Pushing the Baby Out
Labor is a natural process, and very involved the instinct. Indeed, practically in most health services both hospitals, clinics, health centers or midwifery practice sites, they mostly instruct mothers to push as hard as they can in a lying position. Along with the development of knowledge in midwifery, experts examine three things that support the smooth delivery of the maternity process. them is POWER.
Why is the mother’s ability to pushing the baby out very important in the maternity process? Straining will greatly help the uterine muscles push the baby towards the birth canal. The ability to push correctly will determine the state of the baby was born. If the entire condition of the baby and the birth canal fulfills the requirements for a normal delivery process, but the mother is unable to push the baby properly, this will make the baby too long in the birth canal (pelvic floor). Also, this situation makes the baby insecure, causes the baby to be born with respiratory problems, cannot cry, even the baby looks not healthy.
Regarding the position of childbirth, it is estimated that most women are encouraged or motivated to push in a lying position or half sitting position. Since using this position will be more comfortable for the health workers. When a mother takes a semi-lying position in bed, it is easier to access the mother’s stomach to monitor the fetal heartbeat. Even in Indonesia in Normal Childbirth Care training is also recommended to train the position of the mother with half sitting. It is not recommended done with other alternative positions such as squatting, sitting, crawling even standing. So it’s natural if you ask them to help give birth in an upright position.
Recognizing the body ready to push the baby out
Straining or pushing the baby out can be done after the cervix has completely opened, it is about 10 cm. At that moment, the mother will feel contractions occurring repeatedly 4-5 times for 5 minutes with the duration about 45 – 50 seconds. The existence of these contractions helps the mother during straining so the delivery process will be more effective. When a contraction occurs, the mother will feel a strong inside desire to push the baby. At the same time, mothers will also feel a strong pressure on the rectum.
Tips on pushing it out the baby
To go through the process of pushing smoothly, you can these following tips:
When feeling a contraction, the mother may be encouraged to push to speed up the labor process. For most women, pushing can make the body feel better.
- Before and after contractions, it is recommended to take deep breaths and exhale.
- It is recommended to eat and drink in between contractions, to increase the mother’s power
- Don’t strain your face when you push.
- Try looking for some of the most comfortable positions when pushing. Examples can be squatting or lying on the side with your feet raised.
- When straining, position your chin over your chest and pull your legs towards your chest. This position will help all the muscles of the mother work properly.
- Mothers can also use the muscles used when defecating when straining. These muscles are very strong and effective to help your child born. Mothers don’t need to be afraid of going out feces when using these muscles, because this is common and is not a shame. Sometimes feces can block the head from falling and the progress of the opening.
- Use all maternal energy when straining. But at certain times, the mother may be asked to push gently. Pressure reduction can avoid the risk of tearing the vaginal wall.
- Don’t forget to rest between contractions to increase your energy.
- Use a glass to see the baby’s head. This can provide motivation and enthusiasm when feeling tired of undergoing labor. However, it is not recommended if the mother is not strong enough to see it. Regarding the natural process of pushing the baby out, several factors affect a mother unable to push:
- The ages of the mother (more than 35 years)
- Inadequate maternal health conditions
- Too close distance of pregnancy
- Fear and trauma to past labor
- Getting fatigued due to the wrong straining technique
Here are several things the mother should avoid (during the pushing the baby out process)
- Avoid shouting too loudly
Uncontrolled and unwittingly Shouting can make a mother tired and lose her control during the process of pushing. Try to sound softer and softer so that the mother can properly breathe.
Shouting too loudly can also make the veins in the mother’s face tighten. Although trivial, it turns out that it can make facial skin loose after the birth process occurs. Then try to calm down first. However, if the mother continues to panic and cannot control herself, invite her spouse to help accompany the labor process. This is done for the mother gets the peaceful atmosphere.
- Don’t close your eyes tightly
Although the mother must remove the baby through the small vaginal, it automatically requires extra energy to go through the process. Therefore, in pushing the mother should open her eyes. It is intended for the eyes of the mother not to get excessive pressure that can make the blood vessels in the lining of the eye to rupture. So, try to keep your eyes open.
- Never push without instruction from a doctor or midwife
Do not rush before the doctor or midwife asks the mother to do it. Usually, the doctor or midwife will ask the mother to push after opening completely 10 cm. It is aimed to avoid swelling or edema of the cervix if the opening is not complete but has forced straining.
Not only that, when the mother strikes without instruction from a doctor or midwife, the baby’s mother will be crushed by the vaginal opening at the wrong time. If the baby has been squeezed, then he could turn blue and lose his breath. To avoid bad things that are not desirable, then wait for the signal from the doctor or midwife.
- Controlling your breath well
Inhale properly serves to reduce pain and provide a source of energy for the mother. The proper breathing technique can be learned in pregnancy exercise classes. Besides joining pregnant classes, mothers can also learn it on videos that can be easily found on YouTube.
- Avoid lifting your pelvis or buttocks
If you don’t want a lot of stitches in the vagina and perineum, then never lift your pelvis or buttocks when pushing! Try as much as possible yourself to always relax. Relax the pelvis when labor takes place so that the perineal tear does not become wider and does not require more stitches in the area.
Stay upbeat, optimistic and believe in yourself while undergoing labor will help the pushing process run better and smoothly. If there are things that are not comfortable, immediately tell the handling officer. Indeed, labor is a hard and tiring process, but if it is carried out with positive thoughts and careful preparation, it will be able to pass it smoothly.
Come on moms, you can!