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Supporting the Childbirth Process

Supporting the childbirth process

A Guide to Helping Parents Bring New Life into the World

Supporting the childbirth process: A Guide to Helping Parents Bring New Life into the World

Childbirth is one of the most significant moments in a parent’s life. While it is a natural process, it can also be physically and emotionally challenging. Support during labour and birth plays a crucial role in making the experience more positive and manageable. Whether you are a partner, family member, friend, or birth worker, knowing how to offer the right support can make all the difference.

Understanding the Childbirth Process

Labour typically unfolds in three stages:

  1. First Stage – This is the longest phase, where contractions gradually open the cervix. It includes early, active, and transition phases.
  2. Second Stage – This is when the baby is born as the parent pushes through contractions.
  3. Third Stage – The placenta is delivered, and medical staff ensure the parent’s well-being.

Knowing what to expect at each stage helps supporters provide reassurance and encouragement.

Emotional Support: The Power of Reassurance

A calm and confident presence can ease a labouring parent’s stress. Encouraging words, holding hands, and offering gentle reassurance help them feel safe and supported. Simple phrases like “You’re doing amazingly” or “I’m right here with you” can be powerful.

It’s also important to respect their preferences. Some may want quiet, while others benefit from verbal motivation. Being attentive to their needs ensures they feel in control and cared for.

Physical Comfort Measures

There are many ways to provide physical comfort during labour:

  • Massage and Touch – Gentle back rubs, counter-pressure on the lower back, or a warm hand on the shoulder can relieve tension and discomfort.
  • Breathing Techniques – Encouraging slow, deep breaths helps manage pain and anxiety. Practising these beforehand can be helpful.
  • Position Changes – Movement and different positions (such as squatting, standing, or leaning) can ease pain and help labour progress.
  • Hydration and Nutrition – Small sips of water and light snacks (if permitted) help maintain energy levels.

Advocating for the Labouring Parent

In the intensity of labour, communication with medical staff can be overwhelming. A supportive birth partner can help by ensuring the parent’s preferences are respected. This includes reminding healthcare professionals of their birth plan and asking for explanations about medical procedures if needed.

Advocacy does not mean making decisions on their behalf but rather ensuring they feel informed and empowered. Respecting their choices is essential for a positive birth experience.

Managing Pain: Options and Encouragement

Pain relief choices vary for every person. Some prefer natural methods, while others opt for medical pain relief such as gas and air, pethidine, or an epidural. Supporting their decision, without judgement, is crucial.

If they choose to avoid medication, distraction techniques such as music, dim lighting, warm baths, or hypnobirthing practices can help. If they decide on medical pain relief, encouraging them through the process and reminding them that every birth journey is unique can be reassuring.

If you are a birth worker reading this, you might find some of my printable activities helpful for your childbirth education classes and session. Below you’ll find my latest offers:

The Importance of Post-Birth Support

Supporting the childbirth process doesn’t end once the baby is born. The postnatal period is a time of physical recovery and emotional adjustment. Encouraging rest, helping with newborn care, and offering emotional support are just as important after birth as they are during labour.

Small actions, like bringing a meal, holding the baby while the parent naps, or simply listening to their experiences, can make a huge difference. Reassure them that it’s normal to feel a mix of emotions and encourage them to seek support if needed.

Final Thoughts

Supporting someone through childbirth is a privilege and a responsibility. Being informed, compassionate, and adaptable allows you to provide meaningful help. Every birth experience is different, but the right support can make it a more positive and empowering journey for the parent bringing new life into the world.

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Navigating your childbirth journey: Using the Circle of Control to Write Your Birth Plan

Welcoming a new life into the world is a monumental and empowering experience, and creating a birth plan or writing down your birth preferences can be a valuable tool in ensuring that your birthing experience aligns with your preferences and desires. As expectant parents, it’s natural to feel a mix of excitement and anxiety about the impending arrival of your little one. One powerful concept that can guide you through this process is the “Circle of Control.”

Understanding the Circle of Control

The Circle of Control is a psychological concept that encourages you to focus your energy and attention on things within your control, rather than dwelling on factors beyond your control. This principle can be especially helpful when it comes to writing your birth plan, as there are aspects of the birthing experience that you can influence, and others that are beyond your control.

Identifying Elements within Your Control
  1. Birth Environment: Begin by considering the atmosphere in which you would feel most comfortable giving birth. Think about factors such as lighting, music, and the presence of loved ones. Discuss your preferences with your birth partner, doula, birthing team and explore options that align with your vision.
  2. Labour Positions and Movement: Research different labour positions and movement techniques that can benefit and support the birthing process. Discuss these options with your healthcare provider and express your desire to have flexibility in choosing positions that feel right for you during labour.
  3. Pain Management: Outline your preferences for pain management, whether it’s through natural methods like breathing exercises, massage, or water immersion, or medical interventions such as epidurals. Ensure that your choices are communicated clearly with your healthcare team.
  4. Medical Interventions: Understand the available medical interventions and express your preferences regarding interventions like induction, episiotomy, and fetal monitoring. Discuss the potential benefits and risks with your healthcare provider to make informed decisions.
  5. Postpartum Care: Consider your wishes for immediate postpartum care, including skin-to-skin contact, breastfeeding preferences, and any specific instructions for the care of your newborn.
Elements Outside Your Control
  1. Unpredictable Circumstances: Acknowledge that childbirth is inherently unpredictable. While you can plan for many aspects, unforeseen circumstances may arise. Be open to adjustments and trust your healthcare team to prioritize the well-being of both you and your baby. Use your BRAIN acronym to help you with informed decision-making.
  2. Medical Emergencies: Understand that in certain situations, medical emergencies may necessitate interventions that deviate from your initial plan. Be prepared mentally for unexpected scenarios and trust your healthcare providers to make the best decisions for your safety. Use your BRAIN acronym to help you with informed decision-making.

Crafting a birth plan using the Circle of Control is a powerful way to empower yourself during the birthing process. By focusing on elements within your influence and acknowledging those beyond it, you can approach childbirth with a sense of preparedness and confidence. Communication with your birth partner, doula and healthcare team is key, and the collaborative effort between you, your birth partner, doula, and your medical professionals can help create a positive and fulfilling birthing experience that aligns with your values and preferences. Embrace the journey, trust the process, and celebrate the miracle of life.

Download your Circle of Control worksheet and start your birth planning now!

Sources and further reading

  • LOTHIAN, Judith. Birth plans: the good, the bad, and the future. Journal of Obstetric, Gynecologic & Neonatal Nursing, 2006, 35. Jg., Nr. 2, S. 295-303.
  • MEI, Jenny Y., et al. Birth plans: what matters for birth experience satisfaction. Birth, 2016, 43. Jg., Nr. 2, S. 144-150.
  • MUTONGI, Chipo; MAZHAWIDZA, Rushworth. DEALING WITH THE MINDSET WHEN FACED WITH CHANGE AND DIFFERENT SITUATIONS.
  • Dr Lucy Russell: https://www.theyarethefuture.co.uk/circle-of-control-printable/
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What are antenatal classes?

antenatal classes nottinghamshire

Antenatal classes are sessions that prepare expectant parents for birth and early parenthood. They give parents information and practical skills so they can approach this life-changing time with confidence. Formats vary, but classes usually cover pregnancy health, labour and birth, pain relief and self-help techniques, infant feeding, newborn care and sleep, postnatal recovery, postnatal mental health and where to find support.

Who goes to an antenatal class?

Where possible, it helps for both parents to attend. That way both of you understand the birth process and can take an active part in decisions. Learning together and sharing your hopes, worries and expectations can also strengthen your bond.

Classes are usually attended by couples, or by pregnant women and people with their birth partners, but they can be just as valuable for lone parents.

Are antenatal classes suitable for lone or single parents?

Being a lone parent during pregnancy and birth can bring its own challenges and worries. Antenatal classes offer a supportive space to connect with other expectant parents, gain knowledge and resources, build confidence, practise skills and start building a support network.

Lone parents can learn techniques to manage the physical and emotional demands of labour, as well as ways to bond with their baby and prepare a calm, positive environment for their arrival.

Classes often cover newborn care too, such as feeding, nappy changing, bathing and soothing. For parents who may not have family or a partner close by, this practical knowledge can be especially helpful.

Just as importantly, classes are a place to share experiences, concerns and questions. For lone parents, they can be a safe space to meet others in similar circumstances, building a sense of community and reducing isolation.

Who provides antenatal classes?

In the UK, many NHS trusts offer free antenatal classes, so ask your midwife what is available locally. Some family hubs and children’s centres run classes too. Paid options include the National Childbirth Trust (NCT), independent antenatal teachers, hypnobirthing teachers and doulas. You can read more on the NHS page about antenatal and hypnobirthing classes.

Are antenatal classes worth it?

Whichever provider you choose, antenatal classes offer many benefits. As well as knowledge and practical skills, they can ease anxiety, build confidence and give you a supportive community at a special time. They are well worth considering if you want thorough preparation for the journey ahead.

Please also check out my online course! No videos, just text and images to learn in your own time. Includes hypnobirthing mp3s, scripts, workbook, handouts, infographics and much more! Lots and lots of information at your fingertips! Includes:

  • hypnobirthing mp3s
  • hypnobirthing scripts
  • written information
  • infographics and other imagery
  • printable handouts
  • printable workbook/journal
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5 Things to look for when choosing your childbirth education

5 things to look for when choosing your childbirth education

Want to feel prepared for the birth of your baby (or babies)? Here are 5 things to look for when choosing your childbirth education.

As the birth of your baby approaches, you may have a lot of questions. What does a contraction wave feel like? How will I know when to call the midwife? What kind of breathing techniques can I use? How do I know when it is time to push?

You may also feel a mix of emotions – excitement, nervousness, stress, even anxiety. The good news is that preparing for the birth can ease your fears and build your confidence. Choosing the right childbirth course for you (and your partner) is key: it should give you practical knowledge about the physiology of birth, and tell you where to find practical and emotional support.

5 Things to look for when choosing your childbirth education

1. Does the course agree with your idea on childbirth?

Whether you’re planning a vaginal birth, caesarean birth, waterbirth, home birth or something else, make sure your chosen course supports your wishes and preferences. How you give birth is up to you.

Knowing the general philosophy of the birth course you are considering is essential. The techniques that you’ll be learning should be something that you can see yourself doing and something that you believe in. The techniques should support you to achieve the birth you are aiming for.

2. Which topics are covered during the course?

If this is your first baby, your course should cover everything you need to know about your options and what to expect. If you’ve given birth before, you may prefer a refresher course – and you may also want to prepare older siblings for the arrival of their little brother or sister. Learning about childbirth can ease anxiety and help you make informed choices, but the wrong type of course can increase anxiety, so choose your course and its leader carefully.

3. Who created the course?

Who created the childbirth preparation course? Are they a medical professional or a teacher? Are they an expert in childbirth education? Check their certifications and experience! You want the person and organisation offering your childbirth preparation course to be established and reputable. Ask them to show you proof of their qualification(s).

4. What format is the course in?

Check the format of the course. You may prefer a course which focuses on the birth only, or one that includes practical baby care. If you are interested in hypnobirthing, does the course include hypnobirthing or maybe you prefer a stand-alone hypnobirthing course.

Can partners come along too, or is the course for birthing parents only? Which format would you prefer?

5. Practical things to consider

  • Where and when is the course held? Are the dates, time and venue convenient for you?
  • What is your budget? What are your options at your budget?
  • For an in-person course
    • is there parking available or is it easily accessible via public transport?
    • Is the venue clean and spacious?
    • What are the chair/seating arrangements like? Do you want/need to bring a birthing ball, cushions etc.?
    • Are refreshments included?
    • Accessibility of the venue (where needed)
  • For an online course
    • are you confident in using the platform the course is being offered on?
    • is it a live course or has live elements or is it fully self-paced? – for live elements: are they recorded? If not can you make all the sessions?
    • Is your internet connection reliable?
    • Have you got a pc or laptop to access the course on? This will make your online course a more positive experience.
    • Have I got a comfortable (seating) setup where I can join the online childbirth preparation course?

What type/style of childbirth preparation course you choose is entirely up to you! Use your B.R.A.I.N. acronym when choosing the right course for you:

Brain acronym

What are the benefits, risks (or repercussion), alternatives (for each option)? Trust your gut, your intuition. And think about how you might feel if you do nothing, i.e. you don’t choose a childbirth preparation course?

If you’d like to prepare at your own pace, my fully self-paced online childbirth preparation course includes hypnobirthing, mp3s and much, much more! You can read more about the BRAIN acronym in The BRAIN Acronym for Childbirth.

Online Birth Preparation Course only £35!

Please also check out my online course! No videos, just text and images to learn in your own time. Includes hypnobirthing mp3s, scripts, workbook, handouts, infographics and much more! Lots and lots of information at your fingertips! Includes:

  • hypnobirthing mp3s
  • hypnobirthing scripts
  • written information
  • infographics and other imagery
  • printable handouts
  • printable workbook/journal

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How long does labour last?

How long does labour last?

How long does labour last? What is the average length of labour and birth?

In medical terms, labour is divided into three stages:

  • First stage – your uterus and body are getting ready. Your cervix softens and begins to open until it is fully open (dilated). This is sometimes called the “up stage”, because the sensations pull upwards.
  • Second stage – this begins when you feel the urge to push. It’s sometimes called the “pushing stage” or “down stage”, because the sensations push downwards. At the end of this stage, your baby is born!
  • Third stage – the birth of the placenta, the final stage of labour.

So, how long does labour last? According to the NHS, a first labour lasts on average 8–12 hours, and later labours are usually much quicker (around 5 hours). However, midwives only start timing from when you are in established labour – when your cervix is around 4cm dilated. The contractions and sensations you experience before then aren’t officially counted, although birthing people usually include that time when they describe their experience. From your baby dropping (lightening) to the start of established labour can take hours, or sometimes days with a first baby. Use this time to rest when you can, stay hydrated and keep your positive energy up!

Although the NHS and other healthcare providers divide labour into three stages, it isn’t always that simple. Each stage can be broken down into smaller steps, and people who have given birth or attended births often describe many more stages. Milli Hill, for example, divides birth into 15 steps in The Positive Birth Book (affiliate link).

Here is a graphic showing a timeline of childbirth:

How long does labour last?
Childbirth/labour timeline
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What to wear during childbirth?

what to wear during childbirth

“What should I wear during childbirth?” is a question expectant parents ask a lot.

The answer is: whatever feels comfortable for you! Here are a few things you may wish to consider when deciding what to wear:

  • The birth environment. At home you control the temperature, but hospital birth rooms tend to be very warm!
  • Are you giving birth in water? If you’re planning to use a birth pool, you may prefer not to wear anything on your bottom half once you get in. Clothes are much harder to take off when they’re wet!
  • Are you planning a caesarean birth? Think about easy access for skin-to-skin after the birth, and ask your care provider about your options. Most NHS trusts in the UK support skin-to-skin after a planned caesarean, and many are happy for you to wear your own clothes instead of a hospital gown. See also 7 ways to personalise your caesarean birth.
  • Skin-to-skin straight after birth is important for you and your baby. It helps with breastfeeding and bonding, and helps pass good bacteria to your baby. Check that skin-to-skin will be easy in the clothes you choose.
  • Feeding your baby. If you’re planning to breastfeed or chestfeed, wear clothes that give easy access to your breasts or chest.
  • Personal comfort and body confidence matter too. In the end, it’s your choice – pick clothes that make you feel comfortable, or choose not to wear any at all!

In short: wear comfortable, loose-fitting clothes that give easy access to your chest for the golden hour. And don’t forget to pack them in your hospital bag!

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Waterbirth at home

waterbirth at home

Are you pregnant and planning a waterbirth at home, but not quite sure how to sell the idea to your partner? Read this light-hearted ‘guide’ to persuading your partner to have a waterbirth at home 😉

My husband wrote about the birth of our second baby for an NCT (National Childbirth Trust) newsletter back in 2011. He wanted to tell the story from the mother’s point of view – so he did!

Persuading the Hubby, part 2: “Waterbirth in the kitchen”

If you read part 1, you may remember the challenge I set myself: persuading a sceptical Mr Hubby of the virtues of reusable nappies. Persuading the hubby can sometimes feel like cycling uphill into a stiff wind – but, just like the equally stiff winds so often encountered at changing time, it can be overcome with a deep breath and a firm resolve! Compared with the reusable nappies, however, my next challenge was a veritable Tour de France of uphill cycling!

The idea quite literally surfaced while we were swimming at the local pool. It was towards the end of my second pregnancy, and I was floating in the water, enjoying the sheer bliss that only a pregnant woman can feel as eight months of pregnancy weight lifts off her feet. Mr Hubby was throwing our youngest into the air, and they were splashing about wildly, filling the air with giggles. Our little one was two now, and he’d come such a long way since his traumatic hospital birth two years earlier. It suddenly struck me how relaxed I felt in the water with my family around me, and I decided there and then that I would bring that feeling of tranquillity to my next birth. “I’m going to have a waterbirth in the kitchen!” I exclaimed. My sudden outburst caught poor Mr Hubby completely off guard, and he froze mid-throw in stunned bewilderment as our little bundle of joy spiralled through the air and hit the water with a resounding splosh! Without the “1-2-3, breathe” they’d been practising at baby swimming, the little mite came up coughing and spluttering. He was absolutely fine, but a lifeguard had already blown his whistle and several youthful pool attendants were diving athletically into the water! By the time we’d towelled off, thanked the lifeguards for their diligence and smiled meekly at the other swimmers (who were looking at us as if we were completely incompetent parents), Mr Hubby had pulled himself together enough to reel off an immeasurably long list of reasons why ‘waterbirth in the kitchen’ was a terrible idea. “Surely giving birth at home will make a right mess?” “What if something goes wrong while you’re in labour at home?” “Where on earth would we get a pool?” “Are you seriously thinking of the kitchen?” “What if you get in and a wave of water goes everywhere?” “Will you cope without pain relief?” “Will it be massively expensive?” And finally: “Could we do it on the cheap with the little one’s paddling pool and our leaky garden hose?!”

Well, I’m all for winning my man round with a bit of frugality, but after some research online and on the NHS website, it soon became clear that the paddling pool and garden hose idea wasn’t going to fly. Birth pools need to be clean, deep enough to immerse your body, and strong enough to take your weight as you hang over the side catching your breath after a contraction. Luckily, I did find ways to avoid forking out gazillions of pounds. First there was the hire option, with pools available from around £80 for five weeks – but in the end I got a second-hand one on eBay, complete with a hose, for just £24. All I needed then was a new pool liner for £25, and my set-up was complete! That came to around £50 in total, but as I pointed out to Mr Hubby (when the postman turned up with an inflatable birth pool under his arm), parking at the hospital last time had cost over £30 – and this time we’d have needed a babysitter for our little tyke as well – so I reckon we made a saving!

Mr Hubby’s other concerns about home birth were addressed by a couple of interesting encounters. The first was with a very kind midwife who visited us at home and reminded us that giving birth is a natural process and that I could trust my body. She promised to bring plenty of gas and air, and added that a home birth would really help her meet her home birth targets. She was so lovely that we could hardly say no! The deal was sealed later that day by the second encounter: a chance conversation over the fence with the elderly lady next door, who told Mr Hubby that in her day kitchen births were quite the norm. After an hour of listening to stories about births in times gone by, Mr Hubby was quite dazed and in no state to argue any further.

Despite my immaculate preparation, there was one thing I forgot – and I strongly advise you not to: a decent pump. My labour started a few days before my due date and, as Mr Hubby will tell you, home birth pools are very, very large. Very large. With his little bike pump, it took a good hour of frantic pumping to inflate the thing, and halfway through – just as he hit his lowest ebb and his right arm was about to drop off – two very stern midwives arrived just in time to whip him back into action. Eventually he crossed the finish line, I stepped into the warm, soothing water, and all my cares drifted away. Mr Hubby was clearly exhausted and looked as though he’d been in labour himself, but before he could even catch his breath, one of the stern midwives spun on her heel and told him, in no uncertain terms, that his next job was to keep the pool within a degree of 36°C – and as it had already dropped to 34, he’d better get cracking! So back and forth across the kitchen he went, carrying saucepans of water out of the pool and topping it up with hot water from the tap. Back and forth he went, nineteen to the dozen, for a good three hours, spurred on by the hawk-like glare of the midwives – which gave me excellent entertainment between contractions. In fact, it struck me that the whole thing was a modern-day version of “Why don’t you go and get some warm towels ready?”, and it kept him nicely occupied for the whole labour.

Before I knew it, my second child was born. The warm water eased my contractions, softened my tender regions and helped me avoid the dreaded stitches. It was such a soothing entry into the world, and I will never forget it. Neither will Mr Hubby – his pumping arm has never been the same since!

Thinking about a waterbirth at home or in hospital? Read more in Benefits of Waterbirth and Waterbirth: A Natural Approach to Childbirth.

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Your Birth Plan

Your birth plan – or better, your birth preferences – can be an important part of your journey into parenthood.

You may have heard people say their birth plan went out of the window, or that it isn’t worth writing one. In my opinion, as a doula and mother of four, it is worth thinking about your birth preferences (rather than a “plan”). Whether you put them in writing is up to you, but sharing and discussing your preferences, thoughts and feelings about the birth with your birth partner(s) is important.

Positive birth affirmations
Information is power – write down your birth preferences!

You can make it as detailed as you like, but the more detail you include, the less realistic your expectations may become. So focus on your top four or five preferences – things you are likely to be able to control.

You may wish to consider:

  • Your birth place – where would you like to give birth?
  • The birth environment
    • Who will be there (birth partner(s), doula…)?
    • Which home comforts would you like (music, a blanket, a cushion…)?
    • What will the lighting be like?
    • Will there be music?
  • Type of birth
    • Vaginal
    • Caesarean
    • Induction
    • In water or out of water
  • Your religion, beliefs and traditions
  • Your medical history and your individual options
  • Your preferences for medical pain relief, for example:
    • “I don’t want any”
    • “Let me know when I can have an epidural”
    • “I would like X but would like to avoid Y”
  • Vaginal examinations and touch: you can decline any vaginal examination, or any other form of physical touch, at any point – and you can change your mind at any time. Many people are happy to have vaginal examinations, and consenting to them can help your midwife support you.

The NHS website has a very detailed birth plan template. It’s a useful checklist to make sure you’ve considered all your options, even if you don’t use it as your actual birth preferences.

It can help to think through your birth in order:

  • Early labour / at home
  • Active labour / on the way to hospital / while waiting for the midwives to arrive
  • Established labour / at your birth place under midwifery care
    • Transition
  • Second stage / pushing
  • Third stage / the placenta
    • The golden hour with your baby

If any of your preferences don’t align with your healthcare provider’s recommendations, discuss them before the day, not on the day. A doula can also help you explore your preferences and make sure you have good, evidence-based information. You might also like my post on using the Circle of Control to write your birth plan.

Please also check out my online course! No videos, just text and images to learn in your own time. Includes hypnobirthing mp3s, scripts, workbook, handouts, infographics and much more! Lots and lots of information at your fingertips! Includes:

  • hypnobirthing mp3s
  • hypnobirthing scripts
  • written information
  • infographics and other imagery
  • printable handouts
  • printable workbook/journal

Some sources of good evidence-based information: