By Darci L.D. Janarelli
Gynaecologist

Most women, whether pregnant or not, usually experience phobia of labor somehow, which despite being a procedure deemed as physiological, isn’t exempt of complications and distress, so such phobia isn’t totally unfounded.

There several types of labor and for each o­ne of them specific risks exist of procedures as a matter of course, apart from risks common to all of them. Firstly, let’s define that babies are fit to be born between the 37th and 42nd gestation week, as probable date in-between 39 to 40 weeks. Prior to 37 weeks, the fetus is considered premature and at birth risk of respiratory disorders and infections. The more premature the biggest risk.

Vaginal childbed may take place by various manners. Those of which nature takes cares in its natural course of action. Being highly enticing to watch, such plasticity of beauty in birth, but unfortunately o­nly a handful of women gets to live it up. Vaginal childbed usually receive aid of an incision in the vulva and vagina, so called episiotomy, in order to enlarge hollow through which the baby comes out, enabling birth. Even though the practice of episiotomy almost imbues brainwashing, it’s not mandatory. The obstetrician, in due time, will decide whether to undertake such procedure.

More often than not, the woman draws close to the end of gestation without gearing up into labor. In such cases, customarily, approach is labor induction, through medication, to provide birth at the briefest way ever.

Most mothers-to-be wind up with the fetus in cephalic presentation, namely, upside down or asynclitism. A small portion, by shear fluke end up in pelvic presentation, in other words, the fetus is squatting, namely obliquity. Pelvic parturition via vaginal must undergo concise scrutiny with regard to success, under the threat of a disastrous an outcome as tragic.  

By and large, women’s deepest fear regarding labor is pain. It’s known that uterine contractions responsible for labor and alterations of the uterine cervix, usually followed by pain. Its intensity, variable from individual to individual, since each o­ne displays unequal threshold.

The option of anesthetics during labor exists, whereupon an anesthetist inserts a catheter in the woman’s spine cord, through which an anesthetic sips, ceasing completely any painful sensation from childbed. This procedure, quite secure, features the inconvenient of overriding the woman’s sensation of abdominal crunches at birth, extremely important, increasing the likelihood of forceps procedure- a two spoon look alike metal device, which inserted in the vagina grips the babies head and pry it out, ensuring birth.

Lastly, the abdominal labor or caesarean, which despite the inherent risks of any given surgery and anesthesia, currently a safe procedure and quick recovery, as showed by its statistical growth, so much so as poised certain countries to launch campaigns pro vaginal labor approach.

Significant role plays child rearing, which will ensure maternal-fetal health as well as continuous preparation for the grand finale, clarifying doubts and promoting tranquility for the would-be-mother until birth