In the first stage of labor there are regular involuntary contractions of the uterus - the bout.In the normal course of labor at the same time it revealed the fetal bladder and begin to withdraw amniotic fluid.After that, all the departments of the uterus and vagina merge into a single birth canal, begins the most crucial stage of labor, accompanied by vain attempts.How it will largely depend on the efforts of the expectant mother.Let's talk about the labor pains during childbirth by women.
to force the kid to leave the "nest" in which he spent 9 months for a fight attempts to connect - reducing abdominal muscles and pelvic floor.They arise from the fact that the baby is born his presenting part (the one that comes first) presses on the nerve endings of the cervix and pelvic floor muscles.So begins the most important part of the delivery - the period of exile.Unlike labor vain attempts can be controlled - to detain them or enhance.Do mothers giving birth for the first time, this period lasts about 1-2
During attempts often a woman feels the need to empty the bowel, and feels uncomfortable pressure on the rectum, after passing through the birth canal, the baby compresses all the internal organs in the vicinity.Restrains do not need, or the promotion of the child's slow.As for the posture, the bearing-down period the birth a woman can lie on your side with divorced in hand hips, squat or stand.Incidentally, it is noted that the "vertical" labor more productive attempts.
During attempts important to listen to the doctor's instructions.For example, if the cervix is not fully disclosed, midwife ban push, or cervix may break.To curb attempts should breathe deeply and often open mouth, as if blowing out a candle.At the beginning of attempts it is recommended to make a good breath - it is necessary to breath was full and deep.Sniffing, you need to hold your breath for 10-15 seconds, tilt your head to the chest and not breathing, struggling to push as much time as enough air.At this point, the diaphragm descends and presses on the baby, stimulate its passage through the birth canal.When there is a feeling that the air is not enough, we must slowly exhale.Very exhalation can not do, otherwise the diaphragm rises quickly, causing the child razognet head and hits the pelvis, and therefore there is a risk of injury.
Normally during a bout a woman straining 2-3.The baby quickly passed through the birth canal, it is better how to push a few times you try to stretch a whole attempts to fight.In the latter case, the woman is rapidly losing strength, and the child "stuck" inside.This is bad, because the head is constricted pelvic bones, and blood circulation can be broken.Another rule: you need to make an effort as well as during defecation.Then when the baby's head will be attempts to stretch the tissue of the birth canal.To direct efforts should be in the highest point of pain.If the pain increases, it means that everything is done correctly and the baby is moving toward the exit.
to head went through the pelvis during attempts child presses his chin to his chest.This stage is called the bending head.As she turns the motion inside the birth canal, the baby and the person is facing one of the mother's thighs.At this stage, the woman transferred to a maternity chair.It is necessary to group: lying on your back, bend the legs so that her knees were in the armpits.Hands must take the handrails.
During attempts pudendal cleft opens, and at this point shows that part of the baby's body, which he turned to the door.If previa head - it will be a head when the pelvic - ass.In the vain attempts of presenting part lies, and pudendal cleft closes.Doctors say that in this phase of the head "cuts right."Then she begins to "erupt", that is, after the cessation of attempts is not hidden from view.
Following comes the turn of the head to be born the shoulders.But first, the midwife should turn them.The body and legs are born without any effort, as they are less than the head and shoulder area.After the appearance of a baby comes into the world short - 5 to 20 minutes - a break in vain attempts.Then there are the fight sequences that almost did not bother the woman.When the department placenta descends again have a desire to make an effort, but these efforts are already much weaker and does not require much physical exertion.Then comes the last - placenta and fetal membranes.On that note, end birth.
However, if the second stage of labor passes with complications, the scenario may be different.Most often labors weakened because the muscles get tired much worse and begin declining.In mothers of large families, for example, the abdominal muscles are stretched initially stronger.Attempts are also slowing in obesity and certain diseases of the nervous system.
With a weak labor doctors stimulate the drugs.If there is no effect, or feel the baby is getting worse, resort to surgery - often a Caesarean section.However, at the end of the period of exile, when the head has already fallen on the pelvic floor, this operation does not do.Toddler removed for head vaginally using forceps.But this method is used infrequently as traumatic for the baby it.Even more rarely used the vacuum extractor.