The differences between true labor and false labor
The real labor is the process of labor followed by regular and adequate contractions as well as the opening of the cervix. These contractions usually occur 4 to 5 times in 10 minutes with a duration of more than 45 seconds. While pseudo labor often occurs before labor.
Labor contractions are very painful and considered as real labor. In most cases pseudo labor contractions are uncommon. The short duration of fewer than 45 seconds. Pain from contractions can be felt in various parts of the body, such as in the groin, lower abdomen (back). In actual labor, uterine contractions cause pain that starts at the top of the uterus and spreads throughout the uterus, through the waist and then to the pelvis.
Pseudo labor is usually found in advanced pregnancy or in mothers who have given birth before. This false labor is not harmful toward the fetus. Braxton-Hicks contractions during pregnancy are irregular contractions that do not cause pain, only contractions that can be felt by the mother when placing her hand on the stomach. These contractions occur with irregular pauses and in artificial labor. So in false labor, contraction is not a positive sign of actual labor.
Characteristics of actual labor and artificial labor
- Real labor
- The cervix is thinning and opening
- Causing pain and in regular intervals
- The interval between the pain slowly and getting shorter
- The time and strength of the contraction increases
- The intensity increases
- The uterus feels hard
- There is a relationship between the degree of contraction strength and pain intensity
- There are mucus and blood on the birth canal
- There is a decrease in the lowest part of the fetus
- The head of the fetus has entered the upper door of the pelvis and fixed in the pelvis
- Sedativa does not stop real labor
- Often causes protrusion of the membranes
- Artificial labor
- There is no change in the cervix
- Irregular pain
- There is no change in the interval between one pain and another, the time and strength of the contraction and the pain when used walking
- Not palpated uterus hardens
- There is no relationship between the level of strength of uterine contractions and the intensity of pain
- There is no mucus and blood
- There is no decrease in the lowest part of the fetus
- The head has not been fixed at the top of the pelvis
- Sedativa which efficiently eliminates fake his
- There is no protrusion of the membranes
The pain that arises during the contraction before giving birth is certainly different from the pain in general. The heartburn before the birth that is experienced also does not necessarily feel the same to every woman. It depends on physical and mental readiness before labor.
The following are some stages of pain that describe the heartburn that will give a sign for birth or contractions before delivery:
- Pain early labor
Heartburn to give birth or contractions usually the cervix enlarges or opens 3 centimeters to 4 centimeters and starts to thin out (efface). Usually, mild to moderate contractions lasting 30 to 60 seconds and occur every five to 20 minutes, become stronger and more normal. This condition usually lasts 6 hours or more.
- Active labor pain
The contraction continues to be longer and stronger. This happens when most women ask for painkillers, although sometimes given earlier. This condition usually lasts 2 to 8 hours.
- Transitional labor pain
Pain tends to be strongest when the cervix has finished stretching to 10 centimeters. In addition to heartburn to give birth to an intense and close distance, you may feel pain in your back, groin, even sides or thighs, and nausea. This condition usually lasts 1 hour.
- Pain when straining
Intense pain is defeated by great pressure or straining when you feel the urge to press and push the baby out. Even though the pain continues, many women say it’s a relief to push because it helps ease the pressure. When the baby’s head comes out, you may experience a painful burning sensation around the vaginal area. The pain will last up to 3 hours.
- Pain when the placenta comes out
This stage tends to be relatively easy because mild contractions and cramps make it easier for the placenta to come out. At this point, the focus is on the birth of the baby. The pain usually lasts 30 minutes.
How to reduce pain during contractions
The following tips for relieving pain during contractions in pregnant women:
- Make a sound
The way to reduce pain when a contraction is to make a sound. When experiencing contraction pain make deep and low voices to help deeper breathing and make the pelvic muscles more relaxed.
- Gradually change the position
A good position when the contraction takes place does not always have to lie down. You can also sit back on a chair, wall, or your husband’s body. Changing position during childbirth is one effective way to relieve pain when contracting. However, do not do a movement when the doctor or midwife begins to take action because supervision in the womb must be done continuously.
One of the ways to reduce pain when an easy contraction is by consistent massaging or pressuring down. When massaged, pregnant women can sit facing the back of a chair or hug a pillow. Ask your husband or other family members for help to massage your back and hips using a tennis ball in a circular motion.
- Make affirmations
Excessive fear before labor will increase pain. Convince yourself by saying affirmations (words or doing positive things for yourself) that can suppress fear. If crying can make you more relieved then do it.
- Think of pleasant things
When contracting, the body produces the hormone oxytocin. This hormone is also produced when in love, orgasm, or when feeling safe. Excessive fear can inhibit this hormone. Therefore, as much as possible create a comfortable environment to reduce pain.
- Hot-cold method
How to reduce pain during this contraction does not eliminate the overall pain but at least provides any comfort. A hot water bottle wrapped in a towel and dipped in cold water reduces back aches and cramps when taped to the back. Putting a cold towel on your face can also reduce tension.
Actively do some movement can improve blood circulation, reduce back pain, and divert pain. Try various positions that are good when the contractions last until labor, use a pillow to support until the most comfortable position is obtained.
- Use the correct breathing technique
Psychopropylaxis is a method that emphasizes correct breathing techniques during contractions. Concentration on the breath can divert from pain, the muscles relax, and tension relaxes.
- Focus point
When the contractions become intense, you only see something and focus on it, maybe a gap in the wall, buttons on the clothes, or even one of your ultrasound images. The reason for the focus of work to overcome pain is because of the Gate Control Theory. The brain processes the information you see leaving less brain activity to process the pain experienced. Because the brain doesn’t process the pain, you won’t feel it too much.
Hypnotherapy therapy can be a way to reduce pain during a fantastic contraction. With a little practice throughout pregnancy, pregnant women can learn the process of being very relaxed and free of fear so that the muscles of the uterus can work with less pain.
- Moving and Walking
It is very uncomfortable for a pregnant woman to remain silent while experiencing labor contractions. The more walking and moving and upright during labor, the more you push the baby to birth and to keep yourself as comfortable as possible during the process. So try to get up from the bed and move!