Giving Birth the Old Way
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
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
"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.
The prenatal visits, McCartney points out, are when you learn
how to stay healthy and have a healthy baby. The doctor or midwife will decide
whether you are facing unusual risks. "It's hard to assess ahead of time
what sorts of risks you face. The idea is to take away as many of the risks as
you can take away."
Medical research and clinical experience demonstrate the
profound benefits of prenatal care, and careful guidance during delivery, to
both mother and baby. Medical practitioners, including physicians and midwives,
have been emphasizing the importance of letting the pregnant woman guide her
delivery -- including underwater births and the use of birthing rooms that are
like a bedroom in a home. These advances have reduced the frequency of medical
complications, while helping women have the childbirth they envision.
"I truly think women are treated like morons," counters
Shanley. "You don't have to understand every aspect of pregnancy to relax
and trust yourself. You don't understand every step of digestion, do you? You
just trust that your food is being digested. The same 'intelligence' that
caused the baby to grow so miraculously also will help the baby emerge. There
is a force there that will shoot the baby out." Unfortunately, for many
women childbirth is not that simple.