We know a lot about childbirth, but we do not know what exactly causes it. We know that physical and emotional readiness of mothers and babies factor that causes changes in hormone levels in the mother.Prostaglandins open and soften the cervix, and oxytocin causes the proper rhythmic contractions that beyond the cervix. The position of the baby and your emotional state and physical location may affect delivery. It is important to understand that every birth has its own course with periods of intense activity, peaks and periods of rest depending on the circumstances in which it occurs.
When you feel stronger contractions, similar to menstrual cramps, you may think that he started preterm delivery. Doctors and midwives, this contraction is called "false pains", and they play a significant role in the initial expansion and relaxation. It's as if the uterus is heated before delivery. These contractions usually stop after a while, but sometimes can last for hours. When you feel, get up and walk around, see if you continue, whether the intervals between contractions become longer or shorter.
The first signs of labor
Some physical signs informing you that labor is approaching. Warm-up contractions may become more intense and frequent. You have diarrhea for several days before or on the day of delivery, so your body is empty and preparation for childbirth. You'll experience the presence of enormous energy, and you might want to cook, store house - a kind of instinct gneždenja. But you can also wish for once not to do anything.
As your cervix begins to shorten and open, small mucus plug that closes it comes out, usually in one area but as a pink slime "bloody show" stained with blood from broken capillaries that was held previously attached to the cervix. Many women do not have this "idea". The other is a through and through early and active labor.
How your baby's head pressure membrane, containing the amniotic fluid, they can break. They often break during labor, and rarely remain intact until the baby is born. "Water" can be poured out as often or just dripping. Membranes are usually transparent and odorless and can have milk. Some women think they wet their pants. It is best to check the color and smell. If you can not stop the swelling is probably enough for the amniotic fluid. No matter how much fluid leaks out, your body is replaced every few hours. There is no "dry birth". When the membrane ruptures delivery will probably start at intervals of 12-24 hours, although some women curka fluid for several days or even weeks ago. There is no uniform opinion of what to do when Newt breaks. Some doctors say they should immediately come to the hospital to prevent infection.Some of them favor the routine delivery after 24 hours if he has not started naturally. Midwives usually tell you to relax and will soon begin delivery. If your water breaks suddenly you might want to check outside your doctor if your baby's head is set correctly and to see the umbilical cord is slipped around the neck of the baby. Also, if you notice brown or green spots, tell your doctor, it means that mekonium (tarry in the gut contents of your baby) released - which is usually but not always a sign that the baby suffers.
Contraction, the most common sign of labor
After some time, the uterus begins to beat regularly and strongly. At first it may look like abdominal pain, menstrual cramps, back pain, pulling and stretching of the lower abdomen. In early labor, contractions occur at regular intervals of ten minutes per hour, or as may be infrequent, irregular, in wide intervals. If labor begins during the day, doing everyday tasks, especially if this is your first child, because then delivery takes longer. More often, labor starts at night when you are relaxed. It is good to sleep a little if you can.
Childbirth is split into three phases. When they start to appear regular contractions, the baby begins to descend, and the cervix thins and expands (opens). The duration and progress of labor are different for every woman, but with every delivery identify three phases which is characterized by the same for each delivery.
This phase is divided into three sub-phases, namely: early labor, active labor and transition phase.
The cervix begins to spread. You feel strong and regular contractions lasting 30-60 seconds and occur every 5 to 20 minutes. You may see blood and mucus discharge (the cap). At this stage you can be several hours or several days (especially for primiparae). This phase can spend at home, or in any environment where you feel comfortable.
Contractions will become stronger, longer and more painful. In most cases, there is little time to relax between contractions. You can feel the pressure in the lower back. If you have not arrived at the maternity hospital, now is the time to go. The cervix will dilate at this stage of 7-8 inches.
The transitional stage of labor lasts from 30 minutes to two hours. At this stage, the cervix opens to 10 inches, and you are ready for straining. The pain will become more intense and stronger, and the time between contractions will be very short. This is the hardest stage, but fortunately, the shortest, at the end you will feel a strong urge for straining. At the end of this stage, your baby is ready to saw the light of day.
In the second stage of labor, your cervix is fully dilated (opened) and ready for delivery. This is the stage where you have a baby.
The second phase may last less than 20 minutes or up to several hours (especially for primiparae). You can feel the pressure on the rectum, which occurs because the baby's head down toward the vagina. Also, you will feel a strong need for straining. If absolutely necessary, the doctor will do an episiotomy, a small incision in order to increase the vaginal opening (most women do not need an episiotomy). The baby will go through the birth canal and the first time to breathe the air! When the baby is born, the doctor will cut the umbilical cord.
This phase can also own a lot easier, and here's how:
• Stay focused, try to remember everything you read about the birth.
• Please allow medical staff to help you, and listen to their instructions.
• Listen to your body, stretches when you feel the urge.
• Try to relax between contractions, it will give you extra power.
During the third stage, the placenta is expelled. And while you're watching and cuddling her newborn little one, the body is prepared for this phase. The contractions for the placenta will start 5 to 10 minutes after the baby is born. At this stage you may feel a bit hesitant and tired. However, gather strength as the placenta takes only 5-30 minutes.
After examination of the soft birth roads coming to the initiation of the fourth stage of labor lasts two hours, during which mothers stay with their baby in the delivery room. Women is under intense supervision of staff maternity sale. Upon expiration of the time with the baby moves to the maternity ward. Then begins a period that lasts 6-8 weeks and is called the puerperium (puerperal). Here comes the return of tissues and organs of the state that existed before pregnancy. Regardless of delivery mode (vaginaini delivery or cesarean section), these processes occur in much the same way. At this stage porodiiji points to the benefits of natural nutrition and its importance for the newborn. Tells her about the importance of genital hygiene in hospital stays 2-5 days after birth, depending on how the end. In the discharge letter to the patient is prescribed any treatment and schedule regular review.