Whether you decide to go the natural route or give birth in a hospital, there are many terms and procedures you should become familiar with so you can make the best decision for a happy and healthy baby and your birth experience.
Doula: Doula is a greek word which means “a women who serves” a person who is trained about the process of labor, birth, and delivery- not a medical professional. Some are also massage therapists, some are professional photographers, some are even yoga instructors too. They provide physical, emotional and informational support. Basically, a doula is a wedding planner (birth planner) for your vagina. They are often used by woman who decide to go a more natural route with their birth experience. They can, however, accompany you in a hospital setting and act as your advocate to make sure the doctor (and you) stick to your birth plan as best as possible.
Midwife: A midwife is a trained health and medical professional, who guide women through pregnancy/ prenatal care, labor, delivery, and post delivery. Their work is around a holistic birthing process. Whether this be a home birth or at a birthing center. There are some nurse-midwives who work in a hospital setting, but they are usually stuck with the “hospitals rules” and do not always have the freedom to do what they would like. They have been around longer than any medical doctor. A midwife will usually have 30-60 minute prenatal appointments with you throughout your entire pregnancy, focusing on your individual nutrition, physical, emotional, mental, cultural, and spiritual needs. You can learn more about midwives here
Birthing Center: A birthing center is a great alternative to home birth, focusing on a natural vaginal birth for low risk pregnant women. It is still a medical facility that has the feeling of a “home setting” rather than a hospital. It is usually ran by midwives and doulas- sometimes OBGYN’s are involved, but not always. Often times women give birth in a tub, a queen size bed with their husband or spouse by their side and they are free moving without being strapped down to a bed. Women are allowed and encouraged to eat, drink, move, shower, bathe, sleep, squat, make loud-primal noises, and stay in labor as long as needed. These facilities usually don’t carry epidurals or other pain medications, but are usually equipped with other medical tools (usually not used) just as a back up. To see if a birthing center is right for you, learn more here.
Home Birth: A home birth is exactly how it sounds, giving birth in the comfort of your home. Usually a midwife and doula come to your place for your prenatal care, labor and delivery. Most women give birth in their bathtub, in an inflatable tub that your midwife will bring, or in their bed.
Epidural: An epidural is a method of pain relief. Medication is injected into your spine and creates a numbness from your waist to your legs. If you get an epidural, you will not feel the sensations of your contractions. This can cause issues during delivery when you are told to push in a hospital setting, because you cant feel your contractions. If your labor slows down as a result of getting an epidural other medical procedures are done, such as induction, vacuum extractor, or a C-section. Many women are brainwashed into viewing birth as this traumatic, painful and scary experience when in reality your body was made to give birth. Epidurals often times cause way more problems then actually help a woman in labor. If you opt for a natural birth, you will not get an epidural. Instead, you learn how to work with your body from a Midwife through specific techniques and coping mechanisms like women have been doing for hundreds of years.
Episiotomy: An episiotomy is a surgical incision used to make your vaginal opening bigger in order to help deliver your baby. They are only used in hospital settings (for the most part) and are often overused, unnecessary, and can cause major infections later on. They are usually used as a result on pushing while laying on your back. In very rare cases they are actually needed for the health and safety of you and your baby. To learn more about how exactly it’s performed or other reasons women get them in a hospital setting, learn more here.
Induction: Being induced in a hospital helps kick start your labor process. It’s a procedure to start your uterine contractions and is highly overused and a majority of the time, not necessary. One drug that is used is Pictocin. Pictocin is a synthetic version of your love hormone, oxytocin. Oxytocin triggers labor and triggers uterine contractions. In very rare cases, an induction is actually needed, often times it’s used for the convenience of the doctor, because you’ve passed “their allotted time for labor.” There are other induction medications as well, but Pitocin is the most well known. Pictocin makes your contractions stronger, longer, and closer together. Unfortunately, this makes the pain of a contraction much worse. With this being the case, other drugs are usually needed such as an epidural which then usually results in a C-section. If your nurse or doctor tells you they are going to induce you with Pictocin to help speed your labor along, keep in mind there are many negative risks that come with it and you may want to find out why and if it’s absolutely necessary.
Vacuum Extraction (VE): VE is a method used to help deliver your baby using a vacuum during a vaginal delivery. A soft cup is used that contains a handle and vacuum pump, to your baby’s head. When you are having a contraction and pushing, this method is used to help pull your baby out of your vagina. Again, this is usually a result of you giving birth flat on your back or having other medical procedures done before. Unfortunately, this method does come with the risk of injury to both you and your baby, including scalp injuries, hematoma, jaundice amongst more. Usually if this procedure is recommended so is a C-section.
Cesarean Section (C-Section): A C-section is major abdominal surgical procedure done in a hospital setting to deliver a baby. It involves several incisions in your uterus and abdominal wall. They are highly overused and often unnecessary. However, when they are necessary they can help save a mom or baby’s life. Unfortunately, in today’s society some woman choose a “birth date” for their child to be born, in which case a C-section must be performed. We feel this is extremely unsafe, as your baby may not fully be prepared to come out, and in these cases a C-section is for convenience not for medical complications. By the end of the 1970s the C section rate in the United States went from 4% to 23%. Since 1996, it went up to 46% and by 2005, 1 in every 3 births is a C-section. These statistics are crazy high, and unnecessary. Before you jump to a C-section (for your convenience or the doctor’s), please be sure to do your research on the risk factors for both you and your little one. However, if an emergency C-section must be performed to save your life or your baby’s then by all means do whatever is necessary! We just want you to be educated before taking someone else’s word for it’s necessity and safety.
Written By:
Prenatal Prep