The term "natural childbirth" in many areas is interpreted as a nostalgic return to the past: birth without an epidural, without oxytocin, give birth without this and without the other. Where the cesarean rate is high (Spain and South America, for example), some people use that term to refer to a vaginal delivery. But natural birth delivery is not simply "no" but one that is thanks to the wonder of physiology, and in which obstetrical procedures apply only if necessary. It is the opposite of medicalized birth, served by conventional obstetrics in technology which replaces the physiology of the female, detracting from the experience of birth, and creating unnecessary risks for mother and baby. In the first case the technique is at the service of nature, in the latter, nature is overcome by the technique. Caesarean section rates in countries and hospitals that respect natural processes do not usually exceed 10%. When cutting the attendance is interventionist, the cesarean rate is always possible to attend superior.No dignity to a woman in labor without understanding the true nature of childbirth: an event is involuntary, as well as sleep or orgasm, although much more complex . We all know what happens when a trata de controlar o dirigir mentalmente estos procesos: simplemente no ocurren. La sola pretensión de controlar un proceso involuntario lo inhibe, y eso es lo que sucede con el parto hospitalario. Ese es el motivo por el cual cuando la mujer llegar al hospital, la dilatación a menudo se estanca. Cuando el parto se inhibe, se prepara el terreno para todo tipo de procedimientos que sustituyen la función de una naturaleza que en estas condiciones, obviamente, no puede funcionar: estimulación con oxitocina, episiotomía, anestesia, fórceps, cesáreas innecesarias … se sustituye un proceso natural sofisticado y sabio por un conjunto de técnicas encaminadas a resolver los problemas a menudo creados por ella misma. Y también to submit a self-paced process with the fast pace established by the hospital. Michel Odent says that of the many questions asked by students of midwifery is one that continues away from curriculum. That question is what are the conditions for fluid delivery?
Privacy, security and emotional support . The best we can do to support an involuntary process is to identify and create suitable conditions to produce alone. It may seem paradoxical that the only way to "humanize" the delivery is recapitulating the fact that we are a "mammalian". Childbirth is an instinctive event, carried out by our brain mamífero, y en el que la participación de nuestra mente racional tiene un efecto contraproducente. Lo más que se puede hacer es rendirse a la experiencia y permitir que ocurra, para lo cual el ambiente en que transcurre y la calidad humana y actitudes de los asistentes es esencial. Ese cerebro mamífero primitivo es también nuestro cerebro emocional (sistema límbico). Es una constante en todas las especies mamíferas que la parturienta necesita una atmósfera de intimidad y recogimiento, de seguridad física y emocional, que le permita entrar en el estado de consciencia especial propio del parto. Cuando este estado de intimidad se impide, cuando una hembra mamífera se siente amenazada, o incluso indiscretamente observada, el parto it interrupts the stress hormones inhibit hormone delivery. This highlights the enormous importance of the mother's emotional state and how it affects the emotional support and his treatment and conditions and the environment in which delivery takes place. The way they treat women in labor can fully determine their progress. Therefore, the first WHO recommendations do not address the technical, but emotional and psychological: Foster a critical obstetric care and delivery technology that respects the emotional, psychological and social services delivery.
Environment and appropriate environment. Labor is directed the mammalian brain (emotional), but inhibited by the neocortex (rational). Michel Odent said that is enough to ask a woman her social security number so that delivery is interrupted. Should therefore be avoided everything that enable rational thinking on women in labor: no need to talk, give orders or interrupted in his "inner journey." Also interfere with the lights, noise, cold, feed ban, the inconvenience of having to maintain a certain position or be in an inappropriate place, such as the delivery room. The conditions for fluid delivery do not differ much from the ideal conditions for sleep, privacy, darkness, silence ... all that allows women to turn inward. Sheila Kitzinger says that "the ideal place to give birth is the same as making love." Freedom of expression
. The repression of the expression of pain during labor has the effect of suppressing the evolution of delivery. Beatrijs Smoulders, Dutch midwife says in his book "Safe Childbirth" (Editorial Medici), "Years ago, a woman in labor was expected to be strong and not say a peep during childbirth. In these cases, the hospital staff could say: "How well does the Lord." While the midwife of today rather think, "Release a bellow at once, ma'am, and so at least something will happen. " Dive in and accept the pain is a necessary condition for the production of endorphins, "opiate" internal buffer and modifying pain perception.
Freedom of movement and posture for the expulsion . Lying down to dilate (attached to the dropper and the monitor) and the colt for the expulsion obstetric go down in history as one of the largest and persistent errors obstetricia.Numerosos studies show that promotes vertical and horizontal confinement as hampers. Horizontally, through the birth canal and narrow stretches the tailbone is directed upwards, becoming in a more narrow passageway for the baby, and also uphill. In vertical position the vagina expands and shortens, but also the pressure of the baby's head on the neck of the uterus exerts a hormonal effect that encourages domestic production of oxytocin, and therefore the expansion. The vertical position shortens and widens the birth canal, allowing the hip joints open up more to make way for the baby, provides its rotation and allows gravity to assist it in its descent. Episiotomy and forceps are technical procedures that replace the physiology of women and the seriousness with evident and painful side-effects bebel mother and woman should be free to expand and give birth in the position that suits you, squatting, sitting on the stool obstetrician, on all fours, side, hanging from someone, standing ... The instinct tells all time what the ideal position by an infallible language: the most comfortable is also more physiological.
respectful professional assistance. Since the physiology of birth as sensitive to the environment, the role of the professional helper is available in a discreet background without interfering on the resources of women to give birth, and obstetric procedures apply only if needed. The role of labor with females.
natural Procedures address pain. The production of endorphins is favored with maximum care conditions under which delivery takes place and avoiding anything that might produce stress. Currently the trend is to use safe and enjoyable ways to cushion the pain, changing position, hot water bath, massage your lower back, foot massage, sit on rubber ball ...
Privacy and time to receive and welcome baby. At birth is a special moment magical, in which the hormonal status of natural childbirth itself creates the conditions to produce the mother-child bond, a bond that has consequences that a lasting relationship on the woman's confidence in their ability to love and raise her son on the baby's emotional development. The baby bond with his mother created the die, the basis of their ability to form attachments later. Thus medicalised birth has consequences not only physical, but psychological and social. Mothers and babies should be together after birth, and at all times, and no justification for a healthy newborn is removed from his mother. Even better with the progress premature Kangaroo with the incubator, or at least with a mixed system. The WHO recommends breastfeeding start before leaving the ward.
Umbilical cord : Respect for the physiology of birth involves recognizing the role of the umbilical cord, which keeps beating and supplying oxygenated blood to the baby for several minutes after birth. Nature does nothing that is not necessary, and those minutes are the time that the newborn needs to start using your lungs without stress or risk of oxygen deprivation. The newborn has the right to dispose of those minutes and that blood, and even more so if you have had fetal distress, and that when you start breathing the blood goes to the lungs to the detriment of the brain. Clamping the cord immediately after birth is a practice that, in light of evidencia científica, debería haber sido abandonada.
Contrariamente a lo que se piensa, parto natural no es volver al pasado, sino recuperar la capacidad y la confianza en la propia naturaleza y rendirse ante ella. Tampoco es renunciar a la tecnología, sino adjudicarle el lugar que le corresponde: las complicaciones, los casos de riesgo. Y es que las prácticas de rutina en el paritorio no son buenas ni malas, son oportunas o inoportunas. Y cuando se imponen de forma sistemática e indiscriminada a mujeres que no las necesitan son inoportunas. La evidencia científica demuestra que el parto natural no sólo es más digno para la mujer, es también el más seguro. Por ese motivo, la Organización Mundial de la Salud recomienda quality of care based on the role of women and their physiology, and the minimum possible degree of medicalization.
Isabel Fernandez del Castillo Author of "The Revolution of Birth." Ed Edaf
Privacy, security and emotional support . The best we can do to support an involuntary process is to identify and create suitable conditions to produce alone. It may seem paradoxical that the only way to "humanize" the delivery is recapitulating the fact that we are a "mammalian". Childbirth is an instinctive event, carried out by our brain mamífero, y en el que la participación de nuestra mente racional tiene un efecto contraproducente. Lo más que se puede hacer es rendirse a la experiencia y permitir que ocurra, para lo cual el ambiente en que transcurre y la calidad humana y actitudes de los asistentes es esencial. Ese cerebro mamífero primitivo es también nuestro cerebro emocional (sistema límbico). Es una constante en todas las especies mamíferas que la parturienta necesita una atmósfera de intimidad y recogimiento, de seguridad física y emocional, que le permita entrar en el estado de consciencia especial propio del parto. Cuando este estado de intimidad se impide, cuando una hembra mamífera se siente amenazada, o incluso indiscretamente observada, el parto it interrupts the stress hormones inhibit hormone delivery. This highlights the enormous importance of the mother's emotional state and how it affects the emotional support and his treatment and conditions and the environment in which delivery takes place. The way they treat women in labor can fully determine their progress. Therefore, the first WHO recommendations do not address the technical, but emotional and psychological: Foster a critical obstetric care and delivery technology that respects the emotional, psychological and social services delivery.
Environment and appropriate environment. Labor is directed the mammalian brain (emotional), but inhibited by the neocortex (rational). Michel Odent said that is enough to ask a woman her social security number so that delivery is interrupted. Should therefore be avoided everything that enable rational thinking on women in labor: no need to talk, give orders or interrupted in his "inner journey." Also interfere with the lights, noise, cold, feed ban, the inconvenience of having to maintain a certain position or be in an inappropriate place, such as the delivery room. The conditions for fluid delivery do not differ much from the ideal conditions for sleep, privacy, darkness, silence ... all that allows women to turn inward. Sheila Kitzinger says that "the ideal place to give birth is the same as making love." Freedom of expression
. The repression of the expression of pain during labor has the effect of suppressing the evolution of delivery. Beatrijs Smoulders, Dutch midwife says in his book "Safe Childbirth" (Editorial Medici), "Years ago, a woman in labor was expected to be strong and not say a peep during childbirth. In these cases, the hospital staff could say: "How well does the Lord." While the midwife of today rather think, "Release a bellow at once, ma'am, and so at least something will happen. " Dive in and accept the pain is a necessary condition for the production of endorphins, "opiate" internal buffer and modifying pain perception.
Freedom of movement and posture for the expulsion . Lying down to dilate (attached to the dropper and the monitor) and the colt for the expulsion obstetric go down in history as one of the largest and persistent errors obstetricia.Numerosos studies show that promotes vertical and horizontal confinement as hampers. Horizontally, through the birth canal and narrow stretches the tailbone is directed upwards, becoming in a more narrow passageway for the baby, and also uphill. In vertical position the vagina expands and shortens, but also the pressure of the baby's head on the neck of the uterus exerts a hormonal effect that encourages domestic production of oxytocin, and therefore the expansion. The vertical position shortens and widens the birth canal, allowing the hip joints open up more to make way for the baby, provides its rotation and allows gravity to assist it in its descent. Episiotomy and forceps are technical procedures that replace the physiology of women and the seriousness with evident and painful side-effects bebel mother and woman should be free to expand and give birth in the position that suits you, squatting, sitting on the stool obstetrician, on all fours, side, hanging from someone, standing ... The instinct tells all time what the ideal position by an infallible language: the most comfortable is also more physiological.
respectful professional assistance. Since the physiology of birth as sensitive to the environment, the role of the professional helper is available in a discreet background without interfering on the resources of women to give birth, and obstetric procedures apply only if needed. The role of labor with females.
natural Procedures address pain. The production of endorphins is favored with maximum care conditions under which delivery takes place and avoiding anything that might produce stress. Currently the trend is to use safe and enjoyable ways to cushion the pain, changing position, hot water bath, massage your lower back, foot massage, sit on rubber ball ...
Privacy and time to receive and welcome baby. At birth is a special moment magical, in which the hormonal status of natural childbirth itself creates the conditions to produce the mother-child bond, a bond that has consequences that a lasting relationship on the woman's confidence in their ability to love and raise her son on the baby's emotional development. The baby bond with his mother created the die, the basis of their ability to form attachments later. Thus medicalised birth has consequences not only physical, but psychological and social. Mothers and babies should be together after birth, and at all times, and no justification for a healthy newborn is removed from his mother. Even better with the progress premature Kangaroo with the incubator, or at least with a mixed system. The WHO recommends breastfeeding start before leaving the ward.
Umbilical cord : Respect for the physiology of birth involves recognizing the role of the umbilical cord, which keeps beating and supplying oxygenated blood to the baby for several minutes after birth. Nature does nothing that is not necessary, and those minutes are the time that the newborn needs to start using your lungs without stress or risk of oxygen deprivation. The newborn has the right to dispose of those minutes and that blood, and even more so if you have had fetal distress, and that when you start breathing the blood goes to the lungs to the detriment of the brain. Clamping the cord immediately after birth is a practice that, in light of evidencia científica, debería haber sido abandonada.
Contrariamente a lo que se piensa, parto natural no es volver al pasado, sino recuperar la capacidad y la confianza en la propia naturaleza y rendirse ante ella. Tampoco es renunciar a la tecnología, sino adjudicarle el lugar que le corresponde: las complicaciones, los casos de riesgo. Y es que las prácticas de rutina en el paritorio no son buenas ni malas, son oportunas o inoportunas. Y cuando se imponen de forma sistemática e indiscriminada a mujeres que no las necesitan son inoportunas. La evidencia científica demuestra que el parto natural no sólo es más digno para la mujer, es también el más seguro. Por ese motivo, la Organización Mundial de la Salud recomienda quality of care based on the role of women and their physiology, and the minimum possible degree of medicalization.
Isabel Fernandez del Castillo Author of "The Revolution of Birth." Ed Edaf
