How to behave during contractions to reduce pain. Proper breathing, attempts and posture. During the push

Many women experience fear when their child's birthday is approaching. It is important here to set yourself up for positive thoughts. You will be a mom! What could be more beautiful than this. This is happiness, this is joy, it washed away the life of any woman. Childbirth is a natural process, and nature has provided for everything. the main task woman in labor lies in the correct behavior during this important and crucial moment.

Childbirth has 3 periods.

1. Contractions (latent and active phase of labor)

Childbirth begins with contractions.

Very important, feeling the first contraction, remember its duration, so as not to miss the beginning of the active labor activity. The first contractions most often last about 30 seconds and repeat every 20 minutes.

This is the latent phase of childbirth. The pain may be mild and unnoticeable. but it is this period that signals the beginning upcoming birth. At the first birth, the phase can last up to 24 hours.

At this time it is necessary to take warm shower, put yourself in order and prepare for a trip to the hospital. Don't be afraid to be alone at home and don't panic. Your task is to observe the duration of the contractions. As soon as the contraction lasts 1 minute and repeats after 5-7 minutes, you should call an ambulance or go to the hospital on your own. During this period, it is forbidden to drink. If you are thirsty, just rinse your mouth with water. Don't lie down or sit down. Walk around while breathing deeply and slowly. Inhale through your nose, exhale through your mouth. Exhalation for 2-3 seconds should be longer. At the peak of the contraction, when the pain becomes severe, breathe rapidly. Inhalation should be short, exhalation long, long.

When the cervix opens, childbirth goes into active form. Contractions are repeated after 2-3 minutes and last for 2 minutes. During this period begins severe pain which are constantly growing and intensifying.

During this period, the main thing is to relax and divert attention to anything. Deep breathing in this phase will no longer help. It is better to use accelerated. And only when the pain subsides, breathe deeply and slowly. This will restore breathing.

2. Birth of the fetus

Contractions during this period are reduced to a minute. The baby presses with its weight on the rectum, causing attempts. Until the moment the doctor puts you on the gynecological chair, it is absolutely impossible to push. The cervix is not yet ready for childbirth, and you can cause tears and injure the baby. You can breathe often, resembling the breath of a dog. For pain, you can get on all fours and raise your pelvis. In this position, the pressure on the baby's head will be relieved.

Before giving birth, you will be laid on a gynecological chair. During this period, it is very important to accurately follow the commands of the obstetrician. As soon as he commands to push, draw in as much air as possible, concentrate on the stomach, and while exhaling, try to "push" the child. Just tighten the press. This should be done 3 times in one fight. Many women in labor make the mistake of exhaling into themselves. At the same time, the vessels of the eyes burst, and obstetricians also have to press on the stomach or use obstetric forceps to remove the baby.

For a successful delivery, it is worth following a few simple but effective recommendations.

Nobody is immune from difficult process childbirth (large child with narrow birth canal, malpresentation, various pathologies), but more often most women give birth without complications, and the woman in labor simply does not know how to tune in to positive result, does not listen to the advice of obstetricians. Stay positive throughout your pregnancy. Do not listen to horrors about maternity hospitals and terrible obstetricians.

The first contractions do not mean that you will find yourself on the table in the delivery room within a few minutes. At the first birth, several hours pass from the moment of contractions to the birth of a child. Swift can be the second birth or third. give birth to the first child in public transport, before reaching the hospital, rather from the realm of fantasy. But still, it's not worth the risk, because anything can happen.

Start tuning in positive emotions a few weeks before giving birth. Psychological component is an important factor. Hormones of happiness, thrown into the blood, relieve pain. Read the reviews of those who gave birth easily, if possible, limit communication with women who tend to dramatize and worry. Do not watch programs and films about difficult childbirth. In the cinema, terrible childbirth with screaming women. Women who visited the maternity hospital confirm that it turned out to be not at all as scary as it seemed.

Easily endure childbirth women who led active lifestyle before and during pregnancy, did not mope, smiled, kept the body in shape, did gymnastics.

Lightweight during pregnancy physical exercise such as swimming and exercising.

Harbingers characterized by cramps in the abdomen and mild pain, which then appear, then disappear. During the harbingers, you can slowly get together in a medical facility. True contractions are spasms that recur every 20-25 minutes.

Pain during contractions in intensity is about the same as with digestive disorders. But this discomfort is able to endure any sane woman with a normal pain threshold.

During contractions, the lower back may ache and pull the lower abdomen. If this is your first birth, you will not confuse these sensations with anything else and will immediately understand that these are contractions.

You can go to a medical facility when the first signs appear: abdominal cramps, the beginning of the discharge of the mucous plug, the departed water. call ambulance immediately if opened bleeding. Blood does not necessarily indicate that you have problems with the body or something happened to the child. Sometimes blood before childbirth is the norm. In any case, only doctors can determine this.

Therefore, do not be frivolous and call an ambulance immediately. If the contraction repeats every 10 minutes, you will soon go to the birth room.

At the maternity hospital, they will examine you, take blood for a blood type, and send you to the prenatal or maternity ward. Breathe deeply and rarely if you start to get nervous. Proper breathing helps to calm down and gather internally. Inhale slowly through your nose (for a count of four) and slowly exhale through your mouth (for a count of six).

Remember, the doctors in the hospital, just like you, are interested in the normal course of the birth process. try avoid anesthesia. Analgesics absolutely will not benefit the baby, and you are able to survive the pain yourself. It is worth contacting doctors with a request to give you medicines only in extreme cases- if the pain is unbearable.

With increased contractions walking can reduce discomfort. If you have a system, you won't be able to walk around the ward. In this case, you can trample on the spot, stand. However, sometimes doctors, for safety reasons, do not allow patients to walk, recommending only lying position. In this case, lying on your side and calmly helps relieve pain. deep breathing. Bend your legs at the knees and pull them towards your stomach.

Any childbirth, especially the first, is a joyful and important event. You will surely remember them fondly for the rest of your life. Therefore, nothing should overshadow them.

Sometimes doctors in a hurry forget to do enema. Remind the orderlies about this and insistently demand the procedure. Giving birth without an enema may not cause you any discomfort. But psychologically, you will be better off if you are sure that the birth will go well.

You will be kept in the prenatal room until the cervix opens and attempts begin. The best option - natural childbirth without stimulation. Therefore, if there are no special indications for hospitalization, do not lie down for preservation before childbirth.

Remember that doctors set the due date, but each organism is different. A child cannot be born on schedule, this will happen when the woman's body is ready for the baby to appear.

attempts- this is the beginning of the immediate birth process. The woman feels a tension between her legs and cannot control her actions at this stage.

She begins to push involuntarily, as if trying to expel the child from the body. The intervention of obstetricians at this moment is required immediately - due to the fact that the first attempts are poorly controlled, a woman can strain too much and get perineal tears.

On the birth table you need lie down without sitting down. To do this, you need to keep the body on weight, resting your feet on the floor, and hold on to the birth table with your hands. Lie on your back, grab the table rails with your hands, rest your feet on the steps. The doctors will instruct you about your next steps listen carefully to them.

Do not be afraid - you can handle it, even if you are giving birth for the first time. Pushing should be at those moments when the attempt intensifies. With an attempt, make an effort and try to give birth to the head.

The body feels when this happens and will tell you when to make an effort, and when to pause. A good obstetrician will assist you by spreading your perineum with your hands.

In some cases it is required perineal incision. This incision is made with a scalpel or surgical scissors. This procedure is painless due to the tension of the muscles and skin of the perineum. If the doctor advises an incision, agree. You will be stitched under anesthesia, and the wound heals quickly. Dissection - good alternative breaks. It is required for narrow birth canals, when the child is entwined with the umbilical cord.

The main thing in childbirth is to give birth to the head. Giving birth to her, the doctor will tell you when to ease the intensity of your actions. Having given birth to the head, you will have to push again to give birth to the shoulders. The head of a newborn is wider than the body, so having given birth to it, you have gone through the most difficult path. Then you do not have to strain - you have successfully given birth to a child. After the shoulders were born, the child will go into the hands of obstetricians.

What is possible and what is impossible during labor and childbirth?

During contractions

During fights, you can not:

panic;
walk if the medical staff forbids;
sit if the cervix is fully dilated;
do not fall to avoid placental abruption;
do not go to the hospital on your own;
do not forget the documents and the exchange card;
You can't take painkillers on your own.

During contractions, you can take short water procedures; you can walk along the corridors of the hospital if there are no contraindications.

At childbirth

During childbirth, you can not:

Overstraining the muscles of the face - this will burst the blood vessels. You need to focus all your energy on pushing. Try not to scream. Crying wastes the strength needed for childbirth.
Do not push unless necessary, i.e. if you don't feel any pressure.
You can not eat a few hours before delivery.
You can not sit on the buttocks when the baby is already in the birth canal (sitting will cut off oxygen and damage the baby's head).
Don't give up drugs emergency assistance if the need arises.

During childbirth, you can talk with obstetricians, consult on further measures. You can not restrain the urge to urinate. Believe me, doctors have not seen this yet.

Listen to the advice of obstetricians when you find yourself on the birth table. Competent doctors work not only in paid clinics but also in public hospitals. The doctor is also interested in the fact that the patient's birth goes without complications.

Proper breathing should be practiced throughout the entire period of pregnancy.

You can inhale through your nose and exhale through your mouth. Count to yourself. Breathing should be even, calm, deep. Inhalation during this crucial period should be shorter than exhalation. Exhalation is made through the lips stretched forward. This technique helps both you and the child - the tissues are saturated with oxygen, and the baby will not experience oxygen starvation.

Don't take deep breaths so as not to cause dizziness. Yes, and you can’t lose consciousness on the birth table.

The birth of a child is big event in life married couple. Women are aware that in many ways it depends on them how the birth will go and therefore they pay due attention to preparing for this important process.

Timely passage medical examinations, classes exercise for pregnant, healthy lifestyle lives are of great importance in preparing for the birth of a baby.

But no less important psychological preparation, therefore, many expectant mothers (sometimes with their husbands) attend special courses or read literature on their own. This is all justified and necessary. After all positive attitude directly affects even the degree of pain in childbirth. Therefore, for a woman, confidence in a favorable outcome and an idea of \u200b\u200bhow to behave during childbirth are important.

The beginning of the birth process

Pregnant women who are expecting their first baby often worry that they do not know exactly how labor begins and will not be able to determine when to go to the hospital. Don't worry about this. Childbirth is a many-hour process, the beginning of which is hard not to notice. But in order to make it easier to keep calm, you need to take into account some recommendations in advance:

Childbirth can begin with an outpouring amniotic fluid. This is a signal that you need to pack up and go to the hospital. The fact is that the period that a child can stay without water is limited, therefore it is better to hurry under the supervision of a doctor.

The second option for the onset of labor is contractions. Feeling cramping pain, no need to panic. The woman has enough time to take a shower, change clothes calmly, get ready and get to the hospital.

Real and false contractions: when to go to the hospital

It is worth remembering that usually before childbirth, they first begin, which are also called Braxton-Hicks contractions or false contractions. They prepare the uterus and the whole body for generic process, may even start weeks before the expected date. Their appearance should not worry the expectant mother.

In the case when false contractions deliver strong pain and significant discomfort should be reported to the doctor.

Real contractions differ from training contractions in intensity and regularity. Of course, it is difficult for those who are preparing for the first birth to understand everything right away, so you should pay attention to the following:

calculate the duration of the contraction itself and the interval between them using a stopwatch or a special calculator on the Internet, if the contractions are regular, then you can judge the onset of labor;
call your doctor and fully follow his recommendations, in most cases, even at the beginning of real contractions, you do not need to urgently go to the hospital;
talking with the baby, as this adds peace of mind;
take a warm shower to relieve pain;
try to rest;
if the interval between contractions is reduced, then you can take a shower, shave your bikini area, take your collected things and go to the hospital with your husband;
be sure to check the availability of the necessary documents before the trip.

Arrival at the maternity hospital

Arriving at maternity hospital, the woman does not immediately get into the delivery room. First, it must be taken by the doctor on duty. He will ask questions, look at the documents and conduct the necessary examinations. Registration may take some time, but do not worry, as future mom is already in medical institution and specialists monitor its condition. In order to make it easier to stay calm, you need to remember a few points:

even if partner childbirth is not planned, it will not be superfluous if the woman is accompanied by close person who, in which case, will answer questions, help with things and papers;
the documents necessary for registration must be prepared in advance so that you do not have to look for them in packages;
it may seem to a woman in labor that the registration process takes a long time, but you need to be understanding about this, because the staff acts in accordance with the established instructions.

After everything necessary papers prepared, the health worker will tell you where to go next. Perhaps the woman is immediately taken to the delivery room, but it may be necessary to stay in the ward for some time.

The woman in labor will have the opportunity to change clothes, and it is also believed that, according to tradition, you need to give birth with your hair loose.

How to behave in the delivery room

In modern delivery rooms, they are trying to create for a woman in labor comfortable conditions. Often there are showers, that is, everything you need to make it easier to cope with pain during contractions. For optimal behavior during this period, the following recommendations can be made:

obey the medical staff;
immediately prepare the necessary things for the baby, water;
do not forget about the role of proper breathing;
search comfortable postures, relieving pain, use the necessary equipment;
if you have questions or have any doubts and concerns, then do not be shy and contact a midwife or doctor;
if all the medical staff left the room (this often happens at the stage of contractions), then if necessary, feel free to demand attention to yourself, because in this situation it is better to play it safe on every occasion;
try not to scream, as this does not relieve pain, but it takes away the strength that will be needed in attempts;
it is undesirable to sit during contractions, because this creates a large load on the child's head (you can jump on a fitball);
anesthetize contractions with self-massage; in partner childbirth, massage should be done by a partner;
must be remembered that medical workers people are the same as everyone else, everyone has their own character, mood, so you don’t need to react sharply if you don’t like something in communication, after all, pain may give a biased assessment of the situation;
if childbirth takes place with a partner, then he can control the behavior of the medical staff, but first of all, you need to be sympathetic to the work of the team and not find fault with every little thing;
during attempts to push exclusively at the command of a doctor or midwife, independence is unacceptable and can harm the baby;
after childbirth, you will need to lie down for about two hours without getting up, as complications are possible and the medical staff will monitor the mother's condition.

Each woman is individual, and all births are not like one another, but obstetrician-gynecologists do their job every day, helping to give birth to babies, so you need to understand that staying calm and listening to the medical staff is the best thing you can do for yourself. successful birth process.
You need to be prepared that after giving birth you can’t immediately go home, but you will have to spend some time in a hospital. This is necessary so that the mother and the newborn are under the supervision of specialists.
Doctors will regularly come to the ward for examination, and, if necessary, nurses will invite the mother for tests or examinations, give advice on personal hygiene, nutrition and child care. All this is done to eliminate complications and make sure everything went well.

How should you behave in the postpartum ward?
if something hurts or causes anxiety, you need to see a doctor;
during rounds by specialists, you need to ask all exciting questions, even if they seem stupid;
comply with recommendations and appointments;
do not refuse to undergo examinations and examinations of both your own and your baby, because it is better to make sure once again that everything is fine than to miss something;
remember that there are established rules of conduct in a medical institution, therefore you need to reckon with this and observe it;
there is no need to make increased demands on comfort to the ward (if it is not the promised VIP ward);
if you have to share the ward with another mother or mothers, then you need to take this into account in your behavior (do not talk loudly, do not call a large number of visitors, even if visits are allowed);
if you have questions, you can call the nurses who will answer them.

When preparing for childbirth, one must not forget that the process requires not only physical strength and endurance, but psychological mood. Therefore, you should stock up on calmness and confidence that everything will be fine.

So, you understand that you have started giving birth. What actions fall under the ban during childbirth?

∗ With the onset of childbirth, one should not panic, randomly rush around the apartment, rush. It is very important to maintain self-control and tune in the right way. It is good if all things are collected in advance, because running around the apartment in search of what is necessary in childbirth is not a pleasant pleasure, especially since at the end of pregnancy the sense of balance is disturbed, weakness and dizziness may occur. Inaccurate movements, especially when taking a shower, are fraught with a fall, as a result of which placental abruption may occur. And this is already an extremely dangerous situation, which can lead to significant blood loss in the expectant mother and threaten the life of the baby.

∗ If you forget any of your personal items at home, don't worry, because in all maternity hospitals, if necessary, you will be given hospital slippers, a gown, a towel, and a nightgown. And everything else will be brought to you while you are in labor. But the documents must not be forgotten. Before leaving home, check the presence of a passport, exchange card, insurance policy, contract for the management of childbirth, if it was concluded. So, in the absence of an exchange card, doctors will not have confirmation required examination, which may serve as a reason for determining you in a special observational department or for transfer to a special maternity hospital, where unexamined patients, infected and women with suspected infection. Considering that childbirth often begins suddenly, it is better to carry medical documents with you at all times.

∗ In no case can you get to the maternity hospital by driving a car yourself. And although the first contractions are not painful, it will be difficult to predict their intensity after even a short period of time. And with strong pain, getting safely to the hospital will be problematic. So if none of your relatives or friends can take you, then it's better to call the ambulance service.

∗ Immediately after arrival at the maternity hospital, filling out medical documents that will be used by doctors during childbirth begins. Part of the data will be taken from the exchange card, part will be entered from your words. It is important to accurately answer all questions, in no case should you hide anything, even if it seems to you that this is not related to ongoing events. So, vacuum aspiration transferred 10 years ago can provoke bleeding in childbirth, and transfused into early childhood blood - hemolytic disease The child has. Of course, the doctor should be warned about such risks in advance.

The first stage of childbirth: you can not be afraid, scream and strain your muscles

* This period is the most painful and longest in time, and from correct behavior depends on its duration, and the well-being of the woman in labor, and the condition of the fetus. The main thing: you can not be afraid of childbirth and labor pain! The intensity of pain depends on individual features, pain sensitivity, emotional mood women and their relationship to the birth of a child. Nature has provided a woman with the painkillers she needs for childbirth - her body during labor releases hormones of joy and pleasure - endorphins. They help the expectant mother to relax, relieve pain and give a feeling of emotional uplift. However, the mechanism of their production is fragile. If a woman is afraid, then a reflex suppression of the secretion of endorphins occurs and a significant amount of adrenaline (stress hormone) is released into the blood, which causes convulsive muscle tension, including the muscles of the uterus, which increases pain.

∗ In addition, during childbirth, one should not contract and strain the muscles. With tension, the pain threshold decreases, blood supply is disturbed, which increases pain. Arises vicious circle: tension - pain - delay in labor. If, during childbirth, the muscles are relaxed, then the pain is less, the cervix opens faster, and the child does not experience significant difficulties in moving through the birth canal.

∗ During contractions, you can choose a comfortable body position for you: it is allowed to lie on your side, walk, stand on all fours or kneel. But there are two provisions that are prohibited during childbirth: you can not lie on your back and sit. In the supine position, a heavy pregnant uterus compresses the large vessels that pass behind it, disrupting blood flow to the heart. In response to this, reflexively falls sharply arterial pressure, causing fainting and disruption of the blood supply to the placenta and fetus. If for some reason you have to lie down during childbirth, it is better to choose the position on your side.

At the beginning of the first period, the sitting position will do no harm. However, by its end, the baby's head is already entering the birth canal, and, sitting down on hard surface(chair, bed), the expectant mother creates additional pressure on her. But you can sit on a fitball or a toilet - in these cases, such pressure is excluded.

∗ Almost all maternity hospitals have a ban on food and drink during childbirth. This requirement is justified by the fact that in the process of labor, general anesthesia may be necessary, during which there is a risk of throwing the contents of the stomach into the mouth, and from there into the lungs. This can lead to the development of severe pneumonia. In addition, during contractions, due to the reflex connection that exists between the cervix and the stomach, vomiting sometimes occurs. The more contents are in the stomach, the greater the likelihood of this unpleasant phenomenon.

∗ Do not shout during contractions. When you scream, you continuously exhale air, and the breaths are shallow and short. It is known that for the maximum enrichment of blood with oxygen, which is necessary for both the mother during the period of difficult labor and the baby, so that he does not experience oxygen starvation, required deep breath. Therefore, instead of screaming at a height, slowly, deeply and rhythmically inhale air through your nose and exhale it through your mouth. If the contractions become very strong, frequent shallow breathing, in which the inhalation is also made through the nose, and the exhalation through the mouth, will help. But it is impossible to inhale deeply through the mouth in contractions, this will lead to a rapid drying of the oral mucosa, which is rather painfully tolerated with the current ban on drinking. If the mucosa is still dry, you can rinse your mouth with water without swallowing it.

∗ Do not delay urination during contractions. Go to the toilet often - at the first urge. Firstly, frequent urination stimulates contractions, secondly, crowded bladder hinders the progress of the fetus through the birth canal.

Second stage of labor: you can not sit down and push "in the face"

In this period, a woman can more control the process of childbirth than in the first. Although attempts and occur involuntarily, a woman can control them to a certain extent, strengthening or restraining if necessary. However, unauthorized actions can harm both mother and child. That is why during this period it is necessary to get together and clearly follow all the instructions of the doctor and midwife.

∗ When there is very little left before the birth of the child, you will be taken to the delivery room. When moving to the birth bed, you can’t sit down - in fact, it means to sit on your child’s head. While on the birthing bed, in no case should you compress your hips. All of these actions can lead to serious injury to the newborn.

∗ If the “good” for the attempt is received, spare no effort. But it is not only the applied force that matters, but also where it is directed. It is important to do it correctly, you can not push "in the face." At the same time, the woman in labor strongly strains her face, puffs out her cheeks, small hemorrhages can even form in the eyes and face, but the attempt is ineffective, the fetal head does not move along the birth canal. The attempt should be directed downwards, to empty the body (like the intestines with a stool). In this case, you need to strain the abdominal muscles as much as possible.

∗ If you don't feel any pushing or pushing is too weak, you will be guided by a doctor and a midwife. It is very important to follow all their instructions exactly. During the birth of the fetus, there are times when it is necessary to reduce the strength of the attempts. Sometimes, in order to better advance the child, the doctor may prohibit pushing during one or more contractions. You will not be able to stop the attempt, but it is in your power to significantly weaken it. It is necessary to relax and breathe very often and superficially, slightly opening your mouth - “dog-like”, or like “inflating hot air balloon”(up, in the face, stretching his lips with a tube). Just as in the first stage of childbirth, you can not scream, because the cry occurs on the exhale, and during the attempt it is necessary to hold your breath. In addition, when screaming, muscles contract, including pelvic floor and perineum, which increases the risk of ruptures. In addition, crying prevents the full-fledged interaction of the woman in labor with the medical staff, which is the key to normal flow second stage of labor and helps to avoid ruptures.

Third stage of labor: you can not completely relax

After the baby is born, you can’t completely relax, believing that your work has been completed. After all, you still have to give birth to the placenta, after which the procedure for examining the birth canal follows. Children's place, or the afterbirth includes the placenta and membranes. The period of its separation can last from 5 minutes to half an hour or a little longer. After some time, you may feel lasting no more than a minute. This is one of the signs of separation of the placenta from the walls of the uterus, after which the woman is asked to push. But it is worth noting that usually the placenta is born without any difficulties.

Important!

During all childbirth, it is impossible to refuse the necessary medical manipulations. For example, in the first stage of labor, vaginal examinations and recording of the fetal heartbeat are necessary, which are often uncomfortable for the woman in labor. But these actions help the doctor determine how the birth is progressing, assess the condition of the child, and, if necessary, prescribe some drugs. Do not strain during the doctor's examinations, as tension will only increase the discomfort.

At the time of the vaginal examination, try to relax, breathe often and shallowly, do not strain the muscles of the perineum.

Many women are afraid of prescribing drug stimulation during childbirth. You have the right to express your attitude to this procedure and the wish not to use it if possible, but remember that sometimes only with the help of medications you can end the birth with minimal risk to the baby.

If any actions of the staff cause you doubts - ask to explain to you the need for certain manipulations.

It is necessary to imagine how childbirth will proceed and behave accordingly. Coming teamwork mom and baby, and you need to know how to do your part right.

Understanding how to behave during childbirth and contractions will significantly reduce pain. It is important to know what postures are best to take during contractions, and how to breathe correctly. It is important not to worry and focus all your thoughts not on your feelings, but on the child, long-awaited baby which is about to emerge.

At different times of childbirth, you need to behave differently:

The first phase is associated with the start of fights. They cease to be uneven and occur periodically and not too often - once every 20 minutes for 1-2 minutes. At this time, you can behave as usual, do business, read, collect things, take a bath. The time between contractions allows this, it is necessary to conserve strength. Try to breathe deeply full chest. It is in this phase that you need to get to the maternity hospital in order to meet the next phase already there.
The second phase is the increase in contractions. They already occur every couple of minutes and continue for the same amount. Here it is necessary to adhere certain rules for example, do not sit or lie on your back. It is better to walk, you can squat or get on all fours. It will be possible to breathe deeply only between fights, and during the fight you need to switch to shallow breathing “like a dog”. In no case should you hold back your breath - the oxygen content in the blood, and hence in the body of the child, depends on this. Save your strength and try to be distracted, sing songs, recite poems, listen to music. You can’t scream - screaming can provoke a spasm of the cervix, but you can and even need to moan on the exhale to help the muscles of the cervix relax.
The third phase is attempts and the birth of a child. The first attempts should be treated with caution and not in a hurry to help them: if the cervix is not fully dilated, this can be dangerous, so if you want to give birth without tears and incisions, do not rush and listen to the doctor's advice. It is necessary to breathe, either like a dog, or sobbing often, but regularly. You can take in air before the start of the attempt and let it out with force, this will help the movement of the child. The process of the appearance of the baby will take about five minutes.
The birth of the placenta is no longer painful and not scary. The baby is born, it is on your chest, and it is enough to push once, at the prompt of the doctor, for the placenta to come out.

You are not alone during childbirth

At this difficult moment in life, there will be doctors next to you who will definitely tell you how to behave during childbirth. You just need to carefully follow their advice. The participation of your spouse will not hurt either, who should be aware of everything that lies ahead for you, and understand well what to do and how to give birth without pain and breaks.

Dad should not only worry about you, but also really help:

control the actions of doctors and nurses if they do not pay as much attention to the woman in labor as we would like, because she herself is not up to control now;
massage the lower back, it is useful and relieves pain;
remind you to breathe properly.

Prepare for childbirth

Physically, your body will prepare itself for childbirth and do everything that is needed. You also need to mentally prepare for childbirth in order to be calm and help the child to be born on his own with all his might. If you are psychologically prepared for the pain that accompanies the birth of a child, you can direct all your strength to help him come into this world without pain. You simply take on his pain - this consciousness will help you, because you are already a mother!