The Best Advert for Natural Birth

How does she do it? She makes childbirth look easy - even down to the light coloured dress, tan tights and high heels worn less than 10 hours after pushing out a baby.

If there ever was an advert for natural birth, Kate Middleton is it. She glowed, smiled and looked relaxed whilst holding her brand new baby in her arms just hours after giving birth.

For Kate, I reckon it’s because of all the support she got during pregnancy, labour and her positive attitude to birth. After her 1st birth she apparently told friends about her 'perfect, natural birth’ and it was suggested that she had used hypnobirthing (positive affirmations and deep relaxations).

Media reports have suggested that Kate had a natural birth, which means no epidural, no doctors - just two strong, independent midwives tuning into the needs of a woman and her body. How else could she feel capable enough to transfer home so soon after giving birth?



If I had to guess, she laboured at home as long as possible – supported by her midwives - then moved to hospital when she was around 5cm and labour was fully established. That way the adrenaline of going into hospital didn’t stall the labour. Once ready to push, all that the midwives had to do then was catch the Royal baby. It is even believed she gave birth upright, much like her late mother-in-law Diana (as revealed by Sheila Kitzinger in A Passion For Birth), co-incidentally in the same London hospital.

It just goes to show that all you need is good preparation and a midwife. Oh and if you’re a princess, perhaps a hairdresser!

Kate enlisted midwife Arona Ahmed and Professor of Midwifery at Imperial College, Jacqui Dunkley-Bent, to be by her side. They were the same midwives who assisted in the birth of Prince George and probably among the most qualified and well-respected midwives in the UK.

But apart from having good support, Kate is also said to have educated herself well about giving birth and written out a full birth plan of her preferences for a hands-off labour. This means that she controlled the birth herself, and knew instinctively what to do. Education about birth gives you power and leads to less medical interventions it gives you the confidence to say “I need more time” or “I do not consent to that”. These two simple phrases often mean that caregivers leave you to find your own groove during birth which helps you to feel more in control of the situation.

The cornerstone of Cuidiú antenatal classes is informed decision making, which encourages people to become informed, ask questions, and then make their own decisions, even if this is contrary to hospital policy on inductions and interventions.

We use an acronym tool called BRAIN (see box) as a way of empowering women to have a voice in labouring suites when hospital policy puts them on the clock to dilate by 1cm every hour. If their body doesn’t comply with this extremely fast rate of progress, they are given the damaging label of ‘failure to progress’, which can often lead to a traumatic use of forceps or c-birth.


Using your B-R-A-I-N during labour:
Benefits: how will this help me, my baby & my labour?
Risks: what risks to me, my baby & my labour?
Alternatives: what are my other options?
Instinct: what does my gut tell me?
Need time: what if I do nothing right now? I would like to wait for now.

The increasingly medicalisation of birth has led to an increase in feelings of dissatisfaction with birth and a rise in the number of women suffering birth trauma, post-traumatic shock and post-natal depression. Studies show that it’s not just about holding a baby in your arms at the end of it, it’s about how you feel, because it can haunt you for years and affect you deeply.



A survey from the Birth Trauma Association in 2010 found that nearly 70 per cent of women did not have the birth experience they wanted. A third said they were not treated with dignity and respect, and were not given proper information and/or explanations during their labour. Many cited ‘loss of control’ and ‘lack of communication’ as key factors in their negative experiences, and some said they felt ‘bullied’, ‘ignored’ or ‘dismissed’ by overstretched staff.

Sometimes a birth does not go according to plan. Babies can be positioned unfavourably, or various complications can occur which mean the baby needs to be taken out quickly. Not everyone can have such a seemingly straight-forward birth as Kate Middleton. But quick birth can be traumatic too, given that it doesn’t give the mind and body enough time to process what’s going on, and can lead to giving birth in unplanned locations, which can contribute to shock.

No birth is ever easy and we don’t really know the truth of Kate’s birth or how she’s feeling because she never reveals anything personal. Fair play to her for putting on such a public display of looking flawless in pale clothes just 10 hours after the birth. That’s the last thing I ever felt like doing after I squeezed a baby out after my exhausting labours. I just wanted to take to my bed and sleep for a week and cuddle and feed my baby.

The upshot is preparation, preparation, and more preparation. The more you know about what could happen will give you confidence, strength and arm you for any discussion you might need to have the birth both you and your baby deserves.

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Amy Vickers is a recently trained Cuidiú antenatal teacher running new classes packed full of up-to-date, evidence-based information to empower you for a satisfactory and normal birth. If you wish to join Amy’s low-cost Cuidiú 1-day weekend classes in Midleton, east Cork, please get in touch.




References:

The Birth Trauma Association Survey. 2010. Available online: http://www.birthtraumaassociation.org.uk/newsletters/winter2010.pdf

Hodnett, Gates, et al. 2012. Continuous support for women during childbirth. Cochrane database of systematic reviews.
Kitzinger, Sheila. 2015. A Passion for Birth: My Life: Anthropology, Family and Feminism. Pinter & Martin. London.

Korte, Diana & Roberta Scaer. 1992. A Good Birth, A Safe Birth. Harvard Common Press, 3rd ed.

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