Where You Birth Matters

The way a baby is born impacts them on some level for their whole life.

The way they are born. The people around them. The environment they enter this world into.

Baby’s born into war carry that, (if they survive) into the life they live and it physically alters the DNA of their decendants. This has been heavily weighing on my mind this week, as we watch the events in the middle East unfold- with little to no voice given to the reality birthing women and babies are facing.

Baby’s born into immense privilege carry it too… though not always in the ways we might assume. Privilege often equates to a certain amount of resources over and above others. In the birth world, it’s a little more nuanced than that.

Assuming that you’re birthing outside of a war zone then; what impact does the environment of birth really have? It matters deeply, not just for babies but for mothers and partners too.

We cannot prepare for the future without embracing the meaning and the relevance of the baby’s perspective on life.

-Michel Odent

We know that mothers birthing in supported environments where they feel safe and nurtured pass this information on to their babies. The same is true for mothers who birth in conditions of big T and little t trauma. From hospitals to birthing centers to home births, the space you birth will shape everything from the medical interventions used to the emotional atmosphere surrounding your birth. After numerous conversations about why thinking about this as early on as possible matters, I thought I’d write a little on it.

Choosing where to give birth is a deeply personal decision. The assumption that everyone has the information and resources to choose the way they want is one I just cannot make. Socio-economic factors come into play, race, ethnicity and culture too. In the UK (at least at the time of writing in 2024), you can legally choose where you birth, and that choice can absolutely impact the way your birth story plays out.

Ultimately, its your choice, so get informed! There are far too many women told they can only birth in hospital when truly they do have other options. Equally, if the idea of birthing anywhere outside a hospital gives you shudders, then planning that ahead matters.

I want to preface the next few passages by highlighting that ultimately I believe every single baby comes earthside in the way they need to, with their unique birth resourcing them in various ways. 

What are your options?

Hospital, Birth Centre, Home. I won’t chat freebirth, that’s for another day.

Hospitals are the high tech options, sold to us as high safety, but also the space where the highest levels of birth trauma exist. Hopstials are supposed to be safe – and when they work, they are a blessing. More and more though, especially for women who have no or low ‘risk’ factors the hosptial birth story isn’t a happy one.

Hospitals represent the standard choice for childbirth, they are normalised in the media we consume right from childhood, and other spaces are considered ‘alternative’ or even a little radical. There are an array of medical interventions and expertise available, with health care professionals and a full range of technology on hand to monitor baby and mother throughout labour. There’s access to all sorts of interventions and pain relief options, and of course surgery.

While a cesarean birth can be lifesaving; for many of us in the birth world, we can see that it is the interventions prior that snowballed a healthy birth into an emergency. The conveyor belt system of induction and cesarean births is all a bit too neatly boxed up; and it takes away from the rite of passage birth physiologically is.

Hospital births are often a ticket to the trauma train because procedure trumps real life experience, and women are often gaslit, ignored, or violated. Circling back to babies, this also means babies are being ignored, assaulted and sent the information that the world is scary and unsafe.

Birth is nearly never an emergency, but sometimes it is. If you need to prioritise safety with medical resources, then a hospital birth is a blessing.

If you don’t… Read on.

A birth centre/midwife unit:

Birth centres are often described as kind of like the middle ground between hospital and home. They’re quieter, often offer a pool, can have the lights dimmed and try to be as warm and cosy as possible. Most birth centers will try to encourage birth to be as intervention free as possible, and I’ve heard of some beautiful birth stories with supportive staff in them.

However, with the ever increasing agenda to streamline birth (and yes this is the agenda), more birth centres are being closed or told they can’t operate fully because of staffing levels. Midwife units cannot support birthing women if they aren’t supported themselves; which means being able to access these is getting harder. Added to this is the fact most of them are for babies being born physiologically with little / no risk, and will turn away women who don’t their box.

This isn’t without reason, birth centres aren’t equipped to navigate emergencies or complications, and so err on the slide of caution. Birth centres can be some of the most beautiful, supportive and nurturing spaces, and midwives often go above and beyond to make them so… but they need to be given the resources for that to happen.

Home births:

For a healthy woman, the first intervention in birth and labour is leaving home. This is something I learned only after my 2nd child, and having had both hospital and home births myself, it is something I wholly believe to be true. As a woman, I know my homebirths were far more positive than my hospital ones, and I only got here through research and experience.

As a doula who wholeheartedly supports informed choices, I will never tell a potential client where to birth, but I will absolutely encourage you to really think about what that means to you.

Homebirths are growing in popularity, becoming something many mothers return to. I don’t see this as a a coincidence, it is a remembering. A remembering that sovereign birth is something we all have the right to. A return to reclaim the power of birth. Homebirths are in the comfort of your own space, so autonomy comes more naturally. You aren’t entering someone else’s space, they are visiting yours as a support system for you.

You can choose the environment, the lights the music etc, and if you decide you want to transfer, then that’s okay. It’s a choice you make. For first time mothers, there’s evidence to say that home births are far less traumatic, bonding feels easier and healing is quicker. Because in your space, generally speaking you feel safer, therefore all these processes don’t need to be big and hard, they can flow with ease. You can take breaks, chill out, zone out, and rest without interruption or inspection. There’s a reason mammals find/create dark quiet spaces for birthing, it is a primal instinct to do so. Humans like to think we are different, but hardly so.

Before I sign off, I have a question for you. Did you birth in more than one of these settings? What were your experiences of thr difference ? If you feel called to and safe to share, get in touch. I’d be honoured to hear from you.

With love, until next time,

Rohana x

Why I became a birth photographer?

When I had my first child over 7 years ago, I had never heard of birth photography. I had the idea that I wanted to see my baby being born, and I asked if I could have a camera set up. I didn’t really understand why I wanted to, all I knew was it felt deeply important to me.

The hospital I was birthing at said no. I didn’t argue. I didn’t know how.

That birth, my first child, was traumatic in a number of ways and I’ve worked hard to heal my memories surrounding it. Still, I wish I had photos of it. I wish I could see the woman I was in those moments.

Alas, I cannot.

But I learned my lesson. When I fell pregnant again, I spoke to my partner about wanting to hire a photographer, and so we did.

I looked for a local photographer because at that time, nearly 5 years ago, birth photography wasn’t as popular as it is today. We found one who I trusted and got on with, and she agreed to venture out of her normal photography niche and capture my birth. Those photos are some of the most profound ones I have from that time. Unfortunately, my daughter was ready before anyone else, and the moment I craved capture of, was missed.

Still, having the details like the song she was born to, the pictures of me holding her as I stood up, blood dripped down my legs, cord still attached. They are frozen in time, ready to transport me back. They are a gift from my past self, and they are a gift to my future self too. Moments I have to hold forever.

When I got those images I knew that I wanted to give this to other families. I wanted to capture the rawness of these moments, and the intimacy of saying hello for the first time.

We say that you never forget the birth of your baby, and yes in part it’s true. But memories do fade. Time robs us of details. The haze of motherhood buries the deeply vulnerable early hours postpartum.

Documenting them feels like being able to save a sliver of one of life’s most powerful periods. Giving that to others is a privilege and honour.

When I had my 3rd baby, I hired another birth photographer. We planned a homebirth but ended up freebirthing. She documented the minutes I worried I wouldn’t be able to birth my baby, and she captured the moment where he was between worlds, head here, body not yet earthside, me, a portal.

In the months afterwards where I felt like I was drowning, the photographs she gave us reminded me that I could do the hardest things and survive.

Birth photography isn’t a trend, or just a photo to post on Instagram. It’s powerful, and healing far beyond what we may realise at the time.

Would I recommend it? A big YES! Not only because I do it, but because so many women I’ve spoken to have said, nomatter how their births have gone, they would have loved more images. Those who have them, treasure them deeply.

Baby’s are only born once after all, and no two births are the same.

With love,

Rohana x

The Conditioning of Birth

We are conditioned by everything in life.

From the moment of your conception right until the moment you are reading this, you have been absorbing and filtering information. You’re doing it right now too. Every second of every single day.

It’s actually really fucking amazing – and, it means, we have a LOT of conditioning to work through whenever we try to break a cycle or move through some shit.

In terms of birth, what does this mean? We’re not constantly thinking about birth (unless you work in the field) or about how babies come into the world. We don’t actively consider the sacred period of postpartum days. We don’t consciously create a negative or traumatic birth. Why would we?

And yet, the percentage of women who experience birth trauma is rising. It is scary and getting scarier. The maternity services in this country (the UK) are deeply overwhelmed, understaffed, and failing. Arguably this is because of funding and politics and a lack of knowledge etc etc. However, I’ll go a step in a different direction here and say it’s also because we are so deeply conditioned in this society to think about birth a medical problem, a painful experience, and something that we have to survive.

We are conditioned from the moment our parents find out we exist; their thoughts and fears and joys about our birth will transmit information to us, in utero, about what birth is like. Then, our actual entrance into this world either confirms these beliefs that have begun to form, or it challenges them. Either way, beliefs are created- often in the last few generations they were not positive ones.

It might sound a little weird but if you get it, you really do get it. These imprints are the first of many foundational layers of our whole belief system. Every single second. Every single day. It’s all absorbed and filtered.

So then, we hear about birth, we hear screams of labour on the tv, or family and friends talking about the pain and trauma. We grow up with messages that birth isn’t beautiful, that it is bloody and breaks us, and so we fear it.

Generations have birthed under the controlled “guidance” of professionals reinforcing these views that birth isn’t safe or joyful or sacred. 

Granted there are exceptions, and someone will say that it’s “not all” but it doesn’t have to be all. It’s some. It’s a majority. And if you have any other racial or economic cards stacked against you, its even more.

Like I said earlier, we don’t consciously create a negative or traumatic birth. However we often do consciously create (also referred to as manifesting) a positive birth experience.  How? By filtering out the noise. By deconditioning our expectations of birth.

There are some radical revolutionaries out here doing this work. Deconditioning birth and postpartum, and inviting as many families as we can do the same. Those of us who have seen, heard and sometimes even felt the trauma that can be associated with birthing babies into this world; taking our experience and expertise and molding it into something we share. We are here, and we want better for our collective decendants.

We are here breaking the cycle. Saying no more, doing this sacred work of holding these spaces. Saying enough. Saying the conditioning stops here.

I invite you, regardless of where you are in the experience of birth – having had babies or wanting them, not interested in kids or somewhere in between – what are your beliefs about birth? Where have you been conditioned and where have you consciously created these views?

I’d love to hear.

With love,

Rohana x

Day 11 – Sunshine, smiles and some midnight musings.

Ahhh what a difference comes with the weather. I know I rambled about this already, but it was just so reinforced today with my dad here for a visit. The kids played outside while I got some house bits sorted, including more of our decor put away ready for moving, and then we head to town for ice creams and a park play.

These are the kinds of things I used to do all the time, and I think in part over the winter, I’d lost sight of how much impact the weather has on me.

It’s not that I don’t enjoy winter, because I do… but my kids struggle to get out the house; and so I find being stuck indoors very hard. I shared how much easier it all feels with my partner and he said “darling you aren’t meant to live life indoors” … he’s right. Generally but also because for my and my mental health, getting out is essential!

This past winter P brought up some of his birth imprints; including feeling rushed and pushed out before he’s ready. It came up in our getting out the house  which would take up to 3 hours on some days. I didn’t have the language for it all at the time, but now I see this need for absolute control as a way to regain some of what was lost in his birth.

When I first heard about them, I knew, birth imprints made sense to me… albeit a little ‘out there‘ in terms of understanding them. Working through this one with P – whcih outside of some play has involved ONLY working on my own nervous system, I feel so strongly about the way they can impact us.

Diving deeper and learning more has been super interesting and I am right in the middle of some books now, fascinated.

The changing weather helps us, because as it gets brighter and warmer, he’s more willing to come out. When we had a garden that was enclosed, he would spend hours climbing and being out… so I’m looking forward to this again. My intention is to build a space for them to really be able to spin and jump and play in the ways that they need for their bodies. His body NEEDs to move, and there’s nothing wrong with that… it helps his brain. Through the winter  he slowed down a lot, got into more lego and sat for ages, focused and content. Now, he’s jumping and climbing everything… I’m grateful to go along with as much as I can.

Seeing them play and find creatures has been epic. P spend a long time telling my dad all about different pokemon evolutions while he ran around or enacted different scenes. My dad, focused on looking for caterpillars, listened and repeated back all the right things to validate to P that what he was infodumping was important. Its got me thinking about finding a pokemon magazine or similar, to see if it’ll encourage some reading. So far, he adores looking through our pokemon encyclopedia and he is memorising the evolutions from there.

K, obsessed with bugs at the moment, pottered after my dad with a magnifying glass, thrilled to be out for so many hours with someone finding him all the things to look at and hold.

I haven’t dived into much of his birth recently, though I’m drawing on aspects of all of theirs as I plan for our next.

A was at preschool so in between house jobs, I’ve started making my birth plans … though I advise for a plan A, B, C and D, I’m starting with our actual plan, and then, our emergency one. Over the next week, I’ll be creating more in depth scenario based bits… and packing a bag I don’t intend to use. 

I have been very chilled so far, and as we get closer I feel really trusting that this birth will bring what it needs to. I have had lots of quiet and I’m grateful for it… but that’s for another share. Probably not tomorrow’s. 

For tonight,  I’ll leave it,

With love, Rohana x

Day 2

I’m back. Today I did a yoga practice, took the kids to the park, and have spent the last couple of hours working on sublimation t-shirt prints that I am making to fundraise for Gaza. It’s been a good day and I am exhausted in a joyful way.

The eclipse yesterday sparked a few conversations which felt authentic from a home ed point of view, and today things have felt calmer. The wind was strong but the sun came out and my kids played for hours outside. Then we came home and they played here, before tuning in to a new programme so I could rest. My body, at 31 weeks of growing another human, has reminded me today, that I am not actually capable of as much as I used to be. My body, in it’s wisdom, asking me to honour the need for a slower pace, and to rest; because it knows, as changes come, rest will look very different soon.

Tonight I’m thinking about rest, and about yoga, breathwork, and Palestine. I am thinking about how my body, growing our baby dragon is able to ask for rest, to ask for nourishment, to be held safely. I am privileged, and as in every pregnancy, acutely aware of it. This time, far more resourced, far more ready, and far more willing to listen; while also being aware that women, just like me in many ways, are carrying babies through stress, heartbreak, displacement, famine, and phycological warfare as well as genocide. I have learned, more deeply in these past months than ever before; how to hold solidarity in my body, bare witness and look away when needed, coming back, and trying to create ripples of healing.

The past 6 months I have delved into learning more deeply about pregnancy, our experiences in the womb and how we are in fact so much more aware and impacted even before life earthside begins; and as I have learned, I have grown in my knowledge, and in my belly; and in my capacity to practice compassion while NOT jumping into overwhelm. I have tried to protect my baby from the stress, while not disappearing into a bubble (a previous, very effective strategy of mine).

As I type, I think of the women who don’t have the choices I do; who are birthing to the sound of drones, who are carrying through loss and change more tumultuous than I can cognitively comprehend; and I feel a sense of understanding… I know in my bones, from lives before this one, that these experiences will not break them; because the resilience passed on is just as strong as the trauma. I have a sense of real solidarity, compassion and also rage. I am burning… and that fire has led to these t-shirts that sit before me; a way for me to fundraise a little, a way for me to contribute more than contaminate. That fire has led to something bigger too; a project I worked on for weeks, pulling in different people to help, and creating resources. Small, and still, ripples… ripples that I can see and ripples that I can’t.

I hope that this baby feels those ripples; the burning inside me, to do more and also to honour rest. It isn’t something I have gifted my other babies, already earthside teaching me daily. I didn’t know how to then; but now, I am doing what I can, with different tools in my toolbox… I can feel them wriggling inside me, dancing in my belly (and making me need a wee!); and I am beyond grateful for the lessons.

Until tomorrow,

With love,

Rohana x