What are the advantages of natural childbirth?

If you want to remain in control of your body as much as possible, be an active participant throughout labor, and have minimal routine interventions such as fetal monitoring in the birth process, then a natural, unmedicated approach to controlling labor pain will suit you best.

If you choose to go this route, you accept the potential for pain and discomfort as part and parcel of giving birth — an experience that includes working with complete awareness through each stage of labor. But with the right preparation and support, you’ll probably feel empowered and deeply satisfied by natural childbirth.

Here are the pros:

• Most natural childbirth techniques are not invasive, so there’s little potential for harm or side effects for you or your baby.

• Many women have a strong feeling of empowerment during labor and a sense of accomplishment afterward. And despite having to endure pain, many report that they’d want an unmedicated birth again the next time. For some women, being in charge helps lessen their perception of pain.

• There’s no loss of sensation or alertness. You’ll be awake and active during labor and birth — so you can move around more freely and find positions that help you stay comfortable during labor and remain able to aid the delivery process when it’s time to push your baby out.

• If you don’t need to be hooked up to an IV or a monitor, you can move around with ease

• You’re less likely than women who get epidurals to need interventions such as oxytocin (Pitocin) to make your contractions stronger, bladder catheterization, or a vacuum extraction or forceps delivery.

• Your partner will feel involved in the process as you work together to manage your pain.

• Breathing exercises, visualization, and self-hypnosis can be practiced ahead of time — and used again later. Many new mothers find themselves drawing on their relaxation techniques in the early days of breastfeeding, while coping with postpartum discomfort, or when caring for a newborn feels especially stressful.

(http://www.babycenter.com/0_natural-childbirth_174.bc#articlesection1)

What is Childbirth Like?

The average American woman, preparing for her first child has never seen a real childbirth in her life. Some may have seen films of highlights of births that were edited for class. Many will have seen a birth on TV or in a movie. And almost every woman will have heard other women share their version of what happened to them. But what does this information help her in understanding what a normal childbirth is like?

You have no doubt heard women explain how different each birth is, that you never have any idea how it will go. That is true, to an extent. There are some variables that will cause labor to occur at different speed or with different sensations. But for the most part, every woman experiences the same process for giving birth. Knowing the basic process of childbirth will help you understand and deal with any issues that may arise during your labor.

The process of childbirth, for all practical purposes, starts weeks before you feel your first contraction. Your body will be preparing for the upcoming event in several ways you may or may not notice. Even if you do not recognize these events, they are happening. Although these events may alert you that your labor will be starting soon, the definition of soon can be anywhere from a few hours to a few weeks. There is no time-table your body has to follow.

The first of these events may be an increase of circulating blood volume, which can be recognized by mild or moderate swelling. Your body is designed to prepare for the blood loss after birth by providing you with more blood before labor begins. Because the blood must be held somewhere, the body will increase the capacity of the circulatory system by swelling tissues.

Another event you may notice is the increase of irregular rhythmic contractions known as Braxton-Hicks. These contractions are important for preparing your uterine muscle for the upcoming labor and birth. Muscle is strengthened by use, and these irregular contractions are effectively bicep curls for your uterus. Although some women are troubled by Braxton-Hicks contractions, most find them painless.

Sometimes the Braxton-Hicks come at regular intervals for a few hours. That is ok. In the past this was called false labor, but that term is misleading because although it will not end with your baby in your arms, your body is doing real work during this time. A better term is pre-labor, which refers to the work your body does to prepare for labor. You will know when it becomes real labor because the contractions will be less than 10 minutes apart, getting progressively closer together and progressively stronger. If you are unsure, change your activity or eat to see if that has an effect on the contractions. If by changing your activity level or eating a small snack you find your contractions slow down or spread out, you will know that this is pre-labor.

You may also notice that your breasts begin to secrete a thick yellow fluid known as colostrum. This will be your baby’s first food. Although it is low in calories compared to mature milk, it is packed with value. Colostrum has a very high concentration of protein and antibodies from your immune system, which protect your baby from illness for the first few days. It also acts as a laxative to help move the meconium out of your baby’s digestive system. High levels of some vitamins and minerals may further protect your baby and may be important in the continued development of the heart, brain and central nervous system.

Some women recognize when they have lost their mucus plug, others have no idea when or if it happened. The mucus plug is a grey “blob” of mucus (similar in texture to nasal mucus) that closes your cervix to protect the uterus during pregnancy. Seeing the plug in the toilet or in your underwear is an indication that your cervix has begun to dilate. But don’t rush to your doctor yet. You could lose your mucus plug and still have a few weeks to wait for labor to begin.

Another signal of impending labor is what is termed “bloody show.” This is blood-tinged mucus from your cervix as it thins and dilates. You may find it in the toilet or in your underwear. Do not be concerned abut confusing this with vaginal bleeding which may indicate there is a problem. In general, the bloody show is a small amount of bright red blood and may contain a few small clumps.

You may begin to notice that over the last few hours your Braxton-Hicks contractions are getting closer together and lasting a little longer. You may also find that your body is clearing itself with a mild diarrhea. These should be indications to you that you are probably moving into true labor, but again, only time will tell. It can be very normal to start early labor, have it stop, and then have it start again in about 48 hours.

Ideally, your contractions will get progressively longer, stronger and closer together. These contractions will help align the baby properly and push the baby and the bag of waters against the cervix to stretch it around the baby’s head. Your caregiver may be interested in the progress of this cervical dilation, but history has shown it is not very reliable for determining how long you will be in labor. Women have a habit of achieving several centimeters of dilation over very few contractions, and then waiting a few hours for the next change of dilation.

At home, as your contractions get progressively stronger and longer you may begin to wonder just where you are in labor and how much longer you have to go. No one can say for sure, but there are some clues you can use to make educated guesses. For example, if your contractions started at less than eight minutes apart, you might expect your labor will be shorter than the average (but remember the average is 15 hours, and shorter may mean 12 or 13 hours, or it could mean 4 or 5 hours). If your contracts started at 12 minutes apart or more, you may want to plan that your labor will be longer than average.

Despite the length of the labor, most women go through the same emotional signposts as their labor progresses. Your labor attendants will be able to determine with good accuracy, approximately where you are in your labor simply by paying attention to your physical and emotional state.

(http://www.birthingnaturally.net/birth/normal.html)

Why is there Pain in childbirth?

The pain a woman experiences during childbirth is created by a dynamic of three individual yet related causes of pain. Each cause will create pain on its own, however it is the relationship between these causes that can create an overwhelming and dissatisfying experience for the woman in labor.

Physical Sources of Pain

The first and most straightforward cause of pain in childbirth would be due to physical sources of pain. The extent to which these discomforts overwhelm the mother will depend on her sensitivity in the tissues involved, her overall health and the position of the baby. The mother can work to positively influence some of these factors, but there are many she cannot control. Her uterus must contract, her cervix must dilate.

Body Mechanics

The second cause of pain is poor body mechanics. Athletes learn quickly there is a right way, and a wrong way to move. The right way is by only using the muscles necessary for the task, and keeping the other body muscles relaxed. For example, a jog around the block can be made exceedingly difficult by tensing your upper body. By over contracting the muscles of your neck, arms, back or chest and abdomen you find the running gets harder. You will feel tired more quickly than if your body was not tensed. If you can actively relax the unnecessary muscles, you will free up more energy to use your working muscles.

Another body mechanics issue is posture and positioning. Every position you put your body in changes the pressure points of every part of your body.Selecting positions that minimize external pressure on the uterus, back and pelvic floor allow the process of labor to proceed more smoothly. There are some positions which minimize discomfort during labor, and others that increase discomfort. In addition, there are some positions which improve the effectiveness of labor, and some that hinder effective laboring.

Anxiety

The third cause of pain is your body’s natural response to stress. As part of the normal stress response, uterine contractions are decreased and available oxygen for the uterus and baby are also decreased. Dr. Dick-Read first theorized about the effects of fear and stress on labor as the Fear Tension Pain Cycle. The basic premise is a woman’s fear increases her anxiety and muscular tension which increases the pain she feels. The increase in pain then increases her fear with increases her anxiety and muscular tension further increasing her pain. They cycle continues until the woman is able to stop it.

What can be done about pain in childbirth?

Because the three causes of pain interact during labor, an effective natural pain management strategy will address all three causes of pain. First, you must minimize your potential physical causes of pain by proper nutrition, exercise and managing any health problems you may have. In addition, you should learn comfort measures to help you manage the physical discomforts you experience. Secondly, you must learn proper positioning techniques to help you lessen the influence of bad body mechanics, preventing unnecessary pain. Third, you will need to work through your fears about labor before it begins. You should also be ready to use various relaxation techniques to help you prevent anxiety during labor.

(http://www.birthingnaturally.net/pain.html)