Mother Talkers

Bonding and Birth Methods

Sat Mar 08, 2008 at 11:52:31 AM PDT

I’m not a mother...yet. This is the first month that we’ve been ready and able to really get down. So, of course, more and more questions spring to mind.

I am very curious to hear your opinions about the possible impact that the method of birth has on mother/infant bonding.

A few days ago, I watched The Business of Being Born which is a documentary on midwifery. Don’t worry; I saw that it was the topic of a thread here in May of last year. It is not my intention to rehash the safety and feminist issues previously raised but to focus on the issue of bonding with regard to different birth methods.

The film is advocating home births and in my opinion, the most compelling reason presented for choosing this route is the premise that a more organic and solid bond between mother and infant tends to occur after home births. Apparently, the stronger bonding is due to the mother’s full participation as well as the low-key home environment as opposed to the imposing and sterile hospital environment.

Of course, it is important to acknowledge that not everyone has the option of delivering at home and also that millions of mothers who give birth in hospitals, even with maximum interference, go on to form powerful and lasting bonds with their babies.

I realize that his is a touchy subject and a personal choice. I never bonded with my mother. I honestly doubt that this has a whole lot to do with the fact that I was born in the hospital; there have been many other factors. However, in the interest of doing everything in my power to ensure a bond with my own child, I am interested to hear your views on this issue.

Poll

Does the method of birth impact mother/infant bonding?

15%28 votes
8%15 votes
30%53 votes
45%80 votes

| 176 votes | Vote | Results

Tags: midwifery, birth method, bonding (all tags)

Permalink | 65 comments

  • Blah. (0 / 0)

    Unless you end up with a totally traumatic birth I would doubt that any birth experience would prevent you from bonding with your baby.  Bonding - and I am not a psych major or anything - is more about the years after the birth rather than the first 10 minutes.  

    "Nothing worth having comes without some kind of fight. Gotta kick at the darkness til it bleeds daylight"

    by lonestar canuck on Sat Mar 08, 2008 at 12:17:28 PM PDT

    • Agreed (0 / 0)

      I have a tiny bit of regret that I didn't have the Kodak moment, naked baby on my tummy immediately after birth, but at 14 and 11 years post birth, I've had hundreds of other sweet, wonderful moments.  All of which contribute much more to our relationships than the first hour of their lives.

  • Well, I'll say (0 / 0)

    what's bad for bonding is mental illness combined with CPS stealing your kid based on lies and insufficient information.  Otherwise, I've got no personal experience with the subject, and everybody I know bonded well with their newborns, regardless of method of birth of medical interventions.  I am sure that coercive treatment, or medical truama could interfere...

    Actually, what happened to us did interfere to some degree with my husband's early bonding with the baby.  He was under so much stress that he came to associate the baby with all that anxiety and interference, threats, severe sleep deprivation, etc.  It took him several months to get over it.

  • Bonding as an over-rated concept (0 / 0)

    Bonding, to me, is bullshit. There have been so many studies refuting the bonding process AND so much anecdotal evidence about appropriate adjustments to the mother/infant relationship post traumatic/adoptive/preemie births  that I tend to reject the "bonding" concept outright. Indeed, it is often used as yet another club with which to beat mothers/women into guilty submission.

    Here's an abstract on the matter:

    A study of the research on postpartum mother-infant bonding shows that results from poorly constructed research programs were published in major journals and became a part of hospital policy because the bonding concept was politically useful in the struggle between advocates of natural childbirth and managers of the medical model of birth. The concept was also uncritically accepted because it was consistent with a longstanding ideology of motherhood that sees women as the prime architects of their children’s personalities.

    And here'sa link to the book, "Mother-Infant Bonding: A Scientific Fiction," by the same author.

    I had a reasonable birth experience  w/DD and a less than great one with DS (who was taken to the NICU immediately and then to Children's Hospital w/in hours of his birth) and see no differences in the way I cared for, felt about, nurtured, etc. both of them.

  • we bonded fine in the hospital (0 / 0)

    but we probably would have died in a home birth

    thank god we were in a hospital each time

    • I've heard (0 / 0)

      dying interferes with bonding BIG TIME.

      • snort (0 / 0)

        n/t

        "Nothing worth having comes without some kind of fight. Gotta kick at the darkness til it bleeds daylight"

        by lonestar canuck on Sun Mar 09, 2008 at 02:16:38 PM PDT

        [ Parent ]

      • Actually (0 / 0)

        infant mortality rates are higher in the US (where most births take place in the "safety" of hospitals) than in other countries where more births take place at home.

        • Here's another suggestion (0 / 0)

          I don't read studies. I don't read reports. because my life isn't a study...unless it's a study of slightly chubby gray haired lesbian moms and their dramatic daughter's it doesn't apply to me. I don't read studies about divorce or gay parenting or breast feeding or bottle feeding or WHATEVEr.  I listen to what feels right for ME and ME only. and if a homebirth feels right for you then that's the right direction but if a hospital birth feels right then that's the right direction -- with of course the caveat that things have a way of not always going according to plan.

          put down the books and the studies and just enjoy the fact that you know you want to be a momma and you'll have the fun of making that happen....you'll be great.

        • Infant mortality rates (0 / 0)

          comprise all deaths from birth through the first year, and therefore, aren't a good reflection of what's going on during the birthing process. They certainly can't tell us anything about birthing methods, per se.

          Perinatal mortality rates, which reflect deaths during the period right before or after birth, are the better statistic. U.S. perinatal mortality rates are very good when compared to other developed nations. They are 7/1000 according the WHO 2006 survey of child mortality worldwide (sorry I can't make the link work), which puts the United States ahead of the UK, Netherlands, and on par with France and Japan.

          All in all, I think we are doing okay here in the U.S., so let's take MKatherine's sage advice and stop worrying so much.

        • hard to compare apples to apples on this (0 / 0)

          For example, for Guatemala I found a statistic that says

          Maternal mortality in Guatemala measures 200 deaths per 100,000 live births. Among indigenous Mayan women this figure may be as high as 446 per 100,000. Infant mortality is 51 per 1,000 live births.

          I know that most indigenous women, and poor women -- which are not exclusive groups of course, are giving birth at home.

        • not sure what you're looking at (0 / 0)

          the link you provided shows the US is ranked 163rd in infant mortality. there are 162 countries with higher rates on that list and about 20 with lower rates. it doesn't make sense to me to say that infant mortality rates are higher here than in countries where births takes place at home. think about it. are you saying that babies die more often in the hospital than in people's homes where there is minimal emergency medical equipment? i find that hard to believe.

        • I also object to the (0 / 0)

          quotes around 'safety'-- safety for all of us is a different thing. I can't think of anyplace i personally would feel LESS safe having a kid than my bedroom  - for other moms that's perfect. for me safety comes with a doctor and a hospital  but that's just ME you know.  but our hospitals DO do a good job -- they deliver thousands of babies daily safely and healthily.  they do good work. I'm sick of seeing them maligned.

          • Omigod, me, too (0 / 0)

            The doctors I know personally work like dogs on behalf of their patients. They are not perfect angels personality-wise, but they care deeply about the outcome.

            When I say "personally" I mean people who are personal friends - I've seen the other side. They spend huge numbers of hours away from their families because that's the level of responsibility they have. Man. I know I personally couldn't do it, but thank god someone can.

            • For me safety meant staying out of the hospital (0 / 0)

              I had my first child at a hospital where I felt physically and emotionally attacked -- not so much by my doctor who wasn't actually there during the birth (despite promising to take care of me) but by the nurses who used "policy and procedure" as an excuse bully me.   I escaped unnecessary cesarean surgery by the skin of my teeth (and mainly due to information I got from reading "natural childbirth" books) and it was all in all an incredibly frightening and physically unpleasant experience.

              I had my second child with a direct-entry midwife at home in my bedroom for the specific reason that I didn't want to be fighting with nurses while I was trying to birth a baby.

              For me the issue was that I had both of my children when I was over 40.  The hospital labled me "high risk" which meant that they wanted to do every intervention they could think of even though nothing had actually gone wrong.

              Since I didn't trust the doctors to leave well enough alone, I did an incredible ammount of reading and decided it would be far safer for me to just  stay out of the hospital unless something actually did go wrong.  

              From the available research, it is  clear  that hospitals do a good job of solving problems that need to be solved with surgery. However,  doctors have better outcomes than midwives only so long as you think it's irrelevant whether birthing mothers are injured during the process.  

              If you want the outcome to be both a healthy baby and an uninjured mother the clear winner for safest choice is midwife assisted homebirth so long as you can transfer fairly quickly to a hospital.

  • home births (0 / 0)

    My mother had all of us at home...and certainly didn't bond with any of us. I had both of mine in hospital with emergency c-sections...and I bonded immediately (well...quickly...there's always a few days of shock) and very strongly. I think it has way more to do with your mental state at the time of birth than anything else. If you don't want kids and aren't ready for them...and are going to resent their arrival, then guess what? You may not bond easily no matter what manner of birth you have. If, on the other hand, you do want kids (even if you didn't when you got pregnant!), and have prepared yourself mentally for having them...I think there's a good chance that you'll bond.

    I'm in a "natural parenting" group, in which my birth is a distinct minority. Most of the families had home births (some unassisted). While they treasure their experiences (and luckily didn't have any bad ones!), they would never say that they bonded better with their babies than I did. They might say that they had more peaceful, comfortable and family centered experiences. But then...I was happier in the hospital, so a home birth would have been anything but peaceful for me!

    I would say, ignore the bonding crap. Prepare yourself for what comes after the birth. And choose the birth that you personally are comfortable with. If you don't have any risk factors and are terrified of hospitals, home may be the best place for you. If you want the comfort of knowing that there is help around the corner, do the hospital and get yourself some help in advocating for you to get what you want. But remember that the birth doesn't last long. It's what comes after that is hard.

    • well said (0 / 0)

      Prepare yourself for what comes after the birth. And choose the birth that you personally are comfortable with. If you don't have any risk factors and are terrified of hospitals, home may be the best place for you. If you want the comfort of knowing that there is help around the corner, do the hospital and get yourself some help in advocating for you to get what you want. But remember that the birth doesn't last long. It's what comes after that is hard.

      i think this is right on.

  • Both of mine were whisked away to the NICU (0 / 0)

    Definitely not ideal birth experiences, but I bonded with them just fine.  Feeding time was the clincher for me.  Gotta love the feeling of holding a baby while he/she eats and those little slurpy sounds.

    • My (0 / 0)

      little guy didn't go to a NICU, but he was taken to a step-down.  I couldn't hold him for a few days, then when I could it was only after he tolerated a dropperful of pumped milk.  It got better as the days went by, and we bonded. We bonded when I first laid eyes on him laying there in a tangle of wires and tubes and started sobbing. We bonded when I touched him with a gloved hand through a hole in the isolette side.  You couldn't stop the bonding if you tried.  I think those of you who called Bullshit are right.  You can bond just fine if your in the right environment for YOU.  I had a natural experience with my girl, and I bonded with her the same way.  

      I think hardleyaclue will be just fine.

    • I found NICU experience made no difference (0 / 0)

      I had my first son at term after a quick natural childbirth in hospital with midwives.  I had my second son at 34 weeks (completely unexpectedly) after a long, medicated childbirth in a hospital with midwives and a gazillion other people in the room to make sure he was OK.  He spent a couple weeks in the hospital before coming home.

      I bonded with both just fine.

  • Don't overthink it (0 / 0)

    you'll bond no matter what your birth experience is.  

  • my birth experience... (0 / 0)

    ...was in the hospital. I was induced, labor was a breathtaking 2 1/2 hours, no epidural or any other pain medication, and I was able to immediately hold my daughter and start nursing.

    And then I realized I was scared s**less and I didn't know what to do with this little person I didn't know or understand at all!

    Bonding has come over time, from me taking care of her, and from us learning about each other.

    I think home births can be great, if everything goes well -- it's nicer to be in your house than a hospital, I'm sure (I understand you can rent hot tubs -- one friend of mine did that and had it in her living room! She could soak in the tub every night while waiting to go into labor!). Labor can take a while to get going and progress and finish, so the more time you can spend somewhere comfortable and relaxing, the better. And from what I understand, nursing is easier to get going after a natural birth, because both baby and mom aren't so out of it.

    But birth is the smallest part of the whole raising-a-kid experience.

  • I picked maybe (0 / 0)

    not because I think it matters all that much to the infant, but because a mom may have issues if she's in a bad way after a birth (which could happen in different ways), which could affect the first months. I don't think vaginal v. c-section matters, or hospital v. home, as far as long term psychological health. In the end, assuming everyone survives, it all turns out OK. If you have any doubts, think of all the adoptive families who love each other and turn out great.

    • How the mom reacts (0 / 0)

      I this is key.  Seth was in the NICU for two days - I was miserable, but he (of course) was clueless.  It may have delayed our bonding, but once he was home I focussed on him, and not on how he got here.

      FWIW, he was a really attached momma-baby, and continues to be a sweet boy with strong momma-bonds.

  • Hmmm (0 / 0)

    My vote was for Section Vs vaginal birth, and in that case, I felt FAR more bonded to my son, even with a low-key fever.  Part of it has to with how soon afterwards you get the baby and how many drugs you're on, I'm sure, but I had a much easier time bonding with DS than DD.

    But homebirth vs Hospital birth?  Eh.

  • Oh, BS (0 / 0)

    the premise that a more organic and solid bond between mother and infant tends to occur after home births.

    Hospital-born babies don't bond as well with their mothers?  That is absurd.

  • I didn't see my twins (0 / 0)

    for three hours after they were whisked away and I was left to be sewn up and rest.

    I didn't know this fact until years afterwards when I was looking at the time stamps on the photos.

    No problem what so ever with the boding.

    No problem with bonding and child number three either

  • healthy baby, healthy mother (0 / 0)

    the goal of labor is a healthy baby (or babies) and a healthy mother. Nothing is perfect, especially childbirth. I think having a reasonable plan and recognizing in advance that anything could happen and there could be unanticipated changes to your birth plan is the best way to arrive at the destination in a place where you can glory in the process and love your child(ren) at the end. Hospital v home, unmedicated v medicated, Caeserean v vaginal; they're all paths we can take.

    As you can tell from all our responses, there are a million and one ways to have a child and a million and one ways to bond with your child. Don't worry that not having the "perfect" labor and birth experience will damage your ability to bond with your baby. Or try not to, anyway!

  • I also wanted to add that (0 / 0)

    as a mom you will screw up.  you will screw up badly. you will screw up in silly way. you will screw up in serious ways but you WILL screw up.  You will also succeed in ways you never dreamed you had the ability to succeed  and how how handled being human and screwing up and suceeding and keeping a good relationship with your kid or kids is more important than where they actually came into this world.  That's the teeniest tiniest start to the parent child relationship.  liza was born in the hospital after a quick labor with no pain meds (not my choice believe me. I was all 'bring me the DRUGS but she came too fast) and ....we were the WORST breastfeeding team in history. The day I stopped trying to do something we both hated, and picked up a bottle was the day our real bonding began.  

    now she's nearly 9 and while her birth and infancy are lovely memories -- oh dear lord there are SO many more things to revel in, to delight in, to marvel in and to tear my hair out over I can honestly tell you to us it just doesn't matter at all. She could have been born on the subway for all it matters at this point.  ;-)

    you'll be fine. don't over think it too much.  

    • Oh yeah (0 / 0)

      Come to terms with that now. You will screw up.  Any day where you both survive to try again tomorrow is a good day. You'll save yourself a lot of handwringing if you come to terms with the fact that you may well be the worst mother in the world, and just try to be the BEST worst mother in the world you can be. :-)

  • poll (0 / 0)

    To answer your poll, a definite No.  Doesn't matter one bit.  We are humans, not geese or whatever animal it is that needs to imprint or whatever or they start following the wrong animal around.

    In fact, I think it's the natural birth movement that can affect bonding, if one let's it.

    If a new mom sits around lamenting the fact she didn't get her homebirth, or drug-free birth, or vaginal birth or whatever perfect birth she envisioned instead of getting down to business of physically recovering and getting to know her new baby, then sure, some bonding could be disrupted.

    • hee (0 / 0)

      I want a shirt that says "I am not a goose!"

      • Yeah (0 / 0)

        I totally would have picked up the wrong baby when I left the hospital if they didn't have those tagging things so I knew which one came out of me.  

        "Nothing worth having comes without some kind of fight. Gotta kick at the darkness til it bleeds daylight"

        by lonestar canuck on Sun Mar 09, 2008 at 09:30:01 AM PDT

        [ Parent ]

    • Just what I wanted to say (0 / 0)

      IMO, it only matters if you make it matter.  If you can't get over the fact that the experience didn't happen according to your carefully laid-out birth plan, you will create a barrier for yourself.  DS was an emergency c-section 12 weeks early.  I didn't see him for six hours, and didn't hold him for two days.  I can't imagine how I could be more bonded to him.  I think that when you are concentrating on a healthy birth, for you and the baby, you do not care so much how it happens as long as it happens.

  • I didn't see my son for two days (0 / 0)

    because the hospital staff was convinced I was psychotic, but they wouldn't come out and say, "We don't think it's safe for you to be with him (maybe if your husband were here too)."  They just kept putting me off when I asked if I could start trying to breastfeed.  And that was before CPS took him for 5 days.  But we are exceedingly bonded now.

    There are a lot of bonding experiences.  Co-sleeping has been a big one for me, and just general snuggling and hanging out.

    I do think it about the parents' mental state.  The baby just wants to be healthy and safe, and have affection.  Depression interferes with healthy relationship building, but at the same time, I feel that often having DS interferes with depression.  Everything can be going badly, and I can be at my wits' end, and then I'll see DS running around in maniacal glee, demonstrating all the fun one can have with a broom, and it can break through a lot of the clouds.

  • Thanks for all the input (0 / 0)

    your responses have comforted me. BTW, my bond with my dog is undeniable. My husband is convinced that Huxley thinks he must be my biological offspring, totally pathetic, I know. It does help keep the door open for adoption though.

    I just felt compelled to ask about bonding and birth, mostly for back up. There seem to be quite a lot of people chomping at the bit to tell mothers-to-be all the categorical imperatives of motherhood which negates the idea that mothering is natural and that the mistakes we make are part of the human condition.  

    Besides, if I was a perfect mother it would be a hell of a daunting thing for any child to live up to. At least, that's what I'll try to tell myself when I screw up royally.

    • you know what (0 / 0)

      first of all there's no such thing as a perfect mother but even if there WAS trust me your child will not think you were perfect.   you will get the 'You're means" and the "I hate you's" and the 'no WANT you anymores" You'll get the tantrums in the store and the  screaming and sometimes the screaming will be coming from you.... ;-)   and you will also get love in a way you never dreamed you could that comes not from the pottery barn poses of moms rocking newborns in their perfect rocking chairs while eco friendly super educational toys beam waiting from the shelves for young junior to discover... you'll get it when your child clears the table without being asked, when she says "mommy you're so pretty' when she pats your back like you were the baby when you're crying and can't stop.  When she flys off the soccer field shouting 'did you SEE how awesome I was today? (even if she warmed the bench most of the game).  

      you won't be perfect and neither will your child but you know what? perfect doesn't exist so it's just as well... ;-)

    • Stop reading stuff (except here :) :) (0 / 0)

      I had to put a kaebosh on reading a single damn thing when I was pregnant until I found this place... you will lose your damn fool mind, and there is already enough blood leaving your brain so you don't need any more.

      DH used to say "thousands and thousands of years, Melissa" every time I freaked about one thing or another. Huts. Caves. Fields and then back to plowing. It'll get done one way or another and you just take care of your self. And of course, everything MKatherine said.

      • I would add Especially (0 / 0)

        stop reading those What to Expect books...
        oy vey.

      • My great-grandmother (0 / 0)

        Came to the US (all the way to the Midwest) from Russia with her husband, all their worldly possessions, an 18-month-old (my grandpa) and a six-week-old baby.  Almost eight weeks of travel by train & ship.  And who do you think did most of the planning & caring for the family while "on the road?" Exactly.  I think of her a lot when I think I have it rough. Can you imagine what an expert would say to someone planning something like that today?  I often think it's a miracle we're all here!

      • My husband said the same thing (0 / 0)

        I was in tears because the breastfeeding class was cancelled before my first baby was born.  His comment was that moms have done this for thousands and thousands of years.  I was totally freaked that I would have problems because my mom did but so far I've managed to feed all three of my kids without that damn class.

        As far as bonding is concerned, I don't think your birth choice or feeding choice even for that matter clinches it.  It's your love for your child and you will express that in the way that makes the best sense for both of you.

    • you can think of it this way too: (0 / 0)

      you love your husband, no? And he's not bio related! You didn't give birth to him and yet you're bonded!

    • One more thing (0 / 0)

      I agree with the many above who say that bonding will happen no matter the ype of birth experience.

      I'd like to add one thing though (which sort of follows from the 'screw perfect' statements above as well): try not to worry too much about the birth setting etc or imagine beforehand exactly how things will go, because, as almost everybody above will concur: births have a way of being different from whatever you have in mind. In small ways or big. If you have a clear idea of how things should happen and they work out differently, you may be in for a disappointment - and that isn't necessary. The less fixed your plans are, the more flexible you will be, and the better your chances that you will be able to look back on the experience in a positive way. Be prepared for things to go differently.

      This is not to say that you should not prepare, of course you should - but don't get too attached to a particular scenario, because all that really is only partly in your hands when the birth actually happens.

      My experience: Although a home birth was the plan, DD was born at 36 weeks in a hospital after broken water, a slow start to contractions, DD's heart rate steadily decreasing, pitocin, episiotomy, tearing and a vacuum extraction. It was tough on both of us, but we both came out just fine and bonding was no problem. I think I might have been very disappointed, if I had had a clear scenario in mind (I didn't, it all happened on day 1 of my maternity leave and the plan was to finish the baby room, get rested etc). But in the end none if that mattered - we have a wonderful daughter!

  • Priorities (0 / 0)

    The number one goal when all is said and done is a healthy baby and healthy mom. Anything that gets you there is OK.

    Especially with the first child, you don't know what to expect.  When our son was born, my wife did not go into labor, she had to be induced.  Our son ended up with an infection, and spent the first week of his life in Newborn ICU (where he was the healthiest child)

    The one good new is that the hospital (Kaiser) had a room where mom could stay after she was discharged.  So when baby needed to eat, the nurses came and got her.

    When our second child came, it was totally natural. Labor was so fast that there wasn't even time for an epidural.  I never knew my wife could yell like tarzan)

    The baby never left mom's side, and we were home in 24 hours.

    The result?  both kids are bonded just fine to both of us.  Sometimes I think our son is a little closer to mom, and our daughter to me, but the difference is minor

  • I don't think it matters (0 / 0)

    It's all about your state of mind anyway. Like others said, if you had your heart set on a particular kind of birth that didn't end up happening and you obsess over that, or if you have severe PPD, or if you weren't ready for kids, you might not bond immediately with your baby no matter what. If your heart is ready for your child (which it sounds like it already is), you will be bonded the second you lay eyes on him or hear his cry. And visa-versa.

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