Stacy reminded me that I forgot to blog about eating and drinking during labor. At our Bradley childbirth class a few weeks ago, I gave a short presentation about the pros and cons of it.
From my research, I learned that when you’re in labor, your body will probably try to clear your gastrointestional tract. Yes, we can look forward to vomiting and diarrhea during the early stages of labor. This is thought to make more room for the baby to pass through, and prevents food from sitting in the body for too long, as your digestion might slow down. Cuz hey, your body is busy doing other things.
It’s possible that we won’t feel hungry at this time. Kinda hard to have an appetite if you’re in the bathroom ralphing.
In the 1940s, a doctor did a small study on animals. I don’t know much about the study, but I know that he concluded that it would be better for a woman not to eat or drink while she was in labor, in case she needed general anesthesia.
If she needed to be knocked out, there was a small chance that she could vomit and asphixiate.
That was pretty much the only “study” on the topic, even though actual laboring women and their nutritional needs during labor haven’t been fully studied.
Back then, it was more common for a woman to be unconscious while delivering her baby. So, the risk of asphixiation was slightly greater.
But today? Highly unlikely. Here’s why I think the “need” to fast during labor is a bunch of bunk:
1. Even if you don’t eat, there’s no guarantee that your stomach will be empty. There’s usually a small amount on your stomach at all times. And, you’ll have stomach acids there anyway.
2. It’s much more dangerous to vomit pure stomach acids than it is to vomit food mixed with acid. You’ll burn your throat and if it gets into the lungs, it’ll be more harmful that way.
3. The likelihood that you’ll need general anesthesia is incredibly small.
4. With modern improvements to anesthesia, your doctor will be more able to monitor your barfing and help you if you do.
5. There aren’t any documented cases of a woman asphyxiating while in labor.
6. If you’re hungry but denied nourishment, your labor could stall. But, if your nutritional needs are met, you might actually have a quicker labor and a baby with a higher APGAR score!
7. Ever try to run a race or take a difficult exam on an empty stomach? Good luck! Childbirth is the ultimate physical and mental exertion (I’m guessing). You need your strength. If labor lasts for a long time, you could get dehydrated or start to starve.
8. Being hooked up to an IV of fluids and glucose isn’t necessarily a safe alternative to actually eating or drinking. For one thing, it’s not a natural way for the body to eat. Two, you’re increasing your risk for infection. You’ll be less mobile, which can slow your labor or cause unnecessary pain. It can cause other problems for the mom and baby.
Some hospitals have a policy stating you can only have ice chips while in active labor. Excuse me? What? The logic of ice chips vs. water makes no sense to me. Ice melts. It becomes water in your belly anyway.
I asked my former OB what she thought. She told me that food will be the last thing on my mind, but I could only have ice chips. Why? “Risk” of asphixiation. Kthxbai, lady.
As long as everything is normal, the midwives I’m seeing do allow you to eat or drink as you please.
I’m greatly affected by what I eat and drink. I get out of sorts if I go too long without a meal. I’m not pleasant to be around. If I think of it, I’ll eat a light meal before heading into the hospital. And, while there, I’ll have snacks that will be easy to digest.
Possibilities include yogurt, applesauce, scrambled eggs, toast, honey, broth, Jell-o — ya know, mushy stuff.
Back during my cross-country days, I would carry a pack of M&Ms with me on long runs. I just needed those extra few calories to get me through it. I think this’ll be a similar thing for me.
For more info on the topic, check out this info sheet.