Saturday, March 31, 2012

Parturition (birth)

Birth cramping muscle contractions of the uterus is called, and that name is fully justified as an act of birth is really the time for the work that needs considerable energy. If pregnant women have required training, if you know what to do in labor, and if in good physical and mental condition, I labor act will be relatively easy. One of the main tasks of supervision of the pregnancy is to allow a pregnant woman giving birth to Eve in the best physical and mental conditions. 
There is no doubt that labor is one of the biggest stresses in life of every woman, so will the mothers be very useful if obj their most disgraceful events and occurring during the term labor laws. With the help of a few illustrations, we will show the way through the birth canal and coming to the earthly world, where the infant will have to perform many functions that he did not need to stay in their own mother's womb. It will now breathe in oxygen from the surrounding atmosphere and not from maternal blood. Will just have to remove their waste products as part of the liver and kidneys no longer perform the placenta. It also will have to feed independently, because no longer receive food through the umbilical cord. It should be said right away that in future all new commitments prinova coping remarkably well. However, the process ran normal pregnancy and delivery, it will be easier and more successful adaptation to extrauterine life as an independent.

What should know about your body HOLDINGS

To truly understand the many events that occur in labor, it is necessary to know some basic elements of the structure of every woman. Your child in the last few weeks of pregnancy is growing rapidly, so, just before delivery, there are about 3300-3400 g and long about 50 cm. It then takes up more and more space in the amniotic cavity in which amniotic fluid is reduced to a maximum of 1000 ml of the 36th weeks to about 600 ml.the 40th week of pregnancy. Outstanding protected womb, your fruit is now in the abdomen and you feel it beneath the ribs. That gave birth to a child, you will descend and pass from one to the other end of the bony part of the birth canal. This passage takes the form of tunnels, however, has all the same shape or same size. The whole birth canal is divided into two parts, one of which is composed of muscles, so called soft part, and the other bones of the pelvis and therefore makes the hard part of a single birth canal. The most dangerous moment of every birth is just passing through this channel. To get through it quickly and safely passed, the child will be placed at birth in the most appropriate positions, and it will be assisted by nature itself, which allows for some expansion in the birth canal and reduce the size of the child's head, whose bones at the time of birth are not completely grown together and can adjust the size of the passage.


Many times women, although they do often is not the first birth, coming into nursery in the middle of the night, confident in labor. When a gynecologist inspection that is not so, pregnant women coming home a bit disappointed. Addressed to the pregnant woman who is preparing for the so-called. painless childbirth, it occurs only exceptionally.

SIGNS The sign has more, so if you are not completely reliable, it is good to know. In the early days of the tenth lunar month (women carrying 10 lunar months, ie. By 10 times 28 days, a total of about 280 days) there is a lowering of the bottom of the uterus. Pregnant women who are somewhat suppressed, ie. had problems breathing due to enlarged uterus very suddenly "breathe easier". Relieving pressure on the stomach. In primiparae the fetal head by that time was located over the entrance to the pelvis, now, three to four weeks before giving birth, head down deeper into the pelvis. If this does not happen primigravidae, should be suspected in the gap between the heads of children and expectant mothers pelvis and this can mean that it is a (so-called narrow pelvis or, for example. The water-head), or delivery date is not correct. In such cases, ultrasound helps. In the last days before giving birth are often the savage labor. The uterus suddenly becomes hard like stone, which trudnicoa usually observes but does not feel any pain. Simple test, called. Smajtovim test can identify readiness and sensitivity of the uterine contractions. Just before the birth occurs, as the first character, the bloody mucus or blood-stained mucus easily spill out into the vagina. There is also pressure on the bladder. Just before the start of delivery of pregnant women are often suing the headaches, heart palpitations, restlessness, and feeling the heat. They occur sometimes pain like sciatica, low back pain. The pain is light circular massage with the tip of the fingers in the lumbar motion as counterclockwise, and gave easy to remove. Careful measurements may be the last day before delivery to notice weight loss. It occurs sometimes vomiting, diarrhea, poor appetite, vj Etro, the pressure on the colon and so on. Stronger flows of vaginal discharge. Just before the start of delivery of pregnant women feel less remove the child. All these signs are not completely reliable. It is therefore useful to a few weeks before the birth of pregnant women often come to view gynecologists. This also applies for re-examination with ultrasound. First, the real sign of early labor, there is the appearance of rhythmic contractions, ie contractions of the uterus at regular equal intervals, approximately every 10 minutes, at least three times in a row. Another sign of a leak of amniotic fluid, regardless of whether labor occurred or not. The third sign is the appearance of mucous plugs sukrvavog, a fourth, lower back pain.

WHEN IN MATERNITY? Primiparous let go when the contractions occur at intervals of 5 minutes and multiparas in the span of 8 to 10 minutes. If the transport distance or inclement weather hampered by debt, it should start earlier. Mothers should have already 2-3 weeks before delivery the prepared bag with the barest necessities, toiletries, slippers, sleepwear, maternity and health records and other medical records.


Women are beginning to learn how to bear all the more prihvaćaj in courses for pregnant women, where a systematic, special gymnastics and exercises control and guide physiotherapists in pripremaj for the birth.Mental and physical protection, it helps not only one's relatives, but the condition of the newborn and significantly reduces the need for providing a variety of medications, especially painkillers in childbirth.Therefore, learning how to give birth has not only humane but practical medical justification.

Obstacles that must be overcome in labor

Just before birth the child usually lies along the mother's womb, it occurs in 99% of cases, while only 1% are extremely unfavorable transverse position of the child. The longitudinal position uu 96% of the fruit is often the leading head, abdomen and in 3%. At this stage the child is a fetus surrounded by water in front of the head or abdomen forms a water bladder in labor or Aquarius. Umbilical cord is connected to the placenta during which he allowed nine months of pregnancy good nutrition and a host of other vital fu nkcija. Locked them inside their membranes, the child is in utero, which has a pear-shaped speteljkom side. Up. The cervix, a length of 3-4 cm protruding into the vagina and there is a thin canal only a few mm wide, through which flows every month menstrual blood. To successfully passed the time of birth, the child will be the channel of a few millimeters have to expand to about 11 cm, you will burst out of the fruits of this labor is finally ii power ie. labor, will have to squeeze the fruit through the vagina and vulva in this world. This trip will take place in four successive phases called birth seasons. Each of these stages has its own typical characteristics that allow them to distinguish each other, and so successful birth control. Now I have to stress that this vast force, which channel a few millimeters wider at 11 cm and which displaces the child difficult to 3400 g and 50 cm long, giving only the muscles of the mother; first the muscles of the uterus, and finally the muscles of the abdominal wall. The mother needs to understand the mechanical processes that occur in labor, so that this important document itself followed and knew what was expected of it in labor.

As already mentioned, in most cases in the last weeks of their pregnancy, the child is in its final position, ready for delivery. Then the head is in the mother's pelvis and compresses the surrounding bone and the bladder and colon of the mother. Therefore in this period often find varicose veins, pain in lower back or frequent urges to urinate. A pregnant woman becomes a little impatient and will often ask the doctor opiate. One day you will feel something like a cramp in the back and it will occur again in about twenty minutes. It will then usually come break of 20 to 30 minutes in which nothing would fare significantly. All this, however, can start differently and, even in primigravidae. These rare cramps can be repetitive and quickly become ever stronger. These are usually the first contractions, which you can check yourself and putting his hand on your stomach when you feel pain.Your belly is hard as boards, and this remains a matter of seconds.

False labor

All this may be a false alarm, and many women have been admitted for similar symptoms in the delivery room to the next day were sent home where they stayed until ave notions of real labor. The real and false contractions differ in frequency of occurrence and duration of uterine spasm. Many mothers will themselves be able to see these two similar occurrences. It should be very carefully monitored. The first cramps are very weak and barely lasts 10 - 15 seconds. They are usually painless and re-j stalled without any rate, at irregular intervals. After two or three hours cramps become stronger and more frequent and last for 20, 30, and 40 seconds. False labor pains, however, occur at irregular intervals: the time of first appearance of multiple passes, that they are getting weaker, and in a few hours of stopping altogether. Usually occur at night, and pregnant women are usually felt as pain in the lower abdomen and back. True contractions are regulated, frequency and power them becomes bigger and bigger as far as labor progresses. However, it must be admitted that kojiput and experienced maternity charm difficult to separate the true from the false labor contractions. In fact, however, the mother can help significantly. As soon as the end of pregnancy they notice cramps and which are repeated, we should take an hour and measure the frequency and duration of contractions. In one or two hours of labor of 30-40 seconds will be repeated every 1 5-20 minutes. Then j will avljati every 5 - 1 0 minutes, and then the ati lasting 50 to 60 seconds. Mothers felt that a stronger and stronger and spread in waves from the back, through hips, weaving in the lower abdomen. These contractions are painful, but the strength and pain can be very varied, which directly depends on the degree of the mothers and premljenosti of how the labor and birth pain alleviation. When you, therefore, determined to start their own scarce and irregular contractions become more regular, stronger and more frequent, you will know that the birth went really good time and make all the preparations for the trip to the hospital. If, however, the papers remain irregular, weaker, and finally completely disappear, roll will wait another day or even week. These false alarms occur in about 10% of cases, usually at the time of entering head into the pelvis.

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