As you can imagine, I am doing some frantic Googling today, and digging out all my doula and midwifery books, the only ones we haven't packed, in an effort to JUST FUCKING DEAL with the situation at hand.
I have to tell you, my usual sources are infuriating me right now.
On the subject of pitocin induction (a possibility after Monday), anything with a vaguely natural bent discusses the cons of pitocin use, which I ALREADY KNOW GODDAMNIT, and then suggests rather smugly that "natural induction methods" be tried first, before resorting to the pit. "Try walking, nipple stimulation, sex, or even castor oil," they counsel, and I shriek like a bird of prey, because I DID THOSE THINGS ALREADY AND HAVE BEEN DOING THEM FOR A SOLID MONTH AND JESUS GAY I AM STILL PREGNANT EXCEPT NOW I HAVE VERY SORE NIPPLES AND I HAVE WORN THE TREAD OFF MY SHOES AND OH YES MY ASS HURTS.
So maybe some source could offer some help? Dealing with those cons of pitocin use? Some suggestions for protocol to offset the abnormally painful contractions, the decreased between-contraction oxygenation period, the need for constant monitoring?
This was all I could find.
I still have some textbooks to dig through, but really. This is what I'm talking about when I gripe about the gulf between the medical model and the midwifery model, and how they should be learning from each other. Medicine offers no compassion and no evidence-based protocols for offsetting problems without creating other problems, and the crunchy natural world seems to be refusing to consider a need for medical intervention, or at least unwilling to help mitigate the transition.
All the medical sources are utterly useless here, because the answer to the possibility of increased contraction pain is of course the epidural and maybe some opiates, which kind of doesn't address the oxygenation and fetal well-being issues very well, and to the increased chance for fetal distress, their ace in the hole is the cesarean. So basically there is no middle ground. There's a gap where there should be a bridge.
There's always the Monday Protocol, sort of the hail-mary play of midwives, which involves a lot of cervical fiddling, amniotomy, a final round of castor oil (which does seem to get me started pretty well). I don't like the idea of amniotomy, particularly not coupled with the castor oil -- I think it will make for a more uncomfortable labor than would happen "naturally," and it certainly carries its own set of risks -- but it is still, for me, preferable to the alternative, and so I consent. At least this way I can be in my home, with my animals, my stuff. My chosen birth attendants who can be trusted not to irritate me; my guard down.
I don't know. I have long been of the opinion that pitocin labor is outside the range of what the body will do on its own, and therefore often beyond the reach of the natural coping mechanisms, and therefore something that if not necessitates certainly encourages the use of pharmaceutical pain relief. That applies to me; I'm tough but Wonder Woman I am not. I have no objections to pain medication used to manage a pitocin labor, in my own case, because I believe it is compassionate use, and even with all the information regarding risks and benefits at my disposal, I would consider it an option.
I just really, really don't want to find out what's down that road.
If I get there, I'll deal; but I don't want to have to. I'll accept it, but I don't like it, and I don't have to.
* * * * *
Whoever pointed out that being postdates and a reluctant laborer is a lot like being infertile made a very astute observation. Either way you are assaulted (and I'm not talking about you, nice commenters, I'm talking about every damn message board on the internet) with poorly spelled exhortations to do the following: 1) Relax; 2) Eat pineapple; 3) Have lots of sex; 4) Do all kinds of random shit like have a fight with your significant other or clip your toenails or eat a certain dish or drink a special tea or take a magic tincture or oil.
You will also find yourself in the company of mouth-breathing dingbats (well, I assume, since they're typing) who say things like, "DH and I have been TTC for two whole months and I am still not PG! Im so depressed!" and "I'm 37 weeks preggie and am SO TIRED of being PREGGO! Can anyone recommend some way to start labor?"
Perhaps a sharp stick in the eye would do the trick.
Their successful counterparts include the woman who went to see Beaches for the fourth time and finally got knocked up on the third try and is now recommending without irony Bette Midler as a fertility aid, and the one who finally went into labor (three whole days after her due date!) when she ate an entire bag of brown sugar and had sex with her obstetrician instead of an internal, and is now attempting to sell the rights to her new book (I Had A Baby, You Can Too!) to a publisher.
And either way you'll find yourself awash in uncharitable thoughts about these people with no real grasp of cause and effect or appropriate medical expectations. These people who think the plural of "anecdote" is "data," who have only a weak grasp on the basic principles of punctuation, and who offer such dire gems as, "do not take castrol oil it is poinsounus and will cause your baby to do a bowel movement insdie of you and it will get inside them and kill them ask any dr" -- well, yes, Castrol is poisonous, I guess. I shouldn't criticize.
Also there was a woman who attempted to blame castor oil for the persistent "excessive smallness" of her child. She took the castor oil while she was "already in heavy labor" and the baby, born shortly thereafter, was an appallingly miniscule seven and a half pounds.
I can't prove it was the castor oil, she said, but you know, be careful and all that.
Yeah. Patience running out. There is no "lingering subconscious" here, as Spiritual Midwifery would put it; all ducks are in a row, emotionally, as much as they can ever be, and frankly I don't know that I buy the "mom holds the baby in" argument any more than I buy the "you'll get pregnant when you're really ready" story.. The house is cleaner than any place I've ever lived, and all preparations for the coming move have been made, and I'm comfortable in my space. I've walked miles, eaten outlandish things, twiddled my damn nipples to the point of soreness, taken double doses of castor oil not once but twice, and for good measure, I massage myself with rose and clary sage essential oil. I work Spleen 6 until I have a big bruised pit, I alternate hot and cold water in the shower, I visualize and breathe. Hell, I even go into labor for a bit. My Bishop score is NINE, for the love of God.
I'm sort of at the bottom of my emotional reserves, and not inclined to do much other than wait. 42 weeks tomorrow.