To give birth, why does it hurt?
Give birth, why it hurts and how much? A real question to ask yourself, even if you choose the epidural and will not feel it (or almost). Maternity teams found that future mothers who were prepared to feel this pain felt better.
3 reasons for pain
- First of all the contractions. These are the ones that will engage your baby towards the outlet and fully expand your cervix during childbirth. Their “shock waves” flatten the top of the cervix to push your child towards it. It is an intense muscular effort, which causes a stinging pain.
- For a first birth, it is necessary to know that the effort is generally of longer duration, which amplifies the pain. By receiving sensitive information, your brain commands your muscles to tighten to protect themselves from a new attack. Your body is more and tenser and forces the contractions to become acuter to push its resistances.
- Another cause is the dilation of the cervix. The cervix is a very dense area in nociceptive nerve endings. By dilating, it adds a share of suffering and makes the brain reach as much negative information as possible. “.
- Finally, the muscles of your perineum, distended by the repeated shocks inflicted by the thrust of your uterus, give you the impression that they will tear.
Pain in the kidneys, legs … case by case
- The ideal position of the baby to present itself in his face down, his skull against your pubis. However, if the nose is in the air, with his skull pressing on your sacrum, it will compress your posterior nerves and cause intense lumbar irradiation, very painful.
- The pain can also be carried on your legs. If your baby presses on your sciatic nerve, the pain will be on the buttocks or back of the thigh. If it compresses your crural nerve, it will irradiate the groin or inner face of your thighs.
Pain, Different by Women
- Every woman feels pain and qualifies it according to her physiology and personal history. If it is scarce to be insensitive to contractions, some will call the pain of childbirth as tolerable, while others are living it with the same intensity, will find it unbearable.
- Some women have the chance to have little nociceptive fiber and are therefore less sensitive to pain than others.
- Still others, during delivery, will secrete more endomorphins (substances close to morphine), which will significantly alleviate the pain.
- On the other hand, the future mothers who are anxious, under the action of stress and fear, will secrete adrenaline, preventing the production of endomorphins. The pain will be there.
Different pain at each stage of labor
- During “pre-work,” your contractions will be spaced (every 10 minutes) and short (15 seconds), not very painful compared to those of ” work “: long (1 minute) and close (2 to 3 minutes).
- In practice, it is necessary to know that the passage from the first stage to the second is often imperceptible. The low frequency and the long duration of the contractions, unfortunately, do not promise the imminent end of the effort. The period of intense uterine activity may last even longer before your baby’s head appears.
- Contrary to popular belief, pain is not maximal at the time of growth, even if the contractions are more violent. There is a physiological reason for this: when the midwife asks you to push, your baby is at the level of the vulva and presses on your perineum.
- This pressure overwrites your nociceptive terminations and prevents them from sending the “pain” message to your brain, creating a mini anesthesia.
- When does the pain stop? As soon as your baby has pulled out his head, the contractions are alleviated, the midwife helps him to release his shoulders and, two contractions later, your child is in your arms and you all to your happiness!