Author and doula Carson Meyer provides a unique perspective on childbirth in a special essay for PEOPLE. All decisions regarding pregnancy and childbirth should be made in consultation with a healthcare professional. The views expressed in this essay are the author’s own and should not be considered medical advice.
There are many myths surrounding childbirth that can instill fear and a sense of powerlessness in individuals. Growing up, like many others, I was conditioned to fear birth, perceiving it as a daunting and risky event. Our society tends to view birth as a medical crisis, leading to a disregard for natural birth processes and increased rates of unnecessary interventions that can actually pose greater risks and complications.
In the United States, the cesarean section rate has risen from 6 percent in the 1970s to 32 percent in 2023. The World Health Organization recommends a cesarean section rate below 12% to ensure appropriate use of this major surgical procedure. The U.S. has the highest maternal mortality rate among developed countries, particularly affecting Black women due to pervasive racial biases. The government spends $1.2 billion yearly on maternity care, making childbirth costlier for American families compared to other nations.
My journey into becoming a doula began after watching the documentary “The Business of Being Born,” which shed light on our healthcare system and the beauty of childbirth. This experience motivated me to pursue a career as a doula at a young age. Over the years, I have seen how informed parents who educate themselves and ask questions before childbirth can have a positive and empowering experience.
My book, “Growing Together: Doula Wisdom and Holistic Practices for Pregnancy, Birth, and Early Motherhood,” emphasizes that there is no one-size-fits-all approach to birth. It encourages individuals to make informed choices for themselves and their families.
Here are some common misconceptions pregnant women have about childbirth, aiming to debunk myths and spark further discussions and curiosity.
Misconception: Eating and Drinking During Labor Is Prohibited
Many women are led to believe that consuming food and beverages during labor is unsafe. In the U.S., 60% of women giving birth without an epidural and 83% with an epidural are restricted to ice chips and clear fluids in hospitals. This practice originates from the 1940s, when mothers were often unconscious or given “twilight sleep” during childbirth. Modern research reveals that 95% of women opt to eat during labor if permitted. Proper nourishment during labor can aid contractions and prevent fatigue. Studies show that unrestricted eating during labor leads to shorter labors and higher maternal satisfaction, while food restrictions can result in more pain and stress.
While some may feel the need to eat for energy during labor, others may not have the desire. It is important to know that you have the right to choose whether to eat and drink during labor.
Continuous electronic fetal monitoring (EFM) has become a common practice during birth in hospitals. While it may be convenient for hospital staff, research shows that continuous monitoring in low-risk pregnancies and unmedicated labors can lead to increased rates of Cesarean surgery and use of pain medications. Being attached to a monitor can limit your movement and make it difficult to cope with labor sensations. Requesting intermittent monitoring with a hand-held doppler may be a better option for those wanting to avoid medication and maintain mobility.
Expecting mothers are often advised to consider early induction or Cesarean if there are concerns about having a “big baby.” However, ultrasound measurements of fetal weight in the third trimester can have a margin of error, and the predictions may not always be accurate. It is important to remember that our bodies can adapt during labor, and every mother should have the opportunity to labor and give birth in the way she chooses.
Water birth is sometimes viewed as risky, but studies have shown that it can lead to faster labor, less complications, and reduced risks of interventions like induction and Cesarean. Water can also be a natural pain reliever, so utilizing it during labor can be beneficial. Whether giving birth in water or not, using water for pain relief is worth considering.
It is common for women to have bowel movements during labor, and this is completely normal. It is a sign of progress and should not be a cause for embarrassment. Most women will not even realize if they have had a bowel movement during labor.
Lastly, it is not mandatory to wear a hospital gown during labor. If giving birth in a hospital, it is possible to wear your own comfortable clothing if desired.
The labor and delivery unit is a special place where joy is abundant, filled with healthy individuals celebrating one of the happiest days of their lives. While hospital gowns are often associated with illness, this day is different – it’s your most powerful moment, so dress for the occasion. Consider bringing your own comfortable clothes like a robe, button-down shirt, sports bra, or even opting for your birthday suit. Don’t forget to pack cozy socks or slippers too.
There is a common misconception that stretching the perineum before birth is necessary to prevent tearing. However, our bodies are designed for childbirth, and with proper support, the natural process of your baby’s head emerging will naturally stretch the perineum. While some may find perineal massage techniques helpful for mental preparation, it should never cause physical discomfort. Focus on pelvic floor exercises to prepare for birth instead of excessive stretching.
To reduce the risk of severe tearing, choose a provider with a low episiotomy rate, as episiotomies can lead to more damage. Prior to birth, discuss with your healthcare provider their approach to episiotomies and ensure they respect your instincts and avoid unnecessary interventions. Maintain skin elasticity by consuming collagen-rich foods like bone broth, fish, beef, and eggs, along with Vitamin C-rich fruits and vegetables. Applying vitamin E oil daily to the perineum can also help with hydration.
Another misconception is that doulas are only for home births. Doulas offer valuable support to all mothers, regardless of where or how they choose to give birth. They provide emotional support, comfort measures during labor, and help parents make informed decisions. Research shows that having a doula is linked to better birth outcomes for both mothers and babies. Consider seeking the support of a doula to enhance your birthing experience.
She gave birth either at home or in a hospital. Her debut book, “Growing Together: Doula Wisdom & Holistic Practices for Pregnancy, Birth, & Early Motherhood,” is available for purchase at all major bookstores. Read the full article on People’s website.
