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Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Am I crazy for wanting a natural child birth?

295 replies

Evianontoast · 04/11/2021 17:22

Hi. I'm 31 weeks and starting to think about my birth plan with my
first baby. I've never really been one for taking any kind of drugs - I don't even take paracetamol (I also don't drink alcohol or caffeine, and haven't done for years, even before I was pregnant. Not really sure why, I just don't like the idea of it).

I really feel like I'd feel better going in to birth with a plan to not have any pain relief if I can help it. I understand that many people feel this way and end up with the pain relief in the end (thank goodness it's available if you need it). But whenever it comes up in conversation with anyone, I get the "just you wait!" attitude.

Am I being completely naive? I really think I can do it without it but maybe that's just first time mum naivety? Anyone else do it with no drugs? Do you regret it/ are you glad you did it?

Thanks in advance.

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Livpool · 05/11/2021 14:12

@Glassofshloer

I think you should gone down what is specifically about drugs you don't like

I genuinely think most women are fine with pain relief but don’t want it because they want the crunchy birth points; and nothing will persuade me otherwise.

I don’t know a single person who hasn’t accepted pain relief for operations, appendixes being removed, broken legs etc.

I agree with this.

I ended up with an EMCS and thank god I was in hospital with all the drugs and doctors/surgeons

A few people at baby classes (DS is now 6) asked if I wished I had done things differently - if I DS would have been dead, and likely me too

MarshaBradyo · 05/11/2021 14:14

I don’t know a single person who hasn’t accepted pain relief for operations, appendixes being removed, broken legs etc.

Well sure. It still didn’t impact on my decision for the labour

‘Crunchy birth points’ or whatever is just stupid.

Augustbirthdays · 05/11/2021 14:21

I planned for no pain relief in my head and I didn't write a birth plan as I had no idea what to expect or what would happen the first time. I had two water births and nothing else. Third time I was induced, it was excruciating. You don't know how you will feel or how the pain will hit you. Water and deep breathing worked for me, but the next person would think that was hell on earth. So no one can advise you as only you can feel it.

Livpool · 05/11/2021 14:38

To all the posters saying it is what our bodies are made for - so before medicalisation- why did so many women die in childbirth? And still do in places with limited maternal medicine

I don't think you're wrong but 'natural' doesn't always mean better. Cancer is 'natural' but most people have treatment

MrsTerryPratchett · 05/11/2021 14:49

Exactly @Livpool

Around 1870, maternal mortality ratios in most of what now is the industrialized world were above 600 per 100 000. For some of the countries – such as Sweden, USA, England and Wales – detailed time series are available. These show different patterns of reduction. Swedish ratios started dropping as early as 1870, to stabilize at 250–300 per 100 000 around the turn of the century; at that moment England and Wales still were at levels of 400–450 and the United States of 600–800, and they stayed there for another four decades (Figure 2). This period of stagnation was followed by fast reduction, between 1937 and the end of the sixties, which brought all these countries to the current low level of around 10 per 100 000. From onlinelibrary.wiley.com/doi/full/10.1046/j.1365-3156.1998.00310.x

Give me the interventions, thanks.

MarshaBradyo · 05/11/2021 14:52

I’m glad interventions exist when required, of course.

But for the birth where no induction was needed I wanted to avoid escalation of intervention if possible.

For the induction and epidural I was prepped for C section. It didn’t happen as I just managed to push. But it was one reason for going for natural birth.

Also I know I have medical care there if needed. As back up, no issue with that.

PlanDeRaccordement · 05/11/2021 14:53

@Livpool

To all the posters saying it is what our bodies are made for - so before medicalisation- why did so many women die in childbirth? And still do in places with limited maternal medicine

I don't think you're wrong but 'natural' doesn't always mean better. Cancer is 'natural' but most people have treatment

It wasn’t from the pain....pain cant kill you.

Vast majority died due to postpartum infection/sepsis. Referred to as childbed fever. Caused by midwives/doctors not washing their hands or using any basic hygiene practices like sterile instruments, clean place to birth, clean water for washing mother afterwards, etc.

Livpool · 05/11/2021 15:03

No @PlanDeRaccordement that is a fair point. I think my own views are affected by DS' birth that genuinely needed a lot of medical intervention

PlanDeRaccordement · 05/11/2021 15:16

@Livpool
To be fair we are all biased by our real life experiences. Medical interventions do save women’s lives in childbirth every day, and should not be sneered at. But neither is a birth with no pain relief drugs impossible...some women want to birth that way and then are lucky enough to be able to (including me...I know I am lucky!)

The kind of birth we get is mostly down to luck for those of us wanting to try for vaginal birth. And some women are not comfortable to gamble like that, because even though there are risk factors and statistics blah blah, there is still an element of chance and for them there is elective c-section to choose.

MrsTerryPratchett · 05/11/2021 15:27

Actually pain can kill you.

That aside, deaths in childbirth absolutely were a result of head circumference and pelvis size, not just infection post.

Ozanj · 05/11/2021 15:31

@Evianontoast

Hi. I'm 31 weeks and starting to think about my birth plan with my first baby. I've never really been one for taking any kind of drugs - I don't even take paracetamol (I also don't drink alcohol or caffeine, and haven't done for years, even before I was pregnant. Not really sure why, I just don't like the idea of it).

I really feel like I'd feel better going in to birth with a plan to not have any pain relief if I can help it. I understand that many people feel this way and end up with the pain relief in the end (thank goodness it's available if you need it). But whenever it comes up in conversation with anyone, I get the "just you wait!" attitude.

Am I being completely naive? I really think I can do it without it but maybe that's just first time mum naivety? Anyone else do it with no drugs? Do you regret it/ are you glad you did it?

Thanks in advance.

Be careful with this. Women with high pain tolerances tend not to recognise early labour signs appropriately (I am one) and so your body might go 0-1000 during the second stage. & by then you may not be able to get anything except gas and air. Best thing to say is ‘I would like everything’ and then decline it as your labour progresses.
Livpool · 05/11/2021 15:43

Thanks@MrsTerryPratchett

FartnissEverbeans · 05/11/2021 16:16

That’s interesting. I’ve always thought I had quite a high pain tolerance. I couldn’t feel early contractions at all, and put off pain relief because I felt alright. Then suddenly it was horrific and I was too late for an epidural. I’be always found it hard to understand why my experience was so bad when generally I’m good with pain, having had a painful chronic condition since I was a child.

Chasingaftermidnight · 05/11/2021 16:26

Well you certainly aren’t weird for wanting it - I think most women want a straightforward vaginal birth with a manageable level of pain and no interventions. But it isn’t a guarantee.

There is basically an entire religion built around the idea that the agony and danger of childbirth must be woman’s punishment for something.

Ozanj · 05/11/2021 16:34

@FartnissEverbeans

That’s interesting. I’ve always thought I had quite a high pain tolerance. I couldn’t feel early contractions at all, and put off pain relief because I felt alright. Then suddenly it was horrific and I was too late for an epidural. I’be always found it hard to understand why my experience was so bad when generally I’m good with pain, having had a painful chronic condition since I was a child.
I have endo and pcos which gives me horrific period pain so I have an amazing tolerance but it was only afterwards that a consultant sat me down and said that makes me at risk of suffering more pain during labour. My sister who always had painless periods was able to manage just fine and didn’t even use gas & air though she did tear really badly.
Crunchingleaf · 05/11/2021 17:09

Nothing wrong with going drug free. Some women can handle it without pain. As long as you go in with an attitude of accepting that you don’t have full control over what happens. My son was delivered by Forceps as I just couldn’t push him out. It turned out he was too big for me to birth without intervention. Even with an epidural I found being stitched afterwards very painful ( sometimes epidurals aren’t very effective).
I am having baby number two any day now and am again taking the attitude of seeing what happens with regards pain relief etc.

wertheppl · 05/11/2021 17:34

Have an open mind because oh my god it hurts so much, more than u imagine. I knew it would obviously be painful but it was just on another scale for me straight from the start. Although I was enduced on the drip with a back to back baby. Although second labour was just the same!

Do some research about different types pain relief just incase u need it. That way u are well informed of what they have and how it works.

ZingDramaQueenOfSheeba · 05/11/2021 17:39

@Crunchingleaf

it's not that epidurals are not effective.
but the MWs try & gauge how to wean you off as you are progressive towards full dilation transition.
it's actually easier to push when you have pain because you know where to push and this is the part where I believe that you/your body just knows what to do of you are not fully numb!

With my last 3 (DS5, DD, DS6) they helped me do exactly that, they epidural was made to "run out" (for want of a better phrase) and so I was properly in control.
I still had G&A in between contractions and being able to switch between less pain more pain helped me sustain my focus.

Being stitched up is a whole other hell.
I had 3rd degree tears with DS5 and they had to use different types of stitching methods - I did comment that I feel like a final exam piece on an embroidery course🤣
I was solidly back on the G&A by now.

PlanDeRaccordement · 05/11/2021 17:47

Do some research about different types pain relief just incase u need it.

I did this and definitely recommend it. Although I planned a drug free homebirth, I also planned for transition to hospital, researched all the pain relief drugs, all the interventions up to emergency c-section that I might need.

Obviously it wasn’t so I could have a long debate with a midwife or doctor...because you get to a point where you are not really all there cognitively. But to me knowledge about what might happen, the points where I have choices, it was more comforting to me than going in blind.

user3193 · 05/11/2021 18:00

@wertheppl

Have an open mind because oh my god it hurts so much, more than u imagine. I knew it would obviously be painful but it was just on another scale for me straight from the start. Although I was enduced on the drip with a back to back baby. Although second labour was just the same!

Do some research about different types pain relief just incase u need it. That way u are well informed of what they have and how it works.

This.

Absolutely give it a go it's your choice. But just be aware of how unpredictable labour is. I had contractions 3 in 10 for 60-90 seconds for over 70 hours. Babies head was sideways in the birth canal so I wasn't progressing quickly and I was exhausted and blood pressure going through the roof. Needed an epidural to bring my blood pressure down.

Hope everything goes well and you get the birth you want OP, just make sure you have an open mind on different options. Either way you will do amazing.

Snoopy28x · 05/11/2021 19:04

😂🤣😂🤣😂 I immediately regretted it once I said it... your shudders are justified!

Bigchicken · 05/11/2021 20:40

Why do you want to do it without pain relief? What's your motivation? Talk to your midwife about the different types of pain relief so that you have a better understanding. Pain relief is not a bad thing, it's there because women need it.

Some will have a quick, painless birth where it's a joy and baby just pops out. However, others might have a long labour, large baby, back to back, slow dilation, etc. Pain is not in our control!! And nobody should be made to feel like they did something wrong because they needed pain relief. Guilt tripping at its worst. Pain relief and medical interventions save lives of both babies and mums. We need to celebrate the medical help available, not demonise it as 'artificial' or as signs of weakness or failure on the part of the woman.

Whatiswrongwithmyknee · 05/11/2021 21:09

We should not just consider whether women used to die because of the pain (which I think they can if you go into shock), it's also about the bonding with the baby. Severely painful labour can impact on that. Ultimately a woman should never be made to feel guilty for having pain relief and ideas about it being 'the most natural thing' can sound dangerously judgemental.

musicalgymball · 05/11/2021 21:31

I just did my first antenatal class and they said the epidural rate for first time mums was about 50% and for subsequent births around 20%.

So it's not actually that high.

BertieBotts · 05/11/2021 22:27

The benefit of not having the placenta jab is not having to have an injection :o If I'd had an epidural maybe I would have had it because I wouldn't have been able to feel it. But then again I tend to get lingering pain at injection sites so I might have said no anyway.

After birth I was really incredibly antsy and wet about people touching me/doing things to me and particularly anything that hurt, like a needle. I needed stitches for my first birth and I whined so much about it even after 4 local anaesthetic injections I think the doctor wanted to tell me to get a grip Blush then for the third they were looking for ages to try and work out if I'd torn or not and I was insistent that I hadn't and they should stop (they didn't; I hadn't). Second was fine but they basically left me alone as DS2 had breathing issues so they were more worried about him. Also with the third, they subjected me to the bastard that is fundal massage at that birth which I was very very pissed off about and complained about a lot - (this was in Germany, I know it's not standard practice in the UK).

Also this (sorry Shloer, I don't mean to single you out, you just have interesting points to respond to)

I don’t know a single person who hasn’t accepted pain relief for operations, appendixes being removed, broken legs etc.

This is absolutely true - but I don't see it as the same situation at all.

When you have an operation it's a very calm, planned event and you are able to reasonably know pretty much exactly how it will go beforehand so it's easy to make decisions and weigh up different options for pain relief. For example I severed a tendon in my finger and was able to choose local or general. Also it is generally quite important that you stay still and aren't thrashing around and screaming with pain :o so some kind of pain relief is useful for that. Labour isn't something being done to you, it's something that you are doing so you don't really need to stay still. In fact it can quite often help if you don't.

On the other end of the scale a broken leg is an emergency, and I'd be making my way to hospital ASAP and after any pain relief as soon as it was available. Also, unlike labour the pain won't go away until the injury is fixed (and even then not immediately). When you give birth the pain pretty much stops as soon as the baby is out, and that will happen at some point (or else you'll have pain relief for whatever procedure is used to help the baby out). So it is an option, albeit not a very comfortable one, just to wait it out.

In labour, there's a really long drawn out bit where you're coping at home without any pain relief options at all. They won't even GIVE you the pain relief until you're really into labour and it's well established etc - by which time you have already been coping with it for several hours using whatever methods and the pain relief options you have all have various downsides. Epidural is meant to be the bees knees but you've got to be absolutely still and calm and listening to instructions while they insert it and it's also not like you can ask for it and then instantly get it. You have to ask for it and then they have to notify the anaesthetist and you have to wait for them to be free and then wait for them to come into the room and introduce themselves and if you haven't done the paperwork in advance you have to do it then and there, and they often want you on a monitor for a bit if not for the whole time, all of this while contracting and all that time you can't use any of the other stuff that really helps such as vigorous movement or being in water or just kind of somehow going into a deep inner space (which is so absolutely not me, but somehow something I did in births #1 and #3 at least for part of it in the middle). And then when you get it you can't move around which is a bit freaky (though I'm 100% sure I wouldn't care about this if it took the labour pain away). But there is also a chance it won't work or will only partially work which seems like a massive gamble.

Opiates seem nice and easy to get, and at some point the labour pains definitely outweigh fear of needles, but I was a bit wary of the fact that you can't have them too close to the end of labour so basically just at the point the contractions are getting unmanageably strong it has to wear off, and then you can't have any more but you also might not have any coping mechanisms because you haven't been doing them for the last 4 hours or however long it lasts. TBH the thought of it going away and then coming back and starting again is absolutely terrifying, much worse than it just keeping going without a break. If I ever had twins I would absolutely have opted for a c-section as I can't imagine anything worse than crowning and then having a break knowing you have to go through crowning again in a few minutes' time! Although I liked the idea of a "pethidine rest" where they give you something like that so you can sleep/relax/recharge during a really long drawn out labour before the pains get to the insane level - mine were like that, although it wasn't something I was offered.

Gas and air was lovely but I liked it much better in the UK. In Germany it was treated as this overtly medical thing so I wasn't allowed to have it in the pool, I had to be on two different kinds of monitor and I was put on a bed on my back and I couldn't be arsed to argue with them at that point, I just cooperated to get the drugs and then the thought of getting down was just too complicated so I carried on up there. I did consider having an epidural at that point, but to be totally honest the idea of having to wait for the anaesthetist was killing me so I went with the instant gas and that was about enough until the end.

It wasn't really that I didn't want pain relief in my labours, but that the process to get the pain relief seemed to be quite complicated and actually it sort of helped more just to try and focus on getting through the contractions until the point that they became unmanageable.

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