In reproduction the ‘natural’ clouds the air, from conception to breastfeeding. Stigma circulates around anything that deviates from presumed natural pathways. From lesbian and queer parents using donor sperm, to couples accessing In Vitro Fertilisation, and parents practicing mixed or formula-only feeding – there is a strange silence around these practices in birthing culture discourse, despite their ubiquity.
The idea that there is ‘nothing more natural to a woman than giving birth’ is one that I encountered many times while pregnant. I noticed this myth, for example, heavily perpetuated in a birthing class that my partner and I attended before our baby arrived. It is obviously meant to be reassuring, to give you the confidence to face the extreme sport that is attempting to push an infant out of a small orifice. Yet it also creates the imaginary notion of mother as a woman capable of anything. This myth is a kind of ‘lean in’ for birth: every mother is the girlboss of her body.
There is very real pain tied to the expectations placed on birthing parents as mothers who are women. The midwife running our birthing class talked us through the different options for ‘pain management’ during labour. The options of TENS machines (which block your pain pathway through administering small electric shocks up your spine) and laughing gas got the thumbs up, while epidural and morphine got a big thumbs down. While the midwife promoted the former as brief and non-invasive, the latter were marked as dangerous, unpleasant, and even unlikely to work. The midwife emphasised that pain was something you had to manage, not eliminate. The message was clear: woman are superheroes and if you simply believe in your ability to birth, you can, with minimal intervention. And pain? Something to endure.
Sceptical, I went home to read scientific papers on the topic, and found that yes, positive attitude to birth is one of the strongest predictors of positive experiences of pain in childbirth. However, another of the strongest predictors is having an epidural. As one 2021 study even found, ‘despite initial intentions, most of the women end up having an epidural, and most describe their epidurals as both wonderful and immensely helpful’.
I opt for the TENS machine and gas in my labour plan, the image of ‘natural birth’ as the ideal aim hanging over me. I end up having a spinal tap for the emergency c-section and despite my critical awareness I cannot shake the cultural messages about natural birth, cannot help feeling that I have failed, that I have not adequately ‘given’ birth. I question whether it was a failure of mindset or something more fundamental about my womanliness, a gendering which is becoming increasingly abstract to me every step of the way from pregnancy to parenthood.