Childbirth - Ways to relief pain during childbirth

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CHILDBIRTH
Ways To Relief PAIN During Childbirth
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What Is Labour?
When The Time Comes, Uterine Contractions Will
Make The BABY To Go Out To LIFE
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There Are THREE Stages Of labour
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1st Stage
Time Primigravida 8-12 hours in
primigravida Multipara 4-6 hours in
multipara Dilatation Of Cervix cervix 10 cm to
allow the passage of the head.
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2nd Stage
Time Primigravida Mmore than 42 minutes in
primigravida Multipara Between 10-30 minutes in
multipara It is the stage of passage of the head.
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3rd Stage
Time 10-20 minutes It is the stage of passage of
the placenta. You may feel irregular, and
separate labour pain in the last weeks of
pregnancy, and once they become regular
intervals, about 5 minutes, it is the time for
delivery.
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Causes Of Labour Pain

• Cervical dilatation
• Contraction and retraction in the lower uterine
  part
• Contractions and retractions affect blood
  vessels accumulates metabolites which leads to
  pain.
• Contractions cause tension on the ligaments that
  hold the uterus

• Where you may feel pain?
• Down in the abdomen.
• Sides of the pelvic bone.
• Umbilicus down to the genital area.
• Lower back.

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• Signs of labour
• Labour pain regular uterine contraction very
  often,
• Pain cant be relieved by analgesia.
• Bloody show.
• For primigravida feel irregular uterine
  contractions ½-1 hour apart,
• Can be relieved with analgesia

When should you go to the hospital? 1- If labour
pain started. 2- Heavy sudden bleeding. 3-
Passage of watery vaginal Discharge 4- Passage
of greenish watery vaginal discharge
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What Should You DO During Labour
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1st Stage Of labour 1- Dont push
downward. 2-Take slow deep breath. 3-Lie on the
left or right side.
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• 2nd stage of labour
• Follow your doctors instructions,
• by taking deep breaths,
• then push downward (as if you want to defecate),
• then rest and relax in between contractions.
• Please do not scream in this stage, or pull your
  hair, or jump from the bed.

Your doctor may need to cut an incision in your
perineum especially in primigravida to help your
baby through the process. This is done under
local anesthesia.
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3rd stage of labour

• Empty your bladder.
• When blood gushes out of your vagina your doctor
  will pull the umbilical cord, so try to help by
  pushing down, then he will do uterine massage to
  help the uterus to contract.
• Once labour is finished, your doctor will start
  suturing your perineum under local anesthesia.
• In cases of difficult labour, your doctor may
  need to use vacuum or forceps, in order to get
  the baby out, so you need to know what type of
  delivery may be necessary.
•  

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Caesarean section

•  
• It can be done under general or spinal
  anesthesia.
• It is done to save the life of the mother or her
  baby as in cases of
• Cephalo-pelvic disproportion
• Fetal distress,
• Placenta previa,
• Severe bleeding,
• Severe pre-eclampsia.

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How pain could be managed during labour?

• How pain could be managed during labour?
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• Psychoprophylaxsis or natural birth
• In this method, no analgesia is used but it
  involves increasing the spirit of the pregnant
  woman, and asking her to relax, breathe deeply
  and slowly,
• So, if the doctor explains what will occur during
  labour to the pregnant woman, especially to
  primigravida, this will help her to tolerate
  pain.
• Pain Killing Drugs
• Which are given either intramuscularly or
  intravenously.
• Type of analgesia, its method of administration,
  amount of medication, (depends on the patient
  condition during labour).

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Epidural Analgesia

• In this method, the drug is inserted in the
  epidural space after local anesthesia.
• The anesthesiologist will test the efficiency of
  the drug by pricking the patient gently, starting
  from the thigh to the abdomen
• It usually has no direct effect. It may lengthen,
  shorten or not affect the duration of delivery.

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Important Notes

• Analgesia during labour is a choice left for the
  pregnant woman, and her doctor, to determine if
  this is possible or not.
• If you notice any of these things, call your
  doctor immediately
• Bleeding.
• Passage of watery vaginal discharge.
• uterine contraction lasting 15-20 seconds in the
  beginning then increase to 40-50 seconds,
  occuring at 2-3 minutes intervals. At this time,
  concentrate on taking deep and slow breaths.

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PREPARATION For Birth

• When you arrive to the hospital, the nurse and
  the resident doctor will assess your condition,
  if it is early labour, then you may be discharged
  home.
• If you are in true labour you will be admitted to
  the hospital.
• You also may be admitted to the hospital if you
  are hypertensive, or complain of pre-eclampsia,
  diabetic, or if there is fetal distress.
• -

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PREPARATION For Birth

• After delivery, your babys mouth and nostrils
  will be cleaned from mucus, and covered.
• The umbilical cord will be cut in order that your
  baby will breathe from his nose and mouth.
• Then another sequence of contractions will occur
  in order to deliver the placenta.
• You will carry your baby between your hands and
  his weight and length will be measured.

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