If you’ve ever experienced childbirth or know someone who has, you’re likely familiar with the term “natural birth.” It’s a question many ask: “Did you have a natural birth?” However, this inquiry often feels intrusive and can leave individuals feeling judged. Childbirth is a deeply personal journey, and there’s no need to justify the decisions made along the way. Each person’s experience is unique, and what matters most is doing what feels right for you.
Recognizing the potential harm in this terminology, The New York Times parenting section decided to stop using the term “natural birth” in 2019. They noted that the term could inadvertently shame women whose deliveries didn’t fit this label—whether they underwent a C-section, required induction, or opted for pain relief. No one should experience shame regarding their birthing choices, which is why we need to move away from this phrase.
The complexity of the term “natural birth” adds to the difficulty. It carries different meanings for different individuals, often implying a vaginal delivery without medication. As Saleemah J. McNeil, a reproductive psychotherapist and birth doula, explains, modern birthing practices and the resurgence of midwifery reconnect us to our ancestral roots, favoring unmedicated births. She also points out that insurance companies contribute to this terminology, as unmedicated births tend to be less expensive.
The term can also encompass various choices made during delivery, such as foregoing cervical checks or delaying the umbilical cord cutting. Given the many layers involved, it’s clear that using “natural birth” is increasingly problematic.
Childbirth is an intimate experience filled with unforeseen decisions. Even the best-laid plans can change in an instant, and labeling one approach as “natural” can unfairly judge those who make different choices. This terminology can cause additional distress for those whose deliveries didn’t go as expected.
Where Did the Phrase “Natural Birth” Originate?
In 1933, British physician Grantly Dick-Reed introduced it in his book Natural Childbirth, claiming that fear of childbirth pain was contributing to declining birth rates among the upper and middle classes. He believed that women could manage pain through relaxation techniques, a perspective that certainly lacks the insight of a firsthand experience.
By the time Dick-Reed’s ideas reached the United States in the 1940s, they were already being discussed under less judgmental terms like “pain-free childbirth.” This perspective gained traction in the 1970s, with books like Ina May Gaskin’s Spiritual Midwifery promoting unmedicated home births.
The push for “natural birth” arose as a backlash against the medical practices of mid-20th-century doctors, who often disregarded women’s autonomy and well-being. However, what began as an empowering movement has since evolved into a means of shaming others for their choices.
The Shift Towards “Good Birth”
Today, language plays a crucial role in shaping our perceptions and experiences. Shifting towards inclusive terms positively impacts how we view childbirth. The New York Times is now advocating for the term “good birth” instead of “natural birth.” Dr. Anne Drapkin Lyerly, an obstetrician and author of A Good Birth, conducted extensive research that identified five key elements that define a “good birth”:
- Agency: The ability to make your own choices, even if plans change.
- Personal Security: Feeling safe during childbirth.
- Connectedness: Building relationships with medical providers, family, and the baby.
- Respect: Acknowledging the transformative nature of birth.
- Knowledge: Understanding the body and the unpredictable aspects of birth.
This reframing emphasizes empowerment and respect, rather than simply focusing on the nature of the delivery itself. A positive birthing experience should prioritize being heard and respected—something every individual deserves during this significant life event.
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Summary
The term “natural birth” is being replaced by “good birth” to foster a more inclusive dialogue around childbirth experiences. This change acknowledges the diverse choices women make and emphasizes respect, autonomy, and connection during the birthing process.