Anadolu Health Center Gynecology and Obstetrics Specialist Op.Dr. Dr. Ebru Füsun Akbay, gave information about methods to help birth.
Normal birth, known as healthy and natural, is also the fearful dream of many mothers. What kind of help can we give women to make normal birth a nightmare instead of a nightmare?
The mother can help birth more easily by making movements that facilitate birth. Some of the various movements are:
- Pelvic movement,
- Kegel movement
- Butterfly movement
- Lunge movement (wall-supported lunge-vertical lunge)
- Stair Climbing Movement
Let us now examine all the factors that facilitate birth. First of all, it should be more calm in the mind of the expectant mother when the birth process becomes clearer and in cooperation with the health care staff during the delivery, it will help the birth to be carried out safely. The cooperation of the expectant mother and the doctor will facilitate the process for both parties.
When the last three months of pregnancy are entered, the mother-to-be usually begins to experience tension in the birth.
In fact, this fear and concern is natural. To meet with the obstetrician and other obstetricians during pregnancy during the last pregnancy; plays an important role in overcoming these fears. In fact, seeing the environment in which birth will take place and meeting the team are important steps that can be taken to prepare for birth.
There are exercises that can be performed during pregnancy and make birth easier. Before applying them, the most important condition is that the obstetrician and gynecologist determine that there is no health problem to prevent exercise.
Walking, swimming, aerobic movements and cycling are the most important exercises during pregnancy. Breathing exercises are also helpful in controlling pain during labor. The recommended daily exercise time is 30 minutes.Attention! Obesity and excessive weight gain during pregnancy make normal birth difficult.
The recommended weight in pregnancy varies according to the patient's pre-pregnancy weight. Weight gain of less than 10 kg is recommended for women who are pregnant when the body mass index is above 25. Therefore, weight gain should be kept under control, if necessary, should be asked by a specialist dietitiy. Regular exercise during pregnancy also helps to keep weight gain under control and may prevent gestational diabetes during pregnancy.
The most feared birth pains are severe pain.
However, pain control can be achieved in many ways. Intravenous painkillers are narcotic derivatives with drug effects. They provide sleepiness and limited pain control in the mother.
Nausea and pruritus may also occur in the mother with the effect of drugs. Since these pass from the mother's blood circulation through the placenta to the baby, they can cause respiratory suppression and drowsiness in the baby after birth.
One of the widely used methods that facilitate delivery is known as regional anesthesia. epidural and spinal anesthesia. These methods are applied by anesthesiologists. Basically, the pain in the lower half of the body is eliminated by administering medication to the fluid around the spinal cord with a needle between the lumbar vertebrae. If a continuous catheter is introduced into this cavity through a thin catheter, it is called epidural anesthesia, a single drug is administered, and if the catheter is not inserted, it is called spinal anesthesia.
Regional anesthesia is more effective in pain control than intravenous painkillers. In addition, the baby is not affected because the pain medication is not given to the baby. Since the mother is alert and comfortable, she can follow the instructions of the health personnel and help delivery.
Are there any side effects of epidural and spinal anesthesia?
The most common side effects of epidural and spinal anesthesia drop in blood pressure, fall in baby's heart beats, itching and severe headache, especially after 2-3 days. Controlling the pain will allow the patient to relax and, depending on the relaxation of the muscles, will allow the baby to descend down the birth canal more easily. Duration of regional anesthesia labor labor 1 to 2 hours. In addition, regional anesthesia has another negative effect on the delivery process, since the patient does not feel the labor pains very lightly or at all. may have difficulty pushing the baby by pushing effectively.
The cervix known as the second stage of labor reaches full opening (ie 10 cm) In the event that the process that begins with the baby and ends with the delivery of the baby lasts 3 hours with regional anesthesia and longer than 2 hours without anesthesia, the gynecologist and obstetrician should reevaluate the patient.
Or the mother's bone roof is not suitable for the birth of a baby that weight, in which case the decision to give birth by caesarean section. Or the mother cannot be pushed correctly and effectively. Such situations are most frequently encountered in novice mothers during first pregnancies.
At the end of the process, the mother falls exhausted and sluggish. In some cases, birth is very close, but the baby's heart beat may have started to fall due to compression of the baby's head.
If a factor preventing normal birth cannot be detected as a result of the evaluation of the specialist physician, forceps or vacuum may be used to assist delivery to accelerate the delivery at this stage. Both methods should be performed by an experienced obstetrician.
The basis of these methods is to hold the baby's head and turn it to the appropriate position if it is not in a suitable position for delivery and to ensure the birth of the baby by applying the pulling force at the same time. For the application of these methods, the baby's head must be down to a certain level in the birth canal. Forceps method, the baby's head is grasped on both sides of the head with two metal big spoon-like tools.
In vacuum, It is held by metal or plastic caps that create negative pressure inside the baby's head and adhere to the baby's head. By applying a constant pulling force, the mother is pushed by the pains of the baby and the baby is able to progress in the birth canal. In the meantime, other assistants can strongly support the baby's progression through the birth canal by applying strong pressure to the top of the uterus over the mother's abdomen. All these push and pull movements should be done carefully by the professional health care team in order not to harm the mother and the baby. These methods are applied to mothers who have medical problems such as heart and respiratory disease and who do not get tired during labor.
Forceps or vacuum to be applied to patients epidural or spinal anesthesia is preferred. The episiotomy method expands the vaginal outlet by cutting, which facilitates the passage of the baby and prevents the formation of undesirable tears in the mother.
Again in a woman who is very close to birth, the baby's head is seen at the entrance to the vagina, and it is possible to help the mother push the baby down by applying pressure to the top point of the uterus during pain and this is called the Kristeller maneuver.
Our article for belly dissolving exercises after pregnancy: // www. / Post-heart-melting-pregnancy /
You can learn all about Kegel Ezgersizi from this article: // www. / Kegel-exercise-how-are-made-and-What are the benefits /
The most important thing that will ensure the birth of the mother in peace and security environment, This is the establishment of a good relationship between the expectant mother and her doctor during pregnancy follow-up. Therefore, regular pregnancy follow-ups are recommended. It is important to reduce the tension of the pregnant woman with detailed information. Question marks in the mind of the pregnant woman should be removed as uncertainty will increase stress and fear. The support of the spouse and his / her family during pregnancy and during birth is important in helping the birth to pass easily.