Pregnant women delivering babies
What happens to your body during childbirth
What happens to your body during childbirth | Pregnancy Birth and Baby beginning of content7-minute read
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Key facts
- Female bodies are designed to give birth, and changes during the last weeks of pregnancy help prepare your body for labour and delivery.
- The shape of the pelvis, hormones, powerful muscles and more all work together to help you bring your baby into the world.
- Many different types of hormones work together to prepare your body for labour and birth.
- Your baby’s skull can also change shape to better pass through your birth canal.
How does my body prepare for labour?
Here are some of the ways your body will prepare both you and your baby for the birth ahead.
Braxton Hicks contractions
In the weeks or days before you start having proper contractions, you may experience Braxton Hicks contractions. This is your uterus tightening then relaxing. These contractions don't usually hurt and are thought to help your uterus and cervix get ready for labour. Braxton Hicks contractions are sometimes referred to as 'false labour'.
Braxton Hicks contractions may become more regular as you get closer to the time of birth. Unlike labour contractions, they don't change the shape of the cervix. Your midwife can tell you if you're experiencing Braxton Hicks contractions or if you are in labour by doing a vaginal examination.
Changes to the cervix
As labour gets closer, your cervix softens and becomes thinner, getting ready to dilate (widen). This will allow your baby to enter your vagina during birth. You may also see a ‘show’, which is a pinkish plug of mucus that may be bloodstained.
Engagement
Your baby may move further down your pelvis as the head engages, or sits in place over your cervix, ready for the birth. You may feel that you have more room to breathe after the baby has moved down. This is called ‘lightening’.
Rupture of the membranes, or ‘waters breaking’
During labour, the sac of amniotic fluid containing the baby breaks, and the fluid leaks (or gushes) out of the vagina. This is called rupture of the membranes or 'waters breaking'. In some cases, this happens before labour.
Let your maternity team know when your waters have broken and take notice of the colour of the fluid. It is usually clear or tinged pink. If it is green or red, tell your maternity team since this could mean the baby is having problems.
If your labour doesn’t start within 24 hours of your waters breaking, there is a risk of infection. If this happens, your doctor or midwife may recommend inducing your labour.
How will I know when labour has started?
Movies often show labour starting with sudden, painful contractions and a rush to hospital. In real life, labour usually starts gradually. It’s common not to be sure if your labour has actually started.
You may feel restless, have back pain or period-like pain, or digestive issues such as diarrhoea.
Labour officially begins with contractions, which start working to open up (dilate) the cervix. It’s a good idea to phone your midwife when your contractions start. However, you may not be encouraged to come to the hospital or birthing centre until your contractions are closer together.
In preparation for labour, your baby may move further down your pelvis as the head engages, or sits in place over your cervix.You and your baby’s bodies work together during labour and birth.
Your pelvis is located between your hip bones. Females typically have wider, flatter pelvises than males, as well as a wider pelvic cavity (hole) to allow a baby to pass through.
During childbirth, the muscles at the top of your uterus contract and push your baby towards your cervix. If your baby is facing head-down, the head will press on your cervix.
This, along with the release of the hormone oxytocin (see 'How hormones help you give birth', below), brings on contractions. The bones and ligaments of your pelvis also move or stretch as the baby travels into the vagina.
Your baby’s skull is made up of 5 separate bones, which can cross over each other during labour. This allows your baby's head to fit more easily through your birth canal.
Which hormones help me give birth?
Your body produces hormones that trigger changes in your body before, during and after childbirth. Here's how they work to help you deliver your baby.
- Prostaglandin — Before childbirth, a higher level of prostaglandin will help open the cervix and make your body more receptive to another important hormone, oxytocin.
- Oxytocin — This hormone causes contractions during labour, as well as the contractions that deliver the placenta after the baby is born, and during breastfeeding.
- Relaxin — The hormone relaxin helps soften and stretch the cervix for birth. It helps your waters break and allows the ligaments in your pelvis to stretch to allow the baby to come through.
- Beta-endorphins — During childbirth, this type of endorphin helps with pain relief and may cause you to feel joy or euphoria.
- Adrenaline and noradrenaline — These ‘fight or flight’ hormones are released just before birth, causing several strong contractions and a surge of energy that help you birth your baby.
When childbirth doesn’t go to plan
Despite your best efforts, sometimes, labour and birth do not go to plan. This could be because of complications before the labour, such as your waters breaking early, problems with your placenta, or issues with your baby’s position, health or progress during labour. If this happens, your midwife or doctor may recommend intervening to ensure a safe birth for both you and your baby.
Some of the more common interventions include:
- external cephalic version (turning your baby so they are in a better position for birth)
- induction or augmentation of labour
- assisted delivery
- episiotomy
- caesarean section
It’s your choice whether to have interventions in your labour. You can ask your doctor or midwife about the benefits and risks of any intervention they recommend.
Talk to your doctor or midwife if you have questions about your body. They can give you more information and help you understand what you're experiencing.
You can also call Pregnancy, Birth and Baby for free advice, support and guidance from our maternal child health nurses.
Speak to a maternal child health nurse
Call Pregnancy, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 or video call. Available 7am to midnight (AET), 7 days a week.
Sources:
Mater Mothers’ Hospital (Labour and birth information), National Childbirth Trust (Hormones in labour: oxytocin and the others – how they work), NSW Government (Having a baby), QLD Health (How your body prepares for labour), Royal Australian and New Zealand College of Obstetricians and Gynecologists (Labour and birth), Stat Pearls (Anatomy, Abdomen and Pelvis), You and Your Hormones from the Society for Endocrinology (Hormones of pregnancy and labour)Learn more here about the development and quality assurance of healthdirect content.
Last reviewed: August 2022
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Video note: Contains medical situations and nudity. If you're in a public place, consider watching this later.
In a natural birth, the mother gives birth vaginally without pain medication (like an epidural). Natural childbirth can be a safe option for a low-risk pregnancy.
If your pregnancy is high risk – if you have a heart condition, preeclampsia, or diabetes; are carrying twins; or your baby is breech – or if there's a chance a C-section will be necessary, a natural birth may not be recommended. Talk to your healthcare provider about your best options for labor and delivery.
Natural births also forgo some other medical interventions, like fetal monitoring, episiotomies, and medications to induce or speed up labor. Your fetus will likely be monitored intermittently using a hand-held Doppler device or a fetoscope (a fetal stethoscope).
One benefit of natural birth is you can move around, exploring different labor positions to find the ones that are most comfortable for you. If you get an epidural, you'll be numb from the waist down, so you won't be able to move around freely. During a hospital birth, you may also have IVs or other equipment that might restrict your movement.
Another benefit of natural birth is that many moms describe it as an empowering experience. It allows you to remain in control of your body and be an active participant throughout labor.
Natural birth isn't without drawbacks, though. It can be very painful and exhausting to give birth without pain medication. If you choose an unmedicated birth, healthcare providers recommend having a support person with you the entire time to help you through it. Midwives often recommend your partner, a close family member or friend, or a doula.
You can also explore natural methods of pain relief, like breathing techniques, walking, yoga and stretching, massage, and warm baths or showers. Water immersion in a Jacuzzi or other hot tub can provide great relief in active labor. Hypnosis and acupuncture are also possibilities.
While it's possible to have a natural delivery at a hospital, women often opt to go to a birth center or have a home birth because of the flexibility these settings provide. One important factor to consider when making your birth plan is to make sure there's a hospital close to your birth center or home that you can transfer to quickly in case of complications during labor. Ideally, your midwife already has a relationship with a hospital and has transferred patients there before.
Learn more:
- Prepare for labor and delivery with our free childbirth class
- Planning a natural childbirth? Find other parents like you.
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Late children bring back youth - articles from specialists of the clinic "Mother and Child"
The number of women who gave birth to their first child between 30 and 40 years has almost tripled in the last 20 years. In addition, the number of first-time mothers after 40 years has increased by almost 50%. And physicians are forced to reckon with it. Gradually, the offensive word “old-timer” disappeared from their vocabulary, and childbirth in adulthood is no longer considered something out of the ordinary.
Increasingly, women are postponing childbirth while studying or moving up the career ladder. The number of early births (up to 20 years old) in all civilized countries is steadily falling (Russia, however, is an exception).
Numerous studies have shown that pregnancy and childbirth after 35 do not pose such a serious danger as previously thought. The average portrait of a woman in her thirties who is preparing to become a mother has changed a lot lately. As a rule, she belongs to the middle class, is well educated, takes care of her health. Her body is not worn out by numerous births.
It has always been believed that later children are more likely to be born prematurely, gain less weight and get sick more in early childhood. Recent research has cast doubt on this.
American doctors who observed 4 thousand women in labor in one of the hospitals in New York came to the conclusion that a woman over 35 years old, if she is physically healthy and has not had miscarriages, has a chance to give birth to a normal healthy child (even if this is the first birth) almost the same as a 20-year-old.
For a middle-aged woman who has devoted all her young years to a career, pregnancy is an opportunity to try herself in a completely new way. In addition, she is more likely to find support from her husband, since a mature man is psychologically more prepared for the role of a father than a young one.
As you know, psychological readiness for motherhood comes much later than biological. According to psychologists, pregnancy in adulthood is much more favorable than in early youth. A woman perceives her condition more calmly, less prone to stress, less likely to experience internal conflicts. She is more disciplined and lives in harmony with herself. Many consider the birth of a child a gift of fate or a blessing from God.
Older women, most of whom married late, as a rule, stand firmly on their feet, have reached a certain level in their professional activities, and are confident that they will return to work some time after giving birth. All this allows them to look to the future with great calmness and optimism. A middle-aged woman who has devoted all her young years to a career may look at pregnancy as an opportunity to try herself in a completely new capacity. In addition, she is more likely to find support from her husband, since a mature man is psychologically more prepared for the role of a father than a young one. As a rule, middle-aged parents, unlike young ones, devote more time to raising a child. As a result, many "late" children are ahead of their peers in their intellectual and physical development. The secret here is in the atmosphere of love and mutual understanding in the family where the long-awaited baby appeared.
American psychologists conducted a survey among women who became mothers before the age of 20 and between 30 and 40 years. Both were asked to answer the question of whether they would give birth at the same age if they could make a new decision. More than half of those whose children were born before the age of 20 answered “no”, and the majority of older mothers expressed confidence that they had chosen the optimal time for the birth of a child.
Hollywood star Kim Basinger first became a mother when she was already over 40. Actress Beverly D * Angelo, a friend of Al Pacino, gave birth to his charming twins when she was 49. The famous actress Marina Neelova had a daughter when she was 41 years old. And there are many such examples.
Doctors today can help even those women whose reproductive period has ended. Various methods are used for this: hormone therapy, implantation of a donor egg in the uterus. Muscovite Natalya Alekseevna Surkova got into the Guinness Book of Records, becoming a mother at the age of 57. She already had two adult children. Recently, a 66-year-old woman from Romania gave birth to a child. For many years she taught at the University and wrote books for children, but she had no babies of her own before. True, doctors are not particularly enthusiastic about the increase in the number of mothers-grandmothers: the risk of complications and the responsibility of the doctor who “leads” such a woman in labor are too high.
Of course, late motherhood has its problems. Women over 35 are more likely to experience health complications during pregnancy, especially diabetes and high blood pressure. These complications occur in approximately 6% of women over 35 years of age compared to 1.3% in younger women.
Another problem: the "solid" age of the parents increases the risk of developing anomalies in the fetus, the birth of children with severe hereditary diseases. Therefore, all primiparas over 35 years of age are usually offered an amniocentesis in the second trimester of pregnancy - an analysis of amniotic fluid. This allows you to identify about 200 hereditary diseases associated with a violation of the chromosome set.
You can also find out the degree of risk of such diseases using the "triple" test - it is done around the 16th week of pregnancy. For analysis, blood is taken from a vein. Women of older reproductive age do not recover from childbirth as quickly as younger women. For some of them, after decades of taking care of themselves, it can be difficult to get used to the fact that the baby, especially in the first months, requires constant care and attention.
Another disadvantage of late childbirth is that parents have to limit themselves to one child or have a second one when the first one is still very small - after all, the time allotted by nature for acquiring offspring is not unlimited.
Should I do a Caesarean section?
In women over 30-40 years of age, childbirth can be more difficult and protracted than in younger women - this is the generally accepted opinion. In fact, any experienced obstetrician can testify that in many cases, older mothers do an excellent job with minimal medical help. Often and, by the way, not always justified, at this age they offer a caesarean section. This does not raise questions if there are medical indications for surgery or a woman managed to get pregnant only with the help of doctors. Then, trying to eliminate any risk to the baby and taking into account the aggravating factors, the doctor makes such a decision.
Recent studies have shown that, on average, the duration of labor for older mothers exceeds the duration of labor for young mothers by only 45 minutes. And at 40, you can not be afraid of difficult childbirth if you are well prepared for them physically and psychologically.
Where to start?
If for some reason you put off the birth of your child, you should prepare in advance for his possible birth.
Try to get rid of bad habits if you have them. By the age of 35, we have time to experience a stronger impact of adverse environmental factors than by the age of 20.
Should we add to them the harm from smoking and alcohol? Watch your health, do not start even trifling, at first glance, diseases. If you treat a cold rather than endure it on your feet, you are much more likely to keep your kidneys and heart healthy, organs that take a lot of stress during pregnancy.
Control your weight and maintain muscle tone. Go in for sports or exercise. Excess weight creates additional problems during gestation.
It should be borne in mind that after 35 years, the ability to bear children gradually decreases. Experts believe that at this age it may take 6-12 months to conceive instead of four. Before you decide it's time to start procreation, visit a therapist. Sometimes a woman is being treated for infertility for years, during which time she develops various ailments. These diseases may not cause much concern, but they can interfere with the normal course of pregnancy.
During pregnancy, you will need to be more attentive to yourself than younger women, to strictly monitor your diet and regimen.
It is worth taking seriously the choice of a doctor and a maternity hospital. It is desirable that the clinic be equipped with everything necessary in case you need urgent help for a newborn.
"If you want to preserve beauty, have a child at forty," say the French. If a woman is healthy, during pregnancy she blossoms. In this magical way, estrogens act - female sex hormones, the production of which increases several times. In addition, the eggs of a pregnant woman are not "spent", so aging seems to be suspended. Menopause in women who have become mothers in adulthood may come later. Raising a baby provides a unique opportunity to turn from a middle-aged woman into a young mother.
Such parents usually go through the so-called midlife crisis painlessly - they just don't have time to delve into their problems. Not soon they will have another test, which psychologists call the "empty nest" syndrome - when children grow up and leave their father's house.
As you can see, "late birth" is a rather arbitrary concept. Today, a woman has the opportunity to choose for herself at what point in her life to devote herself to a child. And if nature gives a chance to experience the happiness of motherhood in adulthood, is it worth it to refuse?
Kurbatskaya O.N., obstetrician-gynecologist, head of the department, candidate of medical sciences
How they gave birth in Rus' - Iris, Chelyabinsk
A pregnant woman has always been surrounded in Rus' with special respect. Even the grumpy mother-in-law and the strict husband during this period did not touch her, but gave her the best piece at the table, removed her from dirty and hard work. What other traditions were associated with the birth of children among our ancestors?
In Russia until the 18th century, both obstetrics and gynecology were at a lower stage of development than in many other countries, and were not even divided into different branches of medicine. In pagan Rus', pregnant women called on the help of the gods, making sacrifices to them, cast spells, believed in omens and the miraculous power of plants. The most “strong” amulet, by the way, was considered to be overpowered-grass. According to some sources, this is a white river water lily, according to others - St. John's wort, and according to others - a plant from the genus of euphorbia.
Things were a little better when Russia had already adopted Christianity: a pregnant woman could only count on the help of the oldest and most experienced woman in her family or a midwife. Here is what the harsh rules of Domostroy prescribed: “Healing should be done by God’s mercy, yes, true repentance, yes thanksgiving, and forgiveness, and mercy, and unfeigned love for everyone.” That's all, and no doctors! At the same time, Russian women continued to devoutly believe in pagan signs, and, oddly enough, modern medicine confirms the correctness of some of these beliefs to one degree or another.
Grandma's superstitions
- A pregnant woman should not eat secretly and in a hurry . Based on logic, a pregnant woman will secretly eat if she eats something "forbidden", for example, that can cause allergies. So is eating in a hurry: food is not mechanically processed enough, which means that nutrients are absorbed worse. All this harms the fetus.
- A pregnant woman should not sit cross-legged . Indeed, in this position, blood circulation in the legs is disturbed, which can lead to varicose veins.
- A pregnant woman should not raise her arms and sleep on her back . Doctors confirm this in some cases for late pregnancy: there is a risk of premature birth and complications.
- Pregnant women should not wear jewelry made of gold and silver . Here, medicine does not put absolute prohibitions, but still pregnant women are prone to swelling, and they should put off wearing their favorite jewelry “for later”. Indeed, for many expectant mothers, not only the legs, but also the hands swell.
- Pregnant women should not look at deformities, fires, be present at scandals, fights, funerals . You don’t have to be an expert to appreciate the depth of this folk wisdom: negative emotions are completely contraindicated for the expectant mother. She is prescribed psychological comfort. Even pregnant women were strictly forbidden to slander, steal, drink. This prohibition also does not require separate comments.
At the same time, very tenacious superstitions have survived even to this day, not amenable to any reasonable explanation. For example, why shouldn't a pregnant woman knit, sew and embroider? Or why the expectant mother cannot take care of the dowry for the baby herself in advance?
Ivan the Terrible and obstetrics
In every Russian family, from peasant to boyar, there were always many children, childbirth was repeated from year to year, and therefore was not perceived as some kind of extraordinary event. People rejoiced if the replenishment in the family went well, and they perceived the loss of a baby with philosophical humility. The first attempt to somehow systematize obstetrics was made by the state only at the end of the 16th century.
"The Terrible Tsar" did not leave a good memory among the people. Meanwhile, some of his undertakings can be called progressive for their time. So, it was under Ivan the Terrible that the Pharmaceutical order was created. In fact, it is the first state body that manages the healthcare system, including obstetrics. It was determined that men did not have the right to engage in obstetrics, and childbirth should be taken by a midwife or midwife (from "povit" - to take the baby). This "assistant in childbirth" did not yet have the necessary education, but was already based on her own knowledge and knowledge accumulated in her family and transmitted from generation to generation.
Midwifery
Who could become a midwife? An elderly woman, often a widow, and always a "child". An ancient historian writes: “A girl, although elderly, cannot be a midwife. What kind of grandmother is she, if she did not torture herself? With her, it is difficult to give birth, and the children will not always be alive ... ” The midwife was invited to all difficult births, she always bandaged the umbilical cord, washed and steamed the woman in labor with the newborn in the bath and looked after them for the first days.
The next breakthrough in obstetrics and gynecology occurred already in the middle of the 18th century. In Russia, they began to produce "midwives with a diploma": midwifery institutes and midwifery schools were opened. These special educational institutions trained higher and middle medical personnel in the field of obstetrics. The “midwife” had a higher medical education, in fact she was an obstetrician-gynecologist; The "rural midwife" had a secondary medical education. There were also simply "midwives" - listeners who received a correspondence education. Their work was no longer left to chance, but was strictly regulated by a special charter.
The midwife would begin by changing the woman in labor into a clean shirt, giving her Epiphany water to drink, and lighting a candle in front of the icons. She strictly ensured that all the knots in the house were untied: from the braids of women to the locks on the doors. Say, so the birth will end faster. Regardless of her professionalism, the midwife provided great psychological assistance to the expectant mother, constantly saying that everything would be fine. She tied the umbilical cord to the newborn with a thread twisted with the mother's hair - so that the connection between them remained for life.
Immediately after the birth, the midwife performed actions similar to modern baby yoga: she smoothed the baby's arms, legs, tummy, “rules” the head. If the baby was weak, then the midwife could ... send him to the oven. The newborn was there three times on a wide wooden shovel in the weakest heat. It was a symbolic act: the baby was, as it were, “baked” so that he would grow up healthy and strong.
The most important final action is the bathing of the mother with the baby in the bath. There, the midwife gave the young mother a postpartum massage, that is, she performed the functions of a modern osteopathic doctor, and then poured special water on the newborn, to which she added salt in advance, soaked an egg and a silver coin. At the same time, she would say: “Grandma did not soap for cunning, not for wisdom, she washed for the sake of good health”
Our ancestors couldn't even dream about partnership childbirth, which is so fashionable now. The husband was instructed to stay away from the giving birth wife, but still be within reach. Because if something goes wrong, then it was he who was supposed to pray fervently and go around the house with images.
And only Peter the Great was able to slightly shake the established foundations: during his reign, it finally became possible to admit a male doctor to a woman in labor.