Imagine you are a cave woman coming toward the end of your labour
when a saber toothed tiger appears at the cave door. OMG. The first
thing you would do is to release adrenalin into your system so that you
have extra energy to run away or stay and fight. But 'Oh No' your cervix
is nearly fully dilated, if your baby is born now then the tiger will
think its her birthday and celebrate with a very fresh human, covered in
a tasty liquour dressing accompanied by a side order of bloody
placenta. Yum.
Mother nature however has other tricks up her
sleeve and has put receptor or binding sites on the cervix for
adrenalin. The adrenalin secreted when we are under physical or mental
stress 'sticks' to the cervix and helps to stop it from opening. Your
cave baby is thus held in utero untill you can run out of the back cave
door leaving your cave buddies to scare off the tiger. Sorted. Or is it?
Unfortunately
mother nature has not moved with the times. Curse you evolution. In the
modern world we no longer need adrenalin receptor sites on our cervix
and they have become a hindrance. Todays modern woman is so afraid of
going into labour that as soon as she does the adrenalin produced from
the mental stress will attach itself to the cervix and hinder
dilatation. The contractions will have to become stronger in order to
heave the resisting cervix up and so become painful.
Howells et al
(2000) was a piece of research which compared injecting the uterine
cervix before surgery with adrenalin or another substance. The adrenalin
worked best at reducing blood loss as it caused the cervix to become
rigid. This is similar to how adrenalin performs during labour when
levels are high enough to affect the cervix.
A relaxed person
does not secrete adrenalin. Relaxation techniques previously discussed
in this blog can be used in pregnancy and labour to prevent the cervix
being restricted in its dilatation. This should make the labour shorter
and easier and end all the cries of " What do you mean I'm not in
labour? I've been contracting for 2 f***ing days and my cervix has still
not dilated?" Oh bliss.
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