Pregnancy is a miracle. It is a process by which mammals reproduce themselves and continue their progeny. At the completion of maturation, the fetus in utero delivers out and come into worldly existence.
Often, you might have asked to yourself or your Gynecologist, that an animal in jungle delivers unassisted but, why do human being needs assistance for their delivery?
What happened in the due course of evolution that our ancestor monkey could control their delivery, but we became dependent on medical assistance? Why are we not able to ensure the safety of mother and child in spite of all the medical advances and use of resources?
The process of birthing has its own inherent dangers, may it be animals or human. Every pregnancy and childbirth carries fatal risk to both mother and child and hence should be treated with utmost care.
Let us first understand, how the process of birthing differs in human being and other animals.
During evolution, the human being have transformed from a quadrupedal animal (who walk on four legs) into a bipedal animal (who walk on two legs). With this change in posture, the complete body weight was borne by the pelvis resulting in adaptation in its size and shape.
In addition, with evolutionary development of fine skills, the size of brain is increasing progressively.
As a result the preferred position of delivery during the process of birthing is occipito-anterior position (i.e. baby’s back towards mother’s abdomen and front towards mother’s spine), whereas in other animals, the fetus delivers facing the mother. So, the parturient mother in animals can help her baby during the process of childbirth, whereas in human they cannot.
Philosophically, the human beings are so mean that they deliver by facing back to their mother.
For these two reasons, changes in pelvis and increased brain size, the human beings have difficult and assistance dependent birthing process!
The perineum (soft tissue base of pelvis) has slit like structural defect to facilitate the process of birthing and defecation. As a result of bipedal posture, the gravitational pressure of abdominal organs is transferred to the weak perineum. In case of prolonged or difficult vaginal delivery or stress of chronic constipation/ cough the integrity of perineal muscles can give way, resulting in pelvic organs prolapse or stress incontinence. So, postpartum pelvic exercises are recommended.
The information is shared to create awareness towards Pregnancy and Childcare to reduce maternal and child deaths. Atmost care has been taken by the author to include the verified information from authentic sources. However, kindly discuss the same with your health care provider before implementation.