Fear of childbirth? Your anti-panic guide


Fear of childbirth? Your anti-panic guide

Pain, forceps, Caesarean section, hemorrhage … The anti-panic guide of Dr. Emmanuel Closset, obstetrician gynecologist, and Marie-Christine Desmartin, midwife.

Fear of childbirth? Your anti-panic guide
Fear of childbirth? Your anti-panic guide

What if the pain became unbearable?

  • You have decided to give birth to your baby without anesthesia, and you ask how you will react. Same question if you are applying for an epidural because a painless delivery is never 100% guaranteed. The anesthetist is waiting … the epidural does not “take” on both sides …
    Do not panic, in most cases; you will be relieved. “It is wise and reassuring to prepare to do without the painkiller,” warns Dr. Emmanuel Closset. During the preparation for birth, the midwife explains how to breathe to accompany the contraction, how not to be overcome by the sensation.
  • “The more women prepare, the better they control the pain. Some even manage to limit it by breathing and concentration, “admits Marie-Christine Desmartin.
  • This midwife also favors changes in position to improve work. “Now, the patient is offered to stand on the side by raising and flexing her outer leg or sitting down leaning forward and leaning on a balloon,” she continues. It relieves, the dilation is faster, and the baby presents better. “
  • Finally, be aware that you will not be alone in dealing with your pain. Midwives are there to help you overcome difficult times. Moreover, if the dad has decided to accompany you, it is good that he attends with you some courses of preparation for the birth to know what to do, how to massage, to support your head …
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A blue fear of forceps?

  • Forceps de Tarnier, Pajot, spatulas, suction cup … There is a whole paraphernalia to help your baby to go out when the work is not progressing enough, and it is not the time to carry out a caesarean.
  • You have undoubtedly heard that these instruments were impressive, that they had left marks on the baby, or wounded the mother. You know that they are hardly noticed when the obstetrician uses them.
  • However, can they damage the tissues? “It is sure that by applying them, one adds thickness, thus an additional distension of the perineum and, more often, an episiotomy is necessary,” says Dr. Emmanuel Closset.
  • In any case, do not dread the apparently wild side of the metal. The edge of the spoons, which is applied to the baby’s head, is rounded and smooth.
  • No fear to have either for the baby. Your child is usually ready to be born and just needs a little boost to get out without lying around. It is rare also that your toddler keeps track of the forceps, or scarcely a little redness, or even a small scratch that disappears after two days.
  • Finally, some mothers are angry that they have not been able to give birth as leaders and that the forceps were necessary. Birth is exhausting, and energy is sometimes lacking to push more.
  • Similarly, if you are under epidural and your pelvis is anesthetized! The effectiveness of labor is determined by the intensity of the contractions. When they are not strong enough, forceps are essential!

Ouch, an episiotomy!

  • Slice in the quick, stitch … Just thinking about it hurts. Good news: the number of episiotomies is decreasing in most maternity hospitals. Doctors now prefer to risk a small opening without gravity, rather than systematically making a real incision.
  • However, sometimes it is necessary if you have a big baby or when the forceps are needed. At the moment you will not feel anything because of the extreme distension of the tissues, even without epidural. “I have never heard complaints from patients,” says Marie-Christine Desmartin. Moreover, to sew, the area is always anesthetized.
  • It is sometimes difficult to sit for a few days. For added comfort, consider bringing an inflatable buoy to the maternity wardrobe to limit any contact between the sore area and the sheets if you are sitting. At the end of ten days, the threads are absorbed, and the pain is less intense.

Caesarean, should we worry?

  • The caesarean section is sometimes programmed in advance when the mother’s morphology, the weight or the position of the baby do not allow a low birth. It may also be needed urgently.
  • Moms who undergo a Caesarean section are often afraid of not being able to accommodate their toddler. However, in 70% of cases, the procedure is performed under epidurals. “The mother is perfectly aware and can get to know her child immediately after birth,” says Marie-Christine Desmartin.
  • Do not be afraid that the dad is kept out of the way: know that the baby is usually born within five minutes of the intervention and is presented to him immediately.

Fear of a Caesarean Express?

  • You are plainly saying that if the decision is made during childbirth, it is because there is an urgency. Above all, remember that the team is not waiting for things to go wrong.
  • As soon as the welfare of the baby deteriorates, the operations are launched. It takes only a few minutes between decision-making and actual birth. Meanwhile, the battle-shake may surprise, but it is not a moment of panic. Midwife, obstetrician, anesthetist … everyone is at his post.
  • It is up to you to keep your peace. When the effect of anesthesia dissipates, it is okay to have trouble. For ten, maybe fifteen days, you will need painkillers that will allow you to thoroughly enjoy your baby and breastfeed it easily if you wish.

Is hemorrhage serious?

  • At birth, about 15% of women lose half a liter of blood or more than one liter for 3% of them. It is scary, but this accident, of course, is today without gravity in most cases. Since the volume of blood has increased during pregnancy, mothers bear a loss of this order.
  • “A monitoring protocol is systematically put in place, and for two hours the mother remains in observation to check that no secondary bleeding is triggered, explains Dr. Emmanuel Closset. It is verified that the uterus is well toned by abdominal palpation, that the entire placenta has been expelled and that there is no vaginal or perineal tear. If nothing happens within these two hours, it is unlikely that bleeding will occur later. “
  • Finally, women who have just given birth are often surprised to lose much blood in the days following birth. This may even last long enough. However, it is simply the “lochia” that typically follows the delivery, bleeding which should not be more important than during the usual rules. Otherwise, if accompanied by fever, do not hesitate to consult.
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