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Cultural Unconditioning

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This is going to be very hard. You need to think about all those frightening little snapshots of birth that you have picked up over your non-childbearing years, write them down, screw up the paper and throw them in the bin. How you think and feel about birth is going to have a bigger effect on your eventual labour than that epidural that you have already booked. If you can look forward to it, have confidence in yourself and trust in the physiological process, then you’re already halfway there.

Getting to this point is not always an easy ride. Somewhere in your psyche there is the shock of your first impression of birth. For me it was a video shown at primary school, of two legs and a human baby coming out between them. It was probably a biology class, but all I remember is looking away, shocked by the bloody violence of it all. Distanced in a clinical way by the medium of video, it became a scene from Alien rather than a sacred moment. Even then I could see that birth should be an intimate and private event, not open to voyeurs.

But if that image shocked me at a tender age, it did at least clear up how babies get out. Before that I believed they came out of my tummy button, an otherwise seemingly pointless part of the body.

Assumptions and ignorance about our bodies is rife among even the most educated women, and pregnancy is a good time to reacquaint yourself with your body. One 70-year-old midwife from southern Arkansas described how, when she was in labour with her first baby, she, too, didn’t know where the baby was going to come out. At a conference in the 1980s she related: ‘When I was alone in labour, I looked all over myself. I had a mirror and was looking all over my body. When I opened my mouth, I thought “That must be it!” When I saw that little thing in the back [her uvula], I thought that was the baby’s big toe. I thought I was going to have to throw up the baby. It wasn’t till the midwife came and washed between my legs that I suddenly realized where the baby was going to come out!’1 Most of you will be further along on these issues than the midwife and my younger self, and some of you may even have studied the birth pictures in Dr Miriam Stoppard’s and Sheila Kitzinger’s pregnancy books. Once again, you are wiser (and braver) than I am. I still have to peep at shots of other people’s births through my fingers – three babies later – and not because I get distracted by the beards and long hair in the photos (for some strange reason, all birth books only feature Seventies’ casualties). If you, too, cannot stomach these images, don’t worry. It won’t affect your labour. When it comes to your birth, you will be heading up the important part, up top. You can leave the messy stuff to the professionals.

Stand and Deliver!: And other Brilliant Ways to Give Birth

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