How to grow well during childbirth?
On a therapeutic level, standard delivery consists of three distinct steps. The expulsion phase or pushing phase substantially involves the mother and the baby. How to push properly to give birth? Here are the answers.
Expulsion phase: this is where you have to push
- Although the patterns and patterns of childbirth vary from one woman to another, a standard delivery follows three distinct stages. These are labor, expulsion, and deliverance. It is during the ejection phase that we have to push.
- When the baby is engaged, it is straight; the back is forward, it presents the part of its smallest head to facilitate its expulsion. It is at this moment that it begins to press vigorously on the perineum to trigger a reflex of thrust in the mother.
- Voluntary flare-ups are then essential during this phase of expulsion, to help the baby to cross the different muscular structures that constitute the perineum before reaching the vulva. Once the baby’s head is engaged in the muscle beam, the mum must stop pushing to avoid a tear in the perineum. The baby’s head will then be guided by the midwife.
- The expulsion phase lasts from 15 minutes to 30 minutes and involves the pushing efforts of the mother to help the baby to engage in the muscle bundles of the perineum. However, according to the studies undertaken on the duration of expulsion, a thrust that exceeds one hour is considered abnormal and concludes a difficult and prolonged delivery.
Why should we push?
- The perineum, or pelvic floor, is a bundle of muscles and ligaments, shaped like a diamond, which supports the vagina, the rectum, and the bladder. Its primary role is to regulate urinary continence and fecal continence.
- During pregnancy and childbirth, this group of muscles is strongly stressed and undergoes tensions related to the weight and the pressure of the baby. When the child presses strongly on the perineum, the reflex of thrust or expulsive reflex appears spontaneously because it is a physiological mechanism. However, even described as an irrepressible urge and difficult to remember, this reflex of push is sometimes insufficient, especially when the future mother is under epidural.
- Voluntary outbreaks are encouraged and demanded during childbirth because they are useful for strengthening the thrust reflex to ensure the effectiveness of the delivery and the well-being of the future baby.
When should we grow?
- When thrusts are too early, this will strongly urge the perineum and other muscles prematurely; The thrust reflex may be minimal or not triggered.
- In principle, pushing should coincide with the urge to push as well as uterine contractions because the pushing force must be associated with uterine contractions. Push in at the beginning and for the duration of the contraction.
- When the midwife tells you to push, you must push. However, do not forget to rest between each contraction and breathe between the flares.
The pushing techniques
Pushing techniques are usually taught during the preparation sessions.
1 – In inspiration blocked
- Blocked inspiration is the most common and most commonly taught technique.
- In this procedure, the lungs are filled with air and breathing is blocked by apnea. It is a very effective thrust technique when applied correctly because it mobilizes the diaphragm to press the uterus and strengthen the uterine contractions as well as the strengths of the abdominal muscles and the perineal muscles.
Here are the steps:
- Inhale deeply to fill the lungs
- Block air in your lungs
- Provide hyper-flexion by pulling strongly through the hands behind the thighs to better
- push down; Push the head up, chin glued to the chest, and contract all the muscles of the abdomen to squeeze on the uterus.
- When the thrust is too violent and powerful, this can cause a strong contraction of the perineum, causing a tear. This implies that it is preferable to push when the perineum stretches. Listen to your midwife’s instructions.
2 – Forced expiration
- The technique of forced exhalation push will produce mounting pressure on the muscles of the perineum which will give it time to stretch and relax. Although this method is considered to be less useful in the technique of blocked inspiration, the risks of tearing are lesser because the flares are not as traumatic for the muscles of the perineum.
- In this technique, the lungs are empty, and the woman will grow until the end of the expiration. When you feel the contractions, inhale strongly then exhale gently while pushing down, with the lips pinched (to manage the exhalation), as if you were blowing into a giant balloon.
Prepare to grow well!
- Flares do not only require knowledge of techniques. The woman must give birth in a climate of confidence, must be well informed about the different stages and course of the childbirth. Gestures must be reassuring for the woman.
- According to the midwives, childbirth preparation sessions can be performed, but this does not guarantee the effectiveness of the thrusts during delivery because the sensations during the preparations are not real. However, courses are essential to inform future mothers about different delivery positions, thrust techniques and breathing management that is an important part of this final race. If the pushing techniques are well understood during the preparation sessions, it is easier for the pregnant woman to apply them on D-day.
- Preparation sessions are also an opportunity for the midwife to build trust and reassure pregnant women.
Strengthen your perineum!
The muscles of the perineum are strained during delivery. Exercises can be useful in preparing the perineum for childbirth and are essentially aimed at toning and relaxing the muscles and preventing incontinence even after giving birth. Start preparing your perineum from the 8th month of your pregnancy.
We talk about an active thrust when mom and baby are in good shape, and that child quickly and easily engages in the perineum. To help you grow well, here are some practical tips to remember:
- Push at the same time as the contractions. Do not forget to breathe well between the thrusts and rest between the contractions;
- Change position every four thrusts if you like;
- Grip your hands and legs and slightly bend your elbows so that all your strengths can focus down;
- Raise your head lightly and stick your chin to your chest, concentrate on your abs;
- Trust your guidance and confidence the entire team that delivers your childbirth.