Natural childbirth in the hospital

IIn 1985, WHO made recommendations regarding the attendance of deliveries that have not been considered by the vast majority of Spanish hospitals or encouraged by those most responsible for health.

For a long time women have asked for a more personalized delivery care, more participatory and to rationalize the medicalization of a process that, far from being pathological, should be natural and joyful. Meanwhile, public institutions and are questioning the high level of intervention in normal childbirth, because usually a vulnerability factor and dissatisfaction of the woman and her family on the birth experience.

The International Confederation of Midwives (ICM) has launched a campaign aimed to raise awareness and strengthen their skills for midwives attend normal births, create opinion between women and society on normal midwifery by midwives to discuss with scientific societies on the importance of normal birth and becoming a reference in the Ministry of Health and the respective health counseling. In Catalonia, in March 2007 the Department of Health launched the "Protocol al'assistència per normal natural part, which aims to more hospitals offer this assistance to those women who so wish and meet the criteria for inclusion (pregnancy of low or medium risk).

Later the same year he published the consensus document "Natural Childbirth Initiative" developed by and for midwives and that will be the engine for the implementation of change in hospital delivery care.

Usually the hospital delivery has been synonymous with the party led by an obstetric team on call (gynecologist, midwife or nurse). In such a system, not matter the individual needs of each woman. The woman, on arrival at hospital, is attached to a monitor and if it appears that delivery will be prepared and the serum gives occitocina synthetic, famous drip. She can not move, not allowed to eat or drink.

When pain is unbearable, there is only an epidural. At full dilatation, they were transferred to the delivery room, where as few women who feel like forces and push for the baby is born. And here the practitioner must intervene with a tool or pressing the belly and with an episiotomy.

Once the baby is born, is delivered to another professional for aspirate secretions will dry, you manage a variety of medications, and despite her view before returning him to his mother.

Such interventions are likely to become routine annoying, painful and not without risk. Most of these procedures may be useful in specific situations, but not in every birth.

A different party

We must return to his real birth made sense, starring women, babies and the rest of the family, respecting the times of nature, different for every woman.

If we let the real players live the moment with delivery required, will be strengthened as human beings and professionals should intervene only when strictly necessary. To meet the individual needs of each woman, you must create a relationship of trust and respect and involve women in decision making during pregnancy and childbirth. Women should feel safe to choose what they believe is best for her after discussing it with professionals. From here will your birth plan, a document being incorporated hospitals and where the woman expresses wishes for the time of delivery.

This respectful treatment does not alter the physiological process. The body of the woman who feels secure, together, understood and little observed not produce adrenaline. Epinephrine inhibits the natural secretion of oxytocin, which is the natural hormone that triggers contractions. What is being promoted in hospitals this type of care is widely supported by scientific evidence, professional and more prepared to lend is the midwife of an autonomous, that is, without medical supervision. The physician will act as the midwife to detect that the process deviates from normality and health of the mother or baby are at risk. So the hospital can and should enable women to have freedom of movement, can eat and drink, choose who you want to accompany you and decide what alternative methods you want to be applied in case of pain.

In 1935, Dame Janet Campbell, the head of maternal and child health department of English health ministry said: "It is easier than in the professional atmosphere of the hospital often forget that the birth experience can be terrifying, especially for young women and inexperienced. It's easy to forget how useful it is the kindness and consideration to comfort and relax. Also have to explain everything to lessen the fear and anxiety. A placid woman is easier than to get an easy delivery that they were too afraid or feel pressured. This type of treatment should be part of our good practice and all our relationships. "

We return to the fact of
birth its true sense,
respecting the times of the
nature, different in every woman

Author: Silvia Diaz-MAROTO PEDRET
Delivery Room Supervisor


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*Automatic Translation