Childbirth is a natural physiological phenomenon, and although it may bring some pain to the mother-to-be’s body, there is also the joy of motherhood. However, many mothers-to-be do not have experience in labor and delivery, often with tension, anxiety and fear and other negative emotions into the waiting room, so that the smooth progress of labor and delivery. 1. Anxiety and depression Many people are familiar with “postpartum depression”, but prenatal anxiety and depression symptoms are ignored. The reasons for prenatal anxiety and depression are mostly the stress of childbirth and the fear of newborn health problems, such as the fear of unbearable pain after labor; fear of abnormal fetal development; fear of childbirth resulting in birth canal cracks or fetal injury, worry about whether the process of childbirth is smooth; worry about the pain of childbirth; worry about the body’s recovery after delivery, etc. These factors have a significant impact on the psychological, behavioral, and physical well-being of women in childbirth. These factors have a great impact on the mother’s psychology and behavior, leading to a lack of self-confidence and a lowered pain threshold, aggravating pain. Tension-pain syndrome can make uterine contractions and cervical dilatation uncoordinated, which will lead to abnormal progress of labor and bring various serious complications to mother and baby. At the same time, these adverse psychological factors will also reduce uterine blood flow, making the fetus hypoxic. Coping strategies: (1) Mothers can take advantage of the time of delivery to communicate with the doctor to solve the concerns in their minds, so that the mother-to-be will feel more down-to-earth. (2) Mothers can communicate with elders at home or people who have been there before and after the birth by chatting, so as to fully understand all aspects before and after the birth and learn how to be a good mother. (3) As the discomforts in pregnancy will increase day by day, moderate exercise can be chosen to reduce stress and loosen muscles, such as walking and soft gymnastics, are good choices. (4) The husband’s help is very important, will make it easier for mothers to overcome psychological barriers, and then reduce the worry, smooth delivery. 2, the fear of labor pain The thought of the moment of delivery, expectant mothers are full of “pain, pain, pain”, pain has become their lingering impression of childbirth. Studies have shown that the main factors causing pain in childbirth are: regular contractions of the uterus, stretching or tearing the uterine muscle fibers produce severe pain; the fetus passes through the birth canal when the birth canal, especially the lower uterus, cervix and other injuries and pull; in addition, there is maternal psychological tension, due to the lack of experience in childbirth, coupled with a variety of information on the exaggerated pain in childbirth, so that the mothers of the labor and delivery is full of fear, causing muscle tension, resulting in increased contractions and prolonged, resulting in muscle tension. This leads to intensified and prolonged contractions, which aggravates the pain. Labor pain will not only make the mother sweat a lot, nausea, vomiting, and prolong the labor process, but also sometimes affect the normal delivery of the baby, and even asphyxia. Coping strategies: (1) Understand the process of labor and related knowledge. This is the first step to reduce labor pains, mothers-to-be through a detailed understanding of the process of childbirth and related knowledge, familiar with the process of labor and hospital environment, facilities, with a good psychological cognition, you can enhance the confidence of childbirth, maintain a good mood, can improve pain tolerance. (2) Warm water bath for labor analgesia. Before entering the delivery room, mothers-to-be may wish to take a warm bath, with the help of warm water buoyancy, offset gravity, can be very good to promote the expansion of the cervical opening, to help accept the body’s strong outpouring of force, soothing the maternal tension, and effectively reduce labor pains, shorten the duration of labor, and promote a smooth delivery. (3) Imagination and suggestion. Imagine that the mouth of the uterus is slowly opening during contractions, the vagina is dilating, and the fetus is gradually descending, and at the same time, self-suggestion: “I’m going well, and I’ll soon be able to see my baby.” Methods that help relaxation: e.g., muscle relaxation exercises, deep breathing, warm baths, massage, changing body position. (4) Distraction. Look at favorite photos or pictures of the mother in labor, read books, watch TV, listen to music, communicate. (5) Painless labor. Painless labor is the use of various methods to make the pain during labor less or even disappear. There are two commonly used methods of labor analgesia: one method is pharmacological, which is the application of anesthetics or analgesics to achieve analgesic effects. The other method is non-pharmacological, through prenatal training, guidance on breathing during uterine contractions, massage of the painful areas during labor, the use of acupuncture and so on to reduce labor pain. 3, fear of difficult labor Whether it is a smooth or difficult labor usually depends on four factors: the force of labor, the birth canal, the fetus and the psychological condition of the mother-to-be. The birth canal includes the pelvis and the soft birth canal, the size of its diameter, whether the shape is normal, and whether there is any deformity, which have been measured during prenatal checkups; the size of the fetus can be estimated and calculated before labor. If there is any obvious abnormality in these two items, the choice of cesarean section is usually made before labor. Mothers-to-be who enter the waiting room for labor usually have no obvious abnormalities in these two indicators. As long as the labor force is normal, natural delivery is very likely. The force of labor includes uterine contraction force, anorectal muscle contraction force and abdominal muscle contraction force, of which uterine contraction force is the main force. The strength of the contractile force cannot be predicted before labor and can only be demonstrated when labor is imminent. Factors affecting uterine contractions include poor development of the uterus itself, endocrine disharmony involved in labor activities, and the mental state of the mother. A strong labor force can push the fetus to rotate along the pelvic axis and deliver it, while a weak labor force makes it difficult to complete the delivery. Coping strategies: (1) Mothers-to-be should build up sufficient confidence and not be afraid of labor. The correct attitude is to mobilize all the favorable factors in oneself and actively participate in the delivery. (2) Even if you cannot give birth naturally, don’t be emotionally frustrated and blame others because doctors can still help the baby to be delivered through surgery, which will not harm the baby as long as it is handled in time. Such as taking forceps to help delivery, or cesarean section to help delivery. (3) Actively cooperate with the medical staff in the different stages of labor to give guidance and treatment, such as: in the beginning of labor to eat well, rest well, do not hold your breath too early to push, in order to conserve physical strength and so on. (4) Mothers should learn to self-control emotions, at the same time to the medical staff and the hospital environment full trust, only then can mobilize the emotions of positive cooperation. 4, cesarean section is the best way to give birth Nowadays, many people mistakenly believe that cesarean section can make the mother and child safety, child smart, so do not ask how their own conditions, into the hospital on the request of cesarean section. If the doctor thinks that there is no indication of surgery, the mother will not be able to figure out, in the process of waiting for the birth of the refusal to eat, a contraction on the screaming. This kind of mental tension can lead to imbalance of the vegetative nervous system and uterine muscle contraction dysfunction, maternal mental and physical exhaustion, exhaustion, and ultimately difficult labor. Coping strategy: Explain the advantages and disadvantages of cesarean section to the mother. Cesarean section is an open surgery and must be performed under anesthesia. Although the safety of caesarean section has improved dramatically due to recent medical advances, compared with vaginal delivery, caesarean section causes more damage to the mother, more bleeding, and the possibility of infection and adhesion of abdominal viscera. Children born by cesarean section are sometimes, on the contrary, more prone to respiratory comorbidities than those born vaginally, as they are not squeezed through the birth canal. It can be seen that cesarean section is a means of solving difficult labor and is only used for women who are unlikely to have a vaginal birth, and if a cesarean section is performed without indication, it will not be beneficial to the mother and child. Whether the child is intelligent or not depends on a variety of factors such as genetics, intrauterine development, postnatal nutrition and education, and not on the mode of delivery.