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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

to be annoyed that women who give birth naturally without pain relief are always told they "did really well"?

169 replies

Fishandjam · 07/12/2011 13:30

In brief, this is my gripe. I was induced as an emergency at 38 weeks due to sudden, severe pre-eclamptic liver failure. As you might expect, a fully interventionist birth followed - straight to large doses of drip syntocinon (no messing about with pessaries ? time was of the essence), not allowed to get up from the bed (due to monitoring), unbearable contractions, epidural, episiotomy, forceps. My baby, however, was fine, as was I (eventually).

There was nothing whatever I could have done about the way the birth went. I was exhausted from the liver failure (anyone who has had that will know just how depleted of energy you get). I couldn?t have an active labour due to the need for monitoring, and lying flat on your back makes for very painful contractions ? and the medical staff were only too happy for me to have an epidural, as they weren?t at all sure I?d have the strength to actually birth the baby without a C-section. Forceps were always going to be necessary, due to lying on my back and therefore effectively having to push the baby uphill. But I ? we ? coped, and all was well in the end.

So why do women who are lucky enough to have a normal, active labour, without pain relief other than G&A, and no interventions, get told that they ?did really well?, when people like me are not? I heard so much of it on the post-natal ward, from the midwives themselves as well as family/friends of other newly delivered mothers. Given my circumstances, didn?t I do well too? And why not for emergency C-sections also, where the woman has to go through the trauma of unexpected major surgery?

It just seems to reinforce the idea that childbirth is a competitive display of physical prowess, and that those of us who need medical help to give birth safely have somehow failed. When to me, it seems to be the luck of the draw.

OP posts:
redexpat · 07/12/2011 13:51

It also seems to be quite a British thing. I've only received these kind of comments from friends and family back home. Although I think Brits tend to be quite hung up on the birth itself. I've read so many threads on here about the kind of birth people want to have, and we never even discussed it in antenatal classes here. Here is Denmark it's much more relaxed and everyone does what they have to do to get a baby out. But I've always thought it an odd thing to say - no one ever says well done for having your appendix out do they?

AMumInScotland · 07/12/2011 13:51

I think you're reading a bit too much into it "You did really well" just means "That was a good thing" or "I'm happy for you that it was straightforward" or just "congratulations for getting through it safely".

I'd hope that the midwives, and your family later, said positive things about how you coped with your labour, how good it was that you were both through it safely etc.

I don't see that these sorts of comments are meant to be competitive, or to denigrate the experiences of those who have needed more intervention. It's like saying "A boy - how lovely" - not meant to say having a girl would be any less lovely, just being positive about whatever happened.

FWIW I didn't hear a single criticism of my labour, or any complements for anyone else's (one night only, single room, left first chance I got!). But I still had problems dealing with my inability to push out DS without significant amounts of intervention - that was about my expectations, not anything anyone else said or did. I thought it was meant to be straightforward, and it wasn't. But I'd be happy to say "Well done" to anyone who has given birth in any way.

monkeyLFDTwench · 07/12/2011 13:52

First birth: twins, elective c-section early because one of the babies had died.
Second birth: textbook VBAC, gas and air only.
Third birth: tried another VBAC, ended up with a crash c-section under general anaesthetic.

All three births very, very different from each other - and to look at my three sons you wouldn't tell which was which!

I don't think people mean any harm when they say "well done", I've said it myself when people tell me what kind of birth they have because I can't think what else to say Smile.

Bonsoir · 07/12/2011 13:53

I gave birth with no pain relief and did everything I had been told to do in the preparation for childbirth classes to ensure it all went as well as possible. Frankly, after all that effort, a bit of praise made me feel better about the train wreck I felt like!

JaneBirkin · 07/12/2011 13:54

I get what you're saying and I agree mainly.

I had an interventioned birth the first time, not long, only about 8 hours and almost a section, almost a ventouse but for my mother standing there telling the doctors to give me a chance. I did have an episiotomy and I put it down to the epidural which I wished I hadn't had as they then strapped me down and left me there while ds got into difficulty...no one noticed till my mother woke, ran and grabbed them.

I loathed the entire experience of being patronised, laughed at, done things to I didn't know would happen, made very ill with the drugs, refused having ds in my bed or to carry him as it was against their rules, it was horrific.

And that's me as one of the luckier ones that got out the next day with a healthy baby.

Second one was at home, very quick (3 hours ish), no epidural, no drugs, no G&A, nothing. And it fucking hurt! I remember being told I had done so well, when I was lying there having just been brought back from a PPH situation which almost had me transferred and feeling like I'd been crushed by a truck. I thought I would never feel alright again, it was that awful.

But I did and I am ok and so are both children.
I think congratulations are always in order as is whatever support is necessary to overcome the trauma of birth.

I had to have a few debriefs about the second labour and birth as I still felt like I'd failed, cheated, got it wrong. Just as I did after the almost painless first birth.

I don't know what it is - maybe a hormone crash, I dunno. Just it was an overwhelming sense of failure, horror and sadness. Both times. I'm not proud that I had no pain relief - I think I was stupid! Smile but then again to have coped, somehow, or even not really coped but simply to have survived that level of pain makes me wonder how strong humans must be. It's weird.

Fishandjam · 07/12/2011 13:58

damnbamboo, I have thought about moaning to the NCT - and not only about their "the only way is natural" stance, but also their breastfeeding class (which is a whole other rant, and DEFINITELY one which I find traumatic).

grumple, it's funny but I really don't feel that angry, not for myself anyway. (Though I know my writing style tends toward the pithy, so maybe that's why it comes across that way!) This is kind of like therapy though :)

peppa, I guess I really feel that ALL women who give birth "do really well", no matter how it happens. It's such a huge physical and emotional thing to do, I can't think of anything else in my life which has even come close. At the risk of sounding like a right old bra-burning feminist, it's made me feel part of the sisterhood! (With all its bitching and backbiting - after all, sisters don't always get on...)

If all goes well, DC Mark II will be rolling off my assembly line in late June 2012 - and the birth will be what it is.

OP posts:
PeppaPigHostage · 07/12/2011 13:59

Amuminscotland I have to say that the 'you did well' comments that I had, when in context of the full conversation weren't at all like "that was a good thing" or "I'm happy for you that it was straightforward" or just "congratulations for getting through it safely".

It was a well done for not needing pain relief, well done for being tough enough to just grin and bear it and 'aren't epidural rates high now, and they do them all the time now' type comments.

Of course, I haven't heard any criticisms of less straight forward births, but how much of a bitch would someone have to be to say 'well, thats a bit crap that you gave in and had an epidural'??

{disclaimer: I in no way think having an epidural is 'giving in', just reflecting what was inferred during the conversations I have had}

grumplestilskin · 07/12/2011 14:01

OP the NCT are now called the national childbirth trust, originally they were the natural childbith trust, so if you want no baised towards natural then that is simply not the place to look, no harm in it being there though!

thefurryone · 07/12/2011 14:01

Well I had an induced labour, opiate based pain relief and a ventouse delivery. I still got told I did really well. So I don't think it's just those that are fortunate enough to have pain relief free, natural deliveries that get praised.

Are you sure you're not actually just putting your own feelings about your labour onto other people? It's the kind of thing I do all the time.

thefurryone · 07/12/2011 14:04

Oh and while I'm thinking about it how many women actually give birth without any pain relief? I also had plenty of gas and air and that sure felt line pain relief to me

RockingBEYONDtheXmasTree · 07/12/2011 14:05

YANBU.
And I'd like to add "How lucky" to having a quick labour. Hmm

Fishandjam · 07/12/2011 14:07

furry, I really don't think I am - TBH I was so bloody scared when they told me my liver was failing (ALT levels of 4000+, anyone?) and that the baby might die if it didn't come out PDQ, I would have agreed to them chopping my leg off if it would have meant we were both safe. I confess I did have a birth plan which said active labour, no episiotomy etc etc - and I was happy for it to be totally ignored. And I freely admit I couldn't stand the pain of the contractions - another woman might have managed them, I don't know. I don't feel like a wimp for it, and it angers me that other women do end up feeling like that. I know they do, I've seen them.

grumple, that explains all!

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aldiwhore · 07/12/2011 14:09

YANBU to feel that if you haven't done it drug free then you must be a failure. Because I did. And I was a little upset with the 'you did so well drug free' comments of various midwives to my neighbours in the ward.

BUT YABU. Because honestly, we ALL did well!! I had every drug going, I have a high pain threshold but things don't always go to plan. I did bloody well to cope as well as I did. It wasn't the waterbirth and whale song I was hoping for, but under the circumstances I did well. AS did my neighbours who did it drug free!

There is a difference between a birth going well and someone DOING well, but not let it bum you out too much, people do have foot in mouth afflictions don't they?

Fishandjam · 07/12/2011 14:12

aldi, I am in violent agreement with you on the subject of us all doing well!

OP posts:
PeppaPigHostage · 07/12/2011 14:12

Thefurryone No idea, I don't think I know anyone who did it with no relief at all. I guess some do, some by choice and some because they don't get to hospital in time to have anything. I've been told I had natural births, but they weren't, I had pain relief.

DD1: Arrived at hospital, given 2 paracetamol, later used G&A for transition stage and then actual birth nothing.

DD2: Had G&A from transition stage, nothing for the actual birth but then G&A for stitches.

I think a lot people don't count G&A as 'pain relief', they are thinking of pethidine and stuff, likewise I doubt many would give much thought to the paracetamol I had. But it definitely was pain relieving, thankfully!

chunkythighs · 07/12/2011 14:12

Ah op don't worry, you did a hell of a lot better than me! I had an elective section because I wanted one. As my waters broke 3 weeks early I didn't even get a twinge much less a contraction! Xmas Smile

Leaving the hospital with my beautiful healthy son I felt like such a failure Xmas Grin!!!!

I was happy and my son was healthy- We both did so well we kicked ass!!! (I'm my humble opinion of course).

Fishandjam · 07/12/2011 14:15

chunky, no I didn't Wink - it was just different! (I'm in awe of anyone who voluntarily goes for the sunroof option anyway!)

OP posts:
PeppaPigHostage · 07/12/2011 14:15

Aldi 'Foot in mouth afflictions' Yes, that is it entirely!

Pagwatch · 07/12/2011 14:16

I think you are reading way to much into it.

People want to reach for something positive and encouraging to say. I had quick births and no drugs and people say 'oh how fantastic'.
I could be curmudgeonly and say ' oh you fucking think so. You try giving birth via contractions that hit you like a train from the very start with the whole thing so fast, so out of control that you have no time for anything. I wanted drugs - there was no fucking time so every cut was drug free and when I had dd I genuinely thought I was dying'
But instead I say 'yes, it was quite lucky'

Because they are just being polite.

hazeyjane · 07/12/2011 14:19

I don't feel like a failure particularly, but I do feel as though I am a bit crap at childbirth (oh and breastfeeding too!) Have had 3 goes and each one was pretty horrendous!

Each time, the people that matter have said to me, 'well done, you're amazing'. I don't really care about anyone else.

Fishandjam · 07/12/2011 14:20

Ooh pagwatch that sounds grim. And yes, I do know that people are trying to be polite. I can forgive it in the lay population, but it seemed a bit off for midwives to be saying it.

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scrappydoodah · 07/12/2011 14:21

I think it is ones of those things one says when one doesn't know what else to say iyswim. I never know what to say, especially after someone has totally grossed me out with a long and detailed account of what bits were cut, and when, and how many stitches, and where.

Birth is never easy, but I am sure I am guilty of a rather relieved 'didn't you do well' when there hasn't been a gruesome narrative to sit through.

Hats off to you ladies who have been through it. You all did great!!!!

JaneBirkin · 07/12/2011 14:22

'And I freely admit I couldn't stand the pain of the contractions - another woman might have managed them, I don't know. I don't feel like a wimp for it, and it angers me that other women do end up feeling like that. I know they do, I've seen them.'

I couldn't stand it either. I think I screamed more than was strictly necessary, I just didn't know what else to do. Staying quiet might have worked as well in hindsight.

I didn't have time for an epidural as he was nearly born and we were 45min drive from hospital. I did ask for one. The Irish midwife looked at me directly and said 'there's two answers to that question. Bob Hope, and no hope.'

Fishandjam · 07/12/2011 14:22

scrappy, I hope you say it in a Bruce Forsyth accent! Grin

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JaneBirkin · 07/12/2011 14:23

Pag - me too. Exactly.

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