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Monday, April 13, 2009

Management of Delivery

12:52 PM

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Various difficulties and conditions can occur at the time of delivery, requiring procedures to relieve the mother, and safeguard both mother and neonatal.


Enemas

# The use of enemas during childbirth has been criticized, and some hospitals no longer give them to women in labor. One reason that enemas are given is that it is easier for the baby to descend because the intestine is empty. Some doctors are opposed to their use because the mother may feel unnecessary discomfort and confusion; besides, even with an enema, there may still be excrement during delivery.
# Generally, enemas are used early in the delivery process, but they are not used when delivery is speedy and in cases of gestosis and colporrhagia.
# If there is an urge to bear down hard after receiving an enema, leave the bathroom immediately. It could be the sudden onset of childbirth.
# Sitting in the bathroom for a long time during contractions is especially dangerous for mothers who have previously given birth or for women in labor with a premature birth, instances in which the delivery process can proceed quickly.


Fasting

# Fasting is not eating anything, including water. Women are asked to do this in case the need arises for emergency surgery or anesthesia. Food in the stomach can cause aspiration pneumonia, if the food is vomited and it enters the lungs.
# If there are no complications, progress is slow, and the mother is thirsty; drinking some water is acceptable. But because many mothers experience nausea and vomiting during regular contractions, fasting is the general rule.


Bladder control

# Extreme pain and the baby's head pressing on the bladder can make it hard to urinate during labor.
# Try to urinate at least every 3 hours. A full bladder is uncomfortable for the mother, interferes with the delivery process, and may damage the bladder.
# If the mother cannot urinate by herself, a catheter is placed in the bladder to drain it.

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