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    Giving Birth the Old Way

    Unassisted Birth

    WebMD Feature

    Laura Shanley not only had her four children at home, but she birthed them without a doctor or midwife. Hunkered over a plastic tub, she even tugged out a breech baby by herself while her husband was away. This was decades ago, before home births, much less unassisted births, gained popularity.

    Shanley, author of Unassisted Childbirth, is not alone, although she is still in a distinct minority, probably because of the significant risks perceived to be associated with this decision.

    "Doctors think I am crazy," laughs Shanley. "But I believe childbirth is not inherently painful or dangerous unless there is interference from within or from outside."

    "She sounds like one of those women who have an easy time," deadpans Marion McCartney, a certified nurse-midwife and director of professional services of the American College of Nurse-Midwives in Washington. "Most of us are somewhere in the middle, between easy and hard."

    Shanley says she had not even planned on having children until she met her husband-to-be, who was exploring various issues of consciousness and turned her on to a book called Childbirth Without Fear by Grantley Dick-Read. That must have been quite a first date! "That book told me about the fight-flight response [changing muscle behavior in response to fear] and approached it all so logically," she recalls. "It made sense to me."

    High-Risk Pregnancies?

    "People often contact me and say they are high risk," Shanley comments. "I don't tell them what to do: All I say is what I did." Shanley does argue, however, that a lot of problems that define high risk are the result of the overmedicalization of pregnancy and delivery. She mentions the confining belt monitors and sensors that are attached to the scalp of the emerging child. "Those can pick up variations that probably aren't dangerous at all," she claims. "If you become afraid, blood stops flowing to your uterus and labor is impeded. If I had had my breech baby in the hospital, they probably would have cut me open."

    Most doctors and midwives would disagree.

    Predictably, Shanley also had no prenatal care during her four pregnancies. "We call it 'prenatal scare,'" Shanley says.

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