Pregnant Woman Thinks About The Moment Of Delivery

Take advantage of the months of pregnancy to inform you and decide. The Clinical Practice Guideline on Normal Birth Care from the Ministry of Health answers your main questions. When a pregnant woman thinks about the moment of delivery, it is very normal to have all kinds of fears and doubts.

The Clinical Practice Guideline on Normal Birth Care, prepared by the Ministry of Health, answers some of them and gives you some recommendations that you can follow if they adapt to your interests.

WHAT I WANT AND WHAT NOT FOR MY BIRTH

These are the questions you probably ask when thinking about childbirth. As in everything important in life, having information and being aware of what we want can help us a lot.

What method do I want to use to reduce pain?

The epidural anesthesia is the most known and used method, and although effective, has drawbacks.

Therefore, in the first place, it is recommended to offer other innocuous methods, such as, for example, hot water baths or massages, and eliminate unnecessary practices that increase pain.

  • On this aspect, the Clinical Practice Guideline on Normal Birth Care recommends: “Satisfying, as far as possible, the woman’s expectations regarding pain relief during delivery.”

Can I ask not to be immobilized in a bed?

Of course, yes, it is more, moving freely makes the process hurt less.

It is best to move and adopt any position in which the woman is comfortable throughout the period of dilation and the expulsive, avoiding lying on her back.

  • “The vertical positions (sitting, standing, squatting …), lateral (lying on the side …) or resting on hands and knees are more comfortable to give birth”, as stated in the guide.

Can I ask that they not shave me or break my bag?

Of course, since leaving the bag intact reduces the risk of suffering for the baby, while protecting it and preventing possible prolapse of the umbilical cord.

And as for shaving and enema, they are not necessary because in no case do they provide any benefit.

  • The guide recommends not regularly perform the artificial breakage of the bag, shaving and enema “.

Can I ask that they not give me a dropper?

If we talk about oxytocin it is important to know that the brain produces it naturally, in discontinuous pulses, when it is relaxed. Thus, it mitigates pain and makes contractions of the uterus less intense and prolonged, so that the impact on the baby is less.

Artificial oxytocin accelerates labor and the baby needs time to recover and receive oxygen and glucose between one contraction and another, descend fluidly through the birth canal and prepare physiologically for the change to extra uterine life.

  • “Do not routinely perform the use of oxytocin during dilation”, can also be read in the guide.

Can I ask not to have an episiotomy?

Studies have shown that it is best avoided, as it does not prevent urine incontinence or protect the perineum. In addition, it favors the appearance of severe tears, leads to bleeding, requires suturing, produces postpartum pain and can leave long-term sequelae. ”

  • About this topic, the guide explains that “routine episiotomy should only be practiced if the baby is needed to be born quickly or an instrumental delivery is going to take place”.

Can I ask that they avoid the use of forceps if it is not necessary?

Yes, because, although for a long time it was believed that the best possible delivery was as short as possible, this has no scientific basis.

What’s more, the hormones that are secreted little by little during the process are used for the baby to finish ripening his lungs, and so when it comes out and cut the umbilical cord has no difficulty breathing.

It is better that the contractions are smoother and proportionate, although they last half an hour more.

Can I ask that they not separate me from my son?

That right after the birth you are in skin-to-skin contact in an uninterrupted way is key to guarantee the baby a good start of extra uterine life and a breastfeeding on demand.

  • According to the guide: “As soon as the baby is born, it will be positioned in his arms so that he keeps it in skin-to-skin contact on his bare chest. Today we know the importance of healthy babies maintaining this contact with their mother immediately and uninterrupted from the moment of birth and for one to two hours. “

Can I ask that they not cut the umbilical cord immediately?

The process in which the baby starts breathing and internally reorganizes the blood circulation between lungs and heart takes a few minutes.

Therefore, cutting it hastily is a bad practice that must be eradicated, as well as routine maneuvers to aspirate secretions.

“After the birth of the baby, the umbilical cord will be tied, preferably after two minutes or when the heartbeat stops,” advises the guide.

 

Post Author: Dr. Carrie Luxem

Dr. Carrie is an obstetrician-gynecologist in Ann Arbor, Michigan and is affiliated with University of Michigan Hospitals-Michigan Medicine. She received her medical degree from University of Michigan Medical School and has been in practice between 3-5 years. She is one of 87 doctors at University of Michigan Hospitals-Michigan Medicine who specialize in Obstetrics & Gynecology.