Painless delivery and doula delivery. There are some differences between these two delivery methods, but neither will affect the health of pregnant women or fetuses. The doctor will choose the appropriate delivery method according to the situation of pregnant women. Let's take a look at painless delivery and doula delivery.
Painless delivery and doula delivery 1 painless delivery
What we usually call "painless delivery" is actually called "labor analgesia" in medicine, which refers to the use of various methods to reduce or even eliminate pain during childbirth. At present, there are two commonly used methods of labor analgesia in clinic: drug analgesia and non-drug analgesia.
Drug-induced analgesia is the application of anesthesia or analgesics to achieve analgesic effect, including systemic medication, local anesthesia and inhalation anesthesia. At present, spinal block analgesia and nitrous oxide analgesia are commonly used. Intraspinal block analgesia includes epidural yang block and combined spinal-epidural block. When the cervix is 3 cm wide and the maternal's tolerance to pain reaches the limit, the anesthesiologist injects low-concentration local anesthetic into the subarachnoid space or epidural space of the maternal waist. The analgesic effect can be achieved by intermittent injection or automatic continuous administration with infusion pump, and the analgesia can be maintained until the end of delivery. The anesthetic concentration is about 1/5 of cesarean section anesthesia, with low concentration, rapid onset of analgesia, strong controllability and high safety. This painless delivery method is the most widely used and the most ideal effect in major hospitals at present. The parturient is sober-minded, can actively cooperate and actively participate in the whole delivery process.
Another method is nitrous oxide to relieve the pain. Nitrous oxide is an inhalation anesthetic. This gas is slightly sweet. When used for labor analgesia, it is inhaled with oxygen in a certain proportion, which has no obvious inhibitory effect on respiration and circulation, and has no obvious effect on uterus and fetus. After inhaling the mixed nitrous oxide, it can produce analgesic effect for dozens of seconds, and after stopping the drug for several minutes, the effect disappears under the guidance of the midwife, which is easy to master. It can keep the delivery mother awake, cooperate with the doctor well and shorten the labor process. But clinically, some parturients may have incomplete analgesia.
Non-drug analgesia refers to relieving labor pain through prenatal training, guiding the breathing during uterine contraction, and playing an analgesic role by massaging the painful part during childbirth or using acupuncture and moxibustion in traditional Chinese medicine.
Painless delivery generally uses epidural anesthesia, which is generally safe. A few people will feel back pain, headache or abnormal sensation of lower limbs, and the incidence is very low. Moreover, these discomforts will not be very serious, and will disappear naturally in a short time, which will not have much impact on the body. The probability of sequelae caused by painless delivery in clinic is very small.
Painless delivery has been a routine form of delivery abroad, which can make expectant mothers no longer suffer, reduce the fear of delivery and postpartum fatigue, and let the parturient rest in the longest first stage of labor. When the cervix is completely open, they have enough strength to complete the delivery because of their physical strength. Most parturients are suitable for painless delivery, but if there are pregnancy complicated with heart disease, contraindications to vaginal delivery, contraindications to anesthesia, drug allergy, and a history of waist injury, it is necessary to consult a doctor, and the doctor will decide whether painless delivery can be performed. It should be noted that this method must not be used if the maternal has abnormal coagulation function.
Midwife
"Doula" is a transliteration of the Greek word "Doula", which originally means "women take care of women". "Doula delivery" is a mode of women's delivery advocated by the international obstetrics and gynecology community at present. It is characterized in that a caring, kind-hearted, understanding and proficient woman in obstetrics and gynecology is always with her during the whole process of delivery. This accompanying woman is called "Doula". "Doula" provides continuous psychological, physiological and emotional support for delivery mothers throughout the labor process, helping delivery mothers to tide over the difficulties of delivery. "Doula" will introduce itself to the expectant mother before delivery, understand the psychological state of the parturient, introduce the knowledge of delivery to the parturient, and tell the parturient in time what step the delivery has taken, so that the parturient can know fairly well and see hope.
"Doula" will also answer all kinds of questions raised by parturient and their families, and provide life care for parturient (including feeding and wiping sweat). In addition, "Doula" will also explain the physiological process of childbirth to the parturient, provide psychological counseling for the parturient, let her build confidence in childbirth, eliminate anxiety and fear, and reduce the feeling of pain. At the same time, "Doula" guides the parturient to take a deep breath during labor pains and contractions, or helps the parturient to massage the uterus, lumbosacral region, etc. Help the parturient to relieve the pain.
"Doula" is always around the parturient during the whole delivery process, and it can provide effective methods and suggestions at different stages of the delivery process according to its own delivery experience, so that the parturient can take different postures to touch and massage, so as to alleviate the pain of delivery, give positive help to the progress of the delivery process, constantly encourage and comfort the parturient, and make the parturient full of confidence and give full play to their abilities to complete the delivery process. Therefore, Doula delivery can effectively help the parturient to shorten the labor process and relieve the labor pain.
Painless delivery and doula delivery 2 The difference between doula delivery and painless delivery.
Doula delivery is also called comfortable delivery. At present, it refers to the use of labor analgesia instrument to relieve the pain during childbirth, and through professional and humanized service, pregnant women can give birth in a comfortable, painless and safe state.
Painless delivery is to relieve the pain of pregnant women during childbirth through anesthesia.
There are some differences between these two delivery methods, but neither will affect the health of pregnant women or fetuses. After entering the third trimester, the doctor will choose the appropriate delivery method according to the situation of pregnant women. Postpartum women should rest more, avoid strenuous exercise and overwork, and pay attention to supplement vitamins and protein to help their bodies recover faster.
Which is better, doula delivery or painless delivery?
Doula delivery is a kind of mental dystocia, which is easily caused by fear of the unknown and uterine contraction pain. The main purpose of Doula delivery is to provide psychological counseling accompanied by medical staff, especially doctors or midwives, to guide different ways of taking delivery balls and using delivery stools in different stages of labor, and to relieve the tension, anxiety and pain of pregnant women. It is a good thing for women with greater mental stress to choose doula delivery.
Painless delivery is what people usually call labor analgesia. This is a kind of anesthesia. An epidural catheter was implanted in the lumbar spine, and then drugs were continuously pumped to relieve the pain of uterine contraction. In terms of relieving pain, painless delivery is definitely better than doula delivery.
Case Sharing: The Cool Natural Delivery Experience of Painless Doula
I went to the water bag around 7: 00 in the morning, but the water broke during the internal inspection, and two fingers were opened. If you apply for a guide, there will be one-on-one service from a midwife, and you can also enjoy the single room and family escort service. Then, oxytocin was injected into the labor room before 8 o'clock, in order to cause regular contractions and speed up the labor process. Then gradually began to feel pain, this time Lamaze breathing came in handy. Until frequent contractions and unbearable pain, I called the nurse, but said I didn't have enough contractions. Hold on until 1 1 half past one. Finally, the internal examination said that the three fingers were open and you can go to play painless. I didn't have much experience before, but I really experienced it this time. Painless and guided music is simply the light of women's production.
Even if you open your fingers three times, you will enter the labor stage. My guide, a special midwife, accompanied me, pushed me to be painless, taught me to breathe, massaged my abdomen, and relieved the pain when I contracted on the road. When I arrived in the anesthesia room, the anesthesiologist told me the relevant precautions. In fact, I couldn't wait, so I bent into shrimp. After a series of disinfection and a burst of pain, I succeeded painlessly. After monitoring various vital signs, I returned to the labor room. It was 12: 40 when I went back.
After a few simple meals, Doula said that giving me a correct fetal position would help the baby to give birth smoothly and fit the pelvis better. Because it is painless, there will be a kind of physiological pain below when the big contraction comes, which is tolerable, which is really nothing compared with when you open your fingers.
After that, the guide began to teach me how to exert myself. I took a deep breath and held my breath when the contractions came. I tried my best to inflate my stomach, and then I put pressure on my ass. He also taught me to jump with a guide ball, which relieved the pain and helped open the pelvis. In the afternoon 1: 30, I opened eight fingers. Then continue to take me to practice the belly-bulging and hip-pushing method mentioned above in bed, and check my situation while practicing. It was 14: 05, and I checked that it was open to 10. I asked my husband to contact the people in the Confucius Center as soon as possible, and we were about to go to bed.
After arriving at my delivery bed, my guide began to make all kinds of preparations for delivery, and a midwife came to help me. Anyway, two people gave birth to me. In the process of preparation, let me continue to exert my strength according to the method I practiced before. At about 2: 30, all kinds of preparations were completed, and two people concentrated on guiding me to exert my strength. I feel that the baby's head really comes out in a few laps, and then I must listen to the guidance of the shopping guide. If I have to exert myself, I will exert myself. If I have to stop, I will stop decisively, because I still feel painless and insensitive to the intensity of contractions. I must listen to the guide. After about two or three rounds, the baby was taken out by the guide, and later it was known that it was a slight tear. At that time, the Doula was still asking me, didn't it say that the baby's umbilical cord was around the neck? Good. It's not around the neck at all. Hold it in front of my eyes so that I can distinguish between men and women, and then cut the umbilical cord. Throughout the process, my teammate's husband was in tears and kept mumbling "awesome" next to me.