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Accouchement: la masturbation comme antidouleur ?

Childbirth: masturbation as a pain relief?

Childbirth is often approached and experienced as a painful event, with the epidural seen as the only saving grace. And yet, did you know that some mothers can experience childbirth almost without pain, and sometimes even as an intense and deeply positive experience?

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Childbirth is often approached and experienced as a painful event, with an epidural seen as the only saving grace.

And yet, did you know that some mothers can go through labour with almost no pain — and sometimes even experience it as an intense and deeply positive event? So, can giving birth actually feel good?

Childbirth is sexual by nature (after all, it did take a little something to make that baby!). The hormones present during birth are the same ones at work in our sexuality, particularly during orgasm [1]. And yet talking about sexuality during childbirth has long been considered taboo.

Did you know it is possible to stimulate the clitoris and vagina to reduce pain? This is known as a "birthgasm". It is also possible to stimulate the breasts to trigger the release of oxytocin and restart a stalled labour!

Let's explore this phenomenon by reviewing the latest scientific studies!

Birthgasm

Having an orgasm during childbirth is a real phenomenon!

What is the role of hormones during childbirth?

The hormones at play during childbirth are the same as those involved when we make love. Our body naturally releases a combination of hormones to allow labour to progress.


They also help activate pain-relief mechanisms in the brain and spinal cord, to provide relief for women. [2], [3]

When labour begins, oxytocin is released in pulses, which increases uterine contractions and progressively intensifies the pain.

When pain is intense, adrenaline is released (in response to stress), which will "modulate" and "dampen" the effects of oxytocin.

Adrenaline and noradrenaline are "fight or flight" hormones. The body produces them to protect itself and be ready to flee or fight in order to stay alive. They are secreted during labour and during sex, as if to protect us during these moments of greater vulnerability and stillness. Excessive secretion of these hormones may slow contractions and increase the duration of labour [4]. On the other hand, a surge of adrenaline towards the end of labour could accelerate delivery.

During this time, beta-endorphins are released. A high level of beta-endorphins not only eases pain but also produces a feeling of pleasure and excitement.

This "altered state" that sometimes occurs during labour would, according to researchers, help women to behave intuitively and use their body's movements to facilitate birth [5].  

Beta-endorphins then relieve pain, which reduces the secretion of adrenaline.

When adrenaline levels drop, oxytocin can rise again, helping contractions to progress. And so on...

This cycle allows labour to progress whilst keeping pain levels "under control".

Synthetic oxytocin, sometimes given to induce labour, increases contractions but without the calming effect of beta-endorphins. This causes significant stress and therefore an excessive release of adrenaline, which can abruptly stop labour. The use of instruments such as ventouse or forceps then becomes more likely.[6]

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Masturbation: a pain reliever during labour?

As the baby's head descends through the canal, it can sometimes stimulate the hypogastric nerve and the pelvic nerve, and even touch what is known as the G-spot.[7]

Stimulation of the clitoris and vagina may also have an analgesic effect[8].

During labour, as contractions intensify, some women will instinctively bring their hand to their vagina to apply gentle pressure — it's a natural reflex!

Studies have shown that pain tolerance increased by 50% when the internal walls of the vagina were stimulated. When women also stimulated their clitoris, this tolerance increased by up to 75%![9],[10] 

One hypothesis put forward by researchers is that the nerves of the vagina can send messages directly to the brain, bypassing the spinal cord, thereby relieving pain and sometimes triggering an orgasm in these women.

Indeed, women with spinal cord injuries can also experience a significant reduction in pain with vaginal stimulation.

This hypothesis was subsequently verified by MRI: the nerves of the vagina bypassed the spinal cord entirely to transmit messages to the brain!

True or false?

It is possible that having sex may help to trigger labour. Unfortunately, no study has been able to conclusively confirm this effect…

Take Care Mama

Masturbation is not the only way to help make labour a more comfortable experience. Find what works best for you.

The birthgasm or orgasmic birth

The birthgasm: what is it?

Ina May Gaskin, midwife and pioneer ofnatural birth, often regarded by her peers as the mother of modern obstetrics, had observed that some women behaved during labour as though they were experiencing an orgasm. [11]

The "birthgasm" can happen involuntarily and suddenly with the back-and-forth movements of the baby through the birth canal, or when the woman, with the help of her partner, touches herself during labour in order to ease the pain. [12]

As Debra Pascali-Bonaro, a doula at the heart of the orgasmic birth movement [31], points out, the idea is not to place performance pressure on women, but to challenge beliefs around birth and to open up to the possibility that birth can indeed be "orgasmic".

Does a birthgasm really happen?

In a 2013 study published in the journal Sexologies, researchers had interviewed 100 midwives in France who had attended the births of more than 206,000 babies.

They concluded that this "birthgasm" had been observed in 0.3% of births.

More than 69% of the midwives in the study reported having witnessed this phenomenon at least once.

Midwives who have attended these births describe the intensity as simply being linked to a feeling of love and relief at the prospect of soon meeting their baby.

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How can you have a more "comfortable" birth experience without resorting to masturbation?

If the idea of touching yourself or reaching orgasm during labour feels too strange, no worries!

Do whatever makes you feel good: simply receiving a massage from your partner, kissing them, being in an environment where you feel comfortable (soft lighting, a flickering candle…) can make all the difference.

You can also find out before your birth about relaxation or breathing techniques, herbs, a pregnancy supplement, aromatherapy, acupuncture or reflexology. [20], [21] 

Ina May Gaskin recommended techniques such as nipple stimulation or any type of stimulation to help labour progress if it stalls.

In Greek, oxytocin literally means "swift birth". It is produced in response to stimulation such as on the breasts [14], nipples, clitoris, vagina, cervix… or when we do skin-to-skin with our baby or when we breastfeed.

It is known as "the love hormone". According to researchers, oxytocin increases the number of receptors in the uterus and helps to regulate contractions. [15] Studies have thus highlighted a natural pain-relieving role for oxytocin. [16]

Not only can a partner provide essential emotional support, but they can also play an active role in reducing pain through touch and massage. 

Having sex may also help to trigger labour. Semen contains high levels of prostaglandins, which can help to ripen the cervix and prepare it for labour.

However, studies are divided on this. In a randomised controlled trial, 108 women were advised to have sex to trigger labour, and 102 received no particular instruction. [17]

The researchers found no significant differences between the 2 groups, whether regarding their cervix, their likelihood of having had a caesarean section, or other factors.

As far back as 1968, researcher Meares highlighted the importance of not frightening yourself with stories of difficult births, so as not to perpetuate a negative view of childbirth, and thereby giving your body and your baby a chance to give birth naturally. [18]

Giving your body a chance to experience labour pain and approaching it as a positive experience can also reduce the risk of medical interventions.

Get support from a doula, to experience a calm and peaceful birth, whether it takes place in hospital or as a home birth.

Privacy matters for feeling comfortable. Indeed, the cervix and vagina are what Gaskin calls "shy" muscles — meaning they can only function when they feel at ease, in "private".

Birth is an inherently complex process, which makes it a highly environment-sensitive event. [19] Like love, everything goes more smoothly when you feel good and safe.

Birth prep challenge

Your pregnancy is nearing its end? Jolly Mama coaches you to give you all the keys to a calm birth

Childbirth: masturbation as a pain relief?

In conclusion

Although the concept of orgasmic birth is increasingly present in academic research, very few couples are aware of it. And yet, giving birth can be a magical and intense experience!

It is time to better understand our own inner resources, to trust ourselves, to bring sexuality back to the heart of childbirth — without shame, without fear — and to let our hormones and our bodies guide us.

And if you're looking for an alternative to pain relief, discover our article on giving birth without an epidural

And after giving birth, to support your recovery, you might consider the best postpartum food supplement: collagen! It supports muscle recovery, and helps maintain tissue and body health.

[1] Colson, Marie. (2010). Female orgasm: Myths, facts and controversies. Sexologies. 19. 8-14. 10.1016/j.sexol.2009.11.004

[2] Meston CM, Frohlich PF. The neurobiology of sexual function. Arch Gen Psychiatry. 2000 Nov; 57(11):1012-30. 10.1001/archpsyc.57.11.1012

[3] Russell JA, Douglas AJ, Ingram CD. Brain preparations for maternity--adaptive changes in behavioral and neuroendocrine systems during pregnancy and lactation. An overview. Prog Brain Res. 2001;133:1-38. 10.1016/s0079-6123(01)33002-9

[4] Hotelling BA. From psychoprophylactic to orgasmic birth. J Perinat Educ. 2009 Fall;18(4):45-8. 10.1624/105812409X474708

[5] Buckley, Sarah. (2010). Sexuality in Labour and Birth: An Intimate Perspective. 10.1002/9781444317701.ch12

[6] Buckley, Sarah. (2010). Sexuality in Labour and Birth: An Intimate Perspective. 10.1002/9781444317701.ch12

[7] Whipple B, Josimovich JB, Komisaruk BR. Sensory thresholds during the antepartum, intrapartum and postpartum periods. Int J Nurs Stud. 1990;27(3):213-21. 10.1016/0020-7489(90)90036-i

[8] Whipple B, Komisaruk BR. Elevation of pain threshold by vaginal stimulation in women. Pain. 1985 Apr;21(4):357-367. 10.1016/0304-3959(85)90164-2

[9]Komisaruk, B.R. and Sansone, G. (2003), Neural pathways mediating vaginal function: The vagus nerves and spinal cord oxytocin. Scandinavian Journal of Psychology, 44: 241-2501 10.1111/1467-9450.00341

[10] Whipple B, Komisaruk BR. Elevation of pain threshold by vaginal stimulation in women. Pain. 1985 Apr;21(4):357-367.

[11] Ina May Gaskin: Ina May's Guide to Childbirth

[12] Harel, Danielle. (2007). Sexual Experiences of Women during Childbirth.

[13] https://www.orgasmicbirth.com/about/

[14] Kavanagh J, Kelly AJ, Thomas J. Breast stimulation for cervical ripening and induction of labour. Cochrane Database Syst Rev. 2005 Jul 20;(3):CD003392. 10.1002/14651858.CD003392

[15] Buckley, S. J. (2003). Undisturbed Birth: Nature's Blueprint for Ease and Ecstasy. Journal of Prenatal & Perinatal Psychology & Health, 17(4), 261–288.

[16] Yang J, Yang Y, Chen JM, Liu WY, Wang CH, Lin BC. Effect of oxytocin on acupuncture analgesia in the rat. Neuropeptides. 2007 Oct;41(5):285-92. 10.1016/j.npep.2007.05.004

[17] Tan PC, Yow CM, Omar SZ. Effect of coital activity on onset of labor in women scheduled for labor induction: a randomized controlled trial. Obstet Gynecol. 2007 Oct;110(4):820-6. 10.1097/01.AOG.0000267201.70965.ec

[18] Relief without drugs - The Self-Management of Tension, Anxiety, and Pain Hardcover – January 1, 1968

[19] Buckley, S. J. (2003). Undisturbed Birth: Nature's Blueprint for Ease and Ecstasy. Journal of Prenatal & Perinatal Psychology & Health, 17(4), 261–288.

[20] Bayles, B.P. (2007), Herbal and Other Complementary Medicine Use by Texas Midwives. Journal of Midwifery & Women's Health, 52: 473-478. 10.1016/j.jmwh.2007.03.023

[21] Hall HG, McKenna LG, Griffiths DL. Midwives' support for Complementary and Alternative Medicine: a literature review. Women Birth. 2012 Mar;25(1):4-12. 10.1016/j.wombi.2010.12.005

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