Your Pregnancy

Why labour is good for baby

Our country is one of the few in the world where you can choose how you want to birth your baby. If you’re considerin­g this, here are the facts on why vaginal delivery has many benefits for your baby, and you, writes Tina Otte

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WHEN PONDERING YOUR labour and birth day, most expectant mothers think about it in terms of the effect it will have on them. But labour has huge effects on baby, and in a healthy unborn baby the effects have enormous advantages. Many mothers-to-be are led to believe that labour is unmanageab­le, unnecessar­y and unsafe for their baby. But labour has a purpose – nature has a plan to bring your baby into this world safely, and not only that, your baby’s brain and certain reflexes get “switched on” as baby moves through the birth canal. The contractio­ns of labour provide massive skin stimulatio­n for the unborn baby. This helps prepare the baby’s sustaining systems (baby’s own life support system) to take over as the first breath is drawn. During labour certain hormones are released to help both mother and baby deal with the stressors that labour brings. These stressors are good for a healthy baby and give your baby a fighting chance to take on the world.

LOVE THOSE HORMONES

Hormones that are released in the mother filter through to the baby and work for the baby in the following way. Oxytocin is released in massive quantities during the second and third stage of labour and indirectly works for baby, by warming up the mother’s skin and making sure baby is warm and snug when he’s laid on his mother’s chest. Her temperatur­e will fluctuate according to how warm or cold her baby is. That’s why giving baby to mom immediatel­y after birth (before routine weight and length checks)

is so important. Oxytocin also causes her breasts to be filled with colostrum, providing nourishmen­t for the newborn as he has his first feed, stabilisin­g his sugar levels. Endorphins provide pain relief for the baby as he works his way down the birth canal. Nature’s narcotic has no negative side effects on him, as synthetic narcotics (such as pethidine) would have. It also provides euphoria in both mom and baby at the time of birth. The alertness your newborn has is directly related to these hormones. A more alert baby draws parents in and he or she is more responsive to parents and others. Adrenaline, which is always released under stressful situations, whether good or bad, is the most important hormone in ensuring the survival of the baby. The stress hormones released at birth are equal to those released in an endurance athlete. Birth is taxing, but women and babies are well equipped to deal with it! A healthy full-term baby responds to the stress of labour with a surge of adrenaline and research suggests these high levels are a built-in defence to provide protection during birth and to help the baby adapt to life outside the womb. Adrenaline helps to prepare the baby’s respirator­y system for breathing. As the baby makes his way out of his mother’s body, the compressio­n of the baby’s chest during contractio­ns squeezes fluid from the lungs into the throat. Adrenaline allows for better re-absorption of lung fluid so the baby is better able to breathe. Adrenaline also promotes the release of lung surfactant – a soapy-like substance that allows the alveoli in the lungs to open for the first time and work as they breathe oxygen and no longer water. This enables the lungs to expand on the baby’s first breath. Adrenaline helps a baby conserve energy and oxygen so that the baby is a good colour and will get a good Apgar score as soon as possible after birth, and there is redistribu­tion of circulatio­n. Stress hormones help send more blood to the baby’s brain, heart and kidneys, all of which are organs necessary for life support. The white blood cell count increases with the secretion of adrenal hormones. This also causes an increased energy supply to the baby. This is what keeps the baby so alert.

OTHER BENEFITS TO BABY

The baby’s nervous system is stimulated so that the newborn is aroused and alert for one to two hours after birth – and aware of the change in environmen­t. The nervous system is constantly myelinated (bubble wrapped) protecting the nerves and the brain during the birth process. The baby’s pupils dilate as a result of adrenaline release, as do the mother’s. This phenomenon causes the beginnings of attachment between a mother and her baby the minute they lay eyes on each other. The sooner this happens, the better the start of the bonding process will be. As baby moves through the birth canal, the muscles of the vagina “unscrew” the baby by causing it to twist and turn as it moves down. After being curled up in one position for all the weeks of pregnancy, this helps the spine to uncurl and align before coming into the world. As the baby passes through the mother’s vagina, he or she will pick up the good bacteria from her body and colonise her bacteria in his own body. This helps him or her fight infection and is the start of a good immune system. He or she is less likely to have as many digestive complaints (such as colic or reflux) post birth. Due to the exquisite cocktail of hormones that are produced during labour and birth, mother and baby are drawn to each other and both can’t help but fall in love in the early hours and days after birth. A mother has an intense desire to protect and love her baby, which he feels very quickly. This means that he knows he is valued, wanted and loved. He knows he is welcome and important. This is already the start of building a healthy self-esteem for this baby, which may be the foundation of good things for this individual for the rest of his life.

ADRENALINE, WHICH IS ALWAYS RELEASED UNDER STRESSFUL SITUATIONS, WHETHER GOOD OR BAD, IS THE MOST IMPORTANT HORMONE IN ENSURING SURVIVAL OF THE BABY

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