Labour, pain relief and a whole lot of guilt

Birth plan

Will it hurt, mummy? – JD, 3

One Born Every Minute returned to Channel 4 last week and I shared my thoughts about dads in the delivery room. The next episode – due to screen on Wednesday 11th January at 9pm – is all about pain, so here’s my story of pain, relief and guilt.

Growing up with three siblings – two older, one younger – I was quite comfortable with the idea that my mum had been pregnant and given birth, and she was quite comfortable talking about it, so from a young age I knew that it was painful, but I also knew that she did it with just gas and air every time.

What this meant is that I grew up fully expecting that when the time came to have babies, I wouldn’t need pain relief, and that asking for it would make me something of a failure – not that mum ever conveyed that message, I’ve just always tried to live up to what I think is a very high standard set by her: a strong, kind, single mum who gave us everything – still gives us everything – and asks for nothing in return.

So came the day in late 2007 when I went into labour for the first time. I woke up to find that my waters were breaking slowly and contractions were about 20 minutes apart and not painful so much as uncomfortable. “This will be ok,” I thought. How naive!

Now I don’t really want to get into the detail of what happened over the next 24 hours as I don’t want to frighten first-timers. I’ll just say that due to a combination of bad planning and bad luck, I ended up nowhere near the hospital I’d been to throughout the pregnancy and instead at a horrible hospital which – I kid you not – was suffering from a bluebottle infestation and had spatterings of who-knows-what over almost every wall. And yes, this was a UK hospital.

Anyway, after many hours on a public ward – alone as it was after visiting hours – I just couldn’t cope anymore. I’d only dilated 3cm and I was exhausted. Vomiting, bleeding and frightened, I hadn’t been given any gas and air and was finally given pethidine. I lay there, cursing myself for my failings and begging the midwives to check me again. The next time they did, JD was almost in the world and I was moved into a delivery room with minutes to spare.

Years later, I still felt guilty for ‘giving in’ to pethidine, so when I fell pregnant with Little Miss J, I wrote on my birth plan that I wanted to do it without any painkillers.

Little Miss J’s birth story was entirely different: a happy, comparatively calm affair, quicker from start to finish and much less distressing. So why then, did I end up having pethidine again? Well in the heat of those contractions, when I learned I was only 3cm dilated and things seemed to be following the same pattern as last time, it finally dawned on me that a) I’d forgotten how much it hurts and b) having pain relief isn’t a crime!

So I took the gas and air and I welcomed the pethidine. I know that it’s supposed to slow labour, but for me it seemed to speed up dilation hugely. I don’t know why – maybe when I’m in that much pain, I fight it somehow. Who knows.

So my message to mums who desperately want a natural, drug-free birth: good on you, fantastic, well done. But if when the time comes, you’re struggling and want pain relief, don’t feel guilty, don’t feel that you’ve failed. You’re doing something incredible and if you need help, that’s nothing to be ashamed of.

Episodes on One Born Every Minute can be watched online at www.channel4.com/oneborn. Read more posts about labour and pain management over on Netmums.

Let’s hear it for dads in the labour room

You’re doing amazingly. Everything is going to be ok – Mark

One Born Every Minute returns to Channel 4 on 4th January at 9pm with an episode all about dads.

Recently, I published Little Miss J’s birth story, so first, an abridged recap of just how amazing Mark was that night/morning:

I coped with contractions for that hour by walking away from and back to Mark. I’d pace away from him as a contraction subsided and when I made it to the wall, pace back and collapse into his arms as the pain kicked in full strength. I put my whole weight over his outstretched arm at the peak of each contraction – good job he’s strong! [...]

All I was aware of was Mark’s hand, the rail of the bed I was gripping it against, and the sound of his voice, telling me that I was “doing amazingly” and that, “everything is going to be ok”. I’m so grateful to him for that. [...]

She was delivered onto my stomach at 8.22am and Mark cut the cord. “It’s a girl, right?” I asked. Mark nodded happily.

Mark and I have barely slept since that night, but I thank him almost daily for all he did. He was my strength. So here’s my (non-expert) advice to any expectant dads feeling nervous about their role when the time comes:

I know you’re scared, and you’re right to be. If you’re going for a natural birth, your partner is probably about to experience the worst pain of her life and if you’re having a cesarean, then a pretty serious operation is yet to come.

You can’t take the pain away. You can’t help medically. But you can be the support she needs. You might feel useless. It might seem, from the outside, like there’s nothing you can do, but on the night, just being there will help.

Talk to your partner, discuss what you both want to happen. Understand her fears, share your own, and learn what sort of support she wants, knowing all the time that it could change on the big day.

I’d told Mark that I wanted him to hold me, but in the end I didn’t want to be held at all. I didn’t want to feel restricted from moving, so instead I clung to him, leaned on him, even pushed against him while he stood fast, supported me, stayed calm and promised me that everything would be ok.

I don’t believe you can plan a labour. What’s decided rationally is so different from how you’ll both feel in the moment. Mark listened. He cared. And that’s what got me through. You can make a difference.

One Born Every Minute is on Channel 4 on Wednesdays at 9pm, starting 4th January.

Episodes can be watched online at www.channel4.com/oneborn. Read more posts about dads and labour over on Netmums.