The benefits of natural childbirth are numerous. There can be situations, however, when mothers can benefit from pain medication. How do you decide?
There is little doubt that one of the most heated debates among mothers and childbirth professionals continues to be one of using pain medication versus the benefits of natural birth. It is a topic that very few mothers are indifferent about and when asked, they often have a very passionate response.
The pro-medication side says, "Oh, I used epidurals with all of my births. It's the only way to enjoy the experience. There is no reason to feel the pain."
The pro-natural side says, "Going natural is the best. I have never been so empowered by anything I have ever done and I felt so good afterwards."
So who is right and who is wrong? Is the answer that black and white? One thing we can all agree on is that it is a big decision. Choosing natural birth or pain medication is a decision that should be taken very seriously since it can have undesirable consequences if you are not informed.
Let's take a look at some of the benefits of natural childbirth as well as why mothers might choose pain medication:
Benefits of Natural Childbirth
1. Mothers who labor naturally can move freely, go to the bathroom, walk and change positions throughout labor. According to the Cochrane Review, recent studies have shown that getting medication makes changing positions even after birth more difficult.
2. Since you can feel your body's reflexes in natural childbirth, mothers can push better and generally faster. In fact studies show that getting an epidural prolongs your pushing time.
3. The pain during labor serves a purpose by guiding the mother to seek certain positions. For example, if her back hurts, she will naturally seek positions off her back which can help to turn her baby. Having back pain is one sign that the baby might be posterior and needs to rotate.
4. Mothers often describe that their recovery after a natural childbirth was faster and easier since they could get right up and walk and shower. Usually they eat right away and their appetite is normal.
5. Endorphins secreted during a natural childbirth have been found in the placenta and umbilical cord. This may serve a purpose to help the baby adjust to life outside as well as make the journey more comfortable for baby.
6. Research has shown that in mothers who have natural childbirth, babies are more alert and show more interest in pre-breastfeeding behaviours such as sucking and massaging the mother's breasts, as well as the actual length of time they spend nursing within the first 90 minutes.
Benefits of Medicated Birth
1. Mothers who are having a very long labor can benefit from using pain medication to get some rest before the pushing stage.
2. If the mother is tensing up during contractions, pain medication can help her relax so that her body is not fighting against the labor.
3. If the mother has a lot of fear about birth or issues from her past, it may affect the progress of her labor. At times, medication may help to ease her anxiety.
Additional Thoughts
On a personal note, I can share my own experiences of natural childbirth twice. The pain was intense, but it was not impossible to manage. My obstetrician was very supportive of natural childbirth and his encouragement had a great impact on me.
I have also attended over 300 births as a birth doula supporting women during labor in the last 11 years. About 70% of those women had natural childbirth. In no specific order, I want to share some of my additional thoughts with you based on what I have seen and experienced.
Mothers have the ability to give birth naturally. Very often the things done or said to her inhibit her ability to do this very important job (i.e., restricting her movement, restricting food/fluids, lack of support or encouragement as well as a lack of non-medical pain relief techniques.)
Pain medication is a wonderful resource in very difficult and long labors when the mother simply has no energy left to birth her baby. I have seen several births like this and would have used an epidural myself had I had active labor last for days.
Pain medication, such as epidurals, carry with them hefty sacrifices and intervention such as restricting movement to bed, IV fluids and increasing her need for pitocin. Epidurals also increase the mother's need for instruments to be used such as vacuum extractors or forceps, since pushing is more difficult.
I very seldom have clients in my doula practice who have natural childbirth with a first baby, choose to use pain medication with the next birth. Once they have realized the benefits of natural childbirth, they do not tend to go back.
From what I have seen, pain medication solves one big problem - pain. However I wonder when we take the pain away, if we are also removing helpful feedback for the mother. (see #2 above - Benefits of Natural Birth) Is it not like a person who takes medication for headaches (ie.. treating the symptom) instead of finding out why they are getting headaches?
Though I firmly believe that women have the ability to have natural childbirth, it should never be used as a scale to judge the woman either as a person or as a mother. How she lives her life, treats others and raises her family tells us much more about who she is than whether or not she used pain medication in labor.
So, this author and mother wishes to simply encourage every mother to take this decision seriously and evaluate for yourselves the benefits and downsides to both natural birth and medicated birth before you jump to any hasty conclusions.
I firmly believe that there are two valid sides to consider and that you should discuss this issue at length with your spouse or birthing partner, family, doula and primary provider as well as factor in the circumstances of your own labor before you decide.
Do you plan to have a natural or medicated birth? Share your plans with us.
The copyright of the article Natural Birth vs. Medicated Birth in Pregnancy & Childbirth is owned by Brenda Lane. Permission to republish Natural Birth vs. Medicated Birth in print or online must be granted by the author in writing.
I am a 24yr old woman with 3 children 6yrs of age or younger and I
delivered all three with no medication. i am very prud of that.
Nov 24, 2008 6:38 PM
Guest :
i have a 6 month old daughter and i delivered her with an epidural and i
was fully alert and i wouldnt have done it any other way..it was great she
was healthy and i was too..
Jan 8, 2009 2:29 PM
Guest :
I have a 14mo old daughter and am due with another in June. I had to be
induced but still had no pain meds. This was very empowering and I felt
very in control the whole time. I plan to deliver again with no pain meds
and hopefully can avoid being induced. Plus its fun to us against my
husband when he is complaining he doens't feel well:)
Feb 22, 2009 11:59 AM
Guest :
My mother had 9 children and all but the very last one was natural and
epidural free. The last one was an emergency C-section due to complications
with the baby. She is a firm believer in natural. I'm about to deliver my
first and I totally know I can do it. You just a good support team. Believe
in yourself!
Mar 3, 2009 12:12 PM
Guest :
I had a natural childbirth with my first child, despite having to be
induced with pitocin due to premature rupture of membranes and having labor
last 33+ hours. It was very painful and by far the toughest thing I have
ever done in my life. My child was born very alert and I was up moving
around within an hour. My second child is due in five weeks and I plan to
have natural childbirth this time as well, despite my previous experience.
Mar 16, 2009 3:19 PM
Guest :
With both of my pregnancies I use pain meds. Both of my children were alert
and everything, but I wanted to know how it is truly meant to feel. The
whole experience. So my next pregnancy I want to do it all natural unless
complications arise and I have to have a c-section or something like that.
May 19, 2009 8:45 AM
Guest :
I was determined to have a completely unmedicated birth with my son 3 years
ago, which I did. Labor was very fast and painful, and at the end there
were some complications (a drop in his heartrate) that resulted in the use
of a vacuum. I'm pregnant again and ambivalent about what to do this time.
I want to do what's healthiest and safest for my baby, and know I can
survive another natural birth since I've done it before. I've read mixed
reports about epidural, including a study in Hawaii that did not find
increased complications with epidural, although a slight increase in the
second stage of labor. In my case, the unmedicated birth experience was
both empowering in some ways and traumatic in others, and since I ended up
with complications anyway (as well as pain for over a year after the birth)
I have wondered whether it was worth the lengths I went to to avoid an
epidural. I feel like there is no "correct" way, since births
often do not work out as you planned regardless of what you decide, and the
important thing in the end is being okay with however your new baby entered
the world and focusing on this new being in your life.
Jul 11, 2009 6:03 PM
Guest :
I'm 24 years old and I'd like to go about birthing the natural way. My
husband is the one who wants me to take the pain meds! LOL! He's afraid of
my pain for me. But, like I said, I'll try to go it natural.
Aug 19, 2009 7:47 PM
Guest :
i am 24 and pregnant with my first baby. i am planing on going about the
whole labor thing naturally. i know lots of people who laugh and say, oh
wait until you experience it, youll change your mind. i really and truely
believe that i will be able to do this without meds. i feel its all about
your state of mind. it you go about doing the whole natural thing without
preparing yourself, for example, breathing techniques, you might not do as
well, or decide to just go for the epidural. i have spent months preparing
myself and i cant wait until the day i can experience everything the way
god intended. one thing that really helps is having a great support team to
back you. at first my husband thought i would crack and get the epidura,
but after months of talking and informing ourselves, he is really excited
to experience everything naturally. i am not going to say i hope i can do
it, i will say i WILL do this.