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The Negative Influence of Stress on Labor and What You Can Do About It

The Negative Influence of Stress on Labor and What You Can Do About It

Released Monday, 1st January 2024
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The Negative Influence of Stress on Labor and What You Can Do About It

The Negative Influence of Stress on Labor and What You Can Do About It

The Negative Influence of Stress on Labor and What You Can Do About It

The Negative Influence of Stress on Labor and What You Can Do About It

Monday, 1st January 2024
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0:29

This year , I want to explore topics that

0:31

support positive and empowering birth

0:33

experiences . Today I'm

0:35

diving deep into a fascinating topic the

0:37

influence of stress on labor . Did

0:40

you know that stress can actually slow

0:42

or even stop your labor ? It

0:44

sounds incredible , right ? Well , let's explore

0:46

this further and learn some practical

0:49

tips on how to emotionally prepare for

0:51

your birth to ensure a smooth

0:53

labor process . But before we

0:55

delve into that , I want to remind you to

0:57

hit that subscribe button so that you won't

1:00

miss any of my future episodes . Now

1:02

let's get started . Many

1:04

of us don't realize just how much stress can affect

1:07

the process of labor . When we feel unsafe

1:09

or stressed , our bodies go into

1:11

fight or flight mode , redirecting

1:14

the blood flow away from the non-essential

1:16

organs such as the uterus . This

1:19

redirection of blood flow can potentially

1:21

stop labor , as the body prioritizes

1:23

stress response over the birthing

1:25

process . To explain this further

1:27

, think about it this way Can you imagine

1:30

trying to flee from a tiger while simultaneously

1:32

trying to push out a baby ? It's simply

1:35

not possible . Stress hormones

1:37

such as cortisol and adrenaline

1:39

interfere with the production of oxytocin

1:41

, the hormone responsible for triggering

1:43

uterine contractions . So if

1:46

you walk into the hospital

1:48

feeling stressed or fearful , it's

1:50

not difficult to understand how this can impact

1:52

your labor process . Emotional

1:55

preparation for labor becomes a crucial step

1:57

in ensuring a positive birth

1:59

experience . Jody Lynn Owens

2:01

, lm , cpm , says it perfectly

2:04

.

2:04

When you've spent nine months preparing

2:06

for birth and you go into

2:08

birth confident . You walk in like a boss

2:11

.

2:12

Additionally , it is well known that during

2:14

times of stress or anxiety , the body's

2:16

natural fight or flight response can

2:18

lead to increased muscle tension throughout the body

2:20

, including the pelvic floor muscles . When

2:23

the pelvic floor muscles are tense , they

2:25

may not be able to relax and stretch adequately

2:28

, which can hinder the descent and

2:30

passage of the baby through the birth canal

2:32

. Additionally , increased muscle tension

2:34

in the pelvic floor can contribute to increased

2:37

pain and discomfort during

2:39

labor . It may also lead to

2:41

ineffective pushing efforts as

2:43

the tension may prevent the pelvic floor muscles

2:45

from effectively coordinating the pushing

2:47

motion . It's important to manage stress

2:50

and tension during labor to promote

2:52

optimal relaxation and flexibility of

2:54

the pelvic floor muscles . Techniques

2:56

such as deep breathing exercises , relaxation

2:59

exercises , massage and

3:02

labor support can all help to promote

3:04

relaxation and reduce muscle

3:06

tension , facilitating a smoother

3:09

and more comfortable labor experience . Emotionally

3:12

preparing for the birthing process can also

3:14

provide guidance and support in managing

3:17

stress and promoting relaxation

3:19

during labor . Stress hormones such

3:21

as cortisol and adrenaline , can

3:23

also interfere with the production of endorphins

3:26

, which are crucial for pain relief

3:28

and promoting a sense of well-being during

3:30

labor . This disruption in

3:32

labor hormones can lead to increased pain

3:34

perception and further impede

3:36

the progress of labor . This heightened

3:38

sensation of pain can lead to increased

3:41

muscle tension and further impede

3:43

the progress of labor . All of that

3:45

can lead to stress and it's just this feedback

3:47

loop that goes from decreasing

3:50

oxytocin or tensing

3:52

the muscles or decreasing

3:55

the release of these endorphins , and

3:57

they all just kind of intertwine

3:59

and make it so that labor just

4:02

gets so completely dysregulated . To

4:04

mitigate these effects , it is important

4:07

to manage stress during labor . Promoting

4:09

relaxation , providing emotional support

4:11

and utilizing pain management techniques

4:13

can help to mitigate the impact

4:16

of stress on hormonal balance , optimize

4:18

endorphin production and ultimately

4:20

facilitate a smoother and more comfortable

4:23

labor experience . Here again

4:25

, jody Lynn Owens reiterates this effect

4:27

.

4:27

Birthing without fear , which

4:29

is the name of a book , of course . But birthing

4:31

without fear is a really

4:34

different experience when you are allowed

4:36

to like this exquisite cocktail

4:39

of hormones that is in your body and that

4:41

cocktail is allowed to do what it does

4:43

. It protects us and it

4:45

moves us through laboring

4:47

and birthing in a totally different way

4:49

. The pain is different , the process

4:52

is different , the timing is different . It's

4:54

different when you've spent nine months

4:56

preparing for birth .

4:58

The physiological impact of stress and

5:00

anxiety on labor is closely intertwined

5:02

with the complex mind-body connection

5:05

During labor . A woman's ability

5:07

to relax , trust the process

5:09

and surrender to a natural rhythm of

5:11

contractions is important for the progression

5:14

and management of labor . Again , oxytocin

5:16

plays a crucial role in initiating and

5:19

sustaining labor contractions

5:21

. Oxytocin is also referred

5:24

to as the love hormone , as

5:26

it is involved in promoting feelings of well-being

5:28

and relaxation and the emotional bond

5:30

between mother and child . Psychologically

5:32

, stress and anxiety can create a sense

5:34

of fear or lack of control , which

5:37

can further hinder relaxation

5:39

and impede the labor progress . When

5:42

you're in pain and feeling out of control

5:44

and giving in to the stress response

5:46

and fear , and unable to

5:48

relax , it is very , very , very

5:51

hard to be in tune

5:53

with your body and to be able to

5:55

emotionally allow physiological

5:58

experiences as intense as

6:00

labor to occur naturally . To

6:02

address these challenges , it is crucial

6:04

to create a supportive and calming environment

6:06

during labor . Providing emotional support

6:08

, reassurance and utilizing

6:11

relaxation techniques can help reduce

6:13

stress and anxiety . Techniques

6:15

such as deep breathing , visualization , massage

6:18

and continuous labor support can

6:20

all contribute to creating a positive

6:22

psychological state , enabling

6:25

the woman to relax , trust the process

6:27

and surrender to the natural

6:29

rhythm of labor . Here are two stories

6:32

of how decreasing stress and increasing

6:34

a feeling of safety and labor can

6:36

positively affect the labor process

6:38

. Sabrina Fletcher , tfmr

6:41

Dula , shares her experience .

6:44

There was a part in my labor where

6:46

it wasn't progressing and

6:48

then , when I got to the pushing part , something

6:51

switched because my husband

6:54

took out his flute . So

6:56

he's Mexican and

6:59

there's

7:02

a lineage through his grandmother , corandero

7:04

healers . He does sweat

7:07

lodge and massage and other

7:09

sorts of ceremonies . He

7:12

took out his flute and he started

7:14

playing and singing and

7:16

saying we're waiting for you , we're waiting for you

7:18

. We had actually

7:21

conceived that baby . It was a surprise

7:23

. We were only dating like six

7:25

months . I didn't know

7:27

where do we stand , me

7:29

and him . I didn't know how strong

7:31

our relationship was , if we would be able

7:34

to continue , if we would

7:36

make it through becoming parents

7:38

. But in that moment I

7:40

fully felt his commitment and I

7:42

was able to then give birth .

7:45

So there's a scientific

7:47

reason for that . So studies

7:49

have shown that the internal oxytocin

7:51

is released when a woman feels safe and also

7:54

when you feel loved , and

7:56

so in that moment , when you felt safe and

7:58

loved , your body was able to release that hormone

8:00

that helped you give birth . Aria Pretlow

8:02

describes a similar experience .

8:05

So at some point I was like I have

8:07

been awake for a very long time it

8:09

was probably like two in the afternoon or something . I was like I'm

8:11

going to go lie down , I just needed a little downtime

8:14

. So I remember I went

8:16

and laid down on . We had a futon , like in a sunny

8:18

office room , and I laid down on

8:20

the futon just to like rest , and

8:23

then Rob came in and he spooned

8:25

up behind me and like gave

8:27

me a snuggle and I had

8:29

this surge of oxytocin

8:31

. I felt the huge contraction

8:34

, I heard a pop and was like my

8:36

water broke and I love that story

8:39

snuggle with your , you know , sweet

8:41

, supportive person . I just it

8:43

was like so amazing to actually experience

8:45

that process . It was like feeling

8:48

loved , held , safe , bonded

8:50

, and then , bam , water

8:52

broke . Yeah , like okay .

8:54

Yeah . So I bet you're

8:57

wondering how to go about emotionally preparing

8:59

for labor . Here are some ways

9:01

that you can prepare and minimize

9:03

stress in the hospital . First

9:06

, focus on education . Knowing

9:09

what is going to happen is key to

9:11

being able to visualize and trust

9:13

and surrender to the process . And

9:16

a childbirth education class or

9:18

workshop to learn about the labor process

9:20

, to learn about different pain management

9:23

techniques and the common

9:25

interventions . A deeper understanding

9:27

of what to expect during labor can

9:29

alleviate anxiety and help you feel more

9:31

in control . Second , begin

9:34

to reflect on your birth preferences

9:36

. Take the time to create a birth

9:38

preferences document to communicate

9:40

your desires and preferences to the healthcare

9:43

team . This can help you feel more empowered

9:45

and confident in making informed decisions

9:47

during labor . This does not guarantee

9:50

that everything will happen as planned

9:52

in your birth . It is important

9:54

to maintain a flexible mindset . This

9:57

goes back to the importance of educating yourself

9:59

. Having a thorough working

10:01

knowledge of interventions and options

10:04

in the labor space and what

10:06

they are meant for is highly important

10:08

to consider , as things can change

10:10

from moment to moment in labor

10:12

and delivery . It is also important to

10:14

understand that your baby's reaction

10:16

to the labor process will determine

10:19

a lot of what interventions are recommended

10:21

in the hospital birth space and

10:23

what interventions may be taken

10:26

off the table because they are no longer

10:28

safe or appropriate . Third

10:31

, set up an emotional support

10:33

system . Surround yourself with

10:35

a supportive birth team that may

10:37

include your partner , your family members

10:39

, close friends or

10:42

a doula . Having someone who understands

10:44

and respects your wishes can provide emotional

10:46

support and advocacy and reduce

10:48

stress and isolation during your labor

10:51

. People who cause you stress should

10:53

not be in the birth area , nor

10:55

should people who aren't going to respect the

10:57

environment that you set up for yourself

10:59

. For instance , people

11:01

who tend to talk too much aren't a good

11:03

fit if you are hoping for a quiet environment

11:06

. People who ask too many questions , for

11:08

example , or require a lot of attention

11:10

, will draw you away from your

11:12

focus during the labor process . Be

11:15

very selective about who you want in the

11:17

labor room with you and kindly set

11:19

your boundaries early If you're unsure

11:21

how to set boundaries respectfully

11:23

. Birth coaches and doulas are great advocates

11:26

and can help you work to set

11:28

the boundaries and work through any tension

11:30

they may cause . Megan

11:32

Kastanian shares about how she wishes

11:34

she had done this in her first birth .

11:38

My first birth . There

11:40

was someone at my birth who

11:42

I was uncomfortable with . She was a

11:45

nurse midwife , so she was kind of in training

11:47

and I had had her in an appointment

11:50

a couple weeks prior and I was uncomfortable

11:52

with her there and I was uncomfortable

11:54

with her being at my birth . But

11:56

I didn't speak up . So like in my

11:58

gut I knew I wasn't comfortable with her

12:01

and part of me feels like if I

12:03

would have spoke up before I even went into

12:05

labor and said like , hey , I'm not

12:07

real comfortable with her . I feel like sometimes

12:09

our bodies clench up and can't do

12:11

what they're supposed to do if they're

12:13

protecting us from something else and

12:15

sometimes I feel like maybe that

12:18

would have been something for me to feel empowered

12:20

enough to say I love this

12:22

midwife , but this nurse , I'd

12:24

rather have someone else there because she makes

12:26

me uncomfortable . So I guess my advice

12:29

is to , if you

12:31

feel a certain way , to advocate

12:34

for yourself and really

12:36

just follow your gut instincts

12:39

. If something feels off , it probably

12:41

is .

12:42

Fourth , learn and practice relaxation

12:45

techniques , such as deep breathing

12:47

, mindfulness , visualization and guided

12:49

imagery . These techniques can help

12:52

calm your mind , reduce tension

12:54

and promote a sense of relaxation

12:56

during labor . Hypno-birthing

12:58

and lemmas are examples of great labor-specific

13:01

tools . Fifth

13:04

, create and practice positive

13:06

affirmations related to childbirth . Repeat

13:09

affirmations that resonate with you to

13:11

instill confidence , reduce fear

13:13

and maintain a positive mindset during labor

13:15

. Positive labor affirmations

13:18

can be found all over the internet . Find

13:21

the ones that speak to you and print them off and

13:23

bring them to your birth . I also

13:25

like to create a birth vision with my

13:27

clients so that in moments of stress

13:29

, they have a calming vision and audio

13:32

to focus on to help ground them

13:34

. Six , pack comfort

13:36

items that may help create a familiar

13:38

and comforting environment in the hospital , such

13:41

as your own pillow , favorite music or playlist

13:43

, a roma therapy sense , items

13:46

that remind you of home and a fun item

13:48

that can serve as a conversation starter to

13:50

break the ice for you and the hospital staff . This

13:53

really helps to get to know the people

13:55

and to help them see

13:57

you as an individual instead

13:59

of another patient . Jody Lynn

14:01

Owens explains .

14:03

So when you're in the hospital I'll tell

14:05

people , bring one thing that's so bizarre that

14:07

it makes everybody stop and ask you what's

14:09

that ? You know a picture , a family

14:12

photo ? That's just crazy . Or put

14:14

a picture of your cat or some stuffed

14:16

animal that you lost . Something that humanizes

14:19

you and stops people and say , well , what

14:21

is that on your

14:23

table there and you get to tell a little story

14:25

about your home . It brings people into

14:28

your worldview .

14:29

Seven , once you have done all the prep work

14:31

that I just spoke about , begin to foster

14:34

open and clear communication with your

14:36

healthcare providers . Discuss your preferences

14:38

, fears and concerns well in advance

14:41

. This builds a trusting relationship

14:43

with your healthcare team and it can alleviate

14:46

anxiety and ensure that your needs are met

14:48

. Remember it's important to be flexible

14:50

and open-minded , as labor can unfold

14:52

differently than expected . By

14:54

emotionally preparing and cultivating a

14:56

positive mindset , you can navigate

14:58

the journey of labor with more confidence

15:00

and reduced stress . Don't

15:03

take my word for it . Ellie Goldstein

15:05

, Aran and Mother of Two , shares how she

15:07

wishes she had prepared .

15:09

Yeah , it was really interesting to compare both births

15:12

. I really think that if I had done

15:14

anything before , it

15:16

honestly would have been like mindset work

15:18

, like meditation , breathing

15:21

, even like positive

15:23

affirmations , just things that you can

15:26

do to help a

15:28

positive mindset . You know , because

15:30

I really did spend my

15:32

entire first pregnancy just so nervous

15:35

that something would happen that I don't think I

15:37

really enjoyed it . I wasn't

15:39

prepared for postpartum anxiety

15:41

and depression at all . I was super

15:43

anxious postpartum and then

15:45

with the second baby too , it was

15:47

hard , it was so hard .

15:50

In another episode I explained it this way

15:52

, so I just can't stress enough

15:54

the importance of preparation

15:56

for the birthing process for

15:59

parents . I think there are a lot

16:01

of resources for preparation

16:03

. Some are better than others . A

16:05

lot of parents want the quick

16:07

one day class , and then what I hear

16:09

afterwards was there wasn't enough information

16:12

. It was all condensed into , you

16:14

know , a six hour period . But when

16:17

you sign up for that you're like , oh my gosh , six

16:19

hours , are you kidding me ? So I

16:21

think people would do better to

16:23

look at this as I mean , it's

16:26

not just birth , it's the marathon , it's the pregnancy

16:28

, it's the birth , it's the

16:31

parenthood , it's all this whole new

16:33

thing that you are preparing for . I mean , you don't just jump

16:35

into a new career after a six hour

16:37

class . Most of the time you know your new career

16:40

is going to be parenthood , and getting into that

16:42

process is going to take some preparation

16:44

, even the birthing process . So I

16:46

just want to encourage parents to spend a little bit more

16:49

time understanding what's going to happen

16:51

, no matter what kind of birth you're having , whether you're having a home

16:53

birth , a hospital birth , birth center

16:55

no matter what you're doing , understand

16:57

what the options are and why and what

17:00

might be coming up for you with all of those options

17:02

. If you don't know where

17:04

to begin and feel overwhelmed by the birth

17:06

prep process , don't worry

17:08

, I've got you covered . To

17:10

help you prepare emotionally for your hospital

17:13

birth , I've created the Empowered Hospital

17:15

Birth Program . This program is specifically

17:18

designed to help you become comfortable

17:20

with various birthing options

17:22

within the hospital setting and

17:24

, most importantly , teach you how

17:27

to calm your nervous system so

17:29

that you and your baby can continue the

17:31

dance of birth , even if you get

17:33

a little out of sync . In this program

17:35

, together we will gain clarity on

17:37

your top three birthing must-haves , we

17:40

will work through your top three fears

17:42

or obstacles , and we will connect

17:44

you with your own physiology so that

17:46

you can feel calm and fully present during

17:48

your birth . When I help you with your hospital

17:50

birth process , your pregnancy will

17:52

no longer be a source of anxiety or

17:55

stress , but rather an opportunity

17:57

for you to focus on connecting with your baby

17:59

and enjoying your journey . Additionally , I

18:01

will help you identify knowledge gaps to make

18:03

sure that you are fully informed , learn

18:05

key phrases so that you can better communicate

18:08

with your medical team and emotionally process

18:10

the fears so that they don't hold power

18:12

over you anymore . While practices such

18:14

as yoga , meditation and birth classes

18:16

are undeniably valuable and

18:18

important , they often don't address

18:20

the root cause of stress that may arise

18:23

during the hospital birth . They also may

18:25

not fully answer the questions you have

18:27

, as many of these classes are fire

18:30

hoses of information that just scratch

18:32

the surface of everything that you need to

18:34

know in a hospital birth . My

18:37

program goes beyond these practices and

18:39

provides you with personalized strategies

18:41

, customized to you , to be able to empower

18:43

you during your hospital birth experience . Are

18:46

you ready to start ? Go to kellyhoffcom

18:49

backslash empowered to learn

18:51

more about the empowered hospital birth program

18:53

. That's K-E-L-L-Y-H-O-Fcom

18:57

backslash empowered . Remember

18:59

, preparing yourself emotionally for

19:01

labor is just as important as

19:03

any physical preparation you might undertake

19:06

. As you navigate through the hospital

19:08

birth process , you deserve to feel

19:10

confident , calm and fully connected

19:13

to your body and your baby . I will

19:15

help you do that . Finally , I

19:17

will leave you with a sneak preview from

19:19

my upcoming episode with Tricia Plett

19:21

. In Tricia's episode , we talk

19:23

about how important it was for her

19:25

to recognize and work through the anger she

19:27

felt about being unable to

19:29

have a home birth . She shares with

19:31

me how much it helped her to work through that

19:33

anger and resentment before her delivery

19:36

so that she didn't bring it with her into

19:38

the birth space and into postpartum

19:40

Life isn't straightforward all

19:42

the time , especially if there's medical complications

19:45

. It is so easy

19:47

to begin to feel out of control and to have

19:49

anger and resentment because of that . I

19:52

really want to help moms focus

19:55

on how to I don't

19:57

want to say regain control , because what do we really

19:59

have control over in life that have a

20:01

sense of to regain autonomy

20:03

and continuing to be a part

20:05

of the decision-making process , even

20:08

though things aren't going the exact way that

20:10

you pictured . Because

20:12

it's not like if you go in for a routine

20:14

procedure , if you're going to get out your tonsils

20:17

, it's pretty straightforward . They

20:19

can tell you exactly how it's going to go With

20:21

labor and delivery . We really have no idea . There

20:23

are so many things that could happen . It's

20:26

really easy to feel out of control . The

20:29

overarching feeling that I get from

20:31

moms is anger and resentment

20:33

. It's really hard to work through that . I'm

20:35

really glad that you had the opportunity to work through that

20:37

before your delivery , because otherwise

20:40

I feel like that's what leads to trauma .

20:42

Yeah , I've thought about that too

20:44

. This is totally the end of the story

20:46

, but I have to say it . A doctor

20:48

told me at my six weeks appointment . She

20:51

said your birth was the most peaceful

20:53

birth I ever attended . I

20:56

just know that that is a testimony

20:58

to dealing with my anger

21:00

and my resentment before

21:02

that .

21:05

You were able to grave the birth that you wanted . Yeah

21:08

, you were able to move forward with the birth

21:10

that you were presented .

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