He bid reflex It is part of normal labor. Once the first stage of labor has passed and the complete dilation is reached, the woman feels great pressure on the pelvic floor and a intense need to exert force to expel the baby.
It is a reflex caused by the distention of the musculature of the pelvis that causes the mother, involuntarily, to contract the diaphragm and abdominal musculature.
Is a instinctive and physiological need that the woman feels when giving birth, a need that should not be controlled or addressed.
The targeted bids
One of the most debated issues in childbirth care focuses on whether or not to direct the mother's bids by telling her when and how to bid.
For years it has been believed that controlling the bids could shorten and facilitate the birth, in fact it is associated with the birth process as usual and normal.
But in recent years several studies have been published that have compared the labor of women whose bids had been directed with those who had responded naturally to the pujo reflex. These investigations conclude that no differences were found in the duration of delivery between one group and the other.
In addition, they suggest that women who receive instructions on how to bid in labor may be more likely to have problems associated with pelvic muscle and bladder dysfunction in the long term.
The question is, why try to control it if it is the mother herself who naturally responds to the desire to bid.
The pujo and epidural reflex
Epidural anesthesia, by numbing nerve roots, you can modify and even suppress the bid reflex.
In most cases, the woman with an epidural does not feel the intense need to push during labor, which is why the midwife or obstetrician tells her when she has to do it to facilitate the expulsion of the baby. It goes from being an unconscious reflex to a directed action.
According to my own experience, I have given birth three times with epidural anesthesia, in the first two deliveries I have not felt the reflex reflex and barely felt the contractions. On the other hand, in the third, perhaps for a more controlled dose, anesthesia blocked the pain but allowed me to feel the contractions and that pressure in the pelvis that indicated "I have to push now."
The pujo reflex and the delivery position
In the expulsive phase, when the mother feels the reflex reflex, secretes high levels of adrenaline and becomes more active. It is a key moment in childbirth when you must have the freedom to adopt the posture in which you feel most comfortable, whether you are lying, standing, squatting, sitting or semi-sitting.
The choice of the birth position is very personal and depends on each woman. To repress that need would be to go against what your body dictates at that time.
