This is an automatically translated article.
The article was professionally consulted by Specialist Doctor I Pham Thi Yen - Obstetrician - Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.Proper birthing and breathing will help the mother's delivery go faster, reduce loss of strength and avoid birth complications such as postpartum haemorrhage, damage to the private area,...
1. Why is it important to push properly?
Labor is a process that marks the end of pregnancy, after which the pregnant woman enters the labor phase. Labor is a process because labor usually lasts 6-12 hours in pregnant women. For first-timers, it will take twice as long, about 12-24 hours.At the beginning of labor, uterine contractions are usually short, these contractions usually cause mild pain. The closer to the time of delivery, the longer the contractions, when there are 3 contractions in 10 minutes and the mother has severe abdominal pain, it is time to push.
Thus, uterine contractions are cyclical in nature, with each contraction, there are usually 3 phases: contraction, duration and rest. During contraction, the pregnant woman feels the abdomen hardens, the pain increases gradually, the pain peaks in the prolonged phase, then at rest, the feeling of labor will gradually decrease and no longer feel pain. Rest is the interval between uterine contractions, helping the mother recover strength.
Therefore, in order for the birth to go smoothly, and the mother to reduce pain, avoid losing strength and affecting the private area, the mother needs to know how to breathe and push to give birth according to the time and contractions of the uterus.
2. Breathe and push properly
2.1 How to breathe According to the cyclical nature of uterine contractions, pregnant women need to focus on breathing. When they begin to feel pain, at the same time as uterine contractions begin, when contractions appear, the mother should focus. into the breath to practice breathing rapidly. Inhale through the nose and exhale through the mouth. As the pain increases, the breathing becomes shallower and faster, the frequency of breathing increases gradually in the prolonged phase. The more pain you feel, the faster you breathe. In the exhalation, how to make a hissing sound almost like a small whistle. When you feel less pain, breathing slows down and breathes deeper, the frequency of breathing decreases. During the resting phase between uterine contractions, the pregnant woman should breathe deeply and gently normally to regain the energy lost during rapid, shallow breathing during contraction and store energy for the next painful breath. ... Therefore, it is best for pregnant women to relax their whole body. When the doctor asks to push, the mother should focus on pushing properly to effectively push the fetus out of the mother's abdomen and genital tract. Ineffective pushing can depress the mother and the baby may suffocate before birth.2.2 How to push When a woman feels the contractions of the uterus, it is when the abdomen becomes hard and pain appears. The pregnant woman should take a deep breath, then hold her breath, close her mouth tightly, and at the same time grasp the two walls of the birthing table with both hands, kick hard on the two ankle tubes of the birthing table, take real breath. Push hard to push air into the lower abdomen to help expel the fetus. When a woman feels that she is about to run out of breath but is still in pain, she can take another breath and continue pushing until she no longer feels the pain in her abdomen. Note that while pushing, the mother must keep her back straight, close to the surface of the birthing table and the buttocks must be curved forward. Especially to keep it so that when pushing, the mouth does not make any sound. Between the two uterine contractions, when the pain is gone, take a deep breath to regulate and restore strength to focus on the next push. In women who have given birth to a premature baby, the push to give birth will usually last about 30-40 minutes, divided into several push-ups. Only then can the baby be delivered. In humans, the push is shorter, only about 20-30 minutes.
The most important thing is the birth certificate of the fetus. The doctor will continue to deliver the baby, actively pull the baby's body, buttocks and limbs out of the mother's door, the birth is considered over.
However, in some cases, the fetus is too large, and the fetal weight is too large, which can cause difficulties in shoulder movement, shoulder jam. At this time, the doctor will perform a number of other tricks to support the baby,... When the shoulder is stuck there can be a few troubles and complications, but it usually has little effect on the baby's health. , because that small body is very miraculous, the baby's ability to recover is very fast and rarely leaves complications,...
Pregnant women need to practice pushing and breathing properly to avoid losing strength and avoiding complications. Birth symptoms such as postpartum haemorrhage, injury to the private area, etc., help the birth to go well.
Vinmec International General Hospital offers a Package Maternity Care Program for pregnant women right from the first months of pregnancy with a full range of antenatal care visits, periodical 3D and 4D ultrasounds and routine tests to ensure that the mother is healthy and the fetus is developing comprehensively. Pregnant women will no longer be alone when entering labor because having a loved one to help them during childbirth always brings peace of mind and happiness.
Doctor Pham Thi Yen has 11 years of experience in examination and treatment in the field of Obstetrics and Gynecology. Doctor with strengths and deep understanding in:
Examination and consultation of normal pregnancies, pathological pregnancies, high-risk pregnancies Examination and treatment of gynecological diseases: cervicitis, cervical ectropion Surgery Laparoscopic surgery for gynecological diseases: ectopic pregnancy, uterine tumor, ovarian tumor Surgery for breast, vulvar, vaginal, cervical tumors Obstetric surgery: cesarean section, examination and treatment of endocrine disorders in women of all ages: puberty, reproductive age; perimenopausal age.
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