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Conduct of normal childbirth
You are at the end of your pregnancy, you lose water or you experience painful contractions and close it’s time to leave for maternity. From your arrival at the facility in your room with your baby, this is what happens.
The arrival at the maternity
Upon your arrival, a midwife is your constant (voltage, temperature) and considers the cervical dilation. She puts on your arm a catheter to be used in cases of infusion and install two sensors in your stomach that monitoring records uterine contractions and the baby’s heart.
The early work
You are then installed in work room. You can get up and do exercises with a ball.
Every hour, a midwife measure cervical dilation and takes your constants. Of regular monitoring can estimate a healthy baby.
Gradually the contractions become more frequent and painful.
Namely: if the expansion is too slow, your baby may suffer. The wise woman you are given a product to accelerate the frequency and intensity of contractions. The contractions can cause vomiting.
Epidurals
The cervix is dilated to 3 cm: it offers the epidural you will give birth without pain. An anesthetist practice then a sting in your back, place a catheter into the spine and injects the anesthetic: your pain fade in 10 minutes.
Once the epidural placed, you can not move, eat or drink. You are under continuous monitoring.
Namely: You can request the epidural until 7 or 8 cm dilated. Make up your time!
Expulsion
When the cervix is fully open, it fades away undertakes baby and you feel an urge to push. This expulsion.
The midwife then install the brackets at the end of the bed to elevate your legs.
You should push strongly to the rhythm of contractions. This stage lasts about half an hour. The portion of the head is the hardest, then the body comes alone. Sometimes you make an incision of the perineum (episiotomy) to prevent tearing.
Namely: the gynecologist obstetrician is called in case of complications, if any need to use forceps or suction cups to help your baby out.
The issue
Your baby is born but it is not finished: it is the placenta. This phenomenon usually occurs without effort 20 to 30 minutes later.
Baby First Aid
Immediately after birth, your spouse can cut the cord.
A medical team takes care of your baby and unclog his airway by suctioning the mucus in his nose and mouth. Your baby is weighed and examined from every angle! Fontanelle, hips, genitals, shoulders, abdomen … The midwife then took his temperature and it takes a few drops of blood.
Once dressed and his ID bracelet in place, your puppy may find your arm.
Namely: we often measure the baby the next day.
And the mother?
Meanwhile, you are not forgotten! The most important thing is to check that all the placenta was expelled. The stitches are made in cases of episiotomy. After two hours of monitoring, you regain your room with your baby.
These are: the average labor lasts 12 hours for women giving birth to their first child and 8 hours for others.
What is an epidural?
Each woman experiences childbirth differently. In this influence the degree of pain tolerance, the size and position of the child, the strength of uterine contractions or the experience of previous deliveries. Therefore, there should be a personalized evaluation when using different methods to relieve pain.
What is it?
It basically involves inserting a needle into the epidural space between two vertebrae in the lumbar region in the lower back. Prior to the introduction of the needle will have disinfected the area of skin and filters for a small amount of local anesthetic for the puncture is not painful.
Once located the tip of the needle in the right place in the epidural space, is inserted through it into a very thin tube called a catheter. Remove needle and through the catheter through which local anesthetic is injected to block the conduction of pain impulses traveling through nerve roots.
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Epidural anesthesia allows the mother bid
When anesthesia-the mother reaches 10 centimeters dilated and the baby’s head begins to push the reflex is triggered bidding. Before the epidural anesthesia was administered in single doses and more concentrated, so yes it was a risk of motor paralysis stunning and damaging the ability to push.
At present, epidural blocks pain but does not block the mobilization so the mother can feel the contractions and the urge to push. The only thing that removes the pain of each contraction, but may feel some pressure or muscle tension.
Additionally, during childbirth the mother and baby are monitored and can determine when you will get a contraction.
The anesthesiologist controls at all times the amount and type of medication being given at an early stage the objective is to relieve the anesthesiologist uterine contractions, then the goal will be to relieve the pain in the vagina and perineum when it is dilated and ready to baby’s passage.
If you begin to block the mobilization, feeling of weakness in the legs, or some other mishap, the anesthesiologist will decrease the amount or medication changes, and even other medications can be administered through the epidural catheter.
BENEFITS OF EPIDURAL ANESTHESIA:
* Continuous pain relief from the navel to the vaginal walls
* Mother to not feel pain is getting relaxed and breathing slowly, benefiting both she and the baby who achieve good oxygenation.
* Can be used in cases of caesarean section, allowing the mother to be awake during the operation without getting lost in your baby’s birth.