Do I need an enema before a normal birth? What tests should I do before a normal birth?

Generally, pregnant women suffer from severe constipation in the third trimester. When it comes to delivery, a lot of feces accumulates in the abdomen. Many doctors will recommend enema to avoid the embarrassment of having to poop during childbirth. So is enema necessary before delivery? What examinations should be done before a normal delivery?

What are the benefits of enema before delivery?

After delivery, due to the compression caused by uterine contraction, pregnant women are prone to constipation, which leaves feces accumulated in the intestine. The sigmoid colon is located on the left rear of the small pelvis. If there is a large amount of feces accumulated in this section of the intestine, it will often affect the smooth descent and rotation of the fetal head during delivery, thus hindering the progress of the delivery process. Therefore, it is best for a doctor to perform an enema before delivery to clear the feces in the intestine, reduce the resistance of the birth canal, and make the delivery process go smoothly. In addition, if the feces are not emptied by enema, the mother may want to defecate during delivery, which will cause feces to contaminate the birth canal and easily cause postpartum infection.

Therefore, after the labor process begins, if time permits and the pregnant woman has no contraindications to enema, she should cooperate with the doctor to receive enema to clear out the feces accumulated in the intestine, which is beneficial to delivery.

Enema is simply the doctor flushing the inside of the anus and the outside of the rectum with clean water to allow the accumulated feces to flow out naturally. It is painless and pregnant women do not need to be nervous.

Which parturients are not suitable for enema

After the mother is admitted to the hospital, if there are no contraindications, a primipara can have an enema with warm soapy water when the cervix is ​​less than 4 cm dilated and a multipara can have an enema when the cervix is ​​less than 2 cm dilated. Enema can remove feces, prevent the anus from relaxing during delivery, and contaminate the delivery bed and disinfected items with feces, and prevent the episiotomy, perineal wound, birth canal and newborn from being contaminated by feces. At the same time, it can stimulate uterine contractions through reflex action and accelerate the progress of labor. Enema is not suitable in the following situations:

1. Premature rupture of membranes and enema can cause umbilical cord prolapse.

2. If the fetal presenting part has not yet engaged and the fetal position is malpositioned, enema bear may cause premature rupture of membranes.

3. History of cesarean section.

4. Those with a history of premature labor or uterine contractions, and estimated to give birth within 1 hour.

5. Mothers suffering from pregnancy complications such as heart disease or prenatal hemorrhage.

What tests should be done before giving birth?

The examinations before delivery are the same. Routine B-ultrasound will be performed to check the size of the fetus, the condition of the umbilical cord and amniotic fluid placenta; fetal heart rate monitoring to check the intrauterine condition of the fetus; uterine height and abdominal circumference, pelvic measurement, and routine blood and urine tests, liver and kidney function, electrocardiogram, etc. There are certain indications for cesarean section. One is that the intrauterine condition of the fetus is not good, and the other is that the mother's pelvis cannot adapt to vaginal delivery of the fetus, such as the fetus is too large, the mother's pelvis is narrow, the pelvic deformity, etc. A comprehensive evaluation is needed to choose the delivery method, and the doctor will tell you in the hospital.

Preparation for the first stage of labor

Shaving

After giving birth, you need to shave your pubic hair. Why do you do this? This is to thoroughly clean the genitals and reduce the chance of cross infection.

diet

Since the entire delivery process is very long and consumes a lot of energy, it is wrong for a woman who is about to give birth to refuse to eat. If she does not have enough energy and physical strength, she will have to pay a great price during delivery. In severe cases, she may have to undergo a caesarean section, which will harm her health.

Enema

This word sounds scary at first. Generally speaking, it is to relieve constipation. Enema has its benefits. Don't be resistant to it. On the one hand, it can strengthen uterine contraction and shorten the labor process. On the other hand, it can prevent feces from contaminating the genitals and increasing the chance of infection.

Urinating

Because the bladder is located in front of the uterus, if the bladder is swollen with urine, it will affect the smooth descent of the baby and the contraction of the uterus. Therefore, you must urinate before delivery. Otherwise, the bladder will be swollen and you will have to ask the doctor to catheterize the mother.

Anal examination

It is quite embarrassing for the mother, but it is worth it for the baby. In order to understand the internal situation, it is necessary to check the expansion of the uterus from the anus and calculate the size of the cervix with the length of the finger.

The editor of No. 5.com kindly reminds mothers who have a natural birth to do all the prenatal checkups on time and monitor the baby's condition at any time. Although some of the preparations before delivery are embarrassing, they are also done for the smooth birth of the baby. Mothers don't have to refuse to do them out of embarrassment. Finally, I hope everyone can give birth to a healthy baby smoothly~