Having a Homebirth – Fosgood’s Story

Fosgood, Ana, and Midwives

Fosgood, Ana, and Midwives

The most empowering, humanizing experience of my life happened on a steamy Florida July afternoon when I gave birth to my daughter, Ana. She was born in our home with me squatting, holding onto our bedpost, pushing with every ounce of strength left in me after ten-and-a-half hours of labor. She was swooped up by the very capable hands of one of our two midwives, wiped off and placed on my chest. She soon began her first tentative attempts to nurse and I fell in love in a way I had not experienced before. I felt like I grew a second heart to hold all the love that swelled to overflowing in just a moment’s time with the first look into her face where I saw my father’s and my own face reflected back at me. It wasn’t until much later that I realized I hadn’t even thought about the need for pain medications or medical intervention.

I knew I wanted to be a mom from a young age. I’ve always been, and still am, drawn to

Midwives, Fosgood, Ana & Laura

Fosgood, her daughters Ana & Laura, and Midwives

children and animals. The idea of a home birth evolved over time. Fresh out of college, unable to get a job teaching, I started work as a nurse’s aid. Some of the things I saw and heard made me very afraid of a hospital stay. I met a friend whose partner was planning a home birth and the idea began to sprout. I read everything I could find about the history of natural childbirth, which was limited to the library and the few people I could find to talk to that didn’t think I was being extremely reckless and crazy.

Since I can remember, I’ve been a strong-willed, independent thinker who could care less about convention. My dear mother was often aghast at what would come out of my mouth. I became a vegetarian before it was fashionable and learned to ask my body what it needed. I began to look at my body as something designed to carry and deliver a child. I trained my body like an Olympic athlete. I trained my mind to turn fear of pain or negative consequences to thoughts of my body doing what it was designed to do. I saw an obstetrician during my first and last trimester and was regularly monitored by a team of highly experienced lay midwives. If there were any indications of potential problems, I knew I would deliver in a hospital. My husband was a first generation Italian who, along with much of his neighborhood growing up, had been born at home. I knew the risks and responsibilities.

I’ve had many amazing experiences in my life that have moved me to tears of joy or

Ana & Laura

Fosgood's Daughters, Ana & Laura

wonder, but nothing remotely compared to the euphoria I felt when giving birth to Ana. I grew a third heart to hold all the love I have for her sister, Laura, born at home 3 years later. I still have room to grow several more if I’m fortunate enough to have grandchildren.

Although I didn’t experience an orgasmic birth, it was painful and intense, but nearly 30 years later I still feel like Wonder Woman.

(Watch this video if you want to learn more about orgasmic births and the power of positive thinking during childbirth.)

To Cut or Not to Cut: The Dreaded Episiotomy

An episiotomy is a surgical procedure done during a vaginal delivery that consists of cutting the perineum (the tissue between the vaginal opening and anus) to assist the birthing process. Once a common practice, the overall rates for the procedure have fallen drastically within the United States over the past 30 years. One study published in the American Journal of Obstetrics and Gynecology found that in 1979, episiotomies were performed during 60.9% of vaginal deliveries, while in 2004 the rate had dropped to just 24.5%. Another found declining episiotomy rates were due to local peer pressure among health care providers and responses to significant research that came out against the routine use of the surgery. Interestingly, nurse midwives are less likely to use episiotomy to assist during labor than physicians.

Risks/complications from the surgery include:

  • tearing of the anus
  • blood loss
  • infection
  • pain
  • swelling
  • sexual dysfunction

Moreover, in the book Misconceptions: Truth, Lies, and the Unexpected on the Journey to Motherhood, author Naomi Wolf asserts:

What anxious women are not usually advised is that an episiotomy is a serious cut right into the muscle; many women remember it as the most painful and traumatic part of a medicated hospital birth. Nor are women generally informed that, since women’s sexual responsiveness derives largely from the rich network of nerves and blood vessels in just that area, an episiotomy can cause pain during sex, and loss of sexual responsiveness, for up to seven years.”

Alternatives to episiotomy include:
○ Natural tearing: Many experts argue a natural tear is less likely to lead to further medical complications and has a speedier recovery time than episiotomy.
○ Wait it out: Episiotomies can make delivery happen faster, and can be used to expedite the process. If not medically contraindicated, you might avoid the incision by waiting it out.
○ Massage: prepare your perineum ahead of time by massaging it with vegetable oil or personal lubricant.
○ Water birth: studies have indicated that water births are less likely to create tearing or warrant episiotomy.

If you decided against an episiotomy, here are some ways to prepare for your delivery:

● Ask your physician or midwife their thoughts on episiotomy, and how often they perform them. If they’re proponents, you might consider finding another provider.
● Make a plan ahead of time. Tell your doctor, nurse, and/or support person your feelings about the procedure ahead of time. Ask them to do whatever is necessary to avoid the surgical incision before you feel yourself receiving one.
● Get an advocate: get a birthing coach or doula to be your advocate during delivery. If your doctor wants to clock out early by inducing an episiotomy, your advocate can step in and remind the medical staff of your established no-cutting policy.