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Ksenia BelokhvostDoula

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Pain in labour: why it is actually not against you

Pain in labour: why it is actually not against you

The engine of the process, not a symptom of disease

Labour pain is the only pain in nature that does not mean destruction, but creation and colossal work. It is not a symptom of disease. It is the engine of the process.

  • What exactly am I afraid of: the physical pain itself, or losing control of the situation?
  • How can I help my body not get in its own way during a contraction?
  • Who or what will help me feel safe when the wave becomes too strong?

In our culture, pain is always a signal

In our culture, pain is always a signal: «Stop! Danger! Break or run!». If you have a toothache or appendicitis, the body is asking for help.

But in childbirth this code breaks. A contraction is not asking you to flee — it is asking you to enter the process.

Two scenarios: how the brain processes pain

There are two paths the brain can take in response to a contraction. The result in the body — and in the intensity of pain — is radically different.

  • Resistance — fear → tension → tissue ischaemia → pain increases threefold. The body fights itself.
  • Surrendering to the process — accepting the contraction → release of endorphins (natural pain relief) → tissues relax → pain becomes bearable.

Going towards the wave

To stop fighting the contraction does not mean «enduring with clenched teeth». It means going towards the wave, not trying to run away from it.

Pain as a guide

Childbirth requires total obedience to your body and switching off control (the neocortex).

Pain here is like a guide: it shows what posture to take, how to sound, and where to relax.

Instead of looking for a «magic pill»

It is not about eliminating the sensation at all costs, but about changing your relationship with it. These questions help you prepare before the wave arrives:

The contraction is not against you. It is working with you — if you let it.