was packed from the failed Version procedure. I had looked at the yellow overhead-luggage for days. At 5:30am I awoke. March 6th came by fast. It was the day my husband and I were to go to the hospital and get our C-section on. I woke up mad that morning. I was annoyed by everything. We were supposed to arrive at the hospital at 6:30am but we were running late. I, the talking clock, kept saying (please insert bratty, know it all voice), "We're late, we're late..." All Lui could do was say, "Yes, we're almost there." Reflecting on that day,  I'm sure I DID NOT want to get to the hospital on time or otherwise.

Finally there. I was asked to undress and put on a gown. I felt huge! It was nuts! Lui took pictures of me in that first room :) When I think of that day, it feels like the C-section and our son's birth were separate events, many hours apart. When I think of us getting ready for the C-section, with fondness the same scene plays in my head...

Lui helps me put on my gown. I'm naked under. I try to lay on the bed and cover my butt. I laugh at how big I am as we try to help me up onto the bed. I think about our baby in my belly, listening to us through muffled sound. We were scared. We were lost. But we were never alone, we had each other to latch on to.

Without my husband the C-Section procedure would have been unbearable. He was my go to person, always. If you can, have someone be with you every step of the way. Let them know their role in the delivery. Are they there to listen, just shut up, ask questions for you...They should be equipped with the knowledge that they are there to be your advocate. More so when dealing with something so complicated as an unplanned C-section. In the blog post I referenced earlier, I didn't see her mention her husband. I didn't read women mention their husbands in the comment section. I made it a point to share everything with my husband. The good, the bad, the cranky...I laid it all on the table. We got into this together. Together we prevailed.

Thankfully, we also had an experienced team in our doctors and nurses. Everything felt planned. Sterile. Procedures were in place. The nurses, my OBGYN and his assistant were very professional. They had been through the procedure many times. I sensed their easy nature. They were never pushy. They cared for us. They saw our worried faces. They comforted us and made us laugh. Having Lui there made me feel calm. He made me laugh when he saw me sad. He spoke to our baby. That morning, with its cool weather and bright skies was to be the last time him and I would be alone. We had been together for over 10 years at that point. We were in love and eager.

I'm sure it has to be different when you are having a vaginal birth. In a vaginal birth you have contractions that increases as time goes on and some time later you have a beautiful child. For me there was no pain, time was the factor.


In the next post I'll share what happened in the operating room and more about the technical stuff that happened before. I'll also include some information regarding C-sections.




Here's her blog!

Amanda's Blog - Telling her C-Section truth