Don´t just assume that all pain in childbirth is unavoidable. Be sure to let your caregivers know what is going on with you. They may well have suggestions for you that can ease your discomforts without medication. If you let them know you are having pain in your back, for example, they can help you change positions so as to minimize that. It might also give them clues as to baby´s position that will be helpful to know to allow you to work with your body most efficiently.
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