First stage of, or the time of opening, the last of the first contractions to fully open the mouth of the uterus. In this time of the initial contractions are usually not severe and are accompanied by long pauses after each effort.What, however, goes a long labor, contractions become stronger and more frequent breaks between shorter and shorter. This stage of labor flows without much stress, so he called quiet phase. It takes an average of 11 - 12 hours in primigravidae and 6 to 7 hours in multiparas. In any effort to squeeze all the muscle fibers in the uterus to constrict around the child and try to be to put him out like stones from the fruit of living seq. The first labor can not, of course, squeeze the child, they will push it every time mze the cervix. In addition, every effort withdraw the walls of the uterus neck up. It is in fact often more reluctant because they do not, like the uterus, underwent a corresponding change in another pregnancy. He became softer and easier to more and more reduced in order to eventually completely flattened and incorporated into the body of the uterus. It is said that the cervix has "disappeared". Now only a supple ring with a diameter of 2-3 mm, which closes the opening of the uterus. Shortly after the disappearance of the door begins to open the hole. During the first stage of labor the child's head is bent so that his chin pressed to his chest and all over the whole head into the pelvis. It is evident that the newt is preserved. However, in recent years in many countries newt is broken artificially, when the mouth is open, the two fingers in order to speed up delivery. End of Stage announces changes in the character of labor. They are becoming more frequent and stronger, so many to women in this stage need a means to relieve the pain. When the mouth is fully opened, the uterus and vagina are along the birth canal through which the contractions squeeze the child. At the end of labor and labor will have additional help mothers abdominal wall muscles, which we call the clamping voltage.
WHAT DOES THAT woman in the first stage of?
The first time nom birth mother may be very few actively support their child's birth. This period is a reasonable expectation of patient and in which, of course, be familiar with the mechanisms of the disappearance of the cervix and spread its mouth. Since that time waiting, more and more inclined to the view that birth attendants in maternal age to be in an environment that will remind you more of the circumstances that had at home.Therefore, in large maternity hospitals in the room the first time comfortable, with the odd paintings and other fine, eye-pleasing detail. If the woman psihoprofilaktički prepared to deal much better in the first period. She will be ready for all this effort, and when they become uncomfortable and painful strong, you will be a means to relieve pain. Will lie down on that side to her doctor recommends after vaginainog review. It will not take any solid food because it will, because of impaired digestion in labor, will remain undigested in the stomach.
Second labor AGE
This era begins with a fully open mouth of the uterus and ends with birth of a child. At that time the mother will have to be much more active and you will significantly help the obstetrician. That it must displace a child from the birth canal, which now make up the uterus and vagina. The second time usually takes less than 90 minutes. If more time is longer, birth attendants will sometimes give birth to a child with so called. vacuum-extractor.Mothers now have a growing urge to pressure. This causes the print head of the child who makes the soft tissue in the pelvic. From there the message is sent to the brain centers which in turn affect the fixation of the diaphragm and abdominal wall muscle contractions to help the child to birth pangs. Labor-voltage and, therefore, pushed the child down, and the resistance of the soft tissue conditions the turning of the child's head so that the person comes back. At the entrance to the pelvis darlings head is placed in its widest diameter of the widest diameter of the entrance to the pelvis, which is situated cross. At the exit from the pelvis situation is reversed. Here is the largest longitudinal diameter and will have to rotate the head of the child, a child's face to be facing the mother's back. With every effort and the mother's print head is closer to the exit of the external genitalia. Soon obstetrician can be seen taking part of the head. Glavica progressing with every effort, during the break to go back slightly, but the process of landing and continues as more and more parts of the head becomes visible. In this period the mother is making important efforts of our own, her pulse was rapid and after every effort feels the need of rest, during which time shall obtain a new energy that will take her in the coming labors.Finally head begins to imprint the perineum, there are very strong, so. Seismic labor. This is the last moment and the injection of local anesthetic, but if he was not given. With the next few contractions, the external genitalia begin to point out first., Forehead, then eyes, nose, mouth and chin. When the heads have labored, turned to face the mother's thighs and the shoulder that allows the delivery and the rest of the body. Thus, the long-awaited child came into this world. Women giving birth the mother and the first smile on her face speaks best to the great joy which will soon replace the feeling of total relaxation and a pleasant languor which disrupts the first cry of a newborn.
WHAT TO DO IN THE SECOND TIME Birth
Second time is the time of the expulsion of the child from the womb into this world, and this is the period when new mothers is very helpful with their active attitude. It is much more unpleasant bolnijii of birth; so that time more and more pain-free water or with funds to relieve the pain. Mother helps during labor. With each effort it will take a deep breath and fill your lungs with air so. Then retain the breath, the diaphragm freeze and cramps, lower chest and abdominal muscles strong will to press down. During the effort it is really "trying", and break it completely relaxed. When the child finally appears in the external genitalia, perineum to the doctor with a sharp pair of scissors make a cut that is professionally called an episiotomy. This is now the rule in all major hospitals, especially in primigravidae. This will prevent the larger divisions of the soft birth canal that would odmaklijoj age could lead to the lowering or loss of the female genital organs.
THIRD AGE Birth
In this brief time comes to peeling and squeezing the placenta, and is known as the placenta ages. Doctors today by the more actively than before, so that every woman, when the shoulder is born infant, get an injection that will help to quickly peel off the placenta and to thereby lose less blood. This period usually lasts 10-20 minutes and runs usually painless.
FOUR SEASONS Birth
This is the final act of giving birth and called an early puerperium. It takes about 2 hours after leaving the placenta, and birth attendants accompany him signs of possible bleeding from the uterus that kojiput can quickly and completely twist.
Preterm delivery occurs when a child is born in a period of 29 to 30 weeks of pregnancy. Premature baby, premature baby, is not only smaller but more difficult adapting to life outside the womb. Infant has a less developed respiratory center and begin to breathe harder in the early days may occur irregularities in breathing.It sucks harder, is sensitive to temperature changes, and is less resistant to infections. Because premature babies, to preserve their lives, to provide care in a specially equipped hospital wards, until they pass the critical period of their adaptation of a life outside the womb. Therefore, to reduce child mortality, it is necessary to take measures to prevent preterm labor. If this is not possible, preterm delivery should be completed in a hospital that is equipped for the care of premature infant. Transport nedonesenog asleep to the hospital just after giving birth is often fatal.
Normal delivery is not acting always 280th days than in the period of 39 to 42 weeks. Primiparas usually starts earlier, but after 273 days and multiparous later, several days after the 280th days.
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