Tuesday, November 01, 2011

Week 7 - Labor and Delivery

Oh, the daunting task of talking about the most difficult hours of a woman's life. Add to that daunting task the fact that the mother's are teenagers (minus Carolina). I kept it positive, reminding them that at the end of some of the most difficult hours of their lives, they will be holding the most beautiful thing they have ever seen.

We discussed pros and cons for both natural birth and C-section. Culturally, almost all women choose to have a C-section, somewhere close to 90%. I explained the importance of a vaginal birth, if they are able, considering how young they are and some of the difficulties associated with C-sections in the country they live in. But told them that they need to listen to their doctors and do what they say is best.

Although I had an emergency C-section with Landon and a planned one with Emi, I had all the comforts of amazing post-op care and really good pain meds. It's not that way in the Dominican. A friend of mine who recently gave birth via C-section only stayed in the public hospital for a little over 24 hours. She was sent home with Tylenol and a little bit of cream for her incision. Because of the high rate of drug trafficking here, it is pretty difficult to come by any type of narcotics. Good in one sense; keeping it off the market. Bad for Mom's recovering from a C-section. It was awful, seeing how much pain she had. I remember having pain even while taking Codeine, I couldn't imagine it with just a little Tylenol.

We talked about relaxation techniques, about who would be at the hospital with them and any other questions they had. I planned on showing them a 3-D delivery video but right as I was getting ready to download it and bring it to class, our electricity went out. No video.

But it was ok, we ended the class with a really good salad that Yudy and Carolina made and a couple of the girls from our girls group trickled in to join in our feast. It was such a good time sharing my experiences with these girls about labor and birth just as many women had shared their experiences with me.

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