The Lost Skills of Birthing


Logan’s birth was one of the most amazing days of my life. Sure, it was hard work, but it was most worthwhile! The journey through Logan’s pregnancy was a good one, with the help of my husband Ashley I was able to achieve a sense of calmness and relaxation in my life that I don’t remember having before.

 

When we discovered that we were going to have a baby calmness and relaxation became a focus of our lives. It was a surprise pregnancy and we didn’t feel like it was the best time to be having a baby (and have since discovered that there is no best time!). We were already using hypnosis in our psychology practice but had never used it on each other or for pregnancy. At around the 14 week mark Ashley suggested trying hypnosis, purely for relaxation. The hypnosis was used in conjunction with weekly massage, exercise with a qualified trainer twice a week, ante-natal aquarobics, 1 hour walks five times a week and good nutrition (chocolate and alcohol were first to be crossed off the shopping list – albeit reluctantly!). (It all sounds very contrived I know but this healthy lifestyle during pregnancy came very naturally and was very enjoyable).

 

I went about reading as much about pregnancy as I could, as most women in this information era do, and through this came across an article outlining the benefits of using hypnosis for birthing. Although Ashley had already been helping me achieve a deep state of relaxation through hypnosis, it now became a bit of a mission to find out as much as possible about how to use the techniques for a natural birthing.

 

The more I learnt about birth the more determined I became to have as natural a birth as possible.

 

Three weeks before the estimated due date (EDD) I started to experience quite strong surges (aka contractions). I went for walks, relaxed in the bath and did all the things you can do to help labour become established, 10 days later I was 4cm dilated and still not in established labour. To minimise the chances of an emergency cesarean and to have as natural a birth as possible, we decided that an induction would be the best decision for us at that time, based on the information provided by our caregivers. With many of the tried and true methods of natural induction of labour well and truly exhausted the inducement was welcomed by both Ashley and myself.

 

On the morning of the 20th of May 2003, we went into the hospital ready to meet our baby. The Syntocinon (artificial oxytocin) was put in at around 10am and the surges began again, just as they had been for the past 10 days. My labour progressed according to the textbooks, 1cm per hour from noon onwards. By 2pm I was focused totally within, Ash had taken me quickly and easily into a deep trance and I stayed there for most of the day, the depth of trance varying depending on environmental factors and personal needs. At one point I looked up and asked if someone had given me some pain relief (I had requested in my birthing preferences that none be offered) but Ash assured me that non-one had even been in the room; my endorphins had kicked in and I had a wonderful warm tingling sensation flow down through my body (an endorphin rush!).

 

Ash helped me to the shower a couple of times during the labour which was a wonderful change of scenery. Because of the hypnotherapy and the way that I chose to interpret the sensation of the surges, there was no sharp pain, however, the feeling was still intense, the pressure was great and the tightening was, well…tight! The shower offered me a different sensation to focus on, a new position to try and was refreshing during the hard day’s work.

 

By the time second stage started, the pushing sensation was a welcome relief from the internal pressure from the first stage and with Ash’s guidance and encouragement I used my breath to make the most of each downward surge, only working when my body needed me to and resting between surges. I had quite a long second stage as Logan was a relatively large baby (4.2kg), but still no sharp pain, just hard work!

 

The overwhelming joy and awe at the new life before us was the most wonderful reward for all of the work and effort that we had put into having a wonderful pregnancy and birthing. Happy and healthy we had achieved our goal; healthy mum, healthy bub. Despite having woken at 5am that morning and being in labour for 10hours that day, I was still wide awake and full of beans at 2am the next morning; one of the wonderful side effects of using relaxation and hypnotic trance during labour is the restorative benefits it has for your mind and body (not to mention the lovely cocktail of natural mothering hormones surging through my body!).

 

Five weeks later, Logan had put on over 1kg, was feeding and sleeping well and I  headed off to a 5-day course to learn how to use hypnosis for childbirth (luckily the course was held just down the road from home and I was able to duck off every tea break to feed and cuddle my baby).

 

At the end of those five days my passion for birthing had been fully ignited and I spent the next 6 months reading everything I could get my hands on to do with birthing, natural and medical. My passion is not just for birthing, but for choice.  I want women to have choices during their pregnancies and birthings and to feel empowered to make those choices. In August 2003 I became a certified HypnoBirthing practitioner, but after studying the program and teaching it for a while, I became aware that there was something more to offer Australian couples. Hypnosis is a wonderful tool for pregnancy and childbirth, but there is so much more that women can do to help themselves maintain their wellness and wellbeing during this special journey into motherhood.

 

After 18 months and working with around 50 couples, I  began referring to my new program of childbirth education as BirthSkills. The BirthSkills program incorporates hypnosis, natural therapies, physiology, anatomy and biochemistry of pregnancy and birth, natural and medical choices. It is an evidence-based program founded on principles of health psychology and mind-body medicine. This means that all of the skills taught have been shown by research to be useful and effective in pregnancy, birthing or for deep relaxation.

 

 

The skills involved in birthing your baby in a calm, positive and welcoming way, have, to a large degree, been lost to many women in modern western society. Skills that in some cultures are passed from mother to daughter or from sister to sister, from aunts and close friends.  In an era where elective caesarean is a relatively common option for birthing, many women are handing over the management of their birthing to obstetricians, doctors and other medical personnel. Fear of the unknown leads to relinquishing control and with no-one at fault, women find themselves in submissive and vulnerable birthing situations.

 

On the other hand, women who are free of fear, who are well informed about the birthing process and their options during the process, who are well supported by an informed partner, who trust their bodies and nature and who are prepared with techniques and skills for creating a positive birthing environment will not find themselves handing over decisions regarding their body or their baby to someone they hardly know. They will be calm, confident and in a good position to make choices that will lead to a positive and welcoming birthing experience for themselves and their baby.

 

The program is based on the belief that all women should have access to the skills and knowledge that will enable them to birth their babies in a calm, confident and welcoming manner. By teaching these skills to a generation of women who are already empowered in other areas of their lives, who are competent at their work, efficient, and in control, hopefully, future generations of women will learn the skills of birthing from their mothers, sisters and friends and their communities will support them in this endeavor.

 

Despite two interventions, the Syntocinon and the episiotomy, I am very proud and happy with the experience of birthing my first child. I was calm throughout and felt in control of what was happening; nothing happened without it being my choice. There are a few things I would choose differently next time, but I trust that we will make the best decision for ourselves at the time.

 

 (Copyright Shari Read 2008, shari@birthskills.com.au)