Did you hear me? Did I hear myself? Why do I not learn?
On New Year's Day I spent all this time writing what I considered to be a beautifully crafted essay on my work in 2007.
Then someone made it all go away. It was an accident and I am not mad, but truthfully, it kinda sucks.
The gist of what I said was this: I attended 13 births in 2007, the first and last of which were c-sections, as well as 4 others in between. Seriously, that is really depressing. Here we are, thinking we actually make a difference, and in the end, not so much.
I was having a conversation with another doula today and we were talking about how part of our job is to "frame" these events for our clients. We help them process the events to they walk away feeling like the outcome was justified or that at least they did what they could. But how can I frame an almost 50% surgical birth rate in 1 year? My first year, not only was my c-section rate 0% ( out of 14 births) but I had 100% natural births! What has changed?
I think part of it is that the average person hiring a doula has changed. It used to that most everyone who hired labor support did so because they wanted help having an unmedicated birth in a hospital setting. Now that doulas are so much more a part of the general consciousness surrounding birth, more people are hiring doulas who have very little expectation of "natural" for their births. What's better? Good for the mother, good for doulas overall, bad for individual doulas who have to bear witness.
I feel thankful that I get to make a difference. I just look forward to making a bigger one, I guess.