Labour is painful – even though it is a natural physiological process. While it has never been safer in terms of survival of mother and infant to have a baby, the medicalisation of labour, which is in part responsible for the improved outcome for women, may now also be making labour more painful, as normal birth without obstetric intervention becomes increasingly rare.
It’s possible to have labour with relatively little pain, but it’s wise to prepare yourself by planning some strategies for coping with pain. Planning for pain is one of the best ways to ensure that you’ll stay calm and be able to deal with it when the time comes.
Pain in labour has a predictable pattern and is associated with contractions of the uterus. The location of the pain during labour will change constantly – in duration, intensity and frequency. Pain during labour is different for every woman. Although labour is often thought of as one of the more painful events in human experience, it ranges widely from woman to woman and even from pregnancy to pregnancy.
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 as labour progresses, there is less and less time between contractions to relax.
Pain during labour is caused by contractions of the muscles of the uterus and by pressure on the cervix. This pain may be felt as strong cramping in the abdomen, groin, and back. Some women experience pain in their sides or thighs as well.
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