When One Child Is Enough

Published

Let me preface this article to say that I'm not stirring a pot. I found this article a little dispassionate considering the choice made.

When One Is Enough

By AMY RICHARDS as told to AMY BARRETT

Published: July 18, 2004

I grew up in a working-class family in Pennsylvania not knowing my father. I have never missed not having him. I firmly believe that, but for much of my life I felt that what I probably would have gained was economic security and with that societal security. Growing up with a single mother, I was always buying into the myth that I was going to be seduced in the back of a pickup truck and become pregnant when I was 16. I had friends when I was in school who were helping to rear nieces and nephews, because their siblings, who were not much older, were having babies. I had friends from all over the class spectrum: I saw the nieces and nephews on the one hand and country-club memberships and station wagons on the other. I felt I was in the middle. I had this fear: What would it take for me to just slip?

Now I'm 34. My boyfriend, Peter, and I have been together three years. I'm old enough to presume that I wasn't going to have an easy time becoming pregnant. I was tired of being on the pill, because it made me moody. Before I went off it, Peter and I talked about what would happen if I became pregnant, and we both agreed that we would have the child.

I found out I was having triplets when I went to my obstetrician. The doctor had just finished telling me I was going to have a low-risk pregnancy. She turned on the sonogram machine. There was a long pause, then she said, ''Are you sure you didn't take fertility drugs?'' I said, ''I'm positive.'' Peter and I were very shocked when she said there were three. ''You know, this changes everything,'' she said. ''You'll have to see a specialist.''

My immediate response was, I cannot have triplets. I was not married; I lived in a five-story walk-up in the East Village; I worked freelance; and I would have to go on bed rest in March. I lecture at colleges, and my biggest months are March and April. I would have to give up my main income for the rest of the year. There was a part of me that was sure I could work around that. But it was a matter of, Do I want to?

I looked at Peter and asked the doctor: ''Is it possible to get rid of one of them? Or two of them?'' The obstetrician wasn't an expert in selective reduction, but she knew that with a shot of potassium chloride you could eliminate one or more.

Having felt physically fine up to this point, I got on the subway afterward, and all of a sudden, I felt ill. I didn't want to eat anything. What I was going through seemed like a very unnatural experience. On the subway, Peter asked, ''Shouldn't we consider having triplets?'' And I had this adverse reaction: ''This is why they say it's the woman's choice, because you think I could just carry triplets. That's easy for you to say, but I'd have to give up my life.'' Not only would I have to be on bed rest at 20 weeks, I wouldn't be able to fly after 15. I was already at eight weeks. When I found out about the triplets, I felt like: It's not the back of a pickup at 16, but now I'm going to have to move to Staten Island. I'll never leave my house because I'll have to care for these children. I'll have to start shopping only at Costco and buying big jars of mayonnaise. Even in my moments of thinking about having three, I don't think that deep down I was ever considering it.

The specialist called me back at 10 p.m. I had just finished watching a Boston Pops concert at Symphony Hall. As everybody burst into applause, I watched my cellphone vibrating, grabbed it and ran into the lobby. He told me that he does a detailed sonogram before doing a selective reduction to see if one fetus appears to be struggling. The procedure involves a shot of potassium chloride to the heart of the fetus. There are a lot more complications when a woman carries multiples. And so, from the doctor's perspective, it's a matter of trying to save the woman this trauma. After I talked to the specialist, I told Peter, ''That's what I'm going to do.'' He replied, ''What we're going to do.'' He respected what I was going through, but at a certain point, he felt that this was a decision we were making. I agreed.

When we saw the specialist, we found out that I was carrying identical twins and a stand alone. My doctors thought the stand alone was three days older. There was something psychologically comforting about that, since I wanted to have just one. Before the procedure, I was focused on relaxing. But Peter was staring at the sonogram screen thinking: Oh, my gosh, there are three heartbeats. I can't believe we're about to make two disappear. The doctor came in, and then Peter was asked to leave. I said, ''Can Peter stay?'' The doctor said no. I know Peter was offended by that.

Two days after the procedure, smells no longer set me off and I no longer wanted to eat nothing but sour-apple gum. I went on to have a pretty seamless pregnancy. But I had a recurring feeling that this was going to come back and haunt me. Was I going to have a stillbirth or miscarry late in my pregnancy?

I had a boy, and everything is fine. But thinking about becoming pregnant again is terrifying. Am I going to have quintuplets? I would do the same thing if I had triplets again, but if I had twins, I would probably have twins. Then again, I don't know.

"sigh...this is such a gray area. i used to feel the same way. now, however, i look at a world that is already teeming with people we can't take care of. i look at a world filled to the brim with children already born, waiting for homes. i see people fighting harder for embryos than for kids! i hear people talking about the value of life but completely ignoring the thousands upon thousands of foster children fighting for a chance, ignoring those living in poverty, ignoring the abused, slashing funding for social services... what is more important? fighting to save what essentially, at the time the author wrote this, is truly a cluster of cells (i know that sounds heartless, but the triplets had not become sentinent beings yet, they had not gained consciousness)? or spending what energy, time, and money we have fighting for those who are already here?

people are torturing themselves to have children - and i wish that they would adopt instead. i know, i know, i've given birth, so i can't understand. i admit it. but it seems hypocritical to judge this woman's choice based on morality when a similar judgement could be made of people who are torturing themselves to have kids. why not adopt? if we're going to invoke the name of god, involve spirituality, why not talk about god's plan? if you can't have kids, maybe that's because you should adopt. i'm not saying this is necessarily the way i feel, just that there is such an incredible double standard. we are so willing to judge those having abortions, but we are absolutely unwilling to judge those bring more kids into the world when, as i said before, we can't take care of the ones already here."

reply to above post:i have to chime in here and second what a previous poster said about having to hear "why not just adopt" having been through six long years of infertility treatments and yes "torturing myself" with ivf this isn't the first time i've heard this comment. unfortunatley it usually comes from people who already have their own children and can't possibly relate at all as to what it feels like to feel abnormal because you can't do what your female body is supposed to do. years of ignorant questions about why my husband and i don't have kids yet are more torture than the actual procedures we've been through. many couples don't "just adopt" because that requires a couple to face the "death" of their biological child (the one they will never have) and that's a whole process alone and you can't move onto adoption until your heart is ready and open for it. then if you decide to move on to adoption finally, you deal with huge amounts of money and social workers scrutinizing every aspect of your life for months. the red tape is endless... i'm in complete agreement that there are many children that need homes, however, for couples dealing with infertility it isn't as simple as adoption.

anyway, i had ivf in april, transferred 3 embryos and am currently pregnant with my first baby. and i can personally tell you i wouldn't trade this feeling in for anything... the torture was well worth it!

It's all about personal choice. What one person calls selfish another calls couragous. If you want another baby, go for it.

this article was very hard for me to read. i wonder if she wrote it to heal some of her own wounds. i sense a sadness and uncertainty on the part of the father.

in all honesty, if it were me that found out that it was 3, i would be more excited than anything! how rare and precious to be able to have 3 children without fertility drugs.

Specializes in NICU.

It doesn't surprise me that she got pregnant with triplets. She was almost 35 and she had just come off the Pill. Both of those factors increase a woman's chance for multiples. For someone who didn't really want kids, from what it sounds like, she was being very irresponsible by not using some other form of birth control since she was tired of the Pill.

BUT for a woman who would probably be 35 by the time the pregnancy was complete, the chances of complications and premature birth skyrocket wth multiples! There are also many risks with carrying identical twins in that mix, as well. Even had she chosen to carry all 3, there is no guarantee that everything would have been okay. Had she chosen reduction for that reason, I think the article would have been a little easier to swallow. But I agree, she sounded selfish in her choice.

Even so, I'm pro-choice and always will be. I just wish she'd come off as sounding less "ME ME ME" in the article. :o

Specializes in NICU, PICU, educator.

Gompers...I agree....I felt that she was being selfish too. But, then again, I don't walk in her shoes. She has to live with her decision for a very long time. I would have loved to be pregnant with triplets, but I feel very fortunate to have my one child.

And the adoption thing...we looked into it and I felt like my whole life was getting scrutinized...it made me really mad that all these unfit people just go out and have babies like it is nothing and here we are having to disclose things in our lives and fork out money...and we already had one child who seemed to be thriving and doing well in our care. I *understand* that they need to screen things, but we are a middle class working family that owns a home, has one child, etc...why do they have to make it so difficult and make you feel as if you may turn out to be a horrible parent? One social worker made me cry, we had 2 birth moms back out. The whole thing stinks and we finally decided to have a one and only because of cost and how here in the US a mom can pretty much come back and take her child back. Sigh. We considered overseas...but you basically are buying the government in Russia and the China one is such a long list. I make myself content hugging and cuddling my little ones at work now :)

Specializes in cardiac, diabetes, OB/GYN.

I just wonder if and how you will tell your son that he had siblings....

It doesn't surprise me that she got pregnant with triplets. She was almost 35 and she had just come off the Pill. Both of those factors increase a woman's chance for multiples. For someone who didn't really want kids, from what it sounds like, she was being very irresponsible by not using some other form of birth control since she was tired of the Pill.

BUT for a woman who would probably be 35 by the time the pregnancy was complete, the chances of complications and premature birth skyrocket wth multiples! There are also many risks with carrying identical twins in that mix, as well. Even had she chosen to carry all 3, there is no guarantee that everything would have been okay. Had she chosen reduction for that reason, I think the article would have been a little easier to swallow. But I agree, she sounded selfish in her choice.

Even so, I'm pro-choice and always will be. I just wish she'd come off as sounding less "ME ME ME" in the article. :o

She just killed 2 of her children because they were inconvenient. How could she not sound "ME ME ME"?

This is why some hospitals will not implant tons of embryos anymore when doing IVF. My last hospital's policy was to only implant 2.

It all depends on the age bracket of the woman. But yes- most IVF clinics will only implant 2. My RE said that nowadays, even twins can be selectively reduced to a singleton.

Specializes in ICU, PICC Nurse, Nursing Supervisor.

This makes me very ANGRY, on the flip side of that I am very pro-life and should not have read this. I'll say this and be done with it,"If you lay down with a man expect to get up pregnant" . Leave those chosen for death to the man who can walk on water.:angryfire :angryfire :angryfire :angryfire :angryfire

Specializes in ICU, PICC Nurse, Nursing Supervisor.

My best friend adopted two children from Russia and it cost them right around 50,000 and that did not include airfare ,hotel just the fee's to the agency.:stone

Gompers...I agree....I felt that she was being selfish too. But, then again, I don't walk in her shoes. She has to live with her decision for a very long time. I would have loved to be pregnant with triplets, but I feel very fortunate to have my one child.

And the adoption thing...we looked into it and I felt like my whole life was getting scrutinized...it made me really mad that all these unfit people just go out and have babies like it is nothing and here we are having to disclose things in our lives and fork out money...and we already had one child who seemed to be thriving and doing well in our care. I *understand* that they need to screen things, but we are a middle class working family that owns a home, has one child, etc...why do they have to make it so difficult and make you feel as if you may turn out to be a horrible parent? One social worker made me cry, we had 2 birth moms back out. The whole thing stinks and we finally decided to have a one and only because of cost and how here in the US a mom can pretty much come back and take her child back. Sigh. We considered overseas...but you basically are buying the government in Russia and the China one is such a long list. I make myself content hugging and cuddling my little ones at work now :)

This article appropriately describes the "slippery slope" of declining morals, and and disrespect for the sanctity of human life that is rampant in our nation today. What a shame!!

Oh, my goodness, coffeedrinker... You said just exactly what I was thinking... What is this nation coming to?

"And for some reason, even though I am pro-choice, (I know this makes no sense to some folks), I Have issues with selective reduction."

Glad to see I'm not the only one. I know this position seems weird to most and If I had to explain my reasoning, my argument would probably fall flat. It just doesn't seem right. It really doesn't seem right when you factor in the fact that she basically planned her pregnancy. She knowingly stopped taking bcp. I believe this is my biggest issue with her. If it were a total surprise maybe I could somehow see her point, but when you plan a child you can't order the number of babies you want. It's the luck of the draw and she should have dealt with it. Just my opinion!!

Oooh, I feel the same way... I do think that legally women should have a choice. But I don't understand her reasoning. Why would she deliberately become pregnant when it sounds like she didn't want a baby at all? And knowing that if any complications arose that she wouldn't be willing to deal with the consequences it would have had on her employment/life?

I do think one of the reasons her story is so disturbing is that she doesn't share any emotions she may have had, she sounds like a robot, not a new mother. reading her article I can see her, in my minds eye, shrugging. ho-hum, c'est la vie, them the brakes, see ya twins. Like it was a video game in her uterus.

I'm a twin and I think having twins or multiples (w/o drugs) is a blessing. I would have loved for my son to have been twins or triplets, LOL. (but I would have had a ton of help!) So I guess I'm biased. :rolleyes:

bethany

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