The joy of new life is beyond words. The agony of childbirth is forgotten. The child was the one who remembered.
“The pain of labor can be unbearable. Numerous females have a low pain threshold and cannot tolerate such discomfort. Painless delivery may become a requirement for them, “Dr. Himali Maniar, a renowned gynecologist from South Bopal, agrees.
In this procedure, an epidural injection is given once active labor begins.
The use of an epidural makes delivery almost painless. However, epidural has its own set of side effects. It also frequently results in forceps or a vacuum to deliver the baby.
Natural birth, on the other hand, is not without risks. Unrelieved labor pain, for example, is linked to:
- Postpartum depression
- Post-traumatic stress disorder
- Chronic pain
Both of these things put the mother and the baby in danger.
Your gynecologist will consider a variety of factors before recommending the best childbirth procedure for you, according to Dr. Himali Maniar, an expert gynecologist from South Bopal.
Drlogy, Practo, and Clinicspots platforms consider Dr. Himali Maniar among the best gynecologist from South Bopal.
Pains Associated With Labor
For women, childbirth is a joyful but painful experience. It is said that labor pain is the mother of all pains.
However, labor pain differs from woman to woman and from pregnancy to pregnancy. And no one can tell you how your labor will go.
It can range in severity from mild to severe. Childbirth may be almost unbearable for some women:
- Just irritating
- Dull or mild hurt
For others, pain may be:
- Cramps go from the top of the stomach down to the pubic area
- Radiating to the lower back and rectum
- Each contraction is like a punch in the gut that knocks all the air out
- Pain may be burning and in stabs
- Pain may be in the legs and hips
Keeping fit during pregnancy and learning relaxation techniques such as:
- Rhythmic breathing
It can help handle the pain.
HypnoBirthing-which involves using a combination of music, visualization, positive thinking, and words to relax the body and control sensations while giving birth, which may help you stay calm and loose.
Changing your position could help you feel better. Massage and walking can also be beneficial.
Total natural birth
Numerous females think that the pain strengthens their bond with their children.
They are also afraid of the outcomes of medicated deliveries and epidurals, and they refuse painkiller injections commonly given during labor.
That is, they choose a “completely natural birth” (tnb).
‘ It, ‘and,’ is the current global trend.
Unrelieved childbirth pain, on the other hand, is linked to:
- Postpartum depression
- Post-traumatic stress disorder
- Chronic pain
When it comes to tnb, women should be aware of this. They should also take pain relief medication if they have a tnb or natural birth.
They must “distinguish between pain and suffering.” Pain can be controlled, but if it becomes unbearable, medication may help.
The stages of childbirth are as follows:
‘Early labor (up to eight hours or longer): the cervix dilates (opens) to 3 to 4 centimeters, and effacement begins (thin). Mild-to-moderate contractions last 30 to 60 seconds and happen every five to 20 minutes, increasing strength and frequency.
Active labor (approximately two to eight hours): Contractions become longer, stronger, and closer together; the cervix dilates to 7 centimeters.
The majority of women request pain medication at this time, though it may be given earlier.
Transition (up to an hour):
- Cervix dilates to about 10 centimeters.
- Pain is strongest.
- Contractions are intense and closely spaced.
- You may feel pain in your back, groin, even your sides or thighs, as well as nausea.
Insisting (a few minutes to three hours). The intense pain is overshadowed by the overwhelming desire to bear down and push your baby out—some women compare it to “pooping a watermelon or bowling ball.”
Although the pain persists, many women say pushing is a relief because it relieves the pressure.
You may feel a burning, stinging sensation around the vaginal opening as it stretches when the baby’s head crowns or becomes visible.
Placenta delivery (up to 30 minutes): This stage is usually relatively painless, as mild, crampy contractions push the placenta out.
‘At this point, you’re preoccupied with your newborn.’
Several women have low pain tolerances. Expected pain and discomfort can also cause anxiety in some women.
‘Painless delivery’ may be an option for these women. Others may choose it because it is the flavor of the month.
The woman must bear the pain of ‘early labor,’ which can range from mild to severe depending on the individual.
Warm showers, massages, and exercises can help with the pains of ‘early labor.’
When labor reaches the ‘ Active labor ‘ stage, the anesthetist injects an epidural into the spinal cord.
According to Dr. Himali Maniar, South Bopal’s leading gynecologist, the anesthetist tops up the epidural as the labor progresses. It takes 10 minutes to place an epidural and another 10 to 15 minutes for it to work.
Using an epidural significantly reduces pain during the ‘Transition’ and ‘Pushing’ stages of labor and makes ‘Placenta delivery’ almost painless.
Epidural has the disadvantages of prolonged labor, preventing the woman from self-helping and increasing the likelihood of delivery by forceps or vacuum.
When using forceps or a vacuum to deliver a baby, there are some risks of injury. These are thoroughly explained to the patient before deciding on a natural or painless delivery.
According to Dr. Himali Maniar, South Bopal’s leading gynecologist, these changes increased from 16.4 percent in non-epidural delivery to 37.9 percent in epidural delivery.
The following are some of the most common epidural side effects:
- Nausea and vomiting
- Low blood pressure
- Difficulty urinating
A few rare side effects of epidural are:
- Breathing problems
- Severe headache (1%)
- Nerve damage (extremely rare)
Many doctors, however, believe that “there is a lot of misinformation [about epidurals and other procedures] — the risks and complications are exaggerated, and women suffer unnecessarily.” Also, epidurals and other pain relievers are relatively safe.
Risks of Forceps Delivery
The following are the risks to the baby from forceps delivery, though they are uncommon:
- Temporary weakness in the facial muscles (facial palsy)
- Minor facial injuries due to the pressure of the forceps
- Minor external eye trauma
- Bleeding within the skull
- Skull fracture
Forceps delivery risks to mother are:
- Discomfort in the perineum — the tissue between your vagina and your anus — after delivery
- Lower genital tract tears
- Problem urinating or emptying your bladder
- Short-term or long-term urinary or fecal incontinence (involuntary urination or defecation) if a severe tear occurs
- Damages to the bladder or urethra — the tube that connects the bladder to the outside of the body
- Weakening of the ligaments and muscles supporting your pelvic organs, forcing pelvic organs to drop lower within the pelvis (pelvic organ prolapse)
- Uterine fracture — when the uterine wall gets torn, which could permit the placenta or baby to be moved into the mother’s abdominal cavity
Most of these dangers are also linked with vaginal deliveries, while forceps deliveries are more likely.
Risks of Vacuum Extraction
The following are the dangers of vacuum extraction for the mother:
- Tears and damage to the tissue in the lower genital tract
- Pain after labor and delivery
- Blood loss and subsequent anemia
- Muscle and ligament weakness around the pelvic organs
- Urinary or fecal incontinence, which may be temporary or permanent
Risks to the baby are:
- Bleeding and wounds on the scalp
- Stretching of the nerves along the neck can cause Erb’s palsy or a brachial plexus injury.
- Bleeding under the skin or in the brain
- Bleeding in the eyes
- A skull fracture
- Neonatal jaundice
- Brain damage, which may lead to permanent disability.
Natural Birth Risks
“Natural births come with their own set of risks. Especially if the mother has a medical condition or if the baby is unable to pass through the birth canal naturally, “Dr. Himali Maniar, one of the best gynecologists in South Bopal, agrees.
other concerns are:
- Tears in the perineum (area behind the vaginal wall)
- Increased pain
- Bowel issues
- Urinary incontinence
- Psychological trauma
Labor and delivery during natural birth can be eased with:
- taking a warm bath or using a hot pack
- breathing techniques
- frequent changes in position to compensate for changes in the pelvis
The optimum method of childbirth for You
The obstetrician will consider the following factors when advising you on the best method of labor and delivery for you:
- Overall health and emotional well-being of the mother
- The size of the mother’s pelvis
- The mother’s pain tolerance level
- The intensity level of contractions
- Size or position of the baby
Hopefully, the information in this article will assist you in making an informed decision about the best method of childbirth for you, in consultation with your obstetrician:
- Total natural birth
- Natural delivery
- Painless delivery
- A cesarean section