Pain In Childbirth

The pain of childbirth may have benefits on which women who opt for painkilling epidurals miss out, a senior male midwife has said.

Dr Denis Walsh, associate professor in midwifery at Nottingham University, said pain was a "rite of passage" which often helped regulate childbirth.

He said it helped strengthen a mother's bond with her baby, and prepared her for the responsibility of motherhood.

But an obstetrician said epidurals were an important option for some women.

Dr Walsh, who wrote on the subject in the journal Evidence Based Midwifery, agreed that in some cases epidurals were very useful.

But he said epidural rates had been rising over the last 20 years, despite the fact that alternative, less invasive ways to manage pain in labour were available.
He said pain in labour was known to have positive physiological effects, such as helping to establish a rhythm to childbirth.

It also triggered the release of endorphins which helped women to adjust to pain.

Dr Walsh said epidurals were known to increase the risk that hormone treatment would be needed to boost contractions, and that devices such as forceps would be needed to complete the birth successfully.

He said: "I am concerned that if we increase epidural rates we do not know the long-term impacts of that."

But he warned that a culture had emerged where most hospitals effectively offered women epidurals on demand.
Official figures show the number of mothers receiving an epidural rose from 17% in 1989 to 1990 to 33% in 2007 to 2008.

Dr Walsh said the NHS should encourage alternative ways to deal with pain such as yoga, hypnosis, massage and birthing pools.

How To Eliminate Stress During Pregnancy

Stress is your body's natural response to events that make you feel threatened or upset. In small doses it can be helpful making you feel focused and alert. At some point however it stops being helpful and begins to damage your health, your emotions and your quality of life. Studies have also proved that as early as 17 weeks into a pregnancy stress hormones in the mother are passed into the amniotic fluid; this means that when you are feeling stressed your baby is too.

It's very important therefore to remain as stress free as possible during pregnancy - eliminating sources of stress, and when this is not possible learning how to cope with it. The first step is learning to recognise the symptoms of stress and this can sometimes be difficult because the signs mirror some of the normal complaints of pregnancy. Symptoms might include: being quick to anger; nail biting; being unable to concentrate; loss of appetite; skin problems; frequent coughs and colds; indigestion; tense muscles; headaches and rapid heartbeat.

If you think you are suffering from stress, talk to someone! This could be your partner, family, friends or your midwife. Sometimes just getting it out into the open can be extremely helpful.
There are many ways to combat stress, here are just a few:

Eat regularly and healthily - both you and your baby will benefit from healthy nutritious food. During times of stress it's easy to forget to eat or to reach for the junk food, but the food you eat can have a direct affect on your mood. Stress busting foods include bananas, broccoli, avocados, citrus fruits and whole grain breads, pasta and rice. Try to avoid caffeine too.

Take regular, gentle exercise -this helps to get rid of stress hormones such as adrenaline from your body whilst encouraging the production of endorphins, the "feel good" hormones. Swimming and walking are both ideal during pregnancy. Exercise benefits both your physical and mental health but remember to always consult your doctor before starting an exercise programme.

Try relaxation techniques - yoga, meditation and visualisation are all good. Practicing every day will help to calm you, and make you less susceptible to stress.

Listen to relaxation music -This is a quick, cheap and effective way to beat stress. Pick something that you enjoy listening to, preferably with a tempo of around 60 bpm. Clinical trials in Taiwan showed that mums to be who listened to relaxing music during their pregnancies showed a marked decrease in stress, anxiety and depressive symptoms.

Get enough good quality sleep -try to get into a good bedtime routine - going to bed at roughly the same time each night, having a relaxing bath before bed, and making your bedroom as calming as possible. Try to avoid eating too soon before bedtime as this can increase the chances of heartburn.

Take some time out - call a friend; go for a walk somewhere beautiful; paint your nails; watch a funny film or have a massage - any of these will help you to put your worries into perspective, and pregnancy is the perfect time to pamper yourself.

Hope this will help you to eliminate some stress during you pregnancy and remember all you need is to adopt a positive attitude and keep learning.

Benefits of Breastfeeding Your Baby

This is an article that i saw in the BBC Website and i think it will be helpful to share it here.

The longer a mother nurses her baby, the better for both of them
Dr Eleanor Bimla Schwarz
University of Pittsburgh

A US study found women who breastfed for more than a year were 10% less likely to develop the conditions than those who never breastfed.

Even breastfeeding for at least a month may cut the risk of diabetes, high blood pressure and high cholesterol.

The research features in the journal Obstetrics and Gynaecology.

The study adds to a growing body of evidence suggesting breastfeeding has health benefits for both mother and baby.

Research has found that breastfeeding reduces a woman's risk of ovarian and breast cancer and osteoporosis in later life.

And the list of benefits for the baby is long, with breast milk credited with protecting against obesity, diabetes, asthma and infections of the ear, stomach and chest.

The latest US study, by the University of Pittsburgh, focused on nearly 140,000 post-menopausal women.

On average, it had been 35 years since the women had last breastfed - suggesting the beneficial impact lasts for decades.

As well as cutting the risk of heart problems, breastfeeding for more than a year cut the risk of high blood pressure by 12%, and diabetes and high cholesterol by around 20%.

Fat stores

It has been suggested that breastfeeding may reduce cardiovascular risk by reducing fat stores in the body.

However, the researchers believe the effect is more complex, with the release of hormones stimulated by breastfeeding also playing a role.

Researcher Dr Eleanor Bimla Schwarz said: "We have known for years that breastfeeding is important for babies' health; we now know that it is important for mothers' health as well.

"Breastfeeding is an important part of the way women's bodies recover from pregnancy.

"When this process is interrupted women are more likely to have a number of health problems (including heart attacks and strokes).

"The longer a mother nurses her baby, the better for both of them."

In the UK, the Department of Health recommends exclusive breastfeeding for six months.

June Davison, a cardiac nurse at the British Heart Foundation, said: "Breastfeeding has long been thought to be beneficial to baby and mother.

"This research suggests that it might have also have heart health benefits for mum too.

"However, it only showed an association between breast feeding and these health benefits. We will need further research to understand why this is the case."

Week 35 Of Pregnancy

You

Your uterus is measuring 33 cm and her cervix may begin to shorten.

Your body prepares for childbirth, you will feel contractions many times each day, they are not very frequent, but occur at regular intervals, during which your belly hardens.

Your baby

It now measures 45 cm and weighs 2.4 kg. He is preparing for its entry into the world and can begin its descent into your pelvis.

It continues to grow, the lanugo begins to disappear and fat accumulates under the skin.
His kicks is more and more vigorous. In the right moment he will secrete a hormone that triggers the delivery.

Good to Know

This is the last line and baby can arrive at any time. Therefore prepare your bag with things that you will need for your motherhood.

Especially sit well and practice breathing exercises and relaxation.

You can continue to have sex but know that at this stage this can trigger a delivery because semen contains hormones which act on the muscle fibers of the uterus.

Week 34 of Pregnancy

You

You enter the last phase of pregnancy, your breasts are increasingly stretched and the neck of your uterus becomes softer as your body prepares for childbirth.

The bones of the basin are in the process of departing, you may feel pain at this level.

Your members may be somewhat inflated due to water retention.

Your baby

It measures 43 cm and weighs 2.2 kg. He continues to swell, his body and face are well rounded.

Apart from the lungs, most organs are mature.

Urine the equivalent of two tablespoons per hour.

It also trains breathing but it has no air, it draws on amniotic fluid, which gives him the hiccups.

Good to Know

It's time to prepare your suitcase to be ready to leave at any time.

Rest and limit your efforts mainly to avoid too frequent contractions.

Always have a rich and balanced diet for the development of your baby and your health.

Be prepared because your baby may arrive at any time.

Week 33 of Pregnancy

You

The weight of your uterus is now 1 kg more than the beginning of your pregnancy, it contains 1 liter of amniotic fluid.

You can experience again a frequent desire to urinate because your baby is down and press again your bladder.

Your breasts are heavy and start to take volume.

The ligaments of your pelvis relax, so you can feel some small twinges.


Your baby

It measures 42 cm and weighs 2.1 kg.

His immune system and brain are mature, it could come now, but it should be put in incubators because it is still fragile.

He swallows a lot of amniotic fluid.

He accumulates meconium in his intestines that will be quickly removed at birth.


Good to know

If you work, you must leave at the end of this week for your maternity.

Remember to send your social security certificate to your work in order to receive your benefits.

Week 32 of Pregnancy

You

You may be subject to loss of balance due to the movement of your center of gravity.

Your vaginal discharge will be more abundant.

You will need a diet rich in calcium, baby needs it for the ossification of the skeleton, therefore beware of deficiencies.

Your baby

It measures 40 cm and weighs 1.9 kg and continues to grow steadily.

His brain continues its development.

He began to plump, his skin turns pink and folds disappear, nails were driven out of the fingers.

It consumes a lot of calcium and bones continue to strengthen.

Good to Know

You spend your sixth mandatory prenatal visit. Your doctor may prescribe a radio to see if your baby will be in the place to go.

This week is your last week of work.

Beware of the position of your back.

Staying Healthy During your Pregnancy

Ah, the radiance of pregnancy: With new curves, a glowing complexion, and thick, lustrous hair, there are plenty of changes to celebrate during those nine transitional months. For many women, though, the transformation becomes a double-edged sword as the scale registers a steady weight increase. While it’s perfectly normal—and healthy—to pack on some extra pounds during pregnancy, the combination of a heartier appetite and higher levels of fatigue can make it all too easy to gain too much, making it difficult to regain your pre-baby body after delivery. Fortunately, there are some smart strategies to help you stay fit, active, and healthy while expecting. Incorporating these tips into your daily routine will not only make it easier to lose your baby weight, they’ll also help to ensure an easier labor and a quicker recovery.

Get moving! Pregnancy takes a lot out of you. Especially during the first trimester, it can be tempting to come home after a long day and head straight for the couch. Although rest is important, so is maintaining a healthy level of activity. Plan a regular exercise routine—most doctors recommend at least 30 minutes a day, 4-7 days a week—and stick to it. Some examples of safe workouts include brisk walking, water aerobics, elliptical training, and stationary cycling. In addition to burning calories, moderate cardio workouts help to decrease bloating, promote digestive health, reduce aches and pains, and improve your overall sense of well-being. Be sure to check with your doctor or midwife to make sure there are no mitigating factors that may prevent you from participating in a regular fitness regimen.

Do what you did before. While pregnancy isn’t the time to embark on a radical new activity, you don’t necessarily have to curtail the ones you enjoyed prior to conception. For instance, if you were a regular runner before getting pregnant, you should be able to continue a moderate running schedule, at least during the first and second trimesters. As always, listen to your body: any pain should be construed as a sign to slow down or take a break.

Avoid high-impact activities. The previous rule does have some exceptions. There are certain high-risk activities and contact sports, such as horseback riding, skiing, tennis, soccer, and hockey, which should be avoided during your baby’s development. Scuba diving is also a no-no, as the high water pressure can impact the fetus.

Add some strength training. You’ll get more out of your cardio workout if you target core muscle groups with some light weight resistance training. If you haven’t lifted weights before, start light—get a pair of 5 or 10 lb. dumbbells and use them to work your biceps, triceps, shoulders, quads, and calves. Search the Internet for some introductory routines that are safe during pregnancy. Most doctors recommend refraining from any exercises that call for lying on your back during the third trimester, as these can inhibit the flow of blood and oxygen to the fetus.

Warm up and cool down. Especially during pregnancy, starting or stopping an exercise too abruptly can be a shock to your system. To help prevent injury, ease into a workout with a few minutes of light stretching and walking. Cooling down with more of the same afterward will help speed up recovery and prevent muscle tightness.

Drink plenty of fluids. This is an all-day rule, although it especially applies during exercise to prevent the body from overheating. Strive for drinking eight glasses of water or juice per day. Staying hydrated is more important than ever when you’re supporting a growing fetus.

Know the warning signs. When exercising during pregnancy, it’s more important than ever to heed your body’s cues to slow down or stop. Signals that should never be ignored include chest pain, vaginal bleeding or leakage, and faintness or dizziness. While pregnant, you shouldn’t exercise to the point of exhaustion of discomfort. Periodically during your workout, pause and check for fetal movement. If you ever note a marked decrease in movement, contact your doctor or midwife.

Eat right. Your appetite may be bigger than ever, with your growing baby requiring approximately 500 additional calories per day, but that doesn’t mean you should indulge in greasy fast foods, sweets, or three helpings of whatever’s for dinner. Eating unhealthy foods can make you feel sluggish, lethargic, and can cause indigestion and heartburn. Plan a nutritious, well-balanced diet consisting of proteins, carbohydrates, and healthy fats. Be sure your menu includes lean meats, leafy vegetables, and fruits. There are certain foods, such as tuna fish and raw eggs, that should be limited during pregnancy. Check with your doctor for nutritional advice.

Join other mommies-to-be. If you’re having trouble getting motivated to exercise regularly, consider joining a fitness program designed for expectant mothers. Check your local gym or YMCA for pregnancy yoga, spinning, Pilates, and other classes. Working out with other moms-to-be can help reduce any anxiety or insecurity about your changing physique, and it’s a great way to make new friends at your same stage of life.

Look for opportunities to move. At the mall, intentionally park farther than you usually would to allow for a brisk 5-minute walk. Opt for the stairs rather than the elevator. Instead of sending a co-worker an email, walk across the office for a face-to-face chat. Over the course of the day, several of these mini-exercises can add up to significant calorie burning.

Monitor your weight. Although it’s not healthy to become obsessed with the scale, it is a good idea to keep track of the amount you’ve gained over the course of your pregnancy. Your doctor or midwife can help you identify a recommended amount of total weight gain for your body type. Substantially exceeding that amount can result in a more difficult pregnancy and labor, as well as a slower recovery period and a bigger challenge to lose the weight after baby’s arrival.

Following these tips will help you stay healthy and fit during pregnancy, allowing you to revel in your changing body rather than agonize about it.