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We give birth like at home - articles from the specialists of the clinic "Mother and Child"

Zimina Natalya Nikolaevna

Obstetrician-gynecologist

MD GROUP Clinical Hospital

Presentation of home birth

The most typical arguments of supporters of home births:

• A woman's body is designed specifically to give birth to children. By nature, it has all the necessary strengths and capabilities to give birth to a healthy child on its own, which means that the help of a doctor in this process is completely unnecessary.
• The maternity hospital is not needed, because the atmosphere in it is official, hospital, and this does not contribute to relaxation in contractions and the opening of the cervix.
• When giving birth at home, you can take any position that is comfortable for the woman.
• And at home, you can give birth in the water (in the bath), or at least just relieve contractions by immersion in water.
• During home birth, not strangers (doctors, midwives) will be nearby, but the husband, relatives or friends.
• From the first minutes of birth, the child will be constantly next to his mother, he will not be supplemented, he will not be subjected to unnecessary manipulations and examinations.

Well, ideally, supporters of home births present them like this: effective contractions begin at 40 weeks, the first stage of labor lasts no longer than 10-12 hours. At this time, the woman in labor behaves in a way that is convenient for her, takes comfortable postures, uses techniques to anesthetize contractions (massage, breathing, water). Then comes the complete opening of the cervix, water spontaneously pours out, there are attempts, during which a healthy baby is born without much effort. The child is immediately applied to the mother's breast - he sucks it as much as he wants, the umbilical cord is cut only after the end of the pulsation. Mom has no breaks, the child is absolutely healthy. In general, everyone is satisfied and happy.

Actually

The picture of home birth is presented, of course, idyllically. And how happy ordinary women would be, and doctors too, if every birth went that way. But it’s not always possible to give birth the way you breathe. In childbirth or immediately after them, various unpleasant situations can arise with a woman or a child. We will not list them so as not to upset anyone. Let's just say that often the life and health of a mother and baby depend precisely on how quickly they received medical assistance . But what can be done at home in such a situation? The only thing is to call an ambulance, because it is impossible to help a child with asphyxia or a woman with bleeding or high blood pressure without certain drugs, equipment, and simply medical skills. But after all, one of the specialists will be present at the birth with the expectant mother? Good obstetricians and gynecologists are well aware of the high risk of home births, so they do not accept births at home, and a midwife, even with experience, will only cope with the simplest situation. In addition, many so-called spiritual obstetricians, as a rule, do not even have a higher, often secondary medical education, and, of course, they do not bear any legal responsibility for the outcome of childbirth. And it happens that sometimes in home births there is no midwife at all (did not come or the woman was convinced that she was not needed). Therefore, of course, we can agree that the home environment helps a lot, but will it be possible to give birth in it in the event of some non-standard or difficult situation?

Natural childbirth is possible

But how then to ensure naturalness in childbirth and are there such childbirth at all? In fact, today, natural childbirth is widely carried out in most maternity hospitals, and is not only carried out, but also actively promoted . If everything goes well, if the birth proceeds correctly, if the baby’s heart beats evenly, and the mother feels good, the doctors of the maternity hospital do not interfere with the birth, but simply observe their course. A woman gives birth on her own, as nature dictates. But what about the notorious home comfort in childbirth? Turns out today many maternity hospitals provide natural childbirth "at home" :

• Almost everywhere now free behavior during childbirth is actively practiced : a woman in labor does not have to lie on the bed all the contractions, but can choose any position.
• In many maternity hospitals there are various devices to facilitate contractions : transforming beds, balls, ropes (with their help you can take different positions in contractions), and in some, in addition to the shower, there is even a jacuzzi in which you can spend the first stage of childbirth.
• Of course, not all, but already many Russian maternity hospitals have either been renovated or built in accordance with modern ideas about beauty and comfort . Even in free maternity hospitals there are cozy double rooms with a private bathroom, fresh renovation and beautiful linens. What can we say about childbirth under a contract or in a commercial clinic - the conditions there are more than excellent.
• According to the order of the Ministry of Health of the Russian Federation, in any maternity hospital where there are separate maternity boxes, a husband, girlfriend, personal midwife or even a psychologist can be present at the birth, and absolutely free of charge . So, the expectant mother will not be left without support.
• Today, in all maternity hospitals, babies are immediately applied to the mother's breast; it is also possible for mother and baby to stay together in the postpartum department.
• Now you can easily find a maternity hospital where you can live together with your husband after childbirth in a comfortable family room . All this, of course, is not free - but if you really want it, then it is quite feasible.

So do not be afraid of the maternity hospital: it has all the conditions for natural and safe childbirth. And home birth is an unjustified risk and an unknown result.

Have you read at least one story about childbirth at home that ended unsuccessfully? Hardly. And if they read it, it is not enough. And the reason for this, as a rule, is the same: with an unfavorable development of childbirth and problems with the child, a woman is aware of her carelessness and simply keeps silent about it.

“They used to give birth in the field” is one of the popular arguments of supporters of home births. They gave birth, but only the mortality rate in childbirth (both children and mothers) was extremely high.

An individual approach to the future mother and her baby, living together, free behavior during childbirth, the opportunity to choose a doctor and midwife, take a husband to give birth - all this is now available in many Russian maternity hospitals

5 signs that you are having a natural birth in the hospital

1. Freedom of movement: in the maternity box there is a multifunctional bed-transformer, balls, ropes.
2. Presence of a partner: a future father, girlfriend or psychologist is welcome at the birth.
3. Natural Pain Relief: The delivery room has hydromassage baths or showers to ease contractions during the first stage of labour.
4. Living together with the child: in the maternity hospital, the constant presence of the baby with the mother and breastfeeding are practiced.
5. School of childbirth for expectant mothers: in it, a woman is taught not only to endure contractions, but also helps to prepare psychologically for childbirth and child care

Make an appointment

to the doctor - Zimina Natalya Nikolaevna

Clinical Hospital MD GROUP

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03/15/2018

God loves trinity
Zimina Natalya Nikolaevna Normantovich Tatyana Olegovna

Is giving birth painful?

Childbirth is a natural physiological process that is inevitably associated with pain. Prolonged pain tires a woman, leads to a violation of the contractile activity of the uterus and can adversely affect the course and outcome of childbirth, and most importantly, the health of the mother and child. Therefore, pain relief is very important!

In our maternity hospital, we use the most modern and gentle methods of analgesia in the labor process.

The most common methods of labor pain relief in Russia are the use of narcotic analgesics and epidural analgesia.

Intravenous or intramuscular injection of a narcotic analgesic is usually used in the early stages of labor or during labor precursors to give a woman an opportunity to rest and gain strength. A narcotic analgesic can cause drowsiness in a woman in labor and depression of consciousness and breathing in a child, so its administration is not recommended in the later stages of childbirth.

Epidural analgesia is the most effective and safe method of labor pain relief:

• it makes it possible to eliminate pain throughout childbirth and saves the woman strength and emotions to meet the baby;

• better than other methods of anesthesia, it allows you to fulfill the requirement for careful management of childbirth and turns childbirth into a less traumatic process for the fetus and mother;

• reduces pain sensitivity in the lower parts of the body, but does not affect the consciousness and mobility of the woman in labor;

• contributes to the normalization of labor activity in case of its violations;

• allows you to anesthetize the closure of tears and abrasions of the tissues of the birth canal after childbirth without the use of anesthesia;

• if the birth plan changes and there is a need for a caesarean section, anesthesia is continued by the same safe method, which allows the woman to be conscious and communicate with the baby from the first minutes of his life.

What is the essence of the method of epidural analgesia?

The anesthesiologist, painlessly for the woman in labor, inserts a special sterile thin catheter between the vertebrae into the space in front of the membrane surrounding the spinal cord. Nerve roots pass through this space, through which pain impulses from the contracting uterus enter the spinal cord, and from there to the brain with the formation of a sensation of pain. An anesthetic solution, a local anesthetic, is injected through the catheter to block the nerve roots and interrupt the flow of pain information during childbirth.

Does epidural analgesia affect the fetus?

Epidural analgesia is safe for mother and child - this has already been proven by many modern studies. Moreover, effective pain relief not only increases the comfort of a woman during childbirth, but also normalizes blood flow in the placenta, which in turn helps prevent oxygen deficiency in the fetus.

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