Statistics and opinion of doctors about what is better - caesarean or natural childbirth. Labor induction: causes, methods, drugs that cause or increase labor activity What is better labor induction or caesarean
Induction of labor has become a common phenomenon not only in Russia, but also in the world. The frequency of use of pharmaceuticals in developed countries continues to grow. When there are no signs of readiness for childbirth, and the obstetrician-gynecologist understands that it is “time”, doctors resort to the help of droppers, suppositories and kelp. MedAboutMe shares its knowledge and experience with pregnant women.
Postterm pregnancy
As the expected due date (ED) approaches, the excitement builds. Future parents psychologically prepare for the birth of a child by attending courses for pregnant women together. A woman is gradually adjusting to childbirth. It seems that one or two more days, and long months of tedious waiting will finally be left behind. What a surprise when childbirth does not occur either on the expected date or a week after. Pregnancy is not so easy to predict, even with the help of mathematical calculations.
Why is it necessary to start childbirth
Despite the accepted classification, which clearly states that a pregnancy of more than forty-two weeks is considered post-term, some doctors resort to induction of labor earlier.
At the same time, the doctor has no personal whim, as well as the desire to make room in the hospital. First of all, the obstetrician-gynecologist focuses on the condition of the woman and the fetus, the results of the examination and diagnostic methods of research. After all, the main task of the doctor is the birth healthy child and the life of a pregnant woman.
When labor is induced
First of all, an objective factor for inducing labor is the aging of the placenta. As you know, oxygen, other trace elements and nutrients enter the fetus through the placenta and umbilical cord, and waste products and carbon dioxide are excreted. Morphological changes in the placenta affect the well-being of the baby - it ceases to cope with its functions, and then the child begins to "suffer", the risk of infection with pathogenic bacteria increases.
Quantity and quality amniotic fluid also varies under the influence of various factors, one of which is the duration of pregnancy. The more weeks of gestation, the smaller their number, and the worse the quality. The risk of intrauterine pneumonia increases.
When the umbilical cord becomes thinner, blood flow is disrupted. In this case, it is important to recognize the skinny umbilical cord in a timely manner and take action.
Overwearing risk group
Among the known risk groups, there are factors that increase the likelihood of overmaturity. These include:
After thirty years, the risk of overgestation increases among women for whom the upcoming birth is the first.
Metabolic disorders
Overweight and obesity affect all organs and systems. First of all, the cardiovascular and endocrine systems suffer. The volume of circulating blood increases, the production of hormones changes.
Inflammatory diseases
Infectious diseases of the pelvic organs reduce the number of receptors in the uterus. We are talking about endometritis, salpingo-oophoritis and a history of abortion. In this case, the amount of blood hormones is normal, however, due to a change in the receptor apparatus, they cannot contact the receptors: the excitability and contractile activity of the uterus decreases.
Stress agents are produced in response to psychological and emotional experiences, prolonging the course of pregnancy.
Related marriage
Closely related marriage is not favorable due to the genetic similarity of mom and dad.
What is dangerous post-term pregnancy
According to statistics, overdose increases the risk of long-term adverse effects on the fetus, when the functioning of the central nervous system and respiratory organs suffer. In addition to neurological and respiratory disorders, the risk of death increases - it occurs almost twice as often.
Labor induction drugs
Oxytocin is most commonly used to induce labor. A drug from the group of prostaglandins is administered intravenously to stimulate labor. It is used if the birth canal is ready for childbirth, and the cervix is soft and passes the obstetrician's fingers.
Female sex hormones - estrogens - and prostaglandin E2 are used to prepare for childbirth in order to accelerate the maturation of the cervix.
Methods for initiating labor
If the cervix is ready for childbirth, but dilatation does not occur, the pregnant woman is injected with kelp into the cervix. The algae swell and mechanically assist the opening.
In addition to pharmacological preparations, instrumental methods are also used. If there are indications, the attending physician opens the amniotic membranes with a special tool. The rupture of amniotic fluid is used as a trigger for labor.
When stimulation leads to a caesarean section
Labor induction sometimes ends C-section m. Indications for it are life-threatening conditions for the mother and child. MedAboutMe introduces the most common cases of operative delivery.
Fetal hypoxia
Insufficient oxygen supply to the baby is a life-threatening condition for the fetus, since oxygen is necessary for the functioning of all organs and systems.
Threatened uterine rupture
The threat of uterine rupture is a danger to both the woman and the fetus. Usually occurs against the background of changes in the walls of the uterus in the presence of an obstacle to the birth of the baby.
Growing waterless gap
A small amount of amniotic fluid increases the risk of intrauterine infection of the fetus, and then obstetrician-gynecologists advise a caesarean section.
Weak labor activity
A condition when the muscular layer of the uterus does not contract enough, and the baby cannot be born on its own.
Personal experienceSvetlana, 33 years old
I was admitted to the pregnancy pathology department at 39 weeks. The baby was already ready for the birth, but I was not. Rather, the neck was not ready. After examination by the manager, I was injected with prepidil-gel. The cervix became softer, but the birth never came. During my stay in the hospital, other women from the ward managed to give birth. And my birth never came. During the next examination, kelp was introduced, the next day the cervix opened. Childbirth began, and everything would be fine, but the child began hypoxia. I was taken to the operating room and operated on. So my Ilyusha was born.
Each case of post-term pregnancy is individual, which is why the obstetrician-gynecologist chooses the tactics of childbirth, depending on the situation. Caesarean section will be performed only if indicated. Do not be afraid to ask your doctor about induction, the method of delivery - the doctor will answer all your questions, weigh all the pros and cons with you.
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childbirth naturally- these are those births that took place with minimal medical intervention in a calm, almost homely atmosphere in a short period of time. The first birth should not exceed more than 12 hours, for those who give birth for the second time, more than 10 hours.
9 months Postpartum anesthesia
pregnant at the doctor
pulls the discomfort hard
This does not necessarily mean that the faster the birth, the better. No, a quick and rapid birth process contains many dangers, no less than a long one. natural childbirth- this is the middle when during contractions a natural opening of the cervix occurs, and in the pushing period a healthy baby is born, without any congenital pathologies. And this is exactly the moment when natural childbirth takes place.
This process means that the pregnancy took place without any complications. That is, this is the final moment of the normal course of pregnancy. Also, if they talk about a birth that took place in the usual way, they take into account the postpartum period.
After the baby is born, the umbilical cord is not cut immediately, but they allow blood to flow from the placenta into the body of the newborn.
In such births, early attachment of the newborn to the mother's breast is used and placed on the stomach immediately after the baby has appeared. This is done so that the mother's bacteria colonize on the baby's skin and thus establish natural contact. After a natural birth, the baby remains in the ward with the mother, and she immediately begins to feed him on her own.
The Benefits of Normal Birth
Such childbirth, which took place through the natural birth canal, is the most physiological for the mother and baby. Because they come exactly at the moment when each of them is ready. A caesarean section leaves a mark forever in the form of a scar on the uterus.
This is a natural process for which the mother's body is preparing for all 9 months.
Most women who survive a caesarean section will give birth again in the same way, since they do not have the opportunity to give birth on their own. They may develop adhesive diseases. Adhesions are connective tissue and can grow and expand. It blocks the path of the loops of the intestines, ovaries, fallopian tubes. This may subsequently result in pain, constipation or infertility. Thus, natural childbirth after caesarean section is an infrequent case.
After simple birth the female body recovers faster, as it experiences less stress. The postpartum period is much easier, the woman practically does not need medical intervention, respectively, and she is discharged earlier.
It also frees from labor pain, and after a cesarean, a woman retains pain at the site of the surgical suture, she will not be able to do without an anesthetic, which means additional stress for the body. With a natural process, painkillers will not be needed.
Pros and cons
After natural childbirth, mother and baby are together and may not part even for the night
Many wonder which is better, natural childbirth or caesarean section. The answer is obvious, because if there are no medical indications, then any surgical intervention in human body- abnormal. This can cause various complications or unpleasant consequences.
The main advantages of ordinary birth.
- The birth of a child is a process that was provided for by nature itself, a woman's body is adapted to this. He was ready to be born in him new life The baby was comfortable there. That is, the birth of a child for the body is the norm.
- The baby gradually adapts to life. He has a normal adaptation to new conditions for him. If there is a natural stimulation of childbirth, the body of the unborn child "hardens". It is better for a newborn if it is immediately applied to the mother's breast, this helps to establish a connection between them and the formation of rapid lactation.
- A woman recovers faster after childbirth, and they are less traumatic. The mother can immediately take care of the baby on her own after they are discharged from the maternity hospital. There is such a theory that children born by caesarean section adapt much worse, often lag behind in development, they have poor stress resistance and infantilism.
Obvious flaws.
- Severe pain during contractions and attempts.
- For some time, pain in the perineum, there is a risk of damage, and this involves suturing.
Of course, here it becomes obvious which is better - caesarean or natural childbirth. Both methods differ from each other in the methods of influencing the female body, the process itself and the consequences.
Indications for surgery
Sometimes there is such a situation that the birth of a baby is impossible without surgical intervention. Without it, the birth process can be dangerous for mother and child. There are major contraindications for natural birth.
The role of anesthesia is played by hormones that are produced by the body during childbirth.
This happens when a woman has a narrow pelvis, the child will not be able to go through the birth canal on his own. Or is it a tumor or deformity of the lower body in a woman.
Indications for caesarean section are:
- the possibility of rupture of the uterus, due to the fact that it is thinned or there is a failure of the scar;
- incorrect position of the placenta (it is fixed above the cervix and blocks the way for the baby);
- pathology (tumor, uterine fibroids or in the vagina).
When natural childbirth after caesarean section is not possible:
- symphysite;
- severe form of preeclampsia;
- chronic diseases of the mother;
- breaks from previous births;
- fused twins;
- transverse position of the baby;
- prolonged infertility.
Such a birth is also impossible with:
- early discharge of amniotic fluid;
- various anomalies;
- fetal hypoxia;
- placental abruption;
- wrong position of the baby's head.
Under such circumstances, the wishes of the pregnant woman are not taken into account, in other cases an alternative is possible.
If there are options, then a woman can take full responsibility for the outcome of events - this is possible in such cases:
- breech presentation;
- natural birth of twins after caesarean (but this can be dangerous);
- mother's age over 36;
- the size of the fetus does not meet the standards;
- with IVF;
- any pathology of pregnancy.
Preparatory process for birth
| What needs to be done | Why is it necessary |
| It is necessary to collect all the necessary things. | When the contractions begin, do not collect things, but take a bag and go to the clinic. |
| Prepare mentally, do not be nervous, do not be afraid, think only about positive things. | This is necessary in order to worry less and thereby not harm the baby. The more a pregnant woman knows, the less painful the process awaits her. |
| More important point in preparation for childbirth, which will take place naturally, is to choose the right position. | Sometimes the right position does not require the introduction of an anesthetic. |
| It is advisable to take courses for expectant mothers (gymnastics, proper breathing). | This will help reduce pain and the muscles will be more prepared, which means that the birth will be easier. |
| Follow the advice of a specialist. | To give birth to a healthy baby. |
Childbirth after caesarean section
Remains a scar
Many are concerned about the question of whether ordinary childbirth is possible after a caesarean section. Previously, this was not possible. But now this is irrelevant, and with modern standards for cesarean delivery, you can subsequently give birth on your own.
It is necessary to choose the right maternity hospital with the necessary equipment and qualified personnel who can monitor the condition of the child throughout the entire process of childbirth. There are risks of uterine rupture in the scar area, but this will happen if the suture is not properly applied. If there is no pathology, then natural childbirth, which will take place after a caesarean section, will be successful.
You need to prepare:
- after 34 weeks, it is necessary to do an ultrasound scan, they will consider the uterine scar, fetal presentation, etc .;
- the doctor will conduct an independent examination (with the help of fingers) of the resulting scar;
- after 37 weeks, the specialist will determine whether you can give birth naturally or not;
- it is necessary to go to the hospital in advance (after 38 weeks of pregnancy).
Childbirth will also take place - contractions, attempts, the birth of a baby. It will not be possible to start pushing ahead of time so that the scar does not rupture. The doctor before the process of natural childbirth, which will be after a cesarean section, will have to examine the uterine cavity.
Previously, there was an opinion that medical stimulation of labor activity is associated with an indispensable further caesarean section. And in some cases, women in labor refused to introduce uterine stimulants for one reason: "I want to give birth myself." Canadian scientists have proven that if there is a need to stimulate labor, a caesarean section is performed much less frequently.
Moreover, if there is a weakness in labor activity, the intervention of obstetricians is absolutely necessary: the question is decided on the spot whether it is necessary to put a dropper in this situation or urgently perform a caesarean section - this helps to reduce the frequency serious complications childbirth in the mother (atonic bleeding) and, of course, in the fetus. There were also rumors that the stimulation of childbirth provokes the development of autism in the baby. Let's look into the intricacies of the problem on MedAboutMe.
Professor Khalid Khan and colleagues analyzed 157 large studies that examined the course of 31,085 births. At the same time, in 20% of cases (every fifth woman) the introduction of drugs was required as an artificial stimulation of effective uterine contractions.
For what reasons can they stimulate labor:
- Premature rupture of amniotic fluid
- Postterm pregnancy ,
- preeclampsia,
- Individual situations in a woman with diabetes,
- Fetal hypoxia and others.
Analysis of the methods of stimulation used
Prostaglandin E2 has shown the most positive results and is the most widely used drug in Canada and the United States. At the same time, amniotomy and the use of oxytocin do not reduce the risks of using a caesarean section.
Scientists have found that "wait and see" when doctors wait for the effectiveness of contractions and cervical dilatation to improve on their own, leads to the need for a caesarean section much more often than stimulation. Namely, in cases of full-term or slightly post-term gestation, the use of stimulant drugs reduced the need for a caesarean section by 12% compared with expectant tactics. In other words, if you expect the situation to improve on your own, ignoring the doctor's advice, you can be much more likely to end up on the operating table for a caesarean, since the situation will not improve, and the child will simply feel bad.
It would be appropriate to note that a caesarean section, in which a relatively wide incision is made in the abdomen and the anterior surface of the uterus, really increases the risk of an infectious inflammatory process in the mother, depression after childbirth and even - in rare cases - maternal mortality.
Stimulation leads to autism?
There is another myth regarding the stimulation of labor - supposedly this procedure contributes to the development of a child of varying degrees of autism spectrum disorder. In response, the American College of Obstetricians and Gynecologists published a medical report - a special document, which specifically emphasized that there was no convincing evidence for such a conclusion. The risks of developing an autism spectrum disorder will depend on heredity and certain failures in the neurohumoral system, but not on the measures taken to ensure the safe birth of the baby.
Professor Khan published the results of his meta-analysis in the Canadian Medical Association Journal and commented: “The findings of our study are consistent with those of some reviews, but somewhat contradict the beliefs of practitioners. If in the current situation it is necessary to stimulate labor activity, a woman should not refuse this for her own good and the good of the baby being born. If the doctor insists on a caesarean section, it should be performed immediately. However, stimulation with prostaglandins can solve the problem of weak labor activity, which will avoid abdominal surgery, which is a caesarean section.
Stimulation of labor activity is a method of artificially inducing labor, used on different terms pregnancy. The reason for inducing labor may be a post-term pregnancy, as well as the need to strengthen tribal activity directly in the process of childbirth in case of its weakness. These measures can be used if there are complications in childbirth, when the duration of the birth of the baby unreasonably increases due to lengthening .
So, what is artificial induction of labor? In what cases is it required? Why is there a delay in labor? Is it possible to induce labor on your own, or should labor be stimulated exclusively in a hospital? Is drug induction of labor safe for a woman in labor and a child, or is it better to prefer.
____________________________
·
When is labor induction required?
Not every "delayed birth" requires stimulation, so doctors must carefully analyze the situation in order to find out the reasons for what is happening and act in accordance with them.
Medical indications for using medical methods of labor induction are the following:
1.
true post-term pregnancy, especially when pathological changes in the placenta or signs of abnormalities in the fetus are detected;
2.
discharge of water in a pregnant woman ahead of time, due to the high risk of infection entering the fetus through the open cervix;
3.
premature detachment of the placenta, which poses a direct threat to the life of the child;
4.
in some cases - late toxicosis;
5.
certain diseases of a pregnant woman, for example, a severe form of diabetes mellitus and so on.
If the time to give birth has come, and the baby is in no hurry to be born and the birth still does not begin, the pregnant woman may be tempted to use. A prerequisite for this is the absence of pathologies and the consent of the doctor! Of course, this can only be natural stimulation of labor approved by a doctor, and not medication - labor-stimulating drugs can only be used in a hospital setting, and only under medical supervision.
·
Stimulation of labor activity in post-term pregnancy
Pregnancy lasts 40 weeks, after which the baby should be born. However, the onset of 40 weeks does not always precede childbirth, often women "overwear" deadlines. According to statistics, 10% of pregnant women “hold out” until the 42nd week. Despite the obvious delay in the process, this is not necessarily a post-term pregnancy - in 70% of cases, we are talking about a banal error in ascertaining the timing, that is, the estimated date of birth was calculated incorrectly. It is possible that in reality everything goes according to the schedule that is set by nature.
At the same time, it is not worth blindly hoping that an error has crept into the calculations. A truly delayed pregnancy poses a serious danger to both mother and baby. In order not to miss the actual overgrowth, constant medical supervision is required. For this use Ultrasound of a child with dopplerography constantly monitor his pulse. In addition, it is recommended to amnioscopy- examination of the fetal bladder with a special medical device amnioscope, which is inserted into the cervical canal of a pregnant woman. This method allows you to determine whether there is meconium in the amniotic fluid (original feces of a baby), to assess the insufficient amount of amniotic fluid, the insufficiency or absence of fetal cheese-like lubricant, to detect detachment from the uterine walls of the lower membranes of the fetal bladder.
These examination methods allow you to make the right decision about the possibility of further development of pregnancy, conduct a natural birth or use labor induction measures, including labor-stimulating drugs. Sometimes a delay in childbirth is just a psychological attitude of a pregnant woman: for example, a mother was determined to give birth to a baby when husband will go on vacation, or to please the heiress of the spouse on his birthday. In such cases, as a rule, a serious conversation with the mother is enough - a kind of natural stimulation of childbirth - and then everything will go "like clockwork".
There are a number of medical indicators by which it is judged that this is indeed a post-term pregnancy:
1.
the absence of "front waters" that should envelop the baby's head;
2.
a sharp decrease in the volume of amniotic fluid;
3.
turbidity of amniotic fluid, contamination of their feces with the child's meconium;
4.
in the amniotic fluid there are no flakes of fetal cheese-like lubricant;
5.
too hard cranial bones of the child;
6.
immature cervix;
7.
there are signs of aging of the placenta.
If these symptoms are confirmed, the obstetrician will suggest artificial drug induction of labor or a caesarean section.
A delayed pregnancy in itself provokes complications in childbirth, there is a threat of bleeding, weakness of labor, acute fetal hypoxia, which, among other things, have serious consequences. Monitoring the condition of the baby is mandatory, given the danger of aging of the placenta. The result of this process is a significant deterioration in placental blood flow, and nutrients to the baby come in smaller quantities. In addition, the production of amniotic fluid also decreases over time. All this is extremely undesirable for the health and development of the baby. If an ultrasound scan shows thinning and deformation of the placenta, the pregnant woman is prescribed hormonal therapy without fail, which helps to bring the onset of labor closer and induce labor.
One of the symptoms that there is a real delay in labor is a decrease in the amount of amniotic fluid, as a result of which the pregnant woman stops gaining weight, or even loses weight. Additionally, post-term pregnancy is confirmed by reduced or, on the contrary, increased fetal activity, due to lack of oxygen as a result of improper blood circulation in the uterus.
If a post-term pregnancy is confirmed by appropriate examinations, the doctor prescribes artificial induction of labor. Post-term babies look somewhat painful after birth: they are thin, but at the same time hyperactive, the skin of post-term babies is wrinkled, flaky and dry, and does not have a layer of fruit lubricant. The eyes of the "sitting" children are open, the nails and hairs are long. The umbilical cord has a yellowish or even greenish tint, indicating the onset of purulent processes.
·
Signs of the need to induce or intensify labor
The doctor, observing how the birth proceeds, pays close attention to the following signs, indicating the need for third-party intervention in the process in order to cause or intensify labor activity:
1.
Determination of the presence or absence of contractions, their frequency, strength and duration.
Palpation of the uterus (abdomen), the results of the readings of a tocodynamometer, a device that allows you to accurately record the frequency and duration of contractions, and a special intrauterine catheter that determines intrauterine pressure against the background of contractions (extremely rarely used in practice) can help to assess these signs reliably.
2.
Presence and rate of cervical dilatation.
This criterion most accurately determines the normal course of the birth process. In general, cervical dilatation is measured in centimeters. The minimum opening is "zero", i.e.
3.
Promotion of the presenting part of the baby
(heads at
). Advancement or descent of the fetus is determined by palpation of the abdomen of the woman in labor and / or with the help of a vaginal examination.
If the woman in labor normal size pelvis, intrauterinecorrect (head down position), there are no factors that prevent the birth of a baby through the birth canal, then the cause of delayed labor may be:
1.
woman's fear of pain;
2.
sedatives;
3.
painkillers;
4.
the position of a woman in childbirth on her back;
5.
certain diseases of pregnant women;
6.
embarrassment of a woman in labor.
·
Labor induction or caesarean section?
It should be noted that drug stimulation of labor is used more and more often from year to year. If you think it is unacceptable to use drug induction of labor, discuss this with your doctor in advance so that this drug induction of labor is used only in case of emergency. You should also discuss this with your doctor because each maternity hospital has its own “favorite” ways to stimulate labor - find this out in advance.
So, what are the methods of stimulating labor? Formally, artificial stimulation of labor is divided into two main groups:
1.
methods and drugs that stimulate the opening of the cervix;
2.
methods and drugs that affect the contractility of the uterus of a pregnant woman.
In addition, sedatives are sometimes used as labor induction measures. Often, a feeling of fear of pain in childbirth can slow down labor activity. Muting negative emotions can restore the natural course of childbirth and strengthen labor activity to normal.
The need for a caesarean section is due to the fact that post-term babies have a rather large head, and the babies themselves are too large to be born naturally. Such babies, while in the womb, do not receive sufficient nutrition and oxygen. In addition, there is a high risk of the child drawing in the original feces into the respiratory and digestive tract, which is unsafe for his health.
Artificial induction of labor or caesarean section will be applied in any case when:
1.
The woman in labor has hypertension or diabetes mellitus;
2.
The amniotic fluid has green tint, as a result of the presence of original feces in it;
3.
Fetal growth slowed down significantly.
·
Artificial stimulation of labor, the effect on the contractile activity of the uterus
The following are especially popular among obstetricians in this group of means of artificial stimulation of labor:
1.
amniotomy - opening the fetal bladder by surgery
;
2.
taking synthetic analogues of natural hormones (most often, oxytocin or prostaglandins)
.
Both tools have a number of strict indications, risks of use and consequences. Therefore, the decision on each case is made individually, according to the situation.
- Read more about this method of childbirth, like amniotomy, in the article:
- Read more about the hormonal stimulation of labor and the use of the drug oxytocin in the article:
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Stimulation of labor activity, action on the cervix
The reason for the delay in childbirth or their slow course is often the so-called resistance, the immaturity of the uterus, or, more simply, the unpreparedness of the cervix for disclosure. The most common method to help the uterus "ripen" and thus induce labor is to use it in the form of tablets, intravenous solutions, gels, topical suppositories and other forms of the drug.
·
Herbal preparations to stimulate labor
In fact, there are many drugs and drugs that can enhance labor activity, but most of them are rarely used during childbirth. As a rule, their use is considered justified in the fight against postpartum hemorrhage due to uterine hypotension - insufficient contraction of the uterus. These remedies include herbal preparations:
1. ergot,
2.
common barberry,
3.
shepherd's purse grass,
4. nettle,
5.
drug spherophysin, etc.
AT last years many labor-stimulating drugs have lost their positions: artificially synthesized estrogen hormones are a vivid example, the effectiveness of which, as it turned out, is much lower than that of. There are also non-traditional methods of labor induction that have not been fully explored, such as acupuncture.
Unfortunately, today there is no way that would equally suit both physicians and patients. Therefore, the final choice of the method of labor induction remains with the obstetrician, who will make a decision taking into account the current situation, the conditions for the course of pregnancy, and the individual characteristics of the woman.
·
Ways to naturally induce labor
A woman can also help herself, bring the date of the baby's birth closer in a natural way and induce or intensify labor activity if necessary. Moderate physical activity during pregnancy, physical exercises to strengthen the abdominal muscles, perineal muscles, the ability to relax, yoga, breathing exercises - all this is a natural stimulation of childbirth.
Significant help in childbirth is provided by knowledge about correct behavior in childbirth, about, which will reduce the fear that prevents the woman in labor from adequately influencing the process of the appearance of the baby. The knowledge and skills gained in the training courses are a very effective natural stimulation of childbirth.
If possible, use, quite often they are no less effective than medical ones, moreover, they do not have side effects, as drug stimulation of labor activity.
And most importantly, keep calm and self-confidence - this is already a 90% guarantee that the meeting with your baby will be quick and cloudless! Easy childbirth!
Yana Lagidna, especially for mymom
