Birth anxiety is a common experience, but it doesn’t have to rule you
Birth anxiety is extremely common – thought to affect up to 80% of women, with a further 14% experiencing ‘tokophobia’, a severe fear of childbirth. And, if we take a minute to consider where this fear might come from, it doesn’t take long to come up with some hypotheses.
“When we think about the images and perceptions of birth which flood our subconscious from early childhood, it’s no wonder labour and birth are surrounded by feelings of fear and apprehension,” says Samantha Phillis, counsellor, midwife, and hypnobirthing teacher. “Women are usually portrayed as helpless, screaming in agony, relying on another person (usually a man, like a doctor or husband) to rescue them. Normal labour and childbirth are, quite frankly, not dramatic enough to make ‘good television’.”
Samantha goes on to explain how, even in supposedly ‘real’ portrayals of birth on mainstream television – One Born Every Minute being one example – what you see on the screen is likely to have been edited to ramp up the drama. “Women are usually in the ‘lithotomy’ position (on their backs with their legs in stirrups), lots of people in the room telling them to ‘PUSH’, with a lot of noise and seemingly a considerable amount of drama.”
But the consequences of this kind of culture are more sinister than simply making the whole thing look a bit unappealing.
All those stories, sometimes passed down through the generations – of births gone wrong, near-misses, emergencies, accidents, and trauma – stick with us. Those stories help to continue the cycle of fear, and that fear can become self-fulfilling.
“Physically, the effect of anxiety can actually increase how we experience pain,” Samantha explains. “When we are tense, we reduce the amount of oxygen flowing to our muscles (known as a state of hypoxia) which increases the experience of pain.”
She points to Grantly Dick-Read’s description of the ‘fear-pain-tension’ cycle in his 1921 book Childbirth Without Fear – which outlines how the more that we fear the pain of birth, the more tense we will feel and therefore the more we will experience pain. What’s more, fear can also prolong the labour, caused by the release of adrenaline when we’re frightened.
“One of the most important hormones we require for labour to progress is oxytocin,” Samantha explains. “Oxytocin is a shy hormone that needs privacy, dim lights, and for you to feel safe in order to work effectively. When adrenaline is released, oxytocin is inhibited, therefore labour will slow down or even stop if women do not feel safe.”
When it comes to tackling birth anxiety, Samantha has plenty of practical tips – including avoiding negative stories, reworking your mindset, and building support systems – but she also highlights how the key to having a more empowered and positive experience is having trust in your body and your instincts.
“We kind of ‘overthink’ birth, which can interfere with the labour process,” she explains. ȁ