<font color="0077aa">From: BabyCentre.com
http://www.babycenter.com/6_your-pregnancy-30-weeks_1119.bc?responsys_count=1&scid=mbtw_preg30:333&pe=2UwN8mA
Surprising Facts: Common labor fears
Are you nervous about giving birth? You're not alone! Here are some common fears and how to cope with them.
• I won't be able to handle the pain.
One in five expectant moms says this is her top third-trimester fear, according to a BabyCenter poll. Some women know ahead of time that they will want pain-relieving medication during labor and, in fact, most women do end up opting to have an epidural. Others are committed to giving birth without drugs. They accept potential for pain and discomfort and learn techniques to help them manage it. With the right preparation and support, some women find natural childbirth deeply satisfying and empowering.
• I'll need an episiotomy or I'll tear.
An episiotomy is a surgical cut in the muscular area between your vagina and anus (the perineum) which is performed right before delivery to enlarge your vaginal opening. Some women tear spontaneously in this area during delivery — even with an episiotomy — and the tears can range from almost undetectable to severe, requiring a significant number of stitches to repair. Once nearly standard, episiotomies are on the decline and experts now agree that the procedure shouldn't be done routinely. Talk to your practitioner about how often and under what conditions she performs episiotomies and how she might help you avoid one, or tearing. There's some evidence that you'll be less likely to need stitches if you start massaging your perineum about five weeks before your due date.
• I'll have a bowel movement during labor.
In a recent BabyCenter poll, 70 percent of women said they were afraid they'd poop while giving birth, 39 percent said they actually did, and of those, only 22 percent were embarrassed by it. Though it's hard to believe now, if you do have a bowel movement while you're pushing, no one will blink an eye. Your caregivers will clean it up possibly even before you know what's happened.
• I'll be steamrolled into unnecessary medical interventions.
The best way to deal with this fear is to have a frank conversation with your practitioner. If you trust and respect your doctor or midwife, you can rest assured that she'll be doing her best for you and your baby on the day of delivery. If she's aware of your wishes and preferences (consider writing a birth plan), she can do her best to adhere to them. Another way to ease this fear is to hire a doula — a professional labor assistant — to attend your birth. She can be your advocate at the hospital.
• I'll have to have a c-section.
Since one in five women giving birth for the first time ends up having a c-section to deliver her baby, this fear is understandable. If you have your heart set on a vaginal birth, ending up with a c-section can be disappointing. Some moms say they feel cheated out of a vaginal birth, especially if they took childbirth classes and fantasized about the "ideal birth," or if they feel that their c-section wasn't really necessary. Others say they feel as if they're somehow less of a woman because they needed a c-section. If you have these feelings, it may take some time to reconcile the reality of your birth experience with what you'd imagined during your pregnancy. It might help to know that many women find their babies' births, whether vaginal or c-section, very different from what they expected.
• I won't make it to the hospital on time.
Emergency home deliveries are extremely unusual, especially with first babies. But if you can't shake this fear, check out our emergency home birth instructions so you'll have an idea of what it involves.</font>