Archive | October 2010

Happy Halloween!

Today, I officially enter the third trimester. Yay for us! It feels good to leave the second trimester behind, since that was the last milestone I had reached when pregnant with Noah.

We had a playgroup Halloween party on Thursday and I went as Scully from the X-Files (people seemed disappointed that I didn’t have a pumpkin belly to show, but I was going for “minimal effort,” rather than cuteness 🙂

Luckily, my fabulous photographer friend took a cute belly picture of me at the party anyway:

And, today, I shamelessly ripped off my friend Emilia’s idea and had Mark take a pumpkin belly picture of me. This is the first year I’ve been this pregnant on Halloween—I’ve been pregnant on Halloween twice before, but due in May both of those times, not in January.

Centering for Birth

Oct28

I have a strong commitment to active birth—the use of movements, position changes, and most of all laboring out of bed. As a result, in my classes I tend to emphasize movement-based coping strategies for labor. However, I have also come to realize that coping measures employing relaxation and breath awareness are extremely valuable. These tools cannot be stripped away from the birthing woman. Whatever happens during birth, whatever unforeseen circumstances that arise, or if her need for activity runs smack into the hospital’s need for passivity, the breath—and breath based tools—cannot be taken from her. I do not teach patterned breathing techniques in my classes, but I do teach various breath awareness skills.

Centering is a breath awareness strategy that I’ve adapted for use in birth classes based on the ten second centering process described in the short book Ten Zen Seconds. Using the breath as a “container” for a thought or affirmation is the basis of centering. A meditative technique, the purpose is to “center” and to become mindful of the present moment. The container is a 10 second long breath—a five second in-breath and a five second out-breath—that holds a thought. You think the first half of the phrase on the in breath and the second half on the out breath (Maisel, 2007). Use this technique once or twice to “greet” the contraction and then continue breathing with awareness throughout the remainder of the contraction.

Some suggestions of centering thoughts to use during birthing include:

(I am open) (to birth)

(I am ready) (for my baby)

(I welcome) (my labor)

(I am confident) (and strong)

(Right here) (right now)

(I am equal) (to this challenge)

(I embrace) (this moment)

A pdf handout describing this technique (for use in birth classes), is now available here: Centering.

Another phrase I find useful in daily life, as well as applicable to birth is (I expect) (nothing). While this may initially appear pessimistic, it is a very useful reminder of the idea that most emotional suffering in life is a result of attachment to how something “should” be (i.e. “labor should only be taking 12 hours) (Dyer, 2002).

I frequently remind my birth class participants that coping techniques work best when they are incorporated into daily life rather than “dusted off” for use only during labor. Centering is a skill that is readily incorporated into real life. Indeed, when I first learned the technique, I quickly realized that it was a skill that I will use for the rest of my life. I let my class participants know that I regard this as a life skill, that happens to also be useful for birthing. It is essentially a tiny meditation technique that can be more readily incorporated into one’s daily life (especially a life that includes small children) than traditional, dedicated, more elaborate meditation techniques.

—–

Molly Remer, MSW, CCCE is a certified birth educator, writer, activist, and mother of two young sons. She is an LLL Leader and editor of the Friends of Missouri Midwives newsletter. She blogs about birth at http://talkbirth.me, midwifery at http://cfmidwifery.blogspot.com, and miscarriage at http://tinyfootprintsonmyheart.wordpress.com

References:

Dyer, Wayne. Ten Secrets for Success and Inner Peace, Hay House. March 2002.

Maisel, Eric. Ten Zen Seconds, Sourcebooks, Inc. March 2007.

—-

This article is modified from one that originally appeared in The International Journal of Childbirth Education, July 2009 (page 20)

Celebrate the Woman Pregnant

Oct27

Celebrate the Woman Pregnant

By Ani Tuzman

A woman pregnant,

I long to be seen

belly protruding,

life invisibly visible

churning inside

I want to be seen

honored, revered,

Exalted

not as my person,

but as the Miracle itself

of life begetting life

of human birth

Celebrate the woman

pregnant

don’t set her aside

nor cast her off as disabled,

or ever less woman;

Revel with her

feeling her firmness

knowing her softness

Carve her rare beauty

in smooth white marble

Look upon her.

Celebrate the woman pregnant

Hers is to know

the creative moment

of Life incarnating

——–

This poem came in the pregnancy newsletter I get from Mothering.com and it reminded me of the “magic” of being pregnant. I love that feeling (I’ve written about it before in the “the pregnant glow“). After this new baby is born, we do not plan to have any more children (though I have said to my husband, “what if she’s just so awesome we want to have one more?”) and I’m trying to take special time to savor and enjoy that magic feeling of being pregnant, since I will likely not experience it again personally. I told a friend recently that I feel like maybe I’m not savoring as much as I “should” be and realized that I think when I think of savoring, I think I’m picturing sitting around for hours rubbing my belly—possibly making multiple belly casts and drawing some fabulous art as well. Oh, and making some sculptures. And, then sitting and rubbing some more—preferably in the sunshine 😉 I have been making a very conscious effort to downscale my commitments to allow for more of this. I’m also taking a leave from teaching birth classes—I feel like I want to focus on my own pregnancy, rather than on other people’s. I feel a real inward-draw and not so much like being “of service” to others (I’ve been feeling this inner call since Noah was born last year, actually, but it has taken a while to actually get to the downscaling part). I also find that teaching college classes “uses up” most of my available teaching energy and I don’t have as much to give to birth classes—I am not expecting this to be a permanent leave, birthwork is too important to me for that, but I want to heed my inward call. I’ll have to stick with “virtual” birth education via this blog for a while!

I’ve had a post pending for a while that I guess will never get posted, about life balance and feeling like I’ve not been living up to a good guiding quote—“the things that matter most should never be at the mercy of the things that matter least.” Instead, the things that had been getting cut from my schedule were things like hanging out with my friends, sitting in the sunshine, writing in my journal, rubbing my belly, snuggling with my husband, reading books to my kids, chatting with my mom—HELLO! Not a good idea. So, I’ve done some cutting, some saying no, and also just some mental readjusting about how I think about things (like my to-do list). I’ve also been doing a “conditions of enoughness” thing that I learned from Jen Louden, wherein you set some conditions of enoughness for the day—not, just keep burning until the day is used up, not, “I can probably do this one more thing” and likewise not a “bare minimum” approach, but what is enough on a given day. Usually, this does not mean accomplishing everything on one’s to-do list, and it leaves some time leftover in the day for self-care—which is the piece I’ve been missing too. While everything is not perfect, obviously, I feel better about my life balance in recent weeks. My main reason for this downshifting is actually in preparation to enjoy my new baby when she gets here—I want to be all “cleared out” to enjoy a nice babymoon as well as to be free to take good care of myself as well as my baby.

The picture above was taken by my friend Karen at the park last week. She has launched a new photography business recently and if you click the picture, it will take you to her Facebook fan page. She is going to do both pregnancy photography and birth photography and I hope to have some more pictures in another month or so 🙂

And, I actually have been doing a lot of drawing during this pregnancy. Here is one I did when I was starting to re-incorporate the pregnant identity into my life again, as well as to feel some of the joy of pregnancy rather than just anxiety:

I’ve done others as well and then after finding out she is a girl, I drew this one:

Birth Blessing

Oct23

I have two friends who are right at full term (one slightly over) and eagerly awaiting their new little ones. I feel like I should be able to come up with beautiful birth blessings/wishes off the top of my head, but I had trouble coming up with anything profound, so I went looking online and found this lovely poem. I especially like the last eight lines. I wish you beautiful birthings, ladies!

Birth Blessing

by Natalie Evans

Close your eyes and breathe deep

Breathe in peace, breathe out pain

Imagine your feet

Toes curling into dirt

Think of yourself as rooted

Think of your place in the earth

How did you come to be here?

Through generations of women named

A maternal lineage

That brought you to this place

Think of their birth stories

What you know, what you believe to be true

Realize that their births carry deep wisdom

Some may carry the memory of joy and transcendence

Each birth is a powerful experience

Each birth traces down to you.

Just as you pass this knowledge on to your baby

Understand that your birth is your own

It will be different from all others

Like the swirls in your thumb

Your birth will have a unique pattern

Unfolding with each contraction

Rising and falling like a newborn’s chest

This birth belongs to you

This birth is an opening

This birth is the end and a beginning

May this blessing of birth come to you without fear

May this blessing of birth come to you with great understanding

My this blessing of birth make your heart soar

May this blessing of birth bring shouts of delight to your lips

Blessings to you and your birth.

—

Sign up for my Brigid’s Grove Newsletter for resources, monthly freebies, and art announcements.

Pain with a Purpose?

Oct22

“The desire to help is so great, even from well-meaning, beautiful midwives, that they use intervention. We want to help. But what’s missing in our culture is that there is pain with a purpose, and that helping is sometimes interfering.” –Augustine Colebrook, CPM (quoted in “Do-it-Yourself Birth” article in Mothering mag)

When I shared this quote on the CfM Facebook page, a reader added: “Dr. Bradley wrote about ‘pain with a purpose’…Problem is, in our society, we don’t value the process of childbirth. Therefore, whatever it is you have to do to get thru it… Hence epidurals & nubain, and on and on. Please know I’m not dismissing your experiences if you went that route. But that phrase alone resonated with me when I was giving birth and helped me. I wish it would do so with more women.”

I’ve written a lot about birth having inherent value in its own right. Process AND “product” (i.e. healthy mom, healthy baby) are both important. A de-emphasis on the birth process and its significance in a woman’s life only serves to disempower, silence, invalidate, and violate women.

That said, I do also value the work of organizations like Hypnobabies that questions the very notion of pain as being an inherent part of birth.

So, what about pain?

I find that couples who come to my classes often have pain and managing pain (or witnessing pain) as their top issue of concern. For this reason, I spend time addressing the subject straight out and yes, I have been known to use the dreaded “pain with a purpose” phrase. Some would say that the word “pain” has no place in birth classes—that it sets women up for just that experience—however, as I noted, my clients come with “pain” on their minds and I find I need to use the p-word and sort of clear the air/get past that hurdle, before we do the rest of our work together. Also, as one of my clients once noted, “it wasn’t you who planted that seed [of pain being possible]. It was planted deeply a long time ago!”

And, what would be the purpose of pain in labor?

It is actually part of a beautiful hormonal symphony of labor—the sensations of labor signal our brains to release more endorphins, more endorphins leads to more oxytocin, and more oxytocin leads to increased intensity, which leads to more endorphins, etc., etc. When the pain to brain feedback loop is interrupted with medications, so too, are the oxytocin and endorphin messages that we need to get our babies born—and more interventions to “augment” labor are then likely to follow. As Preparing For Birth notes: “It is true that naturally occurring labor can feel larger and greater than the woman birthing. This is not so as she creates from within the very hormones that increase the strength, power, and frequency of her work of labor. That is the good news, it is from her, for her, by her.”

But, all these things said, I simply think the word “pain” is woefully inadequate to describe the feelings of labor. I like this description from Stephanie Soderblom better:

“VITA MUTARI – the literal translation from Latin to English is ‘Life Transformation.’ That is the closest thing I could think of the feeling of labor/birth…what you are feeling isn’t pain, it’s life transformation. Is it dramatic? You bet! I think it should be!”

I also love the description from Painless Childbirth:

“When I say painless, please understand, I don’t mean you will not feel anything. What you will feel is a lot of pressure; you will feel the might of creation move through you. Pain, however, is associated with something gone wrong. Childbirth is a lot of hard work, and the sensations that accompany it are very strong, but there is nothing wrong with labor.”

Now that’s what I’m talking about, might of creation moving through you. The word “pain” is way too puny to hold that!

I always explain to my clients that the sensations of labor are more similar to the exertion of intense physical effort more than the pain associated with accident, illness, or injury—both the effort AND the exhilaration are similar to doing good, hard, challenging, limit-testing, but doable work (though even bigger and more important). We need a bigger and broader vocabulary for completely describing the breadth, range, intensity, and beauty of birth experiences! What if we had more choices other than “painful” and “painless” to describe the experiences of birthing our babies? Though I wouldn’t say my births were “painless,” when I describe my own birth experiences, “pain” is simply not the word that rises to the top as the most appropriate descriptor.

“So the question remains. Is childbirth painful? Yes. It can be, along with a thousand amazing sensations for which we have yet to find adequate language. Every Birth is different, and every woman’s experience and telling of her story will be unique.” –Marcie Macari

We end up limited when we use only “pain” based language that fails to embrace the broadness and complexity and enormity of the experience.

Newborn Alaina, January 2011

Pregnant Women Driving…

Oct22

“In terms of mortality and injury, we know that driving a car is hundreds of times more dangerous for women and children than giving birth…Though it’s proven to be extremely dangerous and can often be fatal, no one accuses a pregnant woman who drives a car every day of being ‘selfish.’ And, when she arrives at her destination without having a crash, no one tells her how ‘lucky’ she was.” –Jennifer Margulis

I have blogged several times about birth having inherent value in its own right. Process AND “product” (i.e. healthy mom, healthy baby) are both important. A de-emphasis on the birth process only serves to disempower, silence, invalidate, and violate women—to shut down their very real and important reasons for choosing “alternative” birth options (reasons which usually have health of the baby as central anyway). Similarly to the writer above, I also use car/driving analogies when talking about the accusation people make about choosing “the birth experience” over a “healthy baby.” The way I word this same idea is that no one accuses a pregnant woman of placing her desire to get somewhere over her desire for a healthy baby (as women having homebirths are often accused—except in the case of homebirth, unlike with driving, there actually IS NO increased risk of death from staying at home!). I also use the car example in classes when talking about routine IVs—by the logic used to “justify” routine administration of IVs to women in labor, we should all make sure we are hooked up to at least a saline lock every time we drive anywhere!

Call for contributions: personal birth stories for new booklet on birthing positions

Oct18

I received an email this weekend from a woman who is writing a booklet about birthing positions (non-profit and free for distributing when finished!). She is seeking contributions of birth stories to use in the book. Below is her message:

———————-

My name is Megan Layton. I have a strong interest in Women’s Health, current issues in obstetrics, as well as the cultural perceptions towards childbirth in general.

As well as being a Missouri native, a supporter of midwives and a woman’s right to an active role in childbirth, I am also a graduate student at the School of the Art Institute of Chicago. Currently I am working on a small, illustrated publication that focuses on birthing positions. The small book will be informative, fun, attractive, and free for distribution and copying. It is my intent to emphasize a woman’s choice during labor and childbirth, and not advocate for any particular position, provider, or setting, but merely convey the options available as well as the potential for birth to be a profound, empowering experience.

Part of the booklet will be first hand accounts of birth—oral histories from women who have had many different birthing experiences.

This is the reason I write to you: to ask that you share this with women who would be willing to share their personal stories, as well as any advice they could give to a woman who is about to experience childbirth for the first time.

Long or short, joyous or rational, funny or sad–any and all stories are welcome, and will be greatly appreciated. At the end of reviewing the narratives, I will ask those women whose stories best suit the publication for permission to use them. As well, I will send copies to all those who graciously allow me to reproduce their words.

All stories, narratives, and questions can be emailed via this link.

—————————

It sounds like a wonderful project to me!

It also reminded me of my previous postings about how to use a hospital bed without lying down. I tell all my clients if they remember only ONE thing from my classes, it is see the hospital bed as a “platform” and a tool in their toolbox—NOT as a place to lie down!

And, here are links to my own birth stories (each which involved freedom of movement during labor as an integral piece!)

First son’s birth (at freestanding birth center): https://talkbirth.wordpress.com/2009/02/25/my-first-birth/

Second son’s birth (at home): https://talkbirth.wordpress.com/2009/02/25/my-second-birth/

Third son’s birth (miscarriage at home at 15 weeks): https://talkbirth.wordpress.com/2010/05/03/noahs-birth-story-warning-miscarriagebaby-loss/

Arkansas Traveler Baby

Oct14

This past weekend we took a family trip to go quartz mining in Arkansas. On our way, we stopped at Ultrasona of the Ozarks and had one final ultrasound (not going to get into my cognitive dissonance about over-using ultrasound during this pregnancy in this post, but hope to write about it someday). We found out that baby is definitely a girl! It was very obvious—we both could tell before the tech said anything.

Baby's face

Here is the picture of her little face. I know u/s pictures all look the same, but I think she is cute! And, we saw her yawn 🙂

Here are two cute pix of her little feet. The blob nearby is her HEAD, because she is all squished up with her feet by her head.

I’ve been going for “alive” as my primary goal during this whole pregnancy, but having a girl baby is a fun bonus 🙂 It is really important to me to be able to name her and bond with her as fully as possibly while pregnant (which I know is fully possible without ultrasounds, but for me, it has been “humanizing” to see her and think of her as a real baby and not just think, “don’t die” thoughts and “IF I have a baby” thoughts).

We stopped and took some pix overlooking the Buffalo River Gorge (Arkansas Grand Canyon):

We then went on to Mount Ida, AR and to a gem and crystal show/event that was being held (coincidentally) that weekend. The following day, we went to Wegner Crystal Mine. We packed into the back of a pickup and were bounced and jounced up to the top of a mountain where we then dug for quartz. Quartz is mined above ground. These mines are all on National Forest land and while it looks like a somewhat horrible scar/blight on the landscape, they are heavily monitored/restricted, so the actual mine can only cover so much ground, etc. We had a fabulous time and left with two buckets of quartz.

Youngest crystal miner ever 🙂

On Sunday, we took a day trip to Crater of Diamonds State Park in Murfreesboro, AR. I burned out there very quickly and do not recommend diamond mining to anyone who is pregnant! Partially it was the futility—I knew we weren’t going to find any diamonds!—and it was really hot and there was no shade so sun was just blasting down on my head and I felt ill/off. My husband did take home two buckets of jasper and agate, which was his main reason for visiting this park, more than possibly finding any diamonds.

Showing off ALL the diamonds we found...

When I woke up on Monday morning, I had some totally unexpected and unexplained mystery spotting that almost sent us home without going to the final mine. I’ve written on my other blog about my tenuous sense of security and trust during this pregnancy and how I feel like there is no “safe” point anymore. It is really sad to me how very, very quickly my equilibrium can be thrown off and how quickly I sink into negative/depressing thoughts. As soon as I saw the blood, I thought that I was probably going to go into premature labor at a quartz mine and have to be rushed to some Arkansas hospital with a tiny baby struggling for life in an NICU. While I do still have trust in my body’s inherent wisdom, etc., etc. I do not have the same strong sense of my body as an ally anymore—I used to trust it implicitly to take care of and protect my babies. Now, I don’t know if it really knows how to do that, or not. Most of the time, I think it probably does and that it was also body wisdom (not failure) that caused my losses, but then the tiniest thing can happen and then I see that something else is lurking very close under the surface—a lack of confidence that I do know what I’m doing and that my body will look out for and protect my baby girl with its inherent wisdom and comptent design. 😦 Wah. It was a bummer. I cried and was all upset and then realized I’d probably just physiologically taxed myself at the #%&*% diamond mine the day before and this was just a little, “hey! Take care of yourself!” reminder signal, not an indicator of immediate doom. Nothing else happened the rest of the day (or since), just that confidence-shaking morning incident (I’ve NEVER had bleeding/spotting this late in a pregnancy before and have had none at all during this pregnancy).

Anyway, we finished our trip by going to Arrowhead Crystal Mine—this one we drove to ourselves and the road was hideous, but we made it to the top!

And, we found lots of good stuff:

And on the way home, I crocheted a little hat :):

Think it will fit?

I’m starting to spend a little more time thinking about the actual birth and what I’d like and what I’d like to make sure I do to savor and enjoy and celebrate this pregnancy and this baby before she is born. I also have been doing a LOT of thinking of what I will change/let go of after she is born and what I would like for a babymoon as well as making arrangments to take some breaks from some of my commitments so that I can fully enjoy the newborn stage and make sure I am taking really good care of myself. I was offered a class for the January session at the college where I teach—by pure coincidence I hadn’t been on the Jan. schedule at either local campus and I was glad not to have to turn them down (because I really want to do this and by “rejecting” a class offering, I don’t want that to be perceived as a lack of interest from me)—but, then I got offered one after all and then I did have to say, “no.” It is a class I’ve taught before and that I LOVE teaching—it is my favorite one—and saying no to it was hard, but duh, I couldn’t say yes (and, btw, they said that was fine and I could teach it in March instead. So, was that so hard?!). I think I will be teaching an online class during the Jan. session, but that I can handle—I will just make sure to do NOTHING else in addition to that and taking care of the new baby.

Still can’t really believe there’s a baby girl in there. I was just telling a friend about how it is difficult to field comments from others about, “hoping for a girl this time” or, “you finally got your girl” kinds of things—it makes me not want to act too excited about having a girl, because I don’t want anyone to think that I feel that way. I love my boys and wouldn’t have my family any other way—and, I would have been perfectly happy to have another boy (I thought I was going to for sure!). So, acting happy about a girl, makes me feel like I’m saying that I’m not happy with my boys. But, I’m happy about both! I’ve never, ever wished Z was a girl instead—I love having a pair of boys. It’s great. If Noah was here with us as the third member of our band of brothers I would have been pleased as pleased can be. (see my fair warning post on my other blog.) I think it’s too bad we feel like we have to clarify/specify that! And, I hope I remember forever to not ever say those kinds of things to anyone either! So, anyway. A GIRL! I’m excited 🙂

Movement

Oct6

My absolute favorite part of pregnancy is feeling the baby move. I’ve been feeling my new baby moving in earnest since about 16 weeks (I felt early flutters at around 11 weeks, which is typical for my pregnancies). Sometimes my oldest son falls asleep at night with his hand on my belly, feeling the baby move. I love the stage I’m in now—big bumps, jumps, and wiggles, but not so big that I am uncomfortable at all. I’m 24 weeks now and only during the last two weeks or so have I started to feel the baby move while I’m standing, sitting, moving, etc. (vs. just when lying down like before). I haven’t yet had anyone outside of my husband and the kids feel the baby—I still feel “closed in” and protective/secretive about this pregnancy and I’m not sure if that is ever going to change. I have drawn more birth art related pictures and taken more photos than during any other pregnancy, but I have journalled about it less and I talk about it much, much less. That doesn’t mean the baby isn’t always on my mind and frequently reminding me of its company with little wiggles and kicks 🙂

This week in my pregnancy newsletter from Mothering.com, I enjoyed this poem about movement:

Quickening

By Yvette Benavides

This baby moves inside me now

Sending messages at night-

Morse code

About life on the inside:

It is dark

But warm and quiet

With only muffled echoes softly pleading,

Wake up, little one.

I want to know you’re in there,

Happy and safe.

Answers come again-

A sudden flutter-

Secret lyrics of song with no rhythm.

Played with hands and feet.

Someday I will hear the song again-

A high-pitched, quick and breathy humming.

I will teach her that she’s been singing that old song forever,

And reach out for little splayed hands

That have long since held my heart.

—-

No cute pix from this week—I forgot to get one until I was already in my PJs and looking a little bedraggled:

P.S. I now officially weigh more at 24 weeks pregnant than I did the day I gave birth to my first son! Perhaps related to my sudden intense interest in consuming Nutella 🙂

Effectiveness of Childbirth Education?

Oct4

Some time ago a study was picked up by the media as proving that childbirth education “doesn’t work”. This BJOG study compared two groups of women—one group had 8 hours of childbirth classes that also included information about natural childbirth. The other group had classes that did not include natural childbirth information. The epidural rates for the two groups were the same and the couples’ satisfaction levels with their births was also the same. After this media attention, several birth bloggers addressed the study in-depth. The Science and Sensibility blog in a post titled Do Breathing Exercises Work? and The Family Way Publications in Natural Childbirth Class Not Useful?

What stood out to me in the article was the emphasis on breathing techniques. There is a lot more to childbirth education than “the breathing” and if that is all the “natural birth” classes had to offer, no wonder the results were what they were! As was noted in one of the blogs cited above, it is also significant that the women were randomly assigned to either group, indicating that they did not have a strong interest in natural birth (if they did, why risk being assigned to the non-natural birth classes!), so that perhaps the personal investment element was missing. A woman has to want to experience natural childbirth in order to do so!

Another birth educator commenting on The Family Way’s blog post, made an excellent observation that I think really got to the true heart of the issue. She said, ” Until childbirth educators emphasize this key component of CONGRUENCY in their classes women will continue to seek ‘care’ from professionals and institutions incompatible with their professed desire for natural birth. (emphasis mine) All this study proved to my mind it that both types of classes offered were ineffectual in promoting the with-women model of care in labor and birth… Both types of classes failed to address the real crux of the matter…are you receiving care from a provider/institution compatible with the kind of birth you want?” I explain to people in my classes that in the hospital women’s coping mechanisms are often stripped away from them-–sometimes by force, sometimes by misinformation, sometimes by excuses. I tell them over and over again to “ask questions before their chile is roasted” (Pam England). People tell me they can fight for what they want or that their husbands are good at “standing up for me” and I remind them that birth is not a time in a woman’s life when she should have to fight for anything! The time to get good care is NOW, not while “fighting” during labor and not during the “next birth” either (see more thoughts about “the next birth” here).

So, does childbirth education matter or not? Is the birthing woman’s environment of greater influence? I don’t think we have a full answer to this question. I do feel in my heart that childbirth education has important things to offer (otherwise, I wouldn’t be in the field!), but I also know in my heart that an unsupportive birth environment can steamroller right over most of the benefits. Birth is a lived experience and as such is greatly impacted by going on in the “here and now,” rather than past learning or ideas. Recently, I shared this quote from Suzanne Arms on my Talk Birth Facebook page:

“The knowledge of how to give birth without outside interventions lies deep within each woman. Successful childbirth depends on the acceptance of the process.”

In the comments, I noted: also helpful is to birth in an environment that shares that acceptance!

In July, I attended the annual CAPPA conference and enjoyed hearing Polly Perez speak about the benefits of childbirth education. She shared the following evidence-based benefits:

Knowledge
Less fear
Student more able to take responsibility for their own health care
Less need for medications/anesthesia
More satisfaction with birth experience
Life skills!

I definitely have been witness to the reduced fear as well as to the development of life skills that will continue to serve parents on the parenting journey. My own personal observations of additional benefits would be:

Increased confidence in their bodies, the birth process, and their own capacities
Enhanced father participation
Increased prenatal bonding/connection with baby and positive feelings towards baby
Reframing of birth from something to fear/greet with anxiety to something to embrace and greet with anticipation and enthusiasm.

It is hard for me to identify if these benefits carry over from my actual classes into the birth room, however, and this is an issue and question that I continue to ponder.

On a related note, here is a handout from Mother’s Advocate on choosing a childbirth class.