Strollerderby

Male Midwife: Good Moms Give Birth Without an Epidural

Posted by madeline holler on July 13th, 2009 at 4:06 pm

epi 300x225 Male Midwife: Good Moms Give Birth Without an EpiduralA male midwife in the U.K. thinks women in labor who ask for epidurals are avoiding a rite of passage and that skipping the pain isn’t preparing these women for the responsibility of bringing up a baby.

Epidurals as a gateway to child neglect?

Dr. Denis Walsh, a senior midwife and associate professor in midwifery at Nottingham University, writes in an article for the journal Evidence Based Midwifery, published by the Royal College of Midwives, that labor pain is purposeful and prepares “a mother for the responsibility of nurturing a newborn baby.”

Of course this guy’s full of shit and here’s what bugs me: his miscalculation in equating the amount of pain endured with the quality of parenting discredits his other points — many of which are actually true. He thinks women should be better prepared for the pain of labor and that hospitals should be better equipped to help laboring women. He also thinks how childbirth is depicted in pop culture is scaring women away from non-medicated births and that normal, non-interventive birth, is in danger of no longer being possible.

But he’s blaming women for being too wimpy to abstain from pain relief, rather than a system that steers women toward epidurals and doesn’t fully and predictably support women who want to attempt birth without.

I know plenty of women who wanted to do a trial of labor without getting the epidural. They took childbirth classes, came up with techniques, got their partners on board, all of it. But for one reason or another — usually an induction with Pitocin but also being forbidden from moving around, the inability to really change positions, unsupportive nurses, too many internal exams — they wound up with the epidural. These women weren’t wimping out. And they knew a bullshit birth scene in the movies when they saw one.

But they got the epidural because, based on Pitocin or hospital protocol or being surrounded by scared or unsupportive people, they were experiencing pain the human body wasn’t equipped to help them endure.

Dr. Walsh’s mentality — that how a woman labored and gave birth says something about how much or how well she loves her kids– only makes everybody really defensive and, anyway, is just an opinion. Where’s the study that shows epidurals are a gateway to neglect?

And what does equating pain-free labors with responsibility for a child say about moms who adopted, fathers and step-parents? They should probably go shut their pinky fingers in a car door just to be in the game of good parenting.

More Posts

Campers, Kicked Out for being Black, Sue Pool

Parents Whose Facebook Accounts We Want to Take Away

Should Speaking English be a Requirement for Moms?

Photo: i.ehow.com

 Male Midwife: Good Moms Give Birth Without an Epidural

Go Back To Strollerderby

37 Comments

[...] Male Midwife: Good Moms Give Birth Without an Epidural [...]

Are You Bummed When Your Kid is Better Than You? | Strollerderby commented on Jul 14 09 at 11:24 am

When he can push a child out of his nethers, then I will be interested in what he has to say. Otherwise, I will just file this under, “You’re Not Helping,” and move on.

Mistress_Scorpio commented on Jul 13 09 at 4:36 pm

I agree with your article but not on your comment “they were experiencing pain the human body wasn’t equipped to help them endure”
Hello~ how did all the women in the world throughout the centuries gave birth before epideral was used? I don’t think it’s ‘human body wasn’t equipped’, I think we are equipped and in the bible we are suposed to experience pain of birth due to sins of Adam and Eve..we just want to not experience pain if we dont’ have to and with epideral is available..why not use it..they made it to help us with it, but I don’t think the human body is natually ‘not equipped’

allison commented on Jul 13 09 at 4:49 pm

I did not get offended at all by this article because the only reason why I said yes to an epidural was because my lazy doctor decided he wanted to go home early and put me on pitocin even though I was giving birth on my due date, I was 5cm when I got to his office and 6cm after I made it to the delivery room. He said I had to get it and me, rockie and all, decided to listen. I already told my new doctor, NO EPIDURAL, on this birth. I already went thru the labor pains because the epidural ended up not working. I felt everything, seriously. So this time, I will give birth less sleepy without an epidural.

Rosana commented on Jul 13 09 at 4:54 pm

Sorry, Allison, if I wasn’t clear. The unendurable pain is an induction with Pitocin, which, as I’m sure you know, brings on hardcore contractions and inhibits the body’s own endorphins from being produced and helping mom cope as she does during contractions brought on by her oxytocin. PS: Pretty sure it’s all biology and the Bible has not a lot to do with having equipped us. Yay for evolution!

Madeline Holler commented on Jul 13 09 at 4:56 pm

You lost me with the biblical reference Allison, otherwise I agree. But I also think that women should be able to make an educated choice on this matter. And I also think that when this man can push an eight pound watermelon out his anus (okay, I would settle for a large lemon out the urethra), then he may speak on the subject.
Madeline – everyone says Pitocin is horrendous. I didn’t find it that bad even pre-7-cm epidural on my part. I was at a ::generous:: (i.e. not quite) 2 when I was hooked up. My mother said it was horrendous. Is it just how your body reacts?

PlumbLucky commented on Jul 13 09 at 5:03 pm

Further – my generation’s mums (I’m in my early 30s) gave birth sans epidural. Have the abuse and neglect rates gone up? Do they correlate with the increase in epidurals? What about my grandmother’s generation – who used “twilight” and whose babies were more often than not delivered by forceps. The scientist in me is completely offended by his lack of use of scientific methodology in creating this mockery of science.

PlumbLucky commented on Jul 13 09 at 5:04 pm

I delivered my nine pound week overdue daughter “naturally” i.e. with no pain medication whatsoever, and a relatively routine labor/delivery. I had supportive hospital staff, and family/friends with me. I’m pregnant again and will DEFINITELY use pain mediation this time.

Not this time commented on Jul 13 09 at 5:05 pm

The Pitocin, not allowed to move around, unsupportive nurses, etc. was me. I kept saying “no epidural, no epidural” until finally it became too much – for those exact reasons. And, um, I went through pain buddy – a LOT of it. And if I’d gone through absolutely none, I’d bet you my parenting would be exactly the same.

jeannesager commented on Jul 13 09 at 5:05 pm

Who knows, PlumbLucky, I’ve never had Pitocin. I have a friend who labored on Pit, no epidural, and I’m in awe. Any moms out there who can give us a glimpse of no drugs plus and minus Pit?

Madeline Holler commented on Jul 13 09 at 5:06 pm

So, wait, I had 3 c-sections. I must be a off the charts kind of a horrible mom. Better go inform my kiddos they are doomed to a childhood of neglect, cause mommy is super lazy!! Seriously, who are these people that say crap like this?? For the record, I have had tons of labor with and without pit. They both hurt, the pit hurts in a much more intense, especially painful way if that’s possible. Those were all experiences with no epidural. But I think its all relative. Every situation is different, and every mother is different. All the focus on the details, and which way is “best” and “right” makes me crazy.

Amanda commented on Jul 13 09 at 5:23 pm

Couldn’t agree more, Amanda. Which is why it’s so annoying that this guy bungled the call for more support for moms during labor. Instead of focusing on “some moms choose to and here’s how we can do a better job to support that,” he cooks up a dire warning and dumps it all in the mom’s lap. All without the science (as PlumbLucky points out) to back him up (in a journal called with “Evidence Based” in the title!).

Madeline Holler commented on Jul 13 09 at 5:29 pm

What I would really like is for everyone to stop worrying about the details of other people’s pain thresholds and instead start worrying about all mothers having access to a safe birth at home, in a hospital, a birth center, etc. Personally, I cannot imagine not having the epidural, was not interested in that option at all, and really don’t care if that means people think I’m a wimp. I have a friend for whom a more natural birth was very important. I happen to think we should both be able to have the kind of birth we want. Or at least to have access to those options (given that sometimes births don’t go as planned). It’s not a competition.

Oh, and out of curiosity, Dr. Walsh, what sort of painful right of passage should the fathers be putting themselves through to prepare for the responsibility of nurturing a child?

MsC commented on Jul 13 09 at 5:31 pm

I haven’t read the article in question, but I do wonder whether this is another example of context being everything. Did Dr Walsh actually call epidural using women ‘too wimpy to abstain from pain relief’ or is this notion being inferred from his piece?

It does make sense (to me) that biology has created a painful labour as a means of preparing women for motherhood, but I think it’s an enormous leap to imply that mothers who opt for drugs during birth somehow go on to neglect their children. I’m also not sure Dr Walsh made this leap or if he is being misinterpreted. Human evolution has developed so that women experience extreme pain in childbirth, which is (to a degree) counteracted by the release of hormones that assist us in bonding with our babies. This is fact. It doesn’t mean that women who have drugs don’t bond with their babies, does it? This would be a childish conclusion to reach.

Just because these biological facts are in play doesn’t mean that they can’t be overcome or at least counteracted by other means. It may be true that painful childbirth is designed to prepare women for motherhood but this certainly does not preclude adoptive/step parents etc from being amazing parents and it doesn’t mean that epidural users are precluded either. It simply means that these groups of people find their amazing-ness in other ways that are socially, rather than biologically, constructed. Context, people!

Re: your question about births, Madeline. I can tell you briefly about my pitocin-free, epidural-free births. I had my babies in the UK. One was seven days late and the other was eight days late. At no point did anyone ever suggest inducing me and I have no experience of induction drugs. Pitocin does sound like hell. My British childbirth experience was definitely different from many of the US versions I’ve heard described on Babble. I was offered the option of having my babies at home, in hospital or in a midwife-led birth centre (my eventual choice). I laboured for 32 hours in total when I had my first baby and at no point did anyone suggest any interventions. (There were no doctors involved in my children’s births, which may provide an explanation!) My son’s heartbeat was monitored regularly using a Pinard stethoscope and determined to be normal. It was a fairly long, incredibly painful, but normal and natural delivery. The adrenaline rush I experienced subsequently kept me up all night!

I really enjoy Babble but there does seem to be a tendency for people to lose all sense of context when responding to posts, often springing from defensiveness, which I find off-putting.

Voice of Reason commented on Jul 13 09 at 5:57 pm

oh sorry Madeline, I thought you are talking about natural birth..didn’t realize you meant pain associated with induction with Pitocin…my water broke first and they admitted me to hospital and they gave me something to get dialated, is that what is called induction?

allison commented on Jul 13 09 at 6:01 pm

I had the vaginal suppository given to me to induce labor the night before I gave birth. I made it 12 hours with those contractions. Then my midwife started Pitocin. I went from ‘almost 2′ cm to ’5 and some change’ in 45 min, when I called it quits and got my epidural. Those contractions were horrific! I’m hoping that when I have baby number two (which is a while away) that I can avoid being induced. I think I could make it quite a bit longer without the Pit.

Kayt commented on Jul 13 09 at 6:24 pm

Hmmph…this is weird. I was just thinking the other day, after being out to dinner w a bunch of women recounting awful labor stories from the hospital of tearing, forceps, etc. that maybe this trauma possibly contributes to some of the slightly antagonistic behavior I witness from mother to toddler, the letting the cry it out, the lack of empathy. I was wondering if it is some subconscious holding of anger and resentment. But, not having to do with the pain being a “rite of passage”. I had a drug-free, medium pain labor that didn’t cause me to tear or anything and I just feel blessed that I was lucky and had good care.

GP commented on Jul 13 09 at 6:46 pm

GP-You’re not implying that women who CIO lack empathy at that that lack comes from a horrific birth experience, right? Please tell me that’s just a musing you had. This whole “rough birth experience = a lifetime of bitter motherhood” I find to be a HUGE leap. I’m sure no one could possibly be positing that.

That said, I think Madeline is right on that this guy is totally blaming the victim and not

ugh commented on Jul 13 09 at 7:11 pm

oops…I was trying to say “blaming the victim and not the system.”

ugh commented on Jul 13 09 at 7:11 pm

Just a musing. I am not a scientist or a therapist. More like a period of bitter or detached motherhood…not a lifetime. And I blame the hospitals and the existing medical system.

GP commented on Jul 13 09 at 8:14 pm

My first birth was completely non medicated until the end…when I was given pit so I would WANT to push. Never had the urge, even at 10 cms, and was making a deal with the nurse that I would start pushing after the next one. Three contractions later I was given pit, and while I still didn’t want to push, I did.

The difference between that birth and my second birth was the intensity of the contractions. With my first, they started out slow and mild, working up to longer and more intense. With the second birth, I was induced and the contractions started out being 30 seconds apart and ending up 10 seconds apart–for 8 hours, at which time I demanded an epidural. I ended up not being able to push him out anyway. I stalled at 8 and his heartrate was dropping. He ended up being fine, but he was born with the cord wrapped around his neck and head twice and around his arm once. The doctor told me I was lucky we got him out when we did. And he’s fine today.

I think this doctor is an idiot. Everyone experiences pain differently and everyone’s labor is different. My first labor lasted 8 hours (including 2 hours of pushing)—the second was closer to 12. And the only difference is that the epi wasn’t available to me for the first or I would have been all for it.

People need to get over this stuff. Women need to be offered the opportunity to have the birth THEY want, and that’s it. They also need to understand the whole process and what could happen.

Sheri commented on Jul 13 09 at 9:21 pm

Kudos on the pinkie comment Madeline, cracked me up!

cheri commented on Jul 13 09 at 11:57 pm

The number one cause of death for women between 16-30 in the world is childbirth or infection afterwards. It aint so easy even today. I guess dying in childbirth is natural so we should just let that happen too.

Ali commented on Jul 14 09 at 12:28 am

Um…there are different forms of parenting. Allowing a toddler to CIO may be seen as “what you’re supposed to do”. Good lord, I strongly doubt that a traumatic birth experience has anything to do with it. One person’s lack of empathy is another’s not raising a spoiled brat. (Okay, those are extremes, but still) At ten months old, my child has a temper. I can tell the difference between his “I’m not getting my way” fuss and “I need my diaper changed” fuss and “I’m sleepy Mommy cuddle me please” fuss and “I’m hungry d@mmit!” fuss. My MIL thinks I’m being antagonistic for not giving in to his temper tantrums (hey, that’s what they are). Oh – and “hungry d@mmit”. That’s what we call it because he’ll just suddenly decide that he’s hungry NOW with very little warning…like a switch has been flipped. Thank goodness you can practically set a clock (within ten minutes at least) with my child!

PlumbLucky commented on Jul 14 09 at 7:30 am

I agree that the key point here is not that women are not “naturally designed” to withstand labor and delivery, but that hospital/birthing center policy oftentimes creates MORE discomfort than strictly necessary, resulting in an increased “need” for pain relief. I am expecting my son any day now, and have been contracting (mildly) for several days. Just yesterday, I got in a “test run” to the hospital where I will be delivering to be checked out for an elevated blood pressure. Now, this was not in any way REAL labor…I was just being monitored for a couple of hours. Between the uterine monitor, the fetal heart monitor, and the blood pressure monitor, I was essentially strapped to the bed, unable to move comfortably. In fact, the baby was being uncooperative with the fetal monitor (he was very active, and kept moving away from it)…so the nurse on staff instructed me to lie back in a certain position and then STAY PUT, so they could get a good trace on my son. They made it clear that even sitting up (more comfortable for me, by far), or rolling to one side was out of the question. I noticed that my mild contractions became more uncomfortable the longer I laid there. I have no doubt that I would have been far more comfortable had I been able to move freely – even just around the BED. Mind you, this was just a routine check…I can only imagine what it will be like when the actual labor hits. I have been staunchly against an epidural since early pregnancy, and still plan on going without one. However, I can completely see how a woman might change her mind during labor when there are procedures in place which don’t allow her to labor in a way that is most comfortable for her. I think many women would be only too happy to listen to their bodies, and labor in positions which are best for them – if only they were “allowed!” When those choices are taken away, labor is bound to become more of an ordeal.

puasamanda commented on Jul 14 09 at 9:04 am

Totally ridiculous. In fact, children who were born in a difficult delivery are statistically slightly more likely to be abused/neglected (less than 5%, but still). And it is fair to assume that “difficult” means “painful” because these statistics rely on interviews with parents receiving services from Child Protective Services.

dianna commented on Jul 14 09 at 11:39 am

Again, I wish the posters on Strollerderby would take the 30sec to google the original article. In this case, the paper described has NOT even been published yet! See
http://www.rcm.org.uk/college/media-centre/press-releases/denis-walshs-paper-has-not-yet-been-published-in-evidence-based-midwifery/
However, from the quotes in the telegraph article, he doesn’t sound as mean as this article makes out — he is reasonably arguing that a) there are too many unnecessary epidurals (because of too many unnecessary inductions), b) there’s too much fear of childbirth — how many horror stories have we all been told? How many scary scenes on TV? and c) birth can be an empowering “rite of passage” — this idea is not new at all, it is the basis of the books “Rediscovering Birth” and “Birth as an American Rite of Passage”.
For me personally, coping successfully with my drug-free birth DID make me feel empowered and ready for anything. The above book authors make the case that women have been stripped of what used to be our MIND-BLOWING superpower — the ability to grow a new person, and then birth that person out into the world despite pain and fear. THAT is why the old societies worshipped goddesses! Of course, no one should feel bad that they ended up with the drugs — instead, we should all be angry that most hospitals have taken away proper birthing support and other options. I had an ideal environment — a midwife run birthing center within a hospital — we should all demand that option!

cyn-diego commented on Jul 17 09 at 2:10 am

Incidentally, one of my favorite affirmations in preparation for birth was “My body and my baby know what to do.” I felt that my son and I (and his father) were part of a team — when we pulled that off, I felt ready for nursing and all the other challenges. Surely, that is a better attitude than a paralyzing fear of birth, and the hope that the anesthesiologist will “rescue” you from the terrible thing the baby will do to you? Just saying. There’s something to be said for women taking back our birthing power.

cyn-diego commented on Jul 17 09 at 2:14 am

Ok, let’s shove a bag of flour up his ass and then bend him over and hit him in the lower back and stomach with a baseball bat, then force him to push out the bag of flour using his ass muscles; all at the same time. Then, he’ll know why we women who give birth scream for an epidural.

preggoagain commented on Jul 18 09 at 12:10 pm

If you get an epidural you are a puss, a little bitch. I had 5 children (all grown now), 2 doctors, 2 lawyers and 1 priest. Not one of them was had with an epidural. The doctor couldn’t believe I was able to withstand the pain since I have an extremely small vaginal cavity and tiny hips. Stop being a puss and have your children the way people have been having them for the last 6000 years.

Jessica commented on Jul 25 09 at 2:33 am

Jessica, after five children…I very much doubt you have “an extremely small vaginal cavity” any longer, and this has in turn, led to your bitter resentment to women who have intervention. Keep your unhelpful comments to yourself and practice doing your pelvic floor exercises woman.

Jill commented on Aug 19 09 at 6:03 am

I had Pitocin and an epidural, I wanted them both and was very happy with the result: a nearly pain-free labor. I’m a big believer in avoiding pain if possible. But I definatly have not neglected my child, he’s barely ever out of my sight.

ri-chan commented on Aug 28 09 at 6:35 pm

Probably too late to be commenting on this one but I had a natural birth plan in place before I found out I would have to be induced. After Pitocin I stuck to my plan of no drugs, no epidural. Is there really that much of a difference in pain level? I was in some extreme pain but just assumed that was natural childbirth. I also came in with high expectations for pain given my history of frequent kidney stones from the age of 13. (No comparison btw, childbirth more painful by 1000x)

Amanda commented on Jan 08 10 at 12:08 pm

I had 3 babies in the late 80s — all were nearly 9 lbs, all w/o any drugs whatsoever…and the second one was Pit-induced (my water had broken and then labor didn’t progress). I had nurse-midwives for all 3 pregnancies and births, and highly recommend them — they are the true experts in birth as nature intended. They listened to me, supported me, made excellent suggestions, and made me feel safe, secure and in control, doing what women have done for centuries — I had trust in them, and trust in the natural process of birth, and therefore i was able to have 3 large babies with no pain medication, and no episiotomies either..not a single stitch! I am so glad I was able to birth my children without subjecting their delicate systems to potentially-dangerous drugs..sorry, ladies, but any medication that can numb you from the waist down and eliminate the sensation of contractions is having an effect on your child, too — that’s your choice, but don’t kid yourself, you’re both getting drugs!! As a Kindergarten teacher, I also wonder about whether or not all these epidurals are somehow connected to learning disabilities……why take chances with your most precious gift: your baby?

California Kinder Mom commented on Jan 10 10 at 7:35 pm

I think he has a point, and that those who are defensive and offended are insecure. Motherhood is hard. Birth is the easiest of it. If you won’t allow yourself to face the discomfort and pain on the front end, it’s assumed that you will continue to take the easy way out as a parent. I don’t think it’s all that big of a leap. For a healthy woman and baby, medication-free birthing is the best and safest option. Period. I don’t see why this is so objectionable.

Taylor commented on Mar 06 10 at 11:06 pm

With my daughter I was induced, and I attempted to go drug free. After 8 hrs and 8 cm I begged for the epidural. With my second child I refused to go through the pain again and received the drugs soon after they broke my water. With my last child I got a dry cath (an epidural without a constant stream of medicine) and made it to 8cm again, which is when they broke my water. When you are induced they break your water early, so you have to go through all the stages of labor without that cushion, which is much more painful. By the way, I was induced with all three because they were large babies and I did not go into labor by myself. (8’8″, 8’8″, and 9’12)

sarah commented on Jun 16 10 at 1:09 am

Rebellious women rule the world… why would we expect them to ever do anything the way God intended?

Dave commented on Aug 25 10 at 12:04 pm

Add your take:

Note: Babble is a supportive, diverse community. We encourage a range of opinions,
but any unduly hostile comments will be removed.


Comments are delayed up to 15 minutes

Most Popular on Facebook

Best of Babble.com


  • Joslyn Gray
  • Amber Doty
  • Julianna Miner
  • Monica Bielanko
  • Sierra Black
  • Meredith Carroll
  • Carolyn Castiglia
  • Sunny Chanel
  • Madeline Holler
  • Wendy Michaels
  • Rebecca Odes
  • Danielle Smith
  • Danielle Sullivan
  • Katherine Stone
  • Disney Online Moms & Family Portfolio

    The Walt Disney Company supports Babble as a platform dedicated to honest, engaged, informed, intelligent and open conversation about parenting. However, the opinions expressed on this site are those of individual parents/writers and do not reflect the views of Disney. In addition, content provided on this site is for entertainment or informational purposes only and should not be construed as medical advice, diagnosis, treatment, or safety advice. Click here for additional information. Privacy Policy | Terms of Service

    More in Strollerderby (50 of 10536 articles)