
As a hypnotherapist, I am excited about the growing awareness and revival of hypnosis for birth, which is now more commonly referred to as hypnobirthing.
Yet, I’m becoming concerned about potential changes to hypnobirthing that could stop women getting proper choices in how they prepare using hypnobirthing. The name hypnobirthing, used by so many professionals for so many years, may be trademarked in Europe, through the back door in the UK, overruling the IPO who last year made the decision that hypnobirthing was a generic term that could not be trademarked; this would put at risk the businesses of many exceptional independent practitioners I know who may be unable to use the term any longer. But more worryingly, this potentially narrows the choice for women.
There has been so much debate about what hypnobirthing actually is, or who ‘owns’ hypnobirthing, which sadly has turned into an unnecessarily mucky scrap in various hypnobirthing camps.
Women can do a course with so many different bodies, Hypnobabies, Natal Hypnotherapy, Marie Mongan – HypnoBirthing, The Leclaire Method ourselves, Mindful Mamma, or with any hypnotherapist who has had additional training in hypnosis for birth.
Couples who do Mindful Mamma go to their midwives and say “I’ve done hypnobirthing”, people who have listened to Natal Hypnotherapy CDs have come on a Mongan course and said I’ve listened to your CDs. Whatever anybody thinks, hypnobirthing is now the term for hypnosis for birth, certainly within the UK, and hypnosis for birth has been around forever.
I was first trained by a seasoned hypnotherapist, Karen Duignan, who is also an NCT teacher trainer, her course was very similar to Mongan’s course which I did at a later date, but Karen herself who is based in the uppermost reaches of Scotland barely knew anything of Mongan, that was back in 2004. I then did Leclaire’s course, which was a wonderfully creative approach to psychological preparation, again based on the same basic principles as other good hypnosis for birth courses are.
The first documented evidence of hypnosis for birth was by James Braid in 1853, when he used hypnosis to induce a baby early, following complications with two previous labours at term due to size and positioning of the baby.
“About two weeks beyond the seventh month was the period, which I had fixed on for inducing labour. I had seen the patient a few days before this period, and found her in excellent health, experiencing no inconvenience of any sort. I told her that in three or four days I intended to do something for her to bring on labour as had previously been agreed upon should be done. She was quite agreeable to this proposal, and seemed to entertain no anxiety whatever on the subject. In two days thereafter, however, I was sent for to the patient, and ascertained that the mere mental impression had been sufficient to bring on labour, for the os uteri was not only fully dilated, but, as in the three former labours, the shoulder was presenting. In this case, from the small size of the infant, I was enabled with great ease to turn and deliver the mother of a living child.”
A Soviet hypnosis for birth programme in the 1950’s recorded incredible results; not many people are aware that in 1954 Lamaze attended an obstetrics conference in Paris, at which the Soviets were speaking about their programme. He duly returned to the US with the soviet import of hypnosis for birth and integrated it into the early Lamaze course.
Ernst Hildegard wrote widely on hypnosis,
There are three principal methods by which the expectant mother may prepare for her confinement in the hope that the delivery will be comfortable without the use of drugs: (1) hypnotic procedures; (2) the method known as natural childbirth, introduced by Grantly Dick Read in 1933; and (3) the procedures associated with the psychoprophylactic method, introduced in Russia by Velvovski in 1949 and rather widely used in France and elsewhere, often called the “Lamaze method” in America, after the man [Dr. Fernand Lamaze] who helped bring it to France. The three practices overlap in many ways, leading some to believe that they are practically indistinguishable. We recognise the overlap but think it is a mistake to gloss over the difference.
Since then there have many references to it throughout the years, one of the specialist advisors at the National Council for Hypnotherapy (NCH) for pain management, Vernon Sykes, who is now in his 80’s recalls the matron looking after his wife during labour, instructing her on how to use hypnosis, I’ve even come across a 1960’s copy of a pregnancy magazine in the UK with an article on hypnosis for birth. Colleagues of mine who are much more seasoned than me have been practicing it before even I was born!
Hypnosis for birth is used, even when it’s not actually called hypnosis. I met a Brazilian doula once who was working to introduce indigenous birth practices back into the communities in the rainforests – at the time I had just trained in the Mongan Method, and we both laughed when we realized that they had been using the opening rose for hundreds of years, passed down through their women, just as Mongan uses the visualisation of the opening blossom. Of course she had never heard of hypnobirthing or Mongan.
From what I’ve learned about hypnosis for birth there are two fundamentally different approaches.
1. The belief that women’s bodies are designed to birth, and that when a women is completely relaxed, and free of fear that she is able to birth easily.
This belief is based on the work of Grantly Dick Read, and the assumption that any fear or tension creates pain in the body. In todays society it’s hard to avoid scaremongering around birth and it would be unusual to find a woman that is completely fearless around birth. Any hypnotherapist properly trained in birth will understand the mind/body connection and will focus on supporting the client to let go of any underlying fears for anxieties around the birth or about parenting. They can do this through many different ways, through hypnosis, anchoring, positive suggestion and visualisation. They will then teach hypnosis techniques for increasing relaxation and well being during labour, they are also likely to teach pain management techniques – although in some methods, the participants won’t be told that they are pain management techniques (rather deep relaxation). This avoids the suggestion of pain during labour.
2. Simple pain management approach.
Hypnosis is frequently used as a pain management technique, and people undergo surgery with just hypnosis. It’s powerful and it works. A hypnotherapist who has not undergone any specific hypnosis for birth training would probably take this approach, but may not address the underlying cause of pain during labour or any of the psychological potential disruptions to a mother who is birthing.
All formal birth hypnosis classes, Mindful Mamma, Natal, Hypnobabies, Mongan HypnoBirthing, LeClaire base themselves on the former and understand that women are designed to give birth. They teach women about the role of hormones and about how these are affected by what you are thinking, both consciously and unconsciously, by your psychological response to your environment, and to those around you during birth.
I’m principally a hypnotherapist, but I initially trained as a hypnotherapist to teach hypnobirthing after experiencing it myself. It was important to me to be a hypnotherapist to do it; I needed to really understand what I was teaching and how I could adapt it to my clients. It was then that I went onto explore different approaches and methods. I apply what I’ve learned about hormones, about the birth environment, about how we birth, to hypnosis and I draw mostly on the work of Sarah Buckley, Michel Odent, Ina May Gaskin and midwifery colleagues whose work is inspirational and who use hypnosis without even realising! A particular favourite is Desmond Morris, whose observational work on humans and other mammals for birth and parenting in the 1980’s is so simple but so spot on.
Women shouldn’t be seduced by promises of gold standards and that one method is better than the other, sometimes the best practitioners I’ve come across are one’s that are quietly, tenaciously, flexibly and brilliantly doing their own thing. Women should be able to make a choice based on the compatibility of the course with their own belief systems and expectations of birth, as well as good rapport with their practitioner.
Our Mindful Mamma class is specifically designed to be a short, affordable class, that runs comfortably alongside NCT class or NHS class, but not designed to replace those. Unlike some other hypbobirthing courses, which can be a completely contained antenatal course, we don’t teach any physiology; we focus on teaching mindfulness, NLP and hypnosis to create an oxytocin rich environment, to give the mum-to-be and partner confidence in making the right choices for them and very simple practical techniques to help with relaxation and analgesia.
Our view is less is more, fewer techniques and more practice makes for a more effective conditioned response at birth. We don’t overtly promote it as hypnobirthing either, as whilst we are proud of what we do, there is still a certain amount of skepticism attached to hypnosis and we want to reach women that wouldn’t necessarily access a class like this.
Interestingly I found that when I ran Mindful Mamma classes, I had women attend who had never heard of hypnobirthing. but went away after the class totally converted! If that one women when on to tell friends, who did HypnoBirthing the Mongan Method, or Natal Hypnotherapy or Hypnobabies, then it's great to know that we are making a difference to all those women and their babies.
This is our way, but there are many others - all of them making a difference to how women birth, all of them contributing to a shift in bringing birth back to women. Collaboration is incredibly important in taking a philosophy like this forward.
Long may hypnobirthing continue, we should celebrate the work being done by hypnobirthing practitioners everywhere and hypnobirthing should be recognized as the valid and century old time tested method of helping birth to be as it should for women.