Your Feelings Matter for Birth & Postpartum

Your feelings during labor and delivery make a difference not only on the big day, but also in how you remember your birth experience.

Our thinking brains like to imagine that our hearts and feelings don’t influence the way our body or brain works, but it is so wrong. Your emotions affect so many things, and keeping that in mind when you are going through pregnancy, labor, delivery, & all throughout postpartum can be a little daunting. For me, protecting my emotional health during that time felt like one more thing that I didn’t have time to worry about really. First, let’s talk about why your emotions matter and a few things that may challenge you during this time. I promise, this blog post is going to end with some helpful ways to keep your peaceful mindset, because we all need some extra tools to handle this whole wildly human experience.

Because of Hormones

Your hormones are little messengers that run around your body telling it what to do. They are really important for pregnancy, labor & delivery, & postpartum for so many reasons, but I’m going to outline two big ones here. The first thing they do for you in labor and postpartum is they keep things going. Anxiety & stress produce hormones that make your labor slow or even stop, and does the same for your milk production. The giant flood of hormones you get during labor and early postpartum also means we remember MORE and in greater detail. Seriously, ask anyone who has given birth about their story, and they will share far more details than you can even imagine even MANY years later. There are all kinds of evolutionary reasons that our bodies have adapted to do this by the way, because we’re mammals. Anxiety & stress produce these hormones because if we were an animal giving birth in the wild and a predator started stalking us, then we would WANT our bodies to stop labor so we could get up and run away. (Also a reason for animals to eat their placentas–to hide the evidence.) The distinctly human part of this is that our anxiety & stress can be triggered by all kinds of things, including just thoughts inside our amazing brains or even just a sideways look from someone.

Challenges

There are all kinds of things that can increase our likelihood of our anxiety and stress being triggered in labor, delivery, and early postpartum. Things like a lack of privacy & interruptions in your flow can inhibit your ability to relax and for your body to make the hormones to keep your contractions going. People with a history of abuse, assault, or other trauma can really feel their stress hormones escalate in labor and delivery, which is another reason that trauma informed care is sooo very important. Bright lights, strange noises, & smells can all bring those stress hormones whooshing around our bodies. No matter what your specific challenges are to keeping calm and relaxed, developing the tools you need before you have to use them will help you meet any challenges that might arise!

Tools to Help

Don’t be shy about asking for what you need to feel better during labor and postpartum. Keeping the lights low in your room can be really helpful for decreasing anxiety & making a space more cozy. Some people bring twinkle lights to hang up or a tapestry to hang to make the space more their own too. You can even bring a sleep mask and earplugs if they help you. I always suggest packing your own pillow and blanket to make the space smell and feel more like home too, and keeping your partner close definitely helps some people relax more. You can make a sign for the door to remind people who enter to please use hushed voices and respect the energy in the room. Nothing ruins your flow more than someone walking in and talking loudly while you’re just trying to get through your contractions or trying to get your fussy baby to latch. Protect your space and communicate your needs, and if you need some help with that, a doula might be someone to consider adding to your birth or postpartum team.

You can’t live in a bubble, but you can hold space for yourself for this profoundly human experience of bringing a new baby into the world. Developing tools such as breathing techniques, body awareness, meditation, self-hypnosis, & grounding techniques can help you not only stay calm for labor and delivery, but also for postpartum. Psst, these techniques even work for parents to teenagers—ask me how I know. With 20 minutes a day of calming practice, you can learn to bring your nervous system back to calm and keep those good hormones flowing. Your feelings matter!

Measuring Change: Local 2020 Hospital Statistics

That numbers are out for 2020, and they might surprise you.

Statistics tell us part of the story of how a hospital cares for their patients and about the culture of a place. They do not tell us the entire story in any way shape or form, but they are a way to measure change and track goals. Leapfrog is a group that tracks statistics about hospitals around the country using a survey that 75% of hospitals participate in each year. Today was the day that they published this data for 2020.

You can find the 2018 Statistics in this post we wrote. I did not write a post for 2019’s statistics, but I think we all remember April 2020 right? You can look these statistics up for yourself here, because you really don’t have to just take my word for it.

Definitions & notes for you:

  1. This Cesarean Section data  is for NSTV (research speak for 1st time parents, 38+ weeks pregnant, with a single head-down baby) cesarean rates and does not include repeat cesarean deliveries or 1st time cesarean deliveries in people who have had previous vaginal deliveries. This is an important distinction. Leapfrog Group uses the Healthy People 2020 goal of 23.9% for primary cesarean deliveries in this category. I want to note here that the WHO stated target NSTV cesarean rate is 10-15%, so that is something to also think about when looking at this data.
  2. Early Elective Deliveries are defined as elective induction or cesarean sections before 39 weeks.  This does not include medically indicated early deliveries, therefore the goal is for these to be less than 5%.
  3. Episiotomies are a cut made to the perineum during the birth process.  While sometimes necessary, routine episiotomies are not evidence-based practice, and Leapfrog sets their goal as less than 5%.
  4. The numbers in (parentheses) are the previous numbers reported in 2018. I did not include numbers for Good Samaritan Hospital previously, so apologies to our friends in Vincennes for the lack of change comparison possible in this table.
  5. New numbers that reach or exceed the Leapfrog goals are in blue.
Hospital NSTV Cesarean SectionsEarly Elective DeliveriesEpisiotomies
The Women’s Hospital
Newburgh, IN
26.2% (22.9%) 6.8% (1.7%)11.5% (14.8%)
Ascension St. Vincent Evansville*25.3%
(27.2%)
0.0% (.8%)5.9% (6.8%)
Owensboro Health29.5% (29.7%).7% (1.4%)5.7% (12.7% )
Deaconess Henderson Hospital**25.5% (26.1%)0.0% (2.4%)2.8% (2.4%)
Memorial Hospital & Healthcare Center Jasper, IN11.1% (12.8%)5.9% (0.0%)7.9% (9.8%)
Daviess Community Hospital Washington, IN17.9% (15.2%)0.0% 1.9%)8.2% (13.1%)
Good Samaritan Hospital Vincennes, IN20.7%4.0%14.2%
*Previously St. Vincent’s Medical Center of Evansville
**Previously Methodist Hospital of Henderson
DoulasEVV Evansville Doula Newburgh

What the Numbers Don’t Say

What these numbers don’t say is what an incredible strain 2o20 was on all hospitals, including in maternity care. While there were clearly jumps in early elective deliveries at Memorial in Jasper and The Women’s Hospital in Newburgh, we don’t know when those happened. Were those elective deliveries in March and April last year when everything was locking down due to the growing pandemic and people were truly scared for their lives? Conversely, maybe the pandemic was an easy excuse to push for early elective induction too. We can’t know that from the numbers. These statistics represent thousands of birth stories that we can’t know just by reading them.

These statistics are also not the only ones worth looking at when making decisions regarding your care. Other important factors such as VBAC success rates, availability of lactation help, availability of anesthesia, proximity to your home, provider access, insurance coverage etc. Sometimes that last one ends up being the deciding factor no matter what your preferences are on location.

How to Use These Numbers

First use them to think about where you want to deliver. You do have options and choices on where to go, and we would be happy to talk to you about our experiences at these places as well. Know that these are overall statistics that paint a generalized picture, and start there. Even if you don’t have a choice on where to go to birth, because we know that happens, these statistics can help you look at the norm where you will be delivering. They can help you know what to expect and watch for during your delivery.

Next use the numbers to start a conversation with your provider. Where do they deliver? What are their personal statistics compared to the facility? How do they feel about episiotomies?

We ALWAYS encourage everyone to have open, honest, and frank conversations with their providers. Don’t be intimidated by the white coats, they are people too. Keep it positive and be inquisitive, and go with your gut when it comes to making decisions regarding your provider and location for delivery.

We look forward to comparing 2020 with 2021 when those numbers come out!

  • What is the first question that comes to mind looking at this table?
  • Do any of these numbers surprise you?
  • Which of these statistics most line up with what you previously thought about these facilities?