PostingWomen 'unprepared for childbirth'

WomaninLabour_Small.jpg Many women are going into labour underestimating how painful it can be and overly optimistic they will be able to manage without drugs, a study suggests. Researchers at the University of Newcastle found 'discrepancies' between women's expectations of labour - and their actual experiences. In England, around a quarter of women who give birth end up having an epidural, the spinal analgesia which eliminates the pain of contractions, although many did not plan on having one. "Of course it is important to have hopes for how you would like your labour to be. But those involved in providing ante-natal sessions, while listening to these, need to make sure that women are aware of how things may go and help them construct realistic expectations," says Joanne Lally, who led the research. "The problem with some of the courses out there is that they concentrate so much on doing it naturally that inevitably women feel as though they've done something wrong when those techniques aren't enough for them." The BBC quotes Anna Davidson of the Birth Trauma Association suggesting women should be less competitive with each other about how they give birth. "Ante-natal sessions do need to be more realistic - perhaps including women who have given birth and had very different experiences. But mothers themselves need to stop being so gladiatorial about what they managed to endure. We sometimes seem to forget that while childbirth is natural, women in the past regularly died as a result of it."

Posted 20 March 2008 16:53

Childbirth Childcare Health

Comments

iota said:

There are no medals.

Posted 20 March 2008 17:53

Helen said:

Iota, you could be forgiven for thinking so, though.

Posted 20 March 2008 18:27

Juliet said:

Oh I do so agree. My NCT class when I was expecting #1 was just so unbelievably luvvy about it all, but of course we didn't know any better. Only one of the eight of us had births which went 'according to plan' and of course we were all plunged into the deepest gloom of feeling like 'failures', especially when we had to 'confess' to our NCT teacher that (oh, the shame) we'd begged for pain relief and forgotten all our visualisation techniques and turned off the whale music etc etc. And I'm afraid we did rather feel that the one who had been blessed with a swift and untraumatic delivery was, in some sense, the 'winner', and the one the NCT would be bringing in to talk to the next group of hapless innocents as having done it 'properly'.



And then there was the woman I knew who ranted long and loud for years about how the emergency section at the end of her first labour had 'cheated her of the experience of giving birth'. It hadn't cheated her of a healthy live baby, of course (one longed to point out), but she truly believed that it was her 'right as a woman' to be delivered 'normally' and this seemed to take precedence in her mind over all else. I hope she achieved it with #2 and wears the medal proudly. I didn't stick around long enough to find out!

Posted 21 March 2008 12:00

Frog in the Field said:

I have a 'pamphlet' that my mother in law gave me to read.

She had it when she had her first baby (of seven!) 56 years ago. It says 'don't worry about labour pain, it's not very painful and if it hursts a little, you will be given something to stop the pain'

Can you imagine those poor women?? What a shock they must have had!



Nice to see you're doing well, you'll be fine.

Frog

x

Posted 22 March 2008 07:19

Helen said:

Hi Juliet, believe it or not, but for years after James Young Simpson discovered a whiff of chloroform helped women through labour, it was men (medics and clergy) who didn't want women to have pain relief. Women themselves were clamouring and campaining for most of the 19th century for drugs. It was only in the 1960s and 1970s the backlash against medicated labour began, which led to the current lunacy.



Hi Frog in the Field, yes, they must have been in for a shock, but at least they had that blissful ignorance in the run-up to giving birth. Though most of them probably went mad afterwards with the trauma of what they experienced.

Posted 23 March 2008 20:25

Juliet said:

Ah yes, the understandable fear of overturning the 'natural order of things' (as laid down in Genesis: 'in sorrow thou shalt bring forth children, and thy desire shall be to thy husband, and he shall rule over thee'). To relieve pain in childbirth might have had all kinds of awkward side-effects vis-a-vis men's continued ability to rule over women! Obviously far better to hide the chloroform and keep them in their place (apart from the Queen, of course!)

Posted 24 March 2008 18:01

Manic Mother of Five said:

Hmmmm, have had 5 kids, 2 with no pain relief what so ever and 3 with pethidine. Am totally for women have CHOICE. The thought of an epidural scared the wits out of me but that was my choice. Couldn't get on with gas and air as it just made me giddy but I know some mums who have found it really useful. Pethidine was great but was so effective that I really wasn't that interested when baby was actually born. It was more like that's nice, can I go to sleep now. Have to say that "au naturel" worked best for me......

Posted 24 March 2008 18:46

Helen said:

Juliet, oh yes, that's right, the 'curse of Eve' stuff. As the therapists would say, I think it's about time Adam took some responsibility for his own actions and stopped blaming his partner for everything that went wrong!



Manic Mother of Five, gas and air made me feel drunk! Most peculiar sensation sat there in my nightie surrounded by medics feeling I'd overindulged. The pethidine didn't really take the pain away - but somehow distanced me from it, if that makes sense.

Posted 24 March 2008 19:32

Joyfulgirl said:

Ideally I suppose we all want to imagine we can give birth without any medication and interventions. I had no plans to get an epidural until I was in labour for hours and the only thought that kept me sane was not (shame) the arrival of baby or counting to 10 or thinking of beautiful relaxing images but thinking instead of the hours left to when I could get an epidural! I really don't know how anyone can do it naturally but I figure they must have different pain thresholds or have bodies more suited to giving birth than mine seemed to be. Those poor women who never had the choice of any medication-I just shudder to imagine it.

Posted 25 March 2008 15:24

Helen said:

Hi Joyfulgirl, I had an epidural too, and could have hugged the anaesthetist who set it up. All the pain vanished instantly. I know what you mean, sometimes I feel bad about not doing it naturally, but I had hours of that pain you describe and was at my limit.

Posted 25 March 2008 15:38

Helen said:

ps - Joyfulgirl, thank you for all your comments this afternoon! I enjoyed reading them all.

Posted 25 March 2008 15:39

DJ Kirkby said:

What about the 3/4 of women who manage fine without an epidural though? I think women should have whatever pain relief they require, everyone is different with indivdual pain thresholds. Women who are lucky enough to birth at home need the least amount of pain relief, so perhaps the pain threshold is affected by the enironment the women labour and birth in too?

Posted 25 March 2008 16:50

Helen said:

DJ, can only speak for myself here, but I find hospitals enormously stressful in themselves, never mind being in labour. I can't help but associate them with death and illness and get anxious in them. Sure same must be true for many of us.

Posted 25 March 2008 19:48

bushra said:

i have to confess i was one of these oh so optimistic mothers, i did expect to be in a lot of pain, but having been a birth partner for my sister didn't think it would be so traumatic. and i wasn't expecting to go for drugs, but events take their own unknown turn and before i knew it i was administered an epidural, which was refreshed(!) twice before a very heavy shot for my emergency c-section. it might be just me but i really feel the effects of all that morphine seven months later, my legs ain't what they used to be and while i'll be thirty in june i have to admit i feel very disappointed with my body. i do think there should be a lot more education pushed on mums to be, especially first timers so they really are prepared.

Posted 26 March 2008 19:45

Helen said:

Hi Bushra, I didn't feel prepared either, though sometimes I wonder if you can know what it's like before you've been through it. Nowadays I don't like to say too much to first-timers because it doesn't seem right to frighten people and everyone's experience is different - maybe that's an issue for many of us.

Posted 26 March 2008 21:18


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