Last Friday I was watching the movie "Knocked Up", one of our favorites and frequently on HBO these days. This post is about one of the last scenes, in which the main character Alison is in labor, attempting a drug-free birth, when the baby starts having decelerations of the heart rate. The doctor thinks the cord may be wrapped around the neck and the following conversation transpires (I've edited, for the sake of brevity. Feel free to skip this part if you remember the movie.):
DR. KUNI: We’re good. The heartbeat’s stronger,but we’re not out of the woods. We need to get things going now. I think the cord is wrapped around the neck.
BEN: What?
DR. KUNI: So I’m going to give you some medicine, pop the bag and get things going, okay? I don’t want to leave the baby in there for long and we can give you some medicine for the pain.
ALISON: No, no, no, no. I don’t want the baby to be born all drugged out. It’s not my birth plan.
DR. KUNI: Now, things change. We don’t have time to debate this.
ALISON: What? No. But no, I’m not comfortable with that. I’m not.
BEN: No. Would you please just listen to her?
DR. KUNI: Fine. Do what you want to do. Should I leave? Do you want to be the doctor? Because I really don’t need to be here.
BEN: No. What we want is to take a second to talk about our options, okay? That’s all we want.
DR. KUNI: No. You mean you want to take a second to tell me how to do my job. My job is to get that baby out safely. Or I can go home! You just let me know. You be the doctor.
At this point, Ben and Dr. Kuni go into the hallway to talk.
BEN: Look, she’s just having a hard time because her and her doctor had a very specific birth plan. And they wanted it to be a very special experience.
DR. KUNI: Okay. if you want a special experience, go to a Jimmy Buffet concert. We have a new birth plan: Get the baby out safely.
They agree to start fresh and return to the room. After Dr. Kuni explains that he wants to break her water and give her some medicine to speed things up because he doesn't want to risk an infection, Alison replies: "Whatever. Do what you have to do." Dr. Kuni leaves and Alison says, " Oh my God. What a nightmare that guy is."
When I first saw this movie in the theater, I remember agreeing with Alison. I'd wanted a drug-free birth (I don't love the term 'natural' birth, but I mean the same thing), we'd interviewed a doula, and I cared a whole heck of a lot about my birth experience. I thought Dr. Kuni was an asshole and I chose to be seen at a women's clinic primarily staffed by midwives known for encouraging low intervention births.
When I saw the movie again last Friday, I nearly threw a glass at the television. This selfish bitch, whose baby is possibly in danger, throws a tantrum because her precious plan has changed focus from a "very special experience" to getting the baby out safely. How could she argue with getting her baby out safely? She calls the doctor whose sole concern is the safety of her child a "nightmare". She's worried about having a "drugged out" baby. How about worrying about having a dead baby?
This got me thinking about how I ever felt differently than I did last Friday and I think it comes down to this. Babies dying was not part of my schema when I first saw "Knocked Up". I assumed that 9 months = a healthy baby. I now know that is far from true. And it terrifies me. I don't really get jealous or sad when I see pregnant women these days, I'm scared as hell for them since I know that babies die. A lot of babies die for many different reasons. Too many babies. I bet that thought had never entered lovely Alison's mind. Afterall, it was only after I met so many mamas who had lost their babies that I actually looked up and discovered that my Mayo Clinic pregnancy guide had a brief section on stillbirth and neonatal loss. I'd skipped over that part, because, well, it couldn't happen to me, right?