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If you’ve experienced childbirth or know someone who has, you’ve likely heard the term “natural birth.” People often ask, “Did you have a natural birth?” This question can feel invasive and stigmatizing, making many feel inadequate or judged. Every birth journey is unique, and individuals should never have to defend their choices.
Recognizing the negative implications of the term, The New York Times‘ parenting section decided to eliminate it from their vocabulary in 2019. They noted that the phrase “natural birth” could inadvertently shame those whose deliveries didn’t fit that mold, such as those who underwent C-sections, required induction, or opted for pain relief. It’s vital that no one feels ashamed of their birthing decisions, which is why it’s time for this term to be retired.
The challenge with the term “natural birth” lies in its ambiguity. For many, it suggests a vaginal delivery without medication. “Modern birthing practices and the resurgence of midwifery connect us to our ancestral roots and advocate for unmedicated births,” explains Maya Thompson, a reproductive health consultant. She also points out that insurance companies contribute to this terminology, as unmedicated births often come at a lower cost than those involving medical interventions.
“Natural birth” can also encompass a broader rejection of medical practices during delivery, including avoiding cervical checks or opting out of vitamin K shots for their newborn. Given the many interpretations and layers involved, it’s clearer to abandon the term altogether.
Childbirth is an intensely personal event filled with choices that can change in an instant. You may enter delivery with a clear plan, only to have circumstances dictate a different path. Using the term “natural birth” can unintentionally cast judgment on those who make different decisions, potentially adding to the stress of those whose plans didn’t unfold as imagined.
The phrase “natural birth” has its roots in early 20th-century discussions around childbirth. British physician Grantly Dick-Reed introduced the term in his 1933 book Natural Childbirth, suggesting that societal fears surrounding childbirth pain were causing declining birth rates among the middle class. He believed that with relaxation techniques, women could manage pain without medication—an idea shaped by a man who had never experienced childbirth.
The concept of “natural childbirth” gained traction in America in the 1940s but under less stigmatizing names like “pain-free childbirth.” By the 1970s, the natural birth movement gained significant momentum, partly as a reaction against outdated medical practices that disempowered women. As Dr. Lisa Greene, a historian of childbirth practices, notes, many doctors of that era were dismissive and often prescribed harmful treatments, which fueled the desire for a more empowering birthing experience.
However, the term “natural birth,” once a rallying cry for empowerment, has morphed into a tool of judgment. Today, we recognize that those giving birth deserve autonomy and respect, regardless of their choices. Whether someone opts for medication, a C-section, surrogacy, or adoption, language matters. Using inclusive terms fosters a supportive environment, making it clear that every experience is valid.
In light of this understanding, The New York Times is now advocating for the term “good birth.” Dr. Eliza Roth, a leading expert and author of The Good Birth Experience, conducted extensive research with diverse women to identify what constitutes a “good birth.” She found five key qualities:
- Agency: The ability to make informed choices, even if those plans change.
- Personal Security: Feeling safe and secure throughout the process.
- Connectedness: A sense of connection with medical providers, family, and the newborn.
- Respect: Recognition of the transformative nature of birth.
- Knowledge: Awareness of both the body and the unpredictable nature of childbirth.
This new framing encourages empowerment and respect, focusing on the positive aspects of the birthing experience rather than the method of delivery. A good birth experience should center around feeling heard and respected, which is fundamental to the process.
By adopting this new perspective, we can hope for a shift in how we discuss childbirth, paving the way for a more inclusive and supportive dialogue around the myriad experiences that come with bringing new life into the world.
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In summary, transitioning from the term “natural birth” to “good birth” represents a significant shift toward inclusivity and respect in discussions surrounding childbirth. It recognizes the diverse experiences of all individuals and emphasizes the importance of feeling empowered and respected throughout the birthing process.