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Pain relief methods during childbirth

Feeding babies hurts, but there are several ways to relieve the pain during childbirth, ranging from massage to morphine.

To give birth to children hurts, but if during pregnancy you are informed about pain and childbirth and about the body's physiological preparation for childbirth, the experience of the pain can be greatly alleviated. A tense and frightened mother experiences the pain stronger than one who is calm and confident.

Pain relief methods during childbirth

When it comes to relaxation, there are several pain relief methods. Many can be used both at home and at the maternity ward.

Breathing

The body's normal defense against pain is tense and involuntarily holding its breath. This defense means that you experience the pain more intensely and that the cervix opens more slowly. One must counteract the body's defense and actively think about relaxing with the help of breathing properly. Breathing is important throughout the delivery process!

Breathing properly relaxes the body and the cervix opens more easily. For more information about pregnancy and maternity fashion, please see BESTAAH.COM maternity shoes. Breathing right is something that can be exercised during pregnancy. Breathing becomes easier to control if you start at home early, before contractions become too intense. One should take long, deep breaths, through the nose and out through the mouth. As the contraction increases in strength, you breathe a little faster. When the contraction is over, be careful to take a deep breath and feel so that the shoulders do not stop tight.

Bath / shower or heating

During the maturation phase, one feels a pain in the back and possibly on the stomach. It feels much like menstrual pain, often along with short, less painful contractions. Here it is often nice, soothing and relaxing with a hot bath and a hot shower that flushes over your stomach or back. A heating pad can feel comfortable when not in the shower.

Massage

It can relieve with massage over the back end during a contraction, usually then with a certain pressure with the entire palm.

Physical activity

Being in motion and in an upright position also works relieving, because you get a smoother breathing pattern and the body's own morphine-like substance endorphin is released. Other benefits are better oxygenation to the uterus, contractions become more effective and work against a lower resistance and the body has easier to relax.

TNS (Transcutaneous Nerve Stimulation)

In several places, maternal health care can rent out or lend a so-called TNS device. It consists of four plates that are glued to the skin, usually at the back end, to which electrodes are attached. The electrodes provide small electrical impulses that activate the endorphin release. TNS stimulation should be started at home before contractions have become too intense.

TNS provides a good analgesic effect during the maturation phase and at the beginning of the opening phase. The woman herself can regulate the strength of the impulses during and after the contractions. TNS does not affect the contractions or the child negatively, and can also provide effective pain relief against pain after the baby is born.

Acupuncture

Available at maternity wards around the country and can be utilized during the entire maternity cycle. You place thin needles at different points on the body, depending on where you are in the delivery process and where the pain is. It combines pain-relieving needles with relaxing needles, and in some cases, acupuncture can also be used to produce other effects (for example, if a placenta does not come off by itself, or when it is difficult to urinate after delivery).

For best effect, one should start early in the opening phase. Acupuncture does not adversely affect contractions or children.

Nitrogen gas (N20)

Nitrogen gas was used in childbirth care as early as the end of the 19th century. Nitrous oxide is an insoluble gas, which means that it does not accumulate in the body's tissues, but disappears quickly from the body if the supply ceases.

The gas is inhaled and passed through the lungs and blood circulation to the central nervous system and the brain, where it reduces the pulses of pain. It has a relaxing effect and stimulates the release of endorphins. Hearing impressions can be reinforced, visual and sensory impressions can be temporarily changed. The nitrous oxide gives an intoxicating feeling and sometimes memory gaps can occur.

The nitrous oxide breathes in and out with an open mouth with calm, deep breaths. You start when the contraction is on hold and then hold on to the entire pain. After the contraction, you breathe a few deep breaths without nitrous oxide. This is so as not to leave the intoxicating feeling between the contractions, as one can experience it as unpleasant and even feel nauseous by it.

Many women receive effective pain relief from the early opening phase and the entire delivery process through nitrous oxide, without affecting children, circulation, breathing or other organ systems. The woman takes care of the supply herself, but may need careful guidance until she has received the right technique.

Morphine and morphine-like agents

Morphine is a narcotic drug that raises the pain threshold and works relaxing. It can be effective during the latency phase and early opening phase. A changed perception of time and memory gaps may occur.

Morphine has a relaxing, sleep-inducing and breath-taking effect and should therefore not be given to women with asthma or near imminent childbirth, as the child is affected by the same symptoms.

If the child is presumed to be born before the morphine has gone out of the body, the breastfeeding and mother / child attachment, among other things, can be disturbed, because the child is abnormally tired and powerless. (However, antidotes are to be given to children born with morphine in the body, and if the birth is considered imminent, the woman can receive antidote to the morphine before birth)

PCB (ParaCervical Blocked)

A local anesthetic that is injected around the cervix into the area adjacent to the uterus. Works pain relief without loss of sensation during the active opening phase with regular contractions. The analgesic effect is almost equivalent to that of epidural anesthesia.

However, PCBs need to be linked to continuous fetal monitoring. Isolated cases of nerve damage with pain have been reported. The anesthetic also has a short duration and repeated doses may be needed.

The baby may have a heart attack, possibly because the blood vessels in the uterus contract with the anesthetic. This can lead to a lack of oxygen in the child.

The contractions may subside but usually briefly.

It is not painful in the sheath, pelvic floor or rectum, and therefore supplementary analgesic preparations may be needed in the expulsion phase / Christmas phase, such as a pad shower block (see below).

Epidural Blocked (EDA)

Also called back anesthesia. In this type of anesthesia, a very thin plastic tube is inserted between the vertebrae in the back, into the so-called epidural space where it is fixed with a staple and then local anesthetic, usually mixed with a morphine-like preparation, is injected continuously or as repeated small doses.

In most cases, the EDA has a satisfactory analgesic effect from a stable opening phase and the entire delivery throughout, and is considered harmless to the child. Often, a relaxing effect on the cervix is ​​seen when the analgesic effect strikes, and the cervix opens more easily and faster.

It is the anesthetist who puts the plastic catheter in place. In extreme cases (for example, in pronounced childbirth fears), the catheter can be put in place but delayed by providing anesthetic in it until the woman feels that she is in need of it.

There is a risk of a blood pressure drop in the mother at the plant, and therefore a preventive drop is inserted into a blood vessel in her hand.

Since epidural blockage appears to relax in the uterus, contractions often decrease and a more prolonged course can be obtained. Often it is necessary to stimulate the uterus with a hormone drop to get effective contractions again.

PDB (Pillow shower block or pelvic floor anesthesia)

At PDB, local anesthetics are injected via the vagina precisely where the nerves of the clitoris, pubic lips, middle and rectum meet. This anesthetic method is suitable for the expulsion phase / Christmas stage and for any breakage to be sewn together.

The anesthetic is placed as late as possible in the delivery stage so as not to affect the cyst reflex. Continuous fetal monitoring is applied.

PDB has fast action and good analgesic effect, and can supplement other pain-relieving methods during the opening phase.

It often gives a muted crux reflex and you risk getting a forced cruising because you cruise on command under the guidance of the midwife. This creates the risk of more and more extensive vagina and midsection. There is a certain increased risk that the delivery needs to be terminated with a suction bell or tongs, due to a lengthy Christmas phase that the child can take damage.

 

 

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