Now that Geordie and I are actively trying to conceive, I’m thinking more about what kind of birth I want to have and where I want to have it. I’m thinking about this because it’s what other – normal – women think about when they’re having babies. I’m thinking about it because I want to ignore the fact that I will not be having a normal pregnancy, even if there is nothing wrong with me or the baby or anything else.

My daughter was stillborn. That automatically puts me in the “high risk” category. Even though I had no problems with the three glucose tests I took. Even though I never had signs of pre-eclampsia. Even though everything was going perfectly until Lauren’s heart stopped beating. Obviously, something went wrong. Unfortunately, nobody knows what or why.

I understand why I would be considered high risk, I do. The last thing I want is to lose another baby. Nobody would want that. But it frustrates me that it means that I might not be able to make the decisions during pregnancy or delivery. Again.

See, in Japan, birth plans are pretty much unheard of. The doctor is in charge; what the woman wants doesn’t always come first. In fact, depending on the doctor, it doesn’t even factor in. My first doctor in Japan was awesome, but very Westernized. He had his own clinic and, being unaffiliated with a hospital, was free to allow his patients to make their own decisions. It wasn’t until later, after we’d moved and were looking for a new doctor, that we understood how incredibly progressive he was. We rejected a couple of nearby hospitals because they did not allow fathers (or any non-medical personnel) into the delivery room. We only heard of one clinic that offered pain relief during delivery, and they were no longer accepting anyone around my due date. Although I had a birth plan in mind, I didn’t bother to write it up, much less present it to my doctor at the hospital we eventually picked. We didn’t see the point. Nobody ever asked my opinion about anything or my preference. It was always, “This is what we are going to do.” And they only did that because we asked them. The first part of my induction with Lauren went terribly because I was never told what was happening. If not for Geordie’s presence, I would never have known what was going on.

That’s just the way it was. Given the circumstances, there was nothing to be done about it. But I believe that, even if I had been giving birth to a live baby, I wouldn’t have had much say in the matter. I almost believe they gave me a little more leeway – because I’m American, or because my daughter was dead, I can’t say. In the end, my doctor did the best he could, and I liked the staff well enough. Except for that midwife. I still think unpleasant thoughts about her.

The plain and ugly truth is that – according to “studies” – a woman who has had a stillbirth has a higher risk of having another one. How much higher is the risk? Twofold to tenfold, according to one. That seems like a pretty big range, right? If the risk of stillbirth is 0.4% for a first-time pregnancy, then it could be anywhere from 0.8-4% for subsequent pregnancies. It all depends on the cause.

So what if the cause was unknown? Lauren’s cord and placenta were fine and healthy. No knots or kinks – which is important, because cord accidents apparently can recur. The same thing with placental abruptions; those also have a possibility of recurrence. Bad news for mothers who have had those problems – but what about me?

I don’t know. I do know that I follow the blogs of at least two ladies who have given birth to healthy second babies after the unexplained stillbirths of their first children. I also know that I’ve heard the stories of at least two ladies who had two unexplained stillbirths before delivering a healthy baby. I don’t know where that puts me. All I know is that I’m terrified of losing another baby. I will do whatever it takes to be able to bring home a healthy baby.

But I also want to have some say in my pre-natal care. I love the idea of giving birth in a birth center, not a hospital. I just don’t know if that’s an option for me.

Tomorrow, Geordie and I are going to an open house at a birth center run by midwives. The woman who spoke to me on the phone warned me that I might be “risked-out” because of Lauren’s death. But she also said that they needed more information to make that decision. And she also said that, if I am risked-out, they might be able to offer some suggestions on where to turn to find the care I’m looking for.

So, I’m worried but hopeful, which is probably something I should get used to. It’s likely to be my most consistent feeling during pregnancy #2.

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