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Saturday, May 4, 2019

Normal Labour and Birth

         Normal Labour and Birth 




Normal Labour and Birth






During the nine months of pregnancy, the future baby develops within the mother's body (female reproductive system), on which she totally depends. the baby physically separates from his mother at the time of delivery, while maintaining privileged ties with her, especially through breastfeeding


Nine months of pregnacy



Normal Labour and Birth



Typically it takes 40 weeks (about nine months) between egg fertilization and childbirth. This period is called "gestation". During the first trimester, the pregnancy is not yet visible, but the woman is nauseated and the breasts start to swell. In the second trimester, the growth of the fetus leads to dilatation of the abdomen, which increases in the third trimester. Compression of organs can cause minor ailments, such as incontinence or heartburn. Heart rate and blood volume of the pregnant woman


Breast


Shortly developed before puberty, breasts are glands surrounded by adipose tissue that covers the pectoral muscles. Each mammary gland is made up of about 20 lobes arranged in groups. The breast grows during pregnancy and produces milk after childbirth by stimulating a hormone, prolactin. The mammary ducts transport breast milk into the reservoirs, the milk breasts, where it is stored before being expelled from the nipples by tiny orifices


Normal Labor and delivery


 What must be done to prepare?

• Information on the labor and delivery process

• Think about the comfort measures you want to try as you go through the stages of labor

• Discuss comfort measures with the support person and your doctor

• Learn more about breastfeeding

• Discover community services and programs in your area that help parents (people entering, breastfeeding support, parent groups, food banks, community lockers, etc.)

• Ask what the hospital or birth center will provide you and what you need to bring with you. Pack a small suitcase or bag 3-4 weeks before the expiration date



What is Labour ?

Labour is the work that the uterus does to help the baby get out. For many hours, the uterus will contract (contract), rest and then contract again (contract). This causes the opening of the uterus (cervix) to thin and open (dilated)

A contraction occurs when the uterus narrows, rests and then narrows again. You will feel numerous contractions when you are about to give birth. The "agony of work" derives mainly from contractions. When her cervix opens to 10 cm, even her contractions, her push will move the baby through the birth canal (vagina) and out into the world

Labor and delivery are a natural and important process for your body. Your hormones are preparing your body and your baby for the transition from the womb to the outside world



What are the signs of Labour?

There are some normal signs that tell you that your job may start soon. Most women enter the birth process within seven days of the expiration date. In the event of signs of work before 37 weeks of pregnancy, go to the medical clinic or work center immediately


(1) Lightening

Towards the end of the pregnancy, the baby will move downward. When this happens, you will be able to breathe more easily. You will feel less burning in your chest and throat after eating. You will need to urinate more often. If this is your first baby, this can happen 2-3 weeks before the onset of labor. If this is not your first child, this may not happen until you are closer to giving birth


(2) Mucous plug

During pregnancy, you have a large mucus plug on the cervix. As the baby's birth approaches, her cervix starts to thin and open and the plug may come loose. In this case, you will notice thick mucus in your underwear or bathroom or you may not notice it at all


(3) Bloody show

You may notice a pink, red or brown discharge a few days before delivery or during delivery. This is called a bloody show. It is a sign that the cervix is ​​changing shape and the mucous plug protruding. Tell your doctor when this happens


(4) Bag of water breaks

Your baby is in a water bag (amniotic sac) in his uterus. When the baby is ready to be born, it is normal for the water pouch to break. This can happen before the onset of labor, the onset of labor or when the baby is almost ready to be born. When it happens, you may have a small or large amount of water coming out of your vagina. Sometimes women don't know if it's water from the uterus or urine. If you are unsure, call your doctor. When the water bottle breaks:

• Note the time the water bag broke

• Look at the color of the water (it should be transparent)

• Look for an odor (must not smell)

• Do not use a tampon: use a tampon on underwear or towel if necessary

• Contact your healthcare professional or hospital for instructions


(5) Contractions

At the end of the pregnancy, you may have contractions (the uterus narrows, rests and shrinks again) which are very strong. They can come and go for hours or days and then stop. These contractions are helping your uterus prepare for childbirth and are called pre-partum contractions or Braxton-Hicks. The following table will help you know when you are actually in labor


Pre-birth contractions:

  • Try not to get stronger
  • Try not to become regular
  • Go on foot
  • I feel stronger in front
  • There is no bloody show
  • In general it will go with the rest

Real labor contractions:

  • Get stronger
  • Become regular and close
  • You are stronger when you walk
  • You can start from behind and move on
  • The ridiculous spectacle is generally present


How do you time your contractions?


By finding out how to schedule contractions, you will know when you have a good job. Measure your contractions when the contractions approach and the contractions become more ingrained or when the water breaks. It is also useful to calculate about 3 contractions to perceive what the example is

to record:


• When each contraction starts and ends

• How far apart are the contractions

• How long each contraction lasts

• How strong the contractions are

Start time End time Duration of contraction Frequency of contractions Use a watch or watch with a second hand. To find out how long the contraction continues, start timing from the first start point of the contraction as far as possible from a similar contraction. To find out how far apart the contractions are, time the start of a contraction until the start of the next contraction


Labor is divided into three phases


Normal Labour and Birth



First stage: the cervix is ​​enlarged with the objective that the child can go through. Her parental figure estimates the opening of the cervix in centimeters. As long as the cervix is ​​completely available, about 9 to 10 centimeters (about 4 inches), it is large enough for the baby to pass

Step two: driving (bending over) causes the baby to move through the birth canal and the baby is conceived

Third stage: the uterus continues to contract and the placenta (fetal membrane) is released


What can help you feel comfortable during labor?


Here are some tips that you and your partner can use to help you learn to relax. This can make work progressively pleasant and help the child get off

Learn breathing techniques such as:

• Breathe slowly and rhythmically through the nose and mouth
• Take light (shallow) breaths in and out of your mouth
• Take short, quick breaths in and out of your mouth

Ask the support staff to massage different parts of the body. If the lower back hurts, ask the support staff to apply constant pressure to the lower back

Listening to music

Drink fruit juice or water or chew the ice drops

Go to the bathroom to urinate at least every hour

Take a shower or a bath


Working  with contractions



Normal Labour and Birth



Here are some ways you can work with your contractions to feel better and help your progress in the job:

1. Stay out of bed for as long as possible! Let gravity work for you! Change positions often!

2. Use the comfort and relaxation techniques taught in your birth lessons

3. Ask the support staff to gently press on the feet or massage them. Believe it or no, this will help you feel better

4. Urinate every one or two hours. A full blister hurts and can prevent the baby from moving down during birth canal

5. If labor is normal and the doctor agrees, continue drinking fluids and eating lightly

6. In the event that labor is easy and the support person is your better half or accomplice, ask for a good time when you can separate yourself from the others and curl up

7. Take a hot shower to relax. A shower can really help speed up a moderate delivery. The hot water that flows on your areola causes the arrival of a hormone that reinvigorates labor

8. Tune in to relaxing and soothing music that helps you relax

9. Get help from your person to massage your back

10. Ask your helper to put cold, soggy materials on the forehead

During labor, be sure to ask your healthcare professionals how dilated your cervix is ​​and how your work is progressing. For most women, the most uncomfortable or distressing job is progress. This is when the cervix is ​​expanding to the maximum. In case you come to a time when you no longer feel able to take it, ask your tutor how dilated you are. Occasionally, just realizing that you are fully dilated and that your baby will be conceived in no time could be all you need to help


Childbirth



Normal Labour and Birth



In the weeks before the birth, the fetus, which generally passes through the head, gradually descends between the pelvic bones and presses on the cervix


The expansion period

Labor begins when the combined action of various hormones causes rhythmic contractions and painful muscles in the uterus. These uterine contractions extend from top to bottom, gradually dilating the cervix and causing the amniotic pocket to rupture

The expulsion period


It may take several hours for the cervix and vagina to dilate enough to allow the baby to pass. When the opening reaches about 10 cm, the baby's head engages the vagina. With the help of the mother, who strongly contracts the muscles of the abdomen, the baby is expelled in less than an hour

The period of deliverance


After birth, the muscles of the uterus continue to contract to release the placenta. These contractions also have the effect of stopping the bleeding by compressing the damaged blood vessels. Complete retraction of the uterus and vagina can take several weeks


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