Pushing too early during labour may cause vulva swelling, endanger baby –Expert

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A Senior Nursing Officer at the Nnamdi Azikiwe University Teaching Hospital, Nnewi, Mrs. Amaka Okafor has cautioned expectant mothers against pushing early when they go into labour.

The midwife said pushing way too early, especially before being 10cm dilated, can cause vaginal tears, and swelling of the vulva to the woman, adding that it could also endanger the life of the unborn child.

She noted while most women going into labour are often in a hurry to have the baby out, caregivers must encourage them to be patient to prevent avoidable complications that impatience can cause.in an interview, Okafor said when a woman is in labour, the dilation of the cervix is used to check the progress of the baby for birth, explaining that it is when it gets to 10 cm that the woman is fully dilated and the time the baby can easily pass through the woman’s cervix.

But she explained that before a woman is 10cm dilated, “there’s this urge to push when it gets to around 6 – 8 cm depending on the pain threshold of the woman. “Some will from as early as 4cm start pushing thinking that it is when they push it that the whole thing will come out but we try to educate them that even if they start that early, they’d only end up tearing the cervix; they’d end up harming themselves and put the baby in danger so we normally encourage them not to push.

“It is that force – pushing very early – that brings about tearing of the cervix and sometimes when it is a big tear, it would tear down and connect to the anus.”

 

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