Is childbirth preparation necessary?
Childbirth is a physiological process marked by different factors. There are several scientific theories that suggest what triggers birth: placental, muscle, hormonal factors influence ... but it is the baby who decides to start the process, which when mature decides to leave.
Transmit women to good information about their pelvis, about the hormones that govern the birth process, about the phases that she and her baby will go through and about all natural and pharmacological methods to control the pain of childbirth (if at all there is), normally, they increase the confidence and security in one, because only with all the information at your fingertips a woman can decide how she wants the birth of her child to be.
What does a woman need to give birth?
Confidence in yourself, in your body and in your baby; movement, tranquility, security in the environment and mainly let go. Now, without being essential, a preparation for delivery by an updated midwife can be very helpful.
Speaking in these classes about the emotional and physical changes that are going to occur in the puerperium is quite important to be able to demystify that postpartum clouds and pink hearts that are sold in some environments.
Do we need to learn different types of breaths?
Where was the abdominal breathing, the slow blower, the diaphragmatic ...? in the drawer of oblivion.
Because if for delivery one of the most important things is to let go, we can not at the same time be remembering whether doing the breathing number 3 or 1 ... is incompatible.
Breathing in a relaxed manner, remembering to expel the air well at the same time that we make a visualization of something pleasant or simply let ourselves be carried away by the contraction, can help us.
How to learn to push?
The urge to push comes alone, is a reflex of the expulsive derived from the head of the baby is very low and pressing the rectum.
Only in the case that a woman has decided to undergo epidural anesthesia and its effect has blocked completely without having any feeling of pushing would be necessary for the midwife to direct the push for that baby to get out.
Risks of suffering a tear in childbirth
There are several factors that can influence the tears that usually occur in childbirth:
- The position in the expulsive. On the side, in the delivery pool and on cats, the risk of tearing is less than in vertical positions and in lithotomy (this position in particular, of a woman lying on her legs, apart from being anti-physiological, is the one that can cause the most tears).
- Touch the woman's perineum during the expulsive It causes edema in the area. It is completely contraindicated to perform perineal massages during the birth process.
- Epidural anesthesia multiplies the risks of having a tear / episiotomy and also having an instrumental delivery (which in many cases involves doing an episiotomy)
- Directing the pujas in women's apnea (holding the air and pushing hard with the contraction) can hurt the pelvic floor more than the spontaneous ones.
- The amount of elastin in the skin of a woman influences in case of tear.
- The size of the baby. It is not the same a baby of 2800 gr than another of 4300 gr. And it is not the same as to leave with the little hand in front of the head; this situation produces more tears.
Perineal massage during the months before childbirth can help personal self-knowledge, it can help to notice the sensation of stretch in the area and it can be key to do it as a couple. But if you do not feel like it or it bothers you, it is not an obligation and you should not feel bad, because this will not be a determining factor in childbirth.
And as for the episiotomy, the main risk factor to practice is that the person who attends the birth, have the habit to perform them.
Only the suspicion of fetal distress indicates practicing one.
Classes on breastfeeding
They are important because if we do not have sisters or close friends who are breastfeeding, many times, the first baby we see breastfeeding is ours.
In addition, there are too many myths in the air against breastfeeding that can lead us to throw in the towel when that was not our initial idea.
It is also advisable to have workshops for breastfeeding or support groups to attend if necessary ... And if of course after this if a woman does not want to breastfeed is their decision and is completely respectable.
And provide constant support, for everything the woman / family needs * to listen to her, to support her decisions (whatever they may be), to solve doubts, to take care *
Physical preparation for childbirth
In the old days, women in the villages worked in the fields and at home crouching or on their knees, they did their needs in squatting and their physical activity was much greater than what we usually have today; thus we know that their births were easier than now.
Already Aristotle in the 3rd century BC attributed difficult births to a sedentary lifestyle.
And nowadays there is a lot of scientific evidence that associates physical exercise during pregnancy with a decrease in pathologies such as diabetes, hypertension, low back pain, lower weight gain, better physical and mental state, births with fewer complications and better postpartum recovery.
There are also studies that associate maternal physical exercise with an increase in the psychomotor development of the baby.
Water is a great place to exercise, because a pregnant woman feels lighter and can perform movements and stretches much deeper than outside.
It is also true that exercise in the water costs less work, but it is equally effective and the risk of injury is minimal.
And if you also have the company of a specialist midwife you can mobilize and exercise pelvis, ligaments, muscles and joints ordered at the time of delivery to accompany your baby to the exit.
Amanda Rodríguez Sánchez Matron
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