First, the pregnancy is progressing well. The placenta is well behaved and located at a very good and safe place, so there's no chance of the complications we had last time. My weight gain is good and baby is on track at about 1.7kg already. Even though the doctor in Taiwan told me to "watch my weight", apparently at the same point in my last pregnancy I have already gained 14 kg, while this time I have only gained 7 kg. (I really don't remember being THAT BIG last time around, but I guess last time we were so stressed about the other medical issues that weight gain was clearly not a concern. The fact that I am free to move around vs being on bed rest for so long probably also contributed to a much slower weight gain).
And this time, I finally have a choice about delivery options.
I remember when I was pregnant with Jack-Jack, when I finally got off bed rest from the first trimester, how keen I was to try for a natural birth. I did prenatal yoga religiously, I read up on water births, natural pain relief methods, and I was all ready to work hard and do my daily squats to prepare for the strength and endurance I need for the actual birth. I felt it would make the whole experience of being a woman complete if I could have a good birth. Of course that beautiful dream was shattered with the reality of placenta previa and vasa previa diagnosis. I quickly gave it all up given medically it was not even possible for me to attempt a natural child birth.
Now that I have a choice, should I try a VBAC and go for a natural delivery that I so wanted last time? That being said, our C-section experience was also very smooth with Jack-Jack that I am not really against doing it again, despite the longer recovery period.
In Hong Kong, doctors are generally very pro C-section -- it is easier for them to schedule and they make more money that way, my doctor is no exception in making his preference clear. That being said at least he was willing to entertain my idea and support me also if I wanted a natural birth. I guess it will still be a natural birth with a HK twist, probably with a lot more people pushing you for drugs, potentially making you opt for a C-section earlier than necessary, and it won't be an environment that makes delivery as comfortable as can be. We have also been interviewing private midwives and doulas for birth support in HK, which some friends has recommended highly and said has made their experience so much better. Ideally it would be good to have your OB and doula share the same philosophy and work together, which unfortunately very few doctors in HK do support a true natural birth. Mic's afraid of being caught in the middle of two opposing views during birth and that would make an already stressful situation worse. The doula I interviewed tried to address this by saying that she will not be confronting the doctor's decision but rather she will be giving us advise on whether she thinks we can ask the doctor the question on if we can try X or Y a little bit longer before going into a C-section, so ultimately the choice is ours on how we want to handle that advise and push the doctor or not, and Mic is very uncomfortable to be the person having those discussions with the doctor when it comes to that.
At the end of the day, I want us to both be on the same page, and want the same thing, and some support mentally to achieve that. Why is it that hard?