Learning all you can about labor and delivery is one of the best ways to help you manage the pain of childbirth when the time comes. Pain During Labor and Delivery Pain during labor is caused by contractions of the muscles of the uterus and by pressure on the cervix. This pain can be felt as strong cramping in the abdomen, groin, and back, as well as an achy feeling. Some women experience pain in their sides or thighs as well. Other causes of pain during labor include pressure on the bladder and bowels by the baby's head and the stretching of the birth canal and vagina. Pain during labor is different for every woman. It varies widely from woman to woman and even from pregnancy to pregnancy. Women experience labor pain differently — for some, it resembles menstrual cramps; for others, severe pressure; and for others, extremely strong waves that feel like diarrheal cramps. It's often not the pain of each contraction on its own that women find the hardest, but the fact that the contractions keep coming — and that as labor progresses, there is less and less time between contractions to relax. Preparing Yourself To help with pain during labor, here are some things you can start doing before or during your pregnancy: Regular and reasonable exercise (that your doctor says is OK) can help strengthen your muscles and prepare your body for the stress of labor. Exercise also can increase your endurance, which will come in handy if you have a long labor. The important thing to remember with any exercise is not to overdo it — and this is especially true if you're pregnant. Talk to your doctor about what he or she considers to be a safe exercise plan for you. If you and your partner attend childbirth classes, you'll learn different techniques for handling pain, from visualization to stretches designed to strengthen the muscles that support your uterus. The two most common childbirth philosophies in the United States are the Lamaze technique and the Bradley method. The Lamaze technique is the most widely used method in the United States. The Lamaze philosophy teaches that birth is a normal, natural, and healthy process and that women should be empowered to approach it with confidence. Lamaze classes educate women about the ways they can decrease their perception of pain, such as through relaxation techniques, breathing exercises, distraction, or massage by a supportive coach. Lamaze takes a neutral position toward pain medicine, encouraging women to make an informed decision about whether it's right for them. The Bradley method (also called Husband-Coached Birth) emphasizes a natural approach to birth and the active participation of the baby's father as birth coach. A major goal of this method is the avoidance of medicines unless absolutely necessary. The Bradley method also focuses on good nutrition and exercise during pregnancy and relaxation and deep-breathing techniques as a method of coping with labor. Although the Bradley method advocates a medicine-free birth experience, the classes do discuss unexpected complications or situations, like emergency cesarean sections. Medicine-free ways to handle pain during labor include: hypnosis yoga meditation walking massage or counterpressure changing position taking a bath or shower listening to music distracting yourself by counting or performing an activity that keeps your mind otherwise occupied Pain Medicines A variety of pain medicines can be used during labor and delivery, depending on the situation. Many women rely on such medicines, and it can be a huge relief when pain is quickly eased and energy can be focused on getting through the contractions. Talk to your health care provider about the risks and benefits of each type of medicine. Analgesics. Analgesics ease pain, but don't numb it completely. They don’t affect sensation or muscle movement. They can be given many ways. If they are given intravenously (through an IV into a vein) or through a shot into a muscle, they can affect the whole body. These medicines can cause side effects in the mother, including drowsiness and nausea. They also can have effects on the baby. Regional anesthesia. This is what most women think of when they consider pain medicine during labor. By blocking the feeling from specific regions of the body, these methods can be used for pain relief in both vaginal and cesarean section deliveries. Epidurals, a form of local anesthesia, relieve most of the pain from the entire body below the belly button, including the vaginal walls, during labor and delivery. An epidural involves medicine given by an anesthesiologist through a thin, tube-like catheter that's inserted in the woman's lower back. The amount of medicine can be increased or decreased according to a woman's needs. Very little medicine reaches the baby, so usually there are no effects on the baby from this method of pain relief. Epidurals do have some drawbacks — they can cause a woman's blood pressure to drop and can make it difficult to pee. They can also cause itching, nausea, and headaches in the mother. The risks to the baby are minimal, but include problems caused by low blood pressure in the mother. Tranquilizers. These drugs don't relieve pain, but they may help to calm and relax women who are very anxious. Sometimes they are used along with analgesics. These drugs can have effects on both the mother and baby, and are not often used. They also can make it difficult for women to remember the details of the birth. Discuss the risks of tranquilizers with your doctor. Natural Childbirth Some women choose to give birth using no medicine at all, relying instead on relaxation techniques and controlled breathing for pain. If you'd like to experience childbirth without pain medicine, discuss this with your health care provider. Things to Consider Here are some things to think about when considering pain control during labor: Medicines can relieve much of your pain, but probably won't relieve all of it. Labor may hurt more than you expected. Some women who had said they want no pain medicine whatsoever end up changing their minds when they're actually in labor. Some medicines can affect your baby, making the baby drowsy or causing changes in the heart rate. Talking to Your Health Care Provider You'll want to review your pain control options with the person who'll be delivering your baby. Find out what's available, how effective they're likely to be, and when it's best not to use some medicines. If you want to use pain-control methods other than medicine, make sure your health care provider and the hospital staff know. You might want to also consider writing a birth plan that makes your preferences clear. Remember, many women make decisions about pain relief that they abandon — often for very good reason — at the last minute. Your ability to endure the pain of childbirth has nothing to do with your worth as a mother. By preparing and educating yourself, you can be ready to decide what pain management works best for you. Back to Articles Related Articles Birth Plans The reality of labor and birth may seem extremely far off - but now's the time to start planning for your baby by creating a birth plan that details your wishes. Read More Are You in Labor? Here's how to tell the difference between true labor and false labor -- and when to get medical care. Read More Epidurals Epidurals can make giving birth more calm, controlled, and comfortable. Find out more. Read More Natural Childbirth Some women choose to give birth using no medications at all, relying instead on relaxation techniques and controlled breathing for pain. Get more information on natural childbirth. Read More Inducing Labor Find out why doctors may induce labor if you're past your due date, how it may be done, and how it may affect you and your baby. Read More Cesarean Sections (C-Sections) Many babies are delivered via cesarean sections. Learn why and how C-sections are done. Read More Staying Healthy During Pregnancy During your pregnancy, you'll probably get advice from everyone. But staying healthy depends on you - read about the many ways to keep you and your baby as healthy as possible. Read More A Guide for First-Time Parents If you're a first-time parent, put your fears aside and get the basics in this guide about burping, bathing, bonding, and other baby-care concerns. Read More Birthing Centers and Hospital Maternity Services Where you choose to give birth is an important decision. Is a hospital or a birth center right for you? Knowing the facts can help you make your decision. Read More Recovering From Delivery After giving birth, you'll notice you've changed somewhat - both physically and emotionally. Here's what to expect after labor and delivery. Read More A Week-by-Week Pregnancy Calendar Our week-by-week illustrated pregnancy calendar is a detailed guide to all the changes taking place in your baby - and in you! Read More 10 Things That Might Surprise You About Being Pregnant Here are 10 common surprises that can come with pregnancy. Read More Pregnancy & Newborn Center Advice and information for expectant and new parents. Read More Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor. © 1995-2021 KidsHealth®. All rights reserved. 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