Affluent Savvy
Affluent Savvy
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Nighttime, when it is dark, may facilitate a calmer environment, especially if the lights are dimmed.” Langtry-White adds that oxytocin is enhanced by melatonin, a hormone that regulates the sleep-wake cycle and is produced at night. “Hence overnight is when our contractions tend to be most productive.
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Learn More »Forget the dramatic scene of waters breaking in the middle of the supermarket aisle in broad daylight that you've seen in the movies: a woman going into spontaneous labour can actually be a very calm event, and without medical intervention, it is far more common at night. A study done in London, published in 2018, took into account more than five million births within a 10-year period in England. The researchers – who hailed from both University College London and City, University of London as well as the National Childbirth Trust – found the majority happened after dusk.
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Learn More »It might also have something to do with the hormone oxytocin, Campbell adds. “This is responsible for uterine contractions. Oxytocin is optimally released when a woman is relaxed and feels safe. Nighttime, when it is dark, may facilitate a calmer environment, especially if the lights are dimmed.” Langtry-White adds that oxytocin is enhanced by melatonin, a hormone that regulates the sleep-wake cycle and is produced at night. “Hence overnight is when our contractions tend to be most productive. “It is also why we teach couples to utilise this hormonal relationship by keeping the labour environment dark or softly lit. This enhances your feeling of privacy at what is such an intimate moment in your life,” she says. Any perceived threat to our safety might actually slow labour down, she adds. “During early and active labour, adrenaline and catecholamines, our fight or flight hormones, can cause labour to slow down or stall, which would have been necessary if there was a real danger or threat to ours or our baby’s safety. "It’s something we can see happening sometimes when parents transition into hospital, to unfamiliar and clinical surroundings. Though their safety may not be in any real danger, their body can react to the subconscious, perceived threat or lack of security felt in the unfamiliar environment.” This is one of the reasons why hospitals often ask their patients to labour at home for as long as possible – at least until contractions are five minutes apart. Why births in the middle of the day are now on the rise Yet none of this accounts for planned caesarean sections or induced labours. In these cases, labour and delivery will more often happen during the day. For example, the London study found that elective or pre-planned C-sections occurred mostly on weekdays between 9am and 11.59am. Very few took place after 5pm during the week, on weekends or public holidays. “This may be a reflection of staff working patterns and operating theatre schedules,” Campbell explains. These statistics would be very similar in the UAE, she adds. “Emergency caesarean-section births can occur at any time of the day or night.” As for induction, it all depends on when the process began. If, for example, a woman is induced in the morning, then it might result in her giving birth at night. “In the UAE, many obstetricians will commence inductions in the evening,” Campbell says. “This is to allow a woman to rest while the hormonal induction medication is working and then birth may occur during daytime hours. “However, sometimes, spontaneous birth may occur quicker than expected and result in a woman giving birth during the evening or early hours of the morning. The exact timing of an induction of labour cannot be predicted as every woman is individual in how her body reacts to the medication or intervention.”
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Learn More »We asked the team at Dubai’s Medcare Women and Children Hospital what their statistics looked like and were told more women deliver during midday. “With rate of induction of labour rising globally, more births are happening in the midday, as mostly inductions of labour usually start at night,” says Dr Shiva Harikrishnan, a consultant obstetrician and gynecologist at the hospital. “Elective and scheduled caesarean births occur in the morning hours rather than night.”
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