Tuesday, February 4, 2020

Understanding Normal Childbirth, from Stages to Preparation Tips


It seems that not a few pregnant women who worry about how to give birth normally. In fact, normal childbirth can be said to be the main hope of many mothers, before later being advised to take the other birth paths due to various other conditions. Before experiencing the procedure of giving birth normally directly, let's peel the way and the tips one by one below!

What is the procedure and how to give birth normally?
Although it is the dream of most pregnant women, but not a few mothers who are also worried about the procedure or normal delivery. Broadly speaking, here are the steps for each step of normal childbirth that you should understand:

1. Cervical opening
Entering the days or hours before birth, usually the cervix (cervix) will begin to widen. However, this widening does not take place suddenly, but step by step as a way to be able to give birth normally.

Latent phase (initial)
First the cervical opening is only about 3-4 centimeters (cm) wide. Sometimes, this condition is accompanied by contractions that disappear and arise erratically. This section is called the initial or latent phase, which is part of the normal way of giving birth.

These contractions usually last around 30-45 seconds, with pauses for 5-30 minutes between contractions. Unlike the real contractions just before the normal delivery process, these early contractions tend to be mild and irregular called false contractions.

Here, you usually feel that the body has undergone gradual changes as the beginning of normal delivery. However, the feeling of discomfort at the beginning of normal delivery is generally still very mild.

So that breathing can be more regular, try to breathe with a slow but fairly regular tempo. Here's the breathing technique that you can do according to the American Pregnancy Association:

  1. Take regular breaths. Start with as many breaths as the contraction begins, then exhale afterwards.
  2. Focus your attention.
  3. Inhale slowly through the nose, then exhale through the mouth.
  4. Make sure you focus on relaxing your body in each breath and exhalation during breathing.

Active phase
Furthermore, cervical dilation then develops to 4-7 cm, with contractions that feel stronger than before. The sign, you have reached the active phase of normal childbirth, with conditions of opening the cervix faster and wider.

The duration of contraction lasts generally around 45-60 seconds, with pauses for 3-5 minutes. Discomfort in this phase of normal delivery feels stronger than before.

You can immediately consult a doctor in preparation for undergoing the process or how to give birth normally later. Pain and intense pressure can also arise in the back or abdomen every time they contract.

Quite often, you may feel like there is an urge to expel something from the body. At this stage of normal childbirth, you must regulate breathing so that the pain decreases.

After the contractions that appear feel more intense, now is the time to apply mild breathing techniques from normal childbirth to make the body more comfortable. Here's how:

  1. Take regular breaths. Start with as many breaths as the contraction begins, then exhale afterwards.
  2. Focus your attention.
  3. Take a breath through the nose, then exhale through the mouth.
  4. Regulate your breathing as best you can when the strength of contractions increases.
  5. If the contractions seem to increase at the beginning, try not to pant your breath.
  6. Similarly, if an increase in contractions occurs gradually, adjust the breath so that the body is more relaxed.
  7. The breathing rate accelerates as the contraction increases, try to take and exhale slowly through the mouth.
  8. Keep your breathing steady at about 1 breath every 1 second, then exhale.
  9. When the strength of contractions decreases, slow down your breathing rate.
  10. Gradually, breathe again by taking a breath through the nose and expelling it through the mouth.
  11. When the contraction is over, take as many breaths as possible and then throw them all away while sighing.

Transition phase
Doctors usually ask you to wait so that you do not push until the cervix is ​​completely wide open. Cervix in normal delivery is said to be fully open when its width reaches 10 cm.

This means that you have entered the transition phase and in a few moments are ready to apply the normal method of childbirth. Do not be surprised, because at this stage of normal delivery, contractions are much stronger and more disturbing.

Contractions can last about 60-90 seconds, with pauses of 30 seconds to 4 minutes. Still like in the previous phases, you should also apply breathing techniques in the transition phase which is a way to give birth normally.

In this stage of normal childbirth, the breathing technique combines mild breathing and longer breathing as a way of giving birth normally.

The following stages of breathing techniques that you can do in the transition phase in how to give birth normally:

  1. Take regular breathing to ease the normal way of giving birth. Start with as many breaths as the contraction begins.
  2. Next exhale and try to relax.
  3. Focus your attention on one point so that it smoothly applies the normal delivery method.
  4. Take a light breath through your mouth with a speed of about 5-20 breaths in 10 seconds during a contraction.
  5. In the second, third, fourth, or fifth breath, exhale more and longer.
  6. When the contraction is complete, take a deep breath once or twice while sighing.

2. Straining and giving birth to a baby
After the cervix is ​​fully opened as a way to give birth normally, accompanied by the appearance of contractions feels very great and strong, now arrives at the expected time.

In addition to a body that has a strong urge to push, doctors usually will also give the signal that you try hard. No need to worry, because here the position of the baby's head and body is ready to come out with a normal delivery.

The baby's head is in a position very close to the vagina, so that it will come out first and then proceed with the body, hands and feet in the process or normal delivery.

Applying the right push position
How to push in a normal delivery should not be done haphazardly. Here's the right position to push as a way to give birth normally:

  1. Position the body lying down, with both legs bent and wide open to facilitate the normal way of giving birth.
  2. Concentrate the strength of the contraction by slightly raising your back so that the head is in a slightly awake position, while straining a case being pushed something.
  3. Tuck your chin in the chest, then apply proper breathing techniques when straining (will be explained below).
  4. Take a deep breath, then exhale while pushing your body with straining like when you are defecating.
  5. Give a little rest for the body before starting to draw breath again, and leave the head in the sleeping position again.
  6. Repeat this and try to remain calm while undergoing normal childbirth.

Apply proper breathing techniques
At this stage of normal childbirth, your breathing must also be considered. Here's the breathing technique when straining right as a way to give birth normally to make it smoother:


  1. Take regular breathing to ease the normal way of giving birth. Start with as many breaths as the contraction begins, then exhale afterwards and release the tension that you feel.
  2. Focus your attention on the baby's position so that it moves down and out of the vagina.
  3. Breathe slowly and let the contractions guide your breathing. You can speed up your breathing to make the body more comfortable when undergoing a normal delivery.
  4. When you have to push, take a deep breath beforehand, then tuck your chin to your chest, and lean forward like you're pushing something. Try to relax the pelvis during the pushing and breathing process.
  5. After 5-6 seconds, exhale then take and exhale as usual as part of normal childbirth.
  6. Before you start pushing and breathing again, use this time to take deep breaths to provide oxygen for your body and baby.
  7. Between the time when contractions are over, try to reduce the urge in the baby. This will help keep the baby in that position and prevent it from re-entering the uterus.
  8. When the contractions are over, relax your body and inhale once or twice to calm the body after undergoing normal childbirth.
  9. Repeat the preparation technique while straining in this way of giving birth normally, while listening to the cue from the doctor and the medical team.
  10. When this process, you should not shout while you will actually use up your energy which can actually be used to push harder.
The benefits of breathing techniques to relieve pain
A study published in the journal Midwifery, found that applying good and correct breathing techniques is an effective way to manage pain during normal childbirth.

This is because as long as you do the breathing technique, your mind will focus thus preventing pain signals from being delivered to the brain. In addition, breathing techniques can also stimulate the release of the endorphin hormone which acts as a natural painkiller in the way of giving birth normally.

Imagining how to push and breathing techniques in normal childbirth may make you a little confused. However, this process usually occurs naturally and you can feel for yourself when to inhale, exhale, and push strongly.

The strengths and weaknesses of the energy you exert when straining as a normal way of giving birth can also be felt by yourself later. The key, try to stay focused and understand your body's abilities while implementing normal childbirth.

Doctors and medical teams involved in the birthing process will continue to assist and assist you. Follow all the words of the doctor to make it easier for you to undergo or apply a normal way of giving birth.

Stages of the baby out through the vagina
The stronger your effort to push and push the baby is born, the faster the baby will come out through the vagina. When knowing the baby's head began to appear, of course there is a feeling of relief and happiness.

The doctor and the medical team will then give you a signal to stop pushing. This step is done while cleaning the amniotic fluid, blood, and mucus that may stick to the baby's mouth and nose.

That way, the baby will be easier to breathe and cry when his body is completely out. Next, the doctor will position the baby's head by rotating it, so it can come out parallel to the body that is still in the vagina as a way to give birth normally.

The doctor will then ask you to try to push and push again as a normal way to give birth to the baby's shoulders, followed by the body and legs. Finally, the baby comes out completely and proceed with cutting the umbilical cord.

3. The process of removing the placenta
The release of the baby does not coincide with the release of the placenta. So, you still have to try to push a little more for the sake of removing the placenta in the uterus which is part of the normal way of giving birth.

Only after the placenta is removed, the doctor will sew the vagina that was opened wide enough as a way out of the baby in a normal delivery.

Overall, each mother goes through different lengths of time and ways of giving birth. This is usually determined from the physical condition and experience of previous childbirth.

4. After giving birth
All the processes and ways of giving birth normally you have gone through well. Now enter the recovery phase of the body and breastfeed the baby.

However, that does not mean contractions in the uterus in a normal way of giving birth have stopped completely. The uterus will continue to contract to shed the blood vessels in the place where the placenta is attached.

You can start breastfeeding your baby now, by initiating early breastfeeding (IMD) within 30-60 minutes after giving birth normally.

Although it may require a little patience, but over time the baby will usually start looking for a mother's nipple to suckle. As much as possible, let skin to skin contact occur naturally.

Apart from being a process of approaching a baby after passing through a normal delivery method, breastfeeding at the beginning can also stimulate the release of the hormone oxytocin. This hormone is responsible for causing contractions and making the uterus feel tight after undergoing normal childbirth.

That is why, contractions in the uterus in normal delivery will explode slowly, along with the release of the hormone oxytocin.

The doctor will usually ask that you and your baby be in the care room first for a while. This depends on your condition and the baby after giving birth normally.

Once it feels healthy and there are no problems after undergoing the process and normal delivery, you and the baby will be allowed to go home.

Tips for preparation for the normal delivery process to run smoothly

It takes careful preparation so that you are fully prepared before undergoing the process and normal delivery. Here's an easy way that can be done before giving birth normally:

  1. void excessive stress and anxiety.
  2. Keep the mind positive, especially regarding the labor process later.
  3. Gather as much information about the labor process.
  4. Ask for support from family and those closest to you so that you can implement normal childbirth smoothly.
  5. Make sure you have a doctor, midwife, and place to give birth later.
  6. Eat and drink sufficiently and regularly.
  7. Try to increase physical movement, such as breathing exercises, relaxed walking, yoga, and others.
  8. Always make sure you get enough sleep.

Do not forget, always consult regularly with your doctor, especially in a matter of weeks and days before your birth to be ready to apply the normal way of giving birth.


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Created by: dulandulin

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