My Illegal Home Birth

Giving birth at home was weird, magical — and a felony. by Madeline Holler

June 23, 2008

Pregnancy books and websites, which aim to demystify childbirth and reassure the first-time mom, encourage women to choose a doctor whose philosophy of childbirth aligns with her own. This requires that (1) a first-time mom already has birthing philosophy and (2) doctors are available and interested in talking about theirs. My first pregnancy caught me completely off guard. I hadn't seen a gynecologist in several years, much less lined up an OB who could clarify the pros and cons of an epidural. Instead, as I paged through the listings in my insurance provider's handbook, I picked out the first female OB.

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After an initial exam, I got dressed and met Dr. Wheeler (not her real name) in her office. She outlined the appointment schedule for each trimester and which tests to expect. When it was my turn, I pulled out the list of sample questions I had cribbed from the growing stack of pregnancy books next to my bed: she had only ever missed one client's birth, did not give enemas early in labor, and had never used Cytotec for induction of labor. (I had read that it could melt my uterus.)

Her cesarean rate? Unknown. Episiotomies? Only when indicated. I failed to ask for indications. I deemed a c-section rate to be too clerical for a busy doctor. Then she recommended I take a childbirth class.

"Don't get me wrong," she said. "Drugs kill pain. Breathing doesn't kill pain."

I laughed with her; of course breathing doesn't kill pain.

At first, I loved the first monthly appointments with Dr. Wheeler. She rolled her eyes at the indignity of paper gowns. My birth plan stayed tucked in my purse from one appointment to the next. She performed pelvic exams swiftly, spoke kindly of my soft uterus, praised even the most mundane. "Your urine looks great!" she said. "Your uterus is growing exactly according to schedule!" But as the fetus developed from an olive to a lime to an orange, I developed a childbirth philosophy that encompassed more than a disdain for enemas. Dr. Wheeler and I needed to talk.

The childbirth canon acknowledged such discussions could be stressful and suggested that women offer up birth plans as a way of starting a dialogue. Dutifully, I drafted one. Though I now saw Dr. Wheeler every other week, I spent less time with her as she rushed through appointments. I noticed her irritation when I asked about a sonogram. I was already twenty-two weeks along and she hadn't yet mentioned one. She silently wrote up the referral and slipped out of the room.

My birth plan stayed tucked in my purse from one appointment to the next. I strategized how I could ask about hospital protocols and her approach to, say, turning breech babies, while she stretched a tape measure across my taut belly. But she spoke mostly to her assistant during exams.

With one foot out the door, she asked whether I had any questions. Once I said yes, but when she whipped her head around in a double-take I stammered and mentioned constipation. Her assistant handed me pill samples. Dr. Wheeler dropped my file in the door and left.

The childbirth classes would start soon. I could ask for tips there.

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About the Author

author bio Madeline Holler is a writer and mother of two. She lives in Long Beach, California.

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