Whenever I mention to people that I gave birth at home, the usual response is ‘¡Qué valiente!’ – or ‘That’s brave!’
The truth is less glorious: not being too fond of hospitals, especially labour wards with their somewhat notorious reputations, it was as much out of an aversion to going to hospital as bravery that kept me home.
With my third home birth under my (considerably loosened) belt, I have to admit that none of them would have happened were it not for a few key factors:
1) Excellent care from an independent midwife – an endangered species these days. Having a warm, grounded, experienced person who believes in your ability to birth naturally is a huge help. In a way, the less she interferes, the better a job she’s doing. It’s an expensive option (in the UK even more so than in Spain) but well worth it for the peace of mind and sense of confidence she conveys.
2) Having straightforward, healthy pregnancies. This I can’t claim any credit for. All my babies were head down, back to front (which is a lot less weird than it sounds), I had low blood pressure, and apart from minor complaints was generally OK throughout each pregnancy, thank God. Although I do know two women with chronic fatigue as well as one with severe Crohn’s disease, all of whom gave birth naturally at home, if you have complications in pregnancy it’s always wise to consult your doctor and midwife when considering a home birth.
3) Being born at home myself, and growing up hearing nostalgic stories of how my mum went into labour (unable to locate my dad, with no food in the house), and having ice cubes put in her mouth (it was mid-August in Granada, before the era of A/C) while she gazed at the Alhambra…alright, so only the last part sounds romantic. But I’m still convinced that hearing affirmations all my life that home birth was quite normal, safe, and actually filled with wonder programmed me to believe the same would be true for my own births. Even the weird stories were evocative somehow, like an ex-boyfriend who was born onto a picture of Ronald Reagan’s face in a newspaper. Come on, you don’t get that in a hospital.
Then there are all the other elements that helped along the way: a crowd of home birth aficionados living in my town who enthusiastically supported my decision; having my parents nearby to look after my older kids while I gave birth; being well nourished (very important); having the kind of house that I actually wanted to give birth in; not sitting in an office chair for long hours or commuting during pregnancy (apart from being exhausting, sitting in a chair for long hours tends to misalign the uterus and contributes to more breech births); living in a hilly area where I had to do a lot of walking up and down steep slopes (apparently the best preparation for labour); and so on.
As you can see, none of this is really my own doing. I was incredibly lucky, or blessed, however you want to look at it. The only thing that I have to own up to is my stubbornness. I just never imagined myself giving birth in hospital. Some people say it is the naïvety of inexperience that makes women decide to have a baby at all first time around, let alone give birth at home, but second or third time – well, that’s just plain obstinacy.
To be sure, I am more aware now of things ‘going wrong’ (you’ve already heard the horror stories so I won’t drum them in). In these – rare – cases being in a hospital is preferable, but any midwife worth her/his spurs would get you there as soon as things started going pear-shaped. Another way to look at it, of course, is that things didn’t go pear-shaped at all: it’s just the way they went.
Still, in less dramatic cases, being at home with a sensitive, skilled caregiver is still preferable to being in an impersonal place where staff changes when shifts end and the itch to free up a bed might cause them to hurry things up (the classic ‘Pitocin – epidural – foetal monitor – obstetric delivery’ pattern). If you choose to give birth at home you won’t have a queue of students coming into the delivery room while you’ve got your legs in stirrups, that’s for sure.
I can’t knock hospitals, though, for those times when they are necessary. Many a woman has had an excellent hospital birth, some angel of a midwife who appears at a crucial moment, or next-generation equipment that saved a baby’s life. The few times I’ve been treated for anything at a hospital, I’ve been immensely grateful particularly to the nurses, who used all the subtlety at their command to make light conversation to distract from a needle or other sharp proddy thing going in somewhere.
This kind of caregiver provides not just a service but also warmth, candour and intimacy at a time when you are vulnerable. However, this is also what a good home birth midwife will offer: she will help you trust that your body knows what it’s doing, with a little bag of kit to keep an eye on things just in case.
While I would encourage any woman who is of sound body and mind to go for a home birth if she wants one, the reasons for doing so must be more because of the benefits of birthing at home rather than the fear of going into hospital. The benefits are not just the lazy girl’s prime motivation, i.e. not having to get out of bed, but also being able to make your space as comfortable and familiar as you like. Third time around I actually managed to have the nice tea lights, essential oils burning, best friend massaging acupressure points with Neroli oil, and Calendula flowers floating in the birth pool (previous times I was focussing so much on the contractions I didn’t care two hoots about environment).
All three of my children were born into water, in a birth pool like the one pictured above. This meant I didn’t need to use drugs: the warm water is a natural pain reliever and is really quite blissful. You need to be at least 5 cm dilated (some midwives will wait for more) to get into it as it can slow the labour down otherwise. But overall, drug-free labours tend to be shorter; epidurals, for instance, blind you to when your body is contracting and make it hard to push, slowing the process down and raising the likelihood of an assisted delivery.
Speaking of pain, I was recently told by a first-time mum-to-be that she wished her mother would stop telling her she wouldn’t be able to handle it. Really, you CAN handle it. A man would pass out, but you won’t. Women who claim to feel less or no pain in labour just recategorise the feeling mentally, describing it as ‘discomfort’ or some other sensation. In Ina May Gaskin’s game-changing Spiritual Midwifery (after reading which I was pregnant with Caveboy the 1st within about twenty seconds) contractions are described throughout as ‘rushes’.
I would say that only about a hour in each of my births was actually painful, and this time goes very fast. Breathing into it, embracing the feeling as one step closer to meeting your baby, riding this primordial, volcanic wave of a feeling will make it seem less like something to be fought, reducing the amount of adrenaline (produced by fear) in your body. Tensing up during the contractions creates lactic acid around your muscles, which is what causes cramp and increases the sensation of pain, hence relaxation being everything in labour .
And so much of giving birth, perhaps all of it, is just allowing something the deepest recesses of your brain already knows how to do. There have been cases of women in comas who have given birth. I thought of that as my midwife told my friend that my pushing was ‘involuntary’. That’s exactly how it felt: not forced in the slightest, just allowing this innately instinctual movement to take place (and despite having a 4.130 kilo baby I didn’t tear).
The greatest bonus to not using anaesthetics is that I was fully conscious all the way through the labour. All sorts of interesting insights drop into your brain between rushes. At one point it occurred to me that while it might not seem very spiritual while you’re going through it, what is spiritual about birth is that perhaps for the first time in your life, you willingly submit to going through fairly extreme levels of discomfort, purely out of love for another. Love is so huge, so brilliant, that it makes pain look transient and insignificant beside it.
This alertness continued afterwards; I remember being positively chatty with number 3 when he showed his head above the water. He was pretty perky as well – another benefit of not using drugs (babies born this way breastfeed better, too). Despite a day of some pretty heavy post-partum pains I was high as a kite for pretty much a month off the endorphins provided by a natural delivery.
But it’s uncomfortable for me to talk about these wonderful birth experiences, knowing that for so many women birth is traumatic. It breaks my heart that my experiences place me well into the minority among my peers. Fortunately, there are ways in which we can reclaim the beauty of birth, the empowerment it offers us (We did it! We brought another person into the world! That was us!). Part of this change is physical (the postmodern lifestyle, in which everything takes place virtually, is a disaster for birth preparation) but a larger part of it is psychological.
Both women and men need to turn our conditioning around and deliberately erase the negative messages seen in movies, or told to us by thoughtless older women whose own births didn’t go smoothly. A non-interventionist birth paves the way for the most intense endorphin high ever experienced in the human body – both for the mother and the baby – and creates the ideal conditions for bonding while protecting the mother from post-natal depression.
Rather than the question “Why make a woman experience pain in labour when she can have drugs?”, we can ask ourselves, “Why prevent women from having such a blissful connection to her body and her child?” Childbirth is a leap into the unknown: even women with dozen children say that every birth was different. What makes it amazing is seeing it not as falling, but as flying.