Yesterday, it was time again for another class. This segment talked about C-sections, other labor and delivery interventions and the pain management options that are available at the hospital where we're planning to deliver. It was a really informative and interesting class, although I think most of us in the class could have done without the videos of watching the C-section births. It wasn't the births themselves that bothered me, it was the way the docs seemed to be rough when pulling the incision apart with metal tongs to get to the uterus and the digging around in there, etc. It was unsettling to see that happening to a person, who, on the other side of the screen was awake, smiling, and talking to her husband like nothing was going on....but on the near side. What do they call that in cinematography where you can see what's going to happen but the character can't yet? I don't recall the term with my current brain function, but you guys know what I mean.
We got to see what a vacuum looked like, as well as the internal monitoring that the can use on the baby if they're concerned, neither of those looked particularly fun...however the least fun-looking thing was a pair of forceps that the nurse passed around. Nooooo thank you! Talk about an eye opening prop! The nurse was quick to say, though, that there is only one provider at St. Joseph's hospital that will use the forceps, and he's never used them in his 7 years at the hospital. I know that my doc will try the vacuum if she thinks it's necessary, but she says that she has to be really concerned for the baby. Her mode of operation agrees with so much of what I THINK I want (but not knowing, who knows?), that I've had to specify very little in the way of a birth plan so far.
The other topic of note in the class was the drug/epidural portion. That part was really good for us to see. What our hospital offers is unlike anything that I've heard of so far. Usually, when I hear of an epidural, they give you the meds thru a catheter in your back and then that's it - you're stuck in bed. I didn't want that at all. St. Joseph's offers what they call a CSE, which stands for combined-spinal/epidural. Basically, it is a shot of pain meds into your spine that can last from 1 to 3 hours that allows you to retain all your alertness and motor function so you can still walk the halls, use the birthing ball, etc, etc. While they have a needle in the spot to deliver those meds, they place the epidural catheter in place and tape it off in case it's needed so they don't have the additional risk of having to stick you in the spinal cord again. Once the spinal wears off and if you are in need of more pain relief, they will administer an epidural thru the catheter that's already in place....however, then they do like you to stick close to bed for monitoring. By that stage in the game with the CSE, though, things should be about ready to go anyway. My biggest worry with any sort of drug intervention was Peanut's safety. According to the anesthetist, my doc, and the studies they've done with this CSE, the drugs are not metabolized by the baby. There are no byproducts found in the amniotic fluid, and the babies are not born "sleepy." So, with so many other things...since we haven't experienced it yet...we shall see. I'm keeping an open mind at this point.