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?

Nutrition for you will never be as important to you as it is during pregnancy, because while eating you have to think not only about you, but also the development of your unborn child. However, merely eating is not enough you have to eat right. Here is your guide of what to eat and what to avoid, during pregnancy, so that your child gets the best nutrition.
Things to eat: 
1. Whole grains- whole grains, which can be found in food items like cereals, whole-wheat breads and pastas, are rich in folic acid, iron and fibers. Make sure you incorporate ample amount of whole grains in your diet to remain healthy during pregnancy.
2. Beans- beans are extremely nutritious for pregnant women, as they contain protein, fiber, iron, folate, zinc and calcium, which are much needed for the development of a healthy baby.
3. Fish- incorporate enough fish in your diet because they contain healthy omega-3 fatty acids. Salmon, for example, is exceptionally good for health since it contains less mercury than other fish.
4. Eggs- eggs are rich in protein, and is also a good source of other nutrients like amino acids, vitamins and minerals, including choline which is crucial for the baby's brain development.
5. Berries- berries contain vitamin c, calcium, folate and fiber, which is important to your diet, besides being a delicious addition to your meal.
6. Low fat yogurt- sweetened yogurt is extremely bad for your health, but a cup of plain, low fat yogurt contains copious amount of calcium and is also a good source of proteins.

Things to avoid: 
1) soft cheese- soft cheese, like feta, blue cheese, brie, etc. Are made of unpasteurized milk, which contain listeria bacteria which might be fatal for you and your child. Hence, they are best to avoid.
2) undercooked or raw food-raw meat may contain toxoplasma and other bacteria. Raw eggs in sauces like mayonnaise, uncooked dough, desserts like tiramisu and salad dressings are also harmful for you. Fish in sushis or self caught fish may also contain harmful bacteria and parasites or chemicals released from nearby factories. Do ensure that your meat and fish are thoroughly cooked while dining out as well.
3) unpasteurized juices- there is always a risk of juices, which are squeezed and unpasteurized, being contaminated with e-coli or salmonella, which can be very harmful for you.
4) pre-dressed poultry- poultry that has been dressed and stuffed at the market often run the risk of being contaminated by the juices of slaughtered poultry, proving to be best breeding grounds for bacteria.
5) unwashed fruits and vegetables- toxoplasma can breed on unwashed raw foods, which also cause harm to your health, mainly in the prenatal period.
6) alcohol, coffee and unpasteurized milk- these beverages have been deemed unsafe for pregnant ladies since they can cause severe health damages.

Nutrition Tips for Pregnant Women

During pregnancy, your body is subjected to several physiological changes including increased hair fall, continuous indigestion, headaches, development of varicose veins, skin pigmentations and so on. The growing baby bump hinders free movement as well. Quality time with your husband or partner is helpful, but is not the best way to relax you. During pregnancy many partners stop having sex due to body issues. Intercourse is extremely important to comfort an expecting mother. Going by a few sex positions cited below, partners can enjoy pregnancy without a speck of stress.

1. Spooning- In spooning a woman lies on one of her sides while the male partner lies behind her on his left or right side. Both partners should lie on the same side or if not they will end up turning their backs at each other. Penetration happens from behind. This position enables shallow penetration, which is good for the baby.

2. Do it like a clip- In this case two bodies should align like a clip. The man lies on his back while the woman is on the top facing him. Her knees are folded next to him and she is in the shape of an arch. Her hands serve as support as they are firmly placed on the bed behind her arching back. There is ample space for the bump.

3. Perch on him- It is healthier to avoid pressure on the abdominal region when pregnant. Make your man sit on a stable surface; say a stool or a chair. Sit on his lap with your back against his chest. This way the woman can regulate the depth of penetration by moving backward and forward. She is on her toes and her abdomen faces no weight.

4. Do it the Amazon way- The Amazon style of intercourse needs to be carried out on a chair or a stool. The male partner remains seated while the woman sits on his lap facing him with her legs across his sides. The baby bump is comfortably positioned between the partners and the lady takes charge by moving up and down.

5. Doggy style- The doggy style keeps the expecting mother away from exertion. She crouches on her hands and legs while the male partner enters her body from behind.

6. Living Room style- Let your rounded belly rest against the softness of the living room couch. Kneel on the couch to suit your feasibility, while your partner penetrates you from behind. The pregnant woman balances her body by holding on to the couch with her hands.


6 Sex Positions During Pregnancy

Pregnancy is a very special time in a woman's life when there is an added focus to take care of yourself and your unborn child. The adage'you are what you eat' takes on a whole new meaning during this period as it becomes the soon to be mother's responsibility to pack in extra nutrition to nourish her growing bump. Doctors often add in a dose of vitamins to ensure that the both mother and child are well nourished. But beyond that, the food choices you make will maintain a healthy weight gain for you and your baby and eventually even help when you want to shed the extra weight after your child is born.

Here are some tips to have a perfect diet during your pregnancy

Load up on the good stuff: even if you've always been eating healthy, it is time to crank things up a notch and include more proteins, vitamins, minerals especially folic acid and iron and some extra calories for energy and increase it as you progress in your pregnancy. But eating to get more nutrients doesn't have to mean eating more in general. If you are already at a healthy weight, then you don't need extra calories in the first trimester. In the second trimester, you need about 340 extra calories a day and about 450 extra calories a day in the third trimester. The numbers will change if you are underweight or overweight.

Say no to some: during pregnancy, give a skip to food items like raw seafood and undercooked meat and poultry. This could lead to potentially dangerous infections. Other foods to steer clear from include unpasteurized milk and soft cheese. All of these are possible sources of bacteria that can be harmful to an unborn child. It is always good to give your fruits and veggies a good extra wash, as always. Try to avoid the known culprits like popular local fruits that may be laden with artificial ripeners. Also avoid food with excess oil or preservatives. 

You will also have to say a complete no to alcohol or smoking during this period. While most sites suggest that you also ditch your caffeine fix, you can best keep it less than 200 mg or 12 ounces in a day. Stick to decaffeinated tea and sodas when possible. Some other foods that have to be avoided during pregnancy are packaged food, cold drinks, preserved food items as they contain preservatives, which are harmful. Also, chinese food should be avoided as it contains monosodium glutamate, which is again harmful due to teratogenic chemical.

Diet a big no: another big no during pregnancy is dieting or controlling the intake of food to lose weight. Pregnancy is the time you actually, for once, get to legally gain weight and be happy about. Don't mess up your natural system with forced diets.

Keep the food coming: pregnancy is the time for food craving at all odd hours and the time to give into them without an ounce of guilt! if you are dealing with nausea and food aversion, try to stick to small meals throughout the day. Replace the chips with carrot sticks and the pizza slice with soup. If that sweet tooth starts acting up, give it a frozen fruit dessert or shake.

Diet in Pregnancy

12 Changes in your body you can expect during the second trimester of pregnancy

The second trimester (starting from the 4th and lasting through the 6th month) of pregnancy is considered to be the easiest for a woman. During the second trimester of pregnancy, you can expect several changes in your body and baby. Here are the changes to expect:

Increased energy: Many women find that they have more energy during the second trimester, after the fatigue of the first trimester.
Quickening: Around the middle of the second trimester, you may feel your baby moving for the first time. These movements, called quickening, are often described as fluttering sensations.
Growing belly: As your baby grows, your uterus will expand and your belly will start to become more noticeable.
Changing breasts: Your breasts will continue to grow and may become more sensitive. You may also start to produce colostrum, a pre-milk substance that will nourish your baby in the first few days after birth.
Changing skin: As your skin stretches to accommodate your growing belly, you may develop stretch marks. You may also experience changes in skin pigmentation, such as darkening of the areolas or the appearance of a line down the center of your abdomen.
Increased risk of miscarriage: While the risk of miscarriage decreases significantly after the first trimester, it is still possible during the second trimester. Most miscarriages occur during the first 12 weeks of pregnancy.
Backaches: The additional weight that you gain during these past few months begins to bear down on your back, making it achy and tired. For relief from pressure, there are certain things that you can do such as using a chair that offers strong support to your back; sleeping on the side with a pillow placed in between your legs, and wearing shoes that come with solid arch support. 
Bleeding gums: Hormonal changes occurring during this period bring about a greater flow of blood to the gums, making them extremely sensitive and prone to bleeding. The gums don t remain tender for long and return to their normal form after delivery. But during these three months, make sure to use toothbrushes with softer bristles and be gentle when flossing.
Congestion and bleeding of the nose: In addition to making your gums tenderer, hormonal changes also bring about the swelling of mucous membranes that line your nose. These changes can lead you to have a stuffy nose as well as may even cause your nose to bleed very easily. To clear any nasal congestion that may occur during this period, you should use natural methods or saline drops obtained from a chemist. 
Hair growth: Pregnancy also sees your hair growing rapidly due to the action of the hormones on the hair follicles. Additionally, you also experience hair growth in places where hair is sparse. To remove unwanted hair, you should stick to tweezing or shaving, waxing and the use of depilatories aren t recommended by medical experts as they aren t considered safe for the baby.
White vaginal discharge: White vaginal discharge during this time is very common. The discharge ensures that harmful yeast or bacteria don t breed in your private areas. But if the discharge takes on a foul smell and a green or yellow color, you should immediately consult a gynaecologist as you may be down with a vaginal infection.
Leg cramps: A very common occurrence during the second trimester, leg cramps usually last through the last leg of pregnancy, which is the third trimester as well. The reasons behind their occurrence may be hormonal, weight-related, or deficiency of magnesium and calcium.
It's important to remember that every pregnancy is different, and you may experience different changes or none of these changes at all. It's always a good idea to discuss any concerns you have with your healthcare provider.

'Consult'.

12 Changes You Can Expect During the 2nd Trimester of Pregnancy

Pregnancy is that period of time in a woman's life when she is excited about giving birth to her baby. She is not only responsible to keep herself healthy, but her baby is also her responsibility. What she eats, how she lives and her daily routine will affect the baby. Thus, to have a healthy pregnancy it is necessary that you exercise regularly and eat well. You should also avoid those things that may hurt your baby. 

Take care of what you eat
During pregnancy it is important to get proper nutrition so that you and your baby are healthy. For slow and gradual weight gain, it is necessary to pay close attention to the folic acid, calcium and iron intake. However, if you are obese, then your weight gain regime will be different from others. 

The diet during pregnancy should include
1. Intake of fruit and vegetables is important as they are good sources of vitamins, minerals and even fiber. They are good for digestion and also help in preventing constipation. Eat fresh fruits and vegetables daily.

2. During pregnancy carbohydrates are also important as they act as an important source of energy. Different food items that are rich in carbohydrates are potatoes, bread, breakfast cereals, pasta, rice, noodles, millet, maize, oats, yams, sweet potatoes, and corn meal. It is better to eat whole grains and potato with the skin on as they are rich in fiber. 

3. Intake of protein is very important during pregnancy, and thus you should take lean meat, pulses, beans, nuts, fish, and eggs. All these items should be cooked well so that you do not face any problem in digestion during pregnancy. 

4. It is also necessary to eat dairy products like milk, cheese, butter and yoghurt during pregnancy. They are important because they contain the calcium and nutrients that are necessary for the growth of the baby. 

What to avoid?
Just as you should eat certain food items to be healthy, there are certain foods that must be avoided to be fit and healthy. Avoid the following during pregnancy

-  Drugs and alcohol
-  Medicines that are not prescribed by your physician
-  Smoking tobacco
-  Fried and oily food
-  Fishes those are rich in mercury like shark, tilefish, swordfish and those fishes that are caught in local waters are not considered safe. 
-  Too much intake of caffeine is also hazardous for a pregnant lady. 

Thus, by following the above-mentioned  diet tips you can keep your baby and yourself healthy. Always get advice from your physician for any decision that you take during pregnancy.

Are You Pregnant? Take Care of Your Diet

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