Giving birth without pain, or at least with a contained pain : it is the aspiration of every woman who approaches the moment of birth, an aspiration that is actually achievable through epidural analgesia , considered the most effective method of limiting the pain of childbirth .

The epidural in Italy and abroad, the data

In Italy, however, the so-called “painless birth” is still relatively widespread . There are complete and updated data for the whole country, but according to a recent survey by the SIAARTI, Italian Society of Anesthesia, Analgesia resuscitation and intensive therapy, the percentage of women in the past two or three years have made an epidural during a vaginal delivery fluctuates between 10% of Marche and Trentino and 35% of Lazio (where, however, 77% of parts with epidurals take place in Rome), passing through 12% of Sicily, 18% of Tuscany, 20% of Umbria, 26% of Liguria, Veneto and Lombardy and 27.7% of Emilia Romagna (data communicated to by professorEdoardoCalderini , director of the department of Anesthesia and intensive care at the Mangiagalli Clinic in Milan and regional councilor of Siaarti for Lombardy).

Data significantly lower than those recorded in other countries: according to Siaarti, epidural analgesia would concern 67% of vaginal parts in the United States, 65% in Japan, 56% in Spain, about 60% in France . One of the main obstacles to a wider dissemination of the epidural is organizational. “Providing women with this form of H24 analgesia seven days a week is a very demanding activity for a structure because it requires a certain number of anesthesiologists, and this generally happens only at larger birth points,” explains Calderini. “On the other hand, it must be said that some regions like Lombardy have made a great effort in this direction in recent years, and that since last year the epidural is included in the essential levels of assistance . Although it is still not guaranteed anywhere, I expect that within a few years the situation will improve more and more ”. Health during pregnancy: seven prenatal exams, an early antenatal interview, three ultrasounds … the monitoring of your health during your pregnancy will be well followed with various gynecological examinations and medical consultations. The goal is to keep a close eye on your fetus and your health throughout the nine months. Your gynecologist will evaluate whether you have been exposed to toxoplasmosis or certain childhood diseases (measles, chicken pox, etc.), if you are likely to have gestational diabetes. It will follow all the more your health if your pregnancy is at risk, if you are likely to have complications, a premature delivery, a miscarriage … and will guide you on the dangers and precautions to take. Week after week, you will probably also ask 1001 questions: pregnant, you have pain, what to do? How to reduce constipation, haemorrhoids, back pain or heavy legs? How to avoid varicose veins and stretch marks? Whether you are followed by a gynaecologist or a midwife, health and pregnancy professionals will, again, have solutions to offer … and they will be there to reassure you in front of these words of pregnancy that sometimes fear (molar or extra-uterine pregnancy, trisomy 21, prematurity, amniocentesis). It’s also time to discover the benefits of water and alternative medicines for your health during pregnancy.

Sleeping on your back in the third trimester increases the risk of stillbirths

A study shows that sleeping on your back at the end of pregnancy increases the risk of giving birth to a stillborn baby. The researchers explain why. Pregnant women know it: finding a good position to sleep in late pregnancy , when the belly takes more and more space, can be a real challenge. And a new New Zealand study will further complicate their task: published in the journal The Lancet , it confirms previous work, indicating that falling asleep on the back in the third trimester increases the risk of giving birth to a dead baby -born.

Sleeping on your back in late pregnancy increases the risk of stillbirth

For this study, the scientists studied information about 851 mothers who lost their babies at birth , and 2257 pregnant women, they explain on The Conversation . According to them, data analysis showed that sleeping on their backs from the 28th week of pregnancy increased the risk of giving birth to a stillborn baby by 2.6.

“This increased risk occurs independently of other known risk factors for stillbirth, but the risk is additive, which means that sleeping on the back is added to other risk factors for stillbirth, such as a baby not grow enough in the belly ” , they decrypt.

Scientists give other examples of factors that increase the risk of giving birth to a stillbirth. This is the case of an advanced maternal age (over 40 years ), obesity , smoking during pregnancy , the fact that it is the first pregnancy or that the woman has already had three or more children . They also point out that studies have already shown that women who come from the Pacific or South Asia are more likely to deliver a stillbirth than Europeans.”If potentially modifiable risk factors can be identified, it would be possible to prevent the death of some of these babies.Our large study shows that if each pregnant woman slept on her side from the 28th week of pregnancy, approximately 6% still births could be prevented, which could save about 153,000 babies worldwide each year, ” they say.

Why sleeping on a pregnant back increases the risk of stillbirth?

According to the researchers, this phenomenon can be explained by the fact that, when one sleeps on the back, the inferior vena cava is compressed . This blood vessel is the most important in the abdomen, and the flow could be reduced by 80% in this sleeping position . However, this vein feeds the uterus , and therefore the baby to be born. To compensate for weakened blood flow, other veins increase theirs, but this is not enough to compensate. The aortic artery is also compressed in this position. This one is responsible for bringing blood containing a lot of oxygen, directly from the heart, to the uterus, and thus the placenta and the baby. “We estimate that future babies can compensate for reduced blood intake, but babies who are not well enough or are vulnerable may not compensate,” say the scientists. Indeed, their study shows that sleeping on the back in the third trimester increases the risk of stillbirth by 16 if the baby is very small.

How to sleep during pregnancy?

The authors of this study therefore recommend that pregnant women sleep sideways during the last trimester , either during the night or during the nap . They remind that the chosen side does not matter and that, if we wake up on the back, it is recommended to put on the flanks. Delayed menstruation, nausea, tiredness … all the signs that can put you in the ear and mean you’re pregnant. In addition to these classic symptoms, pregnancy can have more unexpected consequences. Here is what you told us! Pregnancy is 9 months of happiness, of course! But it’s also 9 months of perpetual questioning about your condition, and new experiences for you and your body. This usually starts with common pregnancy symptoms , such as the absence of periods , nausea, or a sore chest . But other effects can also appear in the three quarters . And yes, pregnancy is far from sinecure, as evidenced by some reactions that you tell us and that you do not necessarily expect when you get pregnant …

The unpleasant consequences: flatulence and other digestive problems

The digestive disorders are common during pregnancy and your testimonies confirm it. Sometimes painful, often embarrassing, they are particularly due to progesterone , a hormone that reduces muscle tone, particularly that of the esophageal sphincter. “The most unpleasant thing when I was pregnant was constipation . Mashed, I spent time in the bathroom. I’d never thought ! “, Recalls Alexandra. For Lila, it is hemorrhoids that tainted her 9 months of happiness. Rosa, she prefers to have fun of the inconvenience: “I had uncontrollable flatulence! Even in public, sometimes I could not hold my pets. My biggest fear was that it happened in a meeting … shame! Now I laugh, but at the moment, I became red tomato. “

Strange food cravings: between cheese chips and cucumbers for breakfast

Ah, pregnant women and their food cravings ! Of course, one thinks of strawberries or chocolate, but sometimes, these desires are much more far-fetched: “I ate tzatziki during the first 3 months of pregnancy. It was the only thing I could swallow. I took them in packs of 15 or 20 boxes, the cashiers laughed, “recalls Elena. For Alexandra, “there was only bread, rosette and gherkins that mattered. Sometimes I went to the coulommiers … even at breakfast! My other cute catch? The cheese fries! ” But each woman develops different desires and we do not really understand them all, as Melissa: “First of all, I want to clarify that I hated it before getting pregnant after nexplanon. But during my pregnancy, I had unexplained cravings for liver and kidney “

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