Stephen King - Different Seasons

Miss Stansfield, admirable as she may have been, determined as she may have been, was not immune to it And the rest follows so naturally it needs no telling. There was a young man in her acting classes. The two of them went out several times. She did not love him, but she needed a friend. By the time she discovered he was not that and never would be, there had been two incidents. Sexual incidents. She discovered she was pregnant. She told the young man, who told her he would stand by her and 'do the decent thing'. A week later he was gone from his lodgings, leaving no forwarding address. That was when she came to me.

During her fourth month, I introduced Miss Stansfield to the Breathing Method - what is today called the Lamaze Method. In those days, you understand, Monsieur Lamaze was yet to be heard from.

'In those days' - the phrase has cropped up again and again, I notice. I apologize for it but am unable to help it - so much of what I have told you and will tell you happened as it did because it happened 'in those days'.

So ... 'in those days', over forty-five years ago, a visit to the delivery rooms in any large American hospital would have sounded to you like a visit to a madhouse. Women weeping wildly, women screaming that they wished they were dead, women screaming that they could not bear such agony, women screaming for Christ to forgive them their sins, women screaming out strings of curses and gutter-words their husbands and fathers never would have believed they knew. All of this was quite the accepted thing, in spite of the fact that most of the world's women give birth in almost complete silence, aside from the grunting sounds of strain that we would associate with any piece of hard physical labour.

Doctors were responsible for some of this hysteria, I'm sorry to say. The stories the pregnant woman heard from friends and relatives who had already been through the birthing process also contributed to it. Believe me: if you are told that some experience is going to hurt, it will hurt. Most pain is in the mind, and when a woman absorbs the idea that the act of giving birth is excruciatingly painful - when she gets this information from her mother, her sisters, her married friends, and her physician - that woman has been mentally prepared to feel great agony.

Even after only six years' practice, I had become used to seeing women who were trying to cope with a twofold problem: not just the fact that they were pregnant and must plan for the new arrival, but also the fact - what most of them saw as a fact, anyway - that they had entered the valley of the shadow of death. Many were actually trying to put their affairs in coherent order so that if they should die, their husbands would be able to carry on without them.

This is neither the time nor place for a lesson on obstetrics, but you should know that for a long time before 'those days', the act of giving birth was extremely dangerous in the Western countries. A revolution in medical procedure, beginning around 1900, had made the process much safer, but an absurdly small number of doctors bothered to tell their expectant mothers that. God knows why. But in light of this, is it any wonder that most delivery rooms sounded like Ward Nine in Bellevue? Here are these poor women, their time come round at last, experiencing a process which has, because of the almost Victorian decorum of the times, been described to them only in the vaguest of terms; here are these women experiencing that engine of birth finally running at full power. They were seized with an awe and wonder which they immediately interpreted as insupportable pain, and most of them felt that they would very shortly die a dog's death.

In the course of my reading on the subject of pregnancy, I discovered the principle of the silent birth and the idea of the Breathing Method. Screaming wastes energy which would be better used to expel the baby, it causes the women to hyperventilate, and hyperventilation puts the body on an emergency basis - adrenals running full blast, respiration and pulse-rate up - that is really unnecessary. The Breathing Method was supposed to help the mother focus her attention on the job at hand and to cope with pain by utilizing the body's own resources.

It was used widely at that time in India and Africa; in America, the Shoshone, Kiowa, and Micmac Indians all used it; the Eskimos have always used it; but, as you may guess, most Western doctors had little interest in it One of my colleagues - an intelligent man - returned the typescript of my pregnancy pamphlet to me in the fall of 1931 with a red line drawn through the entire section on the Breathing Method. In the margin he had scribbled that if he wanted to know about 'nigger superstitions', he would stop by a newsstand and buy an issue of Weird Tales!

Well, I didn't cut the section from the pamphlet as he had suggested, but I had mixed results with the method - that was the best one could say. There were women who used it with great success. There were others who seemed to grasp the idea perfectly in principle but who lost their discipline completely as soon as their contractions became deep and heavy. In most of those cases I found that the entire idea had been subverted and undermined by well-meaning friends and relatives who had never heard of such a thing and thus could not believe it would actually work.

The method was based on the idea that, while no two labours are ever the same in their specifics, all are pretty much alike in general. There are four stages: contractive labour, mid-labour, birth, and the expulsion of the afterbirth. Contractions are a complete hardening of the abdominal and pelvic-area muscles, and the expectant mother often finds them beginning in the sixth month. Many women pregnant for the first time expect something rather nasty, like bowel cramps, but I'm told it's much cleaner - a strongly physical sensation, which may deepen into a pain like a charley horse. A woman employing the Breathing Method began to breathe in a series of short, measured inhales and exhales when she felt a contraction coming on. Each breath was expelled in a puff, as if one were blowing a trumpet Dizzy Gillespie fashion.

During mid-labour, when more painful contractions begin coming every fifteen minutes or so, the woman switched to long inhales followed by long exhales - it's the way a marathon runner breathes when he's starting his final kick. The harder the contraction, the longer the inhale-exhale. In my pamphlet, I called this stage 'riding the waves'.

The final stage we need concern ourselves with here I called 'locomotive', and Lamaze instructors today frequently call it the 'choo-choo' stage of breathing. Final labour is accompanied by pains which are most frequently described as deep and glassy. They are accompanied by an irresistible urge on the mother's part to push ... to expel the baby. This is the point, gentlemen, at which that wonderful, frightening engine reaches its absolute crescendo. The cervix is fully dilated. The baby has begun its short journey down the birth canal, and if you were to look directly between the mother's legs, you would be apt to see the baby's fontanell pulsing only inches from the open air. The mother using the Breathing Method now begins to take and let out short, sharp breaths between her lips, not filling her lungs, not hyperventilating, but almost panting in a perfectly controlled fashion. It really is the sound children make when they are imitating a steam-driven locomotive.

All of this has a salutary effect on the body - the mother's oxygen is kept high without putting her systems on an emergency basis, and she herself remains aware and alert, able to ask and answer questions, able to take instructions. But of course the mental results of the Breathing Method were even more important. The mother felt she was actively participating in the birth of her child - that she was in some part guiding the process. She felt on top of the experience ... and on top of the pain.