Tag Archive | childbirth

Pain-Free Birth?

As I’ve referenced before, I have a special interest different theories with regard to pain and birth. The last issue of the Midwifery Today e-news had “Pain in Childbirth” as a theme and there was an excerpt of an article by Ingrid Bauer called “Pain Free Birth?” It was very powerful. She says:

“Inevitably, in discussions about unassisted or natural birth, the topic of pain-free birth rolls around. When it does, I wonder if striving for a ‘pain-free birth’ doesn’t inadvertently miss the potential beauty of natural birth itself. I don’t believe birth is meant to be pain-free, in fact, I believe it’s far more than that! I believe, and have experienced, birth to be downright ecstatically, blissfully pleasurable. ‘Pain-free’ doesn’t even come close to describing that experience. That’s like calling a high sexual union with your mate ‘pain-free,’ or the most breathtaking sunset you’ve ever seen ‘ugly-free.’ I think that as long we’re focusing on getting rid of or avoiding pain, we’re focusing on the wrong area and we’re completely missing the point.”

I love this! Language is so powerful. I like how Hypnobabies educators often refer to “easy, comfortable birthing” and other people who refer to birth as “pleasurable birth” or “joyful birth” or “ecstatic birth.” How much more descriptive than “pain-free” or “painless” that is. Painless or pain-free to me communicates a loss of sensation or awareness–a “deadness” or “dullness” to the fullness of birth.

Personal Mastery and Birth

I wanted to share a link to a post I wrote recently for the ICEA blog. In this post I discussed some research from the book Childbirth Education: Research, Practice, & Theory:

The book also shares the research that when mothers were interviewed postpartum who had had epidurals, their comments following birth focused almost totally on the baby. Women who had relied on relaxation and other non-pharmaceutical coping methods talked about the baby AND about the emotional and psychological benefits of their birth experiences. Women in both groups expressed satisfaction with their birth experiences, but for those in the epidural group “the element of personal accomplishment or mastery was missing in their comments.”

I believe that starting out the parenting adventure with a sense of “personal accomplishment and mastery” is a tremendous gift and I wish all expectant couples had the opportunity to experience birth in this way. In my classes, I strive to emphasize that both process (giving birth) and product (healthy baby, healthy mom) are important!

As long as I’m discussing posts I’ve made elsewhere, I wanted to also link to my CfM blog post this week which was about what are we thankful for? (in the “birth world”). I have a lot to be thankful for and hope you do as well!

What’s at the root?

On a discussion board this week in the birth professionals section (doulas, midwives, birth educators), someone asked the question “what’s at the root of your love of birth?” I was still for a moment and let my intuitive, heart-felt, gut level response come to me and it was this:

Women.

Women’s health, women’s issues, women’s empowerment, women’s rights.

Social justice.

…..

And, that feeling. The “birth power” feeling–that laughing/crying, euphoric, climbed-the-mountain, glowing, rapture…feeling. The transformative, empowering, triumphant, powerful, I DID IT, feeling.

I want all women to have the chance to experience that.

————————-
As I look at my list above and invert it, it becomes my “tree” of birthwork–with women as the root and then spreading up to blossom with that birth-power-feeling. 🙂

To any birth professionals reading this, how about you? What’s at the root for you?

Who is your birth link?

There is a survey up on the Independent Childbirth blog asking who your “birth link” is—your primary connection to information about birth. Traditionally, women learned about birth from other women—informal, woman-to-woman birth sharing. Culturally, we’ve moved away from this as our primary information source (often to our detriment!).

Of course, I think independent childbirth educators and independent birth classes are great “birth links” 🙂

Thinking back to my first pregnancy, my primary birth link was the newsgroup misc.kids.pregnancy. I learned so much there and they really shaped my attitudes and beliefs about birth. I have a very birth-positive mother, but I didn’t really go to her for birth information. I felt the need for my “peers” and I found those most readily online. My other link was reading (of course!). I read voraciously and always have. It was hard to transfer “book learning” to really feeling *prepared* to actually give birth though.

I also took an independent birth class. Since I was so extensively read, I do not remember feeling like I learned many new things from the classes.

During my second pregnancy, books were huge again, but this time around my in-person friends were also a very valuable birth link. I am lucky to have a wonderful network of birthy friends who can talk about birth with me for hours on end. One friend in particular was very inspiring to me as I worked through some “issues” I had from my first birth (the birthing itself was tremendously empowering and beautiful, but afterwards I had sequestered clots and a painful manual extraction of those, a pitocin shot, and also tearing that was traumatic for me for some time to come). My friend is a fabulous example of someone who really “trusts birth” and it was so great to talk with her during the course of my pregnancy <waves to Shauna…>

Trusting Women

I love collecting quotes about birth and the power of women in birth.

The following caught my eye in someone’s email signature recently:

“We must relearn to trust the feminine, to trust women and their bodies as authoritative regarding the children they carry and the way they must birth them. When women and their families make their own decisions during pregnancy, when they realize their own wisdom regarding birth and its place in their lives, they have a foundation of confidence and sensitivity that will not desert them as parents.”

~ Elizabeth Davis, certified professional midwife (CPM)

This one is from a book I love called Transformation Through Birth:

“There are many women who delivered their children naturally who swear by [a specific birthing method]. It is sad to see so many women credit a technique rather than themselves and their own inner resources for their birthing experiences. Women who birth joyfully do so because of who they are, what they believe, and how they live.” (emphasis mine)

Movement and pain

A brief quote from Biance Lepori an Italian architect who specializes in the design of birth rooms:

“Even pain dissolves with movement; pain killers are a consequence of stillness.” (emphasis mine)

This architect specifically designs rooms that support physiological birth–birth that unfolds accords to the natural biological processes of the woman, on her own timeline, and under her own power.

I emphasize active, normal (physiological) birth in my classes. I feel like the use of movement is one of the single most important ways we have to embrace labor and its rhythms and also to support healthy, physiological birth. Though I teach a variety of positions for labor and birth, “birthing room” yoga poses, and encourage practicing them, I believe that the movements you need during labor come from within and arise spontaneously during labor, not from specific training and practice. The key is the FREEDOM to use movement in the way you need to (many women end up being denied the right to free movement during labor 😦 ). The benefit to practicing different positions and movements prior to birth is that you gain a “body memory” of how to move your body in labor supporting ways.

Top Five Birth Plan…

Birth plans are a topic often discussed in birth classes. There are SO many things that could be put onto a birth plan that sometimes it is difficult to sort out the most important. I encourage couples in my classes to complete two different “values clarification” exercises to help them include those things on their plan that are MOST important to them, rather than trying to cover everything on a one page birth plan. They often ask what I think is important to include. So, recently I started thinking that if I needed to create a birth plan for a birth in hospital that was as normal and natural as possible and could only include five elements, what would be most important to me, my baby, and a normal birth?

These are my top five after first going into the hospital as late in labor as possible (this isn’t included on my birth plan and doesn’t need to be on anyone’s birth plan–“I plan to labor at home as long as possible”–because it isn’t relevant by the time you get there and people are reading your plan. It belongs on your own personal plan, but not in your “official” plan):

  1. No pitocin.
  2. Minimal fetal monitoring and preferably with a Doppler only.
  3. Freedom of movement throughout labor (stay out of bed, use it as an active tool rather than as a place to lie down. Stay upright during any necessary monitoring.)
  4. Push with the urge in whatever position works best for me (NO coached, directed, or “cheerleader” style pushing).
  5. Baby immediately to me. NO separation.