Saturday, June 30, 2012

Do you really wish a vaginal delivery??

Most of my posts are based on real life experiences and this post is one such post.I have noticed that it is in 'vogue' to have vaginal delivery.Why did I use the word 'Vogue'?After all I am supposed to be a proponent of vaginal delivery and I am sure many of you would not like me to use ' in Vogue' with something as natural as a vaginal delivery.
I have few experiences to share.It is not to crib about anyone or anything.It is just to help the pregnant women who are reading this blog to prepare them better for 'what to expect when you are in actual labour'.
First of all ask yourself,why do you wish to have a vaginal delivery?Is it so because you genuinely wish to have it or just because your friend had it?In the middle of this month I had at 9 Pregnant ladies within 24 hours who were in labour ,wished a vaginal delivery badly but didn't wish to get even a vaginal examination done.Both the Ladies and the family members wished a vaginal delivery but wished me to speed up the whole labour and delivery process.A mention of word caesarean to get it done quickly evoked very strong reactions from them.Strangely there is so many myths about epidural analgesia.At 32 weeks I invariably talk about epidural analgesia to all my pregnant patients with its pros and cons.But somehow when in labour they are still very much anti epidural.As the labour pain reaches it's cresendo,they want it but husband's,moms and mom  in laws are not agreeable to it
SO WHAT WE HAVE IS A LADY WHO HAS LITTLE PAIN TOLERANCE(MODERN DAY LADIES ARE MORE DELICATE PHYSICALLY,MYSELF INCLUDED),WHO IS SCREAMING BADLY IN PAIN BUT DOESN'T WANT A EPIDURAL ,ISN'T WILLING TO GET AN INTERNAL CHECK UP DONE TO ASSESS THE PROGRESS OF LABOUR BUT STILL WANTS THE DOCTOR TO DELIVER THE BABY VAGINALLY.
Just ask yourself.......are you one of these ladies.Then sorry vaginal delivery is not for you.Doctors are there to help you but can't speed up the labour or take the complete discomfort of Labour.There is nothing romantic about a vaginal delivery.If you have any fears regarding vaginal delivery discuss with your doctor.have realistic expectations from doctors.Don't expect that as the doctor is pro vaginal delivery you surely will have a vaginal delivery whether you do your bit or not.Don't misbehave with the healthcare professionals when in labour pain or when you are not able to take a decision about whether to have epidural or not.I realize that it is the most important day for you,so be better prepaired for it.If you feel that you are not prepared for a vaginal delivery despite reassurances from your doctor,please opt for a caesarean.There is no face loosing in it.We all are different and respond to various situations differently.
Of these 9 ladies my team did manage to deliver 8 of them vaginally but it was a nightmarish experience for all of us.Sorry if I have hurt you but............we can support you during labour but can't take away your pain if you don't wish to have labour analgesia.And nothing wrong in that as well but then please understand 'labour pain is an integral part of labour'.Bear it!!

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