The Lamaze technique, also known as the psychoprophylactic method or simply Lamaze, began as a prepared childbirth technique. As an alternative to medical intervention during
childbirth
Childbirth, also known as labour and delivery, is the ending of pregnancy where one or more babies exits the internal environment of the mother via vaginal delivery or caesarean section. In 2019, there were about 140.11 million births globall ...
, it was popularized in the 1950s by
French obstetrician
Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgi ...
Dr.
Fernand Lamaze
Fernand Lamaze (; 1891–1957) was a French obstetrician, most famous as the popularizer of psychoprophylaxis, a method of childbirth preparation and pain management that bears his name (the Lamaze technique).
Career
Lamaze visited the S ...
and based on his observations in the
Soviet Union
The Soviet Union,. officially the Union of Soviet Socialist Republics. (USSR),. was a transcontinental country that spanned much of Eurasia from 1922 to 1991. A flagship communist state, it was nominally a federal union of fifteen national ...
. The goal of Lamaze is to build a mother's confidence in her ability to give birth, through classes that help pregnant women understand how to cope with pain in ways that both facilitate labor and promote comfort, including
relaxation techniques
A relaxation technique (also known as relaxation training) is any method, process, procedure, or activity that helps a person to relax; to attain a state of increased calmness; or otherwise reduce levels of pain, anxiety, stress or anger. Relax ...
, movement, and
massage
Massage is the manipulation of the body's soft tissues. Massage techniques are commonly applied with hands, fingers, elbows, knees, forearms, feet or a device. The purpose of massage is generally for the treatment of body stress or pain. In Eu ...
.
There is a training and certification program available to practitioners, leading to the Lamaze Certified Childbirth Educator (LCCE) designation.
History
Dr. Lamaze was influenced by childbirth practices in the
Soviet Union
The Soviet Union,. officially the Union of Soviet Socialist Republics. (USSR),. was a transcontinental country that spanned much of Eurasia from 1922 to 1991. A flagship communist state, it was nominally a federal union of fifteen national ...
, which involved breathing and relaxation techniques under the supervision of a ''"monitrice"'', or
midwife
A midwife is a health professional who cares for mothers and newborns around childbirth, a specialization known as midwifery.
The education and training for a midwife concentrates extensively on the care of women throughout their lifespan; co ...
. The Lamaze method gained popularity in the United States after Marjorie Karmel wrote about her experiences in her 1959 book ''Thank You, Dr. Lamaze'', as well as
Elisabeth Bing
Elisabeth Dorothea Bing (née Koenigsberger; 8 July 1914 – 15 May 2015) was a German physical therapist, co-founder of Lamaze International, and proponent of natural childbirth. She trained as a physical therapist in England after fleeing Nazi ...
's book ''Six Practical Lessons for an Easier Childbirth'' (1960). Both Karmel and Bing would later found the American Society for Psychoprophylaxis in Obstetrics in 1960, later renamed to
Lamaze International
Lamaze International, formerly the American Society for Psychoprophylaxis in Obstetrics or ASPO, is an organization dedicated to promoting the Lamaze technique of natural childbirth. It was co-founded in 1960 by Elisabeth Bing
Elisabeth Doroth ...
.
Practices
The core beliefs of Lamaze International are summarized in a list titled "Six Healthy Birth Practices":
# Let
labor
Labour or labor may refer to:
* Childbirth, the delivery of a baby
* Labour (human activity), or work
** Manual labour, physical work
** Wage labour, a socioeconomic relationship between a worker and an employer
** Organized labour and the labour ...
begin on its own.
# Walk, move around and change positions throughout labor.
# Bring a loved one, friend or
doula
A doula () is a trained professional who provides expert guidance for the service of others and who supports another person (the doula's client) through a significant health-related experience, such as childbirth, miscarriage, induced abortion or ...
for continuous support.
# Avoid interventions that are not medically necessary.
# Avoid giving birth on your back and follow your body's urges to push.
# Keep mother and baby together – it's best for mother, baby and breastfeeding.
Each of the practices includes a video, a patient handout, and professional references for medical personnel. The Lamaze Healthy Birth Practices are available in eleven languages: English, Mandarin, Russian, Spanish, Portuguese, Czech, Polish, Romanian, Greek, Arabic, and Hebrew.
Criticism
Lamaze himself has been criticized for being over-disciplinary and
anti-feminist. Natural childbirth activist
Sheila Kitzinger
Sheila Helena Elizabeth Kitzinger MBE (29 March 1929 – 11 April 2015) was a British natural childbirth activist and author on childbirth and pregnancy. She wrote more than 20 books and had a worldwide reputation as a passionate and committed ...
’s description of the methods she deployed while working in a Paris clinic during the 1950s expresses concern regarding "the disciplinary nature" of Lamaze’s approach to childbirth. According to Kitzinger, Lamaze consistently ranked the women’s performance in childbirth from "excellent" to "complete failure" on the basis of their "restlessness and screams". Those who "failed" were, he thought, "themselves responsible because they harbored doubts or had not practiced sufficiently", and "intellectual" women who "asked too many questions" were considered by Lamaze to be the most "certain to fail".
The Lamaze technique has also been criticized for being ineffective.
See also
*
Natural childbirth
Natural childbirth is childbirth without routine medical interventions, particularly anesthesia. Natural childbirth arose in opposition to the techno-medical model of childbirth that has recently gained popularity in industrialized societies. Natur ...
*
Lamaze International
Lamaze International, formerly the American Society for Psychoprophylaxis in Obstetrics or ASPO, is an organization dedicated to promoting the Lamaze technique of natural childbirth. It was co-founded in 1960 by Elisabeth Bing
Elisabeth Doroth ...
References
Notes
External links
Official site of Lamaze InternationalReally Teaching Lamaze: Evidence-Based PracticeRecords of Lamaze International.Schlesinger Library
Radcliffe Institute, Harvard University.
Audiotape Collection of Lamaze International.Schlesinger Library
Radcliffe Institute, Harvard University.
Moving Image Collection of Lamaze International.Schlesinger Library
Radcliffe Institute, Harvard University.
{{DEFAULTSORT:Lamaze Technique
Childbirth
Natural childbirth