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?

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

When the delivery of a baby has to happen through a surgical process rather than normal child birth, the procedure is known as a Caesarean Section or a C-section. There are many reasons why one many need to go through this surgical procedure including complications during pregnancy and childbirth. One can also plan for a C-section beforehand by talking it through with a doctor who will recommend the same in case there are any complications and risks at play during the pregnancy. Read on to know more about the procedure.

Reasons: There are many reasons why a doctor may want to go in for a C-section. If the labour is not progressing properly, then a C-section may be required in order to extract the baby. This procedure may also be used in case the baby is not getting proper amount of oxygen which can put it in distress and lead to changes in the heartbeat. Also, if the baby is in an abnormal position like a breech position, then a C-section may be required. This procedure is also used when a woman is carrying twins or triplets. Other health concerns like high blood pressure and genital herpes or even HIV can lead to this procedure. Any mechanical obstruction like fibroids in the birth canal can also cause the doctor to resort to a C-section, while a patient who has delivered via C-section earlier may also be asked to do the same again.

Risks and complications: One has to remember that a C-section takes longer to recover from than normal childbirth and delivery would. Also, it does pose a few risks and complications that may arise during and after the procedure.

Breathing issues: The babies who are born via C-section are more susceptible to a condition known transient tachypnea which is a breathing problem characterised by an abnormally fast rate of breathing in and out. Also, other respiratory distress syndromes may take over subsequently.
Surgical injuries: The doctor may accidentally nick the baby s skin during the surgical process which involves the use of sharp instruments for making the incision.
Inflammation risk: The uterus may undergo inflammation which may also lead to endometriosis as well as infections of the membrane which can cause fever and foul smelling vaginal discharge. The wound may also get infected.
Bleeding: While some amount of bleeding is normal, this procedure can also lead to excessive bleeding in which case immediate medical intervention may be required. Also, the patient may suffer from blood clots inside the veins of the pelvic organs. These clots may also travel to the lungs and cause further complications.

C-Section - Are There Risks Associated With it?

How to know if you're pregnant

There are two main ways of finding out if you are pregnant - getting your blood tested, and doing home pregnancy urine test. In order for these tests to give you a clear picture, you need to wait until the right time i.e. until you've missed your period. However, there are several early signs of pregnancy that can give you an indication that you might be expecting.

1. Shortness of breath - Do you find yourself losing your breath on the stairs or when you walk for a long period of time, more than you usually do? This could be a sign of pregnancy since the fetus needs oxygen, leaving you feeling a little breathless even when you mildly exert yourself.

2. Sore breasts - If your breasts suddenly start feeling a little heavy or you feel like they have grown and your areolas seem slightly darker, it could be one of the first signs that you are pregnant.

3. Fatigue - The increase in hormones in your body during a pregnancy could lead to you feeling a lot more tired. If you end up exhausted after a normal day this could be because women tend to feel extreme tiredness during their first trimester of pregnancy.

4. Nausea - Around 6 weeks into a pregnancy (sometimes earlier), women tend to feel nauseous. This usually subsides as you enter into your second trimester. Feeling nauseous could be a sign of pregnancy. You can treat it by eating things that help settle your stomach like crackers and soda.

5. Frequent Urination - If you notice yourself needing to urinate more than usual, it could be a sign of pregnancy. This happens because your body is now producing extra fluids that cause your bladder to work extra.

6. Headaches - An early sign of pregnancy is experiencing frequent headaches. This happens because your body is now suddenly dealing with a lot of excessive hormones. To deal with the headaches make sure you take a pregnancy safe painkiller instead of a normal one.

Everybody has a way of expressing itself if only we take the time out to listen. If we really pay attention to these tiny reactions, detecting a pregnancy early, that is even before you skip that period is possible



How to know if you're pregnant

Babies can enter this world in one of two ways: Pregnant women can have either a vaginal birth or a surgical delivery by Cesarean section, but the ultimate goal is to safely give birth to a healthy baby.

C-section or Cesarean section is a surgical procedure to remove baby through an incision in the mother s abdomen and then a second incision in the uterus. It may be a necessity in certain situations, such as delivering a very large baby in a mother with a small pelvis, or if the baby is not in a heads-down position and efforts to turn the baby before a woman gives birth have been unsuccessful.

Sometimes the decision by an obstetrician to perform a C-section is unplanned, and it is done for emergency reasons because the health of the mother, the baby, or both of them is in jeopardy. This may occur because of a problem during pregnancy or after a woman has gone into labor, such as if labor is happening too slowly or if the baby is not getting enough oxygen.

Some C-sections are considered elective, which are planned by the treating doctor for medical reasons. The patient may choose to deliver by CS due to previous unpleasant experience or to avoid the pain of normal labour. In such cases also it is called elective CS.

Reasons for a C-section may include:

Health problems in the mother
The mother carrying more than one baby
The size or position of the baby
The baby s health is in danger
Labor is not moving along as it should
The surgery is relatively safe for mother and baby. Still, it is major surgery and carries risks. It also takes longer to recover from a C-section than from vaginal birth. It can raise the risk of having difficulties with future pregnancies. Some women may have problems attempting a vaginal birth later. Still, many women are able to have a vaginal birth after cesarean (VBAC).

How You Might Feel

You won t feel any pain during the C-section, although you may feel sensations like pulling and pressure. Most women are awake and simply numbed from the waist down using regional anaesthesia during a C-section. That way, they are awake to see and hear their baby being born. A curtain will be over your abdomen during the surgery, but you may be able to take a peek as your baby is being delivered from your belly. However, women who need to have an emergency C-section occasionally require general anesthesia, so they re unconscious during the delivery and won t remember anything or feel any pain.

Recovering from a C-section

After a C-section, a woman may spend two to four days in the hospital, but it may take her up to six weeks to feel more like herself again. Her abdomen will feel sore from the surgery and the skin and nerves in this area will need time to heal. Women will be given narcotic pain medications to take the edge off any post-surgery pain, and most women use them for about two weeks after ward.

A woman may also experience bleeding for about four to six weeks after a surgical birth. She is also advised to not have sex for a few weeks after her C-section and to also avoid strenuous activities, such as lifting heavy objects.

Cesarean Section (C-Section) - Birth and Delivery

Lovemaking during pregnancy is less talked about because it is customary to distance pregnant ladies from intimacy. Many women even find it very uncomfortable to have sex during the pregnancy period as their body gets bigger.

However, there are other ways you and your partner can opt for to satisfy your needs like caressing, holding each other and kissing. There are some partners who feel sex during pregnancy is the best moment for sex, while there are others who are feared and have their own concerns.

Sex During Pregnancy - Pregnant Sex
Sex during pregnancy should be avoided. If at all done should be gentle, it should avoid pressing the abdomen. However, it is safe in the second trimester if the woman is comfortable. Yes, it is alright for partners to have sex from the second trimester onwards if the woman has had a healthy pregnancy.  This is because the thick mucus plug which seals the cervix in pregnant women safeguards the baby against any infection.

The strong muscles of the uterus as well as the amniotic sac, keep the little one safe in the womb. NO damage can be caused by the penis of your partner to the baby while having sex. Women can feel some movement of their baby after orgasm. Couples need not worry about the baby, as in no case it would provide discomfort to the baby. The chances of having a premature baby are reduced at times by having sex regularly.



Conditions to Avoid Sex During Pregnancy
The conditions in pregnancy when it is better to avoid sex mainly include times when any spotting or bleeding occurs during early pregnancy. In such a case, the Doctors advise not to have sex for at least 14 weeks.
Your doctor may even advise a pregnant woman not to have sex if she has a history of cervical illness, has had heavy bleeding, had a vaginal infection, and in case of the low lying placenta.
A pregnant woman experiencing frequent abdominal pain or cramps must also avoid sex during their pregnancy.
Sexual Behavior to Avoid During Pregnancy
There are 2 ways that are not safe and must be avoided while having sex during pregnancy. The first way is oral sex. Any pregnant woman must not allow their spouse to blow air into the vaginal region. Blowing air into the vagina can cause an air embolism, and this can be potentially serious for the mother as well as the baby.
Pregnant women should not have sex with partners who have an unknown sexual history as there are chances that he is infected with sexually transmitted diseases like HIV or Herpes. The diseases can be easily transmitted to the baby if you have sex with such a partner. It is better to avoid any complications and stay away from sex during the pregnancy period.
If you wish to discuss any specific problem, you can consult a doctor and ask a free question.

Conditions When to Stop Sex During Pregnancy

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