What are your experiences of childbirth in Australia? How could the experience have been improved?
Votes: 33
There is no place better to start a discussion on the policies and practices surrounding child birth than by asking users to recount their own experiences, be they as a mother or as a practitioner.
JoJo
Oct 29, 2007 10:27am
22I found the birth of my first baby very traumatic. A failed induction followed by a caesarean under general anaesthetic. At the time everyone told me how lucky I was that the baby was OK. I agree. I focused on that and felt I could not say how violated and broken I felt. I had post natal depression for two years. I coped. I went through the motions of being a mum. It was only when I took control of my next birth that my mood changed. After a lot of research and planning and discussions with midwives and doctors, I had a quick easy natural birth. It was the most wonderful experience of my life. I fell in love with my baby the moment we saw eachother. How different this felt compared to the empty void first time around. It helped me to fill in the gaps having missed it all with my first baby. I am a better mother now - I have confidence in myself and my whole family can feel the difference. I know that my first baby needed to be born by caesarean, but I do question all of the medical intervention that preceeded it. From what I have read it seems that the more we interfere with normal laour, the greater the chance of complications. Feeling in control of decisions made a big difference for me.
bec
Oct 31, 2007 08:31am
23my first baby was born in a birth centre at a big sydney hospital. it was my husband who thought we should go there because they had lower rates of intervention. i was pretty naive about the whole thing, i thought women are made to give birth, it will come naturally to me. the pain and effort involved in labour came as a bit of a shock but the midwives were kind and encouraging. we did the early discharge programme and had home visits for a week after the birth. it was a very positive experience.
my second child was born in a small country hospital and delivered by my local doctor. i knew what i was in for and i was anxious to get it over. i chose to have the membranes ruptured, it was very fast. we went home after a couple of hours, we were only able to have one home visit.
both births were good experiences but i would have benefitted from more discussion about the pain involved and more follow up suport especially with my second child.
justine
Nov 06, 2007 02:30pm
13I was really shocked by how painful my labour was. I felt totally out of control and didn't know what to do even though I read loads of books and went to classes at the hospital. I wish I was better prepared for the pain. Everyone tried to tell me before, but I really didn't want to hear all the horror stories. I also thought women do it every day so I should be able to manage. I don't really know what would have made me listen though I just sort of thought I knew better.
marnie
Oct 31, 2007 08:47am
8My obstetrician was happy to book me in for a caesarean so I was reassured that it was the safest way for my baby to be born. It all went to plan and I was up walking around the next day. I was even able to toast the birth after a few hours. I can't see how it could have been any better, and I am planning the same if I have another baby. I felt all along that my obstetrician was the best person to make the decisions, as he is an expert.
vanz
Nov 01, 2007 11:10am
13I'm glad you had a great birth. I did read in the media recently that the mortality rate for babies and mothers with caesareans is double that for other births. I cant imagine taking that risk if it wasn't absolutely necessary. Women often talk about the joy of giving birth, the enormity of the experience, and the sense of satisfaction and achievement it brings. But I've never heard this from someone who has has a ceaser.
future
Nov 24, 2007 03:15pm
13Suprise Suprise it was proberbly a friday as well, we cannot interupt a doctors shedule for something as trivral as childbirth
RachelDoell
Nov 01, 2007 08:17am
22I've had 4 babies. The first experience involved lots of medical intervention and drugs (although luckily I didn't end up with a caesarian). I didn't bond with my baby for 3 months and I now feel cheated that I missed that wonderful first few weeks with him. I truely believe that alot of this lack of bonding was due to the feelings of sheer fear and bewilderment I had during labour and the feeling of being out of control - all brought about by the Drs/drugs. My subsequent births have been drug free and fantastic (although obviously very painful!) with no bonding problems at all and I feel blessed to have been able to experience this natural childbirth. Obviously caesarians are needed in certain circumstances but I believe natural childbirth to be the ideal and it is an ideal which can be achieved a lot more readily than it currently is. From what I have learned from friends world wide is that Drs too often quickly opt for the caesarian to save time and to make money (in private practices).
jaseos
Dec 11, 2007 12:49pm
16I'm with you on that one, I have had 5 babies and like you with my first child I had every drug available. I found the it hard to bond as I was so sick afterwards that I didn't enjoy those precious hours after giving birth and that feeling of euforia was non exsistant. Although the one positive was, I was living in New Zealand at the time and I had my own Midwife throughout my pregnancy who came to me for my ante natal visits, who also delivered.
My second child, since moving back to Brisbane, was born in the Birth Centre, where I had the same care except I went to them, but once again had my own Midwife throughout my pregancy. What fantastic experience! Everything went according to plan. No drugs all totally natural. I felt great afterward with no ill feeling etc. My next three babies were born naturally also, but due to my third baby having shoulder distocia (no drugs very painful), I was to be induced for my next two babies still no drugs but very quick and intense. The only unfortunate thing when being induced was the public hospital system let me down as there weren't any beds available so I laboured in the waiting room for the most part of my labour, scarring the first time mum who was also there to be induced!
Mel
Dec 15, 2007 09:44pm
14I too laboured in a "spare" room just off the waiting room during my labour in a public hospital. When they finally had a bed ready for me in the birthing suite, I had to walk out past the waiting room and down the hall. I had a contraction in front of some poor man who was reading a magazine. He didn't know where to look! I have no complaints about my care during this time, but public hospitals need a lot more money for a lot more beds.
vanz
Nov 01, 2007 11:27am
21When I first found out I was pregnant I went along to my GP who didn't talk about any care options(and there are many), she just gave me a list of obstetricians to try and get an appointment with. Because I moved interstate everything changed and I ended up having a drug free natural birth at a Birth Centre in a public hospital. My baby and I were looked after by the same midwife before, during (for all of it) and after the birth. Looking back on it I was lucky it worked out that this way. I cant believe my GP didn't know about or give me the information about all birthing options available. How can parents make choices when GPs (who are usually the first port of call) fail in this way?
JoJo
Nov 01, 2007 02:10pm
17I think there is a real feeling in the community that birth cannot occur without an obstetrician, and maybe GPs are feeding into this. I recently read two different articles about birth options and both articles stressed the need to find a private obstetrician quickly to ensure they don't book up. Both articles went on to discuss midwifery based options, but following on from the private option it implied that this was second-rate care. I wonder why midwives don't advertise as effectively as doctors.
barb2
Nov 02, 2007 08:17pm
15I took a long time to recover from my first caesarean, but I had a lot of help at home and it wasn't too bad. I couldn't breastfeed though and I did feel bad about that. I was told that it would be safest for my second baby to be born by caesarean too, as my uterus would rupture if I had contractions. I found it harder the second time because of looking after a toddler as well. I would like to find out about having a normal birth as I have read that this is possible. I don't really want another caesarean.
sarahf
Dec 12, 2007 10:17pm
13i had a caesarean first time around and was also concerned about uterine rupture if i tried for a natural birth. however everything went by the book, (if 48hrs labour is considered by the book...)and i was home 36hours later.
marion
Nov 05, 2007 03:01pm
15Many pregnant women in the hospital system opt for GP shared care where many of the antenatal check ups are done by the GP. Women tend to choose this for convenience especially if they have other young children. Having shared care will often mean that hospital appointments are done in the doctors clinic and these women have very little midwifery input in pregnancy. These women often miss out on a lot of important support and information about managing pregnancy, labour, breastfeeding and the postnatal period which is the expertise of midwives. In some countries midwives are attached to GP practices and women can see them throughout their pregnancy. This would seem to be a great idea. It would free up hospital and GP services for the higher risk women who need greater medical input, and ensure more women have access to midwifery services.
Ealing
Nov 06, 2007 10:00pm
15The birth of first child went well I felt. Phsyically I had a natural birth with the need for just some stitches and paracetamol for some tearing and that was it. I found that it wasn't the OB that was trying to take over, rather the night duty staff that encouraged me to have an epidural which I did not wish for and then the delay in offering and receiving pain relief whilst having contractions.
Though, being an RN myself, I understood the reasons why the night duty staff wanted me to take an epidural due to the time lag between agreeing to one and then having one put in, I really felt that the staff weren't understanding me when I was saying that I really didn't want one as I have seen the complications that are associated with epidurals. When I had asked for the gas to help with the pain of the contractions, I was told that it would be ineffective for how advanced my labour was and that I would have to keep sucking back on the gas quite hard to get releif and that it would reach a point whereby the gas would be ineffecitve. I later found out (when my OB had arrived) that I had the narcotic, pethadine, had been prescribed and by the time I found that out it was "too late" for me to have had it.
Though I am happy with my OB, I wasn't happy with being "bullied" into having an epidural, though I understand why the staff wanted me to agree with having one.
I felt that I was in control of my birth of daughter and also felt that my husband was supportive of my decisions. I was calm during my labour and was suprised at my strength and high threshold of the labour pains. Giving birth still scares me even though I have now been though it. I can't imagine out of control it would feel for some who don't have the medical knowledge or experience that some health professionals have when it happens to them. I felt that I had the control thanks to my training and expereinces as an RN, though I found it scary trusting others as it is usually me that takes care of others, not the other way round.
JoJo
Nov 07, 2007 08:24am
12I felt bullied into having an epidural too. And whilst I can understand part of the reason they wanted me to have it I think it was mainly because it made their job easier. The epidural didn't work and the midwives didn't do anything about it - so then I was hooked up in bed without even being able to turn over to try and help the pain myself. When I needed a caesarean I had to be put to sleep anyway so the epidural was pointless except to make things worse for me.
marion
Nov 08, 2007 11:42am
14I think nurses have extra pressure on them in childbirth, due to the need to feel in control and the desire to be a 'good patient'. I was definately like that with my first baby. I was a nurse (but not a midwife at that time). I knew a little bit but not too much, but I felt too embarrassed to ask for much help or information, because I didn't want to admit I didn't know it and I didn't want to ask stupid questions. I think most mums experience that to some degree, but as a nurse I found it very stressful.
sarahf
Dec 12, 2007 10:58pm
13i too am an RN and i felt like i should have known more than i did, i think the transition from nurse to patient is sometimes hard for us to accept especially that loss of control. as a first time mum and patient i felt like i shouldn't need to ask questions or for help. thankfully second time around i realised that the more help and info the easier on both patient and nurse!!
justine
Nov 12, 2007 01:53pm
15I felt really unprepared for the pain of labour even though I went to classes at the hospital and read a lot of books. I wanted a natural birth and I really relied on the midwives to tell me what to do. The birthing classes at the hospital were done by a physio and I think there should have been more information on managing the pain and not just on what drugs are available. I think having midwives run the classes must be a better idea as they work with women giving birth.
sonya c
Dec 19, 2007 11:28am
11I went through the public system and a midwife ran the antenatel classes. They were fantastic. A real eye opener for my husband and myself.
buttercup
Dec 19, 2007 03:14pm
11I thought my classes were great too. They were run by a midwife and I loved going to them. As well as all the information and advice which was good for labour, I still meet up with some of the other mums I met in the classes.
admin
Nov 13, 2007 08:27pm
14THIS COMMENT FROM SMILES HAS BEEN MOVED TO THIS SECTION BY THE MODERATOR WITH HER PERMISSION
My first child was born in a birthing centre and was a fantastic experience. I had a private obstetrician but elected to give birth in the birthing centre. The midwives were wonderful and assisted in the delivery of my daughter. Afterwards they confided in me that they purposely did not contact my obstetrician until well into my labour to ensure that he wouldn't attend the delivery as "he would only interfere". For my second birth I elected to give birth in a private hospital. Unfortunately I didn't feel comfortable with my midwife and she smelled of cigarette smoke. Despite my desire to have a natural birth she was unhelpful, did not get mats down when I requested them and kept encouraging me to lie on the bed. I felt really alone and angry but in so much pain that I didn't have the strength to insist on my needs. She had me pushing though the baby was posterior and I had a cervical lip. When my obstetrician arrived he took control of the situation and I felt I was in capable hands. He attempted forceps but was unsuccessful and so I was taken for an emergency cesarean. I could feel intense pain during the procedure and so I was put under general anesthetic. When I woke I was instructed that the hospital lift was broken and my baby could not be carried down the stairs, so I would have to wait until it was repaired. One hour later I met my little boy but I can barely remember the moment. For my third child I looked into giving birth at the birthing centre but the centre only took one vaginal birth after delivery (VBAC) each month and so I returned to the private hospital. During my antenatal visits my obstetrician was reluctant to talk in detail about the possibility of a VBAC and so I read a few books and did a lot of research on the internet so that I felt knowledgeable about the topic. As the due date drew closer my obstetrician was trying to encourage an elective cesarean, but I dug my heels in and resisted. In the end he sent me for a pelvimetry exam (even though my personal reading indicated that this is not necessarily an accurate test of birthing ability). Luckily the pelvimetry indicated that the baby should be able to fit through my pelvis. The next obstacle was that the baby was overdue and I did not want to be induced. When I was four days overdue my obstetrician insisted that I be induced for fear of the baby becoming too big. Luckily I went into labour before the induction was due and I had a quick but intense labour. The midwife was so wonderful and treated me with respect and really listened to my needs. When I started to remember my previous birth and lose confidence in my self she helped me regain my strength. I felt ecstatic after the birth and so empowered that I had not had an unnecessary cesarean. I believe women need to be provided with more information on the different birthing options available, I was instructed by my family doctor to find an obstetrician, as I believe she assumed this is what I would have wanted. I was unaware of any other birthing options. I would love to see a more personal based model, that celebrates pregnancy. I feel women should be given more information on nutrition and emotional well being. Women also need to be given more opportunities to discuss feelings,fears and ask questions in a non-judgemental environment, both during the pregnancy and after the birth. It would be great if women could be provided with the latest information based on research so we can make informed decisions with our practitioner instead of having them made for us.
cal123
Nov 20, 2007 03:02pm
14it is a shame that family doctors just refer you on to get your care, without really finding out what you want and discussing all the options with you. I think my GP didn't know all about the options because most women just go to the hospital or find an obstetrician.
barb2
Dec 11, 2007 02:03pm
11I read your letter smiles a while ago and Ihave been reading a lot about VBAC. I feel so excited about the possibility af a normal birth. I am not quite ready yet but it will be interesting to see if my doctor isn't interested in VBAC like so many seem to be.
sarahf
Dec 12, 2007 10:51pm
13I think that more education on VBAC's should be offered to women during antenatal appointments. I initially had no idea that i could achieve a completely natural birth after having had a c-section the first time. I had only had information from my mother and other women who had had c-sections 30years ago, and were told that one c-section meant all subsequent births had to be too. my doctor didn't seem to think it was an issue so i had to research the topic myself.
cal123
Nov 20, 2007 02:55pm
12I wanted to have a homebirth but my gp said it was not safe. I read a lot and I knew it was safe but I really didn't know if I wanted to fight to have a homebirth. I went to the birth centre and it was really good. It was a normal birth with no drugs, just gas at the end but it didn't reallt help. I found the shower really good. I went to the ward after because they needed the bed in the birthcentre, but I couldn't sleep I wished I came straight home. The midwives visited me at home for 3 days. I needed some help to latch him on and I really looked foreward to the visits. I will go to the birthcentre again next time. I still love the idea of a homebirth though.
catt
Nov 23, 2007 09:13pm
13I went to the birthing suite and I felt well cared for. The labour was good and I got to rest for a while after the epidural, before having to push. The pushing was really hard and I needed stitches afterwards. The worst part was how painful the stitches were and it took a long time to feel better. I think there should be more care and help after the birth especially with the pain.
Mel
Dec 11, 2007 09:32am
15One of my ultrasound due dates put me at 3 weeks over my own calculation. I was quite panicked throughout my pregnancy, not only was it my first but I was scared about the baby being born almost a month late. I know it sounds silly and I would tell myself that the baby will come when he was ready, but the hospital wouldn't listen to my concerns. They treated me like an idiot. I ended up changing hospitals because of how they made me feel. I was just another mum-to-be. Not important at all.
jazzy
Dec 12, 2007 07:53am
16women have to learn so much in pregnancy and make so many decisions in the transition to being a mum. It is not fair that one of the first experiences with your hospital made you feel like an idiot and not important. It is just wrong. Women need support and information,they do not need to feel insignificant.
sarahf
Dec 12, 2007 10:14pm
16My first baby was born via emergency cesarean due to foetal distress. Whilst pregnant my only thought when thinking of the birth was that I didnt want a cesarean. I was fortunate to only need a spinal block and was therefore conscious during the surgery. However given the nature of emergency cesareans, I felt powerless, and everything seemed to happen so fast.I had difficulty breast feeding and felt somewhat a failure due to this and the fact that I had been unable to deliver naturally, and I didnt really feel connected to my baby until we were home.Although it was not the birth I had hoped for, the staff were incredibly supportive, if somewhat aggressive in the way they dealt with my breastfeeding problems and most importantly, we had a healthy baby. I thought that with the next pregnancy I would be fine with the idea of another cesarean, however my second birth was completely natural, no pain relief etc, and I experienced that incredible instantaneous bond with my second daughter that i didnt have first time around and was able to return home within 36hours, with follow up home visits. It felt like how I'd always imagined motherhood and the childbirth experience should be. I know I am lucky to have had two healthy beautiful children regardless of how they were delivered, but if given the choice I would opt for natural birth.
ange_02
Dec 13, 2007 03:26pm
16I had a fantistic labour with my 2nd pregnancey but when my little boy was born there were a few things wrong with him and some of those things should of been picked up in ultra sounds I had but they wernt and I got no answers as to why they wernt every time I asked they just shrugged it off.
I was very disstressed as I did not no what had happened to my little boy and the doctors did not care at all they just acted as if it was another day at the office and did not consedor that I was completly beside my self not knowing what was happening and not getting and answers (my boy is 21montyhs old now and we STILL have no answers).
I think doctors seem to forget that they may see these type of things happen offen but us as new pearents dont and this is our own flesh and blood that we may go through hell and back just to give birth to
warrigal
Feb 06, 2008 09:41pm
8Both my children were natural births (the first required an episiotomy)but an hour or so after each delivery when the tiredness had passed I felt amazingly healthy and elated.
Living in the country at the time, I joined the Natural Childbirth Association and received most informative books and audio tapes on the birth process and breast feeding. I also sought out other books on natural childbirth and knew precisely what to expect, ie the three stages of labour. I also had a mother who had had three children naturally and breastfed each.
I regarded each contraction (I refused to call it "pain", even in my own mind) as one less I would have. I also found the analogy (in one of the books) of each contraction being akin to swimminging up one side of a wave, reaching the crest and gliding down the other side, very helpful.
Childbirth is a natural process and should take place wherever possible without interference.
However, if there are sound reasons for medical intervention (risk to the health of mother or baby) then it must occur.
In regard to breastfeeding, ignorance is rife, even in the medical and nursing professions. The garbage one hears about "watery" milk, milk lacking in nutrients, the baby not getting enough and so on, is just that.
Similarly, mothers who say they don't have enough milk to breastfeed is pure ignorance. The more milk that is suckled, the more the body creates, provided the mother is healthy and maintains her fluid levels. If the quantity of milk temporarily reduces, one just feeds more frequently to build it up. Whoever heard of a breasfeeding mammal not having enough milk to feed her young!!!
There are mothers who are unable to beastfeed due to severely cracked nipples, severe mastitis or other medical reasons, but these are in the minority.
It's about time the professionals got back to basics and started encouraging mothers to do things the way nature intended.
sonya c
Dec 17, 2007 11:48am
15Throughout my pregnancy I was determinded to have a natural birth. however whenever i mentioned this to other mums I would get knowing looks and comments of 'yeah right'. After reading the book BETTER BIRTH by Lareen Newman and Heather Hancock I felt more positve about naturel birthing. So with my husbands support I gave birth to my daughter with the help of two midwives without intervention or drugs. It was amazing. I felt so empowered for weeks afterward and the love I felt for my daugher straight away was imense. At first I had a lot of trouble breastfeeding but with the help of midwives and persaverence I'm now feeding easily. I had no trouble at all with the public system.
Jess
Dec 17, 2007 04:00pm
14I gave birth to my son at the age of 18 in a public Melbourne Hospital. I found this a very traumatic experience as I felt that the Midwives treated me with little respect during the labour and learning to breast-feeding. I felt that this was because of my young age. They were not very supportive when I was not coping with the pain and I didnt feel that I was on control of my labour. My son was kept at the Special Care Nursery for 5 DAYS because of a suspected non-contagious infection and was not allowed to stay with me in the maternity ward. I didnt really feel like I bonded with my baby until I arrived home. Next time around I plan on having a Doula for extra support and Pain Management. Just because I was young, it didnt make me less of a mother.
Kirst
Dec 20, 2007 05:44pm
15I found the birth of my first child truly amazing. My water broke at home the day before the due date at around 9pm... My husband and I went to the hospital and were looked after by wonderful wonderful midwives. I didn't start feeling any pain until around midnight. The hospital and it's staff were wonderful and really let us experience everything with little disturbance. At 8:50am baby Jack was born and I am proud to say that with the support of the WONDERFUL and underpaid midwives, my husband and our wonderful Dr Jack was born naturally.. And by naturally I mean nothing, not even gas, just my husband feeding my chips of ice between contractions... Thanks Mercy Hospital... and thanks to all the midwives that go without hearing enough thanks :)
Tia
Jan 03, 2008 10:16pm
12My first baby was four days overdue when I had a show, that night my husband and I went to the hospital to see how we were getting on - incredibly (as I wasn't in pain) I was having three contractions every ten minutes, and I spent the night in the labour ward. The next morning I was beginning to feel pain and my doctor ruptured my membranes. I had always kept my options open pain relief wise, my only birth stipulations were no episiotomy and no caesar unless absolutely necessary. In the first labour I used gas (one suck and hated it), pethadine (didn't work), before finally having an epidural and spinal block. Baby started to distress and was delivered by ventouse extraction. Baby no. two was induced 9 days early as I had both gestational diabetes and choleastasis. Birth was fast and furious, with no time for pain relief, and incredibly empowering. Baby no. three was induced four days after the due date at my request, as I felt that baby was getting a bit on the large side. Again, birth was fast, but this time I didn't feel empowered. During the labour I felt somewhat defeated and weak. The birth was complicated by two medical emergancies - shoulder dystocia and the baby was not breathing upon delivery.I had pethadine, and again it didn't work, baby was delivered by ventouse extraction. I had expected to have a better birth experience at the third birth and I felt at the time that I didn't try hard enough. I believe that I felt this way in response to my body having to deliver a pretty big baby - 10 lb 10 oz (2lb bigger than my first baby and 3 1/2 lb bigger than my second). Overall, I am happy with my births and the care I was given. All three births were with the same doctor (love him!) and at a private hospital. I was always the one to initiate pain relief and any intervention during labour was discussed, and my permission was sought, before being implemented.




