Anyway, while you may not fight for your right to party anymore, a birthing mother sometimes has to fight for her right to birth the way she chooses. Particularly, you may have to fight policy in a hospital setting.
I hear so many stories that start or end with "the doctor made me...". A doctor can not make you do anything. That is illegal. However, he or she can recommend something and it is up to you as an individual and a knowledgeable adult to accept or decline. Unless it is an emergency situation, you should never be pressured into anything without being able to think, research, and pray about a procedure beforehand. This statement is specifically about pregnancy and birth, but applies to all health care decisions. The decision truly is yours. Remember, you hired the doctor... he or she actually works for you!
I say this with The Rights of Childbearing Women in mind. The following is taken from www.childbirthconnection.org, a women's advocacy group since 1918. Some of these rights are fairly obvious to most of us, but some of them are not routinely honored in the hospital setting, or are not known by the mother. I'll point them out after the list...
The Rights of Childbearing Women
* At this time in the United States, childbearing women are legally entitled to those rights.
** The legal system would probably uphold those rights.
1. Every woman has the right to health care before, during and after pregnancy and childbirth.
2. Every woman and infant has the right to receive care that is consistent with current scientific evidence about benefits and risks.* Practices that have been found to be safe and beneficial should be used when indicated. Harmful, ineffective or unnecessary practices should be avoided. Unproven interventions should be used only in the context of research to evaluate their effects.
3. Every woman has the right to choose a midwife or a physician as her maternity care provider. Both caregivers skilled in normal childbearing and caregivers skilled in complications are needed to ensure quality care for all.
4. Every woman has the right to choose her birth setting from the full range of safe options available in her community, on the basis of complete, objective information about benefits, risks and costs of these options.*
5. Every woman has the right to receive all or most of her maternity care from a single caregiver or a small group of caregivers, with whom she can establish a relationship. Every woman has the right to leave her maternity caregiver and select another if she becomes dissatisfied with her care.* (Only second sentence is a legal right.)
6. Every woman has the right to information about the professional identity and qualifications of those involved with her care, and to know when those involved are trainees.*
7. Every woman has the right to communicate with caregivers and receive all care in privacy, which may involve excluding nonessential personnel. She also has the right to have all personal information treated according to standards of confidentiality.*
8. Every woman has the right to receive maternity care that identifies and addresses social and behavioral factors that affect her health and that of her baby.** She should receive information to help her take the best care of herself and her baby and have access to social services and behavioral change programs that could contribute to their health.
9. Every woman has the right to full and clear information about benefits, risks and costs of the procedures, drugs, tests and treatments offered to her, and of all other reasonable options, including no intervention.* She should receive this information about all interventions that are likely to be offered during labor and birth well before the onset of labor.
10. Every woman has the right to accept or refuse procedures, drugs, tests and treatments, and to have her choices honored. She has the right to change her mind.* (Please note that this established legal right has been challenged in a number of recent cases.)
11. Every woman has the right to be informed if her caregivers wish to enroll her or her infant in a research study. She should receive full information about all known and possible benefits and risks of participation; and she has the right to decide whether to participate, free from coercion and without negative consequences.*
12. Every woman has the right to unrestricted access to all available records about her pregnancy, labor, birth, postpartum care and infant; to obtain a full copy of these records; and to receive help in understanding them, if necessary.*
13. Every woman has the right to receive maternity care that is appropriate to her cultural and religious background, and to receive information in a language in which she can communicate.*
14. Every woman has the right to have family members and friends of her choice present during all aspects of her maternity care.**
15. Every woman has the right to receive continuous social, emotional and physical support during labor and birth from a caregiver who has been trained in labor support.**
16. Every woman has the right to receive full advance information about risks and benefits of all reasonably available methods for relieving pain during labor and birth, including methods that do not require the use of drugs. She has the right to choose which methods will be used and to change her mind at any time.*
17. Every woman has the right to freedom of movement during labor, unencumbered by tubes, wires or other apparatus. She also has the right to give birth in the position of her choice.*
18. Every woman has the right to virtually uninterrupted contact with her newborn from the moment of birth, as long as she and her baby are healthy and do not need care that requires separation.**
19. Every woman has the right to receive complete information about the benefits of breastfeeding well in advance of labor, to refuse supplemental bottles and other actions that interfere with breastfeeding, and to have access to skilled lactation support for as long as she chooses to breastfeed.**
20. Every woman has the right to decide collaboratively with caregivers when she and her baby will leave the birth site for home, based on their conditions and circumstances.**
#9 is not routinely practiced. If this information is not received well before the onset of labor, upon admittance to the hospital a stack of paperwork is handed to a woman, who is expected to sign and perhaps read while in the middle of her birthing time. Often the paperwork is hastily signed and no one knows what any of it said. It is a very good idea to ask for all paperwork at a prenatal appointment and to carefully go over everything, and edit, before signing. Also, many risks of interventions are not clearly stated before hand. Not only is it a good idea to get paperwork and ask questions before birth, but you must do your own research.
#10 is not routinely practiced. Many women believe that whatever their doctor prescribes, they have to have. They do not know that you can refuse tests and treatment not only during birth, but in prenatal exams. You may think that if your doctor recommends it then it must be best, but again, this is where personal research and decision making is imperative. A doctor will recommend treatments and interventions for a variety of reasons including routine, policy, or personal agenda, not necessarily because it is best for your baby as an individual.
#16 may not be routinely practiced, and women are receiving epidurals and other pain relieving drugs without being fully aware of the potential side effects and risks
#17 is not routinely practiced. Many women are told to get in bed even if they don't want to. Freedom of movement is a right and should be respected. Laboring and birthing flat on your back is just about the worse position and is only practiced for convenience of the caregivers.
#18 is so important. I believe skin-to-skin contact immediately after birth is vital and the baby should not be taken unless medical attention is needed. Many tests and exams of the newborn can be done while mom is holding baby.
#20 is pretty much an unknown, and most women wait on their doctor's permission to be released instead of being an active participant in the decision.
Be prepared to fight for your right. The best way to do this is to have a written birth plan. If your plan is read by all nurses and agreed upon by your doctor, there should be much less of a fight... To party, or otherwise...
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