BIRTH IS A BREATHING LANGUAGE
Often the narrative regarding medicalized birth speaks to 'it's good it’s there when needed.' However the 'when needed' is where this conversation finds muddy waters. Because everyone's personal interpretation of need is diverse in of itself this dialogue unfortunately becomes a battle between apparently opposing forces.
Because the nature of 'when needed', like necessary & unnecessary is a language of power--who determined a particular need/necessity & made a decision AND then who was subjected to that decision--it therefore becomes a language that actively AND retroactively divides care. It pits people against one another; who was right & who was wrong. Who made the best decision & who made a worse one. What was done with a true need/necessity, & what was done with a need that can be questioned, minimized & discredited.
For such language as necessary & unnecessary & when needed does not allow for breath. Does not give space nor acknowledgment of how we all have the same universal needs and we all approach giving & getting those needs met. Such language does not give love to the reality that we all will analyze & balance the risk-benefit set of a particular birth differently. What one provider & Mama sees/feels as a risk will be different from another. What one person considers necessary will be viewed as unnecessary by someone else. With our general collective goal being survival of both Mama & babe, we then see a wide range of how individual medical professionals will handle risk; a dance with unknown & ambiguous information. Risky choices are those where the outcome isn’t known but the odds of success are. Some of the facts & data are very solid & clean, but how they’ll combine to create a future scenario is tricky to predict. Birth falls into that complex & miraculous middle--between the known & unknown, predictable & unpredictable, odds for & odds against. Time is incredibly precious.
All birth carries risk. Bottom line. So when we speak so vehemently & absolutely that most cesareans are unnecessary, what are we saying? What does unnecessary even mean? And then what is a real need then?
Gorgeous cesarean @evarosebirth