The most frequent medical interventions in a natural birth

The most frequent medical interventions in a natural birth

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Know the medical interventions that are most common during childbirth and in which cases the use of medicalization is considered excessive. Do you know what are the interventions that are usually performed in a natural birth? In We tell you which are the most frequent and when they are indicated.

- The Monitoring. Continuous monitoring is not recommended in low-risk pregnancies. It can increase maternal stress, and due to the belts used, the mother will have to remain immobile in bed. This makes circulation difficult for the baby, due to the uterus' own weight that falls on the blood vessels, which may give incorrect information on the values ​​obtained. Cesarean section rates also tend to increase.

Intermittent auscultation of the fetal heart is more recommended. Permanent monitoring will be indicated in high-risk pregnancies, when the mother has high blood pressure, fever, or when there is an abnormal progress of labor.

- Artificial rupture of membranes or 'rupture of the water bag' will increase the risk of infection, monitoring and interventions.

- The amnioscopy it is an invasive intervention. A tube is inserted up to the cervix to see the amniotic fluid. There are controversies in its usefulness, since it can give false results. The risk-benefit balance quite doubtful.

Enemas: Years ago it was thought that the use of enemas would facilitate the delivery of the baby by emptying the intestine. Now it is known that this is not the case. In addition, its use does not reduce neonatal or maternal infections, and it can increase the discomfort of the woman.

Shaved: something similar happened with shaving. It was thought to be more hygienic, but it actually increases erosions on the skin, facilitating infections, and causing stinging when hair begins to grow. It is not recommended to do it routinely.

Vaginal examinations: They are used to monitor the course of labor. According to the WHO 2018 guide, it is recommended to perform them every 4 hours as they can be annoying, increase the risk of infections and distract the woman from her process. They would be done earlier if there are complications, when there is slow progress, or when there is a need to push.

The limitation of maternal mobility at birth: it is usually a consequence of the use of different interventions. It is important to know the benefits that postural changes and movement have over the course of this process. Wandering, working with balls to perform pelvic movements, and different postures such as asymmetric squats, can shorten the duration of the first phase of labor and relieve pain.

Pain increases due to stress and ischemia that occurs in the tissues by decreasing blood flow. The movement will improve the supply of oxygen to the tissues. A respectful, relaxing environment (dark and warm) will also help. Delivery in a lateral or vertical position shortens the delivery and reduces perineal injuries, compared to the classic lithotomy position or lying on the back. So now you know the positions to avoid.

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