Many mothers have heard before delivery that the pain of giving birth is unbearable, so many mothers have a fear of childbirth. Today I will introduce to you a way to reduce the pain of childbirth - doula delivery. So what services does a doula delivery include? Does a doula-assisted delivery require a lateral incision?

The term doula delivery is actually not new. It means to use professional means to guide mothers to give birth to babies comfortably, painlessly, and safely for both mother and baby. Many mothers will never forget the heartbreaking pain during childbirth, and some mothers still have lingering fears every time they think about it. How to effectively alleviate this kind of pain? Commonly used methods include drug-induced analgesia and non-drug analgesia. Medically, non-drug analgesia is advocated, that is, doula delivery.

What do doulas do during childbirth?

Specifically, professionals provide comprehensive, thoughtful, meticulous, and humane services to mothers from the time of delivery to 2 hours after delivery. Maternity care services. Don’t understand? Well, here’s an example. Medical staff will decorate the hospital delivery room to be very cozy, making the sheets, quilts, curtains, furniture, etc. as homely as possible, and all medical equipment will be kept in a small dark room and hidden in the delivery room closet to reduce the nervousness and fear of the mother. psychology. ?

Next, the doula will play music that the mother likes and encourage her to hum songs. Chat with her, provide psychological counseling and emotional support, help relieve anxiety, fear and other negative emotions, and divert the mother's attention from the pain. At the same time, the mother will be guided to eat and drink in a timely manner during the delivery process, and to supplement nutrition appropriately to ensure that she has sufficient physical strength to persist until the baby is born.

Is it enough to do these things well? No, no! Doulas also need to guide family members to clearly understand their roles and functions, so that mothers can receive encouragement and support from family members. Let her understand that no matter what time, family members are always the strongest backing~ An excellent doula can not only be familiar with the stage essentials, service skills and introduce the birth process in detail, but also master the precautions for different stages of childbirth, but it is very Awesome. During the labor process, they will guide the mother to adjust her breathing according to the contraction rhythm and use the Lamaze breathing method to relieve pain. Now you know, in this industry, "playing" is professional!

The staff will closely observe the condition of the mother and baby, teach the mother acupoint massage, help her change postures, and adopt a free position for delivery, so that she is in the most comfortable state good. When the time is right, doula balls, birth stools, delivery carts, non-invasive doula devices and other equipment will be used to relieve the pain of pregnant women and facilitate the progress of labor. You know, doulas are very magical.

Its analgesic effect is stable and fast. It can quickly reduce the severe level 10 labor pain to a tolerable mild pain in just 6-20 minutes, and the analgesia can last for more than 6 hours, satisfying the needs of the entire pregnancy. The labor process is very safe for mother and baby. This is simply good news for pregnant women~

Does a doula also use lateral incision during delivery?

Doulas may also use lateral incision during delivery. Natural delivery is a method of childbirth, that is, natural delivery through the vagina. If the mother has difficulty in the natural delivery process, episiotomy will be used. An episiotomy involves making an oblique incision in the perineum. Survey results on episiotomy show that nearly 92% of births have undergone episiotomy. About 90% of first births will have lacerations of varying degrees. Mild lacerations are very easy to heal - easier than side incisions. Doula delivery can only play a role in relieving labor pain, maternal anxiety, reducing caesarean section, etc. As for whether to perform lateral incision, it depends on the mother's own situation and delivery situation. Therefore, doula delivery may also use lateral incision. .

Health Tips

Doula delivery is also called comfort delivery. Doula delivery began in the United States in 1996. Initially, pregnant women were allowed to listen to music to give birth. Let the mother relax and then relieve the pain of the mother during labor. Today's doula delivery means that medical staff and doulas provide professional and humane services to mothers, and use non-drug, non-invasive doula instruments to block the pain nerve conduction pathways from the uterine fundus, uterine body and birth canal. , to achieve sustained and significant labor analgesia, allowing mothers to give birth smoothly and naturally in a comfortable, pain-free, and safe state for mother and baby. However, a doula cannot determine whether the mother can avoid side incision during delivery. Therefore, the mother should confirm with her attending doctor before giving birth whether she will undergo side incision during delivery.

Under what circumstances do mothers need episiotomy

First, the fetus is too large

The smooth delivery of many macrosomia babies often requires the mother to perform episiotomy, because the head of the macrosomia baby Relatively large, during natural delivery, the perineum is deeply torn due to excessive pulling force, which affects the physical recovery of the mother at the back. Therefore, episiotomy is generally used for the delivery of macrosomia, which can reduce the expansion of the birth canal to a certain extent. Protects mothers' pelvis and vagina.

Second, older women

The risk of childbirth for older women is higher than that for women of appropriate age, and medical staff will be more cautious when treating older women.

Women over 35 years old are advanced mothers. Their chances of complications during pregnancy are much higher, and their physical strength is not as good as that of women of the same age. Therefore, on the premise of protecting pregnant women, lateral incisions are used to shorten the duration of labor and reduce the number of complications. Harm to mother and child.

Third, the maternal pelvic condition is not good

Some women who are too thin will also have a narrow pelvis, which to a certain extent increases the difficulty of natural childbirth because the mother’s If the pelvic condition is not good, an aspirator or forceps are needed to assist in delivery. At this time, a lateral incision is also required to cooperate with the final delivery of the baby.

Fourth. Dystocia

When dystocia occurs, in order to avoid danger to the baby and complete the delivery process as soon as possible, a lateral vaginal incision will be required to escape the hypoxic environment. Generally speaking, the location of lateral incision should be determined according to the production situation. One is called direct episiotomy, and the other is lateral incision. The doctor will judge the baby's weight and size as soon as the fetal head is about to emerge from the vaginal opening, and decide whether to require assisted delivery.

The time of episiotomy

is generally chosen between two uterine contractions. The fetal head is exposed at the vaginal opening with a diameter of about 3-4 cm. Under perineal block anesthesia, it is performed on the left side of the perineal body. Make a side cut at 45 degrees, about 4-5 cm long. It can prevent postpartum pelvic floor relaxation and avoid postpartum cystocele, rectocele and urinary incontinence.