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Learn how your body works at the end of pregnancy and childbirth is very helpful as you prepare for the birth. When you understand what is going on, you can interpret the signals your body more effectively and participate more fully in the labor and birth.
Let's review the basic anatomy of the pelvis, uterus, and cervix and the structure around them and your baby.
Your body prepares for childbirth during your pregnancy, but in the past few weeks, do some final preparations.
Softening of the pelvic ligaments provide additional space for the birth.
During this time, you may feel a shift in your sense of balance, your joints may feel more loose, and you may feel pain and stiffness.
cervix is the neck of the uterus, which is closed in most pregnancies, holding the baby inside. Many labor work in the open cervix to the passage of your baby. However, your cervix may begin to soften, thin, and open up even before labor begins. It varies from woman to woman, and from pregnancy to pregnancy. Some women may have cervixes closed until labor begins, others may have a pre-labor contractions that dilate the cervix them for three or four centimeters (or even more) before labor begins. Your cervix dilation is not a good predictor of when you will go into labor.
This movement is called engagement. You might see this as an increased pressure in your lower abdomen, or you may notice that breathing becomes easier. family or friends may comment that you look different, or that you "baby has dropped." For first time mothers, this may take up to several weeks before birth. For some mothers a second or subsequent time, involvement may not occur until after labor begins.
This "mucus plug" has occurred in the cervix during your pregnancy, and as the cervix begins to soften and open, loosens mucus and may begin to pass from the vagina. Some may see this increased mucosal part for a few days (or even weeks) before labor begins, others may not notice it at all.
Breaking the bag of water (ruptured membranes) can occur before labor begins. For most women, the contraction will follow in a day. (You'll want to tell your midwife or doctor if you think your water has broken.)
Any change mentioned above can be accompanied by a pre-labor contractions. (You may have heard of this contraction is called Braxton-Hicks or false labor contractions.) Pre-labor contractions are irregular and may or may not painful.Changing activity can cause contractions go or happen more often. You may experience them for several hours before they subside, or you may have them and for a few days.
Try to get as much rest as you can, even if you wake contraction. Stay well hydrated and continue to eat.
baby Ginny began to move lower in her pelvis about three weeks before he was due. She began to look a little stringy mucus several times a day. He felt a lot of pressure on her hips, shifting position in bed more difficult, and sat for a long time to be uncomfortable. He felt the pressure even more when he walked. His family all commented that the baby has dropped. He wondered how much longer he has to feel uncomfortable before the baby is born.
Lorinda began to notice a pattern of contraction every night about a week before she was due. Some are quite painful contractions that she thought the labor started, but after a few hours they will subside. He called the midwife to ask if this is normal, because he has not experienced such contractions before her first baby. midwife assured her that it was normal and suggested several techniques to overcome, including drinking plenty of fluids, adding a rest period in the afternoon, and take a hot shower when the contractions start at night.
doctors Ginny and midwives Lorinda is both convincing women that everything is normal, and that when things are normal, it is best to wait to go into labor and measures the use of massage, hydrotherapy, packages warm, and Reiki to make themselves as comfortable as possible while they waited.
In addition to the natural physical preparation, you can find yourself doing some emotional preparation. You may feel a strong need to be ready and wanted to address some of the last minute project. (Take it easy with this and pace yourself. Save your energy surges to labor!)
You may find yourself worrying more than usual, and this concern may be changed. You may be concerned about making it through labor, whether your water will break out in public, whether midwife your own or a doctor will be on call when you go into labor, if your spouse will really help you, or even if you are going to waste large water during birth and how your partner will react to it. You may worry about your safety and your baby during birth. You may be worried about having a caesarean. You may even worry about death. This is a common concern.
If you find that you can not relax because of worries, try to find time each day to reflect and acknowledge them. Call it "time to worry." You can try exercises like this :.
Try a guided relaxation exercises, focusing on positive mental preparation for the birth of
There are three stages of labor, excluding changes discussed above preparation.
Childbirth professionals often refer to the following factors influence the development of labor as the "Four Ps" of labor:
We do not fully understand what makes the start of labor, but the level of hormonal changes affect softening and preparation of the cervix and the onset of contraction. The contractions you may have noticed before delivery to get stronger and more regular.
Your uterus is actually made up of several layers of muscles that go around the uterus and some up and down. Contraction of these muscles pull on the cervix and help to open it and put pressure on the baby, helping the baby move down.
The pressure of the baby's head against the cervix during contractions also help to thin and open the cervix. To help you picture this, imagine wearing a turtleneck shirt. The neck is thick and smaller than the body of the shirt, but stretches as you pull it over your head, it becomes thinner and more open.
Phase widening can be subdivided into early labor and active phases of labor.
During early labor, contractions gradually closer together and stronger. If the midwife or doctor checks your cervix, you may know that it has changed from the previous office visit or exam, but it is normal to have a slow dilation and effacement during this phase. Most women prefer to spend early labor at home, because they have the freedom to move, use their tub or shower, eat, and watch TV or movies. Most doctors and midwives also agree that the best place for a woman in early labor at home. The initial phase of this work is the most variable length and most difficult to predict. For some women, it may be passed so quickly that it almost unconsciously, while for others, it could last for more than one day.
During active labor, the contractions strong and regular, typically occurs every three to five minutes. You will find that you need to concentrate on each contraction. your cervix start to change faster, and easier to predict the length of time that this phase will last. Various researchers have estimated the length between five and ten hours for first-time mothers and between two and eight hours for women who have had children.
Try to rest and conserve your energy. Consider using progressive relaxation, imagery, positive affirmations, and emotional support to help relieve anxiety and encourage the development of the workforce. More tips to relax and prepare discussed here.
Try to relax. You do not know how much time will pass before the birth, and it is best to start with a well rested workforce. However, the onset of labor is often accompanied by a blast of adrenaline, and you may find that you are too excited to sleep. See some relaxation tips below. If during the day, alternate periods of activity with periods of rest, conserve your energy as much as possible for active labor to come.
Review the What About Pain? and What Factors Affecting the Development of Natural Childbirth? for advice on coping with the pain and encourage the development of the workforce. Here are some additional suggestions:
Your emotional well-being is just as important during active labor as your physical well-being. Fear, anxiety, and excitement can all trigger the release of adrenaline, which can slow the progress of your labor. Talk about your feelings with your partner and otherssupport person. progressive relaxation, imagery, positive affirmations, and a good emotional support can all help relieve anxiety and encourage the development of the workforce.
In general, most of the providers and most birthing women agreed that early delivery is best spent at home. If this is your first baby, you might consider waiting until contractions three minutes apart before calling the provider or hospital, but if you have kids in the past or live far from the hospital, then use the five-minute guideline.
Most women wonder when to tell your midwife or doctor and when to go to the hospital.
In general, most of the providers and most birthing women agreed that early delivery is best spent at home. You have freedom of movement in the house, can use the bath, rest in your own bed, watching movies, and eating and drinking.
If you have an uncomplicated pregnancy, your provider will probably tell you something like, "Call me or hospital when contractions three to five minutes apart and had been that way for more than an hour." You should also call your midwife or doctor if your bag of water breaks, or if you notice any heavy bleeding. If this is your first baby, you might consider waiting until contractions three minutes apart before calling, but if you have kids in the past or live far from the hospital, then use the five-minute guideline.
However, the frequency of contractions and the length of time you have had them not the only factor that can help you decide when it's time to go to the hospital. Contraction strength and your emotional state is also a consideration. As labor progresses, you may find that you pass on the passion for serious phase of work.
Many women worry about going to the hospital "too fast" and sent home, and it is especially difficult when you have a baby for the first time. It's okay to go to the hospital, evaluated, and then returned home. Remember that the home is the best place for the start of labor. The longer you are in the hospital, the more likely a midwife or doctor is to advise the intervention, however well-intentioned, because only human nature for people to want to welcome your baby.
If you are planning a home birth, the midwife may have to tell you something like, "Call me when the contractions started." He may not come at that time, but the need to start planning.
Carrie wake up at night with contractions five days after her due date. They are painful, but not regularly. He tried to relax between contractions and sometimes fall asleep, but always woke up when she next contraction begins. He tried to change position, and found that he was more comfortable in a rocking chair, so she fell asleep and there, drink water after each contraction. her contractions got stronger. He decided to call Tina about three hours after she started having contractions, and when Tina got to her apartment, her contractions are regular and strong, and Carrie began to notice a little blood when she went to the bathroom. Tina help Carrie with vocalization and relaxation during the contraction, and the brothers realized that Carrie was not able to do anything but concentrate on each contraction. They decided to go to the hospital, where a nurse checked Carrie and found him to be 4 cm. Carrie felt that vocalization and relaxation works well to help him at this stage of labor. nurse carrying a large jug of water to Carrie, and brings the rocking chair, because it has worked well at home, and gave birth to Carrie ball to try.
Once your cervix has opened fully and the baby had dropped quite low into the pelvis to push the muscles and nerves of the pelvic floor, you may begin to feel the urge to push. During this stage, the contractions become expulsive.
Once your cervix has opened fully and the baby had dropped quite low into the pelvis to push the muscles and nerves of the pelvic floor, you may begin to feel the urge to push. Although technically the second stage begins when the cervix is fully dilated, this power does not occur at the same time as the descent of the baby. So, some women may feel like pushing before the cervix is fully open, while others may not feel like pushing up anytime thereafter.
During the pushing stage, the contractions become expulsive.
You might be able to feel downward movement of your baby, but some women do not see this very much. Your baby makes a series of changes as it moves through the pelvis, turning her head to make the best match. for good animation that shows this. (Click on the picture, then click the control arrows at the bottom left to start the animation.)
If you already have an epidural or intrathecal, you may feel a strong pressure during the second stage, which helps you know when to encouraging. If you have the slightest feeling, nurses, midwives, doctors, or partner can provide more guidance to encourage. It is normal to push phase to last longer for women with epidural than it does for women without.
After pushing starts, follow the impulse of your body. Try different positions to see which feels best for you.
After pushing started, try different positions to see which feels best for you. Your midwife, doctor, or nurse labor force offer suggestions as well.
Two common style push has caused some debate among providers of childbirth and researchers.
Your emotional well-being is important as in the second stage of labor as in the first phase. If pushed to run fast, you may feel overwhelmed to suddenly have your baby in your arms with a little time to adjust to the idea.
If you promote the progress is slow, you may be frustrated and tired, and began to doubt whether you can continue. You may feel like you're pushing as hard as you can, but asked to be a doctor or midwife. If this happens, sometimes it is useful to take a break or a break from pushing, the rest in your hand, press gently with a contraction, and have something to drink. It can help you recover both physically and emotionally. Encouragement and support from those around you that the most important now.
As you get closer to the time of birth, the person you support and midwife or doctor may tell you about what they see, and you might feel more head for expanding the vagina and the muscles and surrounding skin. If you look in the mirror, you can get your first look at your new baby. You may find it unbelievable stretch and burst into flames, and the midwife or doctor may ask you to push gently to soothe the baby's head out to minimize any tears. With a final push to the shoulder or two, you will be able to greet your child
(A few words about episiotomy :. In some circumstances, such as a baby with a low heart rate, your doctor or midwife can cut an episiotomy before the baby's head is born to speed up delivery. episiotomy is cut in the skin and muscles of the perineum, the doctor or midwife may also cut an episiotomy if they feel it is possible to avoid a large tear, some providers may perform an episiotomy routinely. this is worth a question prompts you to choose a health care provider you.)
Lucia and Roberto have a longer labor with their third baby than they had before, and he pushed a little longer this time, too. Although midwives continue to assure that he was making progress, Lucia frustrated and confused, because he expected an easier thing. With the help of Rob and midwives, Lucia tried to relax completely after each contraction, and he pushed in several positions, including his hands and knees and in a squatting position. Shortly after switching to his hands and knees for the third time, Lucia felt the pressure of a larger deal, and knew that the baby was coming. midwife confirms that the baby has shifted position. In some contraction, the baby was born, and Lucia could see even before the new daughter weighed that he is her baby by far the largest.
This article demonstrates that position can be used to encourage and to give birth.
Your baby out. You may be holding the baby, or you may have to ask someone else to hold the baby for a while when you reassemble. Many babies cry vigorously immediately after birth, some breathe easy but quieter, and some need a little boost in their transition and may briefly touched to warm the baby.
When you get to know your baby, the doctor or midwife who watch for signs that your placenta is ready to come out. They will remind you of your final physical task of labor, and ask you to push out your placenta. While you're admiring the baby, your uterus continues in his job, the contractor and reduced in size, so that the placenta detaches from the site. HIRice is the case, some pushing is usually all that is needed to deliver the placenta.
In general, the placenta is delivered within a few minutes, but delays of up to thirty minutes is considered normal. If the separation is delayed, breastfeeding or stimulate your nipples can help trigger contractions to push the separation. Some midwives and doctors provide drugs, such as oxytocin to help drive the separation, or they may give you medicine after the placenta comes out to help minimize bleeding.
One of the limitations of the site is similar to many childbirth class or book preparation. In the focus on delivery, little attention is given to aspects that ultimately will take more time and cause more personal growth than pregnancy and birth were never do :. Your new role as parents
We hope that a lot of things you have learned during your pregnancy and birth will also prepare you for your growth as a parent. A holistic approach to care and care for themselves while parents offers countless benefits, including awareness wise how you feel physically, emotionally, and spiritually.
Complementary therapies and practices, you may have learned during pregnancy, such ,, and, can continue to offer comfort and aid the healing of physical symptoms. In addition, the relaxation method that you adopted during pregnancy can help alleviate, either during your child's growth and the rest of your child's growth. Indeed, many parents have expressed that they draw on their strengths find childbirth during challenging times of parents.
Finally, the skills you learned in the health system remains important, both for yourself and for your child.
author of one of the most famous children's book, Dr. Spock, begins each edition with the words, "Trust yourself." You can. No one else will know your child or have her best interests at heart as much as you do.
Listen to this assertion. This will help you to believe in the ability of your body during pregnancy and childbirth.
Here are some relaxation techniques you may practice during your pregnancy can help during labor.
Everyday Blessings: The Inner Work Mindful Parenting. 1998. Myla and John Kabat-Zinn. Hyperion
Secrets of the Baby Whisperer :. How to Calm, Connect, and Communicate with Your Baby. 2005. By Tracy Hogg and Melinda Blau
Attachment Parenting Book :. A common sense Guide to Understanding and Nurturing Your Baby. 2001. By Martha Sears
The Baby Book :. Everything You Need to Know about Baby Since Birth Age Two. 2003. By William M. Sears, Martha Sears, Robert Sears, James Sears.
Feminine Art of Breastfeeding, ed 7. 2004. La Leche League International
Media Contact :. 0 3. 2006. By T. Berry Brazelton, Joshua D. Sparrow, Joshua D. Sparrow
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