"It hurts so much that I die and come back to life" "It's equivalent to 10 ribs being broken at the same time"... When it comes to having children, the first thing most people think of is "pain." So, how much does it really hurt to have a baby? On the morning of April 20th, in the classroom of the Pregnant Women's School of Taiyuan Maternal and Child Health Hospital, a theme activity centered on "Caring for Mother's Love, Happy Childbirth" attracted more than 80 parents. At the event site, fathers-to-be experienced through the pain experience device during childbirth, personally felt the pain endured by women when they gave birth. Through the popularization of science by experts, expectant fathers and expectant mothers have also learned that in today's increasingly developed science and technology, giving birth to children can also be "painless".
Gritting her teeth and insisting on reaching level 10 made my wife feel sad and moved
Sun Haijun, a 30-year-to-be father-to-be, as the first person to "eat crabs" that day, confidently said that he could endure level 10 pain. After tying up the electrodes and belt, Sun Haijun sat on the chair with a relaxed look, the instrument had just started, and had not yet entered level 1, Sun Haijun said that he had already had a little pain. Such a beginning makes everyone think that Sun Haijun is about to give up before he has started.
However, Sun Haijun did not forget the "harsh words" he put before the experience began, and chose to continue to insist. Grade 1 and Grade 2, the pain gradually increased, and Sun Haijun's brow began to wrinkle. "If you really can't stand it, touch your wife's stomach, maybe the pain can be alleviated." A father-to-be proposed. Therefore, Sun Haijun slowly extended his hand to the belly of the lover next to him, and at that moment, it seemed that the unborn baby brought him strength, and the newly locked brow stretched out.
It wasn't until the pain increased to level 5 that Sun Haijun's hands were removed from his wife's stomach and tightly grasped the armrest of the chair, and his body kept twisting due to pain. At this time, the head nurse gave him two choices, one was to extend his right hand and press the end button of the experiencer to terminate the experience, and the other was to put his left hand back on his wife's stomach to continue to insist. He was speechless because of the pain, but his left hand told everyone his choice.
The pain level continued to increase, reaching level 7, which was actually an unbearable pain for Sun Haijun, who had not yet started to feel some pain, although he kept shouting: "No, no, it is too painful, I want to cry." But he didn't press the stop button. His persistence made his wife, who was watching next to him, deeply moved in addition to her heartache, and shed tears.
In this way, holding his wife's hand, Sun Haijun gritted his teeth and frowned, and persisted until level 10. "Before I went on stage, I thought it was just a painful feeling, and after this seemingly short but very long 8 minutes, I deeply realized the greatness of every mother, and every birth of life is a miracle." In addition to sighing, Sun Haijun did not forget to express his heartache and gratitude to the wife next to him, promising to redouble his efforts in the days to come, take care of him carefully, and be a competent husband and father.
Saying "It does hurt" on the lips, the expression looks very calm
Meng Chaoran was the third experiencer, after the equipment was put on, he sat on a chair, his fists clenched but pretended to be calm: "Participating in this experience, mainly to give my wife a sample, I hope that when she gives birth, she can stick to it like me." ”
Before the experience, Meng Chaoran was more "Buddhist" about the level of pain he could bear: "Do what you can." At level 1, he said "it really hurts", but his expression did not look like there was any change, very calm, and everyone was full of confidence in Meng Chaoran's persistence to the end. After the pain increased by two levels, the calm Meng Chaoran unconsciously covered his face with his hands to hide his pain, and his forehead was slightly sweaty.
"Can we bear it, or shall we have a caesarean section?" The fathers-to-be in the audience looked like they were "out of the way" and joked about Meng Chaoran. Meng Chaoran looked pained and was powerless to respond to everyone's ridicule. According to the head nurse, this situation is the same as when the mother gives birth, because the pain will consume energy, and the mother is unwilling and does not have the spirit to communicate with the person next to her.
"There are no side effects to this, right?" Meng Chaoran's sudden doubts made the originally solidified air suddenly much easier. "It's all this time, and the question of mind and thought, it seems that it still doesn't hurt enough." When the pain reached level 6, Meng Chaoran, who had just clenched his fist and covered his face, suddenly relaxed his expression and returned to the calm appearance he had when he was in level 1 pain.
Zhang Meihua, director of the obstetrics department of Taiyuan Maternal and Child Health Hospital, said that each person's tolerance is different, that is, the sensitivity to pain is different. When choosing a fertility method, each person can choose different ways according to their ability to tolerate pain, and women with strong tolerance can choose the most natural way of normal delivery, but if they are too sensitive to pain, analgesic delivery is a good choice.
In this way, Meng Chaoran, who was forced to be calm, but clenched his fists and secretly exerted his legs, insisted on level 10 in order to be able to "sample" his wife who was about to give birth, and successfully passed the experience.
"It is not easy for a woman to be pregnant in October and finally experience such a huge pain at a critical moment to multiply and live," Meng Chaoran breathed a deep sigh of relief after untying her belt. At the same time, he also said that when the wife gives birth, she must choose to do analgesic delivery, "Now since there is a way to alleviate the pain without side effects, why don't we accept it?" Meng Chaoran said.
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Three reasons to stop the pace of analgesic childbirth
At the event site, there were many fathers-to-be who participated in the experience, and only a very few were able to persist to level 10. Everyone said that the experience process was only 8 minutes, but the pain was already unbearable for them, not to mention that expectant mothers had to experience several hours or even more than ten hours of pain when they actually gave birth. "This experience device, level 10 is actually equivalent to the mother's three fingers, and 50% of the time the mother is in 10 degree pain." The head nurse introduced.
"Influenced by traditional beliefs, people always say that it is impossible to have children without pain." Zhang Meihua said that with the development of medical technology, the fertility pain that used to plague many pregnant women can now be comfortable through analgesic means to reduce everyone's pain. Many pregnant mothers choose caesarean section to alleviate fertility pain, but caesarean section has many drawbacks compared to analgesic and natural delivery. "It makes the physical process of childbirth a pathological process, with injuries, with trauma, and the mother into a patient." Moreover, the impact on newborns is also very large, and the incidence of digestive, respiratory, and systemic disorders is also increased by caesarean section. Analgesic childbirth can not only alleviate the pain of childbirth, but also has no adverse effects on mothers and newborns, and naturally becomes the best choice for fertility. ”
So what exactly is analgesic childbirth?
Analgesic delivery is divided into two types: non-pharmacological analgesic delivery and drug-induced analgesic delivery. Non-drug analgesic delivery is also known as doula accompanying childbirth, that is, through the spiritual comfort method, breathing method, acupuncture acupuncture point method and other non-drug methods, to help women relax and relax, through the spiritual encouragement to divert attention, so that women adapt to and reduce pain, this method is healthy and safe, there is no risk, but only suitable for mild and moderate pain.
At present, the most effective and relatively safe method of childbirth analgesia in the world is "spinal canal delivery analgesia." "Generally, after the mother confirms the analgesia and delivery, the uterine opening can be opened to two fingers (and some hospitals are three fingers), and the analgesia can be started. The anesthesiologist performs a needle in the back of the woman and places a very thin tube, through which anesthetics are continuously injected through the tube throughout the delivery process to reduce the pain of the woman by means of nerve paralysis.
But analgesic childbirth is not really painless, it is only to reduce the pain of the mother, through the drug to reduce the pain to 1-3 levels, that is, the pain index acceptable to the mother, this pain can help the mother to give birth to force, without feeling particular pain, is the best fertility state.
Analgesic childbirth can reduce maternal pain without affecting maternal and child health, but it is not widely promoted in many hospitals. Zhang Meihua analysis believes that there are three main factors. The first is the most realistic cost problem, although the cost of analgesic childbirth is not high, but because the cost of analgesic childbirth has not been included in medical insurance, so many women still choose natural delivery or caesarean section. The second is the influence of traditional concepts, many young pregnant women can accept analgesic childbirth, but the elders refuse to choose analgesia due to the influence of the traditional concept that "it is impossible to have a child without pain". There is also a concern for children and mothers, because they do not understand, so many people will worry about analgesic childbirth has side effects and adverse effects on children and mothers.
Zhang Meihua explained that many women mistakenly believe that analgesic delivery is expensive. In fact, analgesic childbirth only costs more than a thousand dollars. In order to promote analgesic childbirth as soon as possible, China is gradually incorporating analgesic childbirth into medical insurance, and I believe that one day in the future, as a foreign country, analgesic childbirth can fly into ordinary people's homes as a standard.
"For the mother, it can reduce the pain of maternal fertility, for the newborn, the local anesthetic itself has no obvious side effects, and the amount of absorption into the blood and through the placenta into the fetus is minimal, so there is no adverse effect on the newborn and the mother." Zhang Meihua said.
"China still has a long way to go to popularize analgesic childbirth." Zhang Meihua said that most hospitals have not yet introduced this technology, coupled with people's lack of understanding of analgesic childbirth, the promotion of analgesic childbirth still has a long way to go, the need for the joint efforts of hospitals, mothers and the media, hospitals should regularly carry out analgesic childbirth publicity week activities to popularize analgesic childbirth knowledge, followed by publicity to change everyone's traditional concepts, gradually accept analgesic childbirth, and finally the need for the media to expand the scope and influence of analgesic childbirth through a wide range of promotion and publicity, through joint efforts, To alleviate the pain of maternal childbirth and happily welcome the birth of a new life.
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These questions need to be clarified
1. Is analgesic childbirth really not painful?
Because each woman has a different sensitivity to pain, the effect of analgesic delivery is different, and not all deliveries can be completely painless. If the pain level is graded according to 0-10 points, the pain level of general childbirth is more than 7 points, and the pain can generally be reduced to less than 3 points through analgesic delivery. After using the analgesic delivery method, some women can feel contractions, can cooperate with the labor process, and can also make the upper force more conducive to the delivery of the second stage of labor. If the woman is particularly sensitive to pain, she can self-control the administration according to the degree of pain within the dose set by the anesthesiologist.
2. Will analgesic childbirth affect the health of the newborn?
Caesarean section anesthesia and analgesic delivery techniques belong to spinal canal anesthesia, the drug dose of analgesic delivery is roughly 1/5 to 1/10 of caesarean section anesthesia, local anesthetics themselves have no obvious side effects, and the amount of absorption into the bloodstream and through the placenta into the fetus is minimal, and has no effect on the newborn or the mother.
3. Can a woman who gives birth to analgesia use energy?
Through the accurate control of drug concentration and dosage, the anesthesiologist controls the maternal pain value between 1-3 levels, so that the woman can still experience contractions during the entire delivery process and smoothly enter the second stage of labor, so that analgesic delivery has no significant effect on contractions, labor, productivity and delivery outcomes.
4. Which women can give priority to analgesic delivery?
First, it is suitable for women who are sensitive to pain or have severe labor pain; second, it is suitable for hypertensive women, because severe pain will increase blood pressure, which is easy to cause danger, and such risks can be avoided through analgesic childbirth; and finally, it is suitable for women with scarring uterus, and after receiving analgesia in childbirth, severe pain of contractions can be relieved.
5. Who can't do analgesic delivery?
Before an analgesic delivery, the first step is to obtain maternal consent and sign an Informed Consent Form. At the same time, obstetricians and anesthesiologists also need to conduct a professional evaluation of the mother. Women with coagulation abnormalities, infection or injury at the site of the puncture, hypovolemia or hypotension, and increased intracranial pressure with contraindications to intraspinal block; those who are allergic to local anesthetics or opioids; and women who are unable to cooperate with the puncture are unable to deliver analgesicly.
6. Is postpartum low back pain caused by puncture and anesthetic?
Postpartum low back pain is common, but has little to do with analgesic childbirth. The main causes of low back pain: the center of gravity of pregnancy is tilted, weight is increased, the waist and abdomen muscles become weaker; the baby takes a lot of calcium from the mother, which will lead to the mother's postpartum calcium deficiency; the center of gravity of the baby after childbirth is shifted, the breastfeeding position is not correct, the baby is cared for day and night, and the maternal waist lacks time to rest.
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These 17 hospitals can perform analgesic delivery procedures
In November 2018, the National Health Commission issued the "Notice on Carrying out the Pilot Work of Analgesia in Childbirth", which clearly stated that from 2018 to 2020, a certain number of hospitals will be selected nationwide to carry out the pilot work of analgesia and delivery diagnosis and treatment, so as to promote analgesia and alleviate fertility pain.
In 2019, the General Office of the National Health Commission released the list of the first batch of national analgesic delivery pilot hospitals, and identified 913 hospitals as the first batch of national analgesic delivery pilot hospitals, of which 17 in Shanxi Province.
The 17 hospitals include: the Second Hospital of Shanxi Medical University, the Maternal and Child Health Hospital of Shanxi Province, the Maternal and Child Health Hospital of Taiyuan City, the Taiyuan Taihang Hospital, the Central Coal Hospital of Shanxi Province, the First People's Hospital of Yangquan City, the People's Hospital of Changzhi City, the Maternal and Child Health Hospital of Changzhi City, the General Hospital of Jinmei Group, the Second People's Hospital of Jincheng City, the People's Hospital of Shanyin County, the Maternal and Child Health Hospital of Jinzhong City, the First People's Hospital of Jinzhong City, the Second People's Hospital of Linfen City, the Central Hospital of Yuncheng City, the Maternal and Child Health Hospital of Yuncheng City, and the First Hospital of Yuncheng City.
Shanxi Evening News reporter Xue Lin intern Hu Na communicator Yin Ye Zhang Liang
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Video shooting, production: Shanxi Evening News reporter Zhao Liang