1. Lack of belief in the process of normal natural labor and birth
2. Having someone in the room during labor who makes the laboring mother uncomfortable
3. Having an audience at home or in the hospital during labor
4. Being spoken to unkindly by any care providers-nurses, midwives, doctors in the hospital
5. Having a care provider who has little experience or knowledge about the natural process of labor
and birth but who has knowledge about the pathology of labor and birth.
6. Having unresolved issues in the relationship with the father of the baby.
7. Previous sexual abuse
8. Previous loss of baby
9. Previous bad labor and birth experience
10. Having a controlling personality/unable to let go/unwilling to take suggestions from birth team
11. Having a people pleasing attitude and not communicating true wishes to birth team
12. Unsure about becoming a mother-feelings of inadequacy
13. New role with spouse-will I still be sexy, attractive, etc.
14. Focused and worried about mother’s, sister’s, or friend’s bad labor and birth experience.
15. Belief that a surgical birth would just be easier.
16. Second or third (or more) baby-Knows how much work is ahead and hesitant to let go and make it happen
17. Career woman may be resentful that baby is going to hamper career goals
18. Poor nutrition during pregnancy-not taking it seriously enough
19. Baby’s position-mal-presentation, posterior
20. Cervix has not effaced or moved from posterior to anterior position before labor begins
21. Exhaustion-not sleeping or resting in early labor
22. Not eating and drinking in labor
23. Going to the hospital in early labor and not going back home if she’s not 5 CM dilated
24. Going to the hospital soon after water breaks
25. Fear of hospital
26. Cervical scar tissue
27. Being stuck in bed
28. Having bright lights on
29. Strangers walking in and out of the room
30. Nurse shift change can unsettle a mother who has grown to trust her nurse