Hi,
I had my 2 DDs in the UK and my DS here in Spain (Cordoba). Although I found the antenatal care to be better in Spain (e.g. certain tests as standard like Group Strep B plus a 36 week scan), I found the birth to be not a great experience. Having said that, I am pg with my fourth now, so it can't have been that bad.
The main problem for me is that they treat birth as a medical procedure. This means that you do things at their speed and their say-so. For example, my contractions weren't progressing as fast as they wanted. As I'd only been in labour for a few hours (went straight to hospital when I woke up feeling contractions as DD2 was born only a couple of hours after the same happened in the UK)I wanted to wait and let my body get itself going. They were very against this and wanted to give me syntocin to get things going straight away but, as it was my third, I was quite stroppy and said no. So they told me that it was my right to say no, but I couldn't stay on the maternity ward and would have to go to another ward. That was fine but the baby wasn't monitored there. I didn't mind that but it was quite scary signing a waiver saying that I was leaving the mat ward against doctors' instructions and I did so at mine (and my baby's risk) not theirs.
Anyway, I returned a few hours later and not much else had happened and they were desperate to give me the syntocin (similar to inducing me). I asked them to break my waters instead as this had happened in the UK with both DDs and I felt more comfortable with that. They agreed on the understanding that if nothing happened in 30 minutes they could give me syntocin. I was so desperate just to get on with things by then that I agreed. Within 20 minutes of taking the drug I was in real pain as the contractions come on really fast that way, without a chance for your body to naturally release endorphins. The TENS machine, which I used for both DDs, didn't feel like it was up to much!! Anyway, he was born a few minutes later. Thank goodness.
I just didn't really like their attitude, that they knew best. They were almost all men and seemed quite oblivious to the whole natural birth thing.
Having said that, there was no pushing on the stomach (how barbaric!), no enemas, no shaving, none of the real horror stories I'd read. They delivered DS straight onto my stomach rather than taking him away from me (something else I'd heard about). But they did send DH out at just about every painful moment (e.g. when examining how dilated I was) just when I needed him there. Also, after the birth I was sent for observation (standard procedure there) for two hours with the baby and DH wasn't allowed in the room with us, which I thought was a bit uncalled for. They wouldn't let me sit up in bed to breastfeed DS, told me I had to do it lying down (during the observation period), but I refused (history of difficulty breastfeeding which I didn't want to get off on the wrong foot this time)so they reluctantly agreed.
Re the TENS machine, I bought mine from Blooming Marvellous in the UK. Also, they don't tend to use gas and air here or pethadine, it's epidural or nada.
Hope that helps a bit. Sorry if it sounds negative. I believe your best defence is to be prepared (and stroppy!)so I hope you don't mind me painting this picture. As I said, I'll be doing it all again next year. Feel free to ask anything else (if you get this far - bit of an epic, sorry!)
Julie