If you’ve spent any time reading up on natural childbirth, you have probably encountered the phrase, “Trust Birth.” It’s a catchphrase that encompasses the idea that birth is safe, natural, and healthy — a natural process of a woman’s body, rather than a medical emergency that requires intervention. We live in a culture of birth in which women’s bodies are treated like machines, birth like a crisis, and dehumanizing as the inevitable consequence of failing to honor the mother’s natural instincts and body wisdom. “Trust Birth,” then, reinforces the idea if you just leave birth alone, allow it to progress normally, and only intervene when it is medically necessary for the safety of the mother or baby, that things will go well.
And when birth is trusted to progress naturally without interference, things DO go well… most of the time. There will, however, be a small number of cases in which intervention is necessary, even when birth is trusted fully and allowed to progress normally. While this comes nowhere close to accounting for the cesarean rates we are now seeing (over 30% in the US), there will be rare cases in which interventions, even cesareans, are necessary, beneficial, and life-saving. Even at The Farm, an intentional community and midwifery haven led by the godmother of the modern midwifery movement, Ina May Gaskin, there is a 1.7% cesarean rate and 5.2% of their births transfer to the hospital. This suggests to me that even in the most birth-trusting of environments, things occasionally can come up.
I have to admit that a 98.3% success rate of “Trust Birth” is impressive and powerful. Surely, in most cases, birth can be trusted! We cannot, however, continue to promote “Trust Birth” as the universal law of childbirth without considering its effect on the 1.7% of women who trusted birth fully, and were still unable to have their ideal birth, especially considering that outside of the idyllic (and well-screened) reality of The Farm, that percentage is likely to be considerably higher. If a mother trusted birth fully, gave herself over to the process, chose providers she thought would be supportive of her natural birth wishes, attended childbirth education and prepared herself fully, all the while reciting “Trust Birth” as her mantra, will her “failure” to achieve a natural birth be seen as a failure on her part? Will others think she didn’t trust birth enough? Did she not trust birth enough? Will she now worry about the judgment and disappointment her midwife, doctor, doula, or natural childbirth friends might feel for her? It’s definitely helpful, and a part of any healthy grieving process, to consider what we might do differently in the future; it’s not helpful to consider these questions from within the confines of a self-imposed shame that is reinforced by a culture that promotes blind faith in the “Trust Birth” as a standalone paradigm. Trusting birth fully without the chance to work through, in advance, the idea that sometimes things can just happen that are out of our control, can lead to greater feelings of victimization and trauma after a disappointing outcome.
I was talking recently with another birth advocate who had, like myself, had a planned homebirth that ended in a cesarean about how we felt about “Trust Birth” as a slogan. We both admitted that we kind of liked it — that it felt pretty revolutionary to trust birth in the face of a medical machine trying to take over and pathologize natural functions of women’s bodies. We also, however, agreed that as a method to achieve a natural childbirth, trusting birth is not, and never could be, 100% effective. It has gained traction because it is catchy and simple — a mantra many can get behind. It’s a lot more marketable than Trust Birth Most of the Time or Trust Birth Unless Medical Intervention is Required or Trust Birth Unless You Go Into Labor at 25 Weeks. There is simply a lot more complexity to the birth experience than any one catchphrase could ever express or contain, and while the percentage of women who truly need medical assistance or intervention to bring their babies safely into the world is small, the impact on their lives when that intervention is needed is tremendous. Women who birthed many years ago under traumatic or frightening conditions remember the anxiety and terror as if it had just happened, and we can’t simply assume that intervention was necessary because mothers didn’t trust enough; this isn’t consistently factually accurate, and the degree to which this belief compounds trauma is unacceptable in a compassionate community.
This is similar to a dynamic I’ve seen in Law of Attraction and Positive Thinking communities. We know that thoughts can shape our reality, and that we attract more of what we focus on. Does this necessarily mean that anyone who experiences trauma, pain, or poverty created it themselves? Can we just assume that the survivor of the crime, of the rape or near-fatal hit-and-run, attracted that experience through their own faulty thinking? Or can we get comfortable with the idea that the rape was the result of the rapist’s faulty beliefs, or the accident the responsibility of the alcohol abuser who drives drunk? Can we accept that while our thoughts shape our realities, that there are other forces at work that likewise shape our realities, and that many of them are out of our control?
Truly, it takes a HUGE investment of emotional commitment, dedication, and passion to walk a path that is not mainstream, and I’d say that neither natural childbirth nor positive thinking are yet mainstream movements, although they both have their followings and seem to be growing in influence. You have to genuinely believe in it to seek out a provider for an unhindered birth, especially in a country where midwifery is not even legal in many states. You have to stay focused to keep your thinking positive in a society that tells you how impotent you are to effect change for yourself or others. It requires a level of passion that isn’t always friendly to complexity, but I’d argue that in order to be truly compassionate movements, we have to embrace at least a little complexity, even if only for the benefit of that small percentage whose trust in birth, or the universe, has not prevented them from experiencing unwanted outcomes.
Let’s use our catchphrases. Let’s trust birth! Let’s accentuate the positive! Let’s know that birth is healthy, normal, and safe! Let’s affirm that what you believe, you receive! But let’s make sure that any time we move our conversations beyond the catchphrases and into real discussion, teaching, and counseling, that we address those other forces at work preemptively, so that people will know that if they fall short of their ideal, it isn’t necessarily their own fault for not trying hard enough. Let’s control everything that we can control, sure, but let’s do it so that we can then let go of those things that are out of our control, which are more than we sometimes realize. This, to me, is the true power of holistic thinking — not only are we freed from limiting thinking that reinforces our helplessness and dependence, but we are also freed from limiting thinking that doesn’t take into account the myriad influences, forces, expressions, and outcomes that are all intermingling in our universe, shaping our lives along with us. That’s true freedom, right there!