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Spontaneous unmedicated labour mimics altered states

Maria Bălăeţ, Jen Culley, Elena Paparello, Maike Lehmann

preprint DOI: 10.31219/osf.io/g3xau (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case study Case report
Sample size 1
Population A 28-year-old woman with a prior emergency caesarean section due to failed induction of labour, giving birth at home
Key findings The authors report that during spontaneous, unmedicated home labour the woman experienced euphoria, altered perception of her environment, and a profound sense of bodily connection. They argue that physiological birth can induce altered, transcendental states of consciousness and that acknowledging this could improve maternal mental health, mother-infant bonding, and birth satisfaction, supporting a re-evaluation of routine obstetric interventions.

Abstract

This case report examines the profound experience of spontaneous, unmedicated labour in a home setting. The 28-year-old woman, with a prior history of emergency caesarean section due to failed induction of labour, underwent a natural labour and birth that elicited an altered state of consciousness. During labour, she experienced significant euphoria, and a unique perceptual alteration of her environment, alongside a profound sense of connection with her body. This account provides crucial insights into the psychological (and even spiritual) dimensions of childbirth, which are still under-explored in medical literature. These experiences highlight the potential of physiological birth to induce states of consciousness that not only involve intense physical sensations, but also have transcendental nature and elicit joy. The case raises important considerations about the current practices in obstetric care, highlighting the need for a holistic approach that respects and facilitates the natural processes of childbirth. The implications of acknowledging labour as an altered state are significant. The potential of this shift in perspective to improve maternal mental health, strengthen the mother-infant bond, and enhance overall satisfaction with the birthing process are being discussed. This report adds to the growing body of literature advocating for a re-evaluation of routine obstetric interventions, promoting an approach that prioritises the psychological-emotional well-being and autonomy of birthing women.