"Hee hee hooo": breathing no good when it comes to birthing outcomes

A new Swedish study published in BJOG: An International Journal of Obstetrics and Gynaecology reveals that antenatal breathing classes have no measurable benefits. Couples that were taught relaxation techniques, massage and breathing fared no better than couples who were enrolled in standard antenatal classes. The researchers thought that relaxation techiques and breathing would help couples with the stress during birth, lower rates of epidural use and more pleasurable birthing experiences overall. They found, however, that the experiences in both groups were largely identical.

Professor Philip Steer, BJOG editor-in-chief, said: "The findings of this study are contrary to what many of us would expect."

"The lack of benefit from psychoprophylactic techniques is disappointing, and suggests that parents' experience of childbirth is affected more by their personality and previous psychological orientation than by the relatively limited training that is possible during pregnancy. An alternative view is that standard antenatal classes are 'good enough' and therefore represent an effective use of limited resources

What are your thoughts? Did any of you use breathing or relaxation techniques during your labour?

antenatal depression

I was pleasantly surprised to read in the papers this morning that the Australian Government has finally decided to recognise post-natal depression as a serious reality of motherhood and as such, are going to screen new mothers starting in 2008. The statistics tell the story: 1 in 7 mothers will develop depression, often which goes undiagnosed. Now, this is all well and good (any recognition of motherhood is a step in the right direction). But (and there is always a but..) I am interested to know why no one ever talks about antenatal depression. Mothers are not only getting depressed after birth, they also get depressed during pregnancy.

Antenatal depression affects between 7 and 20% of pregnant women and quite often women who are depressed during pregnancy (at least 40%) are more prone to being depressed after the birth as well.

One young mum in my study was diagnosed with antenatal depression about 24 weeks into her pregnancy. Not particularly thrilled to have her body changing, feeling 'fat' and lonely, this woman went to find help and to her surprise could not find any. All of the support groups in Melbourne cater to postnatal depression so she was forced to hire a private psychiatrist for treatment.

As a result of all the associated hormone changes, feelings of fatigue and body image anxiety during pregnancy, antenatal depression is often very difficult to diagnose. However, women must be aware of the signs of depression not just after they give birth but most importantly during pregnancy.