Embarrassing pregnancy questions: part 2

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I'm scared of 'losing control' during labour and making grunting noises. Should I have an epidural to prevent this?
Women often worry about whether or not they'll make strange noises or behave out of character during labour. It's usually during the second stage of labour that mums-to-be become more 'vocal', because they have an overwhelming, involuntary urge to 'bear down'.

Although women may make noises, it doesn't mean they're out of control. In fact, you may feel more out of control with an epidural if you can't feel what's actually going on. The reality is that, at the time, you're so focused on giving birth you won't notice what noises you make.

If you do start to make involuntary sounds, it's a positive sign you're approaching the second stage of labour and, therefore, usually suggests that you're making good progress. No one cares how much noise you make, and when it comes to it, neither will you!

I hate the thought of internal examinations in labour. Do I have to have them?
An internal examination can only be done with your consent, and if you're sure you really don't want one, then your wish should be respected. By doing an internal examination, the midwife can tell how dilated your cervix is and what position your baby is in. Women usually want to know about their progress in labour and will ask the midwife to examine them. By using breathing exercises or gas and air and by emptying your bladder first, it shouldn't feel too uncomfortable.

However, in a straightforward labour, a midwife should still be able to tell that you're making good progress without frequent vaginal examinations.

- More embarrassing questions answered

More help and advice

- Insider's guide to labour and birth
- Inducing labour
- Caesarean births explained
- Pain relief options during labour