Contents:
- Medical Video: Black People Racist towards White People? (Social Experiment)
- Do not immediately push when you feel a contraction
- When to start pushing?
- When to stop pushing?
- How do you push?
- If you use an epidural to anesthetize pain
Medical Video: Black People Racist towards White People? (Social Experiment)
Mengejan, or also commonly called signed, is one of the important things that need to be done when you undergo normal labor.
Normal labor is the process of giving birth to a baby through the vagina without using assistive devices. Normal labor requires three important factors which are often abbreviated as 3P: Power, Passage, and Passenger. That is, to give birth normally, you must have strength (power) when pushing; birth canal condition (passage) adequate; and the fetus is born (passenger) not too big to pass through the birth canal.
Do not immediately push when you feel a contraction
Even though you don't intend to push, the urge to push will usually appear as an unconscious reaction to fetal pressure on the pelvic floor. Depressed or fetal movements deep within the pelvis will cause unbearable desire to push. When you first experience the urge to push this, many women feel it like the desire to defecate.
However, when you feel like pushing when opening the birth canal isn't perfect, hold it relaxed, and remove all air from the lungs. If necessary, exhale quickly to prevent you from straining.
You or your partner can ask the nurse or midwife to check the current opening. If the cervix still has a thick area, you should not squat or push until the cervix has fully opened. If forced, the cervix will actually swell and slow the development of labor.
Although it is sometimes difficult and uncomfortable to hold back from straining when you feel a strong desire, it is better to delay the urge until the cervix is fully exposed.
When to start pushing?
At each contraction, the baby will be pushed further down, causing the opening of the birth canal. The opening is called complete when the birth canal stretches 10 cm wide, which means the opening is perfect and the baby is ready to get out of the womb.
When it's at this stage, heartburn due to uterine contractions will occur faster and longer, about 2-3 minutes. The head of the fetus descends into the pelvic space and compresses the muscles of the pelvic floor, so that it will reflexively push forward.
This urge to push can be similar to feeling like wanting to defecate, which is characterized by an open anus. And when you start straining, the head of the fetus will begin to appear, while the vulva (vaginal lips) opens and the perineum stretches.
You will feel strong pressure in the perineum area. This perineal muscle is elastic, but you can expect a doctor or midwife to cut perineum (or also called an episiotomy procedure), then this will be done, with the aim of preventing the forced tear of your perineum due to pressure from the baby.
When to stop pushing?
The process of straining is done until most of the baby's head starts to appear, or also called crowning. You will feel the genital tissue at the bottom stretch and feel hot.
At this time, you should stop pushing, and let the genitals and perineum (the muscles between the vaginal opening and the anus) stretch slowly around the baby's head that begins to appear. This is important, because if you keep pushing and pushing, there is the possibility of a tear or birth that is too fast.
When the stretch occurs, the heat sensation that you feel on your genitals is a clear signal that you should stop pushing immediately. The doctor or midwife will give direction and tell you when to push and when to stop.
How do you push?
Once the cervix has fully opened, you may feel the urge to immediately push / push along with the arrival of contractions. But some women feel the urge to appear after a short break from contractions. This difference is influenced by the number and speed of the baby's fall, the position and position of the baby in the pelvis, and your body position.
If you are already in the full opening stage, please start pushing each time you feel the urge and desire to push. Push your baby down by pushing, and after the urge to push is gone, breathe lightly until an urge to push next or until the contraction subsides.
You might push 3-5 times at each contraction, and each treatment lasts 5-7 seconds. Take advantage of the opportunity to relax and relax at the time lag of contraction.
This type of agitation is called "spontaneous encouragement". That is, you react spontaneously to the urge to push. This type is recommended if labor goes normally and you are not anesthetized.
The process of straining will continue at every contraction until the baby's head almost exits. At this time, the doctor or midwife will tell you to stop pushing so the baby can come out through the genitals slowly.
If you use an epidural to anesthetize pain
Spontaneous treatment is not possible if an anesthetic (for example with an epidural) is done because anesthesia can eliminate the sensation of wanting to push, as well as your ability to push effectively.
If you get anesthesia to reduce pain, the midwife or nurse who accompanies you will give a signal when and how you should push. This is called "guided encouragement".
