Giving birth draws you deep into your body, yet you’ll depend on others to get through it. Whether you have a brief labor eased by an epidural, deliver on all fours in your own living room or have an unplanned C-section, what matters most is how you are cared for and if you are listened to by your providers. The best way to advocate for yourself in the delivery room is to begin the process well before your swollen feet ever step into the space itself.
It is possible to get compassionate, respectful care from many kinds of providers — midwives, obstetricians, family physicians and nurses — and in settings including hospitals, birth centers and your home. But, according to a recent international survey, up toone third of womenexperience some trauma during birth, which means that at some point during labor, they felt that their emotional well-being or even their — or their babies’ — lives were under threat. And according to the latestListening to Mothersreport, one in four American women who underwent either labor induction or a C-section reported experiencing pressure from a health professional to do so.
(Click to read this great piece by Angela Garbes on nytimes.com)
Any woman who has ever carried and birthed a child, in whatever fashion, deserves her own ESPN highlight reel — blood, sweat, tears and the eventual triumph of holding her newborn baby. To be clear, childbirth isn’t a game. You can’t plead with the referee when you don’t like a call or leave the field when you’re tired.
Still, as a lifelong athlete, I saw childbirth, especially an unmedicated one, as the ultimate challenge of physical endurance, mental stamina and my ability to handle pain.
When I became pregnant in January 2018 and set about preparing for the monumental task of birthing a human, I loaded up on prenatal vitamins, kept a daily routine of birthing stretches and exercises, and endured an eight-week birthing course. An image of the lead female competitors in the New York City Marathon, who bring me to tears when they run past my Brooklyn apartment each year, filled me with confidence for labor. Washboard-like abs. Lean legs showing off every strand of muscle. Calm, focused and confident expressions on their faces.
However, as my due date came near, I clung to a fear of pain and the unknowns out of my control. How long would my labor be? Would my mind fall apart? What if my pelvis wasn’t the optimal shape or I stopped dilating?
OBs play very influential roles in women’s lives during pregnancy, childbirth, and postpartum. Having the right or wrong person at your birth can make or break your vagina. Literally. Unfortunately, sometimes the doctor or midwife a woman chooses in thefirst trimesterturns out not to be such a great fit as pregnancy progresses. But how should you know when it’s time to fire your OB or midwife? Glad you asked.
I gave birth seven years ago in a Boston-area hospital where I generally consider the care to be excellent. I arrived near the end of my labor, my cervix almost fully dilated. After an hour of moving freely around my hospital room, my midwife and labor nurse said, “It’s time for you to get into bed now.” And then they said, “Let’s have you get onto your back.”
Even though I had read the medical research that found that lying supine carries risks to a fetus — which is why pregnant women are advised not to sleep on their backs — I behaved like any woman in the suggestible state of labor: I did what I was told, though it went against my instincts and my preference.
(click link at top to read the blog post on wbur.org)
For more than 60 years, it has been the standard of care to try to speed up childbirth with drugs, or to perform a cesarean section if labor was seen as progressing too slowly.
Now a new set of recommendations is changing the game.
In February, the World Health Organization released a set of 56 recommendations in a report called Intrapartum Care for a Positive Childbirth Experience. One key recommendation is to allow a slow labor to continue without trying to hurry the birth along with drugs or other medical interventions. The paper cites studies showing that a long, slow labor — when the mother and baby are doing well — is not necessarily dangerous.
A little history is required to understand the importance of that one recommendation, says Dr. Aaron Caughey, chair of the Department of Obstetrics and Gynecology at Oregon Health & Science University, who did not work on the report. In 1955, Dr. Emanuel Friedman studied 500 women and concluded that labor is normal when, during the intense phase of contractions, the cervix opens at a rate of at least one centimeter (about 0.4 inches) an hour. “Dr. Friedman showed that 95 percent of women progressed” at this rate, says Caughey. “And that became the standard of care.”
When I read the January 11thNew York Times Well blog, titled When A Big Baby Isn’t So Big, I looked back on my career as a labor nurse and thought, “Yep – happens all the time.” Predictions for a “too big baby” were among the most common reasons I heard from women admitted to my labor unit for induction of labor or scheduled cesarean sections. In most cases, once the baby was delivered, either vaginally or surgically, they weren’t all that big after all.
The New York Times blog is centered around a recent study based on Childbirth Connection’s national survey of 1,960 new mothers, called Listening to Mothers III. The survey indicates that four out of five mothers who were warned they might have large babies gave birth to infants who were not large, and weighed less than 8 pounds 13 ounces (which defines macrosomia – a larger than average baby). These mothers were almost twice as likely to have interventions like medical induction of labor or attempt to self-induce labor, presumably so their baby wouldn’t get too big to deliver vaginally. They were also nearly twice as likely to have planned C-sections, though as the blog mentions, researchers say that increase fell just short of being statistically meaningful.
(click link to read the blog on the Every Mother Counts website)