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Everything about childbirth >> Types of anesthesia >> Pain relief in childbirth. How to ease the pain of childbirth.

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Pain relief in childbirth. How to ease the pain of childbirth.

The pain experienced by the woman in labor depend on individual pain tolerance, size and position of the fetus, the force of the contractions of the uterus, presence of previous births. Therefore, each relief is held on the individual program.

During childbirth there are two kinds of pain.

The first is related to uterine contractions and stretching of the cervix. This pain, called visceral, blunt and may not be specifically localized. It is often felt not in the place of origin, usually performed in the lower back and sacrum. The second occurs before birth and is caused by stretching of the tissue in the lower part of the birth canal during advancement of the fetus and further attempts to. This pain is called somatic, sharp and precisely localized in the vagina, rectum, perineum.

The second birth pain is one of the most strong pain. Only causalgia (pain trauma nerve trunks) and pain after amputation exceed it.

It is difficult to predict how long it will last childbirth. Usually they are faster the more the number of births. Induced labor often occur longer than beginning spontaneously. It is suggested that short birth are better but not always. Many new mothers say that childbirth is more painful after the rupture of membranes.

Help reduce pain by using psychoprophylactic preparation for childbirth. During exercise the patients receive information about pregnancy and upcoming childbirth and are taught breathing exercises that allow you to concentrate on your breathing during contractions, and to distract attention from pain. It has been shown that mental prevention reduces the need for mothers in analgesia and at the same time does not affect the state of the newborn.

In most cases for pain relief use various types of anesthesia (this is described in the relevant article), but the pain can be alleviated and without anesthesia.

As without anesthesia to reduce the pain of childbirth?

First, it is proper breathing. To breathe during labor is recommended as follows: for fight a deep slow breath through your nose, then slowly exhale through the mouth. Breath not to detain. Between contractions to breathe calmly. Focus is on breathing, and it helps to distract from the pain and facilitates the birth process for the baby. At the end of the first stage of labor, when there is a desire to push, or need to breathe often "like a dog", or Vice versa to apply deep, slow breathing (deep inhalation and exhalation through the mouth), as you prefer. While attempts need to type the full breast of air (like you're going to dive under water), and this air as if to push the pain out of yourself when the air runs out, quickly exhale and then inhale, not "prodigia" an attempt (to catch their breath it is possible and in between, an attempt to use the maximum).

Following anesthetic this pressure on bony prominences. Need from the inner side to press on the protruding bones on each side in the lower abdomen. Some people need a kneading waist. This helps the husband if he is present at birth. Stretch and massage your back should intensively, it is possible to light the pain, it distracts from the pain of labor.

To relax between contractions, you need to imagine some situation where you a well and pleased you are resting. For example, imagine you laying on the beach listening to the waves. Or as you cuddle her warm little baby. Better to think in advance that you will be required to submit, to be trained in paints to outline a picture of yourself and your feelings (because already in labour when pain is unfortunately hard to remember something pleasant).

In preparation for childbirth need to learn to relax their muscles so they listen to you, as muscle tension increases the pain. This is taught in gymnastics for pregnant women. Technique is that you are trying, for example, to stretch the right leg and left arm, and left leg and right arm as relaxed, then change tension and relaxation. In General, you need to strain the parts of the body. The rest should be relaxed. So you will learn how to manage their muscles so that they relax according to your wishes. It is easy enough in ordinary life, but it's hard when you feel pain and all are compressed.

What types of pain you will experience during childbirth?

1. The first stage — the disclosure of uterine OS and the first pain

The first fights of short duration and are repeated approximately every 15 — 20 minutes. They last 15 — 20 seconds and transferred quite easily. The physiological sense — in the disclosure of uterine OS. Thus “push” the mucus plug and often leaves the fluid (sometimes with blood). The time of disclosure of uterine throat — from 2 to 11 hours. The period of disclosure ends with contractions lasting 50 seconds to 60 seconds, repeating every two or three minutes. While uterine mouth opens to six to eight centimeters, and the baby goes deeper into the birth canal.

2. The second stage is transitional (the most severe)

It lasts usually from five minutes to an hour. Cervix is revealed by 10-11 centimeters, due to which the baby moves through the pelvis through the birth canal. Contractions occur every one to three minutes and last 60 to 90 seconds. The transitional period ends.

3. Third stage — expulsion of fetus

Regular uterine contractions are joining the so-called attempts, or the muscles of the uterus, with simultaneous contraction of the abdominal muscles and diaphragm. The fetus moves into the vagina and gradually comes out. Most women rejoice in the fact that may attempts to help the child to be born. Usually such attempts can be from four to eight (they last 10 to 30 minutes at intervals of one to five minutes). In some cases there is a necessity of incision of the perineum. This procedure is done to prevent gaps is performed during labor, the mother almost does not feel pain. The external similarity in execution is “cut to pieces!” — deceptive. And again, this is much nicer than the natural gaps. When one of strong contractions-push comes memorable moment: there's the baby!

4. The fourth stage — postpartum.

The majority of mothers in this period is almost nothing and no one around to notice. All newborn eclipsed, and with it an indescribable sense of relief and gratitude. Minutes through 20 — 30 after the baby is born you will start again the bout. With the appearance of the first barely perceptible pain postpartum the midwife begins to slowly pull the cord, and after two or three short contractions will expel the placenta and fetal membranes. All this lasts no more than three to five minutes.


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