Enema before childbirth: why you need, the technique of conducting, the pros and cons


It is not a secret for anybody that just recently an enema was given to absolutely all women before childbirth, despite the fact that this procedure, to put it mildly, strained many people. Now she is not required, and not all maternity hospitals today stutter about her. Naturally, this raises a number of questions for those women who soon plan to become mothers.

Someone is afraid, someone is squeamish, someone considers it an unpleasant necessity. For those who understand all the benefits of this event, fear is superseded by the desire to necessarily conduct a similar bowel cleansing before the birth of a baby. After all, you need not to be afraid, but to use all the possibilities to ensure that the process of delivery passes without loss and complications.

Why do

If the mere thought of this procedure terrifies you, study the information on why you are doing an enema before giving birth: make sure that with it the chances of a safe delivery increase.

  • Hygiene and disinfection

Fecal masses contain harmful microorganisms. If, during childbirth, they fall into the genitals, which at this moment are severely injured, this can provoke serious consequences. First, the development of cystitis. Secondly, the spread of the infectious process further into the kidneys. Third, the infection of the baby. All this will contribute to a weakened immunity of the mother.

  • Aesthetic value

During childbirth, a woman with all her desire cannot control her own intestines. On him, as well as on the peritoneum with the perineum, is the strongest pressure. This leads to involuntary excretion of feces. On the one hand, it is simple physiology, there is nothing shameful here. But on the other hand, midwives will have to be constantly distracted by this in order to remove the excreta and carry out the necessary hygienic measures. Yes, and a woman will be much calmer, will not be shy, it will save her from unnecessary at the most crucial moment of complexes and experiences.

  • Preventing seam divergence

After the enema, the woman's intestines will be empty for another full day. It will play an important role in the event that childbirth ends in rupture. When suturing in the first days will not need to push.

  • Relief of the birth canal baby

Previously, they did not ask themselves why an enema is needed, because they knew very well that if there are no fecal masses in the rectum, this will greatly facilitate the child's passage of the birth canal. His progress on them will be less painful and traumatic, as well as faster.

  • Uterine contraction

Enema before childbirth perfectly stimulates the beginning (usually very difficult for any woman in labor) of labor. This is due to the fact that this procedure causes the muscles of the uterus to contract intensively.

Such serious arguments destroy all doubts, whether it is necessary to do an enema before childbirth: it seems that it is simply necessary. First, it is done for the sake of the baby's health. Secondly, facilitates childbirth. Third, it makes the mother less vulnerable to infectious organisms. There are no medical indications for this procedure: it used to be done absolutely for everyone. They broke this rule extremely rarely, and for that reason, good reasons were needed.

Why not do


Indeed, someone may say that they did not perform this procedure. No need to be surprised. There are quite logical, medical explanations for why some women do not give an enema before childbirth. There are not so many reasons for this:

  1. high-speed (fast, emergency, premature) delivery, when there is no time left for holding such events;
  2. replacement of an enema with other bowel cleansing techniques;
  3. cesarean section;
  4. hemorrhoids in the running form;
  5. most modern maternity hospitals refuse this tradition, as recently in medical circles the attitude to this procedure has changed significantly: it is no longer considered so necessary.

If even the question had never arisen before, whether an enema is obligatory before the birth (it was a necessary, traditional procedure), today nobody is surprised if a woman in the maternity hospital didn’t have a bowel cleansing. Why is the attitude to this event so drastically changed?

Curious fact. There is a scientific name for the fear of enemas - enema phobia.

Negative points

Today, women know in advance which hospital they will give birth to. Therefore, it would be good to ask at once whether an enema is done before giving birth there. This will help prepare for this procedure or its lack of moral. Not so long ago, many clinics listened to the world association of gynecologists and decided to abandon this method of cleansing the intestine, taking into account all its negative aspects. These include:

  • the risk of infection of the fetus from fecal masses during childbirth is as great as when a woman excretes in the course of the day before them, that is, it is still present in 80% of all cases, even without an enema;
  • fear of enema binds many women, strains at the moment when she needs to relax and think only about the child;
  • the procedure itself is rather unpleasant, it causes disgust in many people, which, again, does not quite favorably affect the woman's psycho-emotional state during childbirth.

After discussing all these points, obstetrician-gynecologists concluded that an enema for pregnant women before childbirth is not at all obligatory and the harm from it can be much more than good. Today, this decision is made by the doctor and the woman in labor. If the expectant mother wants to give birth with a clean bowel, she should find out how this procedure is performed. This will allow her to prepare mentally and not worry about it.

Through the pages of history. Now Esmarch's mug is made of non-toxic material, transparent polyethylene. Previously, it was glass or earthenware.

Procedure technique

You can ask the doctor, read the information yourself, watch the video, how to do an enema before childbirth, to know each stage, to be ready mentally and physically. This will relieve some of the tension and help tune in a positive way, relax and think only about the kid.

  1. Esmarch's mug is filled with boiled, slightly warm water. Many women are interested in what kind of enema they put before childbirth: ordinary liquid or some kind of medicinal solution. But since the latter can adversely affect the condition of the fetus, just water is used for this procedure.
  2. Install it on the meter height from the couch (bed).
  3. Women are recommended to lie on the left side.
  4. Lubricate the tip with petroleum jelly.
  5. Let out air from a pear.
  6. Enter the tip.
  7. Finally, they directly put an enema, i.e., slowly pressing on the mug, slowly inject liquid.
  8. After the first procedure, the doctor examines the cervix and the position of the fetus. If the first has already opened, this action ends. If not, can clean the intestines again. Most often, a disposable enema is performed before childbirth, because such a volume (1.5-2 liters) is quite enough for complete emptying.

Usually after 5 minutes, the woman has a desire to empty her intestines and take her to the toilet. Many people worry if it is painful to do an enema: judging by some reviews, part of the parturient women experiences unpleasant, painful sensations. First, it depends on the pain threshold. The lower it is, the greater the likelihood of pain. Secondly, in the presence of hemorrhoids and microcracks on the walls of the anus, the introduction of the tip will, in fact, give unpleasant sensations, despite the vaseline grease.

If you are afraid of this, first consult with your doctor if a cleansing enema is necessary in your case before giving birth, or you can refuse it. Some prefer to perform this procedure at home, even before being sent to the hospital.

For a change. There are maternity homes in which they use for this procedure not an Esmarch cup, but a combined hot-water bottle.

Home enema


Many women prefer to do an enema at home, as they are shy or do not trust such a delicate matter to doctors. On the one hand, they can be understood. However, this has its positive and negative aspects, which must be taken into account by those who decide to clean the intestines on their own. Pre-examine all related issues.

Is it possible?

The question of whether you can do an enema before giving birth at home, discuss it with your doctor beforehand. If there is no risk of speed, emergency delivery, there are no pathologies of the fetus and placenta, most likely you will be allowed to do this. However, there will have to be very careful and do not miss the right moment, so as not to delay the trip to the hospital.

Is it necessary?

As we found out, the question of whether an enema is always performed before childbirth and whether this procedure is mandatory is decided directly by the doctor and the pregnant woman herself. If earlier the answer was unequivocal, now options are possible.

How to do?

Be sure to read the useful recommendations and watch the video, how to do an enema at home, so as not to harm either yourself or your child. The scheme of its implementation is not much different from the technique in the hospital:

  1. Fill the Esmarkh mug with warm (about 37 ° C) boiled water of about 1.5 liters.
  2. Expel air from the tube.
  3. Lubricate the tip with soap, baby cream, vaseline.
  4. A woman should lie on her left side or stand on all fours.
  5. The assistant should gently insert the tip and slowly introduce the liquid.
  6. In order to minimize unpleasant, uncomfortable sensations, a woman in labor is recommended to stroke her stomach, breathe evenly and deeply.
  7. When all the water is in the intestines, you can go to the toilet.
  8. After 40 minutes, the procedure can be repeated.

When to do?

One of the most important issues of concern to women who plan to do all this at home - when you need to do an enema before childbirth, so as not to be late. Keep in mind that if the procedure is too late, you will have to empty it right in the ambulance, which will be even worse. If the stomach is lowered and the first, even the weakest contractions begin, you can clean the intestines. Remember that this can be done only if there is no risk of speed delivery.

So, an enema before giving birth at home is quite an event, if for some reason you don’t want the medical staff to do this. If everything is done neatly and competently, you will significantly facilitate your appearance to this world for yourself and your child. If you or the doctor are categorically opposed to an enema, there are several alternative ways to cleanse the bowel.

About personalities. Frederick August von Esmarkh - German surgeon of the XIX century.


Today, there are various techniques that allow you to clean the intestines before childbirth without an enema and which you need to ask about in advance to choose the best option in your case.

  • Candles

Some put candles instead of an enema before childbirth. However, doctors do not recommend this for several reasons. Firstly, they are much slower, and the child will not wait. Secondly, they lead far from complete cleansing of the intestines. Some of the feces still remain, and then goes to the delivery room. Thirdly, it is necessary to push, and this can provoke a quick labor activity. If you are looking for ways to avoid an enema before childbirth, consult with your doctor about this: it may allow you to use glycerin candles or gel for this purpose.

  • Gel

Sometimes they can advise the gel instead of an enema (for example, Normakol). However, its effect on the fetus and the process of childbirth has not been studied very thoroughly, therefore, it is worth being careful with this drug and not using it yourself.

Preparing for a long-awaited event, it is better to know in advance if they are now making an enema before giving birth in the hospital where your baby is born. So that this procedure (or lack thereof) does not shock you, it is better to know such information beforehand. Discuss everything with your gynecologist: you refuse to clean the intestines in this way or use an alternative method, entrust this delicate exercise to obstetricians or do it yourself at home. Everything must be done in order to think about it at the most crucial moment and give all your strength to the baby.

Watch the video: How and Why to do an ENEMA (April 2020).


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