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Birth relief
Pains
Pains during the birth are perceived by every woman differently. Feels the pain at every birth increase giving birth differently. Some women simply put the pains away, others come to their limits toward the end of the opening phase. Nobody can permit himself a judgement on the pains apart from the giving birth himself. Much can help to process the pain better and to make the birth of the baby easier. Some ways to get ready in a natural way and to relax optimally with the pain as well as medical birth reliefs are introduced here.
A: Natural birth relief
Well feeling atmosphere
A pleasant environment and the feeling of security has a positive effect on the birth course. This finds its expression already in the facilities of modern birth spaces. The birth rooms are kept in warm colors and are like a living room sooner than an operating room. The technical apparatuses are definitely available, however, aren't in the foreground.
Escort
The company by a familiar person can be a great help during the birth. It is good if somebody is there, this one massages the hurting places, words of encouragement gives and security arranges. The nascent mothers exhaust the partner mostly nowadays. Can or your partner doesn't want or you don't want that he goes along, you take another man close to them along so. Should have the time and opportunity to inform himself about the expiry of a birth for your escort provided that it has still seen none. It should emotionally resiliently and be able, take care selflessly and sensitively of you in the births. Mothers whose partners don't want to take part in the birth are often very hurt and disappointed about this. Surely the birth experience is single and can weld a partnership together more strongly, however, it is more important in the long run that your partner takes care of the child emotionally, educationally and also financially. You think it over and formulate together, perhaps also with your midwife, what the reasons are not to experience the birth together to want. Perhaps some doubts can be dispelled so.
Motion and situation climacteric
Women who freely move often need less analgesics and have operative birth operations more rarely. You have therefore no doubts walk around if you want it. The labors make the upright position and walking around more effective. By the gravity and the stronger pressure of the child the os uteri opens more lightly. The lung is relieved in an upright position or in the quadruped stand and the oxygen supply is better. The change between different positions (seats, standing, squatting positions, quadruped stand, lying etc.) is pleasant for many women. Try out all devices available birth making easier quietly.
Devices birth making easier
Many devices birth making easier supported the upright posture the giving birth during the opening labors (pezzi ball, Partoball, giving birth stool) and permit the delivery in a sedentary posture (partoball, giving birth stool, Romany wheel).
Partoball
A further development is already this one the partoball common pezzi balls actually at the birth for a long time. These are, exercises balls there is which in several sizes and the the giving birth permit to execute all sorts of pelvis motions. With the partoball two balls are connected to each other in a certain distance stably. The pregnant woman has maneuvers to the adherence. She can take a seat so on the partoball that her legs tightly are at the ground and she can move her pelvis well. The pelvic floor is stretched and eased alternately on the partoball. A better blood flow is ensured by the one, the tissue permanently is massaged. A lighter opening of the birth ways and a pain relief is therefore obtained. When special, the possibility of the free motion and the positive effect on the perineum pleasantly are found.
Giving birth stool
The giving birth stool is a small stool without armrest with a horseshoe-shaped, rounded gap for the child to be released. Squated deeply in an upright posture on it, the partner can residence giving birth to it do it of take and hold behind into the arms. The pelvis is mobile, no pressure on great vessels is put. A very good feeling where it must for to press often has the giving birth. The midwife residence or kneels on a floor mat, can keep in touch with the nascent mother and greets the baby so.
Birth wheel or Romany wheel
The birth wheel (Romany wheel) was developed in Switzerland at the beginning of the nineties. It looks like a futuristic cradle. The upholstered seat is hung up on tearproof ropes. The pelvic floor is accessible, the buttocks and the thighs lie comfortably. The Romany wheel permits a bobbing up and down self certain permanently in all directions. This becomes swings straight as felt calming and pain-relievingly. The positions on the birth wheel are various. The pregnant woman can stand, sit or crouch down. The position climacteric is possible with the help of a remote control.
Birth rope
A birth rope offers relief at the sitting, standing or squatting positions. The rope hangs down from the blanket. The woman can hold tight or pull up herself to this. She can determine the maneuver height any time herself. As an alternative to the giving birth rope there are hold cloths which are also hanging of the blanket and firmly connected to each other.
Warm baths
A warm water eases, calms and lowers the sensitivity to pain. The burden of the baby abdomen is minimized. It is possible in most clinical complexes to take a warm bath in the opening phase. About the half of the women accept this offer. 10 to 20 per cent of the women experience even a water birth.
Massages
Massages of the partner or probably you find for your escort very pleasant. A strong sacrum massage can bring relief with the thumbs or ankles particularly in the opening phase. As a massage point should its partner aim at the two pits, these be several centimeters remotely from the spinal column over the buttocks. Perhaps the massage of the abdomen also brings you relief, however. To this their partner paints highly and on the sides down in the middle of the abdomen. A crus massage helps if the sheath is tensed up. The partner paints in the direction of the knee at the inside of the thighs. This is ideal in the breath rhythm of the woman. However, there also are birth phases (primarily in the kard ejection phase) in which you absolutely don't want it. Signal this to the "masseur" obviously.
Acupuncture and homeopathy
Acupuncture and homeopathy like to be of use for midwifes and doctor in the pregnancy against most different troubles (for example against nausea, vomiting, edemas and heartburn. They are used primarily to the pain relief and relaxation at the birth or the birth preparation.
Homeopathic means are given (to globules) in extremely thinned shape as a gutta or globule. You consist of vegetable substances, animal substances, minerals or metals. Which homeopathic means helps the single woman in the pregnancy and at the birth general statements can do not met be. One (e) (R) midwife or physician trained homeopathically well includes both the troubles of the woman and their personality at the medical treatment. It is possible that at the same troubles of different patients, whole different means are given.
The acupuncture has established itself tightly to the birth relief. Only it should be executed by midwifes and gynecologists trained for this especially, though. With the birth preparatory acupuncture the chance of a light opening phase shall be increased. Through this there is a good chance for a shortening of the birth duration. It can be used with women who didn't have any complications in the pregnancy or according to consultation with the attending doctor. Get the pregnant woman after a firm score one for about four weeks from the birth till twice per week half an hour acupuncture. The "birth maturity" of the womb gets so tense. The acupuncture during the birth shall serve the pain relief and psychic relaxation. Acupuncture points which are as a rule easing of midwifes and pain-relieving are put and this stimulated again and again.
B: Medical birth relief
Medicines
The disadvantage of all medicines which are taken during the birth lies in it that they reach the child about the placenta. If they still are in its blood circulation after the birth, then the newborn child can be flabby and sleepy as well as suffer from breath problems. The informed consent in front of the gift of every medicine should be caught up with by the woman. The effect and all side effects must be informed about. The preparations which are given belong to different working groups. Antispasmodic medicines are described as spasmolytics. You can be given as either a syringe or suppository. The smooth musculature relaxes. The preparations of this working group help if the os uteri doesn't open. Many medicines given under the birth are so-called spasmodic analgesics. These combination preparations have an antispasmodic and a pain-killing component. The analgesics are divided up the peripherally effective (e.g. paracetamol) and into the centrally effective preparations (Opiate derivatives = opioids). The pain medicine given in the obstetrics at the most frequent one is dolantin with the active substance pethidine. It can orally, intravenously or intramuscularly be given and has a morphine similar effect. The effect uses approximately 15 minutes after the gift and stops two to four hours. It is an unpleasant quality of the means that the women get tired and don't collaborate at the birth any more. Many women feel also sick. The negative effects on the baby are a respiration slowed down and the thermoregulation changed. The child cools more rapidly. The active substance is dismantled only slowly in the liver of the newborn child. Psychotropic drugses are used standing anxiety and hardening in the foreground be able to so. You belong to the sedatives. The psychotropic drugses are often used into combination with an analgesic.
Pudendalblock
At a pudendalblock gets this shortly before this one a local anesthetic injected real press in a special place of the pelvic floor to the pain conductive trains of the pudendal nerves. It becomes so primarily the nerves of the perineum and the external genital deadens. The pelvic floor relaxes. This form of the analgesic therapy is used in front of suction cups and forceps deliveries. The effect usually still adheres so long (about 1 hour) so that you can an episiotomy broke or-provide painlessly. Side effects of the pudendalblock can be hematomas in the sheath wall. Infections and abscess formation appear very rarely.
Perineum infiltrate
It is a regional anesthesia in the perineum area. A narcotic is injected into the perineum tissue. By this measure an episiotomy can or-broke be provided painlessly.
Peridural anesthesia (PDA)
The birth pain can be turned off by the local application of a narcotic (anesthetic) temporarily with the peridural anesthesia (abbreviated PDA). The PDA also is described as an epidural anesthesia Eda.
The PDA can be elected the birth relief in the following cases, for example:
- at an express wish of the pregnant woman,
- at strongly felt pains e.g. after a birth induction,
- at exhaustion after a long birth course,
- at pre-illnesses of the pregnant woman, particularly the heart circulation system, extreme myopia and retinal detachment, diabetes mellitus,
- at high-risk deliveries (twins, premature deliveries, breech presentations),
- at a planned cesarean section,
- at a suction cups or forceps delivery.
Only an anesthetist may carry out the PDA in Germany. She ideally is put if the os uteri in the opening phase only two to three centimeter is opened.
A local anesthetic is splashed between the 3rd and 4th lumbar vertebraes into the peridural or epidural space. The peridural space is between the external protective covers of the spinal cord going in the vertebral canal. The narcotic blocks the conduction of the spinal cord nerves which leave here the vertebral canal.
To this the anesthetist goes with a hollow needle into the epidural space after the puncture place was deadened and disinfected locally before. About this hollow needle which removes hollow needle after that a very thin and flexible synthetic tube (peridural catheter) is then imported into the peridural space. The lower body half gets insensitive and insensitive to pain 10 to 15 minutes after gift of the local narcotic. However, the nascent mother stays with a full consciousness. The catheter is left until the completion of the birth. When required local anesthetic is after splashed. The painless supply for an episiotomy or rip so also can be carried out.
The PDA must lay out himself the pregnant women sit stoopedly and if possible a hump make or lie on the side forwards. This doesn't have always simply to be managed with a great abdomen and under an intense labor pain.
Advantages
Lies right, the PDA only the nerves which cause the birth pain are locally and from the point of view of time turned off restrictedly. The woman can then relax well, sometimes sleep even under the labors and recover from the exhausting opening phase. The PDA lies in it that without which they prepare her at, the great advantage still feels dosage of the local anesthetic, Mrs the labors and the pressure on the pelvis more correctly pains. It can so actively in the kard ejection phase con-press. Tablets or suppository doesn't have opposite number of the gift of pain syringes the PDA any effect on the baby. Nowadays it is PDA even possibly at use of a "mobile" that the pregnant woman walks around. The motion promotes the birth course. In the past, the women had to remain lying in bed.
Complications, side effects and risks
The birth must be supervised intensively since the blood pressure drops, though. An infusion is therefore laid out with circulation stabilizing medicines. The child permanently supervised by the CTG. Since the narcotic also eases the womb musculature, sometimes the labors get so weak that a labor drip must be appended in addition. Unfortunately, also can happen, that the PDA was put so, that only a body half is deadened adequately. The labors are perceived very considerably till painfully on the other side. The woman loses the sense of the labors and the impulse con-press at a complete anesthesia in the lower abdomen. The birth is therefore frequently ended by a suction cup or forceps. An episiotomy is then almost always required. Headaches lasting for days can appear after the birth and require a confinement to bed of several days. Permanent nerve lesions or paralyses appear as a result of hematomas, inflammations or direct nerve lesions extremely rarely. The infection risk is low.
Contraindications
A PDA may not be carried out if the mother declines the method or a therapy needy coagulopathy has. In addition, this method is counter-indicated at acute inflammatory illnesses of the central nervous system or volume deficiency shock conditions.
You should the PDA speak already before the delivery with its physician about the advantages, risks and complications best. You already then know at the birth whether this method of the anesthesia is possible for you.
These informations may be considered a substitute for a piece of medical advice in no case. The content of health-illness.com doesn't can and may be put into any case to make diagnoses or carry out self medical treatment independently.
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