Fatigue is the body’s way of asking you to take it easy. Now you may need to travel a little slower than usual because blood pressure is not always up to date.
There is nothing on your stomach yet, but in other ways it is noticeable that you are pregnant.
There is nothing on your stomach yet, but in other ways it is noticeable that you are pregnant.
The skin becomes smoother, the gums soften. It is especially important that you take care of your teeth carefully during the rest of your pregnancy.
The fatigue you feel is a signal that you should take it easy. You may feel dizzy if you stand up too quickly, because the blood pressure is a little lower than normal. Read facts and advice on nausea and other pregnancy disorders.
- BestAAH: Look for maternity nursing bras? Check here to find 29 types of pregnancy nursing bras.
Maybe you feel anxious about how the baby is feeling, how the pregnancy will progress and how life should be in the future. Talk to your loved ones and your midwife if you have any doubts about anything. If you have not yet had an enrollment call with a midwife, it is time to book one.
Earlier it was thought that fetuses had no feeling, but now you know that fetuses can feel touch already from the week of pregnancy 10. Feeling first develops in the mouth, then in the face. At week 11, the feeling in the hands develops and the nails begin to grow.
Now the body is about the size of the head.
All the important organs of the fetus are almost finished, now they will only mature and grow in size.
You cannot yet feel the movements of the fetus, but if you were to look with ultrasound they would be clearly visible.
Remember to eat exercise during pregnancy.
Birth fear or birth phobia
Childbirth fears are becoming more common among Swedish mothers. With knowledge, training and – in severe cases – therapy, it is possible to train the “thought traces” that lead to disaster scenarios. Then the birth will not be as scary, but maybe even something you can look forward to.
Don’t miss the eleven tips at the end of this article!
To give birth to children is a great event that is happening all over and all over the world. Nevertheless, for the individual woman it is a truly unique life event that cannot be compared to anyone else’s. An event that is characterized by many of the unpredictability, the feeling of not being in control, of not knowing for yourself what your emotional and physical reactions will look like.
Feeding children has been a physical and mental challenge for women for millennia. Today, in Sweden, it is safer and safer than it has ever been.
Nevertheless, childbirth fears are becoming more common today and the incidence, prevalence, varies between 16 and 31 percent depending on studies and measurement methods.
Childbirth fears are usually divided as follows:
Easy to moderate childbirth
fear The woman’s fear can be handled with the help of preparation and support of the surroundings. The woman can get help through supportive conversations with the midwife / doctor at her midwife’s reception.
Moderate to severe childbirth
fear Occurs in 2-11 percent of pregnant women.
The fear is so great that it interferes with the woman’s everyday life, functions and connection with the child. Women with this type of childbirth fear are referred to a reception with midwives who have a special education for this type of call (Aurora call) or doctor, psychologist, curator. As a rule, this reception is located at the delivery clinic where the woman will then give birth.
2 percent of pregnant women experience what is usually referred to as extreme fear.
The fear is so great that the woman tries to avoid pregnancy / and or vaginal delivery. These women usually need the help of psychologists to work out their phobia.
Who gets scared, and for what?
Fear looks different depending on whether you are a first born or a grandfather. Studies show that firstborns are most afraid of losing control, losing motivation, fear of the unknown, complications and to some extent the pain. The fathers’ fears are usually based on a previous traumatic birth. Then perhaps it was not at all what the woman expected, for example, if she did not receive the support she felt she needed, could not cope with the pain, or suffered from complications such as acute caesarean section, suction clock or large rupture.
Today, about one in 20 pregnant women is affected by very severe childbirth fear, so-called birth phobia. (“Phobia” means avoiding what you are anxious for, for example, relinquishing children or setting themselves up for a planned cesarean.) The
group of childbirths, where the fear of imminent childbirth is so strong that it affects everyday life, also has grown – about one in six pregnant women suffer from this. Most commonly, it is with concern for pain, ruptures, that something should go wrong or that the child and / or mother should be injured during childbirth.
Personal support or medical technology?
Over the past twenty years, the view of the women’s body and the ability to give birth to children has changed. Demands for perfection and control have increased, as has confidence in medical technology. That’s what the midwife and professor Ulla Waldenström says.
– A birth is nothing we can control, which is why it scares many. Here it is about following along, relying on one’s own body and one’s own ability.
The women who get back anesthesia are often the ones who expect the worst; who have more negative expectations of childbirth. Today, anesthesia is used in almost every other vaginal delivery. In eight cases out of ten, it provides great help. Nevertheless, research shows that women who have received this type of pain relief do not experience their delivery more favorably than others.
Safe support provides a better delivery experience
On the other hand, the experience of providing safe support throughout childbirth is one thing that proves to provide a better birth experience. The expectant mother can cope more, have less anxiety and need measurably less pain relief.
Nevertheless, development is going in the opposite direction, the money being used for new technology rather than for more staff. The midwife has no opportunity to sit next to him as safe support throughout the delivery.
In one study, 10 percent of expectant fathers showed childbirth fear. The partner’s secure support during childbirth is important. It can make it easier if the prospective parents have taken a prophylaxis course together, and can generally provide a safe support during childbirth. In cases where the other prospective parent feels very anxious about giving birth, it may be helpful to have the help of an extra support person.
Some take the help of a so-called doula. It is a doula is a woman who has given birth to a child herself, and who is there to support her mother when the time comes.
Doulan works completely outside the healthcare system – she is hired and paid for by the prospective parents themselves. (More info at www.doula.nu)
Natural worry or disabling fear?
Concerns in reasonable proportions are perfectly natural, even desirable by many experts. It makes us work and talk about our thoughts about childbirth and parenthood. But if the turmoil takes over, hinders us in our everyday lives, then it is about what is usually called childbearing fear.
Pregnant women may be afraid of:
– Losing control, panicking
– Failure, failure to help
– Failure to trust staff
– Getting an injured or dead child
– Dying by yourself
– Breaking down, rupturing the genital area
– Unbearable pain
– Operative childbirth, caesarean section, etc.
– Unknown environment, hospital
A previously difficult or traumatic childbirth experience can also dampen these fears.
What is the most important cause of childbirth fear varies between studies, and countries. In Sweden, lack of confidence in the staff and in their own ability appear to be the most common problems.
Knowledge often reduces anxiety
But much of this fear can be remedied by gaining knowledge.
Eva Wiger is an midwife and trained therapist in KBT, cognitive behavior therapy. She has previously worked at the Southern Hospital’s psychosocial unit, in the team that receives women with childbirth fears.
– It is important to help the woman “leg out” where the fear comes from. To “find one’s inner strength” as one usually says, and based on each woman’s individual needs.
It usually is enough with three to four calls. For example, the pregnant woman can get into “homework” to write down her worst fears and hopes. These are discussed at the next meeting, and then entered into the journal so that all this is available to the staff that the woman meets when it is time to give birth.
For single women, the fear of childbirth lies in a specific phobia, for example against syringes.
KASAM – a special conversation methodology
KASAM means that fear is processed with conversations through this model that can be used to explain the woman’s ability to handle difficult situations in life. The model consists of three steps “comprehensibility, manageability and meaningfulness”. Through these three steps, the woman can gain an understanding of dealing with her fears. Understanding means giving the woman an understanding of the actual course of events and seeing her own fear. Manageability means helping the woman find strategies to deal with the situation in question, both based on her own ability, but also what the surroundings can help with. That this then leads to the situation becoming meaningful and motivating to face the event without fear can be greatly improved.
Afraid of childbirth in “pain darkness”
First-time mothers often fear that childbirth should become a single long “pain darkness”. (Please read the expert response ” Pregnant and scared “). Finding out that you can actually rest during the breaks between the painters, and what pain relief is available, can be good help.
For those who are scared of hospitals, a leisurely walk in the maternity ward can provide security.
A woman who worries about “bursting” in the genital area may feel better knowing that such a rupture usually passes unnoticed to the one giving birth, and then stitched together under stunning.
And discomfort feelings about back anesthesia maybe then the woman with information that the knit is not placed in the spinal cord itself, but in a channel on the outside of it.
“What if I panic…”
A common fear is the own insufficiency “What if I panic?” Coping with an unknown situation in an unknown environment can feel insurmountable. But just putting words on the fear can cause the knots to dissolve, Eva Wiger says:
– If you jump parachute you have to practice pulling the toes on the ground first. A childbirth is not as easy to train for, here it is important to have confidence in the process – both the inner, the own body, and the outer, in the labor ward.
For grandparents, it can be a past, negative childbirth experience that causes anxiety or fear.
– Then it can be good to pick up the old records and discuss why it became so traumatic last time. Then it is important to develop a new “target image” for how the imminent birth should be more positive.
To train new ways of thinking – KBT
Anxiety problems are becoming more common in our society. A Swedish study shows that the fear of childbirth also seems to have increased substantially since the beginning of the 1990s.
Fear of panic, of losing control, is not uncommon. “I may flip out completely, everything goes wrong and the child dies” are examples of destructive “thought traces” that can be difficult to get out of.
Fortunately, there are workouts and therapies that can break bad circles, help us to think in ways that will strengthen us instead of breaking down our self-confidence.
The therapy is often based on principles of cognitive behavioral therapy, KBT, and exercises in conscious presence, mindfulness. They talk about fears and why – in fact – it is not dangerous to panic.
As the birth begins to approach, the pregnant woman may also have to bring something to do with her future child. After all, it is about having a small child, and the fear can be alleviated if one has set the sights on this miracle instead of on the birth process.
“Help, I want Caesarean section”
The number of cesarean sections has tripled in thirty years. In most cases, they are medically justified. But there are also women who would rather give their hope to Caesarean section than to a vaginal delivery, where they themselves have to participate more. And the routines vary at different hospitals in the country, in Stockholm more caesarean sections are made due to severe childbirth fear than abroad.
But normally, Caesarean sections should be seen as a rescue in such deliveries that do not run as they should.
The risk of infections is greater after caesarean section than during normal delivery. Blood clots can be congested, although very rare. Breathing problems in the newborn baby are more common after planned Caesarean sections. New, negative long-term effects of Caesarean section have also begun to be seen, such as the fact that children develop allergies more easily.