产妇腹痛未甚,且须宽心安卧,或扶令行动,以便儿身舒转。如腰腹痛甚有产之兆,即当正身仰卧,或起
坐舒伸。务令安静从容,极力忍耐,待儿转身向下,其产必顺,而且易。最不宜预为惊扰入手,以致产妇气怯,
胞破浆干使儿转身不易,则必有难产之患。若忍到没奈何时候,儿自脱,然而下。从未闻有私胎而难产者,惟
能忍痛故也。
产妇初觉欲生,便须惜力安神加意调养,不可妄用气力者,恐临产乏气乏力也。若儿方转身而用力太早,
则每致横生逆产。直待儿身转正,顺抵产门,一逼自下。若时候未到,用力徒然。
产妇将产时,最宜养神、惜力、安睡为主,切不可轻易临盆。盖儿在母腹要听其慢慢转身寻到产门,头向
下脚向上倒悬而出,若果当其时小儿自会钻出。不必过于用力,过于着急。即或太慢过时,不过落在裤中,生
在床上而已,有何大碍?此临产之至要,千古不易之常道也。
产时以饮食为本,有等妇人临产不能饮食,则精气不壮,以何用力?必未产前预买人参三五钱,或党参三
五两,将产煎服,大助气力胜于肉食。又宜频食稠软米粥,勿令饥渴以乏气力,亦不宜食硬冷难化之物,恐产
时乏力,以致脾虚不能消化,则产后有伤食之证。又酒不可多饮而致醉,凡产前醉,则无力而四肢不用。产后酒
多恐引入血分、四肢,致后有动血及四肢无力,髓骨 痛之患。
When the laboring woman experiences abdominal pain that is not severe, she should calm her mind and rest in bed, or be assisted to move slightly, to facilitate the fetus's舒展 (extension) and rotation within the uterus. If lower back and abdominal pain are severe with signs of impending delivery, she should lie supine with her body straightened, or sit up and stretch. It is essential to remain quiet and composed, enduring the pain with great patience, waiting for the fetus to turn downward; thus, delivery will surely be smooth and easy. It is most inadvisable to cause premature panic, interference, or manual intervention, which may lead to qi deficiency and timidity in the mother, causing rupture of the amniotic sac and drying of amniotic fluid, making fetal rotation difficult and inevitably leading to dystocia (difficult childbirth). If one can endure until the point of no return, the fetus will naturally descend. There has never been a case of dystocia due to "illegitimate" circumstances alone; it is precisely because of the ability to endure pain.
When the laboring woman first feels the urge to give birth, she must conserve strength, calm her spirit, and pay attention to nourishment, avoiding reckless exertion, lest she lack qi and strength at the critical moment. If she exerts force too early while the fetus is just turning, it often results in malpresentation such as transverse or breech presentation. One must wait until the fetus turns correctly and aligns with the pelvic outlet, allowing natural uterine contractions to expel the baby. If the time is not right, exerting force is futile.
At the time of imminent delivery, the priority is to nourish the spirit, conserve strength, and sleep peacefully; one must not rush into the actual pushing phase prematurely. The fetus in the womb needs time to slowly rotate and find the birth canal, emerging head-down and feet-up in a inverted position. When the time is truly ripe, the infant will emerge naturally. There is no need to push excessively or become overly anxious. Even if progress is slow and exceeds the expected time, the baby may simply fall into the clothing or onto the bed, which poses no major harm. This is the crucial principle of labor, an unchanging truth throughout history.
Diet is fundamental during labor. Some women cannot eat during labor, resulting in weak essence and qi, leaving them without the strength to push. Therefore, it is recommended to purchase 3-5 qian of Renshen (Ginseng Radix) or 3-5 liang of Dangshen (Codonopsis Radix) before labor begins, decoct and consume them when delivery is imminent, greatly boosting strength, surpassing the effect of meat consumption. It is also advisable to frequently consume thick, soft rice porridge to prevent hunger and thirst from depleting energy. Hard, cold, or indigestible foods should be avoided, as weakness during labor may lead to spleen deficiency and inability to digest, resulting in food stagnation postpartum. Alcohol should not be consumed to excess to the point of intoxication; pre-labor intoxication causes weakness and immobility of the four limbs. Postpartum excessive alcohol intake may enter the blood level and limbs, potentially causing later complications such as bleeding disorders, limb weakness, and bone marrow/bone pain.