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2023年7月10日 · If you have a heart condition and want to get pregnant, it’s understandable if you’re concerned. Choosing a medical team that specializes in caring for pregnant people with heart disease can help you manage those risks so you have a healthy pregnancy and baby.
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- Overview
- Why choose a ‘natural’ delivery?
- What are the risks?
- What to expect during a ‘natural’ delivery
- What if you change your mind during labor?
- What’s recovery like after a ‘natural’ delivery?
- The bottom line
Whether you decide to give birth at home in your bathtub or schedule a C-section, all forms of birth are natural. You’re a superhero regardless of how that baby comes out of your body.
But the term “natural birth” historically has been used to describe childbirth without medication.
In some cases, this means not using any pain medication during labor, but having other medical interventions, such as fetal heart monitoring. Or it can mean not having any medical intervention at all.
Without pain medication, women rely on relaxation techniques and controlled breathing to help relieve the pain.
If you think giving birth without medication sounds impossible, there are many reasons why some women choose to do it.
Pain medication can affect labor, such as speeding it up or slowing it down. It can also have effects on the mother, such as lowering blood pressure or causing nausea.
Not to state the obvious here, but you’re going to feel pain. Even if you’ve had a baby before, you don’t know how bad your pain will be during labor or how well you’ll be able to cope with it.
Every delivery, whether you use pain medications or not, has a risk of complications, such as heavy blood loss or issues with the umbilical cord. These complications may be harder to detect or treat without medical intervention.
If you choose to have a delivery without pain relievers, you may want to remain open to other options, such as an emergency cesarean delivery (C-section), if they become medically necessary.
People with low-risk pregnancies are the best candidates for a delivery without pain medication.
Why a ‘natural’ delivery may not be the best option for you
If you have a high-risk pregnancy, your healthcare provider may recommend that you do not have a “natural” birth.
You let your labor start spontaneously and progress without medical intervention until you give birth. Your labor is not induced or sped up unless medically necessary.
If you plan to have your baby at a hospital or birthing center, your doctor or midwife can help you choose the best time to go. Depending on preferences, you might be monitored constantly, such as with a fetal heart monitor, just monitored as necessary, or monitored at regular intervals to make sure everything is going smoothly.
When your body is ready, you’ll have a vaginal birth in a birthing position you find most comfortable. You won’t have medical intervention unless it’s necessary for the safety or health of you or your child.
As with all types of childbirth, “natural” birth takes a different amount of time for everyone. Without medical intervention, your cervix will dilate naturally, and you won’t be given medication to speed up labor, so it can take longer.
On the flip side, medical interventions such as epidurals can also slow labor. And keep in mind that delivery often takes longer for first-time moms as well.
The pain level of delivery is also different for everyone. There are a variety of common pain relief methods you may use during delivery.
Some women may change their mind during labor if the pain becomes too intense. And that’s totally fine if you do. Don’t be too hard on yourself if you don’t follow your birth plan. You can have some pain medication at almost any time in your labor, as long as the baby’s head has not started coming out.
Earlier in labor, you might be given an epidural or spinal block. These both allow you to be awake and alert during labor, but with very little pain. Different types of medication can be given in an epidural or spinal injection.
One type is a pain reliever, such as a narcotic. This works well because it relieves pain without creating numbness. It should not affect the baby, like getting an intramuscular or intravenous injection of pain medication might. The other type is a numbing medication that may make you numb from the waist down.
Epidurals start relieving pain within 20 minutes after they’re given, and the amount can be adjusted throughout labor. Spinal blocks start working right away but only last one to two hours. They can only be given once during labor.
Depending on the medication given via an epidural, it can make it harder for you to push. Therefore, pudendal blocks are usually given in late labor. A pudendal block relives pain in the vagina and rectum but allows you to control abdominal muscles and to push. It’s usually given right before the baby starts coming out.
The pain relief isn’t as great as with epidurals, but you’ll be able to push the baby out. Pudendal blocks also don’t affect the baby.
Recovery after any type of childbirth depends on the individual. Many women feel fully recovered in six to eight weeks, but for others, it can take months.
Recovery from a “natural” childbirth is similar to any other vaginal birth. You’ll probably be sore for at least a few days. Sitting on an icepack or taking a sitz bath can help. Don’t forget to take care of yourself and rest as much as you can until you feel fully recovered.
potential medical emergency
The following symptoms could be signs of a post-delivery complication:
•heavy vaginal bleeding
•fever
Your doctor, midwife, or doula can help you better understand the birth process and what to expect. If you’re interested in a delivery without medication, talk to them about whether it’s right for you, and the best way to create your preferred birth plan.
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If you were born with a heart problem or have an inherited heart condition, your baby is more likely to have a heart condition. This applies equally to mothers and fathers. The chances of this vary widely depending on the type of condition you have, from less than a one in 20 chance in many congenital heart problems to one in two in some ...
But with the right preparation and support, women often feel empowered and deeply satisfied by natural childbirth. Here are the pros: Most natural childbirth techniques are not invasive, so there's little potential for harm or side effects for you or your baby.
- Karen Miles
2020年6月30日 · You might also be considered high risk if you have a heart condition, preeclampsia, or diabetes, or if you’re having twins or a baby in the breech position. Our Ob/Gyns and certified nurse-midwives support patients in achieving the birth experience they want without judgment – with or without medication.
2023年4月23日 · A desire to give birth without medical treatments, such as pain medication, labor augmentation, labor induction, or fetal heart rate monitoring. A desire to give birth in a comfortable,...
Should I get a natural birth if I have a heart condition? 相關
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