C-sections mean no insurance?

Navelgazing Midwife has much more to say about this, but this article talks about women who have had previous c-sections being denied insurance coverage, or having to pay additional expenses for their charges (unless they have been sterilized), because of the past c-section.

C-sections, of course, cost much more than a typical vaginal birth, cause many more complications, and are much more dangerous than a normal vaginal birth.

Now, before anybody goes throwing a fit saying, "But I had one because (the baby/I/both) would have died if we didn't!" well, I do know that there are times when a vaginal birth is impossible and a c-section is absolutely warranted. I am thankful they are there for the women and babies who truly need them.

BUT - the current c-section rate is the US is somewhere around 30% - in some places it's higher, and I've even heard of places where the rate is closer to 50%.

VBAC's (Vaginal Birth After Caesarean) are not "allowed" in many hospitals, and many doctors refuse to atted them. So, the general line of thinking (whether right or wrong) is "once a caesarean, always a caesarean," and even if a woman wants to have a VBAC, she is likely to be unable to find anyone to attend her birth or a place in which to deliver.

Now, many of those women who had unnecessary c-sections (and there is no way possible that 1/3 of babies NEED to be born by c-section, or the human race would not have survived this long) are being denied health insurance, being denied coverage for a repeat c-section (which, given the unavailability of VBAC's, is basically refusal to cover a subsequent pregnancy and birth), or being charged higher rates or separate riders for a future c-section, arguing that they can exclude them on the basis of a c-section being a pre-existing condition.

The implications of this are pretty scary. Many women go into birth not fully prepared or educated, and trust their doctors completely, so if they are told they "need" a c-section, "need" to be induced, "need" to have their labor augmented, or "need" any one of the long list of potentially unnecessary and harmful interventions (many of which eventually lead to that c-section), they trust their doctors. They never consider that many doctors never see a normal, natural, intervention-free birth, that doctors are trained to use all their equipment, that they are practicing in a way to protect themselves from a potential malpractice suit (and if a doctor has performed a c-section and there is a negative outcome, the doctor is generally assumed to have done everything in his power, whereas if he has performed an unnecessary c-section, he faces no repurcussions). And so they go along with it, end up with a c-section, and never have any option for anything else in the future.

And now, they may find themselves unable to have children in the future, unless they can figure out how to pay for a c-seciton out of pocket. And I don't know about you, but I can't really pull out my checkbook and cover that one right now.

First, how about universal health coverage, so this isn't an issue? Figure out a way to cover everyone, so we don't have to worry about whether a previous c-section, a birth defect, an inherited health problem, or our genetic makeup will exclude us from coverage. Radical idea, I know, but it seems to work for all those other industrialized nations.

But second, how about letting pregnancy and labor take its own course unless there's a darn good reason to do otherwise? Like not scheduling 38 week c-sections because a baby is "too big" (and then turns out to be 7 1/2 pounds). How about allowing truly elective c-sections only if the mother is willing to pay the full cost out of pocket, and understands all the potential implications?

Yes, I get riled up about this issue. I think women, and babies, deserve better, and sell themselves short when they don't trust their bodies to do what their bodies are designed to do - carry a baby and give birth. Plus, if I'd gone with a convential OB/GYN for Guthrie's birth, I'm pretty certain I would have been scared into having a c-section because he was "too big" for a vaginal birth. Oh, he was a big baby - over 9 pounds and 21 inches - and he was my longest and hardest labor of my 3, but he certainly wasn't "too big" - born after 7 1/2 hours of labor without a complication, without a tear, without an IV, epidural, or any other intervention.

The only good I can see coming from this development is that if enough women find out about it, and know what it could mean, maybe they will think things through and question whether that c-section is truly necessary.

(And because this comes with bad timing, as one of my friends just had a baby by c-section, if she reads this - as if she has time with a new baby - it's not directed at anyone in particular at all. Just my frustration with "the system" as it is.)

The Birthday Boy!

Okay, two days late, here are 4th birthday pics.

(I don't know what's up with all the weird spacing. It does this sometimes with pictures. I'm not going to fight to get it just right.)




Breakfast at IHOP:






Presents:

Making the cake

(No comments about raw eggs. Yes, I'm letting them lick the bowls. It's the best part.)

The Play-Doh doggy doctor set (he got this for another little girl for her birthday a few weeks ago - because he wanted it of course - so we got it for him, too)

Play-doh beard

Cake - he wanted orange icing.

Happy Birthday little boy!

Sick, sick, sick

Guthrie's birthday was yesterday. He is now 4. I've been trying to post pics and stuff, but our internet has been slow. I'll try again later.

In other news ...

Eric was in New York last week, from Wednesday through Saturday. Friday I thought I had allergies, but it turned into a cold, and I've been feeling generally icky. I was looking forward to Eric getting home (he was in Savannah the previous weekend) so I could maybe get a nap, a long shower, start to feel better. Except his flight was late (just a little) and when he got home he was complaining of aches and pains.

Sunday morning: 102F fever. By yesterday it was 103. I think he officially has "the flu." He's sicker than I've ever seen him. He couldn't even eat birthday cake with us.

Daylight Savings Time is a PITA. How do you get toddlers and preschoolers to transition without having screaming tantrums at weird hours of the day?

For his birthday, we got Guthrie the Thomas the Tank Engine movie, Thomas and the Magic Railroad. Guthrie loves it, of course, although Diesel 10 is scary. But the movie? It's awful. Get it for your sons if they love Thomas, but try not to subject yourself to watching it if you can get away with it. It's just dreadful.

Cheesecake Brownies (I got the recipe here) are HEAVENLY and definitely worth making.

And without trying, Eric figured out how to save us money. See, we were going to spend a night (or two) of spring break in Corpus Christi or Austin. But now that he has the flu, and has only emerged from the spare bed a few times in the last few days, we're not going anywhere. So that's a few hundred more dollars in our pockets, right?

Happy Birthday!

Yes, my daughter is 12 years old today. 12. 12?!?!?!

How the heck did that happen? 12?

Just as beautiful and smart as ever, too. Happy Birthday to my sweet baby girl.

Aging

My 29th birthday came and went with little fanfare. I got a few phonecalls, some comments on MySpace, a card in the mail from my mom and one from my niece and nephew, and I got to take a (very short) midafternoon nap, but other than that, the birthday itself was pretty uneventful.

I've come to understand that having a birthday which falls at the end of the month, when payday comes only once a month and is at the beginning, is a definite downer. The money is all gone, forget about the party.

Eric made up for this, though, by surprising me with a Very Nice bottle of wine. I've been telling him, for a long time, that I'd like to try a Very Nice, Expensive even, bottle of wine, to see if it's really worth all the hype, and if I would ever, if I could, trade in my Little Penguin or Yellow Tail (why have I come to be so fond of the Australian wine makers?) for the Really Good wine.

We enjoyed the bottle Saturday night, at an Econo Lodge in Corpus Christi, where we stayed on our way to pick up Eric's daughter for her summer visit. We remembered the cork screw (I, like a good wino, keep a cork screw [although I'm not sure now if cork screw is one word or two] in my regular travel bag when on road trips), but not glasses, and so we drank the Very Nice, Really Good, Expensive even, bottle of wine - every last drop - out of the cheap plastic cups provided by the hotel, on the balcony overlooking the pool and while watching the other overnight guests returning from the George Lopez show across the street, and with the hotel room door open so that we could stand just outside the door and be able to look in and make sure the boys were still sleeping. (Turner slept a very long stretch that night, bless his little heart. Kind to us he was.)

And the verdict? Would I, if I were able, trade in my nice cute-named Australian friends for the Very Nice bottle of wine? Nah. It was worth it - definitely worth it - and tasted great with our pre-sliced sandwich cheeses, but I think I'll stick with my kangaroos and penguins. (Why is an Australian wine called the Little Penguin, anyway?)* Not that I have an option, now - that Really Good bottle was definitely a Big Splurge for a birthday - but I'll know, when that long lost uncle who no one has ever heard of decides to shower me with his fortune.

The best part of the bottle? It did cushion the blow of the fact that I now have less than 365 days until I am no longer in my 20s. And last night, while sitting up with my husband across from me and a glass of one of my Aussie friends in my hand, I caught myself saying something that not so long ago seemed an oxymoron. When discussing with Eric whether we would ever have more children, I said there's no need to spend too much time thinking about it now, I have plenty of years of reproduction left. After all, I told him, I'm only 29.



*I looked it up on Wikipedia, of course, and discovered the ignorance of that statement. Penguins live in Australia. What do I know? I'm as bad as the people who asked me, when I lived in Alaska, if we saw lots of polar bears.

Home

After a nightmarish day of flight delays and spending 4 hours wandering Houston airport with the boys, plus then spending over an hour sitting on an airplane waiting to take off, we successfully made it home late Sunday night. Oh, yes, we'd had to wake up at 4:30 in the morning to be sure we made it to the airport in time for our 8 a.m. flight, which ended up being an 11:40 a.m. flight, and then the flight from Houston was delayed - repeatedly - and our 12:30 arrival home ended up being at nearly 10 p.m.

We had a mostly fun and eventful stay in Missouri, with a very full schedule. The only real downside - and a big one it was and is - was whatever cold or other virus we all managed to pick up while we were there, which left the boys with a low grade fever and general ickies for a few days, my mom with a pretty serious illness which kept her from work for 2 nights, and me with a nagging cough and stuffy head and headache here over a week after the fever first hit.

Well, the lack of sleep - none of us slept well while we were gone - is a bit of a downside, too, and probably another reason I'm still trying to recover from what for the boys was a rather minor illness.

We spent time at the Knob Noster fair, where Guthrie had a blast going on lots of rides and eating lots of junk food, we saw lots of old friends, went to see Thomas the Tank Engine in Baldwin City, Kansas, and spent some time at KMOS (the local PBS affiliate) Kids Day, where the kids got to see Clifford, Curious George, and Jay Jay the Jet Plane. .

We are glad to be home now, and trying to get settled back in. I feel like there is a ton of work I must do, and feel the need to have it all done RIGHT NOW, and Turner is still being a velcro baby and needing to be held about 23 1/2 hours a day., I'm trying though. And Guthrie is helping me type this post, so any extra "dots" or commas can be blamed on him.

Today is Eric's birthday, which he had forgotten about until we started singing to him this morning. I even had to remind him how old he is. If Turner ever goes down for his nap, Guthrie and I are going to get to work on a chocolate cake topped with strawberries, at Guthrie's choosing.

Cake, Icing, Cuteness

So I was totally lame and decided to just get a boxed cake mix. You know, younger siblings, especially when they're close together, get the short end of the stick all the time anyway, right? Although Turner's cake was probably yummier than Guthrie's homemade sugar-free carrot cake he had on his first birthday.

Guthrie picked it out - strawberry cake with white icing and sprinkles. Turner doesn't like sweets much, so he really didn't care one way or the other. And I don't think he ate more than a lick or two of the cupcake.

(Yes, I did notice the picture of the cupcakes has The China Study, a book on ideal nutrition and health, sitting right behind it. you gotta have cupcakes sometimes, right? Maybe even vegan ones.)

His gift, from us, (little brother getting shafted again) was a big ball of ball-pit balls. We're thinking we can empty the baby pool and fill it up with the balls, as a friend of ours suggested. Right now it's kind of rainy out, and so instead, the boys are just running around the living room (and the rest of the house) kicking, throwing, chewing on, and otherwise causing havoc with the balls. Guthrie is using a ruler from yesterday (thank you Rio Grande Regional Hospital) to bat them around, and using them to make letters. They love it!

And otherwise, it's just a great day all around. We've got the Beatles playing on the iPod, Eric is in the kitchen making his famous quesadillas, and although Turner did think he needed to get up at 4 this morning (!), he and I took a long nap this afternoon.

Life is good!