Elizabeth Petrucelli

Author, Blogger, Educator

Don’t Talk About the Baby – Review

It’s a crowdfunded movie that I financially supported. I anxiously awaited the release of the movie after several years of spreading the word about this much needed movie. My hope was that it would break the stigma and silence on pregnancy loss. I was thoroughly disappointed and completed shocked with what I saw in this movie.

It started out well (for the most part). The woman who shares about her daughter was moving. She brought me to tears with her story and I could relate on many levels with her and I was in awe over her mothers intuition. She opens the movie but her full story begins mid-way.  You will see her throughout the movie. I seriously just wanted to hug her.

The first portion of the movie addresses miscarriage. Families share stories of miscarriage and I was so glad they shared about blighted ovum and chemical pregnancy, two forms of loss so often overlooked. The female doctor who speaks is very well versed and I felt she was an excellent resource and empathetic as well as compassionate to her patients.

But that beginning portion began to become concerning for me. They discuss IVF; which to the secular world is fine but as a Catholic, this really bothered me. At no time was faith brought into this and while that wasn’t the point of the movie, religion was not a topic discussed yet is a primary force in the majority of families. In fact, MANY of them wore crucifixes or crosses. These were obviously chosen individually for the interviews.

While IVF was discussed as an option, the way it was presented was almost like an advertisement. The IVF message: The best way to achieve a genetically perfect child, especially for older couples is to utilize IVF. This is my paraphrasing, not the movie but what they didn’t talk about were the losses in each of those IVF trials. The babies who are genetically imperfect that are killed (discarded) in the process. I felt the male doctor really pushed for IVF and gave very little information about the real statistics on IVF.

It lines his pocket financially but the parents lose financially, emotionally, and physically and can leave them in utter despair if they aren’t lucky enough to conceive and carry to full term. The movie did nothing to touch on the fact that IVF increases the risk of stillbirth. This movie is about stillbirth so shouldn’t that have been addressed if you are putting this out there? I suppose IVF can help with creating a genetically perfect child to reduce the risk of miscarriage due to chromosomal abnormalities but then the family is left with a higher risk of stillbirth. I felt like this part of the movie could have been left out. Why discuss IVF at all unless we are talking stillbirth??

IVF is not the only option for older couples or couples struggling with infertility. And before anyone begins to crucify me as ‘not understanding infertility,’ I implore you to read my blogs. I suffered with infertility for over 20 years. It took 3.5 years to conceive my son and 10 years to conceive another living child (Ruby came after 6 years of infertility treatments). I could completely relate to those who had experienced pregnancy loss and those struggling with infertility although I have living children so not all aspects were the same.

I know a movie can’t possibly cover all the pieces of loss, types of loss, and be completely inclusive especially when we bring religion into it but the inclusivity this movie attempted to achieve, deviated onto a path I cannot support. It feels sinful and had I known where this movie was about to go, I would have never supported it.

Abortion. The movie segue’s into abortion. First and foremost, abortion IS a loss. While there are women who utilize abortion as birth control and have no problem with this nor feel any loss from it, there are many women who choose abortion because they believe it’s their best option to reduce either the suffering of their child, their own suffering, or to save their own life.

The woman in the movie described her abortion as medically necessary. The doctors presented her with “your child is suffering inside of you” and your child will gasp for breath, be in pain, and suffer if he is born alive. This mother, like any mother, would never want suffering for her child. Not once though, did the doctors explain the suffering her son would experience from the medication they injected into his heart to stop it.

If this child was born alive, the doctors could have reduced his suffering by giving him medication. But honestly, gasping for air doesn’t always necessitate suffering. I watched my grandfather-in-law die and I have watched multiple babies die. While gasping is uncomfortable for us to watch, it doesn’t necessarily mean there is suffering. But I digress.

I felt this mother was presented with little choice but to follow the doctors recommendation to abort. No where did they offer her comfort care for her very loved child. No where did they offer her support to carry him to term. No where did they offer her any choice but to end her son’s life because he “had no brain function outside her body.” THIS, is where the movie could have helped the medical community and parents enduring fatal diagnosis. Instead of helping a family through that fatal diagnosis, they want to end the life early. Why did they have to normalize abortion instead of carrying to term? Maybe the movie addressed it? I stopped the movie at this point (I did watch the rest the next day).

I feel sick that I supported this movie financially and I was blindsided by it. Had I known they would include such a story, I wouldn’t have opened my check book.

Here are my thoughts after finishing the movie.

I realized this morning that by writing what I have, I am alienating the grief of those who chose to abort their baby. I needed to sit with that statement for a while because alienation is not ever something I would want for those families. I think they feel it enough from the community despite the acceptance of abortion. I am upset that the woman in the video was manipulated by medical staff into thinking that her only option was abortion. I listed other options above. Difficult options. It’s not easy to carry a baby inside you that you know will die inside or at birth but I believe that’s what we should promote. Why?

Because I have had so many mothers who chose abortion for their terminally ill babies who carry immense guilt that they chose the date of death instead of allowing the inevitable process. Many regret the time they lost by choosing abortion. They struggled on choosing the date of the abortion because they didn’t want to become more attached but they didn’t realize how attached they already were. Does every woman or family fall into this? No, but hearing the stories of those who do is gut-wrenching.

I did not want to support a film that would normalize abortion. I am ashamed and this is my public confession. I didn’t know that Ann Zamudio would bring the normalization of abortion into the film “Don’t Talk About the Baby,” and I can tell you that there are more people upset by this than are coming out to say so. But as a Catholic, I can’t keep quiet about it because I don’t want to bring scandal. I didn’t know and I wouldn’t have supported it if I did.

I know many will not agree with me and that’s okay. You are also entitled to your opinion. I won’t berate you, don’t berate me. This is not my judgment against you. I have not stated anything about judgment. This is my opinion. If you are struggling with the words I wrote here, I ask you to explore why. I won’t open comments on this post either because this is very controversial but if you want to engage in open, non-hateful dialogue, you can contact me through the page.

I finished the movie this morning hoping that it would get better, but it didn’t. One of the professionals, kept saying “fetus.” STOP it already. The movie wasn’t called “Don’t Talk About the Fetus.” It made me sick every time she tried to dehumanize the baby by calling it a fetus. I lost all respect for her.

I think the movie is important. It helps shed the light on the stigma of pregnancy loss. It shares the shame associated with it and the silence as well as why there is silence. There are some good resources shared as well and the bereavement doula featured has excellent ideas. Boy, do I wish those ideas would come to fruition all over! She was spot on but I am sure I felt that way because those are the same things I have been screaming for the past 8 years.

Boy, 8 years. That hit me writing that. Ruby would be 8 next month. I can’t believe it.

While I disagree with some of what was presented in this movie, it’s not enough for me to say I wouldn’t recommend it. What I DO want people to know is that the directors placed abortion in here and not all loss mothers can or will relate to that specific topic. In addition, I know many have and will find it offensive. Proceed with caution when watching “Don’t Talk About the Baby.”

As a side note, I thought “Return to Zero” was much better.

New book announcement

I have been contemplating for quite sometime, turning my bereavement ministry over to my faith. At last year’s October 15th Candlelight Vigil and Remembrance Event, I really felt a draw to make Dragonflies For Ruby a Catholic ministry. I have supported people of many different faiths and spirituality and I would never turn anyone away regardless of their faith but I have a desire to really focus on the Catholic side of supporting Catholic women and families through miscarriage, stillbirth, and child loss.

Catholics are pro-life. I am pro-life yet there is a problem in the Church. Women experiencing miscarriage and stillbirth are given very little support from their priests, pastors, and bishops as they navigate their loss. I was very fortunate to have a priest educate me on the importance of my baby’s life (no matter how short) and celebrating that life. His name is Father John Paul Leyba (formerly the parochial vicar at Our Lady of Loreto Catholic Parish and now Pastor at St. Frances Cabrini in Littleton).

I wrote about him in my book, All That is Seen and Unseen; A Journey Through a First Trimester Miscarriage, even placing my personal conversations and letter to him in the book. Father John Paul encouraged me to pray about the sex of my baby, name my baby, and celebrate. When we lost Gus, my Pastor, Monsignor Ed Buelt at Our Lady of Loreto, encouraged us to have a commendation ceremony. It was so beautiful and healing to have this and I want more Catholic’s to know about this option.

But even more so, I would like to share these resources with many Catholic women and help them navigate their miscarriage, knowing the teachings of the Church so I have started a fourth book! It is tentatively titled, The Catholic’s Guide to Miscarriage. The book will contain scripture verses and information from the Catechism as well information that’s out there on how to handle miscarriage according to the Catholic faith. Of course it will have the medical aspects of miscarriage in it but it’s a guide and hopefully will serve as a wonderful resource for Catholics and clergy.

So stay tuned! I am hoping to release the book before the end of the year but I will be seeking endorsement from the Archbishop of Denver so it may take longer. Prayers that the book comes along easily and receives Catholic endorsement and prayers for Dragonflies For Ruby as we make the transition to a Catholic faith-based organization!

When the mother is allowed to mourn

I have been quiet for a while. That’s what happens when you get busy raising three beautiful children. I got lost in that life and while I haven’t forgotten the two little saints I have in heaven, I haven’t been here to talk about them or share about loss in ways I used to.

Courtesy of Seattle Times

Today though, we are hearing about Tahlequah, the Orca whale who delivered a stillborn calf. I read the story about two weeks ago and watched the video but it was so incredibly painful. It was so painful to watch this mother mourn over her dead baby. It was also beautiful. This is what mourning is. She will let go of the physical body of her baby when she is ready.

But we, as humans, aren’t given this opportunity. And here, the world watches and waits. They mourn with this whale and they empathize with her. They want to see how long she carries this calf and they see all the other whales carrying this calf FOR the mother. Yet I am saddened that we, as humans, can’t give each other the same empathy and compassion.

Why is it that we can empathize with this whale but not with our neighbor?

It actually makes me angry to see how society is reacting to this whale and her mourning because women have their dead babies ripped from their arms, thrown in boxes and told they “don’t want to see their dead baby” every day! Sure, some hospitals allow time to grieve, a few hours, maybe even a day or so but then the mother is pressured to turn over her baby. She isn’t allowed to let go of the physical form of her baby when she is ready (that’s extremely rare).

Human families aren’t given all their options for processing their losses. They are told to move on, move past it, forget, this isn’t a big deal, it’s better not to look, you will forget faster if you don’t, etc. I have seen this countless times in full term stillbirth but much more in miscarriage (mostly because it happens more often).

Society doesn’t value human life. If we did, we would mourn with these families. We would carry them, we would even carry their dead baby for them (without judgment) if that’s what it required. But that’s not what we do. A few days, maybe a few weeks are given to mourn the loss of something so great and then they must move on.

Look, this whale mother is carrying around the physical form of her dead baby. This is just the beginning of processing the loss. Once she let’s go of that physical form, her journey continues. It’s not over for her and it’s definitely not over for humans when their dead baby enters the ground. What society is witnessing is a view that they would see in humans IF we were given the same opportunity, to let go of the physical form of our babies when we are ready, no matter what that looks like; and yes, that may mean taking our dead baby home and laying them in their crib (read Ghost Belly).

But if we did that, it’s seen as crazy. Society would tell you to seek mental health care or that the mother needs to be put in a psychiatric ward. Some doctors would medicate the woman or family for wanting or doing such a thing. You see, we aren’t allowed to grieve the way our whole body feels they need to grieve. Sometimes it takes a while to let go of that physical form. Not everyone is the same. I have seen mothers hold their little ones for an hour or so and then hand their baby over to the funeral home and it was fine. They were ready but I have also seen others who were given merely a few hours and told they HAD to give up their baby.

This is incorrect and completely wrong.

The nurse was uncomfortable, society was uncomfortable, but there was no real reason. Heck, I have seen nurses blatantly lie about why the mother needed to “turn over the baby.” “You’re holding up a room for a living baby to be born,” “the funeral home won’t come back another day,” “the autopsy can’t be performed after two hours,” “you’re baby will start bleeding,” and more.

I have also witnessed a mother hold her baby and keep her baby for days! A great hospital and great staff helped this mother and kept her baby in a state where she could hold and love on her dead baby until she was ready to let go of the physical form of her baby. I remember this mother distinctly saying, “It’s time. I want to remember her looking like this and not much different.” It didn’t make it easy to let go of her physical form but she was ready.

This is what we must provide families. We MUST give them all the time they need and desire with their babies. We must allow them to tread through the water, pushing their lifeless one, until they are ready. What hospital wants to support that? Do they want to spend the money on the mechanisms needed to provide such care (like the Cuddle Cot?) Or a special room, in a designated area to provide the care the family needs? It’s a RARE hospital to do that, but they do exist!

Mothers deserve to mourn their loss in the way they need to, for as long as they need to. It’s a lifetime of grief. Mothers who have experienced the loss of their child (through miscarriage, stillbirth, infant loss, toddler loss, child loss, adult child loss), will ALWAYS carry them. For now, we must carry them in our hearts.

Ovulation – The Perfect Design

As you can see, it’s been months since I wrote. Life with three living children has certainly made me busy. It’s a blast though and I wouldn’t have it any other way. My last post was in December where I shared a bit about grieving our last child. It wasn’t about grieving a child we lost but grieving in the sense that we will never have another child…well, that we plan.

Our “last child” wasn’t planned at all. She was conceived unexpectedly and in the way that we had wished would have happened for all our children in the early days of our marriage. Surprise blessings are wonderful; although we hadn’t expected or planned for one in our 40’s. Pregnancy in your 40’s is vastly different in many ways, at least, that’s how my experience has been.

I have blogged before about ovulation. God has designed fertility as a powerful and amazing gift; one that secular society tends to damper and suspend through the emergence of birth control, contraception, and abortion. I truly wonder how wonderful it would be if women were to embrace their fertility by not suppressing the innate organization of their body’s design and giving their bodies the power to bloom. This does not mean that babies will be pouring out of homes. That’s not what I mean here .

I am once again about to ovulate. Something that my body suppressed for 20+ years and has only become more and more normal as I have aged. It’s odd. It’s a cruel joke of sorts but I understand it’s God’s design and plan for me. Maybe because I am finally in a place to allow God’s will instead of forcing my will, has He allowed me true fertility. It’s amazing but difficult.

The practice of Natural Family Planning (NOT the Rhythm Method) is a challenge. As Catholic’s it is a sin to contracept, it is a sin to kill our babies through abortion, and it is a sin to create life outside the womb. Oh how I longed for many years for a baby and wished I could have stepped outside my religious faith and demand a child. But we knew that God’s ultimate blessing and gift on a marriage is a child and we prayed that he would bless our marriage.

This is hard for many to grasp and accept. I have had my share of struggles with this as well. 22+ years of infertility (3.5 years to conceive our first and 6 years to conceive the 2nd whom died). I have experienced threatened ectopic pregnancy where I needed to chose abortion or removal of a Fallopian tub, a very sick baby in my womb with the potential to make me very sick and die, to having to say yes to a new life when I was clearly not prepared to accept her and had been contemplating abortion should I ever fall pregnant again.

Before you judge, I am not perfect. I am a sinner. I have contracepted. I have sinned in my thoughts and in my words so I am far from perfect and I contemplate sterilization often. And yes, I certainly felt like I would seriously abort any future baby and then suddenly was faced with the decision. I would love to have sex with my husband any time we felt like it without the worry of creating new life. But that’s not how He created us and I know that’s confusing for secular society. I certainly feel like an outcast.

So here I am, I know I have the power within me to create life this weekend and I am fighting the natural and spiritual pull. Ah, how powerful God’s perfect design is!! I have baby fever. I am exhausted and I yell at my kids too much these days but here I am longing to create a new life and have a new baby in my arms. Yet the thing is, I know that if I wait just four days, that longing and desire will dissipate.

I wonder if women who suppress ovulation through the use of birth control pills still feel this urge? I know that not only am I feeling the urge, my husband is as well because our bodies are complementary to each other. His hormones work in conjunction with mine and men are more attracted to women during the fertile period. This has been studied numerous times so it seems that women on birth control don’t have these fluctuations and may actually be “less attractive.”

I digress.

It’s been a while since I wrote and I have had so many thoughts to share but I have writers block I suppose. It might just be a lack of time. I certainly would like to share about my near death experiences last year. Many of you don’t know I was very sick in December and was in complete organ failure. It was scary but I had complete faith that God would heal me and I was.

For now, I need to get through these next four days, without “taking advantage” of my husband. Another child could kill me on many levels but it’s so interesting that ovulation creates changes within the body in order to “pressure,” not only the woman but the man in her life.

Ovulation is perfectly designed.

Oh, and if you want to read more about God’s intricate design and plan, read what Archbishop Aquila just wrote on Humanae Vitae.

Grieving Your Last Child

I thought I was done having children. I really did. After Gus died in 2015, we had decided that he would be our last. He was supposed to be our last anyway. He was supposed to be the child that brought three children to our kitchen table. I grieved his death but I grieved so much more. I had been down this path of grief once before but this wasn’t grief due to the death of a baby. It was the loss of not having any more children.

After our first was born in 2003, we tried for years to become pregnant again. We wanted to add another child to our family and I struggled immensely with the inability to become pregnant. After five years of trying (tests, acupuncture, chiropractic care, Mayan abdominal massage, supplements, teas, fertility enhancing drugs, and thousands of dollars spent), I gave up hope and began to grieve that I would no longer have anymore children.

This was such a different kind of grief. I literally had to change my focus in life from wanting to become pregnant and have a baby to raising the child I had as a single child and working on my career. Just as I had, I became pregnant. Just as I was about to begin my police career, I found myself expecting a child. Switching gears again was so difficult and I wasn’t happy about the pregnancy at first. I share this in depth story in my book All That is Seen and Unseen; A Journey Through a First Trimester Miscarriage.

Somehow after we lost Ruby, my body became fertile and I now had a hole new journey on my hands. Practicing NFP according to the teachings of the Catholic Church in order to space my children and/or prevent further children. Let me take a moment here to explain that NFP is not another form of birth control. To properly use NFP, a couple must discern each and every cycle whether or not to give in to desires and potentially create life. Sex is designed by God to be both unitive and procreative (there are a few other reasons such as purity as well). A couple must give everything to each other and that includes their fertility. To remove either of those pieces, is to sin.

But this post isn’t about NFP or the Catholic teaching. It’s about grief specific to no longer being procreative. It’s about all I feel like I am losing out on and things I will miss. It’s about learning to let go of future children, even though right now, my family feels complete.

The pregnancy with my last baby was difficult. Wrought with nausea, exhaustion, anger and irritability (first trimester only), tests, more exhaustion, physical pain, and when the baby was born, I developed a fatal condition (postpartum pre-eclampsia) which I survived, obviously. In addition, postpartum depression was/is alive and well. My age is also a very big concern and was the driving factor in some of the conditions above. Another baby should not be considered. I am not sure I will survive.

So I find myself grieving once again. I don’t want to grieve this. I already had but let’s put it out there.

Here are some of the things I grieve:

Never having sex again during the God-designed, most desirable and pleasurable time of my cycle.
Never again experiencing the excitement and joy from a positive pregnancy test.
Knowing that we created a new life.
Sharing the news that we created a new life.
Feeling the “superpower” of creating new life.
Seeing the new life on an ultrasound (oh, that beating heart!).
Watching my belly expand and nourish a new life.
Reveling in the joy my husband and children have when we are growing new life.
Anticipating the new life’s arrival.
Looking down in the shower to see the massive belly, feeling it, rubbing it, etc.
Loving my body, feeling like a true woman, the essence of femininity.
Feeling the first flutters and then kicks.
Hiccups!
Birth, yes birth. I feel like I finally have this down and the last birth was just fantastic.
Making milk – being the only person providing the nourishment.
Raising the baby

There are things I won’t miss:

Progesterone supplementation (shots or pills)
Test, after test, after test
Anxiety that this baby will die too
The baby jumping on my cervix
The pelvic pain
Not being able to roll over in bed
Doctors appointments
Recovering from birth
Night sweats
Baby Blues
Postpartum Depression

But mostly, it’s really about the fact that I will no longer create life. I am old. I shouldn’t. We shouldn’t. It’s not mentally or physically healthy for us or the family. So I grieve. I grieve for my empty womb. A womb that is just beginning to fill with cobwebs and it will remain that way, for the next 40 years or so of my life. My womb will never hold new life again.

I am not sure if my husband grieves. He might, but I don’t imagine him grieving the fact that he will no longer produce more children. Well…at least we *think* we won’t. Neither of us have done anything like birth control or sterilization in an attempt to prevent creating new life. At this point, we rely on abstinence and THAT SUCKS!

I will process through this grief just like I always have, but the grief resurfaces. There are triggers. The biggest being my bathroom. Anytime I see myself naked in the mirror and long for the big, round belly or anytime I am in the shower and look down to see flab instead of round. That big, round belly means so much. As I said before, it’s the epitome of femininity. Maybe that’s what I will miss the most?

Postpartum Depression – Part 3

It’s been a few weeks since I last posted about my postpartum depression. It’s still here but definitely not as bad. I actually shared with one of my classes that I had postpartum depression because I wanted them to see the “face” of postpartum depression.

When I was going over the postpartum depression section in the last of my four classes with them, I asked them if it looked like I had postpartum depression. They all said no. That’s when I revealed that postpartum depression doesn’t have a “face” and many women are highly functional through it. They all seemed shocked. Probably because I was sharing this highly personal story with them. I certainly didn’t go into details but I wanted them to know that their wives or partners could look this way, go to work, be functional, etc., yet still be suffering silently.

There are some things I have done since I last shared. The first, was getting daily help. While I cannot afford the actual help I need, I am incorporating daily help into my life and paying for the support that I CAN afford. It’s not much, maybe once a week or once every two weeks but it’s helpful nonetheless. In addition, my mother-in-law has offered to come help and I have had a few friends that have come to help.

While this support is detrimental to my health, family and friends aren’t optimal. Here’s why? There is a feeling that I need to entertain them and/or explain the things that need to be done as well as how to do them. The support of the postpartum doula needs no explanation. They just come in and do. We don’t even have to talk. When the postpartum doula asks “When was the last time you took a shower?” It’s followed by, “I will watch/hold the baby while you take all the time you need to shower. Go enjoy it. We will be fine.”

Friends and family have helped with ensuring my family is eating. Many have brought me lunch or dinner for the family. In addition, they ask if I need food before they come over and that ensures I eat. Much of my problem is realizing that I don’t eat regularly and by the time I do eat, I am so famished that it’s causing me problems. If I don’t eat, I am not a good parent. I repeat that when Charlotte is crying and I consider putting off this basic need to attend to her.

I also reordered my supplements, specifically fish oil and Vitamin D3. Both of these are very important to my health and I had run out of them for over a month. Vitamin D3 really helps curb SAD (Seasonal Affective Disorder) and I tend to get that in the winter or at least, cabin fever and taking D3 helps tremendously. Plus, I already know that without the supplement, I am deficient in Vitamin D3.

Finally, I had a therapy appointment. This appointment took a while to get to (she wasn’t available when I was in the depths of despair) but it was important and very helpful. It gave me confidence that the things I was doing were truly right for me and also gave me permission to turn some people away who offered help. Now you are asking, “Why would you turn help away?” Here’s the easy answer.

If the “help” was something that would cause me anxiety, it’s not really that helpful. The type of help most often offered was someone taking Charlotte for me during the day yet I am working hard to get her on a schedule (which is part of my stress and feeling of being overwhelmed) and then there’s my concern about my baby being in someone else’s car. I have such a hard time with any of my kids not being home or riding around with someone else and I needed to be able to say no to this kind of support. While any help is appreciative, my therapist reminded me that it needs to be the kind of help that would not cause me more stress. I learned some techniques for saying no.

I am continuing on my path to healing and I am doing better. I have also started to recognize areas where I can improve, for instance; as soon as Charlotte naps, I need to have my list of things to do handy and begin them immediately. I know her patter and how long I have (about 20 minutes before she wakes as she is transitioning in her sleep cycle), and how long it will take me to get her back to sleep so I can get a full hour or an hour and a half of her napping. When she gets an hour and a half, she is happier and less needy and if I complete some things on my to-do list, I feel more productive and give myself permission to rest/sit when Charlotte needs to be held.

I hope some of this might help another person struggling through. It’s not perfect but recognizing some key things has really been helpful. Self-care is detrimental and I tend to put off all of my own self-care in order to care for my family but the reality of that means I turn into a horrible wife and mother if I don’t ensure I meet some basic needs.

I am a work in progress.

 

 

 

What Pregnancy is this for you?

I remember when I attended my last pregnancy prenatal yoga class. On the first day, the instructor asked, “What pregnancy is this for you?” She asked all the attendees. She started with “Raise your hand for #1,” then said, “#2?” “#3?” With each number, women would raise their hands but she stopped at #3.

I felt left out. I hadn’t raised my hand yet. She only went to pregnancy #3. So after a few moments, I raised my hand and said, “#5.” The instructor was happily surprised exclaiming, “WOW!! You are amazing! How wonderful that you can get away for self-care.” Then I thought, “Geez, that’s kind of presumptuous.” I responded, “Well, not really.”

She immediately jumped up off the floor and ran over to give me a hug. She embraced me and told me how amazing I was and then I became embarrassed and angry at the same time. She assumed I had four children at home because this was pregnancy #5 for me. I became quiet. I didn’t want to scare any of the other attendees, especially on the first day.

But as the class continued, she kept focusing on me and asking me for advice to share with the class, such as how to manage the schedules of four children. I ignored as much as I could and offered advice where I could. This continued through several classes and it became harder and harder for me to participate, not because I was sad but I was annoyed. Her question, “What pregnancy is this for you?” did not leave any room for explanation and left tons of room for assumption.

This created a conundrum. How do I explain to her at this point that I only have two living children? I thought about talking with her after class but this instructor was not good with time management. She consistently held us over by 20 to 30 minutes each class and I had a family at home to feed. If I really did have four kids at home, I couldn’t understand how she could be so inconsiderate of my time.

I ended up dropping the class. Questions like this make me wonder if I am approaching my questions about pregnancy in my childbirth education classes appropriately. While I don’t ask what pregnancy it is for my students, I have asked if they are first-time moms. It doesn’t really leave an opportunity for babies born early. I have decided that asking the question differently is the way to go.

I could ask, “how many of you have given birth before?” but that would probably confuse women who have had miscarriages as many of them (especially early losses) do not believe they have given birth. “How many of you are first-time moms?” is really no different.

“Is this your first pregnancy?” might offer better availability for an answer but could also be awkward if the family isn’t acknowledging their prior losses. So what DO you ask?

It’s complicated. You have no idea who is in your classroom and I have had several students talk about their stillbirth or losses. In one of my last classes in particular, the mother blurted out that this was not her first pregnancy and that she had lost her son at 20 weeks. She was attending this birthing class at 20 weeks and I think she was attending as an act of bargaining or a way to validating the pregnancy. 20 weeks is very early to attend a birthing class. I suppose it could be useful if there is a concern the next baby would be born early.

Still, “what pregnancy is this for you?” puts mothers enduring pregnancy after a loss in a precarious situation. It’s often anxiety provoking because mothers want to share their deceased children yet do not want to scare or upset a person and if they don’t share then they may feel guilty for not sharing. A seemingly joyful question has turned into an anxiety provoking question.

When I think about it, why even ask? What’s the purpose of asking? Maybe it’s an “ice breaker?” I know I ask in classes because if a woman has given birth before, her experience this time around might be different and we talk about that. I am considering no longer asking the question.  It’s important that all mothers feel comfortable in class and asking “how many children do you have,” or “what pregnancy is this for you?” is not necessary.

So what should we ask? How about, “How are you feeling about this pregnancy?” “What anxieties are you experiencing that we can talk about?” Be prepared for someone to share about their loss and if they do, please don’t blow them off. Recognize what they have said, offer condolences, ask about their baby/child, share if you have had a similar experience, and follow-up. drt5ye

Postpartum Depression – Part 2

But SHE didn’t say anything. “Why didn’t she say something?” Visit here to read Part 1 on Postpartum Depression.

SHE did! I know I DID. I shared. I told. I was even specific.

After my last pregnancy, months three through seven were the worst for me. During month five, I contemplated jumping off a bridge. On August 2nd of this year, I sent this picture to my husband with the caption, “Three and a half years ago I thought about jumping from this spot. It’s very hard to admit.” I enjoy walking past this spot now because it reminds me of my recovery back then.

During month six, I picked up a gun and thought about shooting myself in the head to make the crying stop. Obviously, I didn’t use that gun. I picked it up off the counter, stared at it, then moved it and locked it in the safe. Out of sight, out of mind.

This was also the same month I packed a bag, kissed my husband and children goodbye and walked out the door. I sobbed as I explained to my husband, I am not leaving you or the children. I need a reprieve. This is when my husband said, “You do what you have to do to feel better.” My oldest was playing in the front yard with friends as I kissed him and told him I loved him, got in my car, and drove off. It was one of the hardest things I have ever done.

That probably wasn’t the best way for either of us to handle this situation but it was all we knew. I have no idea what was going through my husbands head. I thought he would leave me. I thought he would use it against me. I was scared out of my mind that the locks would be changed when I came home but they weren’t. My husband loved me and even though it was hard on him, he lived in that uncomfortableness. I guess he was obligated. It was in our vows.

I was bad then for sure. I was also teaching childbirth education classes and didn’t incorporate much on postpartum depression in my classes but even so, an educator can’t be expected to us that education on themselves. It doesn’t seem to work that way. 15% of women experience postpartum depression. There are also many forms of postpartum mood disorders. Postpartum Support International is an excellent resource and while I knew it existed, I am JUST now reading and reaching out on that website.

I don’t believe what I am experiencing now is the same though. My struggles following Timmy’s birth were a bit different yet there are some similarities. I believe I was grieving the loss of my independence that I had gained back after having Joey. I was anxious Timmy was going to die (typical in rainbow baby pregnancies) and he wasn’t eating well which lead to rarely sleeping (he didn’t eat solids until he was 15 months). I also had thoughts of throwing my son into the wall. By now you are probably concerned for me, concerned that I shouldn’t have my children, wanting to call CPS and/or thinking, “why would I listen to her, she is crazy!”

I entered therapy during that time. I recovered.

I was under the care of a therapist and physician to manage all I was experiencing. It was the first time I had heard someone tell me I had postpartum depression. I am better now and what I am experiencing now is different. I don’t have those scary thoughts. In fact, I take solace in knowing that I don’t want to throw my daughter across the room. When she won’t stop crying and I am frustrated and angry, I end up sobbing and crying loud like a baby. My daughter must know because she stops crying and stares at me. I just hold her and cry and she looks at me, calm. I don’t know if this is hurting her but I like to think she is trying to calm me. I like to think she is giving me love back and telling me it’s all going to be okay.

I am more overwhelmed this time. I am harboring resentment and anger because I feel so overwhelmed  and lack support. The support I need, is expensive. My husband can’t take on everything that I can’t do. He shouldn’t have to. My kids are yelled at more than they should be and I know that they know something isn’t right with me. I certainly don’t want them to think this is me. It’s not me.

I need others to help me but maybe they don’t believe I need the help or deserve it? Being overwhelmed has led to pure exhaustion and I believe my adrenals are done trying to keep up so not only am I have an intense emotional experience, medically, I am no longer well. This is two-fold and I WILL survive but when living in these moments, it’s hard to see the light at the end of the tunnel.

Last week was my breakdown week and I hope that’s as low as I will ever go. I did send my husband messages that were concerning. I did explain to him that yes, these were buzz words and that he had every right to think I needed hospitalization but I also explained that I knew what we needed to do, so  I didn’t need hospitalization, we needed a plan.

I hired a postpartum doula that evening. She came the next day. She walked in my door, didn’t ask me what needed to be done because if she had, I would have been too exhausted to explain any of it to her. She just started doing. She did my dishes, she washed my bottles and pump parts, she folded laundry, she cleaned up my kitchen, she held my baby, she fed my baby, she put my baby to sleep in her crib, she talked with me, and she helped me learn some skills such as how to wear my baby. She was just what I needed.

But it comes at a price and I can’t afford her. I need a professional baby holder. I need someone to come in to my home, hold my baby, feed my baby, so I can do some things that help me feel productive AND so I can get rest. So that’s where I am right now, I am looking for help.

I thought telling people was enough. I thought sharing was enough. I have been told I need to be more specific. It’s uncomfortable for me to share, it’s harder for me to be vulnerable and give even more. I have lists on my fridge for when people come over and ask, “Is there anything I can do,” yet it’s still hard to direct them to the list. No one has ever looked at it and said, “Have you eaten today? Can I hold the baby so you can do that or take a shower or take a nap?”

But at five months postpartum, I should have it altogether. I shouldn’t need help. As discussed above, society believes that. I saw the judgement in your eyes when I said, “months three through seven were the worst for me.” I saw the shock and lack of understanding as to why. I will do my best to explain why.

Month three my husband went back to work so I had to manage all day on my own with three kids. That takes adjustment and little by little I couldn’t get caught up and on a good schedule. By month four, my oldest child had started high school as a freshman; a new experience for all of us with a schedule that fluctuates. Managing the day to day house stuff, in addition to a new baby, a new school, and new routines and schedules was difficult. And here I am at month five, where I definitely should have it all together but I don’t. “That’s just life, Elizabeth. Why do you need help with life.” Yes, I have been told that.

Me, also in the depths of despair.

I am an utter failure as a mother according to society and I believe it sometimes. My daughter isn’t on a schedule, she just fits in. She struggles because babies thrive on schedules yet I can’t quite find the time to ensure she has a schedule of her own with naps she can predict. This makes her cranky and makes her want to be held all the time. And while I love holding my daughter, when she is in my arms, no one else can have them. Everyone else suffers and that makes me suffer.

My middle child doesn’t get to eat which makes him cranky. I don’t get to eat which makes me cranky. When I am cranky, no one is happy. When my needs aren’t met, no one else’s are either. And since that is my primary love language, my cup is emptied. When my cup is empty, life isn’t worth living for me.

I don’t have the answer for everyone enduring postpartum depression. This is just my experience of it. I don’t even have the answer for me but I do know that this is a horrific experience and it’s full of irrational thoughts about other people and myself.

Silence is noticed. Your silence in particular, is noticed. I know who hasn’t said a thing. I know who hasn’t reached out (who should have and should be). Even my mother, MY MOTHER, who doesn’t have an ounce of nurture in her, said to me, “I wish I could be there to help you through this.”

THAT WAS BIG. My mother doesn’t do babies. My mother doesn’t hold me, sing to me, read to me, or rock me. My mother doesn’t do the nurturing things so many other mothers do but even she knew I was in the depths of despair and said something. But some of you in particular have been silent even though you knew this was a possibility and you know it’s now here. And I no longer feel like I can trust you and that hurts.

It hurts because you don’t even recognize it.

I know what I need to do for me, to keep me safe. I know this system because I was on the outside looking in for so long. But knowing what to do doesn’t mean I can make it happen and now that I am on the inside looking out…well, I have a newfound understanding of this illness. I am not concerned right now with me offending you. I am not myself right now so I hope you understand. I hope that since you aren’t the one suffering with postpartum depression that you would see through this and not take it personally. I hope that you take the guilt or the offense you feel and turn it into love and support. Here is a great resource for families.

I AM concerned with how I am perceived. I know people will think of me as weak and I know people will no longer trust my advice or turn to me for help with their loss. I know I am taking a huge risk putting this out there for all to see. Even potential careers are at risk. Anytime someone admits to this kind of struggle, discrimination arises. I guess I need to move forward with it. If someone didn’t share these experiences, no one would understand them. So I am sharing and taking a risk. I shared in my book that I wanted to die after I lost Ruby and so many of you reached out to say you felt the exact same way, so here I am sharing again. I am sure some of you will reach out with similar experiences.

We knew this would happen. This was the main reason we were avoiding pregnancy. It wasn’t my age, it was my risk of postpartum depression. I have a few months left to go if this follows the same track as with Timmy. I don’t think it will since it’s different but it could or it could be longer. If you have read this far, I will close with this is why. This is why a mother took her life when no one noticed she was struggling. I am not referring to me here but the thousands of women who have suffered with postpartum depression and “no one saw it.” I bet she reached out in some way but it was ignored. Chalked up as lack of sleep, growing a family, outside the newborn period, or just life.

The world is different now. Many of us lack families to help and some of us who do have family nearby, well, they are busy and can’t help. Maybe they are working through retirement because times are different? Maybe they too, have a family and they are struggling to keep up and one more thing is just too much. But this is why.

I waited patiently for the LORD; he turned to me and heard my cry.  He lifted me out of the slimy pit, out of the mud and mire; he set my feet on a rock and gave me a firm place to stand. Psalm 40: 1-2

Postpartum Depression – Part 1

It’s not an addiction. It’s not an injury. It’s not something that is easily seen yet is extremely dysfunctional and can be fatal. No one chooses to experience it. The timing of it’s existence isn’t planned. People who suffer through this don’t do it on purpose and don’t want to hurt you or mess with your life or plans. Believe me when they say it affects them much worse than it affects you.

Many people don’t notice and more often choose to ignore it. Much the same way as when multiple people hear a gun shot and say, “Did you hear that?,” yet don’t call the police to check on it; those suffering through it are ignored. They are often dismissed when they mention they are struggling, “get more rest, do less, stay strong, this too shall pass.” It’s as if recovery is easy.

Yet, the people suffering through this, don’t see an easy path. They see discombobulation, inconvenience to others, a burden, worthlessness for needing help, and some see themselves as a failure. Even the best laid plans to help get through it or prevent it; fail. Even when you can tell people, “I struggled through it last time and I am afraid I will struggle through it this time,” and those people you shared with say, “I will be there for you. I want to help you. I don’t want you to have to suffer again. Just let me know.”

They will forget. You will be a burden. You will be an inconvenience. They will ignore.

Oftentimes these will be the same people who say, “Why didn’t she tell me? Why didn’t she say something?”

But their busy lives or the uncomfortable thought of having to inconvenience themselves, their family, their vacation, their trip, their work, their plans, their lives…comes above the triage and treatment of someone suffering through postpartum depression. Because the illness can’t be seen and can’t be easily noticed, the women continue to suffer. Sometimes, we don’t even realize we are suffering with an illness that we are so far into the destruction, it’s hard to fix or back out.

The irrational and impulsive nature that can come with postpartum depression might be fatal if it is not recognized or noticed by a loved one AND that same loved one reaches out and ensures help is given. Follow-through is important. It is crucial. Waiting or ignoring leads to poor outcomes. Thinking, “It will get better. She is going through a rough spot. It’s her hormones. She is strong and will survive;” all of those statements from those on the outside are damaging to her.

She is strong, but right now her strength is the reason she hasn’t sought help. Her strength is actually her enemy. And a woman who is believed to be that strong, who is believed to survive anything, who is believed to have survived worse; well…by the time she reaches out for help, she is in the depths of despair and needs immediate attention, support, help, treatment, and love.

This is me, in the depths of despair.

Her thoughts can be dangerous yet if she shares them, her biggest fear is her children will be taken away so she keeps the thoughts suppressed, furthering the danger she is in. She continues to suffer in silence, hoping someone will notice, just enough, to reach out and step in. “I’m here for you’s,” are ignored because it’s not direct enough. It’s open-ended.

“I’m bringing you lunch or dinner or coming over to clean or hold the baby so you can shower” are better. A friend said it like this to me which made it hard for me to say no “How about I come over after my meeting at 1:30?” Then she asked if I was okay for dinner because she was going to bring something.

 

You can’t tell a mom has postpartum depression by looking

But these require the other person to be inconvenienced in some way and many people won’t do that. Many people also don’t want to really know or hear what’s going on because it requires follow up, follow through and maybe more support than they are willing to give. It also makes them uncomfortable for a variety of reasons but they likely don’t know how to support someone through this. It’s not an addiction, it’s not an injury. It’s unseen and uncomfortable.

All of this makes postpartum depression worse. At least it does for me.

Society also makes a woman believe she is weak for asking for help. The medical field furthers these thoughts by only “testing” women within the first six weeks of having a baby. At the first newborn visit (2 days postpartum) a few questions might be asked. At the 2-week newborn visit, the mother fills out the Edinburg Postnatal Depression Scale.

Both of these tests are administered very early in the postpartum period. At the 6-week postpartum visit, the test is given again. Keep in mind, the test at the newborn visit and the test at the postpartum visit are given by different practitioners who most likely do not talk with each other. If something came up at the 2-week visit, the OBGYN would most likely have no idea. After the 6-week appointment, assuming the mother did not score a 10 or above on the scale, the assessments are complete.

Any help needed after 6-weeks postpartum the mother or family would have to recognize on her own. 

I noticed a random question on the well-baby check-up sheet for my daughter at her 4-month visit, “Is anyone at home irritable, angry, sad, or depressed?” I marked YES. During the 45-minute visit, it was never addressed with me. Why?

It requires follow-up.

Because the doctor never explored the question with me (keep in mind he is a pediatrician, I feel the question is merely a band-aid. It’s not a solution. It’s fluff to make it look as if someone cares but it’s not real. Because no one asked a thing when the box was checked. It was ignored. Little did they know that it took everything in me to check that box YES. I was ready for an uncomfortable conversation but I didn’t want to initiate it. If you asked me during the appointment you might have received tears and seen that something was up and that your probing could have helped. You could have potentially saved me from going deeper into despair.

Postpartum Depression – Part 2

Termination

Eighteen months ago, I embarked on a journey. A journey I have never been on in 26 years I have been employed. I have been relatively silent about this journey, mostly to protect myself from embarrassment and my current employer. But like most things, opportunities present themselves and doors are opened which allow the silence to open into dialogue.

I am an educator. I have been a certified childbirth educator for over four years but I have been teaching childbirth education on and off since 2004. I have also served in the role of educator in various occupations so teaching isn’t new to me. Whenever I teach, it’s been important for me to share as much information as I can so people can make informed decisions about what I am presenting to them.

As a childbirth educator, it is not my job to sway a parents choice in one way or another. New parents have so many decisions to make and as their educator, I try to make that process easier by presenting all facts. I take great pride in having a diverse curriculum.

As a pregnancy loss advocate, I too try very hard to present all the options and choices families have. Options which are rarely presented to them by their care provider or hospital staff. Even though hospitals believe they have strong bereavement programs, they still miss the mark on some of the tiniest of options which parents should have the benefit of choosing because it can make all the difference in the world.

Care providers may begin to sway families in a particular direction because they feel it may not be important to the family or because it takes more time and/or effort to provide a particular option. It’s a huge disservice to families. I have written about organizations who are agenda driven and aren’t clear on the populations they serve. I have shared experiences from families who felt their care provider didn’t care. And today, I will share an experience that is so very hard to tell but really needs to be told.

I was fired.

I was fired for providing evidence-based information to students within a hospital prenatal class; which led to them asking questions during appointments with their care providers. Various complaints came from these care providers such as: “my patients are asking too many questions and I am getting behind in my patient load,” “I only allot five minutes of time per patient and they are asking too many questions,” “it’s not my job to inform them about ____,” “What kind of information is the educator giving because it’s not evidence-based,” and more. If you think that doctors enjoy educating parents on important topics, this study shows how doctors find less job satisfaction by spending more time talking with parents concerned about vaccinations.

I worked closely with my manager any time a complaint about my curriculum came up. So much so, that my presentations were reviewed and approved numerous times throughout my tenure. After receiving an update that I shouldn’t talk about delayed cord clamping (which is now a standard of care at nearly every local hospital), future complaints involved my education on circumcision. If a student asked about something that was too controversial or a topic my manager “implied” that I should not speak about, I was told to defer them to their care provider to ask those questions. Despite the changes, nearly every few months, I was pulled into my managers office because of the information I presented about newborn circumcision.

The information I provided was given to me by my manager from the hospital’s system “Up-to-Date.” My manager informed me that they didn’t care if patients weren’t choosing to circumcise but too many questions were being asked and I needed to stick with the evidence. Each time, my manager would review my presentation and approve it. I was sure to stick with what was on the slide during my classes but I couldn’t stop students from asking their doctor questions about the procedure.

After two years teaching at this hospital, I was fired. Patients were asking too many questions of their care providers. Were they upset that parents weren’t choosing newborn circumcision? Did they feel the patients were questioning their ability? If they weren’t going to present the real risks and benefits of procedures, who would?

I had worked for this hospital in varying roles for six years. I knew the in’s and out’s of the political environment there and I knew that doctors were to be kept happy at all times. Doctors must be catered to at all costs and were not subject to the same rules and policies that regular employees were. Doctors were special; they were to receive free meals, special lounges stocked to the brim with food, and were not subject to discipline if they were found stealing food or destroying property. The more prestigious their specialty, the more important they were and the more they got away with.

So it was no surprise that I would take the fall when these doctors complained about what their patients were learning in childbirth class if it didn’t fall in line with their opinion. In the last class I had, before I took the fall and was fired, a student kept asking if a doctor could force her into a particular procedure. I had been suspicious of her probing because she kept asking and other students were getting nervous. It seemed she didn’t have trust in her care provider. I explained that she should work closely with her doctor to ensure a mutual trust but ultimately, she cannot be forced. It’s assault, it’s against the law. That statement sparked an investigation and led to a meeting with HR.

But in that meeting, HR was only focused on the circumcision information. “We think you are teaching out of scope,” she said. “Really?” I replied. “I was hired to teach newborn care. It is well within my scope to provide the risks and benefits of circumcision. The information I provide was given to me by my manager and approved several times.”

She fell silent. After she explained their concerns, she presented me with two options. Resign or be terminated. I have never been terminated in my life. As a 40-year old woman with a military service-connected disability, I played the card. “I am not resigning, you will have to terminate me,” I said.

She then explained that she couldn’t fire me and would have to call me back in next week after talking with my manager. My manager was not on my side. She was tired of having to field phone calls about what I was teaching. There was a six-month period of time where I did not have her as a manager. I reported to a director and not once during that six-month period was I summoned to her to answer questions about what I was teaching.

My current manager had a bias against me. I don’t say this lightly but she did. Numerous times she talked about how I was a doula and that skewed my view of childbirth. She thought I was focused on “natural things” only and that I was against epidurals (never mind that I had an epidural at each of my births). She was angry when students called me in to support them through the death of their baby and required me to put up a flier for staff stating I was not employed by the hospital when I assisted families through stillbirth. So my manager was definitely not on my side and I knew she would do everything in her power to fire me.

I felt I had a good standing though. Not a single poor evaluation, 4 and 5 star evaluations from students, and of course, I had followed her requests and my slides had been approved by her. A week later, I received the call. “We could not come to an agreement from both parties,” said HR. “What is the solution?” I asked. She would call me in a few days.

A few days later, HR called with my manager where I was informed that I would be terminated because I present too much controversial information. I knew what she meant. My manager frequently stated that our patient population is “highly educated.” She stuffed that down my throat nearly every meeting. However, she hasn’t taught the classes and she didn’t hear their questions. Just because patients have high school diplomas and college degrees does not mean they know anything about childbirth and the procedures that come with it. They may have the means to look things up but they take a class to learn all they can.

I asked for a termination letter and received it. Then I applied for unemployment; which I also received for a short time.

The bottom-line was this; the hospital did not want their “educated” patients to ask questions. Even though my slides were approved and my manager stated that what I was teaching was great information, I was thrown under the bus when the pressure was too much for her. Instead of standing up to what her educators were teaching, she chose the easy way out. Fire the educator who encourages students to research and develop a trusting relationship with their care provider through asking questions.

By now you must be thinking that I am some sort of “intactivist” who is against circumcision and that I had to have been breaking rules or giving biased information. Students in my classes were taught the “evidence-based” information from Up-to-Date; the hospitals own resource center.

BENEFITS OF NEWBORN CIRCUMCISION
May reduce the incidence of urinary tract infections for the first six months of life.
May prevent certain sexually transmitted diseases such as HIV (although this study was done on adult African males circumcised as adults).
May reduce the incidence of penile cancer.
May reduce the incidence of inflammation of the glans (head of the penis).

RISKS OF NEWBORN CIRCUMCISION
Pain
Bleeding
Infection
Meatal Stenosis
Removing too much foreskin
Buried Penis
Loss to or damage to all or parts of the penis
Death (mostly attributed to infection and/or bleeding)

Students were informed of the statistics such as circumcision is on the decline in Colorado, that the AAP does not have an official recommendation and leaves it up to the parents, and that this is an elective procedure so double check with your insurance company to see if it’s covered and if your doctor performs the procedure.

Numerous times I had been called by students because their doctor would not do it and they needed a recommendation. They were referred to call a urologist when their OB or pediatrician would not perform the procedure. So you can see, the information I provided was not biased.

I still teach. In fact, this information is or has been presented at three other metro hospitals with no complaints. It is the culture at this hospital. A culture where they don’t want patients informed. They don’t want patients to ask questions or to research information. It’s a culture where “I am the doctor, therefore you will do what I say.”

I am not making this up. I have witnessed doctors making these statements to women and their partners during labor. I have seen doctors threaten patients with child protective services or calling law enforcement if they don’t do what the doctor recommends.

What’s the big deal with circumcision anyway? It’s just a snip right? Check out the video below and tell me if you think it’s just a snip? Wouldn’t you want to be fully informed before you subject your baby to this?

I have two boys. With my first, I was never informed about circumcision. I assumed it was a painless procedure where they just cut of a bit of skin. I had no idea that the foreskin is attached to the penis and they would tear it off. I had no idea the foreskin was functional. No doctor or childbirth educator talked with me about circumcision other than to say, “everyone does it.” When my son was returned to me after his circumcision, I knew something wasn’t right. I knew he would never be the same. I knew I had taken something from him and what I saw when I opened his diaper was shocking. It was an unexpected outcome.

This prompted me to learn more and as an educator, I wanted parents to be informed. I wanted them to know what to expect, not just with circumcision, but with any decision they make for their labor, delivery, and newborn period. Those decisions can affect them and their baby for the rest of their lives. How can a parent make an informed decision about any procedure if they are only given a one sided view or pieces are left out?

By the way, I also educate on how to care for the intact penis. I have observed five different newborn care educators and only ONE also educated on caring for the intact penis. Did you know that not everyone chooses to circumcise and if parents are not educated on how to care for their intact son, damage can be done? A patient population is being blatantly ignored.

We cannot leave out the bits and pieces to sway parents into a decision we believe is right for them because they may fail to research or understand it. They may not have known there were other options available to them because bits and pieces were left out.  Isn’t it a childbirth educators job to inform?

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