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Mar03
Breathing Techniques in Labor
Breathing Techniques: How to Practice


Throughout all practice, remember these points:
1. There is no required breathing strategy for each
phase of labor.
2. Slow-paced breathing is best for mother and baby.
Return to it whenever possible.
3. Use relaxation skills with all breathing techniques.



Phase I--Developing Breathing Awareness

During relaxation practice, feel your breath in your
nose, mouth, throat' then shoulders, chest, abdomen,
and back.
Note rise and fall of chest.
Feel the pressure of your body against a chair, bed,
pillows, and other contact areas.
Listen to the sounds made by your breath.
Notice changes in your breathing as you vary
positions and activities.



Phase II--Mastering Slow-Paced Breathing

Practice with the strategy most comfortable for you.
For example, "In, 2,3,4,5, out 2,3,4,5" or listen to your
breath go in and out.
Mentally link the ideas "release tension" and "focus"
with the initial cleansing breath.
Practice slow-paced breathing in different positions.

Note the different sensations as you vary your position.


Phase III--Developing Strategies for Slow-Paced Breathing;

Mastering Modified-Pace Breathing
Practice slow-paced breathing by yourself using different strategies. Examples:
Visualize breathing in a continuous circle.
Picture energy entering your body as you breathe in
and tension leaving as you breathe out.
As you inhale and exhale, say phrases such as "I
can give birth," "energy in, pain out," "My breath is
calm."
Rock or walk in rhythm to your breathing.
Practice slow-paced breathing with your partner's help. Examples:
Imagine breathing into the parts of your body where
your partner places his hands.
Have your partner stroke down your arms or legs as
you exhale.
Begin to practice modified-paced breathing as taught
in class, using a strategy most comfortable for you.
Vary positions and note differences in sensations.


Phase IV--Developing Strategies for Modified-Paced Breathing
Experiment with one or two strategies using modified-paced breathing. Examples:
Breathe quietly, listen to your breath move in and out.
Say words in rhythm, like "health-y ba-by," "be calm,"
"in, 2,3, out, 2,3."
Use music our counting while you breathe.
Practice patterned-paced variation as learned in
class.
Practice with your partner, using gentle pressure
contractions rather than verbal cues.



Phase V--Mastering All Techniques
Practice switching from one paced breathing
technique to another within the same pretend
contraction.
Vary the length and intensity of practice
contractions.
Practice for an early urge to push. Use a series of
light blows or a pattern of one breathe, one blow.


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