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Labor If the cervix is not dilated, the mother should be asked to yawn and to walk around. Care is to be taken that
she does not exhaust herself. The attendant should caution the mother to
avoid straining to bear down when there is no strong pain or contraction.
Then, instructions begin for the active phase of labor: As soon as
the head of the fetus fixes above the bladder and the pain becomes strong
and difficult to bear, the woman should be coaxed to lie down in supine
position with flexed thighs. When she feels pains, she should make efforts
to bear down, first mildly and then forcefully, as the urge strengthens and
the mouth of the womb opens fully.
It is often helpful for the attendant to give periodic instructions to
relax rather than hold on tight during contractions. The more the mother is
relaxed the easier the labor would be.
Relaxation
In our experience we found when women are relaxed during they suffer from
less pain. we trained one mother weeks before her labor to witness the pain
while doing vaginal examination. She found that while witnessing the pain
she experienced pain but did not suffer. In labor she did the same
witnessing and did not suffer the pain. This witnessing if practiced before
labor can help to avoid using epidural.
All the walking , yoga, relaxation and mind body co-ordination would help
the mother in the labor room. All that she did during the pregnancy helps
her to avoid delivery complications. In a couple of deliveries, we
found chanting spiritual mantras, poems helped both the mother and the new
born baby. it is good and relaxing for the baby to be born hearing musical
vibrations , since sound is the most developed sense organ for the baby.
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