On ‘Natural’ Childbirth, Lamaze, and minimizing pain
When my mother gave birth to me, she was knocked out with medication just before delivery, after suffering 20 hours of labor. This was considered the modern answer to childbirth pain; previously, women suffered without any anaesthesia, since after all, pain in childbirth was Eve’s punishment for eating the apple in Eden. It took Queen Victoria’s decision to use an anaesthetic for it to become acceptable, I’ve read; religious leaders backed down and let women suffer less. However, women then missed the actual birth, missed the wonder of having the child you have carried for ten months (not nine) being placed on your stomach for you to see, marvel at, and bond with.
When I was pregnant in 1970, a wonderful woman who had had four kids gave me all her old Lamaze manuals, and urged me to sign up for ‘natural childbirth’ classes. I’m so glad she did. It worked wonders. Doing this special kind of breathing gives a woman more control over her labor, since it distracts her, relaxes her and therefore minimizes the pain. It also gives the husband something constructive to do, as his counting at the start of each contraction (while using a watch to time it) lets the woman know the contraction will be soon over and is very encouraging for her. However, an epidural is still something a woman should have her doctor arrange to have as a back-up if things get out of hand.
When my husband and I were taking Lamaze breathing lessons, our instructor gave us a tip that I think really worked, however crazy it may sound. She said that, during our practicing, my husband should first pinch my inner thigh while I wasn’t doing the breathing, gradually increasing the intensity of his pinch, for a count of ten. It would hurt me, of course. Then, he should do the same thing while I did the proper breathing technique. It wouldn’t hurt as much, in fact, would hardly be noticeable, since I was concentrating on the breathing (which by the way, was to the mental tune of Yankee Doodle!). If we continued to practice that way, I would become convinced, mentally, that the breathing would work. Well, I was very skeptical, but we did it, and it seems to have worked, probably on the basis of the power of suggestion.
In any case, I felt no pain during labor, even without an epidural, since my Lamaze breathing was working so well that as I just concentrated on my breathing while my husband counted down the contractions, I somehow went into a trance state where ‘pain’ was merely a kind of ache like mild menstrual cramps. It was something I had never experienced before and haven’t experienced since. And no one has been able to properly explain it.
After I gave birth, many women didn’t believe me or were resentful when I told them about my birthing experience, as if I the fact that I felt no pain meant that I hadn’t really given birth. And I discovered after giving birth that women brag about the amount of pain and the number of hours of labor they have gone through.
Back when I had first found that I was pregnant, I had asked Dr. Buka, my ob-gyn (who is still practicing in the Seaforth Medical here in Montreal) if giving birth had to hurt so much. My sister had just gone through 16 hours of very painful labor, the kind where you curse your husband and swear you’ll never have another baby, and I was fearful that I would have to do the same.
Dr. Buka said there was no reason on earth in 1970 why a woman had to have a baby in pain, since epidurals were now available. He also said that it was because women kept wanting to have ‘natural’ childbirth that there was still pain in childbirth. He said there were still doctors (usually male) who thought that doing it without an epidural was the best way (which he considered heartless), but mainly blamed the desire for a ‘natural’, anesthetic-free labor on the women in the Women’s Movement who believed that giving birth was natural and shouldn’t be treated like it was an illness, therefore should be experienced without medication and if possible without doctors around.
It was Buka’s opinion that although there was some good in this idea (especially in giving birth in a pleasant space, being able to walk around during labor, listen to music, have upbeat friends around, etcetera), it was forcing women to undergo needless pain in order to do it all the so-called ‘natural’ way. As he said, “Would you have root canal surgery without novocaine, just to experience it all ‘naturally’?”
The analogy isn’t very apt, of course, since there is the matter of labor sometimes slowing down once a woman has had an epidural, or the woman’s not being able to feel her contractions so as to be able to push when the time comes to push. But, as I found when I was given an epidural just before delivery (since the anaethesiologist was going off duty and said it was my last chance if I wanted one, and I said yes because I was sure that the pain would finally hit me during delivery), one of the nurses in the delivery room simply put her hand on my stomach and told me when to push, so that wasn’t a problem.
So much has changed since then, I am told, concerning birthing, much of it thanks to the Women’s Movement. Labor rooms in hospitals are better now than when I labored in a cubicle the size of two toilet stalls, surrounded by screaming women and interrupted constantly by nursing wanting to check to see how much I had dilated (my husband had to tell them to wait until the end of a contraction, so as not to spoil my concentration on the breathing technique). The Royal Victoria Hospital was good, apparently, when my daughter gave birth. The Jewish General, I hear, also has rooms that are peaceful and big enough for several people to join you, and for you to walk around while in labor. You don’t really need to be at a special birthing center any more with only a midwife to help you. Or, a midwife can now come to the hospital–or so I believe. Check to find out.
In any case, it’s safer giving birth at a hospital. My sister in law almost bled to death during labor for her second child, for no reason that could have been discernible ahead of time, and we were all very glad that she was at the Jewish, believe me. And yesterday a colleague told me that 8 months ago, 18 hours into her labor, she remembered my words about epidurals and wished she had changed her mind about ‘natural childbirth’. Luckily she was at a hospital, since she wasn’t dilating fast enough, and labor finally had to be induced–with an epidural. She was glad, then, that she hadn’t gone to a birthing center, where an epidural wasn’t even a fall-back position if things got out of hand. And she also was so exhausted after laboring for 18 hours that she took a long time to recover afterwards, so couldn’t enjoy her son as much at first. Next time, she says, she will definitely have an epidural as soon as possible.
I think that not only should a woman use the Lamaze breathing technique, but her husband should stand behind or at least at her head during both labor and delivery, not down where all the action is. That’s where my husband stood, next to my face, where I could see his eyes and grip his hand. He was a great help to me by being so close to me.
These days, husbands too often try to put the whole thing on videotape and want to be practically looking over the doctor’s shoulder. They are more liable to faint, etc. if they do so. (My doctor wouldn’t let husbands down there since he said that a few had attacked him for hurting their wives! These were, of course, wives who weren’t using epidurals. He insisted that husbands stand up by the woman’s face.) The woman also doesn’t have to worry, that way, that her husband is seeing her at her worst, all spread-legged and bloody. I’ve even heard a husband say, after being ‘down there’, filming, that he never wanted to get this wife pregnant again after seeing things from that angle and felt very “unerotic” towards her for a long time afterwards. A husband needs to be by her side, with or without a camera. And if she has had an epidural at this point she will feel nothing but warmth in her lower extremities and it will be wonderful!
I feel very strongly about all this, as you can see. I hate the thought of people in needless pain, even if the result is a beautiful baby, and even if women do forget the pain afterwards. The difference is whether or not one is just begging for it all to be over while giving birth, or feels a kind of epiphany. And there is a better chance for the latter if a mixture of Lamaze and modern medication are used.