Beginning of work, dilation of the pass, vaginal touch, expulsion and deliverance … Zoom on the birth of baby and the stages which precede childbirth to approach it in all serenity.
It is not uncommon for Basse delivery of a first child extends over a period varying from about 8 to 14 hours, or even much longer sometimes. “”Being afraid to give birth is normal, especially when you have not yet gone through this ordeal. Visit maternity ward, meet the medical team and participate in the preparation courses for childbirth and ask questions to your gynecologist or their midwife help to live this great moment “ reassures Dr. Claire Lewandowski, doctor specializing in general medicine. This is also the case when you know the Different stages of childbirth and First warning signs. This allows you to better understand this important step before meeting your baby.
When childbirth is imminentit is normal for the baby’s movements to decrease, as well as his kicks. There loss and expulsion of the mucous cap blocking the cervix of the uterus, causes the appearance of mucus and blood, quickly announcing the water loss.
The rupture of the water pocket
There Rupture of the water pocket corresponds to the loss of amniotic fluid by the vagina. It can correspond to a few very ineffective flows or cause a real flood. When this stage takes place normally, the liquid is transparent, whitish or pink. From the rupture of the water pocket, you have to go to maternity to avoid the occurrence of an infection. The appearance of significant bleeding or an abnormal, yellowish, green or black color, represent an emergency and require immediate care.
Regular contractions
When the work takes place, Contractions become regularmore and more rhythmic and take place Every 12 to 15 minutes Then accelerate at a frequency of 5 to 10 minutes by lengthening in duration. They take place in the lower back or belly which becomes hard and then relaxes. When the contractions occur all 5 to 10 minutes about half an hour, is that you have to go to maternity.
The work corresponds to theGradual opening of the cervix under the effect of uterine contractions. This period is long, difficult and often painful. Exercises and advice provided during Preparation sessions for childbirth allow you to acquire a more efficient breathingessential to make this step more bearable. The baby’s heart rate and the pace of contractions are monitored thanks to installation of monitoring : A belt equipped with two sensors installed on the belly of the future mother. One of the two sensors allows you to monitor the baby’s heart beats and the other, the rhythm and the intensity of the uterine contractions. The sensors are connected to a device to view two curves that study these different parameters. A decrease in the baby’s cardiac activity can testify to the baby’s suffering and require emergency care.
The dilation of the collar represents the longest phase of childbirth. It is measured in centimeters using the vaginal touch, That is to say the introduction by the midwife or the gynecologist of his finger in the vagina to measure the opening. It begins when the collar is shortened and continues gradually.
The purpose of the dilation is to allow the cervix to open andreach 10 centimeters to leave the passage to the baby. The collar expands one centimeter per hour, the first 5 centimeters being the longest to reach. There water pocket generally breaks 5 cm of dilation. The contractions help the pass to expand. THE rhythm of contractions accelerates as soon as the dilation reaches 7 centimeters : they become faster, more intense and more tiring. They evolve from a duration of less than a minute intervening every 5 to 10 minutes and then reach a period of one minute and are less and less spaced. When the complete dilation is close, the mother is stimulated by the midwife who asks her to push hard by applying the rules learned during the preparation sessions. The mother recovers by resuming her breathing when the contraction has passed.
The child’s descent takes place in parallel with the dilation, the baby can potentially be expelled as soon as the dilation reaches 10 cm. Expulsion is the last phase that corresponds to the period between the complete dilation of the cervix (10 cm) and the arrival of the baby. It can last 20 to 30 minutes approximately or more an hour or more, especially among mothers who give birth for the first time. The contractions are increasingly irregular and light. During each thrust, the contractions come closer, intensify and generalize the entire uterus. Each push relieves pain, apart from an epidural anesthesia.
Preparation exercises for childbirth, useful on D -Day
The mother uses the advice of the Preparation for childbirth. She must listen carefully to the midwife, then push from all her abilities during each contraction. It can be proposed either to block breathing during thrusts, or on the contrary (which is more and more) of breathe slowly and as long as possible at the same time as the push. The midwife makes it possible to prolong the effort, to stop it and then restart it. These exercises are practiced during each contraction, started again in the following until the baby’s head is sufficiently out. The efforts of the thrusts allow the baby to cross the part located between the vagina and the perineum, between the anus and the orifice of the vagina. They must then be stopped so that the baby is as slowly as possible. When the head is cleared, the contractions are enough to allow the exit of the shoulders and the rest of the body. The doctor or midwife then releases the head of the child who appeared first, then gradually the shoulders and the whole body of the child.
The baby pushes his first cry and is generally placed on the mother’s belly while the umbilical cord is cut. This first contact between the mother and the baby can be extended. THE first aid are then provided to the baby.
15 to 20 minutes after the baby arrives, the uterus contracts suddenly. The placenta takes off and exploded. The woman can push, according to the indications of the midwife to promote her evacuation. The placenta is examined by the midwife who checks that he was completely expelled and that nothing remains inside the uterus. The persistence of placental fragments could cause infection or hemorrhage.
