Tia, who is pregnant with her fourth child, recently separated from her husband. She is currently taking care of three children under the age of 7, and working two part-time jobs. What can Tia do to minimize the risk of the stresses of labor and delivery?

Tia can use aspects of natural childbirth. Natural childbirth is an approach to birth that reduces pain through the use of breathing and relaxation exercises. Natural childbirth methods emphasize preparation by educating mothers and their partners about childbirth, helping them to reduce their fear, and teaching them pain management techniques. The Lamaze method entails teaching pregnant women about their bodies, including detailed anatomical information, with the intent of reducing anxiety and fear. When women know what to expect and learn a breathing technique to help them relax, they are better able to manage the pain of childbirth. A doula can be an important source of support. A doula is a caregiver who provides support to an expectant mother and her partner throughout the birth process. Doulas provide education about anatomy, delivery, and pain management practices, such as breathing. The doula is present during birth, whether at a hospital or other setting, and helps the woman carry out her birth plans. The presence of a doula is associated with less pain medication, fewer cesarean deliveries, and higher rates of satisfaction in new mothers