The Respected Childbirth in Barcelona it is possible with our team of obstetrics located in Barcelona.
One of the most important moments for people: mothers, fathers and relatives, is the birth of our child.
In the experience of childbirth, incomparable emotions and feelings are lived. Despite this, sometimes problems or concerns may arise.
For this reason, it is important to be well informed, as well as accompanied by a trusted team.
What does respected childbirth consist of? natural care for normal childbirth, is the care that is offered during labor in a respectful and humane manner. It consists of respecting as much as possible the physiological evolution of labor with the minimum possible obstetric intervention.
On Institute of Obstetrics and Gynecology Dra. Gómez Roig, located in Barcelona and at the Corachan Clinic, we attend to all types of deliveries.
At this medical center we monitor safe pregnancies and also high risk.
Regardless of the type of pregnancy, we always attend to women at the time of delivery in a respectful and humanized manner.
Our goal is to promote a positive birth experience as much as possible, making it as natural as possible, while taking care of the well-being of the woman and her family.
The respected childbirth in Barcelona
The respected childbirth in Barcelona It is possible with our team of obstetricians located in Barcelona.
Respected or natural care tries to care at all times for the maximum physical and emotional comfort of the mother and her companion, while ensuring the well-being of the baby.
In addition, it does not have to be incompatible with being attended by a good specialist, if this helps to obtain a better health result for the mother or the baby.
Let's not forget that the most important thing is that the mother and the newborn enjoy health after birth and in the postpartum period.
To offer a respectful care for normal delivery we must remember that:
- Childbirth is a natural process that must be respected.
- In the control of the pregnancy, the woman must be adequately informed and can express her care preferences through the birth plan.
- The attitude of any person who participates in labor must be respectful, humane and professional. Waiting for and respecting a natural process is also part of professionalism. Listening and empathizing with the woman and her family during this process favors the humanization of childbirth.
- Knowing the protocols and scientific recommendations to obtain the best health results also help to humanize and respect women in labor.
- The birth plan must be worked on during the pregnancy, in the ideal space to be able to reflect on the process and resolve any doubts that may arise.
What is a respected childbirth
A respected delivery, or humanized childbirth, is synonymous with a natural birth. In fact, natural birth care means the same thing.
Medical advances have involved a significant reduction in maternal complications and neonatal, as well as the mortality of both.
At the same time, we have been able to see how in some cases medical and hospital interventionism has been abused without improving results.
Not all procedures or interventions are justified and action should only be taken when scientific evidence justifies their practice.
Medicine and obstetrics aim to improve people's health.
In pregnancies and low risk deliveries Excessive interventionism is not always justified, since it does not improve maternal or perinatal outcomes.
The respected childbirth, the natural birth or humanized childbirth refers to one that:
- It offers care that is respectful of the physiological or natural process with minimal obstetric intervention or justified medical action.
- It favors the doctor-patient relationship, creating an environment of trust, empathy and human and professional respect. Continuous information and knowing the feelings of women during labor favor good care.
- Facilitating joint decision-making, preserving the safety of the mother and the baby, allows for natural care.
Who can have a respected delivery
Any woman can have the option of having a respected delivery.
Many women believe that this type of delivery is one that must necessarily take place without Epidural anesthesia tubes among other characteristics.
For us, every woman gets her humanized childbirth or natural, if she has felt comfortable, safe and believes that the physiological process has been fully respected.
If the performance or the obstetric intervention It is due to a request from the woman, for example, epidural anesthesia to improve her comfort, but it is still a humanized or respected delivery.
On the other hand, if everything has been respected, and at some point medical action must be taken to improve the condition of the baby or also of the mother due to some risk, we will also consider that up to now it has proceeded naturally.
Usually, the pregnancies in which it is easier for the entire process to occur without any medical or specialized intervention are those that present no risk during pregnancy. pregnancy control.
We must also know that there are pregnancies without gestational risk, but that can be complicated during childbirth.
Despite this, the majority of pregnancies and labors are low risk and allow a natural attention, respected as well as humanized.
What are the best recommendations?
best recommendations to be able to have a respected or natural birth include:
A trusted team
Having a trusted team with which you can treat and learn about natural assistance to normal childbirth.
The team of the Dra. Gómez Roig Institute works continuously to offer confidence and security to our patients and families.
Work the birth plan personalised
The birth plan should be worked on during pregnancy control.
On obstetrics institute and gynecology Dra. Gómez Roig, our midwife or midwife will dedicate the necessary time to resolve doubts and explain well what your respected birth plan will be.
The information includes the usual procedure in low-risk situations, as well as possible variations in cases of any risk appearing.
The modifications that may occur to an initially agreed plan, depending on the actual circumstances, do not imply that care is no longer natural or respected.
It is important to know the possible variations, even if they are only necessary in specific cases, so as not to create false expectations or frustration in the woman or the couple.
Decide the companion of childbirth
It is recommended to decide if the accompanying person It will be the partner or another trusted person.
The woman is free to choose her companion at all times.
Respect women's positions
In addition, the different possible positions in the work of the operator must be informed and respected. respected delivery and delivery of the newborn.
The goal is for the pregnant woman to be comfortable, safe and calm.
If any of them interfere with the natural process of childbirth, the professional will inform you at that time.
Hydrate and feed properly
If the labor process lasts longer than expected, it is important to recommend fluid intake to maintain hydration. Dairy should be avoided.
Offer good emotional support
The team responsible for the process must offer emotional and psychological support to the woman and her companion at all times.
Information should be given about the course of the process and the mother should be involved in decision-making, taking her opinion and preferences into account.
Besides trying to get the woman to be as comfortable as possible offering you alternatives that soothe pain such as showers, massages, nitrous oxide, other analgesic guidelines, etc.
Avoid unnecessary scans
Vaginal examinations will be limited to those necessary, being the minimum, and according to the criteria of the midwife or obstetrician.
During the expulsive phase the woman will push or push in the position that is most comfortable and safe for her.
Know the medical alternatives
The woman should know that sometimes there are labors that can be prolonged and that, with the help of some medication such as prostaglandins, oxytocin, or rupture of the artificial bag can improve its evolution.
Usually these measures are not used in a natural birth, but in some situation of stagnation in the process or where some risk may appear, the aids described can be used.
Before use, the woman should always be informed and her authorization obtained.
Natural remedies to relieve pain
You must report the natural resources available to relieve pain. Other important information in the Respected Childbirth refers to the different existing methods to relieve pain.
Non-pharmacological alternatives can be useful in natural childbirth.
Among the possible methods we have dilation in the bathtub, the use of nitrous oxide, relaxation techniques, freedom of movement, massages, music in the environment, and the use of Nitrous oxide from among others.
Necessary medications
The information must include the possible need for medication in some specific and special situations.
For example, prolonged rupture of the pouch for many hours or vaginal colonization by group B Streptococcus may require antibiotics during the process.
Enemas should not be administered without the prior consent of the woman.
Its usual practice, without medical justification, is not recommended.
Inform of possible risks or changes in behavior
Faced with any risk situation that deviates from normality, the woman must be informed so that the obstetrician can act in coordination with her.
The correct communication in respected childbirth, the understanding and acceptance of the action by both parties facilitates good care practice.
We must not forget that the main objective of good assistance at the birth of our baby is ensure good health of the mother and also of the newborn.
What is labor
Labor It is necessary to be able to give rise to the birth of a baby. Its onset usually occurs between weeks 38 and 42, what we call full-term pregnancy.
In these weeks the baby has already matured its lungs and does not usually present problems at birth.
If the baby is born before week 37, we will talk about prematurity and we will have to notify the neonatologist or pediatrician in case our son needs help at birth.
Beyond 42 weeks we do not recommend prolonging the pregnancy as the risks for the baby and the mother increase.
In fact, we propose the induction of labor starting at 41 weeks, since it has been seen that the results of children and women improve, without thereby increasing complications or the number of cesarean sections.
If a breast does not want induction at 41 weeks, we perform more frequent follow-up to ensure the well-being of the baby and also hers.
In these situations, if any sign appears that warns of a health risk for some of them, we end the pregnancy.
The probable date of delivery that we usually report corresponds to week 40 as the intermediate time between week 38 and week 42.
The calculation of this date is based on the measurement of the baby that is made in the obstetric ultrasound first trimester between 11-13 weeks.
This ultrasound measurement is more certain than the date of the last menstrual period reported by the woman.
The menstrual cycles they can be irregular, which can cause a range of error in the calculations based on the date of the last menstrual period.
How do I know I'm in labor?
To know if the labor has begun we must know some information.
Among the different signs that indicate its beginning we can find:
That the baby fits into the pelvis
When this happens we will notice how it descends and leaves us a little more space under the stomach.
The cervix begins to mature
The maturation of the neck produces modifications in its structure and anatomy. These changes, influenced by hormones, imply an increase in the secretion of vaginal discharge.
Sometimes the discharge may appear mucoid, yellowish, greenish, or streaked with blood.
At the popular level we talk about the expulsion of the mucous plug. When this sign appears, it does not mean that we will give birth soon, as sometimes this occurs days or even a week before the actual labor begins.
Rupture of the amniotic sac
baby lies inside the womb surrounded by amniotic fluid in addition to the amniotic bag or bag of waters.
The breaking of the bag of waters can occur in different ways.
- Sometimes the water breaks before labor begins, and on other occasions as a consequence of the already established process. The bag usually breaks when the gestation has come to term, and although it is less frequent, it can also occur prematurely.
- Premature rupture can favor the premature delivery of our baby, which will require medical attention by the neonatologist at birth.
The Corachan Clinic has a Neonatal Intensive Care Unit from 27 weeks of pregnancy.
On Institute of Obstetrics and Gynecology in Barcelona Dra. Gómez Roig respected and premature labor is attended with professionalism and safety.
The onset of contractions of the uterus
The contractions can cause pain in the lower back or cramps in the stomach area.
During a contraction, the uterus becomes very hard, which can be painful.
At the beginning of labor, contractions are usually irregular and painless.
As the process progresses, these are every 2-3 minutes, last longer, and are more painful. If the contractions are accompanied by cervical changes, in the cervix, we can ensure that labor has begun.
Some women have Braxton Hicks contractions or false labor contractions.
This type of contractions can appear as early as the third trimester, as warming of the uterus, but they are widely spaced and are not painful.
Sometimes these are favored with the woman's movements and position changes. They are not usually continuous and disappear as they come.
If you have these types of contractions, it does not mean that labor has started.
Dilation and effacement of the cervix
the neck, or uterine cervix, is modified when labor contractions are intense and very regular. The neck disappears, erasing initially and dilating later.
In women who have already had a child, effacement and dilation occur simultaneously.
Usually a neck measures approximately 3 centimeters in length, is closed, and has a hard consistency.
With labor the neck softens and shortens until it disappears.
The cervix dilates to about 10 cm, which we call complete dilation. Once the cervix is effaced and fully dilated, the baby's head can pass from the uterus into the vagina and born vaginally.
Whenever a woman has doubts about whether or not her labor has started, and this causes her concern, we recommend that she consult her referral team.
Our team, which attends respected childbirth in Barcelona, understands that it is always better to consult than to avoid a useful visit to the specialist.
You must go or ask as many times as necessary.
The important thing is to ensure the well-being of the mother and her baby.
Video The Respected Childbirth
When should I consult
Whenever someone considers it necessary, or whenever it can help, it is recommended to consult the TEAM, the midwife or the obstetrician.
The consultation is not incompatible with the respected delivery.
If the woman starts having contractions, you can monitor the timing to see how long it is between one contraction and another. That way, you will be able to tell if they are regular or not.
For this, it is recommended to do it with a watch with a second hand. This will help control how long each contraction lasts.
On the other hand, it is recommended to consult the midwife or obstetrician if the woman believes that she is in labor already established, or if any of the following signs appear:
- Labor begins prematurely, before 37 weeks.
- There is bleeding or bleeding from the vagina.
- If you have continuous abdominal pain that does not go away.
- You have 6 or more contractions in an hour, or contractions come every 10 minutes or less.
- Notes sensation of weight in the vagina.
- You have a fever or general malaise.
- If you have a risk pregnancy and labor begins.
On Institute of Obstetrics and Gynecology in Barcelona Dra. Gómez Roig we serve people in a professional manner without leaving our human and personalized side aside.
Attention to childbirth respected in the Corachan Clinic It is part of our usual spontaneous assistance fully aligned with our way of doing things. The physical and emotional well-being of women as well as their companions is essential in our care.
Our midwife and our obstetricians they ensure at all times that the pregnant woman and her family have a positive experience of pregnancy, childbirth and postpartum.
If you have any questions, do not hesitate to contact us. We hope this post has been helpful to you. The Respected Childbirth.
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- About the Author
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Head of the Obstetrics and Gynecology Service at the Sant Joan de Déu Hospital in Barcelona. Associate Professor of Obstetrics and Gynecology and Coordinator of the Sixth Course of Medicine at the University of Barcelona, UB. Director of the Dra. Gómez Roig Institute and Coordinator of Obstetric and Gynecological Processes at the Corachan Clinic in Barcelona.