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What Can Expectant Mothers Do for a Natural Birth? Start by Checking These Four Points

What Can Expectant Mothers Do for a Natural Birth? Start by Checking These Four Points

Natural childbirth is an instinctual human behavior, a normal physiological process in the human reproduction cycle. In ancient times, natural childbirth was risky due to limited technology. However, with advances in medical science and increasing evidence favoring natural childbirth for both mothers and babies, many expectant mothers are opting for it.

What Can Expectant Mothers Do for a Natural Birth? Start by Checking These Four Points

Nonetheless, wanting a natural birth doesn't guarantee it. The success of natural childbirth depends on four key factors, which are the power of uterine contractions, the size of the fetus, the capacity of the birth canal, and the emotional state of the mother.

Power: Uterine Contractions

A crucial aspect of a baby's successful delivery is the strength of a mother's uterine contractions, often referred to as "labor pains." Uterine contractions are the primary force during labor, spanning the entire process.

However, not all contractions are created equal. To ensure a smooth delivery, uterine contractions must be regular and effective. Effective contractions are characterized by rhythm, duration, intervals, and strength.

Rhythm: Contractions should occur at regular intervals, often referred to as labor pains.
Duration and Intervals: Regular contractions should have an interval of 4-5 minutes and last around 30 seconds. As labor progresses, intervals shorten, and durations lengthen.
Strength: The intensity of uterine contractions gradually increases as labor progresses, and intervals become more crucial. Regular, rhythmic, intense contractions are necessary for a successful birth.
Any irregularities in uterine contractions can lead to difficulties during childbirth.

Passage: Birth Canal Size

The size of the birth canal directly affects the baby's ability to pass through it. The birth canal includes the entrance, middle, and exit of the pelvis. It can be divided into the bony and soft parts, with the "pelvis" commonly referring to the bony birth canal.

It's often said that "women with wide hips have easier births." This has some truth to it because a larger buttocks usually correspond to a broader pelvis. The size and shape of the pelvis are closely related to the birthing process.

The pelvis can be divided into the entrance, middle, and exit.

Entrance: A wide entrance ensures that the baby's head can easily enter the middle pelvis, the first obstacle in natural childbirth.
Middle Pelvis: This is the narrowest part of the birth canal and has a diameter referred to as "the interspinous distance," typically averaging around 10 cm. It is the most critical point as the baby's head is the largest part that initially emerges and must pass through the narrowest area in the birth canal.
Exit: If the size of the pelvis exit is normal and the baby's weight is not excessive, the baby can be delivered smoothly.
Most cases of difficult labor are not caused by irregular pelvis measurements but by the baby's size or position, making a previously normal pelvis "abnormal" and leading to difficult labor or even birth canal tears.

Passenger: Fetal Size

The size of the baby is another essential factor in determining whether a natural birth is possible. As labor nears, the baby's head descends into the pelvis. To pass through the birth canal smoothly, the baby makes various adjustments and efforts. The baby's size or weight can significantly impact childbirth. If the baby is large (weighing over 4 kg), especially with a big head, it becomes challenging to pass through the narrowest part of the birth canal, as the head is the largest diameter of the baby's body.

In addition to size, the position of the baby's head is crucial. If the baby's head isn't in the right position, a cesarean section may be necessary.

Emotion: Mother's Emotional State

Apart from these three objective factors, the mother's psychological state plays a significant role in the success of natural childbirth. Emotional well-being is a crucial aspect of the process. High levels of anxiety and nervousness can lead to increased heart rate, rapid breathing, poor gas exchange, and even uterine contractions becoming weaker, prolonging the labor process and expending the mother's energy.

Moreover, it can cause hormonal changes, increased blood pressure, fetal hypoxia, decreased fetal heart rate, and fetal distress. Hence, expectant mothers should focus on relaxing their minds, and partners should offer support to help them enter the delivery room in a calm state, together welcoming the arrival of a new life.
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