normal physiological childbirth!
Dear Kelly
I am in NSW and I had a normal physiological birth in every sense. In the labour ward (had to coz obstetrician doesn't do birth centre any more as it is so understaffed and chaotic) with husband and doula. Age 37, first child, 41 hours, but I did not go to hospital til I was 5cm. So I must be in the minority I reckon. Anyway I will write heaps more offline and send you a Word doc of my birth plan (ridiculously long-typical first time mum!) if you want. I have lots of feedback for what you wrote. We are NOT prepared for the pain - if it wasn't for the doula I would have crumbled and begged for gas at least. I did however read all Ina May G's books so knew about the Law of the Sphincter ;)
The only thing I would change this time (due Dec) is to have the oxytocin to help placenta as my body was so tired that it wouldn't push it out so it was "retained" and I had PPH, light GA (better than an epidural I figured) and it came out easy. This was after waiting 45mins for it to come out naturally. Yes my obstetrician is very flexible!!
Alanna
Drug-free birth in Sydney hospital - no problem
I have thought about this more overnight.
Pre-natal education
I had the good fortune to have Marie Burrows (featured in Saturday’s Good Weekend) for 10 weeks’ prenatal classes in my 3rd trimester. She acts out the labour with all the noises and swearing, with a doll that makes its way down a life-size human pelvis (bones). So I understood the whole toilet cistern thing and the absolute necessity of staying upright or on all fours to help mother nature.
At no point did she assume any of us would have drugs and most of us didn’t. I had labour ward birth, one woman had a home birth and the rest the birthing centre. Most of us in our very late 30s and first-time mums. This is Bondi in Sydney.
Our lifestyles
Re sedentary lifestyle, the knowledge that it could cause a posterior baby got us all moving around!!! Most of us have friends who have endured back labours and we know how hard they are to do drug-free.
To me there is no point comparing the pain with having your feet cut open (or as my sister put it, having both arms chopped off), because it is not a 10minute torture session. It is like a long-distance marathon. If anything, the pain is like gang rape of the most violent kind. But I haven’t been gang-raped so that is equally dumb and insensitive to say. It goes without saying that for the majority of women, labour will be the most violence they have ever experienced in their lives. That is labour. It is excruciating and you can’t control it. It is less excruciating if you distract yourself by walking, rocking etc, and kill time however you can, but I think the most important thing is to relinquish all control – and therein lies the rub for us 21st century “intelligent” women. We don’t want to do that.
Sexual assault survivors
For those women who have been sexually abused as children an therefore have body issues to put it mildly, I don’t think they should try to be heroes and go with a natural birth. I am speaking knowing friends in this situation. The whole letting your body take over thing is way too frightening for someone whose body has been violated/held down at a very young age. If they choose voluntary c-sections, so what. They know c-sections are more dangerous for mum and baby but they go for it anyway. I don't think others should judge them harshly for it.
Crisis of confidence
One midwife told me that at Liverpool hospital (in a predominantly non-anglo part of Sydney, lots of muslim women from middle east), women arrive knowing they can do it, rather than the anglo women who arrive wondering if they can do it. Enough said. I am anglo, over-controlling, eldest child, capricorn etc etc. no wonder it took 41 hours!!!
Birth plans
Midwives also say that the longer the birth plan, the more likely the woman crumbles and gets aboard the intervention rollercoaster! Mine was way too long but because I had a doula, we did in fact stick to it. (no drugs, everyone out of room once bub born etc etc). I guess I was a Category 5, Kelly!