Anonymous
Post 07/17/2012 16:13     Subject: Best things to do to prepare for unmedicated birth

Good luck to you, OP!! I'd love it if you report back on how it went. I also had a medicated first birth (not what I was going for, but the right decision) and am going to try again for unmedicated the next time around. I'm sure I'll dig up this thread when the time comes--thanks for starting it.

I'll be pulling for you!
Anonymous
Post 07/17/2012 15:45     Subject: Best things to do to prepare for unmedicated birth

OP here. Thank you all so much for the encouraging advice. I love this thread. I am so excited and looking forward to this experience!

FWIW, I had a medicated birth the first time and pass no judgement on how people decide to birth. I don't feel like a failure at all for choosing an epi the first time around. But, for various reasons (I am a rare person in that I did NOT like the epi and how it made me feel, push, etc and I also had a rare complication that the epi may or may not have contributed to) I'd like to avoid it this time. Of course I know some things are out of my control and I am aware and prepared for anything to happen.

Anonymous
Post 07/17/2012 14:25     Subject: Re:Best things to do to prepare for unmedicated birth


Here are my tips:

1) Stay in a warm tub for a while. It really did help.

2) Do what your body tells you. For me, it told me to stand up and lean on someone for the worst contractions. Earlier on, the balance ball helped/

3) Try to stay home for a long time, but not long enough to have transition in the car.

4) Know that in all likelihood, towards the end, it will feel like someone is ripping your body in two over and over again. I've had lots of kinds of pain, and been told I have a high pain tolerance, but this is different. Despite that, you can still do it -- and the pain will stop as soon as you are done.
Anonymous
Post 07/17/2012 13:40     Subject: Best things to do to prepare for unmedicated birth

Anonymous wrote:

Reading up on how childbirth felt, how other women felt about their births afterward, including those who were happy with the process and those who weren't, and having a doula made the difference for me.

Any activity that gives you practice relaxing into pain instead of tensing up will be valuable. The PP did it while running. You can also do it with yoga; you don't have to be in pain but put yourself in a yoga position that requires a lot of muscle use, hold it, and try to breath into it instead of tensing.


+1
Anonymous
Post 07/17/2012 12:51     Subject: Best things to do to prepare for unmedicated birth

I had an unmedicated home birth. There were intense moments but my support team helped me (informed partner, midwife, doula). It was amazing and very positive.

What really helped me prepare was (1) talking to other women I knew who were my friends who had unmedicated births. Knowing they had done it gave me strength. (2) reading the first half of Ina May's book that has women's stories of their childbirths (3) taking Bradley course with partner so we BOTH were aware of the stages of childbirth and knew what was going to happen--that throwing up is normal, that it's normal to freak out during transition, etc. etc. (4) Telling myself that no matter what happened, it would most likely just be one day of my life (first time unmedicated labors average 17 hours). If you are going to a hosptial, don't rush there--put it off for as long as you can. Good luck!
Anonymous
Post 07/17/2012 11:03     Subject: Best things to do to prepare for unmedicated birth

Anonymous wrote:I worked out a LOT before I got pregnant and then continued working out (less intense) while pregnant so I was used to that good kind of pain.

Also I have a super competitive personality so I was viewing it all as a challenge. I was determined to like, give birth, get high off the natural hormones pumping through, and jump up and make soup for everyone. That didn't happen. But I did give birth naturally and then blissed out proudly.


AWESOME!
Anonymous
Post 07/16/2012 18:35     Subject: Best things to do to prepare for unmedicated birth

trollol wrote:
Anonymous wrote:I've done both OP, birth without epidural and birth with epidural and the only significant conclusion that I can draw is all that truly matters is the baby and mother alive and healthy at the end of it.

To me, people who obsess about the "birth experience" are similiar to those who obsess about the wedding. It is the life long love and committment to your child, such as it is the life long love amd commiitment to your spouse, that matters. The birth amd weddings are just the vehicle to get you there.


So true. Reading these other moms compare unmedicated vs medicated was oddly reminiscent of high school boys comparing penis sizes. Who cares as long as mother and baby are safe and sound?


You're missing the point.

No one should condemn women who choose pain medication.

Women who believe, as doctors tell them, that on the margin the baby will fare better with a natural birth -- why do we have to condemn them? It IS about the baby. It's not a pissing match.

You may decide the risk difference is slight, fine. Just stop telling women like the OP who are simply asking advice about natural birth that she is seeking something other than a healthy birth. Stop it.

Have your birth and let us have ours.
trollol
Post 07/16/2012 18:14     Subject: Best things to do to prepare for unmedicated birth

Anonymous wrote:I've done both OP, birth without epidural and birth with epidural and the only significant conclusion that I can draw is all that truly matters is the baby and mother alive and healthy at the end of it.

To me, people who obsess about the "birth experience" are similiar to those who obsess about the wedding. It is the life long love and committment to your child, such as it is the life long love amd commiitment to your spouse, that matters. The birth amd weddings are just the vehicle to get you there.


So true. Reading these other moms compare unmedicated vs medicated was oddly reminiscent of high school boys comparing penis sizes. Who cares as long as mother and baby are safe and sound?
Anonymous
Post 07/16/2012 12:44     Subject: Best things to do to prepare for unmedicated birth

Read The Birth Partner by Penny Simkin. It lays out more clearly than any other book what to expect in labor and delivery and won't tell you that medicated births represent a moral failing. I've done one medicated and one unmedicated birth, and both were fine.
Anonymous
Post 07/16/2012 12:26     Subject: Best things to do to prepare for unmedicated birth

Anonymous wrote:Everyone who believes this bs about the dangers of ob assisted and medical assisted births and who is a doctor certified in childbirth raise their hand.


If you think that you should trust your 'doctor certified in childbirth' to know anything and everything, that is your right. I've been around long enough and had enough experience to learn that I need to be my own advocate for what's right for my body. NOBODY knows what is best for your body, except for yourself. It's definitely easier to leave everything in the hands of someone else (your OB), but that doesn't always guarantee the best outcome.

You sound naive. Why do you think medical treatments evolve? They used to give women scopolomine during childbirth because they thought it was best to knock these women out. Is that still the best idea? 30 years ago, they thought so. Isn't there a possibility that some of the things we say are 'safe' now turn out to be not so safe after a few decades and more research?

The argument that you do whatever your doctor recommends is ludicrous. It just means you're too lazy to think for yourself.
Anonymous
Post 07/16/2012 12:02     Subject: Re:Best things to do to prepare for unmedicated birth

Anonymous wrote:Look, have an epidural if you want. It's all relative, and the relative risks are small. However, there ARE risks. They've been well-documented and do not exist solely in the minds of crunched-out hippies who want a blissful birth. They're real and they can impact your birth. While I do agree that birth is just ONE element of many parenting milestones, that does not mean that it's inappropriate or overzealous to seek the best outcome in the birth process. Additionally, it is appropriate to seek out the most pleasant experience possible while ensuring top health for mom and baby. I think the former is pretty cut and dried. Epidural use has been suggested (if not demonstrably proven) to inhibit and slow labor, and especially (this is related to the woman's static positioning during epidural birth) malpositioning of a baby, which can lead to stalled labor and increased c-section. Read this, paying attention to the fourfold increase in malpositioned (OP) nulliparous women in epidural use. In a nutshell, this NIH column outlining studies, says that in normal labor, babies move around quite a bit and adjust positioning, and position at birth is only rarely the same as position earlier in labor (as noted by sonogram).

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1595252/

That said, there are MANY factors to consider. This essay, below, from AAFP, is really good. It basically says yes, many studies have shown that it slows labor, increases pushing stage, increases shoulder distocia, increases need to supplement with pitocin, and causes blood pressure drop (which it says is really not a big deal) as well as increases incidents of maternal fever and other fairly mild complications, but then it goes on to say that there may be an inherent selection bias, as women who have taken a childbirth class, etc, are less likely to request an epi (and maybe they are managing the pain differently, which may then allow labor to progress differently, so the epi itself is not definitely the issue) and also that women who progress rapidly through labor may have less pain, therefore meaning women with slow labors, who are more likely to request an epi, are also more likely to have the slower labor that needs augmenting etc in the first place.

http://www.aafp.org/afp/1998/1115/p1785.html

I think there are some things you cannot control. You get a spike in blood pressure, or you simply have uncontrollable pain that you can't manage with any number of pain relief techniques, well, thank god for that epidural. You run out of steam after a marathon labor? That epi just might save you from a c-section, if that's important to you. And yet, it's probably incorrect to assume that the epidural has NO negative effect on the duration of labor and process of delivery. At the least, you've got a 20 fold (I think?) chance for maternal fever, which means blood work and probably antibiotics for your baby (even if DC does not need them).

I think like anything, you weigh your options. The problem is, we've allowed this to become fraught with guilt, etc. I think some women don't want to acknowledge that there are risks to using an epidural because that can be construed as allowing the baby to take on risk so you feel less pain. So if we say there are NO effects, then women have NO guilt. And yet. I think that's just the wrong approach. It is a balancing act. It's about knowing yourself. It's about doing the best thing for YOUR specific situation.

I had one very specific type of labor. To be honest, I had very little "pain." I had sharper contractions and longer contractions in certain positions, but when I changed my position it helped. However, it was intense. It was like an incredible athletic event. I actually enjoyed it. I don't think it was "blissed out" so much as it was exhilarating.

But, what's funny is, I'm not an athlete. I don't even like to use the stairs when there is an elevator around! And when I first got pregnant, I was like "can i have an elective c-section, please?" But one thing is that I kept an open mind about it. I allowed that to be challenged. I read more about it, and took a wait and see approach. The more I learned about going drug free, the more I wanted to do it. NOT because I felt that epidurals were risky. I think the risk is fairly marginal, especially after 4cm, etc and whatever risk is there is relative. Will you accept a relatively low risk of complications for a high factor of comfort? Yes, if nothing else is working and you are miserable, yes, do it. But I truly believe that taking a Bradley class, not for the "anti-medical" stuff but for the understanding of birth processes, impact of positioning and moving around, etc, and being able to naturally (and effectively!) manage the pain are important, too.

If for some reason, I was confined to the bed during labor, or had to undergo pitocin or continuous monitoring, I would have most likely opted for the epidural. To me, it wasn't about being a hero or forgoing meds for the sake of it, but rather, of just doing enough naturally so that I did not NEED the meds. I think this is possible for many more women than take advantage of it (note that I did not say all women!).

Well, that rambling post probably didn't win anyone over. But I loved my child's birth and it's offensive when people say that I made it all about me, or that the birth itself did not matter a lick when it remains, 8 years later, one of most important and beautiful event of my life. That's not to say that you can't feel that way about a c-section, epi birth, or whatever. But the fact is, if you read these boards, many women don't. They truly view birth as a painful price of entry into parenthood or something to be endured. I think it doesn't have to be that way for most women.




You won me over. And I like what 6:15 said, too, even though it wasn't true for you.
Anonymous
Post 07/16/2012 11:49     Subject: Best things to do to prepare for unmedicated birth

Anonymous wrote:Everyone who believes this bs about the dangers of ob assisted and medical assisted births and who is a doctor certified in childbirth raise their hand.


My nurse/midwife, who works in an office with OBs and attends hospital birth, thinks that it is on average safer and better for the baby to skip the epi and pitocin when possible. She also thinks it is the mother's choice.

You won't find an OB who says that there is no increased risk of a c-section with an epidural. How big is the risk is the debate.
Anonymous
Post 07/16/2012 09:22     Subject: Re:Best things to do to prepare for unmedicated birth

Look, have an epidural if you want. It's all relative, and the relative risks are small. However, there ARE risks. They've been well-documented and do not exist solely in the minds of crunched-out hippies who want a blissful birth. They're real and they can impact your birth. While I do agree that birth is just ONE element of many parenting milestones, that does not mean that it's inappropriate or overzealous to seek the best outcome in the birth process. Additionally, it is appropriate to seek out the most pleasant experience possible while ensuring top health for mom and baby. I think the former is pretty cut and dried. Epidural use has been suggested (if not demonstrably proven) to inhibit and slow labor, and especially (this is related to the woman's static positioning during epidural birth) malpositioning of a baby, which can lead to stalled labor and increased c-section. Read this, paying attention to the fourfold increase in malpositioned (OP) nulliparous women in epidural use. In a nutshell, this NIH column outlining studies, says that in normal labor, babies move around quite a bit and adjust positioning, and position at birth is only rarely the same as position earlier in labor (as noted by sonogram).

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1595252/

That said, there are MANY factors to consider. This essay, below, from AAFP, is really good. It basically says yes, many studies have shown that it slows labor, increases pushing stage, increases shoulder distocia, increases need to supplement with pitocin, and causes blood pressure drop (which it says is really not a big deal) as well as increases incidents of maternal fever and other fairly mild complications, but then it goes on to say that there may be an inherent selection bias, as women who have taken a childbirth class, etc, are less likely to request an epi (and maybe they are managing the pain differently, which may then allow labor to progress differently, so the epi itself is not definitely the issue) and also that women who progress rapidly through labor may have less pain, therefore meaning women with slow labors, who are more likely to request an epi, are also more likely to have the slower labor that needs augmenting etc in the first place.

http://www.aafp.org/afp/1998/1115/p1785.html

I think there are some things you cannot control. You get a spike in blood pressure, or you simply have uncontrollable pain that you can't manage with any number of pain relief techniques, well, thank god for that epidural. You run out of steam after a marathon labor? That epi just might save you from a c-section, if that's important to you. And yet, it's probably incorrect to assume that the epidural has NO negative effect on the duration of labor and process of delivery. At the least, you've got a 20 fold (I think?) chance for maternal fever, which means blood work and probably antibiotics for your baby (even if DC does not need them).

I think like anything, you weigh your options. The problem is, we've allowed this to become fraught with guilt, etc. I think some women don't want to acknowledge that there are risks to using an epidural because that can be construed as allowing the baby to take on risk so you feel less pain. So if we say there are NO effects, then women have NO guilt. And yet. I think that's just the wrong approach. It is a balancing act. It's about knowing yourself. It's about doing the best thing for YOUR specific situation.

I had one very specific type of labor. To be honest, I had very little "pain." I had sharper contractions and longer contractions in certain positions, but when I changed my position it helped. However, it was intense. It was like an incredible athletic event. I actually enjoyed it. I don't think it was "blissed out" so much as it was exhilarating.

But, what's funny is, I'm not an athlete. I don't even like to use the stairs when there is an elevator around! And when I first got pregnant, I was like "can i have an elective c-section, please?" But one thing is that I kept an open mind about it. I allowed that to be challenged. I read more about it, and took a wait and see approach. The more I learned about going drug free, the more I wanted to do it. NOT because I felt that epidurals were risky. I think the risk is fairly marginal, especially after 4cm, etc and whatever risk is there is relative. Will you accept a relatively low risk of complications for a high factor of comfort? Yes, if nothing else is working and you are miserable, yes, do it. But I truly believe that taking a Bradley class, not for the "anti-medical" stuff but for the understanding of birth processes, impact of positioning and moving around, etc, and being able to naturally (and effectively!) manage the pain are important, too.

If for some reason, I was confined to the bed during labor, or had to undergo pitocin or continuous monitoring, I would have most likely opted for the epidural. To me, it wasn't about being a hero or forgoing meds for the sake of it, but rather, of just doing enough naturally so that I did not NEED the meds. I think this is possible for many more women than take advantage of it (note that I did not say all women!).

Well, that rambling post probably didn't win anyone over. But I loved my child's birth and it's offensive when people say that I made it all about me, or that the birth itself did not matter a lick when it remains, 8 years later, one of most important and beautiful event of my life. That's not to say that you can't feel that way about a c-section, epi birth, or whatever. But the fact is, if you read these boards, many women don't. They truly view birth as a painful price of entry into parenthood or something to be endured. I think it doesn't have to be that way for most women.


Anonymous
Post 07/16/2012 08:06     Subject: Best things to do to prepare for unmedicated birth

Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Here is what I need clarified. I keep reading about "low" risks of epidurals to babies but what are they? it seems like the very very minimal risk is really to the mother. Are there really any long term risks of medicated births to babies. I don't think so, I have no idea what that idea has gained so much traction. Jesus, novacaine and a root canal probably has more risk. I did click on the epdiural link from PP and didn't see anything in the "con" section from Mayo clinic about effects to newborns. again, I just don't get the obsession about suffering to to make a point. I am guessing that the overwhelming majority of us on this board we born with medicated moms and we still managed to grow, finish college and then write crazy stuff on an anonymous blog.


There is some evidence that epidurals can cause slow the baby's heart rate and that can create a need for a C-section.



Can you provide the links to the peer-reviewed research that supports this assertion? I'm not disputing it necessarily, but just claiming there's "evidence" isn't good enough.


http://www.ncbi.nlm.nih.gov/pubmed/11574125

http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.1972.tb15805.x/abstrac

Not peer-reviewed, but helpful:
http://www.med.nyu.edu/content?ChunkIID=101215

http://www.ncbi.nlm.nih.gov/pubmed/8304890

There are other studies that go the other way, though.



Thank you for these, I really appreciate it (I'm the PP who asked for the articles). In reading the articles, it seems like the changes in fetal heart rate following epidurals tend to be transient and unrelated to fetal morbidity, and also somewhat dependent on maternal hypotension. So, while these changes occur and may be taken into account in the decision around epidurals, epidurals alone typically don't lead to fetal problems or dramatically increase the risk for C-sections. I think that latter point is important: although the evidence suggests the possibility of increased C-section related to epidurals, the increased risk is quite small, and not related solely to the epidural.

Sometimes epidurals are indicated. That's not a bad thing. I think being informed is crucial, so you can make the best decision for you and your baby (one of many). 6:15 said it best.
Anonymous
Post 07/16/2012 06:27     Subject: Best things to do to prepare for unmedicated birth

Anonymous wrote:I moaned through the pain. Just keep them low and don't be afraid to sound like porn.


^^ This worked for me too. But I thought I sounded more like a cow than a porn star.