Childbirth doesn't hurt! Does it hurt to give birth, and how to reduce pain during childbirth Why does pain occur

All my adult life, my mother, grandmother and all the women I knew told me that childbirth is terrible, painful, a nightmare, hatred for men, and other horror stories. But I remember exactly the stories about the birth of my grandmother (18 children were born), how she gave birth and on the same day went to plow the field. It was this contradiction that prompted me to take birth preparation courses. I wanted to understand: how can I make this process the least painful in order not to frighten my daughter with this process later. These courses changed my mind and reality: I went from thinking about giving birth in a super cool room for 300 grand to giving birth with my husband and a “personal midwife”. But what about the pain?

So, during the training, I firmly learned two things:

1. I want a physiological birth (I knew about the consequences of CS while still a student, we had separate lectures about this). And I know that NO ONE will give birth to me INSTEAD, so blame the medical staff, shout “get it out of me!” etc. I won't. And also, that no matter how I was afraid or expected it, now I still have to give birth. Therefore, fears and panics are not productive.

2. I want to remember childbirth as the happiest moment in my life, I don’t want it to be painful and scary.

These two postulates formed my next steps:

1. Attitude to childbirth as hard physical work. According to statistics, the causes of developmental disorders in most cases are birth injuries, birth injuries occur due to the physical unpreparedness of a woman (pregnancy is often perceived as a disease. Women who sat in the office before pregnancy completely stop leading a mobile lifestyle, playing sports - and this fundamentally wrong (assuming a normal pregnancy.) What to do: daily gymnastics (stretching, rocking the press, breathing exercises, walking).

2. Preparing the body for the perception of a stressful situation. What to do: harden yourself (splash with cool water, swim in ponds), visit a sauna, arrange fasting days.

3. Perineal preparation. What to do: massage with special oil, starting from 34 weeks; Kegel exercises.

4. Rehearsals of breathing, sounding and various positions. M Two weeks before the birth, my husband and I rehearsed all possible supports, remembered when it was easier, when it was harder. I rehearsed breathing, sounding - all this helped me a lot during childbirth.

5. Practice the ability to relax. To have time to rest, switch off during the break between contractions. What to do: meditate, listen to the sounds of nature (natural, not recorded), practice body-oriented and art therapy.

How was it in the end?

I have achieved my goal, childbirth is the most wonderful, bright and amazing moment of my life! It didn't hurt me, because. I knew how to deal with it (I breathed, “sounded”), it was only unpleasant during the trip to the maternity hospital (I remember the pile crossings on the metro bridge in the Vorobyovy Gory area during the fight - this is something, but fortunately we drove quickly), again at this moment I was already 7 cm dilated, so the contractions were intense. I only remember that I was tired. The birth was at night: when I realized that the contractions: I went to the shower, did my hair and makeup, drank freshly squeezed juice and not much wine. At home, my husband gave me a massage, I hung on him in all sorts of positions, when the contractions began after 2 minutes, they began to gather in the hospital. We arrived, immediately met with the midwife: I ask: “Will there be a caesarean?” She laughed and said: “Let's go to bed.” I remember that I really wanted to sleep, and I had less and less strength, and then there were attempts - again, it didn’t hurt, rather physically hard. Perhaps one can say that it hurts - when the head erupts, but it is more like a feeling ... as if they were burned with something hot and pulled away, i.e. abruptly and immediately passes. Giving birth to a body is no longer painful, even pleasant. I will always remember the moment when the midwife commanded: “Let's give birth to the body!”, I thought that this was the moment when my daughter was a single whole with me for the last time, that in a second she would become a separate Person, an independent person and ... heard her cry! And I felt her on my stomach, poking me with her warm mouth. I saw my husband with trembling hands cut the umbilical cord, the pleased face of the midwife, who asked: “When is the second one?”, And I answered: “Although now!”.

Dear girls who are just about to give birth: I wrote all this for you! So that you know that the “coloring” of childbirth depends on your mood and preparedness! If you want "not painful" and will prepare for it during pregnancy - so be it! Childbirth is hard physical work, the most amazing work in the world! Easy childbirth!

Following natural instincts, always your BioInstinct. original text here: http://bioinstinct.ru/blog/rodu/85/#comment-440

"I can't take it anymore, cut me!" - came from the delivery room.

During the four days of my stay in the maternity hospital, I had to hear such cries every night. Surprisingly, the whole maternity hospital knew if the birth was going on at the moment.

By the time I was discharged, I began to understand why a few hours after the birth, when I was allowed to get up and go to the shower, I received a compliment from the girls from the antenatal unit about how quietly I gave birth.

In general, there was no special heroism in this. I couldn't help screaming or moaning, I just couldn't scream even if I wanted to. Not only screaming, but also talking during a fight is impossible if you want to achieve pain relief through breathing. Any attempt to say something will choke the breath and, consequently, lead to increased pain.

Many imagine that there are special breathing techniques during childbirth, and postures that help reduce pain. This is also known to be taught in childbirth preparation courses.

I had about the same idea when I was expecting my first child. Then I did not consider it necessary to burden myself with the search for courses and preparation, relying on the forces of mother nature and the knowledge of medical personnel. And at that time I had a very rough idea about the existence of such courses.

It cannot be said that the first birth was unsuccessful. In general, everything went well, I had almost no breaks - only microcracks; childbirth was not too long - 10 hours; the girl was not born large (3100 gr.) and received 8-9 points for. My husband was present at the birth, gave me moral support, especially at the beginning, while I was still able to think something. And then I ended up on a bed with a dropper, they gave me an anesthetic injection, my consciousness became clouded. It was night, I was terribly sleepy, my head was spinning from the medicine. My husband did not know how to help me, and stood at attention behind me, apparently out of solidarity, taking on at least some inconvenience. But I was so out of control of the situation that even when I needed real physical help (make a massage, hold my knee in the fight), I didn’t think to involve my husband.

Here is an excerpt from my first birth diary:
“The contractions went on every three minutes, and 60 seconds of torment were replaced by two minutes of sleep. I will have to go through all this to the end, and there is no way to postpone the birth even for a while to rest. And one more thing: if it hurts so much even with anesthesia, then what would it be like without it? .. "

Probably, these sensations are familiar to many.

However, everything passes, and my torment has come to an end. The very next day, holding my newborn daughter in my arms, I recalled childbirth without horror. A week later, I was overwhelmed with pride that "I could do it"! And after a couple of months, I was quite calm about the possibility of having a second child in a year or two.

And yet the birth left a slight feeling of dissatisfaction.

After the birth of my daughter, I began to read a large number of magazines about children, and most importantly, I gradually found a lot of information on the Internet. Although the birth was over, the topic of pregnancy and childbirth still interested me. And by the beginning of the second pregnancy (the eldest daughter was then a year and a month old), I was already quite aware of what kind of preparation courses there are for childbirth, and about the birth itself, their traditional and non-traditional methods, about maternity hospitals, etc.

So, having set off on a journey "on the second circle", I decided not to let everything take its course.

First of all, I wanted to decide on the "birth plan". Here's another snippet from my diary:
“The first time I didn’t have any plan, I just had a desire to give birth naturally. And now something more definite.
I want to give birth without stimulation and anesthesia. Together with her husband. Without an IV, and without being tied to a bed to be able to change position.
I want the baby to be put on the breast right away. Maybe I want too much?
And I want everything - not to interfere !!!"

So, the plan loomed more or less definitely, it remained to find a place where it could be carried out. I worked out the topic in sufficient detail, it attracted me, but after discussing and thinking it over with my husband, we came to the conclusion that this was not for us.

So, it was necessary to look for a suitable maternity hospital.

This turned out to be not such an easy task. I looked all over the internet and came up with a few options. But the more I collected information about different maternity hospitals, the less I was satisfied with all of them.

I will not bore the reader with the vicissitudes of my search. Let me just say that they were successful only by the 38th week of pregnancy. Quite by accident, I discovered a maternity hospital in Dolgoprudny.

The head of the maternity hospital turned out to be a very nice woman. She talked to me in detail on the phone, and set up a personal meeting at which we discussed the details. My birth plan was quite feasible here, plus it was allowed to bring with me any things from home that could help during childbirth: a ball, a pillow, a rug, music ... At the same time, the price was simply ridiculous, could not be compared with rates of Moscow maternity hospitals.

To implement my plan for an ideal birth (now I can already say this without fear of the evil eye), I signed up for courses for pregnant women at the Spaso-Perovsky hospital. I managed to get exactly what I wanted from the courses: real breathing skills, positions in childbirth, watch several films, both domestic and foreign. In addition, despite my seemingly already quite extensive knowledge about pregnancy, I learned a lot of useful information on this topic.

So, by the time of the birth, we were quite savvy and morally set up in the best possible way. What happened next, the diary will best show.

“On the morning of February 8, I woke up from a nagging pain. After 20 minutes, the pain recurred, and after another 20 minutes I realized that I seemed to have waited.

I took care of my toilet: I did an enema, shaved (of course, with the help of my husband). The contractions were weak. It seemed to me that the process was going too slowly, so I tried to achieve not pain relief, but, on the contrary, an increase in pain. To do this, I took the "frog pose": I squatted, spreading my knees and leaning my hands on a stool. It seemed to make contractions more effective.

By noon the contractions became more noticeable. I began to use slow deep breathing (inhale for four counts - exhale for six).

At 14.20 contractions became more frequent and more painful. We immediately began to gather. At 15.45 we arrived at the hospital. I was issued, changed clothes and examined: the disclosure was 3-4 cm. I endured the contractions, bending over and leaning on the couch. Deep breathing provided excellent pain relief. Only I could not speak during the fight, so as not to lose my breath.

Finally, the registration was over, and at 16.30 we were escorted to the ward. Here I was examined by the doctor on duty. The dilatation was already 5-6 cm. The doctor said that the bubble was flat and offered to prick it. I didn't react much.

After the puncture of the bladder, the doctor suggested that there were two hours left, and suggested pain relief. I refused, saying that I had enough strength for two hours.

After the doctor left, I settled down on the floor, leaning on a pillow. In between, my husband and I did a crossword puzzle, during the fight I breathed, and he gave me a lower back massage. At this stage, the massage gave complete pain relief!

The contractions became more painful, and I switched to rapid breathing at the peak of the contraction. The husband still did the massage, which relieved the pain not completely, but certainly half. After the end of the fight, I showed him where the pain had moved and where to massage.

I endured two contractions on all fours, this position was less painful. However, it was also less effective, so I returned to my previous position: sitting on my knees spread apart. In this position, I physically felt the progress of the child. During the fight, I tried to imagine the opening of the neck, it was painful to think about it, but it allowed me to relax and not to pinch the pain, but to go towards it.

During the next contraction, I felt the urge to push. While it was not very strong, I decided to breathe a few more contractions. When this feeling intensified, I asked my husband to run for the midwife. Until this moment, we continued to guess the crossword puzzle in between.

The midwife laid me on the bed. The disclosure is already complete. We spent several attempts on the bed, but either I was pushing badly, or the neck was not ready yet, the process was slow. Only after 25 minutes something began to work out, and I was taken to the delivery room. But the contractions were still rare, and they decided to inject me with sinestrol.

After breathing through another contraction, I climbed into a chair and began to push, although both midwives and the doctor were not busy with me. I don’t know if the threat of stimulation worked, or the desire to end it all as soon as possible, but I managed to gather all my strength and move the child to the exit. At the next attempt, everyone rushed to me, and by the intensity of the pain, I realized that it was not long before the birth of the head. "And no sinestrol," someone said. The midwife encouraged and gave instructions, my husband supported my head, which was also very helpful.

It was difficult, but I knew that the more I put in the effort, the closer the end, and I tried to overcome myself. After four or five attempts, I saw a blue-crimson head, I was ordered to breathe through my mouth, the child was turned, and on the next attempt the whole body was born. I saw all this perfectly, because I was pushing as it should be and did not close my eyes.

17.40 - stated the doctor.

The mucus was sucked off the girl, she was wiped off, wrapped in a diaper and put on her chest. She smacked a little while the doctor pressed on my stomach and squeezed out the placenta. I didn't find any breaks."

It remains to draw some conclusions.

Am I satisfied with my birth?
I find them almost perfect. I did everything as I wanted. I gave birth with almost no pain (compared to the first birth, which went with pain relief). I was amazed at how effective my husband's help can be.

Would I like to give birth at home?
No. I needed clear commands from the midwife that allowed me to direct my efforts. And I needed the feeling that if something happened, help would come immediately.

Were preparatory courses necessary?
Necessarily! Women who go into childbirth without preparation have no idea how much they complicate their lives! You should not doom yourself to torment, which can be easily avoided if you imagine what is happening in your body and how to help it. And of course, you need to prepare your husband for childbirth. Mine was only in two classes, but this allowed him to feel much more confident than the first time, and to provide me, in addition to moral support, real help.

Go to childbirth consciously, and you will enjoy them!

Anna Minyaeva

For medical questions, be sure to consult your doctor first.

I will not describe here in detail what the doctors did and in what order. I want to talk about how I dealt with fear. So...

When I was pregnant, the only literature I read was ... stories about childbirth. Now I understand that this is complete nonsense, that I should have read the classics, or - which is much more useful, because it would save me time now - literature on the development of children, or learn all sorts of rhymes, nursery rhymes, and especially lullabies ... But what there, I hope you're smarter than me.

So. I read stories about childbirth because I was afraid. Of course, everyone is afraid. But I had a panic fear, and almost from the age when I found out how children are born. Probably, it was precisely because of this fear that I even put off the child, which happened - Thank God - unplanned, otherwise I would have collected my thoughts for a long time. And by the end of pregnancy, this fear increased exponentially. I was especially annoyed by people who said: "Come on, it's not so scary, especially since you have such an advantage - you don't know what it is ...". This scared me the most! Why did they think it was supposed to soothe?!

So, I read and read stories about childbirth with the secret hope of finding at least one that would say that childbirth is not painful. It’s just that I’m most afraid of physical pain: every time I was examined on a chair, I was so yelled and whined that they asked me: baby, how are you going to give birth?

To tell the truth, there were people who said things that helped me in childbirth, or rather helped me cope with fear. I wrote out these theses for myself and read them in the very last days, when I knew that just about - and evil doctors would take me ... No, I had a very good doctor who was supposed to take delivery (and she received it perfectly, thank you for her patience), and a good maternity hospital, which doesn’t even look like a hospital, but all this did little to reassure ...

So that's why I'm writing this. Please believe me, coward and touchy, who is close to fainting at the thought of implanting foreign objects or doctors manipulating her beloved body, that childbirth is not painful!!!

Yes, yes, it does not hurt even with my attitude to pain.

The first stage of childbirth - contractions - with which everyone is so scared, it is quite possible to survive (and I had strong contractions, because they pricked), because the pain is familiar in nature (as with menstruation) and dull. With each contraction, the body gets used to this sensation, and since this is a gradual process, even in strong contractions it is not such a pain as suddenly cutting off a finger or drilling a sick tooth. Nature very cunningly thought it all out, preparing a woman.

But this is all provided that you understand that fights have a noble mission, and do not resist them. It is necessary to try very, very hard to relax during the fight, and although it is difficult, it softens the pain. It is necessary to surrender to it, go to a meeting, rejoice (for example, like this: here, there is one less fight left). It is very important that the muscles of the face are relaxed - the lips are not clamped, the teeth are not clenched (this strains the muscles of the pelvic floor and the cervix and lengthens and makes the contractions more difficult). What you experience, I would call not pain, but physical discomfort - because all sensations are unusual and cause discomfort (the sensations when you want to push are especially curious). How I would love to experience it all again!

As for the very period of childbirth - exile and, it is generally very fast and not painful, just hard, and it will be necessary to work. (Again, I didn’t understand that I would have to push the child out, it seemed to me that he would come out by some unknown force. Now it’s funny, but I didn’t think that incredible efforts would have to be made ...)

My friend - a Pole and a father of 2 children - reassured me before giving birth, saying that this would be the happiest moment of my life. I did not believe him, I thought it would be faster to survive and forget ... But he turned out to be right. I now remember and savor every moment of this process. I would love to give birth again. This is surprisingly interesting, I even feel sorry for men, because they cannot experience this.

Here is a summary of the theses that helped me cope with fear.

1. The pain during childbirth is very natural, natural, intensifying so that you don’t notice it (I really didn’t really notice how the contractions at the beginning differed from the contractions at the end).
2. It is interesting to give birth, this is given only to half of the people on earth (women), and even then not to everyone.
3. I would love to experience it again, I would have the opportunity not to be afraid, but to savor every step, every fight, every attempt ...
4. It was the happiest moment in my life. (I experienced so many emotions only when I was accepted as a pioneer.)
5. A person is strangely arranged: he can faint from an injection with a syringe, and experience no pain during childbirth
6. Fear breeds pain. (If you are not afraid, there will be no pain.)
7. There are worse things in life...

By the way, small details that may also be useful to you.

1. My contractions didn't start well. My stomach ached and hurt constantly - whined. I thought that I had eaten something wrong, or maybe it was appendicitis. Now it’s funny when I think that when I started having contractions on the supposed day, I thought it was appendicitis ... But my stomach ached in a way that I didn’t imagine - it didn’t really hurt, and constantly, without intervals. True, about five hours later, after I tried to muffle the pain with Buscopan candles, I noticed that sometimes the pain subsides. (That is, not as they wrote everywhere - the pain occurs periodically, but on the contrary, it periodically subsided).
2. Israeli oil for perineal massage helped to avoid tears. I don’t name the brand on purpose, because it’s not about the oil, but about the massage. Massage should be done by the husband. Every day from 35 weeks. For 5 minutes, with the help of oil and fingers, stretch the perineum (with great effort - my husband lost a lot of strength in these 5 minutes). You yourself must learn to relax the muscles with such pressure on the perineum. You get used to stretching, your muscles get used to it too, you learn to relax - and the oil has nothing to do with it.

I hope this helps you deal with your fear too.

Every pregnant woman looks forward to the upcoming birth with excitement and even fear, because very often the birth of a child is associated with pain, long hours of painful contractions and, of course, breaks that can significantly overshadow your joy.

It is for this reason that young mothers quite often experience conflicting feelings in the first months after childbirth, and also endure a lot of inconvenience.

It is not surprising that pregnant women and women in labor often wonder how to give birth without tears and incisions, or at least reduce their intensity and depth? You should definitely consult with your doctor, attend special classes and courses for pregnant women, read literature and prepare for childbirth so as not to get lost in their process and not make unnecessary mistakes.

By following all the medical commands and adhering to proper breathing techniques, you will significantly alleviate your condition and help your baby be born as soon as possible.

Degrees and types of gaps

Doctors distinguish several types of tears: internal ones can appear on the cervix, and external or external ones can appear on the walls of the vagina (outside).

Internal ruptures are most often fraught with situations: when the child's head, already pressed against the entrance to the small pelvis, puts pressure on other internal organs and causes severe pain, but the neck has not yet fully opened.

If at this moment you begin to push, ruptures are simply guaranteed to you .

Already at the transition to the vagina, the baby's head can also injure you if you push before it reaches the exit from the small pelvis. Injuries to the mucous membrane of the labia are possible if, at birth, the head unbends too quickly.

There is a definition of several degrees of ruptures, depending on their severity:

• in the first degree, only the walls of the vagina can suffer, and minor injuries of the posterior commissure are also possible, while the muscles of the perineum itself remain without breaks;
• the second degree of injury means that not only the walls of the vagina were broken, but also the skin of the perineum, in addition, the muscles up to the sphincter may also suffer;
• the third degree is the most severe, because in this case, the sphincter along with the walls of the rectum are also added to the tears of the second degree.

Features and causes of pain

In the structure of the human body, everything is wisely and clearly thought out. So, shortly before childbirth, the muscles of the perineum or pelvic floor become more elastic, stretching, so that it is not only easier for the child to pass through the birth canal, but it is generally possible to do so.

That is, if your pregnancy proceeded normally, you and your baby gained weight, according to the norms, everything is in order with your health, you give birth on time and are quite aware of that, and pushing, most likely, the birth will pass without breaks.

However, such ideal situations, unfortunately, are not for everyone. But almost every second young mother complains about breaks and the discomfort to which they lead. First, you need to understand the main reasons why this happens and find out if the risk of tearing can be reduced.

First of all, cracks and tissue damage are possible with improper organization of labor, that is, when a woman does not follow the recommendations or instructions of the midwife and doctor, does not control contractions and pushes hard, instead of doing breathing exercises.

The second most common cause of tearing is in the ratio (especially when it comes to first births). That is why the doctor controls throughout the pregnancy, since it is very important to monitor your diet, not only so that it will be easier for you to get in shape later, but also so as not to feed the baby to a large size.

The doctor will necessarily take measurements of the pelvis shortly before the birth and compare them with the parameters of the height and weight of your child. This will help to make the right decision on the choice of the method and tactics of delivery and will provide an opportunity to prepare for this important event.

If you have previously undergone surgery or have had injuries on the perineum that left scars, then this can also lead to ruptures.

When a woman in labor has a very rapid and rapid delivery, so that the shoulders and head of the child appear suddenly, and the midwife cannot cope with his reception, the maternal tissues are torn due to such pressure and speed of labor.

The physical preparation of the expectant mother is also extremely important. Pregnancy should not be associated with complete amorphism and lack of physical activity. Of course, all exercises, loads and sports should be carried out only with the permission of the doctor and if you have no contraindications to them.

However, many believe that everything should be in order for professional athletes: the muscles are trained, the body is used to physical activity. Unfortunately, everything is not so simple, and just women who are professionally involved in sports can suffer even more during childbirth, since the pumped muscles are torn much more often.

Also, the anatomical features of the woman in labor sometimes become the causes of ruptures, for example, if a woman has a distance of more than 7-8 centimeters between the entrance to the vagina and the anus, then it is believed that she has a high perineum, which significantly increases the risk of cracks and ruptures. And when labor activity is very weak and slow, so that prolonged attempts cause swelling of the perineum, this can also serve as a provoking factor for the appearance of tears.

Doctors also pay attention to the fact that the presence of any inflammatory processes or diseases in the vagina and other female genital organs can contribute to a decrease in tissue elasticity (sometimes a woman’s skin may be of little extensibility simply by nature), as well as increase tissue injury.

Perineal incision as a way to give birth without tearing

Sometimes, in order to prevent injury, the doctor who delivers the baby decides to make an incision. In this case, an incision is more preferable, since ruptures will leave lacerated wounds with uneven edges, which will heal much longer and worse after suturing than smooth wound edges from incisions.

For episiotomy, there are certain indications in which it is simply vital:

• If a pregnant woman suffers from chronic or other diseases in which her condition worsens, and the period of childbirth needs to be urgently reduced (this applies to women in labor with congenital or acquired heart defects, severe disorders of the endocrine system, kidney problems, myopia, etc.). );
• Also, incisions are inevitable if there is a need for operative or emergency childbirth - severe bleeding, difficult situations, such as using a vacuum extractor or applying forceps. This also includes cases of premature birth;
• With a breech presentation, dissection will also be done without fail, because the baby's head is much larger than his buttocks, which will come out in the first place, therefore, in order to ease his way and protect him from any complications, you will have to resort to episiotomy;
• If intrauterine hypoxia is diagnosed, then doctors will be forced to deliver as soon as possible, and this will require a dissection.

Doctors can predict whether or not a woman in labor will rupture, since they do not happen suddenly: before a rupture should occur, the perineum changes visually - bulging forward, swelling, becoming bluish and then turning pale.

By itself, the rupture will begin even from the posterior commissure, gradually moving to the perineum and the walls of the vagina, so if a threat arises, the doctor will prefer to make a dissection and prevent you from tearing.

What is the best cutting method?

Depending on the situation, the method by which the perineum is cut will be selected. If a “high perineum” is ruptured or threatened, then a perineotomy is made - an incision that goes straight to the rectum.

An episiotomy is performed in the following situations:

• if the bones of the pubic joint converge into an acute subpubic angle;
• with the threat of rupture of the "low" perineum;
• in the presence of scars on the perineum after previous childbirth or other operations;
• if there is a need for obstetric operations (forceps, vacuum).

Such a cut is directed to the side. But if the perineum is with pathological changes (possibly in the presence of tumors), then the doctor will apply a lateral episiotomy (this means that the incision will be made strictly to the side). True, the seams with such a dissection heal longer and more difficult.

Already at the end of childbirth, the doctor will examine the soft tissues of the perineum, since after ruptures (if any did happen), and after incisions, their integrity must be restored, that is, stitched together.

When the cervix is ​​torn, sutures are applied using absorbable threads (they do not need to be removed), as well as when traumatizing the labia minora or the vagina.

But with severe damage to the perineum, anesthesia can even be used for suturing, and sutures are applied both with catgut (absorbable threads) and silk threads (such sutures are removed 5-6 days after birth).

What do you need to know?

After suturing, you need to follow a number of rules:

• Monitor the hygiene of the perineum (constantly wash, dry well, constantly change pads, regularly treat the wound with drugs that the doctor will prescribe for you);
• It will be possible to sit down only halfway, leaning on the side where there is no incision - not earlier than the fifth day after childbirth (if there are no complications). When the stitches are removed, you can begin to slowly sit down on a hard surface;
• In no case should you push or strain in the toilet (so that you can empty yourself, you will first be given a laxative or an enema);
• For the first few days, the doctor will most likely advise you to stick to a diet (light meals so that there is no stool);
• Feeding the baby is better to adapt lying down.

If you experience the slightest pain, bleeding or other dangerous symptoms, it is better to immediately consult a doctor for help in order to prevent any serious complications.

Prevention of ruptures or what can be done to make childbirth easy and painless?

Despite the fact that painless childbirth is perceived as a myth, it is indeed possible and does happen. It is very easy to give birth without breaks. Doctors say that a lot depends on the woman in labor.

The right mindset comes first

The first and most important thing you need to do is carefully prepare for the process of the birth of your baby. Proper behavior in childbirth is the key to a successful and relatively easy delivery without breaks and many hours of suffering.

Be sure to sign up for special childbirth preparation courses, where they will teach you the technique of proper breathing and relaxation, tell you how to push, how to count contractions and give many other very useful tips.

If you are planning a partner childbirth, then go to the preparation with your spouse - he will also have to learn a lot of new things, for example, how to properly massage and provide other assistance to your wife in labor.

Physical fitness and massage

Remember to exercise. Yoga, swimming, aqua aerobics, special gymnastic exercises of complexes for expectant mothers are most optimally suited.

In addition, you should learn to do perineal exercises or Kegel exercises, which will help you control the muscles of the vagina and perineum, tensing and relaxing them when necessary.

1. One of the most popular exercises is the so-called "lift".

It consists in gradually squeezing the muscles with different strengths, as if going up and down in an elevator, adding intensity to the compression on each imaginary floor.

1. Another effective exercise is pushing, that is, small attempts, as if during the act of defecation.

Well trains the anus, abdominal and perineal muscles.

1. You can also slowly squeeze the muscles of the perineum, straining them for different periods of time (increase gradually), and then relax.
2. Try to do intense muscle contractions at a fast pace.

A very useful prophylactic against ruptures is perineal massage.

As a rule, it is better to spend it in the evening, having previously taken a warm shower and going to the toilet. Some women prefer to massage themselves, others turn to their husbands for help. For the procedure, you will need natural oil (any vegetable oil - olive, rose, chamomile, grape seed, etc.). Before the massage, you must thoroughly wash your hands (nails must be neatly trimmed).

Try to lie down, sit down, or stand up as you please. First you need to generously lubricate the labia and the perineum outside with oil. Then take the oils on a finger or two and gradually and slowly insert into the vagina. Massage it for a while, making rocking and pressing movements on the back wall (towards the anus).

After holding the tension for a few seconds, release, then start again. Do not massage for too long - at first, three minutes will be enough. The main task for you during this massage is to relax as much as possible, then you can do it at the crucial moment of the baby's appearance.

To train the perineum, you can even sit daily or do some work in certain positions that help prevent tears:

• for example, you need to wash the floors only on your haunches;
• sit cross-legged in front of you, or take the “butterfly” position (connect the heels while sitting and pull the legs to the crotch);
• walk "in single file" around the house;
• kneel, tightly connecting them, and smoothly sit back on your heels, and then get up.

Talk to your doctor to prescribe a special multivitamin complex for you, which will help strengthen blood vessels and make them more elastic.

Conclusion

Childbirth is work, because you give the world a new little life. Try not to panic and gather your strength. To give birth correctly (without breaks and episiotomy), listen to your doctor and midwife, follow their recommendations and instructions, and if you were preparing for childbirth, and now you breathe and push properly, then everything will go well and without breaks.