This is a guest post by my friend Susie, mom to a 16-month old daughter whose currently pregnant with her second child. She had a c-section with her first child and is debating between a repeat c-section or a VBAC for this pregnancy.
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I’m currently reading a book called Do Chocolate Lovers Have Sweeter Babies? The Surprising Science of Pregnancy, a book written by a scientist while she was pregnant with her first child. She wondered if any of the common pregnancy myths held any truth to them scientifically, and she decided to do a bit of research. I have to admit that although she loses me sometimes when she goes on and on about genes and hormones, for the most part the book is utterly fascinating! The author answers questions like:
- Why do you have vivid dreams while pregnant?
- Can you tell if you’re having a boy or a girl?
- Does excessive heartburn mean you will have a baby with a full head of hair?
She also goes into how environment or food will affect the baby, how different levels of stress can make or break your baby, and so many other fascinating things. Of course, these are all theories, and you have to take them with a grain of salt. However, everything is backed up with extensive research and experiments. This book is not for the PETA lover though, because almost every chapter lists some sort of experiment that was done on lab rats and other animals.
I’m not quite done with the book, but I read a chapter that kind of hit me a bit, and it’s making me rethink my birthing plan for my next child. The author discusses what happens in the first hour after birth. A test done on mice where baby pups were “separated from their mother shortly after birth let out cries of distress as if they were being tortured and their stress hormones rocketed. Over a long period of time, they became sickly and brain damaged.”
People may think this is cruel, but this is what happens to babies and their moms every day in hospitals. Babies are placed on mom’s chest for about a minute before they are taken away to be weighed, fingerprinted, and checked for health. Moms who have c-sections sometimes don’t see their babies for almost 24 hours after birth!
The book states that in the first hour of birth, the “golden hour,” babies have a super sensitive sense of smell and whatever odors they encounter, even unfamiliar ones, are imprinted in their memory. This window is extremely short however (the window is literally only an hour!), and babies exposed to these same smells 12 hours after birth showed no memory or preference for them later. This is why babies tend to prefer their mothers or caregivers over others.
This impression goes both ways – having the baby close to the mom will trigger ocytocin and prolactin, which make you produce milk. “If you spend the hour in an intimate embrace with your baby, you are 8 times more likely to breastfeed spontaneously than a mother who doesn’t.” Your milk will come in much faster, you may also get a better latch from your baby, and they tend to regain their birth weight more quickly.”
This chapter made me think about my daughter Avery’s birth. I was in labor for 22 hours before having an emergency c-section. After birth, my body was literally worn down and I started to shake like crazy. I was also so out of it that I couldn’t make sense of what was around me. My husband Winsor held Avery and tried to show her to me, but it didn’t even register that I had a baby, and my first thought was, “what the heck is that?” I never touched her, or held her, or barely even looked at her. I literally could not even turn my head to see her; I had my eyes closed the entire time and was trying to will my body to stop shaking.
It took about 45 minutes to an hour for the doctors to stitch me back up, and during that entire time, Winsor held Avery while sitting next to me. Then they took her away to the NICU to monitor her while they placed me in a hospital room. I woke up hours later, finally feeling more like myself, but I wasn’t allowed to see Avery until much, much later. Also, because she was in the NICU, they weren’t allowed to bring her to me – I had to go to see her. Trust me – walking, even if it’s just down the hall, right after you’ve had a 22 hour labor and C-Section is NOT FUN. The next 5 days in the hospital was a blur of tears, pain and frustration.
A year and a half later, Avery is 1000% Daddy’s girl. I know that they say girls attach to daddy and boys attach to mommy, but damn, she is just ALL about dad. Seriously the only time she attaches to me is if Winsor is not around. Even then she sometimes wanders around the house looking for “baba, baba” (Avery talk for daddy). Winsor usually gets her in the morning, but the few times when he had to go into work early and the task fell to me, she would cry at the sight of me and start whining for baba. Also, when Winsor is holding her, she will probably come to me about 1 out of every 10 times I ask her to. In public, I usually let her be with her dad because I prefer to have my heart broken only at home where there are no witnesses.
I’m totally exaggerating because she doesn’t hate me of course, but it’s very obvious who she prefers. Anyway, I wondered if the fact that Winsor held her during the golden hour had anything to do with her attachment to him? I wondered if the reason I didn’t touch her at all until almost a day later prevented her from bonding to me? I always joke that Winsor can keep her and I’ll just have another baby to have for my own, but all jokes aside, it’s truly heartbreaking because it makes me feel less of a mother.
For my second birth, I was strongly advised to have another c-section by two different doctors because of my first birth, and the fact that it would be just shy of two years (which some doctors recommend is the minimum time needed to heal before having a VBAC). My biggest concern was the recovery time with a c-section, and that having another c-section would allow me to have only 3 babies; I wanted the option to have four (I may not have four but I wanted the option). I was assured that I could have a fourth baby via c-section if I wanted to, and I was also assured that recovery would be much better since it would be a scheduled c-section, vs an emergency c-section that was performed on a worn down body after 22 hours of labor. Also, if something goes wrong during a VBAC, they would only have about 5 minutes to get me to an operating room before serious complications (including death) could result. GULP.
I’m secretly terrified of pushing a baby out, so hearing all these things assured me that maybe having a c-section wouldn’t be so bad. But after reading about the golden hour, and also a recent article claiming that c-section babies have twice the chance of becoming obese, it made me wonder if I should attempt to have a VBAC for baby 2. I want to be able to provide the best environment possible for baby #2 to feel secure and to be able to bond with me, even if it’s just a theory (and I’m sure there are millions of babies attached to mommy without the golden hour bond). I want to go with the birthing plan that will allow me to spend as much of this golden hour as possible cuddling with my newborn. If it means pushing out a watermelon out of the hole the size of a lemon and risk pooping all over my doctor, then so be it.
How did you decide whether to have a repeat c-section or a VBAC with your second child?
C-Sections part 2 of 5
1. What to Expect When You're Expecting a C-Section by Mrs. Bee2. Do Chocolate Lovers Have Sweeter Babies? by pregnancy
3. C-Section: True or False? by Mrs. Markers
4. A Positive C-Section Story by Mrs. Bee
5. Swarm: What Would You Change About Your Labor/Birth? by Swarm
GOLD / wonderful olive / 19030 posts
I’m not a medical professional but I just had a friend have a VBAC against 4 doctor’s wishes (she finally found one who was willing to do it) and both her and the baby had serious complications immedately following. For 3 days they both had only 50% chance of surviving due to complications from the VBAC. They both pulled through, however after hearing the stories and how she went against several medical professionals I wouldn’t recommend it to anyone! Not with such a risk involved. Oh and she’s not able to have any more childen due to the complications, which she was heartbroken about. She wanted 4-5.
blogger / pear / 1964 posts
Sounds like a great book – kind of like maternity Myth Busters. I’m adding it to my list. I hadn’t thought about the idea of a golden hour, but that’s super interesting. I have no clue what it’s like to make the decision you’re facing, but it sounds like a tough one. Good luck!
GOLD / pear / 1845 posts
I had two vaginal births, however with my first I pushed for an hour and tore so badly (not a big one, lots of tiny ones) that they spent an hour stitching me up right after. I did hold the baby right away, but she didn’t nurse right off and I couldn’t hold her while being stitched (I was just too tired). With my second I had 2 minutes pushing, no tears and breastfed within 15 minutes.
My first is a daddy’s girl, and my second currently won’t nap with anyone else (4 months). I had never heard of this before, but maybe it’s not just a coincidence?
pear / 1861 posts
We won’t be having another, but i did have a c-section.(16hrs of labor, her heat became distressed then found out she was breech.) If we were having another, I’d do another c-section. I’ve known ppl do a VBAC well, but it’d scare me.
Your daughter is adorable, and that hair cut? Too cute!
guest
I had a c-section after a long labor with the first one and am leaning towards a repeat c-section with this one (I was told my chances of a successful vbac were 50/50 given the circumstances of my first c-section).
I was also extremely shaky after the c-section and didn’t get to hold my LO until 4-5 hours after the c-section. However, his daddy was able to take him right away and did skin to skin contact with him in my place. My son, who’s 1.5 now, is totally a mama’s boy however.
blogger / pineapple / 12381 posts
We were lucky that we were able to skin to skin with both our girls as soon as they made their way into this world. Lala is definitely a mama’s girl and M. is a daddy’s girl… but I don’t think first contact had any bearing on it. It just seems to be their personalities
I’m sure whatever you decide will be just the right choice, so don’t sweat it too much. With a planned controlled C section they can usually get baby into your arms pretty quickly.
guest
I love Susie’s posts and hope that she becomes a regular blogger!!
nectarine / 2180 posts
I think I’d personally go with whichever option is safest for mama and baby, even if it wasn’t necessarily my first choice.
I had a vaginal delivery with my LO but due to complications she had to go straight to the NICU and I wasn’t able to hold her until she was 3 days old. At 14 months she is definitely a mama’s girl, so while this is totally anecdotal it seems to me that the “golden hour” can’t be such a hard and fast thing. Try not to stress about it too much
blogger / nectarine / 2010 posts
In my hospital c-sec babies are placed on their mother’s chests immediately. VBACs are also very common. So I would find a doctor who is experience with VBACs and talk about your concerns then whatever you choose, request that the baby is placed on your chest immediately. We had NICU team in the room and baby S was only away from me for less than a minute. He was then placed naked on my chest and set out doing the chest crawl to my breast.
Pushing out a baby isn’t bad, your body was designed to do it and the recovery isn’t bad either
guest
A close friend had a c-section with her first, and then delivered naturally with her second and third. I think it depends on the situation, and I think getting a few different medical opinions is important.
I didn’t have a c-section. And though the pushing stage was tough, I’m glad I was able to go through with it (thankful, especially knowing that not everyone is given that opportunity). That moment when the baby comes out… ahhh. Amazing. And then pulling her up onto my chest and holding her. Yeah, it still sends shivers (good ones) down my spine.
persimmon / 1255 posts
I had a c-section with my LO and unfortunately the chances of a VBAC is very slim since I suffered a separated pubic bone the first time around and the chances of it occurring again is very high.
BTW, another pro for a vaginal birth: babies get the bulk of their gut flora from the mother via the vaginal canal so c-section babies are born at a disadvantage for the first 6 weeks. Luckily, you can supplement with probiotics to help the situation.
coconut / 8279 posts
I had a complicated (pitocin, vacuum, episiotomy, sunny side up, back labor) vaginal birth and our golden hour was interrupted, I had over a hundred stitches and was cold & shaky. DS had a collapsed lung & was in the level 2 nursery (we didn’t have a NICU).
He nursed immediately when I was brought to him. He is daddy’s boy but daddy is with him all day when I’m at work. I think that has a lot to do with his preference.
hostess / wonderful watermelon / 39513 posts
Your LO is so cute!
I had a long labor and emergency C section with anesthesia issues. I felt pain with every cut of the surgery and was crying/screaming for the whole procedure. Afterwards, I was so out of it that I didn’t hold my baby until a hour and a half later. DH held her from the start but she doesn’t seem to have a favorite parent yet.
I am terrified of having another c-section but I realize things might not be the same!
coconut / 8305 posts
I had a vbac with this lo & honestly couldn’t imagine having it any other way, atleast by choice (my birth story is posted here on the boards). I did ALOT of research (vbacfacts.com and the NIH 2010 consensus were my friend) & came to the conclusion that the risks associated with vbac were far less than the risks associated with elective repeats… I even went so far as choosing a homebirth because the hospitals in my area have a de facto ban on vbacs & the risks associated with homebirth are still less than an elective repeat. No doctor here supports vbac anyways & after talking with a couple I found out many aren’t familiar with the current recommendations regarding vbac vs. repeat.
I still didn’t get the “golden hour” due to a transfer and baby going to nicu due to a slight temp (it was from a rise in my temp from the too warm of a bath I took in the birth pool just before transferring) I believe that all the wonderful labor hormones DD got helped with the bonding though. (as of now she’s a mommas girl)
Regardless of what’s decided I’m a firm believer in doing lots of research so an informed decision can be made & not just taking what any doctor, nurse, or even MW says for face value…. I mean look at my case where the professionals weren’t aware of the ACOG recommendations from TWO YEARS AGO or the NIH findings.
ps: your daughter is too cute!!!
I think
cantaloupe / 6669 posts
What an interesting post! It immediately made me think of my friend who had a C-section who’s son is SUCH a mama’s boy. Maybe it’s the boy thing, and I don’t know when she got to hold him, but I just thought I’d throw my own piece of anecdotal evidence into the ring! Oh, and for me personally – my dad was out of town when I was born and didn’t hold me until the next day. I was always SUCH a mama’s girl!
Am I the only one who, after reading about the “golden hour”, wants to make more of an effort for Daddy to bond with baby? I always kind of felt like Daddy has the rest of his life to hold the LO, and the “golden hour” is important for breastfeeding and staving off PPD. After reading the bonding piece though, and how sweet it is that Avery is such a daddy’s girl, I think I want to make sure DH holds our LO for longer than just a few minutes at a time right away.
GOLD / wonderful apricot / 22646 posts
Loved this post! And I am praying for skintoskin, that first hour is so important to us… we are praying that we will be blessed enough to have this time (pending unknowns in delivery).
wonderful pear / 26210 posts
Birth choices aside, this sounds like an interesting book! I dreamed I was having a boy and I did! I also ate lots of chocolate and ended up with a not so sweet baby, lol!
pomegranate / 3053 posts
My decision was easy when we had our second boy. Parents were coming from half way around the world so planning it was easier. Also, I have no idea what a vaginal birth is like and from hearing what a lot of my friends went through (super long and painful labor, complications which resulted in a c-section, complications which resulted in an future hysterectomy, bladder issues, etc.) I just didn’t want to not know what might happen.
My first was a c-section b/c he was breech. I was all set to have a vaginal birth and that came to a screeching halt when we found out he was breech. We had the option to do an external version (manually turn him) but there are risks and he may end up turning back around. My chances of success was under 45% according to my OB so I opted out of that. I figured, he’s probably been that way for a while and he’s comfortable so I let him be. I didn’t want to have complications and he would have to be born unnecessarily before he’s full-term.
If my first wasn’t breech I don’t think I would have even considered a c-section; but b/c I had one I wanted to have a second one for #2 b/c I don’t like the unexpected. Plus, I love my OB and trusted that he would make it a good experience for me both times and he did.
You should do what feels right for you. In the end, all that matters is that both of you come out of it healthy. Try not to worry too much.
olive / 62 posts
I gave birth at home and wasn’t separated from my son at all. He prefers his dad, because he doesn’t seen him as much and because I’m more strict (he’d rather be with the one who will give him what he wants!).
Although I do think it would be awesome if you could have a VBAC if you wanted one! I’m very pro-VBAC. I just wanted to help you not feel like child preferences were based on time spent with baby during the first hour
GOLD / apricot / 341 posts
Oh my gosh! I am such a big believer in those first two hours of skin-to-skin contact after birth and it was the thing that got me the most about giving birth by emergency c-section. I was given my baby one hour after his birth and that is the first time I touched him. He took to breastfeeding immediately and hasn’t had any issues since, but he is SUCH a daddy’s boy. He clearly prefers his dad to me and chooses him whenever the option is there.
I’m pregnant with Baby #2 and planning to attempt a VBAC but with the option to go to a c-section at an early stage if things don’t progress well. However – the one thing that makes me feel ok about the prospect of another c-section is that this birth will be in Sweden (our first baby was born in Atlanta, GA) and here, they will not break contact between mother and baby after birth unless absolutely medically necessary. So even if I have a c-section, if I am awake, the baby will be placed on my chest just like a vaginal birth. All weighing etc will be delayed two hours if I request it, and everything else will be done with baby on my chest while I am stitched up. To me, this makes all the difference!
olive / 61 posts
@thatwife: hi! oh i dont think that skin contact is the end all for who the baby prefers. I just thought that the whole subject on the golden hour was fascinating and it made me think about my own birth experience, and was really just thinking outloud. hahahah
I do want to attempt a vbac because my previous doctor who performed the C section told me that i can have a vbac, but i moved away and had to find another doctor (who is much more conservative and is highly recommending another csection). but the sole reason i want to do this is not to bond with the baby because i’m sure bonding is still possible with csections. For me, the more I read the book and get more of a feel for the “beauty of pregnancy and birth” and the changes that the body experiences during these 9 months to the birth, i feel that if it is possible for me to have a vbac, I should do so despite my fear, because that’s the way that nature has intended it, no? the way it’s supposed to happen is for me to push a baby out, so if i can do it, why shouldn’t i?
i do want to be able to bond with my baby and i do think it is important, but there are so many other benefits to giving birth naturally than to have an elective csection. my doctor is not against a vbac and will allow me to try it if i want to, however because of convenience i was going to just go with the csection. I think i might reconsider that decision however.
olive / 70 posts
I guess you’ll always wonder about it, but I don’t know if not being near your baby really made her a daddy’s girl. My daughter went through that phase also, and she was totally on my chest the hour after she delivered. In fact, she learned to say daddy/appa first after her deliver rather than mommy/uma.
About that book, I also have heard about the hour after delivery and how important it is. It might be, but I don’t think it is a huge deal if you didn’t get to cuddle with your little one right after you delivered, esp if you had a C-Section.
About VBACs, I agree that it comes with risks, but are the risks worth it? You should talk with your doctor about it.