Pregnancy and childbirth, pregnancy calendar, birth of the child, development of the child, health of children.

Here last weeks expectations also have ended. Fights begin. There comes the culmination moment of all pregnancy - some more hours, and you will see the baby. Certainly, you will worry and worry about an outcome of sorts but if you were well prepared and understand, for that to you to wait, that occurs at each stage of fights, - means, and the boldness too will return. To give a life to the child! After all this such happiness! Prepare itself, in advance master receptions and methods of a relaxation and management of breath - they will help you to keep self-control and to cope with a pain. Also be not frightened, if during fights something is not absolutely how you assumed.

How to define the beginning of fights

Your alarm that you pass approach of fights, is absolutely groundless. Though false reductions which happen last weeks pregnancy, sometimes it is really possible to accept for the beginning of sorts, the present fights you will not confuse with what.

Signs of fights

• Being slightly opened, the uterus neck pushes out the mucous stopper painted by blood which corked it during pregnancy.

It can happen for couple of days prior to the beginning of fights, therefore, before to call to the midwife or in maternity home, wait, when the pain in a stomach or a back becomes a constant or will depart okoloplodnye waters.

• Othozhdenie okoloplodnyh waters - that is rupture okoloplodnogo a bubble is possible any minute. Waters can depart a stream, but exude gradually is more often - they are detained by a head of the child.

At once cause the midwife or first aid. Hospitalisation is more reliable, even if still there are no reductions as infection is possible. For now put a towel that it absorbed a moisture.

• Uterus reductions have an effect as stupid pains on a back or in hips. The reductions similar to sensations during painful menstruatsii after a while will begin.

When reductions become regular, fix intervals between them. If it seems to you, that fights have begun, cause the midwife. While they not so frequent (about 5 minutes) or painful to hasten in maternity home there is no sense. The first childbirth proceeds usually long enough, 12-14 hours, and a part of this time are better to spend houses. Slowly pohazhivajte, stopping for rest. If some water yet do not send, it is possible to take a warm shower or slightly to be supported. In maternity hospital to you can advise not to come earlier, than fights will amplify and each 5 minutes will start to repeat.

Harbingers of fights

Weak reductions of a uterus occur throughout all pregnancy. In the last some weeks they become frequent and become more intensive, therefore sometimes they can be accepted for the beginning of fights. Having felt such reductions, rise, resemble and whether they listen, proceed, whether pauses between them become shorter. Harbingers of fights are usually irregular.

Periodicity of fights

Track dynamics of reductions within an hour: the beginning and the end, strengthening, frequency increase. When fights are stabilised, their duration should be not less than 40 seconds.

The first period

At this stage of a muscle of a uterus are reduced to open a neck and to pass a fruit. At first childbirth of reduction 10-12 hours proceed on the average. It is not excluded, that during any moment you will be captured by a panic. As though well you have been prepared, sensation, that to your body there is something not subject to consciousness, can frighten. Keep calmness and try not to stir to the body, do that it will prompt. Right now you really estimate presence by a number of the husband or the girlfriend, especially if they know, that such fights.

Breath: in the beginning and in the end of reduction breathe deeply and exactly, inhaling a nose and exhaling a mouth. When reduction will reach the peak, resort to superficial breath, but now both breaths and exhalations - through a mouth. Do not breathe so too long - at you the head can begin to spin.

Arrival in maternity home

In a reception you will be met by sister-midwife who will execute all formalities and preparatory procedures. The husband can be at this time near to you. If you give birth in-home, you will prepare for sorts similarly.

The midwife will check up registration records and your exchange card, and also will specify, whether waters have departed and whether the exit of a mucous stopper was observed. Besides, will set some question about fights: when they have begun? How often they occur? What you thus feel? What duration of attacks?

When you will change clothes, to you will measure a blood pressure, temperature and pulse. The doctor will spend internal inspection to establish, the uterus neck has how much revealed.

The midwife will probe to you a stomach to define position of the child, and by means of a special stethoscope will hear to its heart. It is not excluded, that minutes 20 it will write down fruit palpitation through a microphone - this record will help to establish, whether enough oxygen is received by the child at uterus reductions.

You will ask to hand over urine for the analysis on sugar and fiber presence. If at you yet do not send some water, it will be possible to take a shower. You will direct to prepatrimonial chamber.

The doctor will spend necessarily internal inspections, supervising position of a fruit and degree of disclosing of a neck of a uterus. Set to it questions - you too should know about an event. Usually uterus disclosing goes non-uniformly, as though, pushes. Inspection is spent in intervals between fights, therefore, feeling approach of the next reduction, you should inform on it to the doctor. Most likely, you will ask to lay down backwards, having imposed with pillows, but if such position is inconvenient, it is possible to lay on one side. Try to relax, as far as possible.

Fights

The uterus neck is a ring of muscles, in a usual condition closed around matochnogo a pharynx. The longitudinal muscles forming walls of a uterus depart from it. During fight they are reduced, involving a neck inside, and then stretching it so that in matochnyj a pharynx there has passed a head of the child.

1. The neck of a uterus under the influence of hormones relaxes.
2. Weak reductions smoothly smooth a uterus neck.
3. Strong reductions lead to disclosing of a neck of a uterus.

Body positions

During the first period try to try different positions of a body, finding for each stage the most convenient. These positions should be mastered in advance that during the necessary moment you could accept a suitable pose quickly. Probably, to you suddenly will seem, that it is better to lay down. Lay down not on a back, and sideways. The head and a hip thus should lean against pillows.

Vertical position. At an initial stage of fights use any support - a wall, a chair or a hospital cot. At desire it is possible to kneel.

Position sitting. Sit down faced to a chair back, leaning on the enclosed pillow. The head is lowered on hands, knees are moved apart. One more pillow can be put on a seat.

Leaning against the husband. At the first stage of sorts which you, probably, will transfer standing, during fights it is convenient to put hands on shoulders to the husband and to lean. The husband can help to relax to you, massing a back or stroking shoulders.

Position in a lap. Kneel, move apart feet and, having weakened all muscles, fall the top part of a body on pillows. A back hold as it is possible prjamee. In intervals between reductions sit down on a hip.

Support on four points. Kneel, opershis on hands. It is convenient for making on a mattress. Move a basin forward and back. Do not hunch a back. Between fights relax, falling forward and having put a head on hands.

Patrimonial pains in a back

At head prelying the head of the child rests to you against a backbone, causing a pain in a back. That it to facilitate:

• During fights be declined forward, transferring weight on hands, and make progress by a basin;
• In intervals go;
• In intervals between fights let the husband masses to you a back.
• Waist massage - will facilitate pains in a back, and also will calm and will encourage you. Let the husband masses to you the backbone basis, circular movements pressing on it a palm ledge. Take advantage of talc.

As to itself to help

• More move, go in intervals between fights is will help to cope with a pain. During attacks choose convenient position of a body.
• Keep as it is possible prjamee: the head of the child will rest against a neck of a uterus, reductions become stronger and more effective.
• Concentrate on breath to calm down and distract the attention from fights.
• Relax in breaks to save up forces till that time when they will be especially necessary.
• Sing, even shout to relieve a pain.
• Look in one point or at any subject to distract.
• React only to this fight, do not think of the following. Imagine each attack as a wave, "having saddled" which you "will take out" the child.
• To thicket are wetted - the bladder should not stir to fruit advancement.

Than the husband can help

• Praise and in every possible way encourage the wife. Be not lost, if it is irritated, - your presence is all the same important.
• Remind of a technique of a relaxation and breath in which it was trained on courses.
• Wipe to it the person, hold it for a hand, mass a back, suggest to change a pose. What touches and massage like it, it is necessary to foreknow.
• Be the intermediary between the wife and the medical personnel. In all hold its party: for example, if she asks the soothing.

Transitive phase

The hard time of sorts - the end of the first period. Fights become strong and long, and intervals are reduced about one minute. This phase name transitive. Having exhausted, you, probably, at this stage will be or are suppressed, or are excessively raised and tearful. Probably, you even lose time sense and between fights will fail in a dream. It can be accompanied by a nausea, vomiting and a fever. Eventually you will have a huge desire, natuzhivshis, to push out a fruit. But if you make it ahead of time, the hypostasis of a neck of a uterus is possible. Therefore ask to check up the midwife, whether the neck completely has revealed.

Breath: if premature attempts begin, do two short sighs and one long exhalation: "uf, uf, faugh-at-u-u". When desires to attempts will stop, make a slow equal exhalation.

If the uterus neck has not revealed yet, in such pose do a double sigh and a long exhalation: "uf, uf, faugh-at-u-u". Probably, anaesthesia is required to you. Kneel and, having inclined forward, will hang a head on hands; tazovoe the bottom should be groundless as though. It will weaken desires to attempts and will complicate fruit pushing out.

Than the husband can help

• Try to calm the wife, encourage, wipe sweat; if she does not want it - do not insist.
• Breathe together with it during fights.
• Put on to it socks if the fever begins.
• If attempts begin, immediately call the midwife.

At this time the neck of a uterus probed on depth of 7 sm, is stretched round a fruit head already enough. If the uterus neck is not probed any more, means, its expansion has come to the end.

The second period

As soon as the neck of a uterus has revealed and you are ready to attempts, the second period of sorts - the period of exile of a fruit begins. Now to involuntary reductions of a uterus you add own efforts, helping to push out a fruit. Fights became stronger, but they are already less painful. Attempts is a heavy work, however the midwife will help you to find the most convenient position and will supervise over you, prompting when it is necessary to make an effort. Do not hurry event, try to do all correctly. At the first sorts the second period usually lasts more than hour.

Breath: feeling a desire to an attempt, deeply inhale and, having bent forward, hold the breath. Between attempts do deep calming breaths. Slowly relax, when reduction falls down.

As to itself to help

• At the moment of reduction natuzhivajtes smoothly.
• Try so to weaken tazovoe a bottom that you felt how it falls.
• Weaken face muscles.
• Do not try to supervise an intestines and a bladder.
• Have a rest between fights, protect forces for attempts.

Than the husband can help

Try to distract somehow the wife between attempts, continue to calm and encourage it. Tell to it that you see, for example about head occurrence, but be not surprised, if she does not pay to you attention.

Childbirth

The peak of sorts has come. The baby just about will be born. You can touch a head of your kid, and soon and to take it on hands. At first, probably, you will be captured by feeling of huge simplification, but it will be followed both surprise, and by pleasure tears, and, certainly, feeling of immense tenderness to the child.

1. The fruit head comes nearer to vaginalnomu to an aperture, pressing on tazovoe a bottom. Soon there will be a top: with each push it will be put forward that, that, probably to be rolled away back at easing of reductions a little. Do not worry, it is absolutely normal.
2. As soon as the top will seem, you will ask not to make an effort any more - if the head leaves too quickly, ruptures promezhnosti are possible. Relax, recover the breath a little. In case of threat of serious ruptures or any infringements at the child to you can make epiziotomiju. As the head expands vaginalnoe an aperture, there is a sensation of burning, however it lasts not for long, being replaced onemeniem which is caused by a strong stretching of fabrics.
3. At occurrence of a head the person of the child is turned downwards. The midwife checks, whether the umbilical cord was wound round a neck. If it has occurred, it can be removed, when all little body will be liberated. Then the baby turns a head sideways, being developed before full liberation. The midwife will wipe to it eyes, a nouse, a mouth and, in case of need, will remove slime from the top respiratory ways.
4. Last reductions of a uterus, and little body of the child it is liberated completely. Usually the child put to the lying-in woman on a stomach as it is kept still by an umbilical cord. Probably, during the first moment the kid will seem to you bluish. Its little body is covered by first-born greasing, on a skin there were blood traces. If he breathes normally, it is possible to take it on hands, to press to a breast. If breath is complicated, to it will release respiratory ways, and if necessary will give an oxygen mask.

The third period of sorts

In the end of the second period of sorts, probably, to you will make an intravenous injection of a preparation which strengthens uterus reductions, - then the placenta will depart practically instantly. If you wait, while it exfoliates natural by, you can lose a lot of blood. In advance stipulate this moment with the doctor. To remove a placenta, the doctor puts one hand to you on a stomach, and another cautiously pulls for an umbilical cord. After that it should check up, that the placenta has departed completely.

Scale Apgar

Having accepted the child, the midwife estimates its breath, frequency of palpitation, skin colouring, a muscular tone and reflexes, calculating a point on 10-mark scale Apgar. Usually at newborns this indicator fluctuates from 7 to 10. In 5 minutes spend repeated calculation: the initial point, as a rule, grows.

After sorts

You will wash and if it is necessary, will impose seams. neonatolog will examine the newborn, the midwife will weigh it and will measure. That the baby did not have the rare disease connected with insufficient coagulability of blood, to it can give vitamin K. The umbilical cord is cut off right after by births.