Useful prohibitions
Or what can not be done during childbirth
There is much talk now that childbirth is a natural, or, in the language of doctors, physiological process. But this does not mean that at the time the baby is born, his mother can behave as she pleases. In order for the birth of the baby to end safely, a woman needs to learn some of the restrictions that must be observed during childbirth.
Do not forget the exchange card . When going to the maternity hospital, you should definitely put this important document in your bag, because if it is absent, doctors can get information about your pregnancy only from your lips, but even if you are a doctor and all the information presented is reliable, then there is official evidence that you went through all the examinations and did the tests, no. And this circumstance allows us to think that tests, in particular for AIDS, syphilis and hepatitis, could be positive. Therefore, a woman without an exchange card may not be accepted into the maternity hospital or placed in a special observatory. You also need to take a passport with you, and if a contract was concluded with the maternity hospital, then documents confirming this. In addition, you should have with you an insurance policy, preferably with a copy.
By the way, if you forget one of your personal belongings at home, it will not be so important, because in all maternity hospitals you will be given slippers if necessary (but it’s better, of course, to bring them with you), and your bathrobe and nightgown are overwhelming most medical institutions issued a woman in childbirth without fail.
You can’t rush, fuss. With the onset of labor, with the first fight, you do not need to hurry out of the house. After all, contractions - involuntary contractions of the muscles of the uterus, manifested by pains in the lower abdomen or in the lower back - at first can be irregular, appearing at large time intervals (30 minutes or more). Such contractions in no way lead to the rapid disclosure of the cervix, they allow you to rush, think through everything, get together and get to the hospital. So, the duration of the first birth, as a rule, is 10-12 hours, the second and subsequent births occur faster (6-8 hours), but still the woman has enough time to get to the hospital. Your relatives should remember that you don’t need to rush, especially if there is a driver among them who undertook to deliver the expectant mother to the maternity hospital. Hurry should be in cases where the previous birth was quick or swift, when the water poured out, especially if the water is not clear, but has a greenish tint, which indicates that the baby is suffering inside the womb; and, of course, in cases when blood is secreted from the genital tract, this is possible with placental abruption, a condition that threatens both the mother and the baby. In other cases, during the first birth you can go to the hospital, when the intervals between contractions will be on average 10 minutes, during the second and subsequent births - 15 minutes. This statement is true if you can get to the hospital within an hour and a half.
In many maternity hospitals, women in labor are not allowed to eat and drink during childbirth. . This requirement is justified by the fact that during childbirth there may be a need for general anesthesia, with the possibility of regurgitation - throwing the contents of the stomach into the mouth, and from there into the lungs, which, in turn, can lead to severe pneumonia (pneumonia). In addition, during contractions due to the reflex connection existing between the cervix and the stomach, vomiting sometimes occurs. The more content is in the stomach, the greater the likelihood of such phenomena.
During contractions, you can’t tighten, strain - on the contrary, you should relax all muscle groups as much as possible. During the first period of childbirth, the cervix is \u200b\u200bsmoothed, the uterine pharynx opens, which allows the baby to be born. At the same time, uterine contractions seem to push the fetus out of the uterus. If at the same time straining the muscles of the pelvic floor, muscles of the extremities, then this tension creates an obstacle to the movement of the baby along the birth canal. In addition, pelvic floor muscle tension can lead to cervical spasm. A situation may arise in which painful contractions will not lead to the opening of the cervix. In addition, tension during contractions can provoke an increase in their soreness. With tension in the body, hormones are released that cause a decrease in the pain threshold. It turns out that the more a woman strains, fearing the pain of the upcoming fight, the more pain becomes. If muscle tension is absent, then all emotional reactions die out, including manifestations of pain. Thus, if the body is completely relaxed during childbirth, this eliminates the excessive tone of the circular fibers of the lower segments of the uterus, cervix, which cause pain during contractions. In a state of complete relaxation (relaxation) and calm, the activity of the uterus during childbirth is perceived simply as muscle contraction.
In order to minimize stress during childbirth, you should use all possible reserves that lie in inhaling, taking a comfortable posture, self-anesthetizing massage and mood.
With the onset of contractions, when the pain is neither strong nor prolonged, you can breathe deeply and evenly during the contractions (the so-called slow breathing). When involuntary contractions of the uterine muscles become more frequent and painful, frequent shallow breathing (similar to dog breathing) can be used.
Certain poses help to relax as much as possible: standing by the bed with support on the back of the bed, sitting on a large ball, lying on its side.
You can reduce pain and relax by making circular movements with your fists in the lumbar region, stroking under the stomach on both sides of the pubic joint parallel to the inguinal fold. A warm shower also relaxes.
During childbirth, it is important to think about their successful outcome, the upcoming meeting with the baby.
Relaxing at least once during the fight, you will realize that it is much easier to tolerate the discomfort associated with uterine contractions.
Do not strain yourself during the examinations of the doctor (during these examinations, the doctor determines the opening of the cervix, the position of the fetus, the advancement of the head or pelvic end), since the tension also only intensifies the pain. At the time of the vaginal examination, try to breathe often and superficially, to relax all muscle groups, especially the perineum.
During childbirth, you should not lie on your back. This restriction is valid not only for the period of childbirth, but also for the second half of pregnancy. In the supine position, the pregnant uterus squeezes large vessels (such as the aorta and the inferior vena cava), which leads to a deterioration in blood flow to the heart, brain, other organs, uterus, and fetus. This, in turn, leads to oxygen starvation of the baby and stagnation of venous blood in the internal organs (including the uterus). This is what the so-called inferior vena cava syndrome consists of. Therefore, if for some reason you are in bed during some contractions, you need to take a half-sitting or lying position on your left side.
You cannot sit during childbirth. You must adhere to this rule closer to the end of the first period of labor, when contractions have already become quite frequent - after 1-2 minutes - and strong, and even more so when you first had the desire to push. At this time, the baby’s head already enters the birth canal, and, sitting down on the bed, the expectant mother creates an obstacle to the birth of the head.
You can not scream during fights. During a scream, you exhale air, lose strength, while air is vital for a baby who, during contractions, already experiences oxygen starvation. This is due to the fact that at the time of uterine muscle contraction, compression of the uterine vessels that feed the placenta occurs, their lumen becomes narrower, the fetus receives less oxygen and nutrients. The expectant mother during the cry also experiences oxygen starvation, as already mentioned, loses strength, which she still very useful during attempts. By the way, a cry during attempts also does not contribute to the successful course of the process of expelling the fetus.
It does not make sense during painful contractions to require you to have a cesarean section. A caesarean section is performed only in accordance with medical indications, since it, like any surgical operation, is associated with certain risks that exceed the risks that arise during childbirth. Caesarean section is performed only in situations where childbirth through the natural birth canal is fraught with serious danger to the life and health of the fetus or the woman herself.
Childbirth cannot end through the natural birth canal in the following cases:
· Premature detachment of the placenta - this situation is accompanied by bleeding, which is dangerous for the life of the mother and fetus.
· Placenta previa (placenta blocks the exit from the uterus).
· The transverse and oblique arrangement of the fetus in the uterus.
· The severe course of late pregnancy toxicosis is convulsions, an increase in blood pressure, which can not be treated with medications.
· Mismatch in the size of the pelvis of the mother and the fetal head.
· Umbilical cord loops.
· Tumors of the uterus, ovaries, bladder, blocking the birth canal and preventing the birth of a child (for example, uterine fibroids).
Doctors who monitor the course of pregnancy and childbirth, in the event of any of these complications, will promptly raise the question of the need for surgery, but in the absence of evidence, it is not advisable to require surgery.
It is not advisable to demand pain relief when the doctor says that it is too late. Of the medical methods of pain relief, nitrous oxide, narcotic analgesics and epidural anesthesia are most often used. Nitrous oxide, which is supplied with a mask, can be used until the end of the contractions, because this mixture is excreted immediately after inhalation - through the upper respiratory tract. Other methods of pain relief - the introduction of narcotic analgesics, epidural anesthesia - are used only at some specific point in childbirth. So, narcotic analgesics are usually administered when the opening of the cervix is \u200b\u200b5-6 cm; if you enter the analgesic later, then there is little time left until the end of the birth (full opening of the cervix is \u200b\u200b10 cm, while opening up to 3-4 cm is the longest stage of childbirth), and the baby who has received a certain dose of the drug may be born into narcotic depression , up to the depression of the respiratory center. If epidural anesthesia is performed before the end of labor, then at the time of the attempt, the woman will not feel the urge to try, will not be able to effectively strain the muscles of the anterior abdominal wall.
You can not push for the first time without the permission of a doctor or midwife. When, after a period of contractions, you have a desire to push, similar to the urge to defecate (desire to empty the intestines), you cannot realize this desire immediately. Premature attempts can lead to injuries to both the mother and the baby. The desire to push comes when the fetal head begins to put pressure on the muscles of the pelvic floor. It should be borne in mind that the sensitivity threshold for all women is different, therefore, attempts at someone begin when the head has not yet moved far along the birth canal and is high, and for someone when the head is already located on the pelvic floor and her it remains to overcome only a small section of the path. If events develop as described in the second case, then you will be allowed to try your hand immediately, if the head is still high, then you must skip attempts, using special breathing techniques. This need is justified by the following: the fetal head should pass through the birth canal gradually, since during overcoming this short but difficult path it undergoes the so-called configuration: while passing through the birth canal, the bones of the skull overlap one another like a tiled roof. This is due to the fact that there are sutures and fontanels between the bones of the skull - areas where there is no bone tissue, but so far only connective tissue (after the birth of the baby, these areas begin to be closed with bone tissue). If you start to push, when the fetal head is still at the very beginning of the birth canal, the configuration has not yet occurred, then passing it can be traumatic for the child.
Another circumstance that determines the need for timely attempts is the condition of the cervix. If you start to squeeze when the cervix has not yet fully opened, then when moving the head forward by contracting the abdominal muscles (and this is an attempt), there is a chance of injury - ruptures of the cervix by the fetal head.
Thus, when you first felt the urge to push, breathe often and superficially (breathe in the effort), and then call someone from the medical staff.
During attempts, you can not push in the face, puff out cheeks . Proper attempts are the key to success of the second period of childbirth - the period of expulsion of the fetus, that is, the state of both the woman and her baby depends on the behavior of the mother during this period of childbirth. In order to push well and correctly, you need to gain a full chest of air; this can be done without difficulty, even if you are first trying to master it. Further actions may be incorrect. So, some women in labor puff out their cheeks, strain their facial muscles, while the attempt is ineffective, the fetal head does not move along the birth canal. In addition, after such attempts on the face and eyes, small hemorrhages can form. In order for the delivery to end quickly and safely, it is necessary, after you have gained a full chest of air, to swallow it (but not to exhale), press your chin to your chest, rest your feet on the devices specially designed for this on the delivery bed, and with your hands pull on the handrails of this bed. It is necessary to strain the muscles of the anterior abdominal wall as much as possible (a person performs similar actions in case of constipation). You need to push for an average of 20 seconds, then you need to exhale smoothly, then immediately inhale a full chest of air and repeat all over again. Such actions must be repeated three times in one attempt.
You can’t wait for the baby to start smiling at you in the first second and to suckle with pleasure. Childbirth is a complex, laborious process, not only for mom, but also for the baby. Sometimes a baby needs rest in order to grip the nipple well with his lips and get the first drops of colostrum, because in order to eat, the baby needs a lot of strength. A smile is a conscious manifestation of emotions, which appears only when the brain structures reach a certain level of development.
After the birth of the baby, you can’t think that everything is over. After the baby was born, you still have to give birth to the last, after which you will find the procedure for examining the birth canal. And all this is the very beginning of your new life as the mother of your wonderful baby.
We hope that compliance with these prohibitions will help you successfully overcome all the difficulties that are possible during childbirth.
* Pure red scarlet blood is secreted from the genital tract (in any quantity and at any stage of pregnancy);
* Amniotic fluid has poured out, or is leaking. Be sure to pay attention to the condition of the waters. Remember the time when they poured out, or began to leak.
* Contractions are frequent and painful.
If in your case the birth began with contractions, try to remember the time of the first fight. Write down on paper how long the fight began and how long it lasted.
Since the onset of labor try not to eat (maximum you can afford something “light”: yogurt, tea, crackers, crackers) and do not drink much. Many hospitals do not allow this, because vomiting may occur; plus, during childbirth, anesthesia may be required, and if the stomach is full, food can enter the lungs, which, of course, will lead to adverse consequences.
Required listen to the doctor and midwifetaking birth in order not to harm yourself or your baby!
During fights:
You cannot control the frequency and strength of contractions.
If there are no contraindications (premature birth, rapid delivery, pelvic presentation, poor health of the mother or child), try to move more, especially at the very beginning of childbirth: walk around the premises, often change the position of the body. This will speed up the birth process, blood circulation will be better, and more oxygen will be delivered to the baby, which is very important.
Necessary try to relax all the muscles as much as possible. Firstly, in the case when a woman is tensing, not even that, she can create an obstacle to the birth of a baby. Secondly, if you strain, the process will be more painful (due to hormones that are released during stress).
Ways to relieve stress:
1) Breath at the time of contractions: when they are neither strong nor long, breathe evenly and deeply; when contractions become painful and frequent, you can breathe often and superficially (approximately like a dog’s breathing). The main thing is to breathe, not hold your breath!
2) Comfortable posture: lying on the left side, standing near the bed and leaning on the back, sitting on a large inflatable ball (fitball). It’s better not to lie on your back, because this can lead to oxygen starvation of the baby and stagnation of blood in the internal organs, not counting situations when it is necessary: \u200b\u200bexamination, opening of the fetal bladder, CTG, ultrasound, listening to the heartbeat, childbirth in the 2nd stage of labor.
3) Anesthetic massage: it is possible to massage with your fists in a circular motion the lumbar region. Well helps massage the sacrum.
4) Try to sleep or at least pretend to be sleeping.
5) Movement of the pelvis: circular and swaying.
6) Calm, relaxing music can help noticeably.
7) Custom mood: think that your baby will be born soon, you will finally be able to pick him up and hold him close to you.
When women begin to feel quite painful contractions, many begin to demand that they have a cesarean section. Do not do this. This operation is performed only for certain indications, when childbirth in a natural way can threaten the life and health of the mother and child. In the event of any complication, the gynecologist who observes you during pregnancy, or the doctor taking the birth will raise a question about the operation. But, simply because you do not want to give birth yourself, or you can no longer endure the pain, you will not be operated on.
When contractions become frequent and powerfulcloser to the full opening of the cervix, and if there was a desire to push too - you cannot sit on the bed (it turns out an obstacle for the child). You can, for example, sit on a hospital duck.
Try to do not shout during painful periods, when the uterus contracts or during attempts, the child suffers from this, again, due to a lack of oxygen, and even so you lose more energy that is better to be saved.
During attempts:
You can delay or increase attempts.
You can’t arbitrarily start pushingbecause premature attempts can injure both the mother and the baby. When you feel the first time a strong desire to push, breathe in (try to breathe often and superficially), and immediately call a doctor or midwife.
How to push hard:take a deep, good breath, hold your breath (do not exhale), maximize your abdominal muscles, trying to help your child move along the birth canal (imagine that you are struggling to go to the toilet “in the big way”, if the pain in the birth canal intensifies - you doing everything right). Push for an average of 15-20 seconds, then exhale slowly to consolidate the result of the attempt. Try to relax before pushing the next time. For one fight is about 3 attempts. It is better to push fruitfully several times than to try to do it continuously during a fight - this is how a child suffers from a lack of oxygen, and you lose more strength. Try not to scream - it will only interfere.
Those. no need to push “in the face” (strain the muscles of the face), puff out your cheeks, as many do - this is how the child does not advance, plus small hemorrhages may appear on the face and eyes.
If you don’t start pushing right, doctors will begin to press on the stomach, as if squeezing a child. If necessary, obstetric forceps will have to be applied.
If you do not feel the effortor they will be too weak, you will be led by a doctor and a midwife.
I bring to your attention a video where the obstetrician-gynecologist talks in detail about the methods of pain relief in childbirth:
And another video, where a specialist at a birth preparation center explains which poses are most convenient:
The birth of a baby is a happy event for every family. However, many women have to recover for quite some time due to the healing of stitches, and joy can be overshadowed by poor health, discomfort and pain. Those who have already given birth to one or more children have an idea of \u200b\u200blabor activities, but primiparous mothers, especially, are interested in how to behave during childbirth and labor, to give birth easily and without breaks.
The woman’s fear of the upcoming birth is understandable, but one should never forget that this is, above all, the joy of the appearance of a long-awaited baby. Therefore, first of all, a woman in labor should push away negative thoughts and try to think positively. Of course, hard work is ahead, but the reward will be a meeting with his crumb.
In fact, the mother’s mood is transmitted to the baby in her womb, and when the fear goes off scale, the child also starts to get nervous. No need to think about pain - this is a temporary phenomenon, it is better to remember those who worry about their mother and look forward to her return from the hospital.
You should know how to behave during childbirth and labor, and then, due to the presence of the spirit, childbirth will be easier and faster. Typically, labor activity is divided into three main stages:
- Preparation of the uterus and baby for birth during labor;
- The birth of a child, through attempts;
- The final phase with the departure of the placenta.
In this regard, during preparation for childbirth, a woman should:
- Master the technique of proper breathing;
- Find the most successful posture that helps to give birth, and, at the same time, safe for the fetus;
- Learn to push hard so as not to injure the child and avoid gaps.
Nulliparous mothers may not know, but shouting during childbirth is not advisable, since at the same time the baby may experience oxygen starvation, and yet it is also difficult for him to move along the birth canal. In addition, fear, although it is a psychological condition, can exacerbate real pain.
Proper breathing, effort and posture
It is better for a woman to learn about how to breathe in advance, moreover, it is necessary to learn this, so you will have to work out during pregnancy.
This can be done by signing up for special courses that she can attend with her husband. It is important that a certain breath should correspond to each stage of labor.
Of course, to prompt how to behave, she will be a doctor, but a woman must master three basic techniques in advance:
- In the initial contractions, breathing should be used with a count - inhalation must be done during a spasm, and exhale very slowly in just a few seconds. Usually, when inhaling, they count to four, and when exhaling, they count to six.
- When strong and painful contractions are present, you should breathe like a dog - inhalation and exhalation should be quick and rhythmic.
- During the birth of a baby, breathing is distinguished by a deep breath and a strong exhalation with the direction of pressure on the lower abdomen - the uterus and vagina.
Proper breathing provides the fetus with normal oxygen supply, reduces pain, and contributes to the rapid completion of the birth process.
When discussing how to behave during childbirth and labor, this applies not only to breathing, but also to the optimal posture of the woman in labor. There is no single ideal pose for everyone to maximally conveniently expel the fetus, since the body of every woman has its own characteristics, both physiological and anatomical.
But it was noticed that it is more convenient for some women to give birth in a pose on all fours, though everything is in the same horizontal position - for this, a woman in labor should try to take this pose on her back, maximally extending her knees and tilting her face forward to her chest. Sometimes a woman can intuitively feel how she should turn or lie down. If this does not threaten the child, the doctor during the contractions will tell you how best to do it.
It is very important to make attempts correctly. The intensity of pain, the appearance or absence of tears depends on this. In addition, if pushing incorrectly, it can result in trauma to the baby.
What can not be done with attempts:
- When trying, you can not strain the muscles, as this inhibits the passage of the child through the birth canal - if the muscle tissue is relaxed, the uterus opens much faster, and the pain is not so strong.
- You can not put pressure on the head or rectum - only in the lower abdomen.
- It is forbidden to push hard at the full opening of the uterus, as this leads to rupture of the perineum and damage to the child.
On average, two or three attempts should fall on one fight. A woman in labor should not rush things - in any case, the baby will be born in due time, but mother must obediently listen to the doctor’s instructions. 
How to behave during childbirth and labor, to give birth easily and without breaks
So, the very first stage is the actual contractions, the purpose of which is to open the cervix to miss the baby.
How to behave during fights
This period can take from 3-4 to 12 or more hours. For women giving birth for the first time, the process can drag on for 24 hours. Usually, in the beginning, contractions occur every 15-20 minutes, gradually increasing in time. At the same time, the intervals between them are reduced. A woman needs to control their onset, since the doctor can deduce from these calculations a certain algorithm of childbirth and help the woman in labor in time. If contractions are repeated every 15 minutes, it’s time to go to the hospital.
When uterine contractions are repeated every 5 minutes, this may mean the expulsion of the fetus, that is, the birth of a baby. Typically, severe cramping occurs in the lower abdomen, as well as in the lumbar spine. Expectant mothers at this moment can not eat, you can only drink water.
The third phase of contractions can take up to four or more hours. A woman must definitely relax in short gaps between them. When the pain is especially severe, you can drown it out with frequent breathing.
How to push hard during childbirth so that there are no gaps
Attempts are the most important and crucial moment when a baby is born. Contractions are accelerated, repeating every minute, and the woman in labor begins to feel powerful pressure on the anus. At this time, the woman needs to get together and make every effort to help her child. To hold on, a woman in labor can take on special table handrails. Next, she will need to take a deep breath, hold her breath, and press her head in an elevated state to her chest.
It happens that attempts are weak, in which case the doctor, usually, admits missing one or two contractions. At the same time, the woman should relax and breathe as much as possible. Later, she will be able to make the most fruitful expulsion of the fetus.
Doctors note that during childbirth, the expectant mother should not take into her head arbitrary urination or even bowel movements, as restraint and tension can harm both the baby and herself. Do not forget that childbirth is a difficult natural process and a huge load on the internal organs, including the bladder and intestines. Moreover, during labor, a woman has a more important job than spending extra energy on unnecessary thoughts and embarrassment.
After the birth of the baby, it is too early for the mother to relax, although, of course, leaving the child's place is the most painless stage during childbirth. After some time, the contractions begin again, but they are very weak. During the next attempt, ideally, the fetal membranes and the placenta should separate. This can take a different time - from several to 30-40 minutes. It happens that the placenta does not come out completely, and then the doctor will have to extract its remains. If the child's place has completely departed, an examination by the gynecologist will follow the birth canal. As a rule, this process goes without complications.
A woman needs not only to know how to behave during childbirth and contractions - in addition, she should follow all the recommendations of the obstetrician, undergo vaginal examinations if they are necessary to determine the important moments of the birth process. Often, women in labor refuse to stimulate weak labor with the help of drug therapy, but sometimes such a doctor’s decision is made not without reason. There are cases when the appropriate drugs helped the child avoid injuries and health complications in the future.
Women who can’t get rid of negative thoughts about the upcoming tests, pains and tears can be advised to undergo training using special gymnastics, massage and breathing exercises so that she feels more confident. A good psychologist who can set the expectant mother in a positive way will also help. In the end, the pain will pass, but the most precious thing in the life of the mother will remain - her beloved child.
How to breathe during childbirth and labor: video
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2. Correct behavior during childbirth and labor
1.1. Calm
1.2. Recreation
1.3. Breath
1.4. Keep optimistic
1.5. Do not hold back moans and screams
1.6. Move around
3. It has begun!
4. How to understand that childbirth has begun and further delaying the trip to the hospital does not make sense?
Very often, expectant mothers at the end of the 9th month of pregnancy complain of accumulated fatigue and dream of giving birth as soon as possible. Really.
A huge belly, all kinds of unpleasant symptoms, such as swelling, heartburn, sleep disturbances give the expectant mother a lot of inconvenience and interfere with normal rest and relaxation.
Meanwhile, all sorts of questions are visited by the expectant mother, such questions as how to behave properly during childbirth and contractions before the upcoming important event: the expectation of inevitable painful feelings often frighten women, especially those who give birth for the first time or have already experienced difficult previous births. Do not panic: not a single woman has remained pregnant forever, in addition, your mood largely determines how the birth will go, so it is important to know how to behave properly during childbirth.
Last preparations
In order for the long-awaited hour X not to take you by surprise and go comfortably, and in the first days after the birth of the crumbs, you could completely immerse yourself in her worries, without being distracted by all sorts of unimportant things at that moment, it is better to prepare for the onset of labor .
Try to complete all important unfinished business before the last weeks of pregnancy. So it is recommended to think about things that you may need in the hospital and after discharge already starting from 36 weeks: collect the “duty” bag with everything you need - clothes, hygiene products and documents.
Perhaps it’s important for any woman to feel safe during childbirth, as well as to feel complete confidence in the medical staff, so it’s better to choose the maternity hospital and the doctor you are giving birth to in advance. If you have the opportunity to meet with the doctor on the eve of this important moment of your life, to talk, ask him questions that concern you - be sure to do it - such a conversation will significantly add confidence and help you to tune in the right way.
Try to finish urgent and important household chores - this of course does not mean that in the last weeks of pregnancy you need to tear off the whole apartment to a shine or to overload a whole diaper cabinet. Such labor exploits will bring only overwork, but to prepare the necessary minimum for the first days, collect the discharge kit and take care of the care of older children, if any, is necessary.
In the last days before the baby is born, try to follow a certain diet - light and healthy foods that do not overload the stomach will come in handy in case of sudden onset of labor. Eat often, but little by little - this will help to survive heartburn, and accumulate the energy that you will need so soon.
Correct behavior during childbirth and labor
How you will behave during childbirth will depend on how quickly and easily you manage to bring your baby into the world.
If you haven’t read anything or heard about the upcoming process, it’s time to remember and put into practice all your knowledge. Not without reason, women's consultations very often recommend expectant mothers to attend a course of lectures on pregnancy and childbirth. Classes devoted to how to behave during childbirth: how to breathe, relax, what are attempts and other important aspects will help a woman in labor in this difficult and responsible process.
1. Calmness
It is very important not to lose your temper and listen to the doctor’s advice: panic and hysteria have not helped anyone to give birth to a healthy child - you just waste your energy and lose your breath.
2. Rest
Be sure to rest between contractions - in the first period of labor, when the uterus is just beginning to contract, the pains are not too strong and the expectant mother may well survive them. At the stage of intensifying and increasing contractions, a break between them was invented by mother - nature, so that a woman could take a breath. Very often, women in childbirth recall that they even managed to sleep in the short period between the next fight.
3. Breath
It is very important to mastercorrect - - this will help speed up and facilitate the process of passing the baby through the birth canal. And also reduce pain during contractions.
4. Keep optimistic
A positive attitude and the ability not to lose one's composure are important components of success. Humor and jokes contribute to the release of the hormone of pleasure, which is a powerful natural pain reliever - it is not for nothing that the medical staff in the birth hall are trying to joke with women who are preparing to become moms any minute.5. Do not hold back moans and screams
“Correct” low long moans, like those that break from the athlete’s lips during the period of the highest tension, help to relax and relieve pain. Screams - sharp, sudden, uncontrolled - on the contrary will interfere with labor, causing muscle tension and cramping.
6. Drive
If your condition allows, you don’t need to be attached to a dropper or continuously monitor the condition of the fetus, be sure to use the situation to alleviate your condition. Painful contractions in motion, having taken a position convenient for you personally, to experience is much easier than lying down. In addition, the vertical position helps to accelerate the birth process and facilitate the passage of the baby through the birth canal.
There are some positions in which it is much easier and more comfortable for mother and baby to feel during childbirth. So, for example, sitting on your knees during very strong contractions, you can help yourself, making it easier, and gradual smooth squats will increase the pressure on the cervix, and accordingly accelerate labor.
If it is not possible to maintain freedom of movement for any reason, then it will be optimal to take a position lying on the left side: this position is optimal for rest and creates minimal pressure on the walls of the uterus and the baby.
Started!
So, you felt that the end of pregnancy is already close: they are becoming more intense, and perhaps there are already obvious signs of labor that has begun, such as the appearance of regular contractions or the discharge of amniotic fluid.
Of course, the appearance of the first signs of the onset of labor is not always an occasion immediately, headlong, rushing into the hospital. Childbirth is a long process consisting of several periods, and at the initial stage, many women in labor are more comfortable at home.
How to understand that childbirth has begun and further delaying the trip to the hospital does not make sense?
Discuss with your doctor exactly when to make a follow-up call and set off in advance - this time depends on the intensity and frequency of labor pains. Note the time of the duration of the contractions and the break between them - in this case, it is recommended to compile a table. As soon as the birth pains reached the control value that you agreed with the doctor - time to pack your bags.
Perhaps, it seems to you or you are sure that the process is going wrong - in this case it is better to trust your feelings and once again consult with a specialist, at least by phone. If you observe signs of obvious pathology, such as vaginal bleeding or water, have a greenish tint or an unpleasant odor, immediately call an ambulance or go to the hospital.
How to behave during childbirth and labor
The birth is waiting for a long nine months. All this time, a woman mentally imagines how this will happen, and even if she has already given birth and has experience, anyway thoughts about the upcoming process cause excitement.
It is clear that to be calm and calm when going to the hospital is impossible, and no matter how psychologists call for calm, in practice this is not feasible. But certain rules of conduct still need to be respected. This will help give birth easier and faster, without injuries and complications and not cause disappointment with their inadequate behavior by the medical staff or partner, if a joint birth is planned.
We will talk about the rules of behavior in childbirth in the framework of this article.
“It seems to have begun!”
Having seen how the heroines of films clutch their stomach with such an exclamation and begin to scream and moan heart-rendingly, a woman might think that the fights begin just like that, and that screaming from the very beginning is quite natural. This is a misconception. It all starts quite smoothly and gradually, and at the same time it is completely unnecessary to scream, because you are not in the movies and do not set the goal to dramatize the situation.
Having felt the rhythmic repetitive contractions of the uterus (tension and relaxation at certain intervals), calmly arm yourself with a watch or smartphone with a contractions counter program. Identify two important points: after how long the contractions are repeated and how long the uterus remains tense from the moment the contractions begin to end.
You need to go to the hospital when contractions are repeated every 10 minutes. But at first they usually repeat every 30-40 minutes, and this is completely normal. Watch the frequency and calmly wait for the desired intensity.
If the birth did not begin with contractions, but with the fact that the water had left, without a panic, dial the number “03” and you inform the dispatcher of the gestational age, home address, the color of the waste water, wait, lying on your side, the ambulance crew and go to the hospital.
The first contractions are usually not as painful as many people think. A woman may well take a shower with them, check if she has collected everything in the hospital, call her husband, mom, girlfriend, drink tea with a small piece of chocolate (in order to gain strength). There is no hurry - this period is the longest, it can last several hours.
At this stage, it is very important not to strain and not be nervous. Stress, fear generate the production of shock doses of the hormones adrenaline and cortisone, the muscles tighten because of them, the opening of the cervix becomes difficult, which increases pain and increases the risk of complications in childbirth.
What should not be allowed in the behavior at this stage?
- Fuss, panic, hysteria and throwing - tune in to good, remember the methods of relaxation, meditation, you can lie down to take a nap to stock up on strength. We take a memo with a list of things, calmly check the availability of everything in our bag. If something is missing, do not frantically rush about in search - then relatives will bring everything. If the fight did not start at home, do not rush home to get a bag - you will be given everything you need, including a shirt and a bathrobe, in the hospital, and then you can ask relatives or friends to bring your things.
- Hurry- the period of labor is quite long, and a few hours is enough to wash, get dressed, and calmly come to the hospital. Haste when taking a shower can lead to a fall, injury, placental abruption, fractures of the arms and legs, and this is now completely untimely.
- Lack of documents - if you can forget things, then the policy, exchange card and passport should be with you from the very beginning of the 3rd trimester, especially if you leave home for a long time. Without these documents, you will be assigned to the observatory in the maternity ward, where patients with infectious diseases and unexplored women give birth, because the doctor will have no evidence that you were examined.
- Thoughtless heroism- Attempts to get to the hospital with contractions or retreating waters while driving your own car can lead to sad consequences. Fights can become more intense precisely at the time of maneuvering on the road, you can provoke an accident, harm yourself and others. It’s better to go give birth to the ambulance. This is a special transport, equipped with everything necessary in case of unforeseen situations, and the team knows what to do if the childbirth suddenly becomes swift and the child asks outside right in the reanimobile.
You need to behave correctly in the ward of the hospital. Do not try to hide anything from the doctor - neither the number of abortions, nor the illness of your childhood. Everything matters.
Bout period
This period is the most difficult, and it is in the process of fights that women often demonstrate the most disgusting behavior - they shout, cry, at what costs the staff and the entire male gender are scolded. If you want to give birth faster, it’s definitely not worth it to behave like this during labor. As already mentioned, muscle clamps give rise to weakness of the patrimonial forces, the cervix opens slowly and painfully.
The task of the woman in labor at this stage is to relax as much as possible muscularly and psychologically after each fight, to catch every minute in order to relax. Proper breathing will help.
Deep breaths and a slow exhale between contractions and a series of short breaths at the peak of the contractions - this will help the cervix to open more efficiently, and the baby will be given the amount of oxygen he needs now.
While the contractions are not too strong and frequent, you can lie on your side, stand, including on all fours, resting on a chair, table, windowsill, partner, use free behavior - move, walk. This contributes to faster disclosure. Treat this as a job - there is a task to survive another battle to help yourself and your baby, and nobody except you can cope with it.
Maternity hospital rules usually prohibit eating and drinking during labor. This is a reasonable prohibition, because a woman may require anesthesia, anesthesia, for which a full stomach is a contraindication. But because do not demand food and drink, complain about the refusal and threaten complaints with the Ministry of Health.
What can not be done at this stage of childbirth.
- Shout- when screaming, air quickly leaves the lungs in a continuous stream, and inspirations are superficial, shortened. This leads to fetal hypoxia, and also takes away the strength of the woman in childbirth. If there is a need to make sounds, it is better to replace the cry with a moan as you exhale, but you should still exhale for a long time and smoothly.
- Drink water - it is permissible only to rinse your mouth with water and spit it out if there is a feeling of dryness.
- Delay urination - walk on small need as much as you want. The bladder should be empty, this will accelerate the process of contractions and reduce the pressure of the bladder on the uterus.
- Strongly refuse anesthesia or other measures of obstetric care. Even if you are an ardent supporter of natural childbirth without pain relief and other help, carefully listen to the information that medical personnel communicate to you. There are procedures and manipulations in which the need arises suddenly, and your persistent refusal can cause fetal death or disability.
I would also like to talk about pain. Demand to anesthetize you immediately and now is not worth it. Opening the neck in contractions is a natural, painful, necessary process.
But, by law, any woman can ask for specific pain relief measures if the pain becomes unbearable. They can’t refuse her this.
Such measures include epidural anesthesia, intravenous administration of analgesics and antispasmodics, sedatives.
Period of attempts
Attempts begin with the full opening of the cervix and, unlike contractions, a woman can control them, or rather, regulate their strength at the command of an obstetrician. The main thing at this stage is to trust the staff as much as possible. Doctors in this period are constantly with a woman in labor, do not leave anywhere.
It must be remembered that it is possible to push only after the obstetrician gives the appropriate command to this.
The sensations of the fetus when passing through the narrow birth canal are also not the most pleasant, and do not complicate them with unauthorized actions that can cripple the child.
The instructions are very simple: focus on the obstetrician or doctor who is next to you. As soon as the “push” command is heard, you need to take air into the chest and hold your breath while trying to “squeeze” the child out. To behave properly during attempts - this means not trying to sit down, not trying to pinch or lower your hips.
At this stage, you cannot:
- push "in the head" - when trying to direct the effort down, not up, otherwise it can lead to hemorrhages in the face, eyes, and the effectiveness of the attempt will be almost zero - the child will not advance through the birth canal.
- Shout- as in the period of labor, the cry at this stage of childbirth takes away the strength of the woman in labor and deprives the baby of oxygen supply to a sufficient extent. The baby goes through the birth canal, but it is still connected to you by the umbilical cord, through which it continues to receive oxygen with blood.
Failure to comply with the requirements of the obstetrician during attempts is fraught with ruptures of the perineum, birth injuries in the baby.
Successive period
The biggest mistake of the woman in childbirth in the final stage of labor is earlier relaxation. After the baby was born, it is not necessary to relax ahead of time, because the placenta also has to give birth. And this period is very important. The duration of the subsequent period can be short - from 10 minutes, or long - up to an hour. In any case, rejoicing at the birth of the baby, it is important to continue to listen to the doctor’s requirements.
