Breathers during pregnancy - base of preparation for delivery

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Secret of correct breathing is in control of your breath and outward breath. Breathing gymnastics is extremely important and useful during pregnancy: being a very important element of preparation for a crucial moment of delivery, it has, at the same time, also independent value


Secret of correct breathing is in control of your breath and outward
breath. Breathing gymnastics is extremely important and useful during
pregnancy: being a very important element of preparation for a crucial
moment of delivery, it has, at the same time, also independent value.
  
Pregnant woman`s breathing is rather peculiar.
  
Growing uterus displaces organs of abdominal cavity and diaphragm up,
as a result movement of diaphragm finds difficulty, and volume of lungs
becomes smaller. Body of a pregnant woman should adjust to it, as a
baby, growing in uterus, requires more and more oxygen (by the end of
pregnancy need in oxygen increases more than 30-40%).
  
Moreover, organism adjusts itself to increased needs in oxygen and due
to intensification of heart work quantity of red corpuscles increases
too - oxygen carriers.
  
Special breathers during pregnancy help organism to adjust itself to new requirements
quicker and in full measure.
  
It is desirable to do breathers every day, either including them in a
complex of gymnastics (between physical exercises and in the end of a
complex), or during the process of relaxation, or as independent group
of exercises.
  
General duration of breathers should not exceed 10 minutes per day.
Such restriction is connected with the fact that pregnant women`s
concentration of carbonic acid in blood is already lowered, and
frequent breathing will lower it even more, what can lead to giddiness.
  
If you feel giddiness during breathers, inhale and don`t breathe out
during 20-30 seconds, if you can, then unpleasant sensations will
disappear.  

Types of breathing

Tubular breathing
  
Put one hand on belly, other- on breast. Make a full exhalation, then,
inhaling through nose, inhale as much air in your lungs, as you can.
Other hand should rise due to the fact that while inhalation ribs are
sliding apart and rising, and diaphragm goes down. After you take a
full inhalation, hold your breath, and then breathe out slowly through
nose.
  
Breathing with delay
  
Take a deep breath through nose, in the end of inhalation hold your
breath, reckon till 20 mentally, and then breathe out sharply through
mouth. In the process of trainings you can try reckon till 20 or even
30. You should breathe this way during the moment of childbirth (end of
second period of delivery).
  
Shallow breath
  
Now you can try breathing easily, quickly, evenly and quietly. Doing
this exercise, remember: only upper part of your thorax should move,
not belly. Observe that your inhalation would be equal to exhalation.
Try to increase duration of shallow breathing little by little up to
10, 20, 30 seconds, and by the end of pregnancy - up to 60. Shallow
breathing will help during severe birth pangs, when cervix is opening,
as diaphragm doesn`t take place in it (first period of delivery).
During birth pangs it is important for diaphragm - a muscle, separating
chest and abdominal cavities, which strains and lowers while
inhalation, - not to press on uterus. So the easier your breathing is
the fewer diaphragms will lower, what is required at this moment.
  
Cogwheel breathing
 
Open your mouth slightly, put your tongue out, inhale and breathe out
loudly (like a dog). Rhythm of breathing should be quickened: take one
inhale-breathe out per second. During process of trainings try to
breath this way firstly for 30 seconds, then 45, and later 60.
  
Cogwheel breathing will be useful in the end of the first period of
delivery, when a woman has a wish to heave, but she cannot do it until
baby head lowers, and in the end of the second period, when it is
already being born.
  
Abdominal breathing
  
Put one hand on belly, other - on breast. Before exercises, take a full
outward breath. Then inhale through nose, raising abdominal wall (i.e.
swelling belly). Hand that lies on a belly should move, and other (on
breast) should be almost motionless. Then breathe out through mouth
slowly, lowering abdominal wall little by little (by the end of breath
out it should return to a starting position). This exercise will help
you to do the following stage of breathing cycle.
  
Full breathing
  
Take a full outward breath before exercise. Then inhale slowly, raising
abdominal wall (belly). Hold your breath in the end of inhale, and
breath out through mouth slowly, lowering firstly chest, and then ribs.
Full breathing is necessary for rest between birth pangs. This exercise
may cause dizziness, so it is better to do it lying and no more than
3-4 times on end.
  
How to use breathers during delivery
  
The first period. In the end of this period a baby`s head, moving in
maternal passages, begins pressing rectum, and mother wants heaving.
But head has not finished its way to exit yet, so she cannot do it now.
As birth pang approaches, a woman feels increasing tension of uterus.
During this time she should breathe deeply, taking full breaths and
outward breaths (full breathing).
  
-    Birth pang has started (a future mother feels pain
and tension of uterus). Now she should use cogwheel breathing
(frequency of breathing should be half frequent, than usual). As birth
pang becomes stronger, frequency of breathing increases: breathe evenly
and quickly, about 2 times more frequently, than usually. Try to keep
your mouth open and correlate strength of breathing with strength of
birth pang.
  
-    When birth pang runs up to peak, take 4 breaths, then breathe out calmly (breathing
with delay).
  
-    When birth pang finishes, take a full breath (using
belly and chest), breathe out slowly till end, straining belly (full
breathing).
  
-    Between birth pangs you need to relax ad breathe your usual way.
  
The second period. Cervix opens completely, and now it is time to
heave, as a baby is born due to bearing-down. Bearing-down takes place
due to following factors: strong birth pang, pressure of diaphragm on
uterus from top and pressure of front abdominal wall muscles from the
front. You should heave three times during one birth pang.
  
-    When birth pang begins, take a deep breath through
nose, to lower diaphragm at most, which will press on uterus from top
(thorax breathing). When you finish breath, hold your breathing. Then
strain belly muscles strongly, which will press on uterus from front,
pushing baby out. Muscles of perineum should remain motionless. Scheme
is following: deep breath - full outward breath and heave, heave,
heave. You should heave on a full breath, pressing on uterus with
diaphragm and whole volume of air in lungs. 

-    When birth pang finishes, breathe deeply and calmly.

-    During birth of baby`s head midwife will ask you
not to heave during pang. This is not easy, but practicable. You will
need to open your mouth and breathe frequently and casually (cogwheel
breathing). To change rhythm of breathing, which you observed during
bearing-down, easily, you can turn your head slightly back, this will
help to change character of breathing. Due to efforts of a lying-in
woman, a baby`s head will be born fluently, softly, not traumatizing
mother`s maternal passages.  

-    During birth of baby`s head midwife will ask you
not to heave during pang. This is not easy, but practicable. You will
need to open your mouth and breathe frequently and casually (cogwheel
breathing). To change rhythm of breathing, which you observed during
bearing-down, easily, you can turn your head slightly back, this will
help to change character of breathing. Due to efforts of a lying-in
woman, a baby`s head will be born fluently, softly, not traumatizing
mother`s maternal passages.  



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