Birth Types

After 9 months of patience and fortitude, there are many birthing techniques that will help you have the lightest birth and hold your baby in the healthiest way.

HOW TO DECIDE ABOUT THE BIRTH METHOD?

As the time of birth approaches, one of the most important decisions to be made is which technique will be right for birth. You should obtain birth information on this issue, which concerns your psychology as well as your body, and evaluate it carefully to make the best decision. Generally, mothers who are between the ages of 18 and 36 and who will give birth for the first time have a high probability of having a normal birth. But for mothers who are younger or older, this option is risky. In addition to listening to your inner voice, you should also consult your doctor to determine the most ideal birth method.

What is normal birth and how is it?

• When the necessary conditions are met, birth occurs vaginally and under normal conditions.

• When the time comes, real labor contractions begin. Pains that come at regular intervals, even though they are rare at first, begin to become more frequent, longer lasting and more severe.

• Although it does not have a certain standard, it comes every hour and lasts for 15 - 20 seconds. You should contact your doctor when you experience regular pain that lasts for up to 10 minutes.

• Normal births may occur spontaneously, but may also require interventions such as vacuum or forceps.

• In the first stage of labor, the cervix opens immediately after the pain begins. The dilation length increases up to 10 cm.

• The cervix must be fully dilated for the second stage of labor to begin. In this 2nd stage, which lasts until the baby comes out, the baby, pushed by severe and regular contractions, easily passes through the thinning cervix and reaches the vagina.

• The third and last stage of birth begins with the baby coming out and It ends with the expulsion of the placenta. When the baby is completely taken out, the umbilical cord that connects with the placenta is cut and separated from the mother.

• In general, birth takes 14 - 15 hours on average, but it is possible for it to last shorter.

What is Artificial Pain?

• It is used when the contractions that should start when the time comes do not start even though everything is suitable or when it is necessary to support the existing contractions.

• The hormone 'oxytocin' is given to the mother with serum. This hormone initiates artificial contractions in the mother.

• Oxytocin is secreted from the region of the brain called 'pituitary' under normal conditions and, in addition to creating contractions in the uterus, it enables the milk to be expelled from the breast.

• Contractions caused by artificial pain are more frequent, more regular and more severe than natural contractions.

• If the birth does not progress despite this technique, cesarean section is performed. .

What is an episodic birth and how is it?

• During normal birth, the exit area is cut to facilitate the birth of the baby and to prevent tears that may occur at birth. .

• It is cut at birth to expand the area and stitched back together after birth.

• This incision is called episiotomy and allows the baby to come out much more easily. It provides this.

• It is not performed unless necessary, but if there is a risk of deterioration of the anatomical structure of the region, it is applied to protect the region.

• Local anesthesia is applied during the operation. There is no pain for the baby.

What is forceps or vacuum birth and how is it?

• A metal device that passes around the baby's ear and completely grasps the head. It is called 'forceps'.

• By leaning the bell-shaped metal head against the baby's head and pulling it out with vacuum is called vacuum birth.

• If your baby shows signs of distress or gets stuck in the birth canal, or if you cannot push fast enough, these devices can help save your baby's life.

• In general, while vacuum is less traumatic for the mother, forceps is less risky for the baby.

• From the baby's perspective, vacuum is less traumatic. In order to avoid permanent and dangerous risks, both methods should be applied properly.

What is a Caesarean section and how is it?

• C-section is a operation Therefore, it also carries general risks related to the operation. Therefore, in principle, the first option should be normal birth.

• The condition of the baby in the womb is important. Caesarean section may be necessary in any unexpected situation that threatens the mother or the baby.

• Nowadays, cesarean section is preferred mostly in first births or in positions such as the baby not coming from the head area.

• Due to medical requirements, it may be necessary to choose a cesarean section. These requirements become clear towards the last stages of pregnancy and cesarean section is performed in a planned manner.

• In rare cases, cesarean section can be performed in emergency situations that may occur during normal birth.

• The mother should be informed about the preparations before starting the caesarean section.

• After all the preparations are completed, the mother is desensitized to pain with epidural anesthesia or spinal anesthesia and is applied from the lower part of the abdomen for approximately 8 - A 9 cm horizontal incision is made.

• The abdominal wall is opened and the incision is deepened and after all abdominal layers are opened, the uterine wall is reached.

• Then, the 'placenta' that nourishes the baby in the mother's womb is removed from the uterus and the baby is taken out through the incision appropriately.

• As in normal birth, the umbilical cord is cut in a cesarean section. The placenta is removed from the uterus.

• The mother's abdomen is cleaned, bleeding areas are checked, intervention is made, if any, and the abdominal wall is re-sewn in accordance with its anatomy.

• Finally, aesthetic stitches are applied to the skin. The surgery takes approximately 30 - 35 minutes. Then, the mother is sent to the maternity ward after 10 - 15 minutes of observation.

What is epidural anesthesia?

• It means completely anesthetizing the desired area. In other words, it is a type of local anesthesia.

• The outer part of the layer surrounding the spinal cord is called the 'epidural' space.

• If the mother prefers. With epidural anesthesia, medication is applied to this space and anesthetizes the area, relieving pain.

• This method can be used safely in both normal birth and cesarean section. In both a The goal is to relieve pain.

• When the dose of the applied drug is adjusted correctly, only loss of sensation occurs but there is no loss of functions.

• This method is general. It provides fewer complications than anesthesia.

• It is not possible to continue applying epidural anesthesia after the cervix reaches a certain opening.

• In some cases, epidural anesthesia does not affect the first stage of labor but may prolong the second stage. In such cases, birth is continued with forceps or vacuum.

What is spinal anesthesia?

• Spinal and epidural anesthesia have the same effect. Application difference; Spinal anesthesia is performed by injection into a fluid-filled sac. In epidural anesthesia, injection is made into the area outside the sac (epidural space).

• The spinal cord and nerves are located in the sac containing spinal fluid (cerebrospinal fluid). Around this is the epidural area.

What is water birth?

• The mother is in a pool filled with hot water at 35 - 37 degrees. It is an alternative birth technique in which the baby is born.

• The relaxing effect of hot water is used during birth. Hot water helps start the natural contraction process and the mother is not given any medication, painkillers or artificial pain.

• Water reduces the tension of birth by facilitating the secretion of the endorphin hormone, which relaxes the body.

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• After birth begins, the baby's heartbeat and the mother's blood pressure are measured.

• Since the baby is in water in the mother's womb, it is in a different water environment. It easily passes into a water environment and does not suffer from shock.

• After birth, the mother is taken to the normal delivery table and bleeding is controlled.

• It is not recommended for mothers giving birth for the first time and those in the high-risk pregnancy group. In addition, mothers with HIV, hepatitis and active genital infection, mothers who have previously given birth by cesarean section or are very overweight, the baby is breech, multiple pregnancy, the baby weighs over 4 kilos, premature birth, the mother; Water birth cannot be performed in cases such as having diseases such as asthma, heart, diabetes or high blood pressure, or having problems with the water bladder.

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