there are many issues related to labor and delivery , Every Woman whether she is pregnant or not should know everything about them , from the signs of early labor and delivery contractions to the normal delivery of baby , giving birth in water and cesarean birth .
so dear lady , you can consider this article your guide in labor and delivery , where in it you will find all the information you need to know about some important issues , as how to induce labor , labor contractions and signs of early labor , you will also find out what you need to know about normal delivery and the caesarean birth , and don’t worry you will find the answers for your questions about giving birth in water too . what you have to do now is to chill and read the following lines carefully .
- 1 first of all let’s talk about the normal delivery of baby
- 2 normal delivery of baby includes the following circumstances
- 3 signs of early labor
- 4 labor contractions
- 5 how to induce labor?
- 6 giving birth in water
- 7 giving birth in water during the first stage of Labor might
- 8 giving birth in water risks
- 9 you shouldn’t try giving birth in water if
- 10 cesarean birth
first of all let’s talk about the normal delivery of baby
the delivery of a full-term baby refers to delivery at a gestational age of 37-42 weeks determined by the last menstrual cycle or through ultrasonographic dating and evaluation , naegel rule is a used the formula to expect the due date which is based on the date of the last menstrual cycle, that rule assumes a menstrual period Of 28 days and mid-cycle ovulation , labor and delivery are divided into 3 stages .
the first stage
the Cervix dilates due to the progressive rhythmic uterine contractions , actually this is the longest stage of Labor and the delivery and is graded 0-100% , this stage is also divided into the latent and the active phases .
- the latent phase usually lasts for many hours where the cervix dilates slowly from closed to 4-5 cm
- the active phase lasts from the end of the latent Phase till the delivery , the cervix dilates rapidly in this case it usually dilates at a rate of 1.2 cm/h in a multiparous women and 1.0 cm/h in nulliparous women
the second stage
second stage of Labor is the period of time between the complete cervical dilation and delivery of the neonate , this phase could last from minutes to hours, actually the maximum accepted time for this stage depends on the women’s parity and whether they have an epidural ,
there are six Cardinal movements of labor occur throughout the second stage of Labor and delivery
- engagement of the fetus’s head into the lower pelvis
- flexion of his head putting the occiput in a presenting position
- The Descent of the neonate of the mother’s pelvis
- internal rotation of vertex to manoeuvre past the lateral ischial spines
- extension of the fetus’s head to pass beneath the maternal symphysis
- external rotation of his head after the delivery to facilitate the shoulder delivery
The third stage
the delivery of placenta is the third stage of Labor and Delivery it usually occurs within 30 minutes of delivery of the baby .
normal delivery of baby includes the following circumstances
- spontaneous labor mediated by placental and pituitary hormone Cascades
- rupture of chronic and amniotic membranes
- induction of Labor
- normal delivery of baby After Cesarean birth
while is safe in most circumstances normal delivery of baby after a previous cesarean birth remains controversial due to the rare but serious complication of uterine rupture where is the risk of uterine rupture is nearly 0.5 in Mothers who had one cesarean birth before . the rate of success of this procedure is more than 50% . the normal delivery of baby after Cesarean birth is contraindicated in the cases of more than one previous cesarean birth , the history of a classical uterine scar , the presence of other uterine scars , the presence of placenta Previa or concern for true cephalopelvic disproportion. the baby delivery pain is a result of the muscular and labor contractions and the pelvic pressure from organ distension .
signs of early labor
here are the signs that can indicate your baby is on the way
your waters break
this could happen as all-in-one gush for a slow trickle which lasts for a few days , the waters can break at any time throughout labor and delivery , or they may be broken by the midwife to kick-start labor .
another one of the signs of early labor is the heartburn relief luckily in the weeks before the birth you could notice symptoms get slightly better because your fetus has been dropped , which means that he has moved down into the pelvis ready for getting it out to our world . you can feel the heartburn relief and that you can breathe more easily , as Your fetus isn’t pushing against your lungs as before decreasing their capacity.
a severe pain in your lower back means that your fetus is rotating into the right position ready For labor and delivery. backache could also be the start of your labor contractions to get through the discomfort take the recommended dose of paracetamol , put your feet up with a back rub by the help of your partner and have a warm bath.
the nipples leaking
a common one of the signs of early labor is the nipples leaking , it doesn’t only happen during the breastfeeding but also throughout your final trimester of pregnancy , you will probably notice that most in the weeks before your baby arrives .
if you are getting wet patches on Your blouses you can buy some disposable breast pads which you can put inside your bra.
the hormones which help your uterus contract could also sometimes cause diarrhea the hours before your baby arrives and it is another important one of the signs of early labor which when it happen you should increase the amount of water you are drinking and the stop drinking milk and sugary drinks , that can make diarrhea even worse and try eating food , as rice for keeping your energy levels up.
frequent toilet stops
you will notice your frequent urination during pregnancy as the growing baby presses on your bladder but this could increase even further in the final week before delivery as your fetus positions himself in the pelvis , all what you can do about that is to carry on drinking water to prevent becoming DEHYDRATED and avoid coffee, citrus fruit and soft drinks as these tend to irritate your bladder.
sudden burst of energy and Walking differently are signs of early labor too
real labor contractions tend to start weak as period contraction then grow in frequency and intensity, established labor is usually when you have a 3 one minute contraction the space of ten minutes .when the contractions get so intense and you struggle to then you are delivering
how to induce labor?
if you can’t wait anymore to carry your baby in your arms go ahead and find out how to induce labor naturally
walking during pregnancy might help draw your baby into the pelvis , the pressure of the baby on Your pelvis might then prime the cervix for Labor or if you have already some contractions it might help labor progress , just don’t walk too much and tire yourself because you will need all the energy you can muster to push out your baby
sperm contains prostaglandin hormones which could help dilate and thin your cervix , some researches shows that women who keep having sex late in pregnancy may carry the babies longer than those who abstain
- spicy food
some people believe that spicy food as castor oil irritate the intestines and that can cause the uterus to contract , there is no evidence proves that spicy food is a certain answer for your question how to induce labor but if you would think that your bloated belly could stomach a couple of chilli tacos go ahead for it!
acupressure can be the answer for you to question how to induce labor , two pressure points May induce your labor naturally , inside of your leg Around four Finger-widths above your ankle bone and webbing between your thumb and the index finger , you should talk with your practitioner before you press
- Evening primrose oil
It has substances which your body changes into prostaglandins, which soften the cervix and prepare it for labor.
giving birth in water
giving birth in water means at least part of Labor and Delivery or both happen, when you are in a pool filled with warm water , it can take place in a birthing center , hospital or at home and a nurse Midwife or a doctor can help you through it.
giving birth in water during the first stage of Labor might
- keep you from needing anaesthesia
- help ease pain
- speed up your labour
the ACOG says that giving birth in water in the first stage of labor (from when labor contractions start till your cervix is fully dilated ) might have some benefits while delivering under water is considered an experimental procedure with risks , studies show that giving birth in water during the first stage doesn’t improve your or your fetus’s outcome .
some doctors say that there isn’t enough information to decide how useful or safe giving birth in water is during the second stage . being out of the water for your labor’s second part makes it easier to move fast if something went wrong .
giving birth in water risks
- you or your baby could get an infection
- your baby’s body temperature can be too low or too high
- the umbilical cord could snap before the baby comes out of the water
- your baby could breathe in the bath water
- the baby could have seizures
you shouldn’t try giving birth in water if
- you are having twins or multiples
- you are younger than 17 or older than 35 the baby is in the breech position
- the baby is premature
- you have an infection
- you need to be constantly monitored as that can’t be done in the tub
if you want to buy your own pool for a home birth it ranges between $65 to $500 depending on how fancy you go .
if you are giving birth in water at the hospital the midwife’s fee is a part of what you pay the facility , the fees for a water birth at home will be the same as normal delivery of baby from $2,000 to $60,000 .
your doctor may peg you for a cesarean birth in advance of your due date some , factors that may necessitate a cesarean birth are:
- infections you have an active genital herpes infection or if you are HIV-positive , a cesarean birth is necessary as both viruses could be transmitted to your baby during the delivery .
- certain medical conditions
cesarean birth is a safer option if you have a chronic condition as heart disease , high blood pressure , diabetes or kidney disease which makes the normal delivery of baby dangerously stressful to your body .
- your baby’s health
A congenital condition or an illness may make your already tricky journey through the birth canal mire treacherous for the baby
- some other complications
as preeclampsia or eclampsia and treatment isn’t working , the practitioner may opt for a caesarean birth to protect both of you
the likelihood of a cesarean birth increases with the number of babies you are carrying.
- your age
while being older doesn’t guarantee a cesarean birth , the odds of one increase with age .
- breech position
if your fetus is either butt-first or feet-first a breech position and can’t be turned a caesarean birth may be necessary.
if your practitioner says that a cesarean birth is necessary ask for a detailed explanation of the reasons and if there is any other options for you .
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