How to Advocate for Yourself During Labor and Delivery
Issue No. 4: Black Maternal Health
words - betty fermin + Attia Taylor
Photograph - Monika KozuB
Racial bias, cultural assumptions, and structural barriers in health care can affect the care you receive during pregnancy and delivery. That’s why it’s important to do your research and understand all aspects of your maternal health. Here are some tips and advice for your birthing plan and ways to communicate during labor and delivery.
Should I give birth at home or in a birthing center?
Deciding to give birth at home or at a birthing center may be more comfortable for some parents and can increase their control over the experience. However, hospitals are preferred by others and are recommended for high risk pregnancies that may require additional medical professionals and technology in case of emergency. Talk to your health care provider about what is right for you and your pregnancy.
Who should be on my birth team?
Your birth team can include your doula (if you have one), your OBGYN, and other health care staff. Your birth team is there to listen to your needs and provide adjustments to make sure you’re safe and comfortable. Fostering a connection between the doctors, medical staff, and anyone who will be in the room during your birth is key.
How can I make sure my birth plan is followed in the hospital?
A birth plan is an outline you create that communicates what you’d like to happen during your birth. To ensure your birth plan is respected, review it with your doctor ahead of time, especially if your preferences differ from standard hospital procedures, such as declining a routine IV. Ask your provider to document these agreed-upon choices in your medical chart and sign your birth plan. This way, if you go into labor when your provider isn’t present, the hospital staff will have clear, written confirmation of your preferences, even if they fall outside typical policy.
When should I ask for a second opinion?
It’s always ok to ask for a second opinion when it comes to your health and your pregnancy. This is especially important if you have a high-risk pregnancy or a complex medical situation. Trust your gut! If something seems off or you need more certainty, ask for a different provider or seek advice outside of your current practice.
How can I advocate for myself during labor?
During labor, your body will give you signals about what you need. Pay attention to them and trust your instincts. If you need to rest, change positions, get a massage, or take a bath, speak up and ask your care team or support person. Advocating for yourself means staying confident in your body’s abilities and clearly communicating your needs so you can be as comfortable and supported as possible throughout labor.
What breathing techniques help during labor?
Abdominal (diaphragmatic) breathing is a simple technique that can help you stay calm and breathe effectively during labor. This type of deep, slow breathing encourages relaxation and can make contractions more manageable. It’s helpful to practice diaphragmatic breathing during pregnancy so your body becomes familiar with the rhythm, making it easier to use when labor begins.
Can I refuse medical procedures during labor?
Yes, you always have the right to refuse any medical procedure during labor if there’s no clear or urgent safety reason. Even though it can feel intimidating when providers recommend certain procedures and medicines, you’re always in control of your body and care. You can ask questions, request more information, and clearly say “no” if something doesn’t align with your preferences or birth plan.
Can I move or change positions during labor?
Yes, you can move and change positions during labor based on what feels most comfortable to you. No one can force you to stay in a position that doesn’t feel right. If a position becomes uncomfortable after a few contractions, you can adjust or try a new one. Even if you need fetal monitoring, nurses can usually work around your movement to check your baby’s heart rate while still allowing you to stay as comfortable and supported as possible.
Is it normal to bleed a lot during childbirth?
Yes, some bleeding during labor and delivery is normal, and in some cases it can look like a lot of blood. This can be surprising or scary if you and your family aren’t prepared you for it. Health care providers monitor your blood loss closely to make sure it stays within a safe range and will act quickly if there are any concerns. Knowing ahead of time that bleeding is a normal part of the birth process can help you and your family feel more prepared.
