CHILDBIRTH PREPARATION COURSE OR PERINATAL ACCOMPANIMENT
This course aims to complement traditional childbirth preparation courses. It includes certain fundamental biomechanical aspects, which in more standard courses are not always taken into account due to each woman’s distinctive physical or biomechanical features. The course objective is to provide each future mother and her partner with the necessary tools to have a healthy labor and birth and for them to feel sure every minute of that process. To this end, we work from different perspectives:
- Treating any discomfort that the mother may feel as her pregnancy advances.
- Preparing the mother’s body for that day: guaranteeing the bending of her hips, lumbar spinal curvature, abdominal elasticity…
- Learning the postures to adopt for dilation and easier labor.
- Recreating everything that will happen that day, to recognize it when the time comes and to feel confidant.
- Resolving any and all questions that come up.
The course consists of 5 one-and-a-half-hour individual sessions for the mom and her partner. Ideally they are designed for the couple to work together but on those occasions that the partner is not available to attend, the mother can take the course on her own.
PERINATAL TREATMENT FOR PREGNANT WOMEN
Physical therapy treatment during pregnancy should not be looked upon as a curative or even preventive treatment because we are not dealing with a pathological or dangerous process. It is much more accurate to speak of accompanying.
Throughout the months of the pregnancy, a woman’s body undergoes tremendous changes to accommodate the baby and to prepare itself for childbirth. This is possible thanks to hormonal and mechanical changes. Progesterone and relaxin permit ligaments and muscles in the entire body to adapt to the baby’s growth. Bones also become more flexible, like those of children; we are talking about living bones.
One of the objectives of accompaniment by a physical therapist during pregnancy will clearly be to avoid damage to the perineum, episiotomies, pubic or rectal diastisis, backache, etc. But above all, the goal will be to prepare the woman’s body and the woman herself, as well as her partner, for the process they will experience, to gain and reinforce confidence in each of the stages: to provide them with tools so both will feel sure.
This will be possible if they know how the process will unfold. It is important to explain the way the body functions. Ask questions, no matter how obvious the answers may seem. Visit the place where the birth will take place. Do the exercises and follow the guidelines to integrate them; memorizing them is not enough, they must be programmed into the motor cortex so that when labor starts, they are completely under control.
Childbirth is painful, but it can also be pleasurable. Knowing and being prepared will help us control the pain. For example, after each contraction, in the moment of calm, endorphins are produced (many women even fall asleep) and these endorphins allow oxytocin to be released. Oxytocin is the hormone that helps with dilation. The human body is a finely tuned machine.
In addition to preparing for childbirth, it is also important to work on postural hygiene: how to sit, stand, turn over in bed, sleep… What many women don’t realize is that the perineum or pelvic floor may be injured during pregnancy (due to bad posture) and not during childbirth.
A patient’s description of his or her pain during an interview reveals practically all the information about the injury. THE KEY: It is finding out the why of the injury, the cause, what the chain is that has led to the injury.
A patient’s description of his or her pain during an interview reveals practically all the information about the injury.
THE KEY: It is finding out the why of the injury, the cause, what the chain is that has led to the injury.