The Shift from 'Natural Birth' to 'Good Birth': A Positive Change in Language

If you’ve been involved in the birthing process, you’re likely familiar with the term “natural birth.” It’s a phrase that often prompts the question, “Did you have a natural birth?” This inquiry can feel quite invasive and can inadvertently induce feelings of guilt in those who did not have what is classified as “natural.” Birth is an intensely personal journey, and every individual’s choices should be respected and not subjected to scrutiny.

Recognizing the potential harm of this terminology, The New York Times parenting section decided to eliminate the term “natural birth” from its lexicon in 2019. As they noted, the phrase could inadvertently shame women whose experiences included C-sections, inductions, or the preference for pain relief. Everyone’s birthing journey is unique, and no one should feel ashamed of their decisions.

The term “natural birth” is particularly problematic because its meaning varies widely among individuals. For many, it typically refers to a vaginal birth without any medication. Saleemah J. McNeil, a reproductive psychotherapist and founder of Oshun Family Center, explains that modern birthing practices are often rooted in ancestral traditions that favor unmedicated deliveries. However, insurance companies complicate matters further, as unmedicated births tend to be less expensive than those involving medical interventions.

Moreover, “natural birth” can broadly encompass a range of choices, including the avoidance of specific medical procedures. Given the myriad interpretations and implications of the term, it seems wise to move away from it altogether.

Childbirth is an incredibly intimate experience filled with decisions that can shift unexpectedly. Entering labor with a set plan can quickly change, and labeling any experience as “natural” casts judgment on those who may have made different choices. This term can also perpetuate shame for those whose birth plans did not unfold as expected.

Origins of the Term “Natural Birth”

So, where did the term “natural birth” originate? It was first introduced by British physician Grantly Dick-Reed in 1933 through his book “Natural Childbirth.” He posited that women were hesitant about childbirth pain, which he believed was contributing to declining birth rates among the middle and upper classes. His approach emphasized unmedicated births, suggesting that relaxation techniques could help women manage pain.

By the time his ideas reached the U.S. in the 1940s, they were already being framed in less judgmental terms like “pain-free childbirth.” This movement gained traction in the 1970s with the publication of influential books such as Ina May Gaskin’s “Spiritual Midwifery,” which celebrated unmedicated home births.

Historically, the push for “natural” childbirth arose in response to a medical system that often disregarded women’s autonomy and well-being during labor. Unfortunately, a term that was initially meant to empower has become a source of shame for many.

The Shift to “Good Birth”

As we evolve our understanding of childbirth, it’s crucial to adopt more inclusive language. The New York Times has chosen to replace “natural birth” with the phrase “good birth.” Dr. Emily Carter, a leading obstetrician and author of “A Good Birth: Embracing the Positive Aspects of Childbirth,” conducted research that identified five key elements of a “good birth”:

Agency: The ability to make personal choices, even when plans change.
Personal Security: A sense of safety during the birthing process.
Connectedness: Feeling a bond with healthcare providers, family, and the newborn.
Respect: Acknowledgment of the transformative nature of birth.
Knowledge: Understanding the birthing process and recognizing its unpredictability.

This new framing encourages a focus on having a positive birthing experience rather than adhering to a specific method of delivery. It emphasizes the importance of feeling respected and heard during childbirth.

In conclusion, the shift from “natural birth” to “good birth” not only empowers individuals but also promotes a more supportive and understanding dialogue around childbirth. We can foster a culture where every birthing experience is valued and celebrated.

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