Pain and pain relief during labor The first thing that comes to mind at the mention of childbirth- it is a pain. Is it really necessary? When women describe their feelings during childbirth, they use the words: "magical," "beautiful," "delightful," "terrible," "overwhelming," "painful," etc. The genera are associated with a multitude of sensations, especially among the primiparous, but no woman is obliged to suffer, giving a new life. Contractions (squeezing of the abdominal and pelvic areas) and a sense of tightness of the perineum are only a small part of such sensations. Below you will get acquainted with the causes of the pain, learn how to cope with the pain, if it appears. Agree that childbirth, not accompanied by any unpleasant sensations, is unreal. But to plan births under anesthesia because of fear of pain means to deprive yourself of the most beautiful, incomparable minutes. It is also erroneous to believe that with discomfort during childbirth you can cope with controlled births. The so-called controlled births suggest that you can cope with the pain and manage the development of childbirth. Many confident women who are accustomed to count all the events of their life in advance can believe in this and, unfortunately, fail. The mother-in-waiting must first of all understand how to transfer control to her body, and nature herself will tell how to give birth. By understanding the processes that occur during childbirth, you can better prepare for them, you will be able to better provide freedom to your body, which will make the birth more comfortable and effective. The most effective is to learn to relax your body, which will help you better interpret the signals of your body. Of course, even the most intensified preparation can not completely eliminate pain, but the more relaxation, the less pain.

What is pain?

Pain is a certain alarm,warning us that in the body there is some kind of non-physiological process that requires certain measures. This is also true for childbirth. During labor, pain signals to a woman that she needs to relax. When a woman is relaxed, the sensations accompanying contractions testify that the birth is normal. If, in a state of relaxation, a woman experiences pain, this means that something needs to be changed. For example, back pain will force a woman to change her pose, which will not only reduce discomfort, but also help the child take a more comfortable position for passing through the birth canal. Women always expect the appearance of pain during labor, considering it mandatory, and often do not understand what it signals. If you do not pay attention to the pain, you will lose the opportunity to make the necessary changes. The erroneous opinion that a woman necessarily suffers pain during labor leads to the emergence of two extremes: immediate anesthesia or clenching of teeth. The latter occurs if the woman decides not to use medicines for the benefit of the child, but does not know what to do in order to get rid of the pain naturally. Pain during labor, which can not be controlled, is unnatural, but the less pain, the more confusing. Pain stimulates the production of hormones that inhibit childbirth. You should not suffer from pain during childbirth. If the pain is properly understood and properly responded to, it becomes an invaluable assistant in childbirth. Listen to her signals.

What are the causes of pain? We list some of them:

  • Reduced supply of oxygen to the musculature of the uterus (pain is stronger if the interval between contractions is short and does not allow replenishing the oxygen supply in the muscles of the uterus).
  • Stretching of the cervix (smoothing and opening).
  • The pressure of the child on the nerve endings inside and around the cervix and vagina.
  • Stretching of the supporting ligament of the uterus and pelvic joints during the child's fights and lowering.
  • Pressure on the bladder, ureter and rectum.
  • Stretching the muscles of the pelvic floor.
  • Fear and anxiety that cause excessive release of stress hormones (epinephrine, norepinephrine, etc.), delaying childbirth.

Perception of birth pains by women is strongis different. Pain can be exacerbated by many factors: the duration of the prenatal period, fatigue, fear and anxiety, a sense of loneliness, lack of mobility or a complete bladder. At the same time, the feeling of pain during childbirth can be reduced by the presence of people providing support, upright position, immersion in water and other measures. Tribal pains are influenced by your previous experience, cultural traditions, your ideas about childbirth. Knowing the causes of pain, it is easier to cope with it. Women who believe in the possibility of giving birth without the use of painkillers take birth as an opportunity for self-improvement. They believe that the effort expended during childbirth helps to quickly understand the role of the mother. The inexpressible sensations that a woman experiences during childbirth, are the peak of her sexuality, they can not be missed. If childbirth passes unnoticed, a woman can underestimate their importance, not to fully experience the huge changes that await her ahead. Pain and pain relief during labor

Psychology of pain

Most likely, your emotionalattitude to pain will be the decisive factor influencing your ability to cope with it in the process of giving birth. Most women during childbirth have a moment when the technique of distraction and even relaxation, it would seem, does not help. It is then that moral training comes into effect. If the value for the woman is not only the moment of appearance of her child, but also the emotions, struggle and sense of victory, she can find the strength (with a little support) to cope with the pain. If a woman does not consider the process of childbirth important, then she should not struggle with pain. But this does not mean one woman is better prepared for childbirth than another. They just have different approaches. Both will be able to look back with satisfaction at their experience of delivery, as they made their choice and got what they wanted. If a woman gives birth according to her desires, she can better cope with her maternal duties. Surgery is not the best start for the mother and child, since it is associated with fear and severe pain. Your choice should provide you with the best start.

Fear, tension, pain - vicious circle

Young mothers, having heard terrible stories andhaving looked at the faces of women in childbirth distorted by the grimace of suffering, naturally feel fear, they are afraid of what they do not understand. Specialists, watching the woman in labor, see how the uterus softens and opens between the fights, but as soon as the woman in labor felt fear, the cervix tensed and closed. An indissoluble circle is created: fear, tension and pain, childbirth becomes unbearable. Breaking one of the links of this chain, a woman can cope with the pain during childbirth. The pain becomes less if the woman knows how her body works, can relax him, start working with him, and not against him, if she can overcome her fear. An English obstetrician, Dr. Grentley Dick-Reid, has shown that women are not at all obliged to suffer during childbirth or under the influence of pain medications. Nervous-hormonal activity binds all your organs, including the uterus. Fear paralyzes this activity, the uterus is worse supplied with blood and oxygen and, as a consequence, the cervix does not open. If you try to push at a time when the cervix is ​​not ready for this, there will be intolerable pain. The woman begins to fear the next fight, strains even more, the cervix also tenses, and the pain intensifies. In the end, the woman stops coping with her body. Fear does not give this woman a normal birth. Instead of trying to artificially relax the uterus and take medication, it is better to try to cope with stress and fear. Then there will be a relaxation of the muscular tissue, and the cervix will open under the influence of the sympathetic nervous system. Fear disrupts hormonal balance during childbirth. The birth is delayed, as the hormones that stop the delivery are produced in greater quantities than the hormones that accelerate birth. To better understand the physiology of fear, consider what happens during normal labor. Weakened by fear of nerve endings inhibit the muscles of the lower part of the uterus. Usually the upper and lower muscles of the uterus work harmoniously, pushing the child out. Fear makes the lower muscles tense, instead of relaxing. At this time, the upper muscles (less prone to fear) are automatically strained, and the child is pushed out, overcoming the strong resistance of the uterus. Remember that pain often signals that something is going wrong and you need to make a change. Pain can also occur if the muscles do not work as usual. Mothers consider this pain pathology than it is and in fact, their fear grows and the vicious circle of fear, pain and tension becomes ever closer. Cope with fear, not to give rise to normal fear in the pathological can only information. Find out the cause of your fear, talk with experienced women. Someone else's experience will help you to imagine how your birth will take place. Of course, no one can accurately predict the pattern of the flow of your genera, but the more you know about childbirth, the less you will be afraid. Formulate your fears and try to get rid of them, do not get hung up on them. Try to surround yourself during pregnancy and childbirth by people who will not charge you with fear. Believe in yourself and the capabilities of your body. A woman with knowledge is less afraid and she has more chances to give birth successfully. Do not draw and rainbow images of childbirth, probably you will experience a whole new set of tremendous sensations and pain can be one of them. But if you know about the causes of pain, then treat it as a signal. Perhaps childbirth will be the hardest thing in your life, new feelings can overwhelm you with your strength. Be sure that you will cope with them, will be able to curb them. Use your imagination, find out what will help you best when the birth begins.

Natural pain relievers - endorphins

Circulating in your body are natural hormones,biological assistants, help relieve pain and relax during stress. In the cerebral cortex, compounds are formed-endorphins, morphine-like substances that can suppress pain. They are produced by nerve cells and act on receptors, suppressing pain sensations at the cellular level. Carefully read the data on the action of endorphins and try to create conditions in which your assistants will be able to work with maximum efficiency.

  • Concentration of endorphins increases duringfights (especially during the second stage of labor). It is especially high immediately after childbirth, then gradually, within two weeks after childbirth, comes back to normal.
  • During vaginal delivery, the endorphin concentration is higher than with caesarean section. The least amount of endorphins is produced in the case when the cesarean section is done before the birth began.
  • The level of endorphin is higher in those newborns who were born with signs of oxygen starvation. The child also receives endorphins during childbirth.
  • The level of endorphin rises during hard work, and, as you know, there is no more strenuous work than giving birth.
  • Endorphins stimulate the production of prolactin, a hormone that regulates the functioning of the mammary glands. The researchers believe that the combination of these two hormones explains the feeling of "miracle" during childbirth.
  • Endorphins can cause a woman to sleepafter childbirth. In addition, the low level of this hormone in those women who had a cesarean section before the onset of labor probably explains their problems with lactation. The development of endorphin depends on the emotional background. The state of stress and anxiety can lead to increased production of stress hormones (catecholamines) that inhibit the action of endorphins.
  • Endorphin acts differently on different women,as well as conventional drugs. Maybe that's why some women are more sensitive to pain than others. Unlike artificial painkillers, which, as a result of injections, enter the body without warning and can cause complications, endorphin constantly helps you during childbirth.

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