The first births do not occur as the next. They are longer as the cervix dilates slowly. In addition, the first birth frightened woman, she often draws advance themselves the most improbable scenarios. That is why at first birth mothers must be attending school at the women's clinic.
Harbingers of the first birth
Harbingers of labor in nulliparous women appear earlier than multiparous. For one or two weeks before birth lowers the stomach, a woman reduced breathlessness (but it becomes more difficult to walk and sit, sore lower back), it says that the baby's head sank into a small basin, so soon begin delivery. There is a constant urge to urinate - fetal head presses on the bladder
Urinary bladder - structure and function
. It may appear as diarrhea. The fruit becomes less mobile. Decreased appetite, a woman a week before birth lose one or two kilos of weight.
Appears irritability of the uterus, it can be shown that when pressing on the abdomen, the uterus becomes hard. May appear and false contractions - convulsive painless and irregular contraction of the muscles of the uterus.
The cervix softens during the precursors. A day or two before the birth the woman moves mucous plug - a thick sticky mucus, which was located in the cervical canal. After this false labor can turn into real - regular and painful.
The duration of individual periods of labor in nulliparous women
Births nulliparous last 15-20 hours, multiparous - 10-12 hours. The process of birth is divided into three periods:
- I period - the fight, that is, contraction of the muscles of the uterus, which contribute to the disclosure of the birth canal (cervix opens); at first childbirth, this period lasts longer than with repeated (up to 18 hours versus 11 hours);
- II period - attempts and expulsion of the fetus; This period also in nulliparous lasts longer than multiparous (1 to 2 hours against half an hour - an hour respectively);
- III period - the birth of the placenta and fetal membranes, continues in nulliparous and multiparous women the same amount of time - up to 30 minutes.
The first stage of labor - contractions in nulliparous women
The contractions in nulliparous women proceed more long and painful than multiparous. True False contractions are different from what they are painful and occur over a period of time, which kept declining, while the duration and intensity of labor increases. After another bout comes a break, during which the uterine muscles a rest and gain strength.
Sometimes the fight for women begin with the appearance of pain
Low back pain: the spine signals
and the abdomen. They may take a few seconds at intervals of 20 - 30 minutes. By the end of the first stage of labor contractions last for a minute or more, and the break between them is no more than three minutes. Increase the intensity of contractions indicates normal flowing generic process: the more and more intense fight, the faster the opening of the cervix and the subsequent expulsion of the fetus.
Contractions - uncontrollable process can not stop it. But the school mothers women learn special breathing, which reduces the pain during labor. Contractions contribute to the fact that the uterus stretches and stretches the cervix, which is shorter, smoother and reveals the way out of the birth canal. The entire disclosure of the cervix is 12 cm.
The second stage of labor - attempts in nulliparous women
When the cervix dilates, under the weight of amniotic fluid fetal bladder ruptures and a woman's water breaks. Typically, this corresponds to the beginning of the second stage of labor. But some women are moving away water before, during labor, in others all the water on their own and they do not depart reveal fetal bladder using medical instruments.
Once the cervix is opened, the fetus begins to move through the birth canal, which is enhanced by prolonged muscle contractions of the uterus, while reducing abdominal muscles, hips and other muscles. These long-term Co-contraction of muscles called vain attempts. Attempts contribute to increased pressure in the uterus and accelerate the movement of the fetus. At first birth birth canal expanded enough and sometimes fetal head can not pass through them. If this occurs, in some cases resorted to caesarean section - it avoids injury to the child. A woman can help a doctor, caregiver, if not confused and will carry out all his commands: intense sulking on the abdomen or on the contrary, hold your breath.
Sometimes fights or attempts, to start a normal, weakened and labors suspended. Or labors from the beginning stale. It is also dangerous for the child and in this case, labors stimulated by special drugs.
When the fetus is born, cross-checked his airway suctioned mucus out, tie up and cross the umbilical cord.
The third stage of labor - the birth of the placenta in nulliparous women
As a rule, this period takes place equally in nulliparous and multiparous women. But sometimes nulliparous women the birth of the placenta takes place before, 10-20 minutes after birth. Usually the placenta half an hour after birth the baby with the help of labor less intense than in the first stage of labor. If the placenta does not occur in a timely manner (and this happens), the operation is carried out manual removal of the placenta.
After birth, a woman for two hours is in the delivery room, it is necessary to verify the absence of her bleeding.
The correct behavior of women during childbirth depends largely on her own health and the health of her child.
Galina Romanenko
