In order to optimize birth and minimize trauma, all participants need to feel safe, supported, and connected during the birthing process. Dr. Stephen Porges explains that from the moment of our birth, we are inherently wired for connection. Rooted in a primary urge for survival, there exists within us a profound yearning to connect. The Polyvagal Theory proposes that the survival related suck-swallow-breathe-vocalize circuit matures to form the social engagement system that supports homeostasis and co-regulation.

The vagus nerve is both an indicator for resilience and a potential risk factor for a newborn. It forms a network of nerves originating in the brainstem, wandering down to the gut. It transmits signals related to feelings of safety and threat, thereby influencing both our emotional state and physical sensations. The dorsal vagal pathway, which first starts to lay down around 4-6 weeks in utero, manifests when we feel immobilized by fear or experience a sense of collapse or shutdown. It signifies the perception of extreme danger or life-threatening situation, eliciting narratives of feeling stuck, hopeless, and helpless. Next is the sympathetic system, beginning to lay down at 12-14 weeks, this system propels us into fight-or-flight mode. Urgency, panic, fear, anger, and irritation. This state is vital for identifying potential threats. The ventral vagal pathway, which fully lays down postnatally, embodies safety and social connection. Feelings of curiosity, tranquility, connection, and comfort prevail, accompanied by hope and healing.

It is not solely about ‘getting’ the baby out; rather, it’s about feeling safe enough to let the baby out. Allowing the baby out is a natural process of welcoming. ‘Getting’ the baby out implies a mechanical extraction, a medical intervention. The baby is not merely the outcome of birth; they are integral to the entire process. When the laboring mother feels safe, the hormones of birth can function optimally. This is critical because feelings of threat, anxiety, and uncertainty have profound autonomic signatures that interfere with natures’ mechanism of facilitating the birthing process. Remember, proactively providing necessary information and context, offering choices that empower autonomy and self-control, and increased emotional and physical connection are essential for safety. Our nervous system is at the center of our birth experience. It lays the groundwork for maximizing the birthing experience.

PREGNANCY EXERCISES

To optimize relaxation, consider implementing deliberate breathing exercises, movement, sound practice, and positive memories.

The ventral vagal influence during slow exhalations over short inhalations suppresses the sympathetic nervous system activity, strengthens the state of calmness, openness, and overall sense of safety and trust. During labor, harness your breath to navigate contraction waves or delve beneath surges. Movement helps to nurture bodily regulation and inner trust. Encouraging mobility and changing positions facilitates the baby’s journey through the pelvis. Singing, chanting, gargling, or humming can help with grounding during labor. Asking a loved one for assistance can foster a sense of support and connection.

Pathways to Family Wellness, Issue 82, Summer 2024