Not knowing how the birth takes place for the first time, young women panic, experience with the approach of the term of delivery. Let us examine this process in more detail in the primiparous, we will tell about the signs of approaching genera, the symptoms, we will find out: how many the first births take place in time.
First signs of childbirth
Talking about how the first birth begins, doctors note the individuality of this process. Every woman feels the approach of the baby's coming into the world in different ways. However, there are so-called precursors - signs, the appearance of which indicates the early onset of labor. Among them are:
- Abdominal abscess. Before the birth for the first time, the belly of a pregnant woman changes its position. Due to the entry of the fetal head into the cavity of the small pelvis, the body shifts. As a result, the belly of the pregnant woman shifts downwards. At the same time, the expectant mother notes relief of well-being: it becomes easier to breathe, due to a decrease in pressure on the diaphragm. This happens 2-3 weeks before the appearance of the baby.
- Departure of the mucous plug. For 10-14 days in primiparas from the genital tract a lump of mucus leaves. The midwifery calls it a cork . Directly this clot covers the entrance to the uterine cavity, located in the neck. Thus, the fetus is protected from negative environmental factors, the effects of pathogenic microorganisms.
- Decreased body weight. It occurs a few days before the appearance of the baby. A woman becomes 1-2 kg lighter by exiting the body from the liquid.
- Irregular pulling pains in the lower abdomen. They are due to the increased contractile activity of the uterus. As a result of such reductions, the childbearing organ is prepared for the difficult birth process.
Contractions in primiparas
Talking about how the first birth takes place, it is necessary to note a long first period of labor . This term in obstetrics is used to refer to contractions of uterine myometrium, which accompany such a stage as the opening of the cervix. These abbreviations always have a rhythmic character. Over time, their intensity and duration increase. The interval between the two contractions is shortened.
The first birth is often accompanied by a prolonged stage of cervical dilatation. Because of this, women can begin to feel the first bout 12-24 before the baby. In most cases, the birth of the first-born last 12 hours. Given this fact, there is no need to go to the hospital after the first fights. It is important to consider that fights can be not generic, but false ( training ).
Training scrimmage in primiparas
The first pregnancy and childbirth is an exciting process for women. Expecting the appearance of the first-born, often the future mother falls into a panic when she feels pain similar remotely to fights. Before physiological birth for the first time, they can appear already at week 20. They are provoked by irregular, short-term contractions of uterine myometrium. The midwives call them training fights, or Braxton-Hicks fights.
A distinctive feature of false bouts is the absence of periodicity and constancy. They can arise suddenly and also disappear. The intervals between them are not constant: it can take both 5 and 20 minutes. Training fights, in contrast to the birth, a pregnant woman can independently stop. Often it is necessary to change the position, take a bath.
How do the primiparas begin?
Afraid to skip the beginning of labor, in the second trimester women ask a gynecologist how to understand that the fights began, the symptoms of this phenomenon. Regular contractions of uterine myometrium are felt by pregnant women as pulling, sometimes acute pain in the abdomen and lower back. Painful sensations are aching, the woman says that she is sipping the lower abdomen.
Speaking on the topic of the first time delivery, doctors indicate the long intervals between contractions at the beginning of the birth process. At the end of one fight, the pregnant woman feels, as before - nothing hurts. As the cervix is opened, the contractions become more active. In this case, the length of one contraction increases, and the interval gradually begins to contract.
How long are the struggles with the primigravidae?
If a woman's first childbirth, fights last longer than at the birth of the second and subsequent children. With the onset of labor, fights appear with a periodicity of 20 minutes, then the interval is reduced to 15. At the same time, their strength grows, and soreness increases. Doctors recommend staying at home at this time. In the hospital can be sent, when the interval is reduced to 10 minutes.
If we talk about how the birth takes place for the first time, midwives notice that the period of opening in primiparas lasts 6-8 hours. In this case, it is necessary to take into account individuality. All pregnant women bear painful sensations in different ways, so they may not notice the appearance of the first, weakly expressed fights. To make it easier to move this period, doctors recommend slowly pacing, doing household chores.
Labor at birth
"Labor" in obstetrics refers to arbitrary contractions of the muscles of the anterior abdominal wall, which help the fetus to move along the birth canal. With the advent of attempts, the second stage of delivery begins, which is called expulsion. It begins with a full disclosure of the cervix and lasts until the baby's birth. This process has a reflex character - it can not be controlled.
To facilitate painful childbirth for the first time, a pregnant woman can increase their productivity. Directly in the period of exertion it is necessary to push. Such efforts increase the speed of the birth process - the baby is born faster, the mother experiences less pain. At the same time, the risk of developing complications decreases, in the form of vaginal ruptures, perineal tissues. However, the first birth of a woman rarely does without them.
What do attempts at childbirth look like?
In a conversation with a future mother, doctors tell about attempts at childbirth - what is it, understand not all. To explain to the pregnant woman what they are similar in sensations, gynecologists compare them with the desire to empty the intestines. Such sensations arise because of the excessive pressure of the fetus on the rectum, which accompanies contractions of the muscles of the abdominal press. Immediately during the appearance of such sensations, doctors talk about the need to strain.
How long do laborings last?
Answering the question of the pregnant woman, concerning how long the first birth lasts, the doctors indicate the individuality of this parameter. On average, the baby is born 8-12 hours after the first fights. As for the period of exile, in which active attempts are noted, in primiparas it is 2 hours. At the same time, certain factors may influence the duration of this period:
- application of anesthesia;
- a large fruit;
- weak labor activity;
- overexertion of the muscles of the anterior abdominal wall;
- narrowed pelvis.
Labor at birth - how to behave?
Gynecologists spend more than one conversation with the primipara, telling them about the mechanism of birth, about the situations during childbirth , what to do when they appear and how to behave. Effective straining during the expulsion of the fetus significantly reduces the duration of this period, excludes the development of complications.
To ease the soreness, shorten the duration of the period of exile, doctors give the following recommendations:- Feeling the urge to push - take a deep breath.
- A little bending forward, hold their breath.
- At the time of reduction, it is necessary to gently tense.
- Between attempts, a series of deep soothing breaths is done. Then slowly relax.
Pain in childbirth
Most girls have a prejudice - it's painful to give birth for the first time. In fact, there is a dependence on the magnitude of the pain threshold. Because of this, the process of generic birth can be transferred in different ways. During childbirth a woman is filled with different feelings: fear, anxiety, joy. Immediately they can distract the future mother from severe pain, switching her attention.
Talking with pregnant women about the way the birth takes place for the first time, doctors pay attention to changes in the intensity and nature of the pain. So, in the period of the disclosure of the cervix, pregnant women experience a pulling, dull pain. It does not have exact localization, it can often give a leg or a lumbar region, a sacrum. With the onset of attempts, the pain becomes acute. In this case, its location is the vagina, perineum, rectum. There is a desire to stiffen.
Births - complications
Gaps at delivery are a frequent consequence of the baby's appearance. Their education is associated with a woman's failure to follow the instructions of an obstetrician. They arise in those parturient women who are not striving hard. As a result, there is a violation of the integrity of the tissues of the vagina and perineum. Among other complications of the birth process, it should be noted:
- violation of the preliminaries - uncoordinated contractions of the uterine muscles, which prevent the onset of labor;
- early discharge of amniotic fluid - the water comes out before the full disclosure of the cervix;
- premature placental abruption - occurs with severe uterine contractions or in women with impaired coagulation;
- weakness of labor - develops when the pregnant woman does not have enough strength to complete the process of delivery;
- Clinically narrow pelvis - mismatch of fetal size with pelvic size;
- hypoxia of the fetus - a violation of the process of oxygen supply to the fetus.
How to begin recovery after childbirth?
Restoration after pregnancy and childbirth is a long process. To the body quickly returned to its former state, doctors recommend following the following rules:
- Exclude strong physical activity.
- Observe intimate hygiene.
- Full compliance with the recommendations issued.
Restoring the old forms, without harm to the lactation process, you need to start with a lifestyle adjustment:
- active walking, no less than an hour a day;
- the correct composition of the diet - lactating a day is not less than 2500 Kcal. You can not abuse sweets, flour, smoked products.
The first days after childbirth
The first day after childbirth a woman is under the close supervision of doctors. Strong contractions of the uterus at this time can provoke bleeding. On the first day there is a large discharge of blood, with a small amount of clots. After three days their character changes to serous-sacred. The cessation of discharge occurs at week 6 after childbirth.
Soreness in the perineum on the first day is possible even in the absence of ruptures. This is due to the strong overstretch of the lumbar apparatus of the small pelvis. Normally, the pain completely disappears for 2-3 days. Residual effects are possible when an episiotomy is performed - an incision of the perineal tissue due to a threatening rupture, followed by suturing the wound.