Fear of pain in birth

Fear Free Childbirth Podcast with Alexia Leachman - A podcast by Alexia Leachman

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I’ve already talked about pain during birth in another podcast - how a fear creates pain during childbirth - so today I want to take a slightly different angle because pain is quite a biggie when it comes to birth. So I’d like to zoom in on the idea of pain and its close relative a fear of pain.

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A fear of pain in birth
Most pregnant women have a fear of pain when it comes to their upcoming birth. I have a lot of women going through my fear-clearance video training programme and a lot of them email me telling me how pain is such a worry for them during their pregnancy.

It was a huge one for me too. Once I started delving into my own fears, I realised that my fear of pain was near the top of the list. It was so big for me that early on in my first pregnancy I was seriously considering a c-section to avoid the pain of childbirth. Looking back, I’m grateful that I was able to off-load this fear because otherwise I would have needlessly put myself through major surgery and missed out on an incredible home birth.

So how can we address this fear of pain in a meaningful way? There are some circles in birthing that suggest just not using the p word at all. But or me this smacks of denial and positive thinking. And anyway, just because you’ve decided to stop using the p-word word, doesn’t mean everyone else has. Trying to control other people’s behaviour is guaranteed to end in tears; and probably yours!

I’m of the opinion that you need to accept it and embrace it.

Imagine you lived in the world of Xena Warrior Princess… and imagine that wandering this world was this big scary mythological creature that terrorised the locals. What would Xena do? She wouldn’t be hiding behind trees insisting that no-one mentions its name. No! She’d hunt it down and jump on its back and then she’d take control of it and use it to fight the baddies of the day.



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Rachel, another mama who emailed me totally gets this. She says "I just want to be realistic, and allow the possibility of pain into my birth. I have not done anything with hypnobirthing and I acknowledge the importance of the pain and cascade of hormones during childbirth."

If you welcome pain into your world and acknowledge its intention you’re better able to tap into its power. Pain has a positive intention that we often dismiss. In day-to-day life, pain is a signal from our body that something needs attention; a physical or emotional aspect of ourselves needs healing. However, in birth the word pain is used to cover a broad range of sensations. And yes some of these might mean that something needs attention. But some of these sensations might simply be the sheer power of nature birthing your baby, which is not something that requires attention or healing. Instead it requires you to ride this incredible wave of energy; embrace it, grab it, jump on it and use it. Don’t pretend it’s not there. It’s avoidance and denial that turns it into pain, because that need to avoid it and its accompanying fear is what needs to healed.

But paradoxically, I’d like to suggest that we refer to it as something else. When I think back to both my births, if you asked me what they felt like, you’ll hear me say words like intense, relentless, powerful, hardcore because that is how those sensations felt to me. But they weren’t painful. Getting stitched up afterwards was painful! Stubbing my toe is painful. But birth wasn’t. When you’re doing something physical that’s demanding and requires you to dig deep; is that pain? Do marathon runners say that they’re running in pain? They probably say it’s hard and tough but not painful.

Why not keep the word pain for painful things, like things that need attention or healing? Not just use it whenever we’re too lazy to use a word t...

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