Made for This. Mary Haseltine
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Birth is transformative not only for the woman, but also for the husband. A healthy, good, beautiful birth, especially one in which he was able to support his wife well, can give him confidence as he enters into the responsibilities fatherhood brings. And while it is important for the father to be at the service of his wife, recognizing her primary role in the experience, it’s also important for him to understand, especially afterward, how the birth may have changed him, too.
Whether it is before, during, or after birth, the man has a tremendous and beautiful opportunity to fulfill his sacred obligation to serve his bride and love her the way Christ loved his Church, laying his very life down for her sake.64 It is in this that he becomes the fullest version of himself, rising to the challenge of true manhood, giving his life in ways big and small for the sake of his beloved.
My husband was Christ to me in a very special way during the birth journey of our firstborn. He was that Christlike presence to me in a way we had both never experienced before. He pursued my best interest with courage. He made prayerful decisions that were hard to make at different times. He remained by me during my most difficult suffering, smiled with me during the exciting times, cried with me during the challenging and joyful times, and so much more. All these gifts that he imparted to me, his wife, then and every day since then in both big and small ways, are what kept me positive and steadfast during the weeks of recovery.
— Amanda Perales, mom to three
When the Father Is Not Present
A couple undergoing difficulties in marriage will not leave that behind in the birth room. If there is underlying tension or trouble in a marriage, it is best to do what is possible to address that before the birth. It may be that the birth is a chance for the couple to renew their commitment and a reminder of their vows and love. But if their relationship is greatly stressed or in turmoil, it is important for the mother to discern whether the father’s presence will be a help or a strain in the birth room. As we’ve mentioned and will discuss further, a woman during labor needs to focus on being completely relaxed, vulnerable, and open. If there is an emotional stressor in the room, even if it is from the husband, while it’s certainly not ideal, it may be better for him to be more distant from the birth.
Unfortunately, there are many other instances, too, where the father cannot or should not be present during the pregnancy or birth. This might be due to death, marital issues, or military deployment. There is also the reality of single mothers who do not have a husband or partner to support them through birth. Rather than pretending it doesn’t matter, we respect her dignity as well as the dignity of the baby and the plan of God by acknowledging that this is a very real loss and allowing her to process it as such.
While it is truly valuable and desirable to have an involved and active father present for his wife and baby, the mother without one can take heart knowing that this deep lack can be offered up and united to the sufferings of Christ. It is highly encouraged that a doula or other solid support people be present with her for the actual birth. When the father cannot be involved or present for any reason, this is a chance for the Body of Christ to step in and offer support to the mother and baby however they need.
Immediately after birth, be quick to place the child in the father’s arms — as the ancient Romans were wont to do — but with a spirit incomparably more elevated. For the Romans, it was the affirmation of the paternity and the authority which derived from it; here it is grateful homage to the Creator, the invocation of divine blessings, the promise to fulfill with devout affection the office which God has committed him. If the Lord praises and rewards the faithful servant for having yielded him five talents, what praise, what reward will he reserve for the father, who has guarded and raised for him a human life entrusted to him, greater than all the gold and silver of the world?
— Pope Pius XII, Allocution to Midwives
Choosing Your Care Provider
“But the wisdom from above is first pure, then peaceable, gentle, open to reason, full of mercy and good fruits, without uncertainty or insincerity.”— James 3:17
The choice of a care provider is one of the most important decisions you will make during pregnancy. Your choice of provider will affect where you will birth, how you will birth, the tests and interventions you are likely to receive, and your overall experience of pregnancy. It will also affect your treatment during birth, your feelings about that birth, and your confidence and trust in future births.
Two Different Philosophies of Birth
Providers typically subscribe to one of two distinct philosophies of birth.
The first philosophy views birth as a normal process for the female body, a process that, except in unusual circumstances, a woman is able to do quite well on her own. In this view, the design of the female body is seen as complete, meaning that most often a woman’s body does not need outside help to give birth. After all, women have been giving birth for millennia, and the human race has multiplied quite well thus far. Providers with this philosophy only seek to intervene appropriately when an anomaly or complication presents itself. These providers see their role more as a “lifeguard,” ready to intervene if necessary but trusting that the birth process is designed to work well. A well-trained provider using this method has witnessed birth many times, knows what is normal and what is not, and is skilled in knowing how to recognize anomalies and complications before they become dangerous. This philosophy has come to be referred to in the last several decades as the midwifery model of care.
The second philosophy is what some call the medical model of care. This approach views birth as urgent. It requires that a birth prove itself to be normal before assuming it is. In this view, birth is seen as risky, and interventions are taken whether the mother and child need them or not — just in case. Providers with this view believe that because complications do sometimes arise, it is safest to treat every woman accordingly. There is a standard “type” of birth considered normal and ideal, and women must not fall outside that norm. A provider in the medical model of care is trained to intervene and follow the same protocol for every woman. Many have never witnessed a birth without any intervention or some sort of management. If we consider our first provider the lifeguard, this provider is more like a swim instructor, hyper-vigilant and hands-on, requiring every swimmer in the pool to wear a life jacket regardless of circumstances.
These different philosophies can lead to quite different birth experiences. It’s important to know where a doctor or midwife falls on this spectrum and whether that provider’s beliefs about birth line up with yours. If you have had health problems in the past, you may find yourself less confident in your body’s ability to birth without outside help, so you may prefer the medical model. If you feel confident in your body and have a positive image of birth, or if you have developed a distrust of the medical system, you may find yourself more aligned with the midwifery model. Of course, if you know you have extenuating circumstances with your health, your history, or this