Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Having an epidural doesn’t mean you’re any less of a mom

Jennifer Gunter, MD
Conditions
May 19, 2014
Share
Tweet
Share

Reports that Mila Kunis, the actress, plans on a “natural” delivery is all over the Internet. As a celebrity  she is clearly a medical expert and somehow it is relevant to hear how an actress with no financial concerns, doesn’t need to work on her feet until she goes into labor, has a BMI of 19 (OK, that’s a guess) who has never delivered before is planning to have her baby. Mila Kunis obviously represents the average American woman’s pregnancy experience.

But the distaste of asking celebrities their medical opinions and prying into the intimate details of their personal life aside, this is an opportunity to discuss the implications of what Ms. Kunis said.

For starters, the term “natural” as it applies to delivering a baby would be unassisted by anyone with any training, without electricity, and without medications to stem hemorrhage or treat infection from obstructed labor. In Africa, where most women have “natural” deliveries there is a 1 in 40 chance of dying during pregnancy and childbirth.

But it wasn’t this misuse of “natural” that got me peeved, it was this specific comment about not planning on an epidural …

“I’m crazy. I mean, I did this to myself — I might as well do it right.”

Having an epidural or needing pain medications isn’t doing it wrong. Asking for all the help that modern medicine has to offer isn’t wrong, it’s a choice. There is no prize for pain and it certainly doesn’t make you a better person if you sweat it out for 24 hours or more without help from pharmaceuticals. I despise the idea that if you need, or God forbid desire, analgesia during your labor and delivery that somehow you just aren’t mom enough.

I don’t think Ms. Kunis meant to be judgmental and she was asked this information, she didn’t volunteer it or send out press releases. However, I think it is a great example of a cultural bias that the only good delivery is unmedicated. I specifically blame the press because they ask about it, report it, and perpetuate it. Making women feel bad about their choices is a time-honored way to sell copy. If it were not no magazine cover would ever be photoshopped and Cosmo would have been out of business years ago.

Epidurals are not a great evil that looms over innocent mothers-to-be waiting to drag them down a path of certain destruction. An epidural is a safe, effective way for a woman to have pain relief during her pregnancy and delivery should she choose that option.

If you want an unmedicated delivery, have one. If you want an epidural, have one. Neither can be right because neither is wrong.

Jennifer Gunter is an obstetrician-gynecologist and author of The Preemie Primer. She blogs at her self-titled site, Dr. Jen Gunter.

Prev

Addressing death is an important aspect of public health

May 19, 2014 Kevin 2
…
Next

Can appendicitis be managed without surgery?

May 20, 2014 Kevin 12
…

Tagged as: OB/GYN

Post navigation

< Previous Post
Addressing death is an important aspect of public health
Next Post >
Can appendicitis be managed without surgery?

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Jennifer Gunter, MD

  • The Ellen Show broadcasts potentially harmful information about ovarian cancer screening

    Jennifer Gunter, MD
  • Dear science: an appreciation

    Jennifer Gunter, MD
  • Are there too many female OB/GYNs?

    Jennifer Gunter, MD

More in Conditions

  • How collaboration saved my life from a rare disease doctors couldn’t diagnose

    Tami Burdick
  • Why your emotions are your greatest compass in therapy and life

    Maire Daugharty, MD
  • Patients are not waiting: What MCDA twin parents teach us about shared decision-making

    Stephanie Ernst
  • Health workers deserve care too: How to protect their mental health

    Corey Feist, JD, MBA & Kim Downey, PT
  • Why the words doctors use matter more than they think

    Erin Paterson
  • How AI helped me reclaim my creative mind with ADHD

    Risa Schulman, MD
  • Most Popular

  • Past Week

    • A world without antidepressants: What could possibly go wrong?

      Tomi Mitchell, MD | Meds
    • Why no medical malpractice firm responded to my scientific protocol

      Howard Smith, MD | Physician
    • Navigating physician non-competes: a strategy for staying put [PODCAST]

      The Podcast by KevinMD | Podcast
    • When doctors die in silence: Confronting the epidemic of violence against physicians

      Muhamad Aly Rifai, MD | Physician
    • Doctors speak out: Why we’re saying no to burnout

      Aisha Quarles, MD | Physician
    • Avoiding leadership pitfalls: strategies for success in health care [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • What happened to real care in health care?

      Christopher H. Foster, PhD, MPA | Policy
    • The silent crisis hurting pain patients and their doctors

      Kayvan Haddadan, MD | Physician
    • How to build a culture where physicians feel valued [PODCAST]

      The Podcast by KevinMD | Podcast
    • How the CDC’s opioid rules created a crisis for chronic pain patients

      Charles LeBaron, MD | Conditions
    • Are quotas a solution to physician shortages?

      Jacob Murphy | Education
  • Recent Posts

    • Navigating physician non-competes: a strategy for staying put [PODCAST]

      The Podcast by KevinMD | Podcast
    • In the absence of physician mentorship, who will train the next generation of primary care clinicians?

      Kenneth Botelho, DMSc, PA-C | Education
    • Fear of other people’s opinions nearly killed me. Here’s what freed me.

      Jillian Rigert, MD, DMD | Physician
    • What independent and locum tenens doctors need to know about fair market value

      Dennis Hursh, Esq | Physician
    • Health care’s data problem: the real obstacle to AI success

      Jay Anders, MD | Tech
    • What ChatGPT’s tone reveals about our cultural values

      Jenny Shields, PhD | Tech

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 23 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • A world without antidepressants: What could possibly go wrong?

      Tomi Mitchell, MD | Meds
    • Why no medical malpractice firm responded to my scientific protocol

      Howard Smith, MD | Physician
    • Navigating physician non-competes: a strategy for staying put [PODCAST]

      The Podcast by KevinMD | Podcast
    • When doctors die in silence: Confronting the epidemic of violence against physicians

      Muhamad Aly Rifai, MD | Physician
    • Doctors speak out: Why we’re saying no to burnout

      Aisha Quarles, MD | Physician
    • Avoiding leadership pitfalls: strategies for success in health care [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • What happened to real care in health care?

      Christopher H. Foster, PhD, MPA | Policy
    • The silent crisis hurting pain patients and their doctors

      Kayvan Haddadan, MD | Physician
    • How to build a culture where physicians feel valued [PODCAST]

      The Podcast by KevinMD | Podcast
    • How the CDC’s opioid rules created a crisis for chronic pain patients

      Charles LeBaron, MD | Conditions
    • Are quotas a solution to physician shortages?

      Jacob Murphy | Education
  • Recent Posts

    • Navigating physician non-competes: a strategy for staying put [PODCAST]

      The Podcast by KevinMD | Podcast
    • In the absence of physician mentorship, who will train the next generation of primary care clinicians?

      Kenneth Botelho, DMSc, PA-C | Education
    • Fear of other people’s opinions nearly killed me. Here’s what freed me.

      Jillian Rigert, MD, DMD | Physician
    • What independent and locum tenens doctors need to know about fair market value

      Dennis Hursh, Esq | Physician
    • Health care’s data problem: the real obstacle to AI success

      Jay Anders, MD | Tech
    • What ChatGPT’s tone reveals about our cultural values

      Jenny Shields, PhD | Tech

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Having an epidural doesn’t mean you’re any less of a mom
23 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...