For medical professionals only
This sentence made me vomit
A recent video of a million Internet celebrities on a platform has caused a hot discussion on the Internet: as a person who has come over, she warns everyone not to let her husband accompany the birth, there will be a shadow!
And her husband, when describing his experience of accompanying childbirth, lightly believes that his wife has a child very easily, that is, she sweats a little hard, does not do anything, and has been describing how disgusting the scene of childbirth is:
"Such a big pool of blood, I'm going to throw up on the spot!"
"You want me to cut the umbilical cord, and that sound... Goosebumps all fall to the ground! ”
And one of the "truths" he summed up is: letting her husband accompany the birth is equivalent to forcing him to divorce!
These remarks caused an uproar, and many netizens could not help but spit on their remarks: such a painful process, the attitude of the other half, is really chilling.
Women need to endure huge changes in the blood system, cardiovascular system, and endocrine system during pregnancy, and childbirth is said to be "at the ghost door". It can be seen how much physical and mental torture has been experienced by mothers in childbirth.
How painful is the pain of childbirth?
Everyone has heard of the pain of having a child, but how much does it hurt to have a child?
Many mothers who have had a hard time describing their experiences to me without exception say that it is like the pain of the whole body being torn apart, which only those who have experienced it know.
Medicine classifies pain into 10 grades, and the highest level is childbirth. And this pain does not pass in seconds, often up to ten or twenty hours, or even a day or two.
If you are petite and your baby is strong, the mismatch between the size of the fetus and the mother's birth canal can exacerbate the degree of labor pain. For second-born mothers, some people believe that the pain in the late stages of maternal delivery, especially the second stage of labor, because the muscles that have experienced childbirth have "experience" to adapt to the production process, so that the fetal decline rate becomes faster, and the pain of labor will be aggravated.
Some people say that it is not possible to give birth "painlessly"? In fact, painless childbirth is not completely painless, nor is the entire labor process painless, but it only reduces the pain to a level that most women can tolerate.
Although the size of the maternal uterine opening is not used as the starting time for childbirth analgesia, for safety reasons, the current labor analgesia in many domestic hospitals is implemented when the uterine opening is 2-3 cm, and in this process, many women still experience unbearable pain. And not every woman is suitable for painless delivery, such as coagulation dysfunction, puncture site infection injuries, severe spinal deformities, allergies to anesthetics or opioids, etc. are not suitable for painless delivery insurance.
The blood-stained delivery bed deterred many husbands
Some time ago, someone's Vibrato video saw the husband's blood flowing from his wife's lower body during the delivery process, and he was frightened to hold his wife's hand and said: "I dare not watch." There have even been reports of the accompanying husband being carried out of the delivery room with a faint blood.
They did not know that the amount of bleeding from vaginal delivery within 24 hours after the delivery of the fetus ≥ 500 ml and the caesarean section ≥ 1000 ml, defined as postpartum hemorrhage, was the leading cause of maternal death. The proportion of postpartum haemorrhage reported at home and abroad is about 5%-10%, but the actual postpartum haemorrhage rate is higher due to incomplete assessment. Some pregnant women with gestational hypertension, anemia, dehydration, or short stature may experience serious pathophysiological changes even if they do not meet the criteria for postpartum haemorrhage.
Management and Prevention of Postpartum Haemorrhage (2014) states that when the amount of postpartum haemorrhage exceeds 1500 ml, the highest level of rescue protocols need to be responded to, including multidisciplinary combination therapy, uterine artery embolization, or total hysterectomy.
For patients with refractory postpartum hemorrhage for emergency hysterectomy, they are more likely to have complications such as incision infection, diffuse intravascular coagulation (DIC), thrombosis, and even paralytic intestinal obstruction, acute respiratory distress syndrome, etc., and sheehan syndrome may also occur in the long term (due to major bleeding during childbirth, causing hemorrhagic shock, or even DIC, sympathetic reflex excitement causes arterial spasm or even occlusion, so that the pituitary artery blood supply is reduced or cut off, and the pituitary anterior lobe histiocyte degenerates and necrotic, The anterior pituitary gland and the target organs it dominates to secrete a variety of hormones are drastically reduced, resulting in premature degradation of the function of the target organs acting on various hormones and causing a series of syndromes), which seriously affects the physical and mental health of patients.
The occurrence of postpartum haemorrhage is related to advanced age, especially the opening of the second or even third births, and the incidence of elderly women increases, and the incidence also increases.
Accompanying childbirth, a little more opportunity to empathize
Accompanying childbirth can alleviate maternal tension, fear and anxiety by giving women mental encouragement, psychological comfort and physical support, reduce pain, and facilitate the progress of labor.
Accompanying childbirth in China began in 1992 and has gradually become popular in recent years. Domestic studies show that 68% of first-time women expect their husbands to accompany them. Studies have shown that the husband's full-time accompaniment can significantly improve the outcome of maternal delivery.
Husbands in the process of paternity in the analysis of the first-time mother to accompany the birth showed that almost all the respondents said "I love my wife more" and "I appreciate my wife", which once again confirmed that accompanying childbirth can increase the relationship between husband and wife. However, some husbands have anxiety symptoms and emotional instability in the process of paternity, which may aggravate the emotional tension of the mother and cause a negative paternity effect. Therefore, targeted prenatal health education is needed to maximize the benefits.
There are two sides to everything, and everyone has a different degree of acceptance of things. Whether or not to accompany a child is a two-way wish, and the husband should make a choice based on his or her ability to adapt. The difficulty of women's fertility is worth remembering every husband.
A dowry father once said: Any words that praise the greatness of the mother will look pale and powerless at the moment of childbirth. The husband's silent companionship and encouragement to the mother also expressed his cherishing and love for his wife.
bibliography:
[1] Expert Consensus on Analgesia in Intraspinal Delivery in China (2021 Edition)
[2] Guidelines for the Prevention and Management of Postpartum Hemorrhage (2014)
ZHU Dongmei. Effects of husband's paternity and humanistic care on the outcome of natural childbirth[J]. Shenzhen Journal of Integrative Traditional and Western Medicine,2015,25(11):17—19.
[4] Fu Yuhui, Zhao Hong, Wu Liping, et al. A survey on the experience of maternal spousal paternity[J].Chinese Journal of Nursing,2018,53(1):52-56
[5] Dana, Zhang Xian, Lu Hong, et al. Comparison of birth expectations and childbirth experiences in first-time women[J]. China Maternal and Child Health Care,2013,28(1):29-32.]
[6] Hildingsson I，Haines H，Johansson M，et al．Childbirth fear in expectant fathers：findings from a regional Swedish cohort study[J]．Midwifery，2014，30(2)：248—254．
This article was first published: Medical Sciences Obstetrics and Gynecology Channel
Author: Summer Solstice Cat
Editor-in-Charge: Ichikawa