The same hormones are stimulated and released during birth as they are during orgasm, causing similar physical and emotional sensations. Some women describe their birth as euphoric and even pleasurable and some women experience orgasms while giving birth. There are many similarities between the facial expressions, body language and noises that women make during orgasm and birth. Midwives should be open to the possibility of an orgasmic birth and ensure women have the privacy, dignity and respect to fulfil their own unique and sensual birth experience.