One of the more common reasons birthing mothers need medical intervention is because of a long and difficult birth.
Looking for a Way Out of a Difficult Birth
Especially first time moms; she becomes exhausted, her cervix is not dilating and she’s looking for a solution.
At this point, her solution is an epidural, which can be helpful… but probably not what she originally wanted.
This article is written to the woman planning a natural childbirth, to help her decrease the chances of needing medical interventions even when labor LONG and DIFFICULT.
1. Good Prenatal Nutrition
Good prenatal nutrition is the foundation of a good birth. By eating well, women are more likely to continue to stay low risk, gain less weight, and have greater endurance for a long, difficult birth.
Did you know that women who eat milk based probiotics during their pregnancies have a reduced risk of developing preeclampsia?
I think nutrition is easy to gloss over when pregnant, but it’s a big fat deal. Hopefully, you have a midwife or other care provider who believes the same about good eating and will counsel you throughout your pregnancy.
Eat as if you, your baby and birth experience depend on it!
2. Develop the Appropriate Mindset
Expect your birth to be long and hard. Expect it to be exhausting and painful. Expect that you will rock it, persevere and birth your baby naturally.
Take a Birthing From Within childbirth class and build a pain coping mindset. Learn what coping mechanisms you fall on now, and develop new ones that will work for you during birth.
Here’s a great article on building a pain coping mindset for labor. Here is another and one more here.
3. Read Birth Stories
Find birth stories on the internet that were long and difficult. You might have a friend find them for you so she can weed out the ones that might not be as helpful.
You’ll definitely find some long, difficult birth stories in Ina May’s Guide to Childbirth. (You can find other good books to read at here.)
While you’re reading these stories notice how these women cope through their experience. Make a list of things that they do that you can recreate in your own home.
4. Work Through Birth Fears
Take a Birthing From Within childbirth class and learn how to work through your birth tigers (fears). Tigers only grow if not dealt with and the anxiety and worry can manifest at your birth. Tame those tigers, ladies!
5. Prenatal Exercise
Exercise will strengthen muscles that you will call upon in labor. If you have atrophied in pregnancy, how can you expect your muscles to come through for you at birth?
Whatever exercise you decide to do (yoga, swimming, walking, cardio, etc.) do it with the same mindset that you’ll need at birth. When you’re holding a squat during yoga, hold that pose even when it starts to get difficult and burn. When you’re swimming and you find your muscles beginning to burn, push through that sensation and keep going. When you do that you’ll build good birthing muscles!
Here’s a great yoga DVD you can do in the comfort of your own home.
6. Choose an Amazing Birth Team
If you don’t trust your midwife prenatally, how will you trust her when she says, “You can do it!” in a long labor? Work through issues that come up prenatally, and don’t sweep them under the carpet.
Check out my post about how to fire your OBGYN.
Also, construct a birth team that won’t leave you. Make sure your doula has a backup if for whatever reason she needs to leave. Make sure your midwife will stay with you through the end. Have your mother/sister on call in case your partner/husband needs a break. Set yourself up so that you have constant support throughout your birth no matter how long it takes
7. Find a Spinning Babies Savvy Doula or Midwife
Sometimes a labor is longer and more difficult because the baby is not in an ideal position. Often, the hold up is waiting for the baby to “assume the position” and then things will go quickly. Having someone at your birth that can identify the signs and symptoms of a baby not in the optimal position is priceless. She can potentially help turn your long and difficult labor into the birth of a baby.
Better yet, use this belly mapping workbook before labor to determine baby’s position.
If baby is not in the optimal position, use your doula and the Daily Essentials video by Spinning Babies to turn that baby. This video gives you practical ways to optimize your babies position for less discomfort in pregnancy and less pain during delivery.
8. Ignore Early Labor
When labor or early labor begins, ignore it. Pretend like your body is just playing a trick on you and it’s not really real. Go on with your normal daily activities as long as possible. Do not time contractions as that will start the time clock in your own mind thus encouraging you to start keeping track of how many hours you’ve been “in labor”.
If you wake up in the middle of the night in labor, go back to sleep. If you start contracting, take a nap. If your contractions start spacing out, sleep in between them. Get as much sleep as you can! If you have to pick between being active or sleeping, I would lean more towards getting rest.
10. Stay Hydrated
Even the American Society of Anesthesiologists agree we need to keep drinking.
“Without adequate nutrition, women’s bodies will begin to use fat as an energy source, increasing acidity of the blood in the mother and infant, potentially reducing uterine contractions and leading to longer labor and lower health scores in newborns. Additionally, the studies suggest that fasting can cause emotional stress, potentially moving blood away from the uterus and placenta, lengthening labor and contributing to distress of the fetus.”
Drink water, coconut water, gatorade and other nourishing liquids like broth.
11. Stay Nourished
Eat fruit and other nutritious, easy to digest foods. You can’t expect your body to run for hours with no fuel, so eat and drink as often as possible.
12. Limit Vaginal Checks
A vaginal check won’t make your labor any less long. All a vaginal check will tell you is what you’ve already done but it will not tell you how much longer you have to go.
Check out this post about how your vagina isn’t a crystal ball.
For a long and difficult labor, vaginal checks can be very discouraging. You may feel that you’ve done a wild amount of work and have hardly anything to show for it. Avoid this emotional roller coaster and limit vaginal checks to when absolutely necessary. Persevere throughout your labor as if you have hours and hours to go.
Another reason to limit vaginal exams is to reduce the risk of infection to you an your baby. Read more about that here.
13. Use Birth Affirmations or Verses
These words of encouragement will bolster your spirits when you feel doubt and despair. These beautifully designed encouraging words on cards can be read prenatally but also someone in your birth team can read them during labor.
14. Benefits of Natural Birth
When times get tough, have your birth team remind you of why you chose to have a natural birth, and the benefits for you and baby. It’s easy to forget these things while in the throes of labor, and depending on how important these facts are for you the more strength you will draw from these reminders.
15. Reminders of Reality
When you are exhausted, in labor land and you feel lost, it’s helpful to have someone remind you of the purpose of labor. Having someone tell you that you won’t be doing this forever, there is an end, you get to meet your baby soon can be extremely encouraging.
16. Visualizations and Hypnosis
The mind is a powerful tool, and in birth you should use it to your advantage. Visualizing your baby descending and your body opening can be very effective. Visualizing something opening, like a flower, or riding the waves of the ocean can be a helpful coping mechanism during labor. This is why the program Hypnobabies is SO EFFECTIVE.
Using the home study course prenatally trains your mind to relax and cope through the most difficult of labors!
How to Rock a Long and Difficult Birth
I hope after reading this article you start to understand the mindset needed to give birth, and the even stronger mindset you need to rock a long and difficult birth.
When birth doesn’t go as we had envisioned or planned it is easy to get discouraged and give up.
Prenatal preparation to birth is HUGE. Take the time to prepare for ALL the possibilities of birth.
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