Preparing for Delivery

How to prepare for labour pain

Third-Trimester Body Changes¹

It’s amazing how your body knows just what preparing for labor takes. Many of the changes you’ll likely experience as you progress to delivery and your baby's arrival. Other symptoms are simply a result of your baby’s increasing size.

• Your breasts may continue to grow and your nipples might start leaking colostrum (the liquid that comes in before breast milk and has important nutrients and antibodies for your child).^1,2

• You’ll continue to gain weight, about 1 pound a week³. In this trimester, you should be consuming an extra 450 calories per day over your prepregnancy diet. ⁴ (That’s not as much as you think. A whole-wheat English muffin topped with a sliced apple and 2 tablespoons peanut butter will get you there.^5-7)

• You may have Braxton-Hicks contractions. These are practice contractions, preparing your body for the real thing. They are unpredictable and weak—unlike the steady and b contractions you’ll feel in labor.¹

• You may feel more pain in your back as the weight of your pregnancy increases. Plus, pregnancy hormones relax the ligaments that connect your bones in the pelvic area, which can make your back uncomfortable. A heating pad (on the lowest setting) or ice pack often helps.¹

• Heartburn can increase during the last few months as the uterus gets larger with your developing baby’s growth and presses against your stomach.²

• During the last weeks of your pregnancy, you might notice a decline in movement. This is very common: It’s getting pretty tight inside your uterus, so there’s not much room for your developing baby to move around. But less movement can also be a sign of trouble.⁸ If you think your developing baby is really moving less—and not just replacing b kicks with more subtle stretches—call your doctor right away.

• Frequent urination, hemorrhoids, and vaginal discharge are common toward the end of pregnancy.¹

Preparing Your Mind for Delivery

You may be going through a wide range of emotions and feelings as your pregnancy reaches the final stages and you are preparing for labor. Taking antenatal (childbirth education) or parenting classes can calm some anxiety and leave you feeling more relaxed.

• Antenatal (childbirth education) classes allow you and your partner to become familiar with the stages of labor, methods for labor and delivery, and forms of pain management.⁹ Some classes focus on one method, such as Lamaze; others introduce you to many different methods. Check that you’re signing up for the one that best suits your needs and interests.

• Parenting classes are ideal for first-time parents who have limited experience with children. These classes cover some of the basics, such as feeding, bathing, and diapering your child.⁹

• Sibling classes are a great way for a big brother or sister to learn about the role of an older sibling.¹⁰

Bringing Mind and Body Together

A childbirth plan is a way for you to clearly spell out your ideas and thoughts about your labor and delivery—from methods to support. You can give it out ahead of time to those who will attend the delivery, so any discussions can be resolved before the delivery. And of course, it’s shared with your health-care team. Some items covered in a childbirth plan¹¹:

• Who will be present in the delivery room¹¹

• Pain relief options (especially important if you are trying for a natural delivery), including massage, breathing techniques, and positive imagery^12,13

• If you’re OK with pain medications, what kind you would prefer^12,13

• Your thoughts on having a C-section¹⁴

Having a childbirth plan is good preparation but remember to be flexible. The labor and delivery process is full of surprises, and the primary goal is always to keep mom and your child healthy.

Preparing for delivery to deliver my baby: The start of labor isn’t the same for every woman.

On TV, it looks so easy—there’s a gush of water, a frantic drive to the hospital, a few pushes, and your little one is here. Part of learning how to prepare for delivery is separating the fact from fiction and realizing that it's not always like it is on TV. In reality, it can be a bit trickier. In fact, for some women, it’s hard to tell false labor from the real deal.

Water breaking

For some women, their water breaking is the first sign that the birthing process has begun. It can be a gush of water, like on TV, but for other women, however, it’s a trickle. In some cases, it can be hard to tell the difference between amniotic fluid and urine. Your best bet? Call your doctor. Tell her you’re unsure if your water just broke but describe any odor or the color of the liquid. She’ll probably have you come in for an exam. On the other hand, your water may not break until a health-care provider helps it along at the hospital.

Contractions

Telling the difference between Braxton-Hicks and true labor contractions can be confusing. Generally, true contractions have a regular pattern and last for 30 to 70 seconds.¹⁵ But your doctor is only a phone call away if you need to consult.

References:

1. Mayo Clinic. “Third Trimester Pregnancy: What to Expect.” http://www.mayoclinic.org/healthy-living/pregnancy-week-by-week/in-dept…
2. WomensHealth.gov (Office on Women’s Health, U.S. Dept. of Health & Human Services.). “Pregnancy, body changes and discomforts.” http://www.womenshealth.gov/pregnancy/you-are-pregnant/body-changes-dis…
3. HealthyChildren.org (American Academy of Pediatrics). “Preparing for Delivery.” http://www.healthychildren.org/English/ages-stages/prenatal/Pages/Prepa…;
4. EatRight.org (Academy of Nutrition and Dietetics). “Healthy Weight During Pregnancy.” http://www.eatright.org/Public/content.aspx?id=10933 
5. Agricultural Research Service, United States Department of Agriculture, National Nutrient Database for Standard Reference, Release 27. “18266, English muffins, whole-wheat.” http://ndb.nal.usda.gov/ndb/foods/show/5770?fgcd=&manu=&lfacet=&format=…
6. Agricultural Research Service, United States Department of Agriculture, National Nutrient Database for Standard Reference, Release 27. “09003, Apples, raw, with skin.” http://ndb.nal.usda.gov/ndb/foods/show/2122?fgcd=&manu=&lfacet=&format=…
7. Agricultural Research Service, United States Department of Agriculture, National Nutrient Database for Standard Reference, Release 27. “16098, Peanut butter, smooth style, with salt.” http://ndb.nal.usda.gov/ndb/foods/show/4836?fgcd=&manu=&lfacet=&format=…
8. FamilyDoctor.org (American Academy of Family Physicians). “Your Baby’s Development: The Third Trimester.” http://familydoctor.org/familydoctor/en/pregnancy-newborns/fetal-health…
9. WomensHealth.gov (Office on Women’s Health, U.S. Dept. of Health & Human Services.) “Birthing, breastfeeding, and parenting classes.” http://www.womenshealth.gov/pregnancy/getting-ready/birthing-parenting-…;
10. Mayo Clinic. “Children's health.” 
    http://www.mayoclinic.org/healthy-lifestyle/childrens-health/in-depth/n…
11. KidsHealth from Nemours. “Birth Plans.” http://kidshealth.org/parent/pregnancy_center/childbirth/birth_plans.ht…
12. KidsHealth from Nemours. “Natural Childbirth.” http://kidshealth.org/parent/pregnancy_center/childbirth/natural_childb…
13. KidsHealth from Nemours. “Epidurals.” http://kidshealth.org/parent/pregnancy_center/childbirth/epidurals.html
14. American College of Obstetricians and Gynecologists. “Cesarean Birth (C-section).” https://www.acog.org/-/media/For-Patients/faq006.pdf?dmc=1&ts=20160204T…
15. Signs of labor: Know what to expect. (2016, June 18). Retrieved June 01, 2017, from https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-dept…