How to push correctly during childbirth How to push correctly during childbirth

Pregnant women need to exert force during natural childbirth. Only by learning to use force correctly during childbirth can the process of childbirth be smoother and faster. Many expectant mothers are not very clear about the correct childbirth process and methods.

1. During the birthing process, how to apply force is very important. The pressure formed by the force must be in the direction of birth to be useful, otherwise it is meaningless. It is easy to determine whether the direction of force is correct. Put your palm near the anus and then apply force. If the direction is correct, the palm will be pushed forward. If the direction is wrong, the palm will not feel anything.

2. In addition, the correct way to use force must be very balanced, and there will be no imbalance. If you only feel the front or back half of your palm being pushed during the force application, it means that the method is wrong and needs to be readjusted. So you must adjust your posture in time.

3. During the delivery process, the force used follows the uterus, and there will be a uterine contraction, which basically lasts about one minute. Effective force can help us shorten the time and reduce a lot of pain. The secret to exerting force is to take enough air, pause for a few seconds, and then exert force again.

1. Supine force application method

Spread your legs wide open, bend your knees, bring your heels as close to your buttocks as possible, raise your hands back, and grab the railings at the head of the bed or the handles on both sides. First, take a full breath, and stop breathing while exhaling from your nose. After a few seconds, slowly and gradually exert force. At this time, close your lips tightly until no air leaks out. It takes about 25 seconds from inhaling, exerting force to exhaling. If you are lying on your back and holding your legs, you should raise your legs, hold the inside of your knees from the outside with both hands, and keep your legs as close to both sides of your lower abdomen as possible, and spread them wide. Do not hold your hands together, but make fists separately so that your legs can be fully opened. While exerting force, keep your chin close to your chest and open your legs as wide as possible.

2. Side-lying force application method

Gently bend the elbows under the body and place the palms next to the face. Put your feet together, bend your knees as much as possible, and hold the thighs above the body near the hips with your hands. You can also hold with both hands, but when lying on your side, the hands under the body will easily get tired. The head should not be bent too low, and the back should not be arched to the extent that the eyes can see the navel. First, fully inhale the chest, and then do the same as lying on your back, pause for a few seconds before exerting force.

3. Then push according to the order of delivery

Step 1: When the cervix is ​​fully dilated

When your uterus is fully dilated and your perineum is swollen, you should use force correctly during uterine contractions to increase abdominal pressure, assist uterine contractions and promote delivery. During uterine contractions, you should first take a breath, close your throat, and hold your breath as if you were defecating to increase abdominal pressure. This will increase intra-abdominal pressure, promote uterine contractions, and speed up the delivery of the fetus.

Step 2: When the contractions are intermittent

When the contractions are intermittent, pregnant mothers should rest quietly to restore their physical strength. If the abdominal pressure and uterine contraction force are properly coordinated, the fetal delivery period will be significantly shortened. However, if the force is not used properly, it will not have the desired effect. For example, some pregnant mothers shout and cry desperately, which not only consumes physical strength and causes fatigue, but also leads to uterine contraction weakness, affecting the progress of labor.

Step 3: When the fetal head descends very low

When the fetal head descends very low, it is most appropriate to use abdominal pressure. At this time, the doctor will do a routine check and instruct the pregnant mother to use abdominal pressure. If the cervix is ​​not fully dilated, even if you have a strong urge to defecate and need to exert force, do not exert force to avoid fatigue in the later stages of delivery. You should breathe with your mouth wide open during contractions, relax your muscles, and do not hold your breath and exert force.

Note: How long to use abdominal pressure depends on the specific situation, mainly on the degree of descent of the fetal head. If the fetal head progresses slowly but has been seen at the vaginal opening, and the pregnant mother uses abdominal pressure for a long time, up to 30 minutes or even 1 hour, forceps or a vacuum extractor are used to assist delivery, and an episiotomy is performed on the parturient.

1. Avoid moaning or yelling loudly

Screaming during childbirth will not only fail to relieve the pain of uterine contractions, but may also lead to maternal hypoxia, decreased blood circulation in the fetal brain, umbilical cord, uterus, and placenta due to hyperventilation, secondary alkalemia, etc. It will also consume too much physical strength, and you may not be able to use it when you really need to push.

2. Avoid holding your breath and pushing during the first stage of labor

If a pregnant mother holds her breath and pushes during the first stage of labor (when the cervix is ​​dilating), she will consume her physical strength prematurely, resulting in an inability to use strength when she really needs to push in the later stages of labor. In addition, holding the breath for too long can easily lead to respiratory acidosis.

3. Avoid holding your breath and pushing down when the fetal head is about to be delivered.

This may cause the fetus to be delivered too quickly and cause perineal lacerations in the mother.

1. Water spinach porridge:

200g water spinach, 100g polished rice, a little salt, and an appropriate amount of water. Wash and chop the water spinach; wash the polished rice. Put the pot on the fire, add an appropriate amount of water and polished rice, and cook until the porridge is almost done. Add water spinach and salt, and continue to cook until the porridge is done. The porridge is thick, light and smooth. It has the effects of clearing heat, cooling blood, diuresis, and aiding delivery. Eating it before delivery can help abortion.

2. Tofu skin porridge:

50g tofu skin, 100g polished rice, appropriate amount of rock sugar. Rinse the tofu skin in clean water and cut into shreds. Wash the polished rice and put it into a pot with appropriate amount of clean water. Boil it over high heat first, then simmer it over low heat until the porridge is almost done. Add tofu skin and rock sugar and cook until the porridge is done. It has the effects of invigorating qi and relieving constipation, protecting the fetus and promoting normal delivery, and promoting abortion. Eating it before delivery can make the fetus slip and easy to deliver, shorten the delivery process, and is a good product for delivery health.

3. Winter Amaranth Porridge:

250g purple amaranth, 100g polished rice, refined salt, monosodium glutamate. Wash and chop winter amaranth; wash polished rice. Put the pot on the fire, add water and polished rice, cook until the porridge is almost done, add winter amaranth, refined salt, lard, and cook for a while. The porridge is fragrant, sweet and refreshing. It has the effects of clearing heat, smoothing the orifices, and smoothing the fetus. It is suitable for patients with heat stranguria, short and painful urination. Eating before delivery can help smooth the fetus and aid delivery.