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Medical Video: Labor And Delivery Child Birth | Manipal Hospitals
Pursuit, alias signed, is the second stage of labor. This phase occurs after the cervix widens completely and no longer covers the baby's head, so there is now a seamless birth canal for the baby to be born into the world safely. You may have heard that the urge to push during childbirth is similar to the urge to want to defecate. But is it true that the way to push is as easy as just "take a deep breath, throw slowly, and push as hard as you can"?
Way signed when giving birth should not be done carelessly. The wrong way to push can endanger you or your child. Therefore, there are a number of things you should avoid during straining during childbirth.
What is the wrong way to push?
The doctor will guide when you can start and must stop pushing. Follow the doctor's instructions properly so that your labor process runs more smoothly.
In addition, there are 5 things you should do avoid it during straining.
1. Ngeden before being ordered by the doctor
Once your cervix is really wide open, you will feel a strong urge to push. For most women, it feels better to push than not push.
On the other hand, you may not feel contractions strong enough to know when to push. Conversely, if you receive an epidural, you will feel numbness all over your waist down so you might not feel sick and not have the urge to push. In both cases, you may want to wait up to one or two hours until your cervix is fully dilated, or until your baby's head slumps very low in your pelvis, before starting to push. Or, you can depend on doctor's instructions to help you push effectively.
Regardless of the case, straining will be most effective if done as soon as the mother feels the urge to push. However, pushing constantly before being instructed by the doctor just throws a lot of energy which causes you to get tired before actually straining. Continuous chasing can also cause cervical swelling and prolong labor.
2. Straining too hard
Chase it like when you push to defecate, do it calmly, and follow your body's desires. For mothers who have had their first normal birth, the straining stage may take one to two hours. But not too signed too hard to speed up the birth process. Straining too hard can make the perineum tear bigger, which may require stitches. Besides that, straining with all your might can consume all your energy at one time. As a result, you will be exhausted prematurely so that you are no longer strong enough to push back.
After straining, you should take a break, take a deep breath once more, and exhale slowly - like blowing a candle. You need more energy to push next.
3. Panic and tension
Chasing is the natural instinct of a (prospective) mother, so that your body knows best when to start. Do not push by focusing only on your upper body and tense your facial expressions. Tightening the facial muscles and upper body makes your face and eyes reddened by broken blood vessels, and stiff neck muscles. These are signs that you are pushing up, instead of pushing down.
Chasing is also tiring. The combination of lack of energy and panic can make you even less focused. In fact, high concentration during childbirth is the most important factor to have a smooth maternity process.
Maintain self control and try to avoid panic. Be patient. Take a deep breath, slowly remove it. Your ability to relax is as important as your ability to push. The uterus can push the baby out by itself. Do not force it. Focus on using your abdominal muscles to push down, and push it out.
4. Irregular breathing
So that you can push more effectively, don't breathe irregularly. Irregular breathing only makes you tired. In general, this is the right way to breathe when straining: Take a deep breath (not too long but not too short too), hold it in the lungs, place your chin on your chest, pull your foot towards your chest when pushing, and throw through the nose.
Make a whispering sound "Ah" or "Oh" because this can help you exhale more regularly. It can also calm your upper body and your perineum. Don't try to hold the sound that comes during straining. However, high-pitched screams will not help much, just transferring your energy to your upper body and face. You should instead make a deep and low voice growl to help you push down. Grunting or groaning, it's okay. This even helps you push more effectively. Relax your jaw and mouth, leave it open - this helps you relax the pelvic floor muscles.
Holding your breath during straining is unnatural to do and might endanger the baby if it's done for a long time. However, if holding your breath makes you easier to push, it's okay to do it as long as you feel comfortable.
5. Incorrectly pushing position
In some cases, the baby is not in the optimal delivery position. This scenario is the position of the posterior occiput baby. In this position, the baby faces the mother's abdomen instead of the spine so that the baby may be stuck behind or facing the pelvic floor during the delivery process, which makes you have to push for longer. If you experience severe back pain during labor, most of the reasons come from this position.
There are many positions that you can practice while straining during childbirth, but find your comfortable position. Instead, always place your chin on your chest, pull your back forward, and pull your legs towards the chest to make it easier for your abdominal and uterine muscles to push the baby out. To speed up the labor process, you can routinely change positions, such as sitting or squatting, so that gravity also helps the baby's birth process. If you can, don't lean on your back.
Most importantly, don't lift your buttocks when you push. This way of straining will only make your perineum tear wider. Don't also allow others to hold or restrain your legs.
