Strollerderby

They Say: Planning to Work Until the First Contraction? Plan for Surgery.

Posted by Miriam Axel-Lute

Women who worked up until their due date had four times the rate of c-sections as women who started their maternity leave at 35 weeks, a new study from UC Berkeley has found.

Now, I'm not sure how you can control for self-selection in that kind of study. I imagine that women starting their maternity leave early are both more likely to be placing a priority on their birth experience and better off financially, each of which could affect their outcomes.  (I'm assuming they excluded people with scheduled c-sections from the study.)

On the other hand, the results were is four times as likely, not a titchy 10 to 15 percent or something. That, as Dr. Seuss might say, is a whopping number, and it makes me inclined to think there really is something going on here.

It's not really hard to imagine what either: On the one hand, there's the stress of trying to do your job with an open-ended question of whether you might have to leave at a moment's notice, trying to have things ready and yet still work, with bosses and people who are going to step into your shoes watching you anxiously. And other hand, there's the stress of trying to decide when/if you have to leave when contractions start, whether you're up for driving yourself home, when to call the family, and then changing gears in an instant from worker to woman-in-labor. Hardly optimal conditions.

I was lucky: Since I was leaving my job instead of taking maternity leave, it was easier for me to choose to set my last day at 35 weeks. And I have to say, since my daughter came early (37 weeks and 2 days), I'm extremely glad I did. Even though you never exactly feel prepared, having tied up loose ends, cleared out my desk and said my goodbyes and then taking those two weeks free of deadline pressure and office details to sleep/nest/prepare felt wonderful. It may be the closest thing to taking a complete vacation without traveling I've ever done. Can I prove that that helped with my fairly uncomplicated birth? Of course not, but I wouldn't be surprised.

I know how much of a luxury that sounds like to so many people. I sure as hell couldn't blithely skip five (or even two) weeks of work now. In general, it's hard enough to get maternity or paternity leave at all, and the UC Berkeley researchers, while advocating strongly that maternity leave start earlier, note that people who choose to work up to their due date (or up to their labor as the case often is) are usually doing so because they can't afford maternity leave after the birth otherwise, and clearly that trumps.

I guess for now we can add the health advantages they've identified to the list of casualties of our work-over-family culture.

Image from Take Back Your Time.

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Comments

 

karmamama said:

Is it really working that's the causative factor? For instance, it could be age. Wouldn't it make sense that more women with established careers or who are the main breadwinners are older and less likely to take time off from their jobs before the baby is born? Or maybe its stress? Women who are really into their work, which people with high-stress jobs usually are, are less likely to take "unnecessary" time off, whereas women who work in lower stress positions might be more likely to take time off early because they feel less guilty about it.

I'm just sayin' - it could be any number of things.

January 8, 2009 3:14 PM
 

LauraLaura said:

Gee. It would be nice if the reseachers' sponsoring institution, UC Berkeley, actually PAID their own employees for maternity leave starting at 35 weeks. But they don't. Speaking from personal experience here, of course.

January 8, 2009 3:16 PM
 

Sarah said:

What a timely post! I am due this coming Sunday with my first and am sitting in my cube with my feet propped up on a cardboard box to help with the swelling (it doesn't do jack). I was just talking to my husband about what I will do if I go into labor at work. I am simply assuming that I will drive myself to either my parent's house (which is a few blocks away) or straight to the hospital (which is several miles away) because it's company policy that co-workers cannot drive me to the hospital and I am not about to pay for an ambulance. I wanted to take this week off from work, but would then miss out on one of my 4 precious paid weeks of maternity leave.

I don't sleep much anymore because I am constantly thinking about who will take over for my projects (because my managers haven't figured this out yet) and I actually worry about what will be said about my work while I'm gone. I have several pages of notes to help out whoever takes over, but I still fear that any shortcomings in the project will be blamed on me while I'm not here to defend myself.

In addition to the stress, I can only get the occasional walk around the building for exercise. A 50 yard walk twice a day is hardly the kind of activity I consider a healthy way to prepare for labor. With my feet propped up, my shoulders get tired early, I have pain in my tailbone, and have to constantly readjust my position. The combination of all the emotional and physical stresses I've felt in the last 2 weeks alone will certainly play a part in my labor, so I can definitely see how this study found such strong results, even if there are some questions about how it was conducted.

So here's my question - why hasn't anything changed regarding maternity leave in the United States? With all of these studies and comparisons to other countries' policies and statistics, is it any wonder scientists think about conducting this kind of study in the first place? When's it going to change and how can we make it happen faster?

January 8, 2009 3:16 PM
 

Larissa said:

As a doula, I have seen the anecdotal evidence that this study bears out.  Personally, though, I didn't have the leave or financial position to take leave early.  Instead, I mentally checked out of my job! :-)  Yeah, I was there, but I put my feet up a lot, cut WAY down on my productivity and found myself going home early whenever I could.  A lot of people don't even have the opportunity to do that much, but for me it was a helpful reduction of physical and mental stress that I think helped me have an uncomplicated, low intervention birth.

January 8, 2009 3:17 PM
 

Miriam Axel-Lute said:

karmamama: It is hard to sort it out, it's true.

LauraLaura: Ouch. Maybe this study can help change that?

January 8, 2009 3:20 PM
 

Kris said:

We get 6 weeks paid, no unpaid. (No FMLA.) Leaving 5 weeks early would leave me putting a week-old newborn in daycare.

January 8, 2009 3:43 PM
 

Miriam Axel-Lute said:

Kris: Exactly. And given that choice, it's clear which way anyone would go. That's why 6 weeks ain't enough.

January 8, 2009 3:55 PM
 

EG said:

That's funny, I was in a meeting (at home on the phone, but still in a meeting) when I went into labor the day before my son was due.  Yep, c-Section.

I don't quite trust the statistical significance of this study, but you're right that 4x is kind of hard to ignore.  Money talks, and people need their incomes.  I suppose I could afford to leave early, but I felt fine (other than the fat ankles).  Hmmm.

January 8, 2009 3:59 PM
 

Heather said:

Maybe true but not the case for me.  I left work at 37 weeks, and then sat around and waited . . . and waited . . . and waited.  At 41.5 weeks they induced me which resulted in a c-section.  Just another reminder statistics are only probability!

January 8, 2009 4:21 PM
 

theresa said:

Must be nice. I got 6 weeks of unpaid leave for my son, so leaving at 35 weeks...riiiight. I worked until the minute my water broke (all over my office)...

January 8, 2009 5:01 PM
 

theresa said:

ETA...yes, I had a c-section. But it was likely anyway because of other complications.

January 8, 2009 5:02 PM
 

coolteamblt said:

I just had my son three weeks ago today, and I worked until the day before they induced me, which was one of my regularly scheduled days off. I too only get six weeks paid time off, and I can't afford to stay at home unpaid. I actually had to switch my work schedule so I have no days off with my husband because we can't afford five days a week of daycare.

January 8, 2009 10:53 PM
 

mccn said:

I am trying to think about handling the leave situation.  I want to go back to work as soon as possible after we have our first child - my husband would like to stay at home to take care of the little one for a while, if we can afford that, but I come from a low-income, struggling family, and being out of work even for two weeks terrifies me. I need to work to feel safe and secure. But I don't know where to take those two weeks.  I'd like to take them in the weeks leading up to delivery, because pregnancy is so physically hard for me - but will my husband really be able to take care of a newborn all by himself? And won't I feel even worse after delivery and want that time to recover, if I can, rather than sitting at my desk for 10 hours?

Obviously I don't have an answer to this. :) But this article really strikes home for me and is something I feel really scared about.

January 9, 2009 8:51 AM
 

Cynthia said:

I know better than to use anecdotes, but I worked until I went into labor (which typically happens at night anyway, and did for me) -- and I had a great birth. But I had a great low-stress job, supportive coworkers and bosses, and flexible hours. And a pretty comfortable pregnancy. There would have been no point for me to sit at home twiddling my thumbs waiting -- like most first timers, I went to 41 weeks. Maybe the better advice would be -- leave yourself the option to start your maternity leave whenever your health or stress-level start to be a problem? ie work as long as you are comfortable doing so? But listen to your body.

Of course, the biggest stress of working so long is hearing "Are you still here?" every morning :)

January 9, 2009 4:37 PM
 

coolteamblt said:

Cynthia, I hated the "You're still here?" question with a firey passion! By the end, I started saying "No, I just had my baby and I'm picking up my check!" Because I was the size of a house and cranky as all hell.

January 9, 2009 10:10 PM

About Miriam Axel-Lute

Miriam Axel-Lute is a freelance writer, editor, poet, and urban planning junkie. She lives, works, and gardens in Albany, NY, with her two partners and daughter.

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