Midwife-Mother Relationship: Stages & Physiology

Midwife-Mother Relationship, 2nd Stage of Waiting, 3rd Stage Physiology a. Midwife-Mother Relationship Basic needs during childbirth cannot be separated from the care provided by midwives. The midwifery care provided should be care that loves mother and baby. This caring mother will provide a feeling of security and comfort during labor and birth.Childbirth is a physiological process and is an amazing event for a mother and family. Skilled and reliable management from midwives and continuous support resulting in a healthy and satisfying birth can provide a pleasant experience. As a midwife, mothers will rely on their knowledge, skills and decision making in what they do. This is intended to: - Provide emotional support. - Accompanying family members during the labor process until the birth of the baby. - Respect the mother's wishes to choose a companion during labor. - The active role of family members during labor is by: (a) Saying encouraging words and praising the mother. (b) Helps the mother breathe properly during contractions. (c) Gently massage the mother's body. (d) Wipe the mother's face gently with a cloth. (e) Creating a family atmosphere and a sense of security. - Adjust the mother's position so that it feels comfortable. - Provide nutritional fluids and hydration – Provide adequate energy and prevent dehydration. Because dehydration causes contractions to be irregular and less effective.Provides freedom to use the bathroom regularly and spontaneously – A full bladder interferes with the progress of labor and inhibits descent of the head; causes mother discomfort; increases the risk of postpartum hemorrhage; interfere with management of shoulder dystocia; increases the risk of postpartum urinary tract infections. - Infection prevention – The goal of infection prevention is to ensure a clean and safe delivery for mother and baby; reduce maternal and newborn morbidity and mortality rates b. Second and third stages of labor - The labor process is in stages II to stage III. Mothers can change positions regularly during labor, as this often speeds up the progress of labor. Birth position, appropriate changes in position and movement will help increase comfort or reduce pain, increase satisfaction with freedom to move, increase maternal self-control.The woman needs to be able to move around, to have the space and freedom to get into whatever position she wants in order to keep the baby moving through the birth canal.From this statement it can be concluded that in this period, things are important. - Analgesia with non-pharmacological methods, assessing the causes and management of perineal trauma for a mother is how they create an individualterritorialityfor themselves in childbirth, and freedom for a mother to make her choices, where they need a space to be able to express themselves. So that in the second and third stages of labor, the midwife's role is to fulfill the following things in the birthing environment. - Creative positioning Midwives and doulas are trained to help mothers choose and change positions during labor. They can suggest many positions that will help the mother through the labor process stage by stage. There are also positions that can help mothers rest while upright. A position that feels right during early labor may no longer be comfortable as labor and uterine undulations become intense. Changing positions occasionally helps keep tight muscles loose and prevents cramps. Don't be afraid to experiment. - Lighting Rooms have various lighting sources, dim room lighting may be an option for mothers. Even during the day, midwives can adjust blinds, blinds or lamps to provide the calming lighting that mothers desire to maintain focus and relaxation. At home, if you want the soft light of a candle you can do it because this is an option. Soft lighting is better for babies.