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Is giving birth
really that scary?

For anyone hoping to have a baby, already expecting, or planning to be there
No. 231Pregnancy & KidsPart 30 of 31Fact-checked Oct 13, 2026
Video2:38 · English voice (AI) · English subtitles

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The full narration of the video.

Two lines on the test, and you're happy all day. Then late at night, you quietly search: how much does giving birth really hurt? The pain is real. But do you just have to grit your teeth? Or can it be turned down? First things first: being scared is normal.

In two studies in China, about two in three pregnant women were at least a little afraid of giving birth. Worldwide, roughly one pregnant woman in seven is very afraid. So it's not being dramatic. Open it up, and the fear is usually four things: pain, something going wrong, the unknown, and being alone.

Start with the biggest piece: pain. Many people picture labor as a dozen hours of nonstop pain. In fact, it comes in waves: the womb squeezes, then lets go, like waves on a beach.

A wave rises, then falls back. While it's out, your body gets to rest. Later on, the waves get bigger and closer. Near the end, each lasts about a minute and comes every two or three minutes. But unlike real waves, they don't crash at random: each one is doing a job, pushing open the door the baby comes out of, bit by bit.

Piece two: something going wrong. In nineteen ninety, out of every hundred thousand mothers in China, nearly eighty-nine died because of childbirth. By twenty twenty-four, it was just over fourteen. Five-sixths of the risk, gone. But it isn't zero, so checkups and giving birth in a hospital still matter.

Piece three: the unknown. A review of twenty-eight studies found: women who took a class and knew every step ahead were clearly less afraid. Most of those studies were small, so the evidence is only moderate. Piece four: being alone.

Another review, nearly sixteen thousand women: those with someone beside them start to finish more often gave birth on their own, and remembered it more kindly. Finally, back to the start: can the pain be turned down? Yes. A doctor places a very thin soft tube in your lower back, and medicine flowing through it blocks most of the pain on its way up.

It's called labor pain relief, often known as an epidural. The waves still come and still push the door, but by the time they reach you they're small, like waves behind a seawall. You stay awake and can still push. A review of forty studies: pain was clearly lower, and C-sections didn't go up.

In pilot hospitals, its use rose from under thirty percent in twenty seventeen to over half in twenty twenty. Under national rules, big hospitals that deliver babies were to offer it from the end of last year. By twenty twenty-seven, mid-level hospitals too. It turns the pain down, not off. It isn't right for everyone, so ask your doctor ahead of time.

Being scared is normal. Open it up, and every piece can be made smaller. The thing you feared most before giving birth: did it actually happen?

1

The question you
search at 2 a.m.

Two lines on the test. You were happy all day. Then at midnight you quietly searched: how much does giving birth really hurt?

Being scared is normal.
You're not being dramatic.

In two studies in China, about two in three pregnant women were at least a little afraid. Worldwide, about one in seven is very afraid.

2

One fear, four pieces

PainThe biggest piece.
Something going wrongFor you and the baby.
Not knowingWhat will it be like?
Being aloneWill anyone be there?

Let's look at them one by one. Each one can be made smaller.

3

The pain comes in waves

rest rest bigger and closer later on

Many people picture labor as a dozen hours of nonstop pain. In fact the womb squeezes, then lets go — like a wave rolling in and pulling back. While it's out, your body gets to rest.

Near the end, each one lasts about a minute, and they come every two to three minutes.

Where the comparison breaks down: real waves crash at random, but every one of these is doing a job — pushing open the door the baby comes out of, bit by bit. For how the body knows it's time, see how the body knows it's time to give birth.

4

Something going wrong:
five-sixths less in 30-odd years

88.8 14.3 1990 2024

In China, out of every hundred thousand mothers, nearly 89 died because of childbirth in 1990. In 2024 it was just over 14 — the lowest ever.

Five-sixths gone.
But it isn't zero.

So checkups and giving birth in a hospital still matter.

5

Not knowing, being alone:
both can be fixed

Know every step ahead
Women who took a class
were clearly less afraid
A review of 28 studies. Most were small, so the evidence is only moderate.
Someone there start to finish
More gave birth on their own, and remembered it more kindly
A review of nearly 16,000 women. Many hospitals let a partner stay; some offer a doula — a person whose job is to stay with you.
6

The pain can be turned down: a seawall by the shore

An anesthesiologist places a very thin soft tube in your lower back. Medicine flows through it and blocks most of the pain on its way up. It's called labor pain relief — often known as an epidural.

You stay awakeYou can still push. The waves still come and still open the door.
Clearly less painA review of 40 studies. C-sections didn't go up.
More and more people use itIn pilot hospitals in China: under 30% in 2017, over half in 2020.
Turned down,
not turned off
It isn't right for everyone, so ask your doctor ahead of time. Under national rules in China, all big hospitals that deliver babies must offer it from the end of 2025, and mid-level hospitals too by 2027.
The thing you feared most before giving birth — did it actually happen?
Being scared is normal. Take it apart — pain, something going wrong, not knowing, being alone — and every piece can be made smaller.
Samshang × Maddox
Sources: O'Connell et al., Worldwide prevalence of tocophobia in pregnant women, Acta Obstet Gynecol Scand 2017; The prevalence and predictors of fear of childbirth among pregnant Chinese women, BMC Pregnancy Childbirth 2021; Fear of Childbirth and Associated Risk Factors in Healthy Pregnant Women in Northwest of China; National Health Commission of China, 2024 Statistical Bulletin on Health; China national maternal mortality reports, 1990–2014; The effect of prenatal education on the fear of childbirth: a systematic review and meta-analysis, 2025; Bohren et al., Continuous support for women during childbirth, Cochrane 2017; Anim-Somuah et al., Epidural versus non-epidural or no analgesia for pain management in labour, Cochrane 2018; NHC et al., Notice on fully promoting labor analgesia (Xinhua, 2025-06-05); China Daily, 2022-10-11, labor analgesia rates in pilot hospitals; Kaiser Permanente, Stages of labor
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