My Ob came by a few hours later and congratulated me. In spite of our difference s I genuinely liked him. Well, I thought I did until he announced "Your baby is beautiful. And wow she's eating like a champion every two hours." I sat straight up in bed, "what did you just say!?" I couldn't believe what he was telling me. "She's a breastfed baby. She isn't supposed to have formula! I TOLD you that over and over!" He shrugged with the devil may care nature of someone who didn't understand what breastfeeding those first few days means. "Well, since you have no milk yet we really needed to feed her now." I was livid. He didn't even ask me. I reminded him that we'd actually signed papers to keep her in our room so that she could be breastfed. He said that the hospital director had changed his mind for liability reasons. Then he quickly wrapped up his report and left promising me he'd send in the pediatrician to explain to me why she needed formula because that wasn't actually his specialty and he was just here to check on my physical condition.
When the pediatrician arrived she tried to justify the feedings by saying that the baby was borderline diabetic and risked going in to shock if not fed but I felt she was covering something because I'd been told that they'd done a test just after the birth and I had remembered her saying the baby was fine. When I told her this she grumbled something like "well you can never be too sure." Then she told me rather sarcastically that maybe I should go feed her myself which is when I launched in to my "this hospital is anti-breastfeeding" speech. Seb was livid with me for getting angry. What was even worse was this made the pediatrician go on a tirade about how she had studied in the US and was just as qualified as any US doctor, which made me say "I don't know about having babies in the USA --only France" which was true. Anyway I hadn't questioned her medical skills just her knowledge of breastfeeding. She definitely felt defensive about me considering her qualified. I decided not to get into my colostrum speech or my "babies don't need to eat for the first 24 hours" speech and just leave it at that. She was oblivious to any speeches and stormed out with a curt announcement that she'd be back tomorrow. Seb chased after her and I heard him say "my wife is just being overprotective of her baby..." which made me really feel like I was all alone. He was supposed to be on my side but instead I think he felt embarrassed by my rants.
By then though I was really angry and I called the nurse to help me get to the bathroom so I could use a real toilet and get out of bed. She still didn't understand that I might need a pad of some kind and I couldn't make her understand this so I just stood up and well, left a trail as I walked to the bathroom. I was finally able to pee by standing in the shower under warm water. For some reason I couldn't do it sitting down. I'm not normally one who pees in the shower but I highly recommend it for an after the birth pee because the warm water is very soothing.
When I got back to the bed I asked for some more cotton and the nurse helped me make a pad which I found very strange and then she asked me where my underwear were. I thought this was odd too. In most of my ivf's and my birth with Little S they'd give you these bandy surgical underwear to wear afterwards. Anyway it was funny trying to stuff this huge roll of cotton in my spandex underwear but I did and then I was ready to see the baby. It was nearly nine o'clock. Where did all the time go?
In the nursery there was this little checkpoint charlie which is funny because we were the only people with a baby in the hospital. It makes you realise what a privileged few get to have their babies in a private hospital in Mexico because in France my hospital had at least 15 babies at a time in the maternity ward and the town is not as large as this one. Anyway the checkpoint has this guard who sits there all day in front of the nursery at a desk with a gun, and a radio. He took our names (duh) and wrote the time in a book. Then we went to a room where we had to put on surgical gowns and wash our hands while a nurse watched us. It was really starting to feel like a prison. I told Seb we'd be checking out the next morning.
We were given our baby and directed to a salon with a tv and benches--the feeding room. I held her close to me and studied her face for the first time since that afternoon. She didn't want to eat of course and her tongue was coated in a white, chalky film from all the formula so I knew why. Finally she sucked a moment but her tongue was in the wrong place, something I remembered with Little S when the French pediatrician had asked me to bottle feed him for a few feedings. She would have to learn to suck. The nurse asked if I'd be getting up for feedings and I said a reluctant "no" because I knew I'd be exhausted and she wouldn't feed and it would all be a giant mess. I asked the nurse if I could give her the morning bath and she said "yes but be here promptly at 7:15am" which seemed strict to me considering there were no other babies in the entire maternity ward.
That night I didn't sleep at all. The nurse station was active with conversation and laughter, a tv blared and the security guard's radio kept blasting communication all night long. I got up briefly and peeked down the hall. The nursery was lit up with fluorescent lights and I wondered how my poor girl was sleeping with all the chaos. Why she couldn't be in my room cuddled next to me was beyond me.
The next day we sat by while the nurse bathed her, cooing and brushing her hair. She slathered her entire body with cream and powdered her while I stood there cringing because we never used products on Little S, just natural oils, diluted baby soaps and water. They took over though. We could not bathe or care for our own baby. It was ridiculous. As we stood there I happened to glance down at the nurses report which said nine bottles. I couldn't believe they'd fed her so much after my huge tirade. Nobody listened. They just agreed to comply and then did what they wanted. I also noticed that she'd gained weight in less than 24 hours. She was 30 grams heavier at a period of time when babies were supposed to lose weight. I had to get my baby home where it was sane.
After the bath we finally kidnapped her and took her to the hospital room in her rolling bassinet under the eagle eye of the head nurse--this woman who could have easily shot darts out of her eyes if she'd been armed with them. Whenever Charlotte cried in our room she was right there to see if we were being good parents. I have never wanted to kick someone in the shins so much in my life. She even came in to supervise my first diaper change. Finally Seb said in broken Spanish, "we do know what were doing you know" She grunted and stood by just in case. In fact we had a parade of nurses in and out of our room. I was really fed up.
Charlotte took some time to learn to latch on but she eventually did and took to the breast like she'd always been there. I was lucky to have another sucky baby. I was pleased when the pediatrician came back that she was feeding well and I could prove to her that mother's milk was not some kind of witchery. "You have no milk so you have to be careful" she told me. I ignored her and smiled, "yes I know" It may be necessary to give her formula for a few days. "Yes I know" I said smiling. It was my new tactic. I knew that the anger wasn't good for the baby or me or my milk production. I knew that there was no changing the Mexican hospital where you pay big money to have a baby that someone else feeds. I supposed that when you went home someone else fed the baby for you, maybe the maid. I wasn't sure how it worked.
I checked out less than 24 hours after having my baby. When we finally left our spaciously decorated hospital suite we were offered a pair of slippers, earrings, pillows, and even the pillows from the baby crib and my bed. When I asked for an extra Tylenol (I was doubled over with cramps) the nurse said no since we were already checked out. I was baffled at how generous the hospital was with creature comforts--tv, dvd, terrace views from each room, but how stingy they were with information, hospital supplies, and opportunities for mother/child bonding.
I'm sorry to say if I were pregnant again I wouldn't have another baby in a Mexican hospital. I really hope attitudes towards natural childbirth and breastfeeding changes here but I'm not sure it will. Is it possible to explain to the doctors and hospitals why these "archaic" methods embraced by much of Europe, the US and Canada like breastfeeding, home births, drug free deliveries and rooming-in are now considered far better than the previous decade's "modern" methods? "Why go backwards?" my doctor's attitude seemed to suggest. Maybe it has to do with the idea that the privileged sector doesn't want to do what most of Mexico's poor already do. After all why would anyone want that when you can pay to have this? Birthing here seems to be more about creating a clear dividing line between "us and them" than about creating a loving safe environment for mother and child.
I certainly hope this doesn't offend anyone who doesn't agree but I think it's bound to stir up controversy. It is my experience and that's all. I had a lot of questions after the birth. "Could this have gone better?" "How?" It was such a frustrating experience that I didn't have the postnatal birth experience I wanted. It may be possible to do this somewhere in Mexico but I have yet to hear of it. Does alternative birthing exist here? If so then where?
(Ed. --In the comments Mishap tells the story of her positive birth experiences in Mexico and I am pleasantly surprised that someone could have such a good series of birth experiences. It is interesting that she had her children in public hospitals and yet seemed to have more control of her birth experience. I had my daughter in a private hospital paid for with expensive expat insurance and yet had very little say in what happened to me. Please read her version of the Mexican birth story for an alternate viewpoint of someone who has lived most of her life in Mexico.)
18 comments:
Wow. That must have been so hard. Especially without your husband's unconditional support regardless of his embarassment.
Still though, you handled everything so well. You are one tough mother.
Okay I've just read all of the birth story at once and all I can say is oh my god!
What an awful hospital and dreadful doctors!
Huge well done to you for getting through it and standing your ground and taking home a healthy, breastfeedng baby!
Oh my goodness that story is C-R-A-Z-Y. I have never heard of a more demoralizing birth experience. The two things that stuck with me was the nurse hovering when you were doing the diaper change and them feeding your child formula against your wishes. So sorry you had to go through that. Glad you broke out of there right away and did what was best for your family.
Thanks for sharing your story Chris. My husband, who is from Mexico and has already had one baby there (not with me!) is already BEGGING me to go back to the same hospital his first one was born in. We now live in the US, but still have a house in Mexico literally across the street from the hospital, so in a way, it makes sense. By the way I'm not even pregnant yet! Hearing this story reinforces my feelings of this process, taken from friends and family who have given birth down there--I truly feel like the more medical procedures the more modern, and the more modern the better (according to the medical establishment in Mexico). It does seem to separate the haves from have-nots, whereas in the US (and other places), we can have our babies any way we want (money not being quite the issue), and so we often choose the least amount of intervention possible--Just because it costs less and is more readily available does not make it inferior to other methods.
I agree with your perception 100%--I'm just sorry you had to live it in every gory detail.
I'm sorry you had to go through that awful experience, but I have to say I am not surprised. My experience was very similar. The only way they would let Chiq room in was if they called me every 4 hours to make sure she'd fed! My OB said exactly the same thing - your baby will be starving until your milk comes in. They didn't even seem to know what I was talking about when I started on about colostrum and newborns not being hungry and in the end I told them my milk had come in after 24 hours, just to get them off my back! I am still dumbfounded that although the doctors and nurses seem to be well trained, some of their attitudes are about 30 years out of date. I I can't help but think its like the attitude to breastfeeding in my parents generation - why inconvenience yourself when there's this handy thing called bottles? And I suspect there's an element of class issues - if you are bottle feeding it means you can afford a nanny. There seems to be a lot of pressure to keep up with the neighbours among the upper and middle classes. Its all speculation, but I have met very few Mexican women who breastfeed and if they do its only for a few weeks. That's no surprise since they get off to such a terrible start with no support in the hospital. Like you, I wouldn't have another baby here, much as we like living here.
Well... I'm sorry about your experience, I had a baby girl a year ago, we are from El Salvador (Central America) and my experience was a great one, since I could not breastfeed her since the moment she was born because I had a C-section, the one that orders if the baby will be formula fed until your milk comes down is the pediatrician, my best friends pediatrician ordered to give her baby formula until her mil came down, and she breastfed her baby for about 2 months... My baby's pediatrician ordered to give my baby a solution with water and sugar to keep her hydrated and not to keep her full stomach, so when they gave me my baby next morning she was really hungry and latched pretty good, I also received disposable underwear and stuff, I think maybe because of the language barrier you could not ask for things I don't know but here in my country a lot of wealthy mothers breastfeed that a choice a mother has... i breastfed my baby since she was born, and now after a year I will stop because she lifts my blouse when she is sleepy so, maybe the hospital you chose, maybe there was something wrong with the choices they gave you, because what we do here is check what are the doctors policies before the baby is born, we go meet the doctor ask questions and tell him/her what we like or not like towards the baby...
Hope you get better and next time check the hospital or ask before the birth to give you information about the delivery
My impression was that Chris DID ask all these questions before the birth, and that all her demands and requests were blatantly ignored.
This is definitely NOT the first time I have heard of or witnessed doctors and hospitals IN MEXICO managing new babies this way. I believe Anonymous may be the exception to the rule, at least in the private hospitals.
Anyway, we're not dicussing El Salvador anyway--we're talking about doctors and hospitals specifically in Mexico. It would be impossible (and irresponsible) to generalize about all of Latin America--each country is different, and each country has a distinct culture.
Well it's clear I'm going to have to go to El Salvador for my disposable underwear! :0
Actually the disposable underwear issue was not a big deal it just baffled me as to why my room had such plush amenities--really incredible like a candlelit dinner for the mom and dad the second night (no kidding!)and I got a pair of gold earrings but yet I couldn't get a pair of disposable underwear or a tylenol?
Also I wanted to say about the sugar water that I was also told that they gave the baby sugar water too and it made me angrier than the fact that they gave her formula. I have no medical information and I'm sure breastmilk may have sugar but giving a newborn baby refined sugar and water? I'm no nutritionist but how does such a delicate system such as this process a refined sugar?
And finally I did communicate well with the doctor beforehand and I signed papers but like I said in my case the doctor shook his head yes and so did the pediatrician but they didn't listen or do what I asked. I have heard this story over and over here. In fact the story is so common that a new expat friend I just met who is pregnant has chosen to have a homebirth rather than leave her requests ignored by a Mexican medical staff. I hadn't even told her my own story!
Thanks for your perspective of your comment though and great job breastfeeding one year!
Jennifer- Seb was just intimidated by the staff. I might have been too if it weren't for the lioness-cub instinct all mothers instictively have.
Jemma - I was mostly paranoid about the breastfeeding and you're right it all worked out in the end so that's really what counts.
Aly I wanted to say that the doc is a nice guy but he lives in another world than I do! He is a very talented obgyn and he did very thorough exams up until he stripped my membranes. I'm hanging on to him for now for basic exams but not for baby related stuff because we are on completely different pages about childbirth.
We got the candelit dinner for 2 on our last night in hospital too - it was bizarre! I agree about the sugar water, it seems strange. When I had my eldest in Saudi Arabia in the first few days she had a bit of gastritis (basically there was a little bit of blood in her spit-up which was probably mine swallowed during birth) and they wouldn't let me feed her for the first few days, giving her sugar water instead. At the time I was clueless and had had a bad birth experience so not in shape to argue much, but now I think its sounds crazy. Surely breastmilk is the best thing for an upset stomach? Anyway, as you say, the most important thing is that your breastfeeding worked out in the end and you don't have to worry what all those doctors and nurses say anymore!
Oh Wow! I am livid just reading your story! I am not sure I could have handled it at all. FWIW - MDs in the US get very little, if any, training on breastfeeding. Even nurses get next to nothing. So your pedi being trained in the US is irrelevant. Babies need to nurse! I've heard so many mothers - in the US - told by nurses and pediatricians that their newborns need to be supplemented, and then they wonder why their milk never comes in. Arghhh!!
We had our own feeding issues with our NICU baby, and I really had to stand my ground with the nurses, fortunately the neonatalogist was on my side and made a big deal about it being his orders that I breastfeed on demand.
I'm glad you got it worked out, and you're home with your baby and she's nursing now!
Guera - the candlit dinner is odd. Like you know six months from now a candlight dinner would be nice but two days after the birth? Uh err I think I'd have some other things on my mind and romance wasn't one of them! Was the food at least good?
Cherise - I read an article on KellyMom about how pediatricians are seriously lacking in any training in lactation. I found this out when I had my son. The pediatrician was seriously misinformed and kept misinforming me. Thank god for the LLL and the internet!
Hello! I hope you are Ok, and the baby doing wonderful... i never meant to bother anyone I was just trying to make a point... some mother yes in Mexico and El Salvador, I know we are not discussing about my country, but a lot of new mothers like a more comfortable way of having a baby, many are choosing a c-section to avoid the pain, many choose to formula feed because breastfeeding is painful, I am not defending the hospital just saying that people want a more comfortable way for motherhood, maybe that is why it all happened to you, well, I hope the baby is ok, I can't wait to see more pictures of her, have a nice week, hope you are ok too!
It would be more helpful if people would at least write the state, region, or something, where their bad experience was. Maybe it was the particular hospital or people. There IS a diversity of accents, traditions, and languages (Spanish, Nahuatl, Mixteco, etc.) in Mexico. Mexico is huge and birthing in Mexico should not be generalized. Mexico has a national culture perhaps, but it is also very diverse. I looked up one place, although I can't speak of it from experience, but it seems good. And I know one place can't represent all of Mexico (the same for Europe, the US), but that goes for experiences that are not so good either...
Check out Guadalajara.
Deseando felicidad para su familia. :)
-Expecting for March
I know this comment is coming way late, but I can't help but add my two cents worth. I had 5 babies in Mexico, where I still live today: 2 in Mexico City, 2 in Puebla, and 1 in Yucatán. All five were natural births, and in 4 out of the five cases, my babies stayed with me for the whole hospital stay, which was 24 hours. I got to hold all of them right when they were born. They all breastfed immediately. None were given formula. The nurses were absolute DARLINGS. The doctors were supportive of all my efforts to feed, diaper, and just BE with my baby and they even had little "breastfeeding sessions" with the new mothers, where they encouraged us to breastfeed from the start. They all knew about the importance of the baby getting that first pre-milk feeding where all the mother's antibodies, and good defenses are transmitted to the newborn. My youngest child is now 14 so you can do the math on how long ago these births took place. Where did I have these wonderful experiences? Not in private hospitals! In the Seguro Social hospitals! Only my first baby was born in a different kind of hospital - it was a teaching hospital where all the staff were interns. Since in each case, I was in a large ward with at least 9 or 10 (sometimes 15) other new mothers and babes, I would have to say that there are A LOT of women who have their babies naturally, and keep their babies with them, and breastfeed them on demand, as part of their hospital experience. Just wanted you to know.
I'm in North Central Mexico and I 'm sorry but I cannot give the name of the region for all of the obvious reasons.
Mexico *is* culturally diverse but some things remain stocally the same. I researched birthing facilities in the country and naturally I know about the center in Guadalajara because if you do a simple search for "natural birthing center+mexico" you can easily find it,-- but it is the ONLY one I could find in all of Mexico (and by the way it seems was started by an American in an effort to bring a natural birth center into the country --or so the information on their website claims).
It's shocking that he cesarean rate is so high and statistically so many women are medicated during childbirth. These are stats for all of Mexico not just my region.
I never purported to speak for the entire country when I told my story. But if you read the above commenter Guera´s story (on her blog) and if you speak with other women here as I have you tend to get the same story, and in hearing this over and over I think my story does seem to represent a sort of general consensus. My story is not horrific. I didn´t die or my baby wasn´t hurt. I was treated quite well overall but I was ignored and for a birthing mother I think that's a shame.
I´ve lived here a year now and I have begun to understand why this hospital experience was like this. There is a huge issue with male dominance inherent in the Mexican culture --thus explainig why in particular the male doctor is like a God and can strip a woman´s membranes without asking first because this is his "right" And the hospital being so controlling of the baby because that same God-ness spills over into establishments --wherever there is a hierarchical setting then there seems to be issue with dominance and control. I believe it´s inherent in the culture.
Thank you for your comment but please try to leave a name next time. As rude as you think I am for generalizing about Mexican regions, I believe you are that rude for not signing your name on a comment. It leads one to believe you mean ill will when you don´t leave your name and it is very bad blogging etiquette to leave a controversial post unsigned ;)
Minshap thank you for your comment. I didn't have that experience at all and neither did my expat friends in Mexico. I'm not sure why. Is it because there has been a change in the way bf is viewed in Mexico in the past few years? Or is it because these woman including me had their children in private hospitals and these establishments look down on bf. I definitely felt the pressure to not bf and to accept pain meds.
It's interesting to me that the government supported hospitals support breastfeeding and natural childbirth so much. Thanks again for your comment and I will consider moving it to the top of my post :)
in answer to your pondering about why the gov't might support natural childbirth and breastfeeding, I'm sure a large part of it has to do with the fact that most mothers who use the seg. social facilities are probably not in the kind of economic range that would allow for formula-feeding and all the post-cesarian type of care (attention) needed. So the docs only opt for those decisions in real emergencies. Otherwise, they try to help the mothers bear (no pun intended) all the labor pains, get through the birth and start the babies on the breast to ensure that the babes will get a healthy start in life. That would seem to be (to me) the reason.
In private hospitals, perhaps the concerns, possibilities, etc. are much different, and also, perhaps the women themselves are different from the women who give birth in the Seg. social - as the latter do not expect any special attention (ie ultrasound or fetal monitoring?)from the moment they get there. They come to bear their child, rest for 24 hours and go home, where they may not even have baby bottles or formula, nor the means for buying those things.
At any rate, I really enjoyed each of my birth experiences, as the staff at each hospital was so caring and reachable. This was probably at least partially due to the fact that I was a foreigner, as I know people in Mexico cater to foreigners!
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