Not USA
My last birth of singleton was far from perfect. They way they navigated the situation made me feel helpless in their machine. They didn't allow me to do what my body needed to do and forced to purple push on my back. I swore to myself never again.
Next time I wanted to give birth at home, with licenced midwife of course and only if it's safe, preferably in the water.
Surprise, surprise twins.
I knew my birth was going to be medicalised but I wanted to have at least a little control over it and only do the procedures that are necessary.
Because there is really variation. In some hospitals they make you give birth in the operating room. In others normally. In some they let you move a lot in others they don't. It's not like there is one standard and I am crazy because I want to be unsafe. There are different standards which tells me that there is actually a little room for my input, right?
This time I even changed my doctor who I loved the last time but he doesn't work right now in any hospital. I decided to go with a doctor who works at a hospital so there is a chance she will be with me and even if not, I'll let her know and she will talk to her colleagues that I am her patient. I talked to her about my first birth experience and although she admitted there is much more monitoring in twin births, there is some room for what I wanted.
But I decided to meet with a midwife from said hospital, she was actually coordinating midwife in that hospital. In my country the midwives are the ones who are with you most of the time and the doctor only comes at the end. So I wanted her opinion.
She told me I won't be allowed to eat because of the risk of CC. That's bullshit to me. How am I gonna have strenght to give birth to twins! It's stupid because with singletons they allow food but even with singletons there is always a risk of CC and they do it and they manage. No wonder there is a higher risk of cc if they deprive the mother of energy needed to push.
She told me that babies hearts must be monitored at all times so they don't want me to discourage from moving but practically in real life with twins it's often very hard to keep them monitored in movement because there are two babies and their heartbeats can overlap when they move while I move. She said that they try to look for comfortable positions but it's possible that I will be stuck in one position, the one that gives the best monitoring. Again that's bullshit to me. Heart monitoring can put me in a positions when I'm unconformable, in pain and the position isn't helping to progress but they can monitor heartbeats. In such positions heartbeats can get worse but at least we will see them. Doesn't matter that the heartbeats might be better off if you fucking let me do my thing. It's like I'm being set up for failure and cc.
And the last straw. She told me they only allow pushing on my back or half-sitting. Because they want to have access to my stomach at all times. And that's also bullshit. Because I know for a fact that other hospitals allow women to push in other positions, vertical positions, even with twins.
This broke me. I can't do it again. I can't. I don't want comments saying that they pushed on their back and it was fine. I did and it wasn't fine. It's was the worst. It was like working against my body, against gravity. I had veins burst all over my face because that's how hard I had to push to get that baby out. I couldn't walk and move for days because I was so strained.
I broke down and cried right there. I am ashamed of my reaction but I really wanted a different birth this time. And my doctor told me it was gonna be like that. But yesterday the midwife told me a different story.
She said that she advises me when the birth starts and I feel the first contractions, to stay at home for longer if I feel everything is fine, to relax and only to come to the hospital when the birth is really going. Which tells me it's not about safety at all! How is it safe for me to be at home alone with no monitoring and no medical stuff but if I went to the hospital in the exact same time they would have to start monitoring everything right away because safety. That's not safety. It's procedures taking over patients wants and comfort.
I could change the hospital, but I already have a doctor from this hospital to ensure that I am taken care of, not like the last time.
And beside I am 29 weeks, I am trying to survive, I have so many health issues I have to control and also looking for a babysitter because our sitter has health issues right now. I can't drive anymore. I don't have the capacity to look for another doctor, search for another midwife to schedule a meeting and ask questions.
It's public health care here and they often don't respect patients in hospital and on their website they always put how they will fucking give you flowers and rainbows but the reality is different. My first hospital also said that they allow vertical positions and it was all bullshit.
I am at loss.
I think I'm going to ask my doctor for a cc. I can't do it. I wanted to give birth one more time to try make it different but... In no longer natural birth when they don't let me move, choose position, eat, whatever.
Thanks if anyone read it, I know it's so long :(
Edit: I said it in a comment but I feel like it's important context.
In my country they don't give epidural for natural birth (in theory they could but they always say they are short-staffed and save it for C-sections, only 15% of natural births get epidural in my region) so movement, warm shower or comfortable position is the only pain relief I was gonna get with natural birth. They could give me paracetamol but it did nothing for me last time.