The following post is excerpted from an essay I wrote for one of the modules in my midwifery program. I began class two weeks ago, and have been struggling with what to write about midwifery school. I’m still conflicted as to why I feel called to do this, especially at this time in my life, but I’m working on trusting in G-d and trusting in myself to do what I feel called to do.
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My motivation to study midwifery began when I was preparing for my second child. My first child was born by a long, traumatic cesarean, and I made a promise to myself that I wouldn’t have another baby in the hospital unless it was the best decision for my child and me. With our local cesarean rates skyrocketing, the VBAC rates dropping, and more active management of labor in our local hospital, I felt like my only option for a safe VBAC (which I knew to be my best personal option) was in my own home.
I began interviewing providers, and had provider after provider tell me that I was doing the wrong thing by wanting a “primary VBAC” at home. I was putting my baby at risk: did I really want my baby to die? If I had had a vaginal birth before, it would be a different story, but did I really want to go into a HBAC with an “untried pelvis?” Even more frustrating were the providers who told me that they would love to attend my birth because they knew it was safe, but their backups would “never allow it.” I interviewed 14 OBs, CNMs, FPs, and DOs before I gave up in despair and resigned myself to either having my baby in the hospital or having an unassisted HBAC. Unassisted birth was a choice that I personally was not comfortable with, but I was no more comfortable with the thought of walking into a hospital voluntarily.
That pregnancy ended in a miscarriage just as I found out about a not-so-local CPM, Karen Webster. I didn’t know anything about CPMs except that they are not legal in PA, but she was the only person who would even entertain the thought of attending me. I met her and was blown away by her experience, her safety record, her professionalism, and her compassion. This wasn’t my image of an “illegal” midwife, and her wisdom and courage was the single largest influence in my desire to become a midwife myself.
My journey to study midwifery has been influenced by many people; some key players, some support roles, and lots and lots of “extras.” One of the key players has been my husband, Keith. He has been unwavering support to me in this process, and has been by my side through my births, supporting whatever decision I made for myself and our children. He is my confidence, my kick-in-the-pants, and my sounding board. Another huge influence has been my friend and someday-partner, Kerry, whose enthusiasm, encouragement, and camaraderie has been instrumental in getting me out of a place of fear to do this.
I feel like I have a few great strengths that I bring to midwifery. Physically, I don’t need much sleep to function well, I have a strong body, and am able to work happily and supportively for long hours. Emotionally, I have gone through the worry and pain and uncertainty of having a less than ideal birth, and the triumph of having the birth experience I wanted. I have experienced the feelings of transfer as well, so I feel I can help mamas to deal with their emotions surrounding transfer if it becomes necessary for them. I also have an insatiable thirst for science and spend lots of my free time poring over the latest obstetrical research and statistics.
I am passionate and “out there” about women’s (being Hispanic, especially minority women’s) rights as they center around maternity care in the US. I see my work as a midwife being central to the struggle for women’s rights. We are taking back our choices in the care we receive and putting the power where it belongs; with women who will be properly educated as to their choices and given the autonomy to make the best personal decision for themselves without interference or bias.
My shortcomings will be my impatience and my lack of organizational skills. I am a worrier and will have to calm myself down in order to be a calming influence on the mamas that I serve. I am hoping that my respect for the process of birth and respect for the mothers who birth with me will outweigh the impatience I have. Organizationally, I’m hoping to develop good, consistent record-keeping habits and have Kerry’s help in enforcing those habits as we establish our practice. I will need to set those up before I attend my first birth and keep them consistent, and I’m hoping that the NARM record-keeping will help me as well in all of this.
I still have days of doubt as to why I felt called to jump into the profession of a midwife, and I’m hoping that as I learn more I will find my niche. Through experiencing birth with my own hands and eyes and accompanying women along their journeys through pregnancy, I hope that the reasons for my being called by G-d to do this are revealed.