lava is devoted to the problem of proper and healthy nutrition of the mother during breastfeeding. In it you will learn about such issues as: breastfeeding after childbirth. What to eat and what not to eat while breastfeeding. And that coffee, diet, medications and antibiotics can harm a newborn when breastfeeding.
These are the last precious weeks of rest before childbirth. Gain strength, sleep enough, then do everything with pleasure.
PREGNANCY. THIRD TRIMESTER
I will save myself for you,
my future child.
I’ll get my mind for you,
My future child.
I will become higher, cleaner, loving
My future child.
And then I will give birth to you,
my future child
Every day you become more and more immersed in your pregnancy. The kid lives his active life, sometimes preventing you from lying down or falling asleep. He’s getting a little cramped.
You can no longer eat and drink as much in one go as before, and divide it all into small portions. Sleeping is more comfortable and better on the side.
You may have already begun to “build a nest”. This is a real instinct that manifests itself in most pregnant women, especially when approaching the moment of childbirth. There is a desire to clean everything, clean everything, wash everything, remove some things and replace them with others, in a word, to create comfort for the baby. Surrender to this feeling. This will help relieve the emotional stress of recent months. Those who love you will easily understand these little quirks.
If you are going to give birth at home, then use these forces in order to prepare everything for the upcoming birth.
At the end, your belly becomes so huge that you may already find it hard to breathe, you cannot see your own legs and you have difficulty bending over. By the end of pregnancy, many expectant mothers want to see their beloved baby as soon as possible. But as our grandmothers said about this huge belly: “It sticks out, but it doesn’t grumble!” Indeed, these are the last precious weeks of rest before childbirth. Gain strength, get enough sleep, so that you can do everything with pleasure later. Childbirth will come when your baby needs it.
Features of recent months
If in the first trimester your body rebuilt and tuned in to pregnancy, in the second trimester (the calmest) you were in a stable balance, then in the last three months your body begins to rebuild again, preparing for childbirth.
At 30–32 weeks of gestation, a hormonal surge occurs. You again become irritable, whiny, get tired quickly, loved ones wonder: what happened to you? Do not be alarmed, everything is in order. You just move into a new period – not only the growth and development of the child, but also active preparation for his birth. Let the family show a little patience. In a couple of weeks, the hormonal storm will end and you will be back to normal.
It is in the third trimester that most of the problems that we wrote about above usually arise. But the last months have their own peculiarities.
We have already talked about calcium (see chapter 2 “Pregnancy. First trimester”). In the last month, it is better not to abuse it, but, on the contrary, to reduce its consumption as much as possible. You should not forcefully “cram” cottage cheese and other dairy products into yourself just because pregnant women are “so supposed to.” Stop taking medications containing calcium unless they are associated with special medical conditions. It is better to get calcium from greens and vegetables. An overabundance of this element can lead to the fact that the baby’s head becomes very hard and it will be difficult for her to adapt to the birth canal, which is fraught with prolonged labor and deep tears in the mother.
Meat products consumed in large quantities also contribute to the breaks. Meat contributes to the “acidification” of muscles and reduces their elasticity, and it is this property of muscle tissue that is so necessary in childbirth. Therefore, in the last month of pregnancy, eat meat only if you really really want to. The same, albeit to a lesser extent, applies to fish. Limit consumption in the last month before childbirth.
It is very good to drink tea from raspberry leaves in the last months of pregnancy.
To reduce the likelihood of rupture, it is necessary to prepare the perineum for childbirth. Don’t forget about the Keagles exercise (see Chapter 2, Pregnancy, First Trimester). Do special exercises for pregnant women. It is helpful to gently massage the perineum with a neutral oil (olive, peach, etc.). During the last month of pregnancy, do this every day until labor and even in the first stage of labor.
In recent months, you may experience swelling, most often in your legs. Do not be intimidated by the antenatal clinic doctors, who, according to the rules, are required to send you to the hospital. And do not do stupid things, do not come to the doctor’s office after a long walk, a two-liter bottle of kvass drunk in the heat, or just at the end of the day that you spent on your feet. Even in a normal state, the legs get tired and can swell, let alone pregnant women! Such edema disappears by itself the next day. But if they do exist, try to deal with the swelling yourself (see chapter 3 “Pregnancy. Second trimester”). Only in the case of persistent persistent edema or edema in combination with another pathology (for example, high blood pressure, protein in the urine) can treatment really become necessary.
It is in recent months that a bandage may be needed, especially for those who carry twins or a very large child. However, most women do well without it, thereby training their own muscles, which have a lot of work in childbirth.
In the third trimester, you can start preparing your nipples for breastfeeding. They are rubbed with a hard terry towel so that they become hardened, poured alternately with warm and cold water (you can use a contrast shower or general dousing). Flat or inverted nipples are pulled out by gently gripping them with your fingers.
Attention! With the threat of premature birth, it is impossible to massage the nipples, since their massage causes reflex contractions of the uterus.
Contractions of the uterus, which you could begin to feel in the second trimester as abdominal tension (the abdomen becomes “like a stone”), now occur more often and become more noticeable. These are the so-called preparatory (training) bouts or Braxton Hicks fights. They are irregular and practically painless. Thus, the uterus prepares for childbirth.
The main thing in these last months is your good preparation and a positive attitude towards childbirth. Remember that all your thoughts and feelings are passed on to your child. For worries and troubles, do not forget about communication with the baby. It is vital to him. Without the “vitamins” of your love, it will simply wither away. We have no doubt that you love your child, just take a moment to tell him about it, especially in recent weeks, when the little man is preparing for the most important event in his life – the Birth.
The last months in the mother’s body
By the beginning of the third trimester, the child has already completely assumed a human form and is now preparing for birth, developing its systems, gaining height and weight. This little man is very active, and his mother can distinguish between different parts of his body: elbows, knees, small ass, feel how he spins and turns inside the uterus.
By the seventh month, the eyes are fully formed and can perceive light. The whole body is covered with vellus hair and abundant cheese-like lubricant.
Between the 28th week and childbirth, the baby’s muscle tone increases, sucking and swallowing skills improve. The child has distinct periods of wakefulness and sleep. The nervous system is further developed. A special (myelin) sheath envelops the nerve fibers. It speeds up and facilitates the transmission of nerve impulses. This enveloping process is completed only after childbirth.
In fact, many physiological developmental processes are completed after birth, and some even after adulthood.
While the baby is gaining weight in its safe warm water world and preparing for life outside the uterus, he sucks his thumb, sometimes hiccups and displays some elements of his child’s behavior that are well understood by the mother. Often a woman feels when the baby inside her is hungry, offended or annoyed, and when, on the contrary, he is full, satisfied and enjoys the song that his mother sings.
Another aspect of intrauterine life is sleep and REM sleep of the baby. REM sleep in a child corresponds to dreaming in adults when we experience images. During REM sleep during intrauterine life, the child intensively exercises his central nervous system. REM sleep in an adult is 10-15% of all sleep, that is, about 1 hour a day, in a newborn about 50% – about 8 hours a day. Inside the womb, the percentage of REM sleep in the baby is even higher. Interestingly enough, REM sleep in a baby inside the womb is accompanied by high levels of hormones that stimulate growth and development of mental abilities.
Children born at this stage often survive, although there are still about 12 important weeks for the normal completion of intrauterine development.
By the end of the eighth month, the child has already reached forty-five centimeters in height and weighs more than two kilograms. Growth, especially brain growth, is very rapid during this time. Most bodily systems are already well-formed, but the lungs may still be underdeveloped.
During the ninth month , preparation for childbirth takes place. About five centimeters and more than a kilogram are added to the child’s height and weight. By the end of pregnancy, the average baby will weigh about three and a half kilograms and will be about fifty centimeters tall. Now, when the child has become cramped, you will be especially noticeable of his activity.
The birth of a child allows the mother to see and feel it for the first time outside of her body. If the mother is observant, she will be able to see several subsequent “births” of her child in the future. Each time a new, albeit painfully dear person, will appear in her baby. This will happen around the age of three, when the baby first calls himself “I”. Then at the age of 7, when the teeth begin to change and the child’s vitality will become suitable for starting school. Only at the age of 9 will he really begin to see himself separate from the world, emerging from a fairy tale into real life. About 14 years old, he will enter a tempest of puberty, and only at the age of 21, the one whom she has led so long and sometimes painfully into adulthood will finally appear before my mother. After that he will be able to go on his own to a new birth.
In addition to the mother and child, who are unconditional participants in childbirth, other people close to you can take part in them.
Popes and their involvement
The main task of the father in childbirth is to become a spiritual support for the mother, to give her psychological and physical support. This is difficult to do without some knowledge, so it is useful for both parents to attend the lessons of preparation for natural childbirth. The husband gains knowledge of how to help his wife during childbirth, and confidence in the correctness of his actions. A dad who is actively involved in childbirth has various important tasks. It will help the wife remember breathing exercises. He is the best person to massage her, help her to take the right position, and also monitor the development of childbirth. But the main thing: by participating in childbirth, dad gives the necessary emotional support to the woman in labor, adds her self-confidence, creating an atmosphere of safety and security. Vast experience shows
It is very important that both parents are well prepared and understand all the details of childbirth. It is important that the husband understands what his wife is doing, how and why, giving him the opportunity to help and support her in this uplifting work.
Mom, in turn, can feel confident in herself, knowing that her constantly present partner not only loves her and did not leave her alone in this difficult moment, but also understands what is about to happen to her and how to help her.
The father, who is not just present, but fully involved in childbirth , does a great job. If a woman in labor is primarily focused on giving birth to a baby, then her husband bears a great burden, experiencing the mystery of Christmas in a spiritual, mental, emotional aspect, and even in terms of vitality 1 . For example, a father, for example, intuitively suddenly begins to breathe deeply and rhythmically and with his breath “leads” the breath of the mother (many mothers later remember this). After giving birth, when the newly ordained mother is breastfeeding, experiencing a surge of strength and overflowing with happiness, the father who “gave birth” with her most often collapses from fatigue and immediately falls asleep.
1 See the story “Dad at childbirth; pain in half “part 5, section” Home birth “.
As is well known, today in most maternity hospitals in Russia the presence of dads or other relatives is not allowed. In Europe and the United States, the presence of a father at childbirth has long been a normal practice. Most pregnant couples choose this. Even obstetricians working in clinics encourage this practice, because the positive influence of the child’s father on the outcome of childbirth has long been obvious to everyone. About thirty years ago, the American obstetrician Irwin Chabon wrote the following about his father’s presence:
“His (father’s) help, compassion and understanding are of incalculable value in maintaining the emotional health of his pregnant wife. The presence and active participation of husbands has been proven to have a strong and positive effect on the mother’s condition and makes the experience happier and more joyful. Husband involvement also improves the couple’s marital relationship as a result of their shared birth experiences. Partners move together from being a “couple” to being a family. Dads who are present at the birth of their children, as you know, connect more deeply with this child, further strengthening the family ” 2 .
Why do Russian clinical obstetricians still categorically excommunicate the father from childbirth? Sterility? But world practice has proven that the presence of the father does not increase the risk of infection. Father’s unwillingness to attend childbirth? But this is easy to change. It’s hard to be a witness, not a participant. And unprepared dads faint, to whom doctors assign the role of outside observers. It’s really hard: to see strangers doing something to your wife, and not to know what and how you can do it yourself.
When dads understand the essence of the generic process, actively participate in it, then they have no time for fainting. They deeply immerse themselves in childbirth, feeling the state of the mother and child, but at the same time control external events, which, perhaps, is the main reason for the reluctance to actively practice family childbirth on the part of doctors. The presence of a sober, self-controlled father does not allow the medical staff to perform any questionable procedures with the mother and baby at their discretion. Moreover, all actions of doctors require the consent of the woman in labor under the Constitution of the Russian Federation. It is clear that the mother during and after childbirth, especially under the influence of drugs, is not always able to control this, and here father 3 comes out on top .
This is not so much inconvenient as it is unusual for Russian doctors , although this practice has long been established throughout the civilized world.
But in the end, every obstetrician will inevitably have to understand: he (the obstetrician) is allowed to be present and help in the most intimate event of a married couple, which obliges him to behave as tactfully as if he was forced to be present at conception. That is, the main problem is for the obstetrician to change the role of the birthing manager to the role of an assistant in the intimate family process, which, by the way, was stipulated in the WHO recommendations back in 1980 (paragraph 12 in: “It is necessary to consider the birth of a child as a purely personal family event of a sexual nature “).
When the state of California passed a law requiring dads to enter the maternity ward, it was based on a study of 45,000 cases of fathers being present during childbirth, which showed that “there was not a single case of infection associated with this, and not a single court proceedings ” 4 . When this issue was discussed with one Russian doctor, she explained that the situation in Russia differs from the situation in Europe and the United States in that there are special ventilation systems that purify the air, but Russia cannot provide them. The air from the street comes in uncleaned.
2 Paavo A. Every woman’s book, 1984, p. 114.
3 See the story “Dad saves mom from Caesarean” part 5, section “Childbirth in the hospital”.
4 Paavo A. Every woman’s book, 1984, p. 115.
There is some inconsistency in these arguments. If the air comes from outside, how can the presence of the father make it worse? The poverty of the state can be used as a convenient excuse for various problems, but in this case it is not convincing.
Dear dads! Take responsibility for your family – wife, child – into your own hands! Strive for your natural, original, legal right to be present at the birth of your child. According to the testimony of thousands of Russian fathers (including famous people), there is nothing more amazing than taking your baby in your arms. Here is what singer Valery Syutkin says about this:
“Of course, I didn’t do it for the sake of curiosity. My wife believed that my presence would support and reassure her, and I saw no reason not to help her at such a moment. Indeed, this is a very tangible help, and in our case it is also an absolutely natural decision – because we have a very close relationship and we love to do everything together. The sight is amazing and very exciting. In terms of the intensity of feelings and sensations, in terms of tension, it can hardly be compared with anything. And it’s very difficult to describe in words. Well, then, when everything ends, it’s just a flight of happiness, which we have been waiting for so long … I don’t know, probably someone thinks that it is better to do without it, but, in my opinion, such joint experiences only cement the family ” 5 .
They, celebrities and others who paid for such births, were given the opportunity to experience this unique moment in their lives. Why should the other fathers be deprived of this right? After all, just because you paid money, germs do not disappear, and therefore, references to sterility are unfounded.
At home childbirth, the presence of the father is free, and the conditions allow him to become a full participant in the mystery of Christmas. But if your wife, for some reason, will give birth in the hospital, do not miss a unique chance (maybe the only one in your life) – to see the birth of your baby. In some Russian maternity hospitals, fathers may be present at childbirth. Find these maternity hospitals.
Children with us
Ah … it’s just a melon …
Oh! This is actually a child!
— Deige Burnhard, 5 years old,
at the time of the birth of his younger brother —-
It is a blessing to have a baby present at birth. This experience enriches their lives. A child never bothers his mother to give birth. No such cases are known. Children paint the picture of childbirth in warm colors 6 . At many home births, children are present, and this always helps mom and baby. By the behavior of young children, one can judge whether childbirth is progressing well. They start worrying long before there are any obvious signs of trouble.
5 “Moskovsky Komsomolets” dated January 14, 1997
6 See the story “Midwife at four years old” part 5, section “Childbirth in the hospital”.
Babies are often born at night. On the eve, as always, put your older children to bed with songs and fairy tales. Make sure their handles are clean and their nails are cut short. Children will certainly want to touch a newborn. It is very good if in the last weeks before childbirth, the nightly bath becomes a habit with them. This will avoid the hustle and bustle of the crucial night.
Choose someone from your family or loved ones whom the child trusts. This person will be with him during childbirth. He doesn’t have to teach or explain much. It is enough to simply answer questions if they arise. It is important for the baby to experience childbirth, not the reasoning, theories about childbirth, which distract his attention. Sometimes it is enough to say: “I am surprised myself” or “Let’s find out together.” Over time, you will have time to answer all the questions that arise. Now the child is satisfied with his childish understanding of the process. The presence of older children at childbirth (as opposed to their complete exclusion from this family process) never causes them psychological problems.
“I (AA) will never forget how, at the age of six, I was present at the birth of my younger brother Gabriel. A quiet voice and kind hands woke me up in the middle of the night. Mom’s friend took me to my parents’ bedroom. Candles were burning. Mom was breathing deeply. Until now, I am amazed at my solemnly calm state: the absence of fear, shame or disgust, although no one specially prepared me for this moment. Soon a furry black bowling ball appeared. The midwife poured olive oil on him. The ball turned out to be my brother’s head.
I felt this event as something natural and a miracle at the same time. From the first moment I felt great love for my brother, and we have kept a cordial relationship. While he was a baby, I enjoyed taking care of him like my mother’s little helper . ”
No wonder. In-depth research has been carried out, which has shown that there are fewer quarrels, feelings of jealousy and rejection in children who are present at the birth of younger sisters and brothers. This is logical. The child sees the action of the forces that, through the mother, brought the baby into this world. The kid wants to be near him. This is much more than “shopping in the store” or “finding in cabbage”. In the eyes of a child, at the birth of a baby, the memory of a peaceful, cozy home is reflected, where he was surrounded by warmth and care for the first nine months. At this point, a complete family reunion takes place.
Daula (childbirth assistant)
It is very good if your loving husband, sister, mother, or simply a spiritually close person, “daula”, is present during childbirth. It is a Latin word meaning helper. Daula provides you with maternal care during pregnancy, childbirth and the postpartum period. If the midwife takes care of the birth process and the child to a greater extent, then daula is about the woman in labor.
It has been proven that such support during childbirth gives good results: a decrease in the duration of labor, a decrease in the number of women in labor requiring pain relief, and a decrease in the number of caesarean sections. In addition, the breastfeeding period passes more successfully. According to the testimony of many fathers, the presence of daula helps them to get rid of unnecessary stress and really become a real support for their wives.
Childbirth support 7
Section 7 was written by Svetlana Shnyrova.
Nowadays, the so-called support of childbirth is becoming more widespread, when a mother or a married couple is accompanied by an assistant throughout the entire birth. What is behind this?
Childbirth is a special event in a woman’s life, which she experiences not only at the level of physical sensations, but also captures all spheres of emotional and spiritual life. And how the childbirth will go largely depends on what processes are taking place in her inner life. The nature of family relationships, readiness for motherhood, self-confidence, peculiarities of the psychological perception of one’s pregnancy – all these factors can affect the course of childbirth.
Many women are afraid of the loneliness of childbirth, it is difficult for them to relax, they are afraid of pain and suffering. Such negative experiences disrupt the natural course of childbirth, which does not in the best way affect the health of the mother and child. At this moment, the woman in labor needs spiritual support and deep understanding more than ever. It’s good if your own husband can provide such support. And if he is not ready to participate in childbirth? Isn’t there a person who can share with a woman the difficulties and joys of having a baby?
It turns out that there is a special area of professional activity – providing psychological assistance to a woman during childbirth. This profession does not yet have a single name, someone calls this kind of specialists “perinatal psychologists”, someone “spiritual midwives”, someone “helpers in childbirth”. Most often, the role of such an assistant is played by a woman who has her own experience of giving birth and special knowledge in psychology and obstetrics. And although such a profession has just begun to appear in our country, this is not an innovation of recent years, but rather a return to forgotten traditions.
For many centuries, in various cultures, a woman who has given birth more than once, a “midwife”, has provided assistance to a woman in labor. She passed on practical skills and experience of normal, natural childbirth, helped the woman go through new sensations for her, suggested how to behave, and just took care of her comfort. The mother’s needs have not changed since then. She, just like many centuries ago, needs friendly participation, support and care.
In Western countries, there has been a system of psychological assistance for pregnant women and women in labor for many years. In countries such as Finland, Denmark, Sweden, the midwife is directly involved in the psychological preparation of women for childbirth. Communication with a midwife begins long before childbirth, in special classes dedicated to preparing for the birth of a baby. The woman herself chooses a midwife with whom she has developed a particularly trusting relationship. When labor begins, it is this midwife who will take care of the woman in labor. In addition to medical supervision of the course of childbirth, she creates mental comfort around the woman, helps her to relax and enter a special generic state. The doctor intervenes during labor only if there is a serious need.
In the United States, along with a doctor, an assistant, called a daula, can also participate in childbirth. This person has special training and knowledge of the psychophysiology of pregnancy and childbirth. She prepares a pregnant woman for childbirth in advance, gives skills in childbirth, accompanies her during all childbirth, helps to start breastfeeding. A feature of this profession is that, without replacing a doctor, daula treats childbirth as a natural phenomenon and helps make it so for a woman.
Now in our country, women have the opportunity to come to the maternity hospital, accompanied by an assistant. You can usually find it by attending classes at some childbirth centers. They will also tell you which maternity hospitals allow your personal assistant to take part in childbirth8.
8 See the story “Accompaniment in life”, “Childbirth with support”, “Martha” part 5, section “Childbirth in the hospital”.
What is your personal generic plan?
In the “Fundamentals of the legislation of the Russian Federation on the protection of citizens’ health” there are Articles 32, 33 and 34, which states the following:
Consent to Medical Intervention.
A necessary precondition for medical intervention is informed voluntary consent of the citizen.
In cases where the condition of a citizen does not allow him to express his will, and medical intervention is urgent, the issue of its implementation in the interests of the citizen is decided by the council, and if it is impossible to collect the council, by the attending (duty) doctor directly, with the subsequent notification of the officials of the medical and preventive institution. <…>
Refusal of medical intervention.
A citizen or his legal representative has the right to refuse medical intervention or demand its termination, except for the cases provided for in Article 34 of these Fundamentals.
In case of refusal of medical intervention, the possible consequences must be explained to the citizen or his legal representative in a form accessible to him. Refusal of medical intervention with an indication of the possible consequences is made out by an entry in the medical documentation and signed by the citizen or his legal representative, as well as by the medical worker. <…>
Provision of medical care without the consent of citizens.
The provision of medical care (medical examination, hospitalization, observation and isolation) without the consent of citizens or their legal representatives is allowed in relation to persons suffering from diseases that pose a danger to others, persons suffering from severe mental disorders, or persons who have committed socially dangerous acts, on the grounds and in the manner prescribed by the legislation of the Russian Federation. <…>
The provision of medical care without the consent of citizens or the consent of their legal representatives, associated with the implementation of anti-epidemic measures, is regulated by sanitary legislation.
Based on this law, the hospital is required to obtain your consent to any medical procedures (including injections, droppers, etc.). They are also obliged to ask your consent to any manipulations with your child, since you are responsible for him until his majority.
Have you ever heard of this? Indeed, in practice, this almost never occurs, with the exception, perhaps, of such serious interventions as a cesarean section. You can try to avoid such conflict situations, when a mother protests against a procedure, and doctors insist on it, by setting out your requests in advance in your personal generic plan. This form is widespread in the West, where doctors follow the wishes of the woman in labor.
In Russia, practically nothing is known about this. Moreover, a woman in labor who comes to the free department of an ordinary maternity hospital with such a plan will be looked upon as not quite a normal woman.
But now in Russia there are maternity hospitals called “The hospital smiles at the child.” This high title is awarded to them after a thorough check on compliance with the requirements of the World Health Organization and the proper qualifications of personnel. There were 4 such maternity hospitals in Russia in 1998: two in Murmansk, one in Leningrad and one in the city of Elektrostal, Moscow Region. In February 1999, such a maternity hospital also appeared in Moscow – this is maternity hospital No. 6. Now there are about two hundred of them. And this number will grow when women themselves are interested in the appearance of such maternity hospitals. After receiving the title “The hospital smiles at the child” their work is further checked by the WHO representatives.
In addition, you can find out for yourself which other maternity hospitals in your area adhere to the WHO recommendations (at least some of them).
The recommendations of the World Health Organization reflect the global understanding of the relationship between the process of childbirth, the passage of the postpartum period and human health.
Russia, represented by the State Duma, also supported the WHO provisions in May 1998.
Carefully read these recommendations (at the end of the chapter), which international specialists in the field of obstetrics have worked on for a long time (the points that are observed in Russia today in maternity hospitals “The hospital smiles at the child” are in italics).
In maternity hospitals “The hospital smiles at the child”, in addition to the highlighted points, all 10 points of the WHO recommendations on breastfeeding are also observed10.
9 See the list of maternity hospitals at the end of the book.
10 See Chapter 11, The Benefits of Breastfeeding.
In these maternity hospitals, you have a better chance of being heard and accepted with your personal birth plan. You can also include it in the contract for paid childbirth, but be sure to check that all your requirements are recorded in writing and confirmed by doctors.
Approximate generic plan
I was prepared for childbirth, I have a good idea of its course and would like my childbirth to proceed naturally. Therefore, I ask you in advance about the following:
- Do not cleanse my intestines or sanitize my pubis.
- I ask you to give me the opportunity to move freely and change positions during the period of contractions; the opportunity to take a comfortable position for me during attempts; ensure the presence and participation of the husband during all childbirth.
- I refuse any pain relief.
- I refuse medical intervention in the labor process (from any injections).
- I refuse to stimulate labor, artificial opening of the fetal bladder.
- I refuse episiotomy.
- After the baby is born, immediately place it on my breast so that he can pick it up and suck the colostrum.
- Do not cut off the umbilical cord before the placenta is born.
- Do not put sodium sulfacil (albucid) into your child’s eyes.
- Do not wash or rub the grease off your child.
- Do not separate me from the child – I want to be with him all the time after his birth.
- Do not tell me the sex of the child, my husband and I want to see it ourselves.
- We want to dispose of our baby’s placenta ourselves, please save it in a separate container (bag) that we brought.
- Do not give my child the BCG or Hepatitis B vaccine.
The options for the birthing plan depend on both the woman and the hospital where she is going to give birth. In any case, you should discuss your birthing plan with the doctor at the hospital of your choice in advance so that if you cancel the plan or any part of it, you can go to another hospital.
Wherever you decide to give birth, insist that your baby is not separated from you! Even a mother who has undergone a cesarean section has the right to see, touch, smell her child, for which the newborn must be brought to her face and held a little. After that, the child can stay with the father until the mother finishes the operation. If you are expecting a caesarean section, please make an appointment with your doctors in advance. Even with general anesthesia, immediate contact between the baby and the mother is essential. It cannot be said that if the mother is not conscious, then it is not necessary. This is necessary for both the mother and the child. The trauma that occurs when a baby is separated from its mother after childbirth and in the absence of affection and care affects the child’s ability to experience trust and love in later life.
What to pack with you to the hospital
Go or call the hospital where you are going to give birth in advance and find out what you will be allowed to take with you (personal hygiene items, bathrobe, slippers, etc.).
Providing home births
We do not recommend having a home birth without a qualified midwife!
Many couples choose home birth as the more desirable path in life for their child. The intimate atmosphere of home birth allows you to create a new level of mental and spiritual unity of the mother, father and their baby. Sometimes a couple, realizing the importance of this intimacy, does not want the presence of a “stranger” – a midwife. Such a responsible decision can be made only in those cases when the husband and wife have undergone long training and have consciously come to the decision to become obstetricians for themselves, realizing the full responsibility of this step.
But in most cases, couples need a mate. There are already a sufficient number of truly spiritual midwives in Russia. Such an assistant is able to participate in childbirth without disturbing the family’s intimacy. She becomes an invisible guardian and only intervenes when her help is really needed. The very presence of an experienced midwife gives confidence to both the mother-to-be and the father-to-be, allowing her to concentrate on the essentials.
Lovely women! If you are not ready to become your own midwife, do not neglect skilled obstetric care. And at least don’t give it up because of financial problems. Tell your spiritual midwives about them, and they will definitely meet you halfway.
Unfortunately, Russian legislation is not on your side in the case of home births. Thank God, giving birth at home is not prohibited. But the law prohibits the provision of assistance in such childbirth to doctors. Either you go to the hospital – within the framework of the medical system with all the ensuing consequences, or (according to the law!) You must do without qualified assistance. Your obstetricians visit you at your own risk, remember this.
What you need for childbirth
- serviceable, reliable, affordable telephone;
- guaranteed transport;
- a clean set of linen for bed plus two or three clean spare sets;
- a large bowl with a lid for the placenta;
- large oilcloth on the mattress (under the sheet);
- 10-15 large disposable nappies for blotting fluids and blood during labor and the postpartum period;
- sterile gauze wipes;
- desk lamp;
- many large pillows, cushions;
- for water birth – sea salt.
In addition, each midwife has her own preferred first aid kit with a set of herbs and antiseptics, the names of which she gives in preparation for childbirth. We will not list them.
- comfortable clothes that can be easily removed and put on (T-shirt, bathrobe);
- pajamas, a nightgown with a large neckline that allows you to easily open the chest for feeding the baby;
- warm socks;
- rosehip oil, olive or St. John’s wort to massage the perineum during childbirth;
- a large heating pad or ice bubble on the mother’s belly after the end of childbirth (you can use a bag with river sand, salt);
- sanitary napkins, preferably made of soft cotton fabric or cotton wool, calculated for 1-2 weeks (in the first days, abundant discharge is possible);
- clean cotton linen.
For a child:
- thin natural cotton diapers, no less than ten;
- flannel diapers – the same amount;
- cotton and flannel undershirts – five pieces;
- warm blankets – at least two;
- gauze diapers – in large quantities;
- soft blanket and oilcloth on the changing table (if any);
- a small rubber enema to clear the baby’s airways if you don’t use your mouth
- a three-liter jar of water in the refrigerator.
On the kitchen:
- herbal teas;
- high-energy foods: dried fruits, nuts, chocolate, etc .;
- it is good to have semi-finished products in the refrigerator for quick preparation of high-quality food;
- still mineral water.
- maximum love, care and patience.
Attention ! Dad, for a while, you are no longer the center of honor in the family. Take it easy.
It’s good if dad or one of your friends or relatives will cook and wash the clothes for the first 5 days, giving the young mother a rest.
An experienced obstetrician will bring to childbirth what he is accustomed to consider necessary. We respect those spiritual midwives who bring everything with them for a rare but possible pathological situation. So if something bothers you, feel free to ask all your questions in advance. If he (she) himself will not sew up possible breaks, then ask about who will do it. Although possible perineal tears do not pose a risk of bleeding, the soreness and risk of infection is less when they are sutured shortly after birth.
WHO recommendations for childbirth
- Each woman can choose any type of delivery service that she prefers (any position is possible: standing, kneeling, squatting, in the clinic or at home, in the water or “dry”).
- Informal systems of prenatal, delivery and postnatal care (where they already exist) should function alongside the formal system. Cooperation with them should be supported in every possible way in the interests of the mother and child. Such relationships, established in the absence of superiority of one system over another, can be highly effective.
- Information on the methods practiced in the hospital (maternity hospital) chosen by the woman and its statistics should be known to the population served by these hospitals (the incidence of caesarean section, mortality per 1000 births, the incidence of newborns with staphylococci, streptococci, etc.).
- The psychological well-being of the young mother should be ensured not only through the free access of relatives of her choice during childbirth, but also through free visits after childbirth.
- A healthy newborn should stay with the mother when their health conditions permit. Not a single process of monitoring the health of a newborn justifies separation from its mother. Joint communication between mother and child should not be impeded, the duration of which should be determined by the mother’s desire. Mother and baby should be encouraged to share the same room.
- Breastfeeding of the newborn should begin no later than 30 minutes after delivery (that is, still in the delivery room).
- Caesarean section is used on average in no more than 10% of cases.
- Electronic monitoring of the fetus during childbirth does not always adequately affect the process of childbirth. Control observation of the fetus using a computer should be carried out in exceptional cases and during provoked (stimulated) childbirth.
- There is no indication that pubic hair should be shaved or an enema given before childbirth.
- Women need to be able to walk during contractions. Each woman should freely decide what position to take during childbirth.
- Provoking contractions should be practiced no more than 10% of the time.
- During labor, pain relievers and anesthetics should be avoided unless medically indicated.
- Attention should be paid to the emotional, psychological and social aspects of childbirth care:
- the choice of the place of birth and the specific candidacy of the obstetrician taking delivery are important (for paid childbirth);
- it is necessary to preserve physical integrity and keep the mother and child in a separate ward;
- it is necessary to consider the birth of a child as a purely personal family event;
- it is important to provide warmth, proper living conditions and food in the 1st month after the birth of an infant with only breast milk; artificial feeding is permissible in no more than 10% of cases;
- follow-up care is needed after the baby is born;
- paid leave should also be granted to fathers so that they have the opportunity to communicate with the child and provide assistance to the mother;
- in any country or region, the customs associated with the birth of a child should be respected and supported, as long as they do not pose a threat to his health. The placenta, the umbilical cord are the property of the mother and the child;
- care provided at home for all mothers and children should be equivalent to that provided to healthy women and children in hospital;
- all parents and newborns have the right to direct communication from the moment of birth. Communication between mother and child should not be hindered, the duration of which should be determined by the mother’s desire;
- a woman’s medical record or a copy of it can be kept at home, it must contain data on the course of pregnancy and childbirth. The confidential nature of the information contained in these documents must be respected;
- all women and newborns should be tested for immunity by laboratory methods in accordance with the recommendations adopted in their countries, regardless of whether they are at home or in the hospital.
- The time of discharge from the hospital should be determined depending on the condition of the mother and child, the wishes of the parents and support at home. In particular, the policy of discharge from hospital should not be determined only by the criteria of the child’s body weight, but should be focused on the earliest possible discharge.
- Parents have the right to be actively involved early in the care of their child. Public health authorities should strive to include maternal and child health issues in the curricula of universities, medical schools and courses on public health, conduct explanatory and educational work with the aim of preparing young people – parents and health workers – to the responsibility associated with the birth of children, caring for them, through lectures, television, radio, newspapers and other media.