There are fights, or not? Before multiparous women the question is not: the true battle with something else confused impossible, just as it is impossible not to notice them. But nulliparous women sometimes get lost and think if they can accurately determine when labor begins and promptly call an ambulance?

What is the fight or why they start

Contractions - it is the beginning of labor, which is to reduce the muscle layer of the uterus. It is a physiological reaction that leads to the disclosure of the cervix. Uterine muscle cut in different directions, as in the body of the uterus of the fibers are mainly in the longitudinal direction and in the cervix and the isthmus - a circular (circular). Such disparate, seemingly muscle contractions result in slow serial disclosure of the cervix, through the hole in which the later will be the fruit.

All these changes occur after the central nervous system (CNS) of a pregnant woman go signal that the fruit is ripe, that is, 37 to 40 weeks of pregnancy. Under the influence of the CNS in women allocated biologically active substance prostaglandins and pituitary hormone oxytocin that stimulates uterine contractions. This is the reason for the start of contractions.

How to begin and proceed fight - the first stage of labor

Before the start of contractions in women may appear pain - lower back ache, due to pressure on the spinal nerve roots of the fetal head. There may be pain in the abdomen and Abdominal pain: when to sound the alarm? Similar to menses.

Against this background suddenly appear cramping abdominal pain Abdominal pain: Types and Symptoms Which initially holds only a few seconds and does not have a high intensity. The next bout of pain or cramping may occur after 30-15 minutes. Attentive woman may notice that the pain appear in a strictly defined period of time, which gradually decreases. At the same time the intensity and duration of the contractions increase, and thus grow and pain.

In the women's clinic for pregnant women classes in preparation for childbirth, in which they explain how important it is to record the start and end of each bout. With these recordings, she should come to the hospital - the dynamics of the labor can be said about many obstetrician-gynecologist, who will take delivery.

What can be confused battle

In fact, the real battle is impossible to confuse with anything but inexperienced, had not given birth woman could confuse the true with the false contractions.

False labor is also called training. Normally, they can appear a few weeks before delivery due to the small hormonal changes - increasing the amount of blood in the female sex hormones estrogen. Estrogens reduce the impact on the muscles of the uterus progesterone Progesterone - norm and pathology   - The hormone that throughout pregnancy inhibited uterine contractions.

Thus, the body as it allows the uterus to train their muscles before birth. False contractions are small contraction of the muscular layer of the uterus that occur randomly and in most cases, painless. But it is very sensitive to the pain of a woman may feel these contractions as pain.

To distinguish the true from the false labor, you can, recording the time of their beginning and end. After that, you can see that the intervals between contractions is absolutely arbitrary: first contractions may be repeated after 15 minutes, then 30 and then five minutes later, followed by a battle is a day and so on.

Occasional fights are never true, that is not talking about the onset of labor, so the woman should calm down and just follow the developments.

How do you determine when you need to go to hospital

The hospital recommended flow when the intervals between contractions are about five minutes - is the optimum time.

But in some cases be sent to the hospital immediately. For example, if a woman during labor were spotting Spotting - it is important to rule out pathology   - A sign of compromising the integrity of the birth canal, or the beginning of premature detachment of the placenta.

In addition, in the maternity ward should be sent in case of premature discharge of water. Normally, the water must retreat after a full disclosure of the cervix. But sometimes they go to the very beginning of labor, threatening infection of the fetus. After the discharge of water the woman must be under the supervision of an obstetrician-gynecologist in order to estimate the time he was able to state her and the baby, prevent complications.

Contractions define simple: women who give birth again, with what they do not confuse. And for nulliparous women at the antenatal clinic is a school of preparation for childbirth.

Galina Romanenko

Today, women are increasingly afraid of inattention, and sometimes even rudeness public obstetric services. Someone is trying to solve the problems of the traditional way, by paying the doctor, but more people are resorting to formal paid services. What do they get by paying for childbirth?

Signing the contract for paid labor

Paid labor mean the conclusion of a formal agreement between the medical institution (maternity hospital), or the insurance company, and a pregnant woman to carry out delivery fee. The contract may stipulate both standard and additional (optional female) services.

By the standard set of services provided include: attached to a woman gynecologist (can be included in the contract as a midwife, anesthetist and neonatologist) intended method of obstetric care (but in the contract should state that it can change depending on the condition of women), all medical services Survey of women before and after childbirth, conducting or no pain relief during labor, the presence during the birth of her husband or other people on the woman's request, the conditions of stay of women in the maternity and postnatal ward, and child in one with her ward or in the pediatric ward.

The better an individual duty obstetrician

If the contract includes an item about the individual obstetrician-gynecologist, he examines a woman for the first time a few weeks before giving birth (usually 36-37 weeks) and it is already up to the birth. In the case of the need for a woman is assigned an additional examination and consultations with specialists. Thus, at the time of childbirth obstetrician she knows all the individual characteristics of the woman is ready to birth plan and develop tactics receiving deliveries in the event of any unforeseen circumstances. It is very important for the doctor and for the woman, because she feels protected and quietly waiting for the birth. Confident woman gives and that it could at any time call a doctor to give birth on the phone (in the contract states that she must provide his phone number). Individual obstetrician watching a woman after childbirth.

If the agreement included an anesthesiologist, it also examines a woman even before birth, if necessary, appoint her to the survey, recommends the most suitable method of anesthesia for her. During labor, the anesthesiologist, specified in the contract, also called. The midwife and neonatologist present at birth.

The ability to choose the way obstetrics

A woman can choose method of birthing. But it is better if it is made after the inspection and interviews with individual obstetrician-gynecologist, as she herself can be difficult to sort out this issue. Maternity can accompany physiological childbirth, and can quickly (cesarean section). The contract, some women report that they want, or, on the contrary, refuse those or other techniques used during childbirth (eg, induction of labor). If this is done without consulting a doctor, then at birth can bind his hands, while the technique may be necessary it is for this woman. Sometimes the choice of birthing in the contract specifies one, and in fact a woman with her consent provides other services, whereas in the contract amended after the fact.

During labor, a woman is provided with all necessary medicines and materials that will be required in the case of surgery.

Terms of delivery and hospital stay

During labor, a woman is in the delivery room. Typically, a general delivery room, but if conditions allow this hospital, you can include in the contract and the individual rodzal, as well as some additional hardware (again, if it exists). It suggests that it can be turned on can obstetrician. In the delivery room must be heart monitor for monitoring the condition of the child during birth.

To be specified in the contract and providing all necessary linen as during labor, and after them, and stay in a private room with the baby and all the necessary equipment and linens.

Attendance at birth the husband or other relatives

The women relate differently to the possibility of the presence of relatives at birth. Some categorically do not like, others feel more secure, especially in the presence of her husband. In recent times, instead of relatives in childbirth present girlfriend, who already have experience of giving birth. In any case, a person present at the birth, should be examined in order to avoid infections such as tuberculosis Tuberculosis - a full recovery is not guaranteed Syphilis Syphilis - punishment of Venus . In addition, it should be of what is happening during the birth, you can not let an untrained man in the delivery room, it not only does not help, but will not interfere. Therefore, fathers who want to attend the birth, must attend school with his wife, mother.

Anesthesia delivery

If a woman is afraid of the pain, then we can discuss in advance the method of labor analgesia. Orient in this respect a woman anesthetist. Today, labor analgesia often used epidural and spinal anesthesia - the introduction of the anesthetic in the spinal cord. Less frequent intravenous and inhalation anesthesia.

More often anesthesia delivery is carried out by natural means, that the future mother taught in a school of motherhood - a pain relief using special breathing techniques.

Paid labor - it is certainly not only comfort but also a more attentive staff.

Galina Romanenko