first births do not occur as the next.They are longer as the cervix dilates slowly.In addition, the first birth frightened woman, she often draws advance themselves the most improbable scenarios.That is why at first birth mothers must be attending school at the women's clinic.
Forerunners first birth
Harbingers of labor in nulliparous women appear before the multiparous.For one or two weeks before the birth falls stomach, shortness of breath decreases in women (but it becomes more difficult to walk and sit, sore lower back), it says that the baby's head sank into a small basin, so soon begin delivery.There is a constant urge to urinate - fetal head presses on the bladder The bladder - structure and function .It may appear as diarrhea.The fruit becomes less mobile.Decreased appetite, a woman a week before birth lose one or two kilos of weight.
appears irritability of the uterus, it can be shown that when pressing on the abdomen, the uterus becomes hard.May appear and false contraction
cervix during harbingers softened.A day or two before the birth the woman moves mucous plug - a thick sticky mucus, which was located in the cervical canal.After this false labor can turn into real - regular and painful.
duration of certain periods of labor in nulliparous women
Births nulliparous last 15-20 hours, multiparous - 1012 hours.The birth process is divided into three periods:
- I period - the fight, that is the contraction of muscles of the uterus, which contribute to the disclosure of the birth canal (cervix opens);at first childbirth, this period lasts longer than with repeated (up to 18 hours versus 11 hours);
- II period - attempts and expulsion of the fetus;This period also lasts longer in primiparous than multiparous (1 to 2 hours against half an hour - an hour respectively);
- III period - the birth of the placenta and fetal membranes, continues in nulliparous and multiparous women the same amount of time - up to 30 minutes.
first stage of labor - contractions in nulliparous women
contractions in nulliparous women proceed more prolonged and painful than multiparous.True False contractions are different from what they are painful and occur over a period of time, which kept declining, while the duration and intensity of the contractions increases.After another bout comes a break, during which the muscles of the uterus relax and gain strength.
Sometimes contractions in women begins with the appearance of pain back pain: the spine signals and abdomen.They may take a few seconds at intervals of 20 - 30 minutes.By the end of the first stage of labor contractions last for a minute or more, and the break between them is no more than three minutes.Increase the intensity of contractions indicates normal flowing generic process: the more and more intense fight, the faster the opening of the cervix and the subsequent expulsion of the fetus.
Contractions - uncontrollable process can not stop it.But the school mothers woman taught special breathing, which reduces the pain during labor.Contractions contribute to the uterus stretches and stretches the cervix, which is shortened, is smoothed and reveals a way out of the birth canal.Full disclosure of the cervix is 12 cm.
second stage of labor - attempts in nulliparous women
When the cervix dilates, under the weight of amniotic fluid fetal bladder ruptures and a woman's water breaks.Typically, this corresponds to the beginning of the second stage of labor.But some women are moving away water before, during labor, in others all the water on their own and they do not depart reveal fetal bladder using medical instruments.
Once the cervix is opened, starts the movement of the fetus through the birth canal, which is enhanced by prolonged muscle contractions of the uterus, while reducing abdominal muscles, hips and other muscles.These long-term Co-contraction of muscles called pushing.Attempts contribute to increased pressure in the uterus and accelerate the movement of the fetus.At first birth birth canal expanded enough and sometimes fetal head can not pass through them.If this occurs, in some cases resorted to caesarean section - it avoids injury to the child.A woman can help a doctor, caregiver, if not confused and will carry out all of his team: intense sulking on the abdomen or on the contrary, hold your breath.
Sometimes fights or attempts, to start a normal, weakened and labors suspended.Or labors from the beginning stale.It is also dangerous for the child and in this case the generic activity is stimulated by special drugs.
When the fetus is born, checked his airway patency, suctioned mucus out, tie up and cross the umbilical cord.
third stage of labor - the birth of the placenta in nulliparous women
As a rule, this period takes place equally in nulliparous and multiparous women.But sometimes in nulliparous women placenta occurs earlier, 10-20 minutes after birth.Usually the placenta half an hour after birth the baby with the help of lower intensity contractions than in the first stage of labor.If the placenta does not occur in a timely manner (and this happens), the operation is carried out manual removal of the placenta.
After childbirth a woman for two hours is in the delivery room, it is necessary to verify the absence of her bleeding.
The proper behavior of women during childbirth depends largely on her own health and the health of her child.