12/18/2025
Weāve all heard the stories.
The mom who spent her entire pregnancy learning coping skills, labor positions, and how to support a physiological birth⦠and then she walks into the hospital and watches her entire plan unravel. Not because of complications because of hospital policy.
And then thereās the mom who did the same preparation, walks into the same hospital and (barring any true complications) gets the birth she desires.
The difference isnāt luck, or even the staff on call. Itās knowing how to say ānoā and when/why youāre saying it.
A great example is the hospital bed.
Is there anything in here wrong with the hospital bed? Of course not. Itās serves a purpose, especially with mommas who choose medicated births. It also makes the medical teamās job easier - it lowers their sense of risk. They can see more, reach easier, and overall feel more in control.
But itās proven that laboring and pushing on the bed is not the best way to help your baby descend and is also just plain uncomfortable for the majority of laboring mommas even in different positions than the typical laying on their back. It limits movements, positions, and the ability to work with your body. Because youāre already on the bed, it also becomes easier for interventions to happen with little to no conversation⦠like starting a routine IV of fluids and/or other meds.
Saying no to the bed can be uncomfortable. Doctors are especially pushy about it, because again, it lowers their perceived risk.
But if you want to stay in control of your birth, that ānoā really matters.
And an important reminder, even if you have a doula present itās your job to advocate! Were there for physical and emotion support, education, conversation about medical things happening⦠but ultimately that responsibility of advocacy falls to you the birthing parents. That voice HAS to be yours.
This is why doing the research for yourself matters, understanding why something may not support your goals, and learning how to communicate clearly to the medical team is so important.
āNoā is a complete sentence and does not equal being difficult.