"given the risk of natural options is they may not work - might have been helpful."
Yes. Also pain relief doesn't work for everyone. About half of women who have pethidine find it ineffective. About one third have a very negative reaction to it - nausea, disorientation etc. And for one in ten women the epidural won't take. Nationally about 10% of women (many more in some hospitals) don't get an epidural when they request it.
So there is a very significant risk that pharmacological pain relief won't provide all the answers for many women.
" Unless you totally deny that some women suffer from PTSD or have bad birth experiences or have a morbid fear of childbirth"
Though interestingly enough the key factor in PTSD and poor birth experiences generally isn't primarily the degree of pain the mother suffers - it's about the quality of care, the degree of control she has, and the health outcomes following with birth.
For low risk mums the lowest rates of PTSD and negative birth experiences are associated with birth settings where there are restricitions on the type of pain relief available. Interesting doncha think? And that's even when you factor in all the women who book to have their babies in these places but end up transferring to a CLU for an assisted delivery, epidural or c/s.
I agree with you though - it's how it's put. Glass half full or glass half empty.
Intervention rates are INCREDIBLY high among first time mums in their 30's - and of course this is the NCT's main client group. I do a bit of doula'ing and know some NCT teachers through this. I get the feeling some of them become a bit crazed by seeing all their healthy, low risk mums going into hospital to have their babies, having taken such good care of themselves all through pregnancy, then get crap care, ending with two thirds of them coming out having experienced one or all of the following - episiotomy, third degree tears, forceps bruising, postnatal infections, c/s etc, etc.
Sorry - that's not very encouraging. But it's the truth. Best be realistic and prepared no?