LITMIR.BIZ

      Now, on top of this struggle between the earth-mothers and the doomsters, comes a sneaky but influential lobby which says ‘Look, spare yourself the hassle, keep the diary tidy, go for an elective Caesarean.’ Earth-mothers, and some doctors, are outraged by the ‘too posh to push’ lobby; however, you may come under subtle pressure from mothers who chose Caesareans for psychological or social rather than medical reasons. Don’t give in without thinking hard: a Caesarean is a serious, major abdominal operation; you will take longer to recover, be unable to drive or lift heavy things for weeks, and compromise your chances of having a natural birth later. Infections, even fatalities, are not unheard-of. It’s a safe enough operation if you need an op, and preserves many lives; but if you don’t need it, it is not an option to take lightly. Perhaps the most disgraceful example of medical advertising ever was the US ad for Caesareans beginning ‘Keep your tubes honeymoon fresh!’

      On the whole, reading ‘birthing’ books is more useful than listening to your mother-in-law delivering the Gypsy’s Warning, or your overconfident friends telling you how their system was best (all mothers have to think their own choice regarding babies has been best, at every stage. It’s a safeguard against the gnawing guilt we all feel most of the time. You learn to discount it). When it comes to choosing which hospital, you can get some good information from friends, though, and the underground network of mothers’ groups, and the hearsay evidence of your classmates at the heavy-breathing sessions. I heard, this way, that a certain hospital has one obstetrician who is gay and can’t stand the sight of women’s breasts; that another plays country ‘n’ western muzak in the delivery rooms (babies’ heads, emerging, feel exactly as if they had concrete Stetsons on anyway, without any such uncomfortable musical suggestion); and that yet another hospital has a tendency to bring in six medical students at a time to gaze at your perineum and gasp at your language. (The woman who told me this had actually raised herself on her elbows, between pushes, and demanded ticket money from the growing crowd at her feet. Two of them were so startled they actually began fishing in their white coat pockets.) At least if you know all this, you are prepared.

      One awful warning came my way about home births. These are so difficult to organize, for a first baby in Britain, that one couple dedicated two months of lobbying, changing doctors, persuading and campaigning to win permission to be tended at home. Finally they got it; and as soon as the thrill of the chase had worn off, misgivings set in. The woman confided, a little shamefacedly, that in her excitement at beating the system, she never once thought about the work and disruption it would cause – not to the medical staff, but to her own house. On the day she got the official list of things to prepare (like high blocks to put the bed on, and vast quantities of plastic sheeting for the bedroom carpet) she longed to recant, but didn’t have the face to. Her husband eventually spent half the delivery night clearing up, and the next morning washing the dozen teacups and biscuit plates emptied by the community midwife (the doctor had most of the Scotch afterwards). Both parents, occasionally, still have wistful thoughts about nice clean hospitals with unlimited laundry and professional tea-ladies.

      My own husband, having cheered me on through two hospital deliveries and revelled in the fact that someone else would clear up, now says after ten years of farming that these matters are best carried out in outdoor lambing-pens, with all present in Wellington boots. So, round here, only sheep are allowed home births.

      (I should admit, though, that I am not the most impartial person to discuss home births. With my first child, I discovered to my shame that I am a complete hospital junkie; I loved every moment, became institutionalized within two days, had to be dragged out, complaining, at the end of eight days; and for months afterwards, I indulged in yearning fantasies about going back to the lovely maternity ward. One weary night, when Rose was two months old, I announced this longing; my husband asked, ‘What is so special about hospital, for heaven’s sake?’ and I apparently sobbed: ‘They bring a trolley of laxatives and sleeping pills round at nine o’clock sharp every night. I never actually have anything, but at least it shows that someone cares.’ Mystified, the poor man took to offering me a laxative every night, just before the nine o’clock news, to show he cared; but it wasn’t the same, somehow.) But then, I was lucky in my hospitals. Not everybody is; and more recent practice is to chuck the new mother and baby out pretty sharply after the birth, to go through the rest of the recovery stage at home.