maybe you’ve noticed that i rarely get on a soapbox, on this blog or in real life. the fact is that i actually do have strong opinions. i just don’t tend to tell people about them unless i think they will agree or at least not argue with me too much. call me wimpy, but i just don’t see any point in arguing when both parties are set in their opinions. plus arguing makes me feel like crying.
but today i am going to write about this opinion of mine regarding pain relief in childbirth. i don’t care if you think i’m crazy or wrong, as long as you don’t tell me
and please, please don’t feel like i am criticizing anyone about the way they have chosen to give birth. i don’t want anyone to feel bad about that. if you really think the way you gave/will give birth was/is right for you, and it is different from my opinion, then just don’t listen to me, ok? ok.
so here’s my soapbox speech.
70%, 85% and 90% are all numbers i’ve seen showing the percentage of women in the u.s.a. who use an epidural for pain relief during labor. go to any baby shower and, when the conversation turns to labor and pain, which it almost inevitably will, you will notice that about the same percentage of guests will advocate the epidural.
epidurals, when administered properly, completely numb you from the waist down for several hours, providing complete pain relief from labor contractions. contractions hurt a lot, i hear. a LOT. women have been seeking pain remedies for labor since the beginning of time. why would anyone want to feel that much pain for that long if they could help it? epidurals, though they can have complications and very bad side effects, are considered very safe. so why not get one?
things that i’ve heard or read that people say when they advocate epidurals or criticize those who want a natural childbirth:
“Trust me, you don’t want to feel that pain.”
“You numb the pain during dental work, why wouldn’t you for labor?”
“You don’t have to be a martyr, you know.”
“You don’t get a medal for enduring the pain, you know.”
“YOU ARE CRAZY.”
“Are you trying to be some kind of macho woman? What are you trying to prove? Whatever it is, it’s not necessary.”
so i’ve gathered from these comments that pain is a very bad thing. people who are willing to endure the pain of childbirth are crazy or trying to prove they’re better and stronger than others. then why do we praise to high heaven the olympic athletes who devote their lives to the pain of athletic training and competition? or the people who climb mt. everest and suffer from frostbite and severe altitude headaches for weeks? the dancers whose toes are constantly bloody and scabby? the marathon runners who go through all that pain just to run a race and say they did it?
i’ve heard people say that purposely giving birth naturally without pain medication is like running a marathon. for months you prepare physically and mentally for the pain, and then you endure the pain and feel very acomplished at the end, and all of this even though you don’t have to.
of course, not everyone wants to run a marathon. i certainly don’t. i have never been an athlete and i feel no competitive urge to do that kind of thing just to prove i can, or whatever. i have no desire to inflict pain on myself. but from all the women i’ve heard talking about their planned natural births, the pain, though painful, is totally bearable, especially if you have a good support person at your side (husband, doula, midwife) helping you through each and every contraction. this means you have to do some planning and practicing. you can’t just say, “I’ll wait and see how I feel during labor, and decide about the epidural then.” you can’t just run a marathon without any physical and mental training. it would be too painful. your body would force you to make the pain stop before long.
i get upset at the “macho woman” accusation. giving birth is one of the most important acts in a woman’s life. it is very personal, and the way she chooses to do it should not be up for scrutiny. if getting an epidural is not wimpy, to be fair, wanting a natural birth shouldn’t be seen as macho. no one should criticize the way a woman chooses to give birth. even if her decision is uninformed, or might possibly be unsafe (and both medicated and non-medicated births are potentially unsafe), it is her choice and should not be criticized, especially after the fact. it does no good.
so why do i want a non-medicated birth? actually my initial decision had nothing to do with wanting to run a marathon. it had to do with two things:
first, my mother gave birth to seven children without any pain medication. it hurt a lot, but it was totally bearable. she never said things like i quoted above. her attitude was something like, “It hurts, but it’s nothing to be afraid of.” and she is not a macho “pain is weakness leaving the body!” sort of person. so i knew if she could do it (and all the billions of women before her) i could too. i grew up with the idea that pain relief is not necessary for childbirth. my sister-in-law Thora also had a similar attitude about natural childbirth, having two young daughters birthed without pain meds. her birth stories and opinions solidified mine.
second, shortly before i got pregnant i learned that the national c-section rate was 30%. i suddenly realized that one in three pregnant women will have c-sections. i was shocked, and really scared! i did NOT want to be sliced open, and have to deal with all the pain of healing the several-inch incision in the weeks after birth. somehow i learned that natural childbirth significantly reduces the chance that the mom will have a c-section. so i said, SIGN ME UP! it’s kind of funny, one of the main reasons i don’t want an epidural is to avoid pain. see, i am a wimp after all!
those were the initial reasons why i got on the natural birth train. after i got pregnant, i started reading and researching more about it (remember the “training physically and mentally for the marathon” idea?) in the past several months i have read HUNDREDS of natural birth stories and watched a handful of videos. i learned that, in most natural births, immediately after the baby is born the mom’s body is flooded with endorphins and hormones that stop all the pain and replace it with intense and overwhelming joy. it is literally like, “painpainpainpainpainpainpainhoursandhoursofpain – EXPLOSION OF JOY AND AWESOMENESS! ADRENALINE! OXYTOCIN! LOVE! HAPPINESS!” when labor is medicated, whether with pitocin (drug for inducing labor) or an epidural, or any other drug, these endorphins and hormones don’t show up nearly as strongly, if at all. of course, the mom is very happy and excited to have her baby out, but it just isn’t as intense as in a natural birth. so i decided that i wanted that intense feeling. i know that not everyone wants it or thinks it is that big of a deal, but i really want it.
so that’s the end of my soapbox. in short: don’t criticize women for the way they give birth, and, i want a natural birth and i am not crazy.
here’s a little disclaimer: i believe that sometimes epidurals are necessary and wonderful. sometimes, when a woman has been in labor for days and hasn’t gotten any sleep because of the pain, her body will simply stop laboring. this can be very dangerous for the mom and the unborn baby. so, getting an epidural so that the mom can finally sleep will often let the body rest enough to pick labor back up and finish the job. also, when c-sections are necessary (and thank goodness we have them for those times) many women prefer to be awake for the surgery so they can see their baby as soon as it’s born, so as not to feel completely detatched from the birth. without an epidural numbing them from the waist down, this would not be possible.