The nine months of pregnancy are filled with choices and decisions. These include decisions about exercise, clothing, prenatal care providers and birth location. Pregnancy and the childbirth are regarded by most women as one of their most memorable experiences. Being well informed about the options can help provide the gratifying experience that a women and her family desire.

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Types of Natural Childbirth Techniques

There are a number of different techniques that can be used when trying to have your baby without the use of any medical interventions. The following techniques have been successfully used for many years in aiding natural birth. If you are a candidate for natural childbirth, take time to study the different techniques to determine which might work best for you and your partner. It may also be useful to talk to a doctor or your childbirth Educator about your different options.

Hi Friends, I delivered my little princess through normal delivery yesterday. My EDD is 23rd July, but I got my labor contraction naturally without any medications from 20th morning 3am. At beginning, the pain was like farting and 30 mins once we thought it could be false pain. By afternoon I was able to sleep for sometime and was relaxed. But the severe contractions started by evening and was heavier with 10 mins once. Atlast we went to the hospital by 12.05, after CTR and Scan I was immediately admitted. I was dilated 7 cm. I realised the importance of partner in birth process practically, thanks to the knowledge provided by Jayashree ma’am which was very much helpful. Since we chose natural birth, all the preparations were done accordingly. My only job was to push the baby out as per my contractions, it happens naturally (urge to push). But unexpected things always happens for which we need to be prepared that was the important factor of this antenatal classes, when my water brokes it was thick in green colour (meconium – baby went motion inside). As I was in the last stage of my labour, plans immediately changed to normal delivery process at the climax. Thanks to God our princess was fine and healthy. since everything was natural from the beginning in my pregnancy this was also part of it and we accepted it. Be calm and do all the necessary exercises, walking etc., don’t get upset or tensed if something doesn’t go well as planned. Accept the situation accordingly. At the end, holding that miracle in our hands is very important. All the best to all future mom’s to be and my hearty wishes. Happy Parenthood

The Alexander Technique

In learning how to deal with his own vocal problem, F. M. Alexander (1869-1955) developed a technique for sitting, standing and moving with safety, efficiency, and ease. Anyone, including a pregnant woman, can learn to release muscular tension to increase breathing capacity and restore the body’s original poise and proper posture.

As your body begins to experience lower back pain, balance and digestive problems, and shortness of breath, simple modifications in your movement can help alleviate these symptoms. When the time for delivery arrives, you will be able to breathe better, calm yourself, focus during the birth, help open the cervix during dilation and prepare for effective pushing as the baby comes.

 

HypnoBirth in Chennai & Hyderabad

Self-Hypnosis to Reduce Pain in Labor and Childbirth

Using self-hypnosis, the mind can be reprogrammed to expect relaxation and pressure rather than fear and pain. This process reduces the amount of adrenaline that is produced, addressing one of the primary causes of dysfunction in labor. A hypno-birth also reduces the need for interventions including cesarean sections.

It is possible for the mind to produce its own anesthesia by training it to do so when needed. As pressure builds in the body it is a signal to the mind to relax even more so as the labor progresses the reaction in the body is one of release rather than fight.

Relaxation allows for the flowing with the birthing process, releasing tension and tightness. As the downward movement is not restricted by constriction of muscles, the labor can be shortened. In turn, this reduces the trauma on the baby, making for a more relaxed newborn.

Dispelling Misconceptions about Hypnosis for Labor and Childbirth

Admittedly, the idea of using hypnosis can conjure up all kinds of images. However, it is commonly used today therapeutically in a variety of areas in medicine, dentistry, and for personal use. There are a few facts about hypnosis that can make thinking about using this as a means of handling labor and birthing pain easier:

· All hypnosis is self-hypnosis. A hypnotherapist serves as a guide only. A person retains full control and can stay in or come out of a hypnotic state at will.

· Willingness, belief and motivation have influence of the ability of a person to be hypnotized.

· Hypnosis is neither sleep nor unconsciousness – a person can come out whenever they want.

· Stronger-willed people are easier to hypnotize (not the other way around)

· Nothing can be done against the will.

· It is simply a way to direct the inner mind toward something positive. It is not mind control.

· It is not a religious or satanic ritual.

Why Hypnosis for Labor and Birth is Important

During the process of learning hypnosis for labor and childbirth, a couple is taught how to surround themselves with positive messages and positive people. They are taught to create a positive picture of childbirth and to expect their experience will be wonderful, peaceful, beautiful, and filled with the good things they want in the birth.

Clearing fear is essential to the ability to embrace and allow positive mental processes and is done early in the process of learning hypnosis for childbirth.

As mentioned earlier, fear has negative outcomes in labor and delivery:

· fear creates tension

· tension creates pain

· fear and anxiety increase adrenaline production and intensifies pain

· fear causes a release of catecholamine that make the uterus work harder, creating more difficult and longer contractions

The removal of fear and the use of hypnosis during delivery have many benefits, including:

· hypnosis minimizes resistance of muscles to pain and delivery time is shortened

· hypnosis helps control nausea and vomiting and helps to stop post-partum depression

· hypnosis creates a peaceful birthing experience and peaceful baby

· hypnosis reduces the need for episiotomies, anesthesia, pain drugs and medical interventions

· hypnosis increases the mother’s confidence in her own ability to manage the birth naturally – she’s in control

Using hypnosis during pregnancy, labor and delivery can make everything more relaxed and it enhances the experience.

There are several types and methods of dealing with pain during labor and delivery. Investigate them on this site.

 

TESTIMONIAL FOR HAPPYMOM HYPNOBIRTHING SESSION

Aruna Josyula

“After having a normal unmedicated delivery the first with my daughter, I set my heart on a fear free birth this time. I knew I would need some sort of coping mechanism to help me have a fear-free birth. So I researched and read a lot this time around and came to know that a combination of hypno & water birth keeps a labouring mom more relaxed and calm. I wanted to make this labor a good experience, one that gives me confidence and the will power that I can also implement in my life later.

After doing a little research about hypnobirthing classes, I have come across Dr. Vinodha Vunnam. Without any further ado, I signed up for the classes. Al though it was a short session, I was able to grasp the concept of hypnobirthing pretty quickly and easily. Would have loved a few extra sessions to get the breathing techniques right, but I got the information I needed in order to practise at home. After all, hypnobirthing classes are just for you to get an idea of the concept, achieving a perfect hypnobirth is completely in the mother’s hands. The fear releasing scripts, the rainbow relaxation session, all these were pretty wonderful and I was amazed how easily I was able to slip into deep relaxation. Dr. Vinodha’s calming voice helped a lot with this too.

Overall, I am much more confident now and am actually looking forward to my labor :).  I feel that these techniques will help me bring my second born gently into this world

 

Sabha Reuban

Hypno birth in Water Birth

First and Foremost during the birthing the technique which came like a breather was the breathing technique ….

Jayashree Mam taught 3-4 techniques, however I was able to apply the deep breathing one which I felt helped lower the baby when I was resting and during the surges after every exercise . Secondly affirmations were helping my subconscious mind to not give up though my conscious mind was feeing immense pain and wanted to give up .Affirmations from both Jayashree Mam and my Husband was constantly motivating me from within ….it was the best support mentally and emotionally got to finally complete the Birthing.

The pen technique help me let go of present pain and think of the end result,which was the main goal….everytime I dropped the pen to reach the goal….

 

Krithiga Parthiban

As I am a first time mother and I am kind of person who fears for everything but hypnobirth sessions does wonders in my labor…..

continue reading in MY BIRTH STORY section in Activities

 

 

 

 

 

Water Delivery/Birth in Chennai

10 Reasons to Have a Water Birth

Advocates of water birth provide a long list of benefits, some of which are included here:

· Provides greater comfort and mobility because the mother can move around with greater ease to change position in order to help the baby descend the birth canal.

· There is a reduction in pressure on the abdomen as a result of the buoyancy the water provides. Buoyancy promotes more efficient uterine contractions and better blood circulation. The result is better oxygenation of the uterine muscles, less pain for the mother and more oxygen for the baby.

· Water buoyancy also helps the mother conserve her energy. Immersion in water reduces the opposition to gravity, supporting the mother’s weight so that her energy can be used to focus on the contractions.

· The comfort of the warm water promotes deeper relaxation. Relaxation causes hormones to respond and the labor progresses better, more efficiently.

· The pelvic floor muscles become relaxed in water.

· Pain is minimized in water reducing the need for medications for pain.

· Water facilitates the second stage of labor. Many women are less inhibited in water and the warm water softens the vagina, vulva, and perineum, leading to fewer tears and injuries.

· A woman feels empowered when she delivers her baby while remaining awake, aware and in control. It enhances the birth experience for her and enriches her life though a sense of personal strength.

· It’s easier for men to become more involved in the entire process because the woman’s pain level and stress is greatly reduced. Usually men cannot endure seeing their partners in extreme pain or stress. Water birth significantly reduces that concern.

· Better interactions with the child ensue as a mother who has had a beautiful experience birthing her child will have an especially positive association with the baby and likewise, the baby who has not had trauma in birth will be relaxed and positive with the mother.

During the water birth, both mother and baby should be attended by someone who is well experienced in water births to monitor the progress of the labor and the condition of the baby. There are special underwater Doppler devices that can keep track of the baby’s heartbeat and, if the birth is done in a hospital or birthing center, IV lines can be run if necessary.

Our Water Birth Journey

Aarthi Vinod

Dr. Jayashree motivated her to continue what she did and at last the head came out totally. That is when doctors noticed the umbilical cord wrapped around baby’s neck which was the reason for the delay. It was unwrapped and baby came out. I couldn’t control my tears (emotions??) when I saw our little champ. Totally broke down seeing our little darling. Dr said it is a boy and handed over to us immediately. We both were crying holding him inside the pool. 2.32pm it was.

Continue reading in MY BIRTH STORY section under Activities

Water Birth , Sinduja Venkatesh

Finally after a lot of thrust my little ones hair showed out, I felt my baby for the first time. I know am close but decided to take a break to analyze. Taking a deep breath I could see some tolerable wave of pain, some big load to push down, and my husband with the torch in front was encouraging me saying he could see little ones hair! Picking up all energy I could I made this one last power packed push to deliver my baby out, like Dhoni’s winning “6” hurrah! Delivered as both head and shoulder came out. The rest of the body was drawn out by Dr. Suthanthira Devi. I saw my baby’s face but my eyes rushed Down to break the surprise of all the 10 months plus 10 days wait, is it a he or she I tried glancing there with a blurry vision. But with a lot of joy there I saw my husband crying “it’s a girl, it’s a girl” My story would have been really long as my labor. Thanks for the patience, it was a rollercoaster ride and I attribute my successful labor to one stalwart of a woman Dr. Jayashree.

continue Reading in MY BIRTH STORY section in ACTIVITIES

Vaginal Birth after Cesarean in Chennai

What is a vaginal birth after cesarean delivery (VBAC)?

If you have had a previous cesarean delivery, you have two choices about how to give birth again:

• You can have a scheduled cesarean delivery
• You can give birth vaginally. This is called a vaginal birth after cesarean delivery (VBAC).

Vaginal birth after cesarean delivery (VBAC) should be attempted at maternal care facilities that typically manage uncomplicated births if they are capable of performing emergency deliveries, according to updated guidance from the American College of Obstetricians and Gynecologists (ACOG).

Currently, women who attempt trial of labor after cesarean delivery (TOLAC) have a 60 to 80 percent success rate of achieving a vaginal birth. The latest Practice Bulletin states that VBAC allows women to avoid major abdominal surgery and lowers their risk of hemorrhage, blood clots and infection. It also shortens the recovery period and reduces women’s risk of experiencing maternal morbidity or mortality during delivery in a future pregnancy due to repeated C-sections.

WHY VBAC?

 

 

Priya Christy Antony

Wewere blessed with a girl, 7 years back. The pregnancy was normal throughout, and the water broke a week earlier than EDD. Since there were no contractions even after 5 hours of inducing, it ended up being a caesarean.As someone who has always wanted to undergo joy of labour, it was very difficult for my wife to accept it. She found it hard to go through the constraints that followed a caesarean, which was aggravated by a long and painful PPD.

When we decided to have our second child around 5 years back, my wife was hoping for a VBAC. We were in the US where VBAC was considered a possibility. Unfortunately, the pregnancy, while in the US, ended up being a miscarriage after 9 weeks.

Continue reading in MY BIRTH STORY section in Activities

What is a trial of labor after cesarean delivery (TOLAC)?

A trial of labor after cesarean delivery (TOLAC) is the attempt to have a vaginal birth after cesarean delivery.

What are the some of the benefits of a TOLAC?

Compared with a planned cesarean delivery, a successful TOLAC is associated with the following benefits:

• No abdominal surgery
• Shorter recovery period
• Lower risk of infection
• Less blood loss

If you want to have more children, VBAC may help you avoid problems linked to multiple cesarean deliveries. These problems include hysterectomy, bowel or bladder injury, and certain problems with the placenta.

What are the risks of a TOLAC?

With TOLAC, the risk of most concern is the possible rupture of the cesarean scar on the uterus or the uterus itself. Although a rupture of the uterus is rare, it is very serious and may harm both you and your baby. If you are at high risk of rupture of the uterus, TOLAC should not be tried.

Why is the type of uterine incision used in my previous cesarean delivery important?

Some types of uterine incisions are more likely to cause rupture of the uterus than others. Low transverse (side to side) incisions carry the least chance of rupture. Women who have had one or two previous ceasean deliveries with this type of

incision can try TOLAC. High vertical (up and down) incisions carry the most chance of rupture. Women who have this type of incision should not try TOLAC.

What other factors should be considered when deciding whether to have a TOLAC?

In deciding whether to have a TOLAC, you should consider several factors in addition to the type of incision. These factors include whether you want more children, whether you have certain complications, and the hospital where the birth will take place:

• Future deliveries—Multiple cesarean deliveries are associated with additional potential risks.
• Prior uterine rupture—If you had this complication in a previous pregnancy, TOLAC is not advised.
• A pregnancy problem or a medical condition that makes vaginal delivery risky
• Type of hospital—The hospital in which you have a TOLAC should be prepared to deal with emergencies that may arise.

Whatever I decide, are there things that can happen during pregnancy or labor that may change my delivery plan?

Be prepared for changes to your delivery plan. If you have chosen TOLAC, things can happen during pregnancy and labor that alter the balance of risks and benefits. For example, you may need to have your labor induced, which can reduce the chances of a successful vaginal delivery and perhaps increase the chance of complications during labor. In the event that circumstances change, you and your health care provider may want to reconsider your decision.

If you have chosen a repeat cesarean delivery, in some situations, TOLAC may be advised. For example, if you have planned a cesarean delivery but go into labor before your scheduled surgery, it may be best to consider TOLAC if you are far along in your labor and your baby is healthy.

Glossary

Cesarean Delivery: Delivery of a baby through incisions made in the mother’s abdomen and uterus.

Hysterectomy: Removal of the uterus.

 

 

 

How can I prevent the need to have an episiotomy?Help from HappyMom Experts

The following measures can reduce the need for an episiotomy:

• Good nutrition–healthy skin stretches more easily!
• Kegels (exercise for your pelvic floor muscles)
• A slowed second stage of labor where pushing is controlled
• Warm compresses and support during delivery
• Use of perineum massage techniques
• Avoiding lying on your back while pushing

Delayed cord clamping guided by HappyMom Chennai

The Benefits to the Infant of Delayed Cord Clamping  Increased iron stores at birth and less infant anaemia: Studies show a 61% reduction in the rate of anaemia requiring blood transfusion when delayed cord clamping is practiced.7  Decreased intraventricular haemorrhage: Studies show a 59% reduction in the rate of intraventricular haemorrhage in preterm infants when delayed cord clamping is practiced.7  Less necrotizing enterocolitis: Studies show a 62% reduction in the rate of necrotizing enterocolitis among preterm babies when delayed cord clamping is practiced.7  Less infant sepsis: Studies show a 29% reduction in the rate of neonatal sepsis for preterm infants when delayed cord clamping is practiced.7  Fewer blood transfusions needed: Studies show a 52% reduction in the rate of blood transfusions for low blood pressure among preterm babies when delayed cord clamping is practiced.

 

Does delayed cord clamping mean one cannot perform active management of the third stage of labour (AMTSL) to prevent postpartum haemorrhage?

No, delayed cord clamping is a component of the current recommendation for AMTSL and should be performed as a part of AMTSL. The new 2012 WHO guidelines give greater guidance on the essential elements of AMTSL, including the use of uterotonics, controlled cord traction only if the birth is attended by a skilled birth attendant, uterine tone assessment and delayed cord clamping for all babies. The risk of postpartum haemorrhage is no different whether the provider performs early or delayed cord clamping.5 Delaying cord clamping by 1 to 3 minutes benefits the baby and does not interfere with the practice of AMTSL.

MATERNAL HEALTH HIV
Does delayed cord clamping benefit preterm infants (born < 37 weeks)?

Yes, infants born prematurely benefit from delayed cord clamping. Delayed cord clamping in preterm babies increases iron stores and decreases the risk of intraventricular haemorrhage, necrotizing enterocolitis and infant sepsis.4 The WHO 2012 Guidelines on Basic Newborn Resuscitation recommend delayed cord clamping in preterm babies because of these specific benefits to the baby.
Should delayed cord clamping be done for an asphyxiated newborn needing resuscitation?

This practice would depend upon the experience of the provider. The WHO 2012 Guidelines on Basic Newborn Resuscitation state that the cord should be clamped and cut to allow for effective ventilation in term or preterm babies requiring positivepressure ventilation. However, if the clinician has experience in providing effective positive-pressure ventilation without cutting the cord, ventilation can be initiated at the perineum with the cord intact to allow for delayed cord clamping.6

How does delayed cord clamping benefit the nutritional status of the infant?

Iron is a critical micro-nutrient in a child’s development, from immune function to neurological development. When mothers follow the recommendation to exclusively breastfeed for the first 6 months of life, their breast milk provides only a small amount of iron to the infant. To meet the high requirements for iron during this period of growth and development, the baby depends on his/her iron stores from birth. It is suggested that delayed cord clamping provides up to 75 mg of iron (a 3.5month supply) in the infant’s first 6 months of life, and that the greatest benefit is seen in children born at term to iron-deficient mothers and babies with birth weights of less than 3,000 grams.
Does delayed cord clamping prevent all anaemia in children?

No, there are multiple causes of anaemia in children, including malaria, parasitic worms and diarrhoea, which cause the destruction of red blood cells, loss of iron and increased requirements for iron and other nutrients. Preventing placental malaria and iron deficiency in pregnant women will improve the nutritional status of infants at birth (i.e., malaria-control interventions, de-worming and iron folic-acid supplements during pregnancy). Preventing malaria, diarrhoea and other infections in infants younger than 6 months (i.e., sleeping under insecticide-treated bed nets [ITNs] and exclusive breastfeeding) are critical components of a comprehensive anaemia prevention package for infants in their first 6 months. To prevent anaemia in children 6 to 24 months, children need to receive complementary foods rich in iron or iron supplements, and depending on the setting, continue to sleep under ITNs and receive de-worming medication.