Want to see a natural birth? Go to a sheep farm

Humans just aren't very good at giving birth - we produce magnificently big-skulled babies and have skinny little pelvises. A natural birth may sounds wonderful in theory, but in practice it's wise to give nature a helping hand.

One of the cool ways that pregnancy prepares you for having an infant of your own is by thoroughly infantilising you. And so it was that I found myself – a grown-up person of 20 years with another person growing inside me – looking another woman in the face and inviting her to praise me for rubbing sweet almond oil onto the skin between my vagina and my arsehole. “I’ve been massaging my perineum,” I said, eagerly. “To stop me from tearing.”

My midwife had patiently talked me through my fears about caffeine consumption and pre-pregnancy test binge drinking, but this was too much. She fixed me with a look of piercing sympathy and said: “I don’t think that will help.” I was, of course, devastated. I believed sincerely that there was a right way and a wrong way to do pregnancy, and having got pregnant in the wrong way (by accident, living in a halls of residence), I wanted to do the rest of it right.

And that meant natural. There would be no C-section and no epidurals; there would be no tearing. I would follow all the advice down to the last drop of sweet almond oil. If the Royal College of Obstetricians and Gynaecologists had published its guidance on chemical consumption in pregnancy back then, I would have diligently avoided Tupperware and paracetamol too. In exchange for my good behaviour, I expected to be rewarded with a blissful, natural labour that would end with my baby resting contentedly on my suddenly vacant belly, skin to skin.

If I’d been pregnant a few decades earlier, none of this would have been an option for me to consider. Choices weren’t available. Instead, you had doctors holding all the power in one hand and some alarming surgical steel implements in the other. In some hospitals in the 1970s, for example, it was routine for uninformed women to be given drying-up pills with their post-labour breakfast. They didn’t need to be asked, because the idea that anyone would want to breastfeed was so unthinkably gross to the medics in charge.

Such obstetric cruelty is what natural birth campaigners like Caroline Flint, interviewed in the Guardian at the weekend, opposed. It’s thanks in part to people like Flint that I was given a birth plan to fill out, and could hand it over to my midwife in confidence of it being observed. It’s also thanks to people like Flint that I believed there was a profound moral weight to what happened in my labour.

In her book, she writes that babies welcomed with the bright lights and loud voices of a hospital are taught “they may not always be welcome”; have a home birth, on the other hand, and you’re practically guaranteed to deliver a sensitive genius. (She also recommends that women should be “sexually aroused” while giving birth, which rather airily assumes that everyone is capable of getting turned on in a situation where it’s 50-50 whether you’ll shit yourself.)

All this assumes that nature is a kind and generous entity whose only concern is in getting babies from womb to world as safely and efficiently as possible. But nature is a half-arsed craftsman, capable of doing things perfectly when time and circumstances allow, and equally capable of doing things just well enough to shove a handful of DNA into the next generation.

Humans have many fine and distinctive qualities. We are a magnificently brainy animal, creating magnificently big-skulled babies. We’re also impressively upright, with skinny little pelvises to support our vertical frames. We are just terrific at walking and thinking. And as a consequence of those things, we’re not very good at giving birth. The best that can be said for our species’ efforts with labour is that it’s non-lethal often enough that we haven’t been forced to evolve anything better.

Birth is incontrovertibly a biological process, but you could hardly say humans are naturals at it. Want to see a natural labour? Go to a sheep farm during lambing and watch the offspring just slither out of the ewes’ behinds. And even the lambs get it wrong sometimes and try to bust out sideways or backwards. We do so much worse.

After two deliveries that could have finished me off without hospital assistance (one slow suffering, one shockingly swift), I decided that nature and me would only get on with a medical mediator. Safe labour requires listening to women and giving them confidence in their own decisions, but it also requires not telling them fairy tales about how everything will be OK if they just cast the right charms and follow the right rituals. Women are not, after all, the children when it comes to giving birth.

 

A pregnant woman with a painted baby on her belly takes part in the Movement for a Humanised Childbirth demonstration in Brazil. Photograph: Getty Images

Sarah Ditum is a journalist who writes regularly for the Guardian, New Statesman and others. Her website is here.

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Ken Clarke: Theresa May has “no idea” what to do about Brexit

According to the former Chancellor, “nobody in the government has the first idea of what they’re going to do next”.

Has Ken Clarke lost the greatest political battle of his career? He doesn’t think so. With his shoes off, he pads around his Westminster office in a striped shirt, bottle-green cords and spotty socks. Parliament’s most persistent Europhile seems relaxed. He laughs at the pervasive phrase that has issued from Downing Street since Theresa May became Prime Minister: “Brexit means Brexit.”

“A very simple phrase, but it didn’t mean anything,” he says. His blue eyes, still boyish at 76, twinkle. “It’s a brilliant reply! I thought it was rather witty. It took a day or two before people realised it didn’t actually answer the question.”

A former chancellor of the Exchequer, Clarke has served in three Conservative cabinets. His support for the European Union is well known. He has represented the seat of Rushcliffe in Nottinghamshire for 46 years, and his commitment to the European project has never wavered over the decades. It has survived every Tory civil war and even his three failed attempts to be elected Tory leader, standing on a pro-Europe platform, in 1997, 2001 and 2005.

“My political career looks as though it will coincide with Britain’s membership of the EU,” Clarke says, lowering himself into an armchair that overlooks the Thames. There are model cars perched along the windowsill – a hint of his love of motor racing.

Clarke won’t be based here, in this poky rooftop room in Portcullis House, Westminster, much longer. He has decided to step down at the next election, when he will be nearly 80. “I began by campaigning [in the 1960s] in support of Harold Macmillan’s application to enter [the EU], and I shall retire at the next election, when Britain will be on the point of leaving,” he says grimly.

Clarke supports Theresa May, having worked with her in cabinet for four years. But his allegiance was somewhat undermined when he was recorded describing her as a “bloody difficult woman” during this year’s leadership contest. He is openly critical of her regime, dismissing it as a “government with no policies”.

For a senior politician with a big reputation, Clarke is light-hearted in person – his face is usually scrunched up in merriment beneath his floppy hair. A number of times during our discussion, he says that he is trying to avoid getting “into trouble”. A painting of a stern Churchill and multiple illustrations of Gladstone look down at him from his walls as he proceeds to do just that.

“Nobody in the government has the first idea of what they’re going to do next on the Brexit front,” he says. He has a warning for his former cabinet colleagues: “Serious uncertainty in your trading and political relationships with the rest of the world is dangerous if you allow it to persist.”

Clarke has seen some of the Tories’ bitterest feuds of the past at first hand, and he is concerned about party unity again. “Whatever is negotiated will be denounced by the ultra-Eurosceptics as a betrayal,” he says. “Theresa May has had the misfortune of taking over at the most impossible time. She faces an appalling problem of trying to get these ‘Three Brexiteers’ [Boris Johnson, David Davis and Liam Fox] to agree with each other, and putting together a coherent policy which a united cabinet can present to a waiting Parliament and public. Because nobody has the foggiest notion of what they want us to do.”

Clarke reserves his fiercest anger for these high-profile Brexiteers, lamenting: “People like Johnson and [Michael] Gove gave respectability to [Nigel] Farage’s arguments that immigration was somehow a great peril caused by the EU.”

During the referendum campaign, Clarke made headlines by describing Boris Johnson as “a nicer version of Donald Trump”, but today he seems more concerned about David Cameron. He has harsh words for his friend the former prime minister, calling the pledge to hold the referendum “a catastrophic decision”. “He will go down in history as the man who made the mistake of taking us out of the European Union, by mistake,” he says.

Clarke left the government in Cameron’s 2014 cabinet reshuffle – which came to be known as a “purge” of liberal Conservatives – and swapped his role as a minister without portfolio for life on the back benches. From there, he says, he will vote against the result of the referendum, which he dismisses as a “bizarre protest vote”.

“The idea that I’m suddenly going to change my lifelong opinions about the national interest and regard myself as instructed to vote in parliament on the basis of an opinion poll is laughable,” he growls. “My constituents voted Remain. I trust nobody will seriously suggest that I should vote in favour of leaving the European Union. I think it’s going to do serious damage.”

But No 10 has hinted that MPs won’t be given a say. “I do think parliament sooner or later is going to have to debate this,” Clarke insists. “In the normal way, holding the government to account for any policy the government produces . . . The idea that parliament’s going to have no say in this, and it’s all to be left to ministers, I would regard as appalling.”

Clarke has been characterised as a Tory “wet” since his days as one of the more liberal members of Margaret Thatcher’s government. It is thought that the former prime minister had a soft spot for his robust manner but viewed his left-wing leanings and pro-European passion with suspicion. He is one of parliament’s most enduring One-Nation Conservatives. Yet, with the Brexit vote, it feels as though his centrist strand of Tory politics is disappearing.

“I don’t think that’s extinct,” Clarke says. “The Conservative Party is certainly not doomed to go to the right.”

He does, however, see the rise of populism in the West as a warning. “I don’t want us to go lurching to the right,” he says. “There is a tendency for traditional parties to polarise, and for the right-wing one to go ever more to the right, and the left-wing one to go ever more to the left . . . It would be a catastrophe if that were to happen.”

Clarke’s dream of keeping the UK in Europe may be over, but he won’t be quiet while he feels that his party’s future is under threat. “Don’t get me into too much trouble,” he pleads, widening his eyes in a show of innocence, as he returns to his desk to finish his work. 

Anoosh Chakelian is deputy web editor at the New Statesman.

This article first appeared in the 29 September 2016 issue of the New Statesman, May’s new Tories