How to push baby out?
The most important and technically most difficult part of any labor or delivery process is How to push baby out? The process of labor is of 16 to 18 hours at an average in a woman who is becoming mother for the first time and slightly less in a woman who is multiparous. First time pregnant women have difficulty pushing out the baby due to tight pelvic ligaments and panic of labor. Moreover, women who have good size babies also encounter great difficulty in pushing out the baby and require assisted vaginal delivery techniques like forceps, vacuum and episiotomy.
What are the hazards of improper pushing out of the baby?
It is very important to push the baby at the right time as any improper pushing may lead to:
- Vaginal tear: If mother push without any uterine contraction, undue abdominal pressure of abdominal contents may lead to tearing of vagina, which may lead to excessive bleeding, improper healing and dyspareunia (pain during intercourse) later in the life.
- Perineal tear: Perineal tear is also a complication of improper pushing effort that leads to tearing of perineum, leading to hemorrhage, increased post partum bleeding, difficulty in intercourse, need for longer bed rest after delivery and at times incontinence of feces, urine or both.
- Extension of episiotomy tear: Episiotomy is a surgical scar given to facilitate delivery process and is ideally given during a strong uterine contraction. If it is given in between uterine contractions, it may lead to a longer scar.
Some tips of How to push baby out?
Following are some of the tips to help the mother how to push baby out without causing any complication.
- Pushing out the baby is more like a bowel movement and pregnant woman must be assured that she needs to concentrate on lower part of her body and it doesn’t matter if she passes a stool or urine along with pushing.
- Guide mother about the uterine contractions and when to push. Tell her to save her energy for the last round and until labor enters the final stage, lie is left lateral position.
- Hydrate the mother via intravenous fluids to avoid low blood pressure or excessive thirst.
- The major point in labor is to push the baby’ head and as soon as you deliver the head of the bay, the entire body of the baby ease out of vagina.
- If you are feeling tired and fatigued, do not push for a few contractions until you regain your strength and energy,
To push the baby out, make sure there is no cephalo pelvic disproportion between the size of pelvic cavity and size of the fetal head, as in any such case there are chances of arrested labor.