Health // Delivery

The first signs of that went into labor


Childbirth rarely begin suddenly - a wise mother body necessarily "warning" (for 2-4 weeks), that the time X is not far off.Hormonal changes: "protect" the pregnancy, progesterone inferior palm estrogen and oxytocin, which gradually prepare the birth canal to the work ahead.That process is already underway, say the harbingers of sorts.

omission of the stomach (reduction of the height of standing uterus): mom becomes easier to breathe, but have to run to the toilet more often (because of the pressure of the uterus on the bladder).This feature is especially pronounced in nulliparous women who can boast a good tone of the anterior abdominal wall and uterus, but the "double mother" and nothing can not be overlooked.

False labor at the first sign that went into labor - a periodic uterine contractions (when it becomes as hard as a stone), the original preparation of the body for the upcoming birth.From this they differ irregular and painless.

Passage of mucus plug (cervical mucus that cov

ers the entrance to the uterus) and is bloodless, it is normal.It can happen in a week, and for a few days and a few hours before giving birth.This is a signal that the cervix is ​​actively preparing.But more is not a reason to go to the hospital (if not accompanied by sporadic contractions).Emotional instability is directly related to neuroendocrine processes in the body.Apathy may suddenly replaced the turbulent activity, pronounced instinct "nest": Mommy cleans the house, at the last moment to buy a dowry runs for crumbs ... In general, vengeance is preparing to welcome the baby!

Changes in appetite: there is something very reluctant ... Even if the entire pregnancy all was eating "for two".Weight loss as a consequence of the lack of appetite.Before birth a woman can gently lose weight - 1-2 kg.Since the body naturally prepares to leave.

presence of precursors is not necessarily right - two or three signs enough to understand very soon!

Consult your doctor if ... dramatically changed motor activity of the fetus.

Normally, before the birth, she is somewhat reduced (the big kid, he was in the womb closely).And yet, listen to yourself and crumbs - who better to know his individual "mode"?If the baby suddenly became excessively active, perhaps it is not enough oxygen if subsided long (more than 6 hours per day) - is definitely something wrong.Better safe - to pass additional tests: cardiotocography, ultrasonography.There were bright spotting from the vagina.This may be due to the threat of premature birth or pathology of the placenta (abruption, placenta previa).Any load or movement can increase bleeding, so call your "fast"!

Do not risk!

good time to go to the hospital, it is desirable if a woman is at risk:

- a scar on the uterus (repeat caesarean);

- large fruit;

- breech presentation;

- twins;

- pathological course of pregnancy;

-predlezhanie placenta (when it closes out of the uterus);

- chronic extragenital (not related to the sexual sphere) disease.

Scenarios "mistake»

amniorrhea.Yes, doctors believe it is a violation of the right script - normally takes place at the outpouring of full disclosure of the cervix.The reasons - very different: increased tone of the uterus, infection of membranes, polyhydramnios, multiple pregnancy, and others. And sometimes it's just a characteristic of women, repeated from generation to delivery.Understand that it is water, it is easy: a liquid stream that flooded suddenly with nothing to confuse.And if the water leak and only?It is important to know that the outpouring of unstoppable force of muscle (urination) and do water odorless, more transparent (green - a sign of trouble, the baby does not have enough oxygen, urgently to the hospital!).

What to do?

Consult a physician and under his supervision.Ideally fruit should be born within the next day, otherwise it increases the likelihood of infection (it is possible you will need antibiotic therapy) at the first sign that went into labor.The first 12 hours, doctors simply monitor the woman and waiting for the start of regular fights.Labor is not in a hurry?Then it need stimulation by intravenous oxytocin receipt.

Preliminary pain.Another wrong option onset of labor.So called irregular painful uterine contractions, which in contrast to the struggles do not lead to the disclosure of the uterus.It turns inefficient and exhausting "work" from which she gets tired quickly, and therefore labor, after which arose could be weak.

While at home, the woman can take a pill "shpy" and lie down.Did not help?Then the hospital: first of all, the doctor will understand whether or ineffective contractions, and then offer a small "medical dream" that will allow women to gain strength and to fully engage in labor.

All according to plan

Normally delivery starts with contractions.Learn their easy: it is the regular rhythmic reducing uterine muscles, which are felt as the pressure in the abdomen and lower back (like pain during menstruation).The first fight is repeated every 20-25 minutes (duration 10-15 seconds), but gradually the interval between them is reduced, and the intensity increases.The cervix gradually opens, ready to release the baby.Congratulations - you are in the first stage of labor!By the way, almost all the time you can spend at home, in familiar surroundings, not nervous - especially if you give birth for the first time.The hospital's time, when the periods between contractions were reduced to 10 minutes, with each wave lasting about 20 seconds.However multiparous not hurt to hurry - the period of cervical dilatation passes them twice as fast.

begun!What to do?

Follow duration of contractions and the intervals between them.

move to seek provisions to facilitate pain.Try to sound like, stand on all fours, to ride on the big ball.

Regularly emptying the bladder - it stimulates contractions.

Engage hygiene procedures - provided that the fetal bladder intact.


take painkillers - they rather harm than help.There

(prevent vomiting during childbirth).Panicking (your attitude affects the state of the baby).

give birth!

first stage of labor (during which the woman comes to the hospital) ends with full disclosure of the cervix - to 10 - 11cm.In nulliparous its duration - 12-14 hours, mothers with experience - 5-6.

second period is much shorter: 30-40 minutes at the "newcomers", 15-20 - have "experienced".The cervix is ​​ready to miss a child, and it begins to move through the birth canal (not straight ahead and adjusting to her mother's "Smart", making a number of translational and rotational movements).At this stage, to join struggles attempts (reducing not only the muscles of the uterus, but also the diaphragm, abdominal muscles and skeletal mothers), thanks to which all the "enterprise" and exits.Here it is, the long-awaited moment!

third stage of labor.There was one small thing - the birth of the placenta (placenta is, fetal membranes, umbilical cord and amniotic fluid back).Quite nebolno and briefly (30 minutes)!

in obstetrics today decided to cut the process by injection of oxytocin (which stimulates uterine contractions and reduces postpartum hemorrhage).Then examine the last (in the uterus to nothing left).If necessary, the woman sutured, and then applied to the baby's chest.Another two hours (early post-natal period) mom and baby will be under the supervision of doctors.And then you can relax!

Long or a short?

the duration of births affected by a number of factors:

- age mothers (nulliparous 35-40 years - longer, due to decreased elasticity of the genitals);

- the weight of the child (a large, more than 4 kg, to give birth to more complex);

- the frequency and strength of contractions (individual parameter);

- feature presentation of the fetus (when the head - the easiest).

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