Hilft Achtsamkeit während Schwangerschaft und Geburt?

With eight weeks left until the due date, my doctor sent me home with a very specific set of instructions: partial bed rest until the baby is born.

Take a chill pill

Unlike the constant feelings of 'busyness' and being on edge that I experienced during my first pregnancy, this prescription to "hit the pause button”, forced me to slow down, focus and be mindful of what was happening in my body.

This feeling of being calm and fully present is something most mums-to-be would love to experience during pregnancy and childbirth. Unfortunately, the physical and emotional demands that come with nurturing your body (and growing baby), as well as dealing with the hustle of day-to-day life, often cause undue stress.

That's why so many women are turning to the practice of mindfulness to help guide them through this journey.

Patientenauswahlen für Wehen und Entbindungen

Schwangerschaft

The best form of childbirth for you and your baby

Im Jahr 2005 startete das Royal College of Midwives (RCM) die Kampagne für eine normale Geburt, eine Initiative zur Erhöhung der Zahl der Geburten, die "natürlich und ohne medizinischen Eingriff" stattfinden. Im August 2017 verkündeten Schlagzeilen in den Zeitungen, dass es die Kampagne nicht mehr gibt - aber eigentlich war dies keine plötzliche Entscheidung.

von Dr. Sarah Jarvis MBE, FRCGP

Schwangerschaft

Vorzeitige Wehen

Bei vorzeitigen Wehen setzen die regelmäßigen Wehen vor der 37. vollendeten Schwangerschaftswoche ein. Die meisten vorzeitigen Wehen treten zwischen der 34. und 37. Woche auf, manchmal aber auch schon früher. Wenn Sie glauben, dass Sie vorzeitige Wehen haben, sollten Sie so bald wie möglich Ihre Hebamme um Rat fragen. Möglicherweise muss Ihr medizinisches Team Sie und Ihr Baby im Krankenhaus untersuchen. Es gibt Behandlungen, die vorzeitige Wehen manchmal stoppen können.

von Dr. Toni Hazell, MRCGP

Learning mindfulness in maternity

One of the most noticeable benefits of mindfulness is that it helps you slow down and focus on the moment. Mindfulness-based interventions can reduce stress, improve coping skills and promote feelings of wellbeing. In fact, practising mindfulness on a daily basis may reduce pregnancy-related anxiety and depression, which can help you feel calmer and more connected to your body.

No wonder so many women are looking to gain insight and skills into how to practise mindfulness while they are pregnant.

“Typically, mindfulness exercises are taught and honed during pregnancy for use during labour and delivery,” says midwife Alexandrea Garbus.

During pregnancy, the body and mind both go through incredible changes. Garbus says she has seen mindfulness used to help some of the temporary discomforts of late pregnancy, as well as some of the emotional rollercoasters of pregnancy.

Mindfulness expert Micki Fine further explains that stress can be a factor at any time during pregnancy, labour, or after the baby comes home. And through mindfulness practice, mum can learn to develop coping strategies that can be put to use during pregnancy, delivery and parenthood.

Fine recommends that we start the practice of mindfulness meditation early.

“This gives you practice time to cultivate the open-hearted, nonjudgmental presence that can help deal with stressors whether during pregnancy, labour or post-delivery."

She also encourages us to set aside time to practise mindfulness meditation on a regular basis.

Mindfulness during delivery

A recent study suggests mindfulness training carefully tailored to address fear and pain of childbirth may lead to important maternal mental health benefits. These range from improvements in childbirth-related appraisals to the prevention of postnatal depression symptoms

And unlike medications that aim to take the pain away during labour and delivery, mindfulness aims to change a person’s relationship to the pain sensations. That may make the experience of the pain less all-absorbing and less likely to trigger a cascade of negative emotions that make things worse.

Garbus explains that mindfulness during pregnancy and labour helps increase confidence and decrease fear, helps to develop a coping mechanism for pain management, facilitates communication and connection between partners, and teaches stress reduction techniques.

Staying in the moment

Mother, Isa Down, says she had an unmedicated labour, and mindfulness helped her feel like she was remaining connected to the moment while staying grounded. “I used mindfulness and deep breathing to get through the intense moments,” she says.

Like many other women, Down’s experience demonstrates how our thoughts about physical pain during labour can be decreased by practising mindfulness - a benefit that Fine also agrees with.

“Mindfulness can help you work with physical pain in the body by providing techniques for dealing with the pain one moment at a time,” she explains.

Trying to ward off labour pain by tensing or fighting with it causes greater discomfort and longer labour. “What we resist persists, and when we can acknowledge the pain and soften around it, to the best of our ability, pain may be less intense and labour may go more quickly,” says Fine.

Mindfulness can help us develop the compassion, and openness we need to let go of negativity. It's a practice that will stand you in good stead as your baby grows over the following 18 years, and beyond.