One of the most severe forms of pain is the pain that a woman experiences during the process of childbirth. On a scale of 1 to 10, with 10 being the most severe, it is believed to be 8 to 10. In the earlier days, a number of women would die during childbirth and survival was considered as a second lease of life. This belief has however, changed with the advancements in medical science. The delivery has now become an almost painless procedure.

How it works: The pelvis and the lower limbs receive nerve supply through the nerves coming out of the spinal cord. A strong anesthetic is injected into the lower back to numb the pelvis and down below. This ensures that the mother is comfortable and awake during the whole procedure and is able to see the child being delivered but has reduced pain in the lower half of the body.

What are its benefits?

The mother has a painless delivery and is conscious and able to see the process of delivery.
Significant relief from the painful experience of childbirth. The pain induces secretion of stress hormones in the mother, which adversely affects both the mother and the child.
Blood pressure is better controlled using this procedure.
Additional instruments can be used during the delivery if required without the need for additional anesthesia.
If required, the procedure can be converted to a cesarean section too, by adding an epidural catheter.
The duration of childbirth has been significantly decreased.
Suitable for patients who have preeclampsia and heart disease
It has some disadvantages too

There are minor complications, including:

This can develop after the painless delivery and the onset and intensity vary from one individual to another
Post-procedure headache
Pain at the site of injection
Difficulty during urination
The normal pushing effect by the woman is reduced due to the numbness and so vacuum may be used or delivery may have to be converted to a cesarean one.
In rare cases, there could also be a sudden drop in the blood pressure
Certain indications

In the following cases, the doctor would advise the mother to go for a painless delivery

Medical conditions like preeclampsia, high BP, or other heart conditions
Subsequent births after having had a cesarean section (VBAC   vaginal birth after cesarean)
People who have previously had prolonged or complicated labor, a painless delivery is easy on both the mother and the child
When it should be best avoided

In some cases, like the ones listed below, the painless delivery should be avoided

Women with bleeding disorders.
Women who are on blood thinners like aspirin, heparin, etc.
Women who have had prior low back surgeries
Women with neurological conditions
A detailed discussion with your gynecologist is the best way to identify, if this would work for you.

Painless Normal Delivery - Is it Possible?

When it comes to giving birth, vaginal delivery is considered to be the most natural process. However, several women nowadays opt for C-section or Cesarean section to avoid the labour pain that accompanies natural birth.If you are pregnant and weighing the pros and cons of natural and C-section delivery, here are a few things to consider.

Vaginal Delivery
The Pros of this method of delivery are as follows:

1. From the psychological perspective, women who undertake a vaginal delivery have a positive birth giving experience. Women undergoing this method think they should be present in the process. 
2. The recovery time for women opting for vaginal delivery is shorter. The mother and the baby can make skin contact right after the delivery, which enhances the bonding process.
3. Babies who are born through vaginal delivery develop much fewer medical complications. There are fewer respiratory problems, allergies and the baby can start breastfeeding soon.

The Cons of vaginal delivery are as follows:
1. Vaginal delivery is a stressful process for the women undergoing it and the time required cannot be predicted. Some deliveries take less time, while others may take hours.
2. Usually, there are no cons for the babies who are born via vaginal delivery. In very rare cases, brain injury can be experienced.

Cesarean Section
The pros of this type of delivery method are as follows:
1. Many women choose Caesarean sections to avoid long labor hours. Planned C-section surgeries enable the mother to plan the birth. Better control is acquired over the delivery, which can be predicted properly.
2. In case your baby is large, or if you are carrying twins, C-section is the best delivery option. 
3. If the mother has diseases such as HIV or the mother's blood has a high viral load, C-section surgeries should be opted as the risk of the infection being passed on to the baby is decreased.

The cons of Cesarean section surgery are as follows:
1. C-section is a major surgery and a long time is required for recovery. There may be risks of infection, but they can be prevented by caring for the surgical wound properly. C-section delays the breastfeeding process and the mother cannot have immediate contact with her baby, which can affect the bonding.

2. Some babies, delivered through C-section may have respiratory problems. C-sections may also cause complications, such as problems with anaesthesia.

While both processes have their pros and cons, it is best to discuss with your doctor to understand which process will suit you more. Depending on your pregnancy and whether there are any complications involved, your doctor will suggest the best way possible.

Vaginal Birth Vs C-section - Pros and Cons

Giving birth to a child is the most profound form of joy felt by a woman. After getting pregnant, one should discuss with her gynecologist what form of surgery they should go in for. Women have been delivering babies by normal childbirth without any complications since the old times. However, complications might arise if you don't take proper care of your body before the date of delivery. You should be careful and alert at all times so that there are no detrimental effects to you and your child.

Certain tips and guidelines should be followed so that you and your child are safe and secure during a normal delivery.

1. Diet: As soon as you know you are pregnant, you should take care of your diet. Avoid junk food and street food. Stick to a nutritious diet, which contains vegetables, fruits and whole grains. Iron and calcium rich food items should also be consumed for the healthy development of your fetus.

2. Active lifestyle: Try to exercise daily. Include light permissible yoga and also light walks during your pregnancy. You can also join a yoga fitness class for expecting mothers. This can make your body flexible and ready for a normal delivery.

3. Water: Drink at least 8 to 10 glasses of water every day to keep yourself hydrated during your pregnancy.

4. Stress: Pregnancy can be extremely stressful. This can take a toll on your body and also on your unborn child's health. Also too much stress can make labor a difficult experience, as the pelvic muscles might not expand for the baby to pass through.

5. Avoid smoking and alcohol consumption: Tobacco is very harmful and might lead to birth defects in your child. Alcohol also acts as a poison. Intake of these substances should be avoided completely.

6. Prenatal class: Joining a prenatal class can be very helpful because you get to learn about giving birth and the things, which your body will be required to do during labor. This can come handy during the delivery.

7. Breathing exercise: During labor it is possible that you can experience shortness of breath. Practicing breathing exercises will help you prepare for a normal delivery.

These tips should be known by every expectant mother so that the strenuous process of a normal delivery is eased out.

Tips to Have a Normal Delivery

Premature labor is also known as preterm labor. This is the term given when the body gets ready for an early delivery in the pregnancy. Labor is considered to be premature if it starts almost three weeks prior to the due date. Premature labor usually leads to early birth, but now this can be delayed with medical help. It is better that the baby grows inside you because there are fewer chances of problems after birth. 

Risk of Preterm Labor:
Some of the things, which can increase the risk of a preterm labor are:
- Being underweight or overweight before pregnancy
- Poor prenatal care
- Use of alcohol and drugs during pregnancy
- Smoking
- Health conditions, such as preeclampsia, infections, diabetes, high blood pressure and clotting disorders
- Pregnant with a bay with birth defects
- Getting pregnant through vitro fertilization
- Pregnant with multiples like twins and triplets
- Becoming pregnant soon after having a baby

Symptoms of preterm labor:
Warning signs should be heeded to stop the stop premature labor, as acting quickly can help. Consult your doctor or midwife immediately in case you have the following:
1. Backache, especially in the lower back. Back ache can be a constant feature or might keep coming in intervals, but does not change with a change in position.
2. Contractions that take place in each 10 minutes.
3. A leaking feeling in the vagina or fluid leakage from the vagina.
4. Cramps in the lower abdomen very similar to menstrual cramps. These usually give a feeling of gas pains and come with a diarrhea.
5. Symptoms of flu like vomiting, nausea and diarrhea. Must to see a doctor if the liquids cannot be tolerated for more than 8 hours. 
6. The pressure in the vagina or pelvis increases.
7. Vaginal discharge increases.
8. There might be light bleeding from the vagina.

Ways to check for contractions
To spot and early labor one must be sure to check for the contractions. Contractions can be checked by the following:
1. When the fingertips are placed on the abdomen and the uterus feels too soft or tight then these are contractions.
2. Contractions if felt, should be timed and the starting time of these should be noted.
3. Contractions should be stopped by changing the position and drinking some water or by walking around.
4. Doctor or midwife should be contacted if the contractions occur every 10 minutes and the symptoms worsen.
5. Sometime women might experience false labor also known as Braxton Hicks contractions. These are not so strong, are erratic and stop on moving around.

Preterm Labor: What You Should Know

4 Exercises That'll Help You During Labour

There are technical ways in which you can get your body all set for labour. Although you may not know how your labour will progress, you can ease the pain that you experience during childbirth to a significant extent by doing these four exercises:

1. Kegel exercises: These exercises target the muscles that provide support to your bladder, uterus, urethra and rectum. By strengthening the muscles of the pelvic floor, these exercises help in improving the flow of blood to your vaginal and rectal area. Kegel exercises involve contracting of the muscles of your pelvic floor as you would do if you had to prevent passing urine or stool. It is also known to reduce the duration of the pushing stage of childbirth, which is the second stage. You can do the exercises sitting or standing and in either of the two ways-

Slow Kegels: For this, contract the muscles of your pelvic floor and hold them for 3-10 seconds. Release and repeat the exercise for ten times.

Fast Kegels: To be able to do this, you need to contract and loosen up your pelvic muscles 25-50 times. Do the set for about 4 times with 5 seconds interval between each set.


2. Squatting: Practising squatting during your pregnancy can help in preparing your pelvic muscles for labour. While strengthening your thighs, it opens up your pelvis for an easy descent of the baby. So, here's what you should do:

1. Begin by standing behind a chair for support with your feet wide apart

2. While contracting your abdominal muscles, relax your shoulders and chest before lowering your tailbone towards the floor

3. While inhaling and exhaling deeply, push into your legs and go back into a standing position


3. Pelvic Tilt: This exercise helps in strengthening the muscles of your back, pelvis and thigh regions while improving posture. Ensuring your pelvic joints remain flexible, it eases the pain experienced during delivery. 

Here's how it's done:

1. Get down on both your hands and knees while keeping your head in a parallel position with your back

2. While arching your back, pull in your stomach

3. Hold this position for a few seconds before releasing

The exercise needs to be repeated 3-5 times - all the while maintaining a strong hold on your back and stomach.


4. Tailor pose: The tailor pose is designed to help relax your hip joints as well as open up the pelvis. It also helps in improving your body posture while easing the aches that occur in the lower part of your back. For this, you need to perform the following steps:

1. While keeping your back straight, sit comfortably on the floor

2. Placing the soles of both the feet together, press your knees gently towards the floor

3. Keep the position for 10-15 seconds
You can repeat the exercise for 5-10 times.





4 Exercises That'll Help You During Labour

Natural child birth is a process of giving birth to a child with no or little medical interference. In spite of the severe labor pain, many women decide to go for natural child birth because they find the experience beneficial. One of the best advantages that you can expect from a natural child birth is being in full control of your body.

Utmost care: From the time you conceive until your delivery, hospitals are expected to take the best care of both the mother and the child. At the best child care hospitals, paediatrics should be able to put themselves in your place and aspire to take care of your child. Reliable child care hospitals should have the ability to ensure smooth and safe delivery of the child.
Expertise: Child care hospitals must provide best paediatric services. Paediatrics deal with child care and that requires a high level of expertise. A child's health and well-being should be of paramount importance for any best child care hospital. The team of doctors should possess wide - ranging knowledge because they have been entrusted with the responsibility of taking care of your child's health. Besides these the hospital's team should include trained nurses; highly qualified and experienced medical workers.
Work Dedicatedly: Doctors from the best child care hospitals should be able to listen to you carefully and should attend to your child. They must be able to assist you with the queries related to your child's development. The child care services should be able to take care of the child from birth and assist them throughout their developing years.
Best child care hospitals should also provide reasonable treatment offers with the use of the latest, state-of-the-art technology.

Natural Childbirth - What to Expect From Best Child Care Hospitals?

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