Scientific Birth and how to have one.


Scientific Birth is birth as nature intended, without intervention.

Technological Birth relates to the interventions.

Understand both. Determine for yourself whether or not a technological aspect to your birth is right for you.

Who you birth with (care provider and non-medical support) will influence how technical your birth will be, so if a scientific birth is important to you – align your support with the less technical care providers. Midwives take a more scientific approach, generally. So choosing a midwife is a good starting point. BUT Choose Carefully.
 

If you wish to take a scientific approach to birth and parenting you need to take responsibility, discover your options and make informed decisions about what feels right for you.

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Models within the Australian Maternity Service: choosing the care provider that best aligns with your goals

Independent Midwifery
If you are very fortunate (and it is a sad state of affairs that fortune determines the availability of this choice) you might choose a private/independent midwife. You can then have your baby at home; safe, undisturbed and supported. The continuity of care offered by an independent midwife is known to lead to better outcomes (as in less intervention and better satisfaction as reported by the mother).

Public Funded Homebirth
In a few places, you may be able to access a public-funded homebirth program, but you do get what your pay for. These programs have very tight rules and strict protocols – which is actually a very technical approach. 

Midwife in a Birth Centre
The next best way to align yourself with a scientific birth, is an assigned midwife in a birth centre. You will have the same midwife throughout your antenatal care, and for the birth. Some of the antenatal care will be technical, but appointments will allow time for more personal and scientific considerations. The downside, is the post-birth care. You are shunted from the maternity care into motherhood without continuity. ​

Caseload Midwife
If a birth centre is not available to you, you may find a continuity care midwife program in a hospital. Chances are your appointments will be short and technical. Again, post-birth you will be shunted into motherhood without continuity. ​   From here, you start moving into technical territory, and it will take a lot more effort on your part to have a scientific birth. Keeping in mind, that none of these options exclude you from a technological birth, but you will find a scientific birth much harder once away from continuity care.

Midwife-led Team
A midwife-led team approach in a low risk, low intervention hospital can be scientific, but will involve technological antenatal care and increases your likelihood of a technological birth. You see a random midwife at each appointment, so may repeat yourself or receive inconsistent information. You will get the rostered on midwife on the day of your birth, which could be great or not. 

Obstetric Care
If you choose obstetric care for your ‘low risk’ pregnancy, you can expect a technological birth. You will be supported by random midwives during your birth, your obstetrician may make an appearance during first stage (labour), but not in a supportive fashion. They will return in time for the actual birth, take over and instruct you. If you are very lucky, you will get a scientifically minded OB, or simply birth before they get a chance to interfere. This is a private option, meaning it will cost you financially.
This option is ideal for those welcoming of technological birth, or needing to arrange a caesarean. ​  For low risk women hoping for a scientific birth under these circumstances, it can be traumatic to experience this approach to birth. It is impersonal and can led to unnecessary and unwanted interventions.

Preparation and Support options: taking responsibility for your experience and informed decision making

Create a Birth Map
The Book The Birth Map: Bolding going where no birth plan has gone before is available to download or in print. Join the free member area to read it online.

If you need help, I offer one-on-one zoom sessions, or you may like to search the directory for a doula in your area.

Independent Childbirth Classes
The independent classes are great to attended, if they are offered in your area. They do not provide continuity of care, but they do inform you and prepare you with techniques that focus on scientific birth.  Calmbirth and Hypnobirthing Australia are two popular options.

ABA Breastfeeding Classes
An independent breastfeeding education class with the Australian Breastfeeding Association (ABA) is invaluable.

Birth Doulas and Postpartum Doulas
Some doulas also offer post-partum support, but sometimes you need to seek them as separate service. So there is some limit to the continuity you achieve here.  That said, the support of a doula (for birth preparation, birth support, fourth trimester care) is proven to be beneficial.  

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