Interventions

Why We Love The Business of Being Born (And You Should, Too!)

Business of Being Born Banner

Did you know that the US currently has one of the highest infant mortality rates among industrialized nations? Though you may find this to be shocking given the wealth of our nation and available technology, this issue is among several concerns about birth in the US that Ricki Lake and Abby Epstein set out to explore in their documentary, The Business of Being Born. This cutting edge documentary was created with the intent to provide women with a thorough examination of the current state of the birth industry in the United States. Through raw footage of empowering homebirths, candid interviews with mothers, doctors, midwives and other health professionals, and an analysis of common hospital birth practices, Lake and Epstein have created a provocative and informative film that is a must-see for all women. 

Why They Created It:

Ricki Lake initially sought to create a film examining common birth practices in the US after her own first birthing experience left her feeling unsatisfied and like something was missing. Interested in the factors leading to the decline of the use of midwives and the increase in the use of medical interventions, including C-sections, Lake hoped to expose some of the reasons women feel unequipped to have a natural birth. Epstein, a strong proponent of natural homebirth directs the documentary while pregnant herself and as you see in the end provides viewers with a firsthand account of why it is necessary to be flexible sometimes with your birth plan in spite of your own wishes.  

Why We Like It:

This film is all about empowering women to realize the tremendous and natural capabilities of their own bodies without intervention. Through extensive and awe-inspiring footage of natural births, The Business of Being Born successfully shows that women need not fear childbirth and that they have the strength within themselves that they will need to birth their baby. The post-birth euphoria that the new moms experience in the film is palpable through the screen and allows viewers to see some of what they might be missing should they feel pressured to undergo a cascade of medical interventions at the hands of their doctors. Lake and Epstein also take a look at the potential motivations for hospitals to encourage the use of interventions and in some cases even favor the use of Cesarean sections to avoid the possibility of a lawsuit. This film is beautifully feminist yet will appeal to any individual who is expecting a baby and wants their partner to have the dignity of the choice to have a childbirth that is best for her and her new baby. 

What You’ll Learn:

The Business of Being Born is a treasure trove of interesting facts about the history of childbirth in the United States, the decline of midwifery and the rise of and reasons for the medicalization of birth. A few topics explored in the film include:

  • The cascade effect of childbirth interventions 
  • The reasons many obstetricians are ill-suited to attend to natural births 
  • The economic implications to hospitals when allowing women to follow their body’s natural birth plan without intervention
  • The risks associated with repeat Cesarean sections
  • The primal bonding mechanism of the natural birth process
  • The relationship between the growth of technology and the changes to the childbirth industry in the US
  • The power, pride, and strength a woman experiences through natural birth.

The Take Home Message:

All women deserve the right to make informed decisions about their childbirth experience. Whether you choose to birth at home, in a birth center or at the hospital, you are entitled to the right to be educated, empowered and supported in the process. Lake and Epstein have created a powerful film that boldly personifies this mission through real life accounts, professional commentary, and raw footage. The Business of Being Born is a must-see for all women expecting a baby. This December, Health Foundations is thrilled to welcome the esteemed creators of this cutting edge documentary to our EVERY WOMAN CAN event at Aria. Lake and Epstein will give the keynote address during this night of celebration, community, and empowerment. For more information about EVERY WOMAN CAN, visit our website at http://www.everywomancan.co/.

The Quick Guide to Natural Childbirth

Natural Birth

If you have decided on or are considering birthing in a setting like a freestanding birth center, it perhaps has to do in part with your desire to have a natural birth experience. It is estimated that approximately 85 percent of childbearing women are considered low-risk and are great candidates for a natural birth. But what is a natural birth exactly and what does it entail? Are there really worthwhile benefits to it and how much pain will I experience? These are all important questions when considering your birth plan. Here are the whos, whats, wheres and whys of the choice of natural birth.

What is a natural birth?

Natural birth is a vaginal birth that is free of pain medication and has minimal, if any, medical interventions. With a natural birth, the mother is in control of the labor process; she is a part of each and every decision, including when it’s time to rest, change positions and push, with her care providers acting as support throughout the process. 

Why do women choose to have a natural birth?

There are many reasons women choose to have a natural birth. Whether you are expecting your first baby or had a past birth experience that left you wanting to try something different, here are a few of the top reasons moms choose natural birth:

  • To have a sense of control over the birthing process
  • They view birth as a natural, normal, non-medical event
  • To have a sense of presence and awareness during birth
  • To have the ability to move about freely during labor
  • To have the ability to follow the lead of your body’s natural instincts
  • Less invasive
  • To avoid unnecessary medical interventions
  • To avoid undesirable side effects of pain medication to mom and baby (such as drowsiness, a drop in blood pressure or nausea)
  • To avoid undesirable side effects of pain medication on labor (such as slowing or stopping the progress)
  • A sense of empowerment
  • Reduced risk of certain interventions such as the use of synthetic oxytocin (Pitocin), forceps and vacuum extraction
  • The ability to eat and drink throughout labor

Where do women have natural births?

While you can absolutely have a natural birth in a hospital setting with the right supportive team and a clear birth plan, you might find that a birth center is more conducive to your goal of a natural delivery (It is important to note that some hospitals call their labor & delivery units "birth centers"...this is not what we are referring to). Birth centers place a strong emphasis on empowering women to realize the amazing capabilities of their own bodies without intervention or pain medicine. Another option for natural birth is having your baby in your own home. This approach typically includes the attendance and care of a midwife. 

Who can have a natural birth and who attends them?

As previously stated, approximately 85 percent of women are considered great candidates for a natural, vaginal delivery. However, in order to plan for a natural delivery, a woman should ideally have a low-risk pregnancy with few complications or other existing serious conditions. 

A natural birth can be attended by a doctor or midwife, along with a birth assistant and a doula, depending on your setting and personal preferences. Continuous care and support from a midwife or doula throughout labor has been associated with lower rates of the use of pain medicine, incidence of C-sections and other interventions in addition to shorter labors and greater overall satisfaction with the birth experience.

How do women cope with the pain of a natural birth?

Every woman will experience the pain of childbirth differently. Fortunately, there are many alternative forms of pain management that can be used during a natural birth instead of medication or an epidural. Here are just a few of them:

Nitrous oxide for Labor Pain
  • Nitrous oxide
  • Water immersion/water birth
  • Massage
  • Relaxation
  • Acupressure
  • Acupuncture
  • Visualization
  • Hot/cold compresses
  • Hydrotherapy
  • Deep breathing
  • Yoga
  • Changing positions
  • Distraction
  • Visual imagery
  • Meditation
  • Walking
  • Hypnosis
  • Birthing ball

Consider taking child birth preparedness classes that focus on natural birth and pain management. The better prepared you are, the more tools you will have to help you achieve your goal of a natural birth.

What if something goes wrong?

The most important thing with any birth plan is to approach it with flexibility and a willingness to heed the advice of your caregivers who have you and your baby’s best interest at heart. While having a natural birth is typically very safe, complications do arise occasionally where medical interventions are not only suggested but necessary. Beginning with a caregiver that you trust is an important step to helping you feel confident and comfortable in the event that a change is made to the plan involving unexpected interventions. Just know that no matter what course your birth ends up taking, whether it is perfectly natural or ends in a C-section, you and your body have done an incredible, life-giving thing. There is no shame in a birth that does not go as planned.

For questions about natural birth, prenatal and postpartum care and all other women’s care services, contact Health Foundations for a free consultation with a midwife and for a tour of our Birth Center. Our goal is to support you in realizing your body’s tremendous strength and potential.

10 Cool Facts About Nitrous Oxide for Labor Pain

Nitrous Oxide In Labor

Rapidly increasing in popularity in the US, nitrous oxide is a safe and affordable option for pain relief during labor in both hospitals and birth centers alike. With both anxiolytic (anxiety reducing) and analgesic (pain reducing) effects at low doses, nitrous oxide is becoming the choice of many women who want to forego or postpone more invasive options like an epidural yet wish to have some relief from pain intensity throughout labor and birth. Here are ten cool facts about the use of nitrous oxide during labor that you may not know!

  1. Nitrous oxide was commonly used for pain relief during labor in the US up until the 1960s and 1970s when the use of the epidural rapidly popularized. With the rise of epidurals, the use of nitrous oxide became virtually obsolete until around 2011 when midwives began bringing the practice back. You will now find nitrous oxide available for pain relief during labor in over 100 hospitals and over 50 birth centers in the United States. 
  2. While the use of nitrous oxide for labor pain plummeted in the US with the inception of the epidural analgesic, the practice remained commonplace in other areas with sophisticated healthcare systems around the world such as Australia, Europe, New Zealand and Canada.
  3. While many believe that the nitrous oxide received during labor is the same as what you receive at the dentist, it’s actually less concentrated. When you utilize nitrous oxide during labor, the gas you are receiving is 50 percent N2O and 50 percent oxygen. Dentists use varying concentrations of nitrous oxide for their patients but can use up to 70 percent N2O and only 30 percent oxygen.
  4. Another way that nitrous oxide for labor is different than the nitrous oxide you receive at the dentist is that during labor it is controlled by the woman only. You will be given a handheld mask that contains a demand valve which opens to release the nitrous oxide when you inhale. When you exhale, the valve will close. This allows the woman in labor to use the nitrous oxide when she feels she needs it and to place it aside when she does not. This is much different than an epidural which is inserted into your spine and typically gives a continuous dose of analgesic throughout the rest of labor. Conversely, once you remove the nitrous oxide mask during labor, the effects will dissipate in about five minutes.
  5. While epidurals typically remove or greatly lessen the pain of labor, women who have used nitrous oxide report that they still feel the pain but their perception of it is altered. Because of the anxiety-reducing effects of the nitrous oxide, many women are better able to handle difficult contractions and other painful parts of the process with its use.
  6. You may begin using nitrous oxide for pain relief at any stage of labor or even post-delivery. There is no cut off in the process of labor when the treatment becomes unsafe making it a great option for moms who wish to try to make it as far as they can without any sort of medical intervention. Some mothers even decide not to use it until they are undergoing repairs following the birth for any tears occurred.
  7. If there was not an initial need for continuous fetal monitoring of your baby prior to your decision to use nitrous oxide, there will be no need for continuous monitoring after. You will still be free to move about, change positions, use a birthing ball or tub or any other position you wish to labor in after you have used the nitrous oxide. Your midwife or doctor will just want to ensure you are not experiencing any dizziness from the treatment before you go walking around but this is a quite uncommon side effect.
  8. There has been no evidence found that the use of nitrous oxide during labor slows the progression of labor at all. Particularly because you are able to move about freely in positions that are conducive to birthing, baby is able to further make his way into the birth canal. Nitrous oxide also does not impede the body’s natural production of oxytocin which is necessary for labor to progress.
  9. One of the most important factors to know when considering the use of nitrous oxide during labor is that it is safe for both mother and baby. Unlike certain narcotics that are often used during labor such as fentanyl, there is no risk of depressing baby’s breathing with nitrous oxide. It also should not negatively impact the infant’s alertness upon delivery and consequently, there should not be an effect on his ability to breastfeed and bond with the mother or father during the time period following delivery.
  10. Although unfortunately many insurance companies do not cover nitrous oxide treatment for labor at this time, the cost of nitrous oxide is significantly cheaper than having an epidural. And, unlike an epidural which requires a hospital birth and the presence (and a bill from) an anesthesiologist, nitrous oxide can often be offered at a birth center by a midwife.

If you are considering alternative options for pain control during labor, contact Health Foundations for a free consultation with a midwife to discuss the benefits and risks associated with the use of nitrous oxide. We’d be happy to give you a tour of our Birth Center and answer any questions you might have about delivering at our Center and becoming part of the Health Foundations family.