Where do you feel contractions in your stomach
Signs of Labor (Cervical Effacement) During Pregnancy
Written by WebMD Editorial Contributors
In this Article
- What Are the Signs of Labor?
- What's the Difference Between True Labor and False Labor?
- Time Your Contractions
- Try to Relax
- When Should I Call My Health Care Provider or Go to the Hospital?
What Are the Signs of Labor?
Labor is another word for your body’s natural process of childbirth. It starts with your first steady contractions and goes through the delivery of both your baby and placenta.
Some women have very distinct signs of labor, while others don’t. No one knows what causes labor to start or when it will start, but several hormonal and physical changes help indicate the beginning of labor.
Lightening during labor
The process of your baby settling or lowering into your pelvis just before labor is called lightening. It’s also referred to as the baby “dropping. ”
- Lightening can happen a few weeks or a few hours before labor.
- Because the uterus rests on the bladder more after lightening, you may feel the need to urinate more often.
- But the extra room in your upper abdomen may make it easier to breathe and relieve heartburn.
Passing of the mucus plug
The mucus plug accumulates at the cervix during pregnancy. When the cervix begins to open wider, the mucus is discharged into the vagina. It may be clear, pink, or slightly bloody. This is also known as “show” or “bloody show.” Labor may begin soon after the mucus plug is discharged or one to two weeks later.
Labor contractions
Contractions are the tightening of the muscles of the uterus. During contractions, the abdomen becomes hard. Between contractions, the uterus relaxes and the abdomen becomes soft. The way a contraction feels is different for each woman, and it may feel different from one pregnancy to the next.
- Labor contractions usually cause discomfort or a dull ache in your back and lower abdomen, along with pressure in the pelvis.
- Contractions move in a wave-like motion from the top of the uterus to the bottom.
- Some women describe contractions as strong menstrual cramps.
- Unlike false labor contractions or Braxton Hicks contractions, true labor contractions don’t stop when you change your position or relax.
- Although they may be uncomfortable, you’ll be able to relax in between contractions.
Diarrhea
You may notice your poops are loose or watery. This may mean you are within a day or two of labor beginning.
Weight loss
While you’re pregnant, it may seem like you’re never going to stop gaining weight. But many women actually lose a few pounds in the days leading up to labor.
Nesting instinct
Some women find themselves with an urge to get ready shortly before their baby’s arrival. That’s known as the nesting instinct.
- You may have a sudden burst of energy after weeks of feeling more and more tired.
- You may feel like shopping, cooking, or cleaning the house.
- Be careful not to overdo it. Childbirth will take a lot of energy.
Activity of the baby
Your baby may move less as you get closer to the start of labor, but let your doctor know. It can sometimes be a sign of a problem.
Cramps and back pain
It may be hard to recognize a contraction, especially with your first baby. Many women have what feels like menstrual cramps in the lower abdomen. They may stay the same or they may come and go. You might also have pain in your lower back that either stays or comes and goes.
Looser joints
If you find yourself “waddling” as your pregnancy winds down, that’s just your body getting ready for the job ahead. A hormone called relaxin loosens up the ligaments around your pelvis to make it easier for the baby to pass through.
Water breaking
The rupture of the amniotic membrane (the fluid-filled sac that surrounds the baby during pregnancy) may happen before you get to the hospital.
- It may feel either like a sudden gush of fluid or a trickle of fluid that leaks steadily.
- The fluid is usually odorless and may look clear or straw-colored.
- If your "water breaks," write down the time this happens, how much fluid is released, and what the fluid looks like, then let your health care provider know. They’ll advise you what to do next.
- Not all women have their water break when they’re in labor. Many times the doctor will rupture the amniotic membrane in the hospital.
Effacement
During labor, your cervix gets shorter and thins out in order to stretch and open around your baby's head. The shortening and thinning of the cervix is called effacement. Your health care provider will be able to tell you if there are changes to the cervix during a pelvic exam.
Effacement is measured in percentages from 0% to 100%. If there are no changes to the cervix, it is described as 0% effaced. When the cervix is half the normal thickness, it is 50% effaced. When the cervix is completely thinned out, it is 100% effaced.
Dilation
The stretching and opening of your cervix is called dilation and is measured in centimeters, with complete dilation being at 10 centimeters.
Effacement and dilation are a direct result of effective uterine contractions. Progress in labor is measured by how much the cervix has opened and thinned to allow your baby to pass through the vagina.
What's the Difference Between True Labor and False Labor?
Before "true" labor begins, you may have "false" labor pains, also known as Braxton Hicks contractions. These irregular uterine contractions are perfectly normal and may start to occur in your second trimester, although more commonly in your third trimester of pregnancy. They are your body's way of getting ready for the "real thing."
What do Braxton Hicks contractions feel like?
Braxton Hicks contractions can be described as a tightening in the abdomen that comes and goes. These contractions do not get closer together, do not increase with walking, do not increase in duration, and do not feel stronger over time as they do when you are in true labor.
How do I know when I am in true labor?
To figure out if the contractions you are feeling are the real thing, ask yourself the following questions.
Contraction Characteristics | False Labor | True Labor |
How often do the contractions occur? | Contractions are often irregular and do not get closer together. | Contractions come at regular intervals and last about 30-70 seconds. As time progresses, they get closer together. |
Do they change with movement? | Contractions may stop when you walk or rest, or may even stop if you change positions. | Contractions continue despite movement or changing positions. |
How strong are they? | Contractions are usually weak and do not get much stronger. Or they may be strong at first and then get weaker. | Contractions steadily increase in strength. |
Where do you feel the pain? | Contractions are usually only felt in the front of the abdomen or pelvic region. | Contractions usually start in the lower back and move to the front of the abdomen. |
Time Your Contractions
When you think you are in true labor, start timing your contractions. To do this, write down the time each contraction starts and stops or have someone do it for you. The time between contractions includes the length or duration of the contraction and the minutes in between the contractions (called the interval).
Mild contractions generally begin 15 to 20 minutes apart and last 60 to 90 seconds. The contractions become more regular until they are less than 5 minutes apart. Active labor (the time you should come into the hospital) is usually characterized by strong contractions that last 45 to 60 seconds and occur 3 to 4 minutes apart.
Try to Relax
It’s best to go through the first stage of labor (called the Latent Phase) in the comfort of your home. Here are some tips to help you manage:
- Distract yourself -- take a walk, watch a movie.
- Soak in a warm tub or take a warm shower. But, ask your health care provider if you can take a tub bath if your water has broken.
- Rest. Try to sleep or take a nap if it is in the evening. You need to store up your energy for active labor.
When Should I Call My Health Care Provider or Go to the Hospital?
When you suspect you are in true labor, call your health care provider. Also, call:
- If you think your water has broken.
- If you’re bleeding (more than spotting).
- If the baby seems to be moving less than normal.
- When your contractions are very uncomfortable and have been coming every 5 minutes for an hour.
- If you have any of the signs of labor, but you haven’t reached your 37th week of pregnancy. You may be going into labor before your baby is ready and will need medical help right away.
Your health care provider will give you specific guidelines about when you should get ready to come to the hospital.
Signs of Labor (Cervical Effacement) During Pregnancy
Written by WebMD Editorial Contributors
In this Article
- What Are the Signs of Labor?
- What's the Difference Between True Labor and False Labor?
- Time Your Contractions
- Try to Relax
- When Should I Call My Health Care Provider or Go to the Hospital?
What Are the Signs of Labor?
Labor is another word for your body’s natural process of childbirth. It starts with your first steady contractions and goes through the delivery of both your baby and placenta.
Some women have very distinct signs of labor, while others don’t. No one knows what causes labor to start or when it will start, but several hormonal and physical changes help indicate the beginning of labor.
Lightening during labor
The process of your baby settling or lowering into your pelvis just before labor is called lightening. It’s also referred to as the baby “dropping.”
- Lightening can happen a few weeks or a few hours before labor.
- Because the uterus rests on the bladder more after lightening, you may feel the need to urinate more often.
- But the extra room in your upper abdomen may make it easier to breathe and relieve heartburn.
Passing of the mucus plug
The mucus plug accumulates at the cervix during pregnancy. When the cervix begins to open wider, the mucus is discharged into the vagina. It may be clear, pink, or slightly bloody. This is also known as “show” or “bloody show.” Labor may begin soon after the mucus plug is discharged or one to two weeks later.
Labor contractions
Contractions are the tightening of the muscles of the uterus. During contractions, the abdomen becomes hard. Between contractions, the uterus relaxes and the abdomen becomes soft. The way a contraction feels is different for each woman, and it may feel different from one pregnancy to the next.
- Labor contractions usually cause discomfort or a dull ache in your back and lower abdomen, along with pressure in the pelvis.
- Contractions move in a wave-like motion from the top of the uterus to the bottom.
- Some women describe contractions as strong menstrual cramps.
- Unlike false labor contractions or Braxton Hicks contractions, true labor contractions don’t stop when you change your position or relax.
- Although they may be uncomfortable, you’ll be able to relax in between contractions.
Diarrhea
You may notice your poops are loose or watery. This may mean you are within a day or two of labor beginning.
Weight loss
While you’re pregnant, it may seem like you’re never going to stop gaining weight. But many women actually lose a few pounds in the days leading up to labor.
Nesting instinct
Some women find themselves with an urge to get ready shortly before their baby’s arrival. That’s known as the nesting instinct.
- You may have a sudden burst of energy after weeks of feeling more and more tired.
- You may feel like shopping, cooking, or cleaning the house.
- Be careful not to overdo it. Childbirth will take a lot of energy.
Activity of the baby
Your baby may move less as you get closer to the start of labor, but let your doctor know. It can sometimes be a sign of a problem.
Cramps and back pain
It may be hard to recognize a contraction, especially with your first baby. Many women have what feels like menstrual cramps in the lower abdomen. They may stay the same or they may come and go. You might also have pain in your lower back that either stays or comes and goes.
Looser joints
If you find yourself “waddling” as your pregnancy winds down, that’s just your body getting ready for the job ahead. A hormone called relaxin loosens up the ligaments around your pelvis to make it easier for the baby to pass through.
Water breaking
The rupture of the amniotic membrane (the fluid-filled sac that surrounds the baby during pregnancy) may happen before you get to the hospital.
- It may feel either like a sudden gush of fluid or a trickle of fluid that leaks steadily.
- The fluid is usually odorless and may look clear or straw-colored.
- If your "water breaks," write down the time this happens, how much fluid is released, and what the fluid looks like, then let your health care provider know. They’ll advise you what to do next.
- Not all women have their water break when they’re in labor. Many times the doctor will rupture the amniotic membrane in the hospital.
Effacement
During labor, your cervix gets shorter and thins out in order to stretch and open around your baby's head. The shortening and thinning of the cervix is called effacement. Your health care provider will be able to tell you if there are changes to the cervix during a pelvic exam.
Effacement is measured in percentages from 0% to 100%. If there are no changes to the cervix, it is described as 0% effaced. When the cervix is half the normal thickness, it is 50% effaced. When the cervix is completely thinned out, it is 100% effaced.
Dilation
The stretching and opening of your cervix is called dilation and is measured in centimeters, with complete dilation being at 10 centimeters.
Effacement and dilation are a direct result of effective uterine contractions. Progress in labor is measured by how much the cervix has opened and thinned to allow your baby to pass through the vagina.
What's the Difference Between True Labor and False Labor?
Before "true" labor begins, you may have "false" labor pains, also known as Braxton Hicks contractions. These irregular uterine contractions are perfectly normal and may start to occur in your second trimester, although more commonly in your third trimester of pregnancy. They are your body's way of getting ready for the "real thing."
What do Braxton Hicks contractions feel like?
Braxton Hicks contractions can be described as a tightening in the abdomen that comes and goes. These contractions do not get closer together, do not increase with walking, do not increase in duration, and do not feel stronger over time as they do when you are in true labor.
How do I know when I am in true labor?
To figure out if the contractions you are feeling are the real thing, ask yourself the following questions.
Contraction Characteristics | False Labor | True Labor |
How often do the contractions occur? | Contractions are often irregular and do not get closer together. | Contractions come at regular intervals and last about 30-70 seconds. As time progresses, they get closer together. |
Do they change with movement? | Contractions may stop when you walk or rest, or may even stop if you change positions. | Contractions continue despite movement or changing positions. |
How strong are they? | Contractions are usually weak and do not get much stronger. Or they may be strong at first and then get weaker. | Contractions steadily increase in strength. |
Where do you feel the pain? | Contractions are usually only felt in the front of the abdomen or pelvic region. | Contractions usually start in the lower back and move to the front of the abdomen. |
Time Your Contractions
When you think you are in true labor, start timing your contractions. To do this, write down the time each contraction starts and stops or have someone do it for you. The time between contractions includes the length or duration of the contraction and the minutes in between the contractions (called the interval).
Mild contractions generally begin 15 to 20 minutes apart and last 60 to 90 seconds. The contractions become more regular until they are less than 5 minutes apart. Active labor (the time you should come into the hospital) is usually characterized by strong contractions that last 45 to 60 seconds and occur 3 to 4 minutes apart.
Try to Relax
It’s best to go through the first stage of labor (called the Latent Phase) in the comfort of your home. Here are some tips to help you manage:
- Distract yourself -- take a walk, watch a movie.
- Soak in a warm tub or take a warm shower. But, ask your health care provider if you can take a tub bath if your water has broken.
- Rest. Try to sleep or take a nap if it is in the evening. You need to store up your energy for active labor.
When Should I Call My Health Care Provider or Go to the Hospital?
When you suspect you are in true labor, call your health care provider. Also, call:
- If you think your water has broken.
- If you’re bleeding (more than spotting).
- If the baby seems to be moving less than normal.
- When your contractions are very uncomfortable and have been coming every 5 minutes for an hour.
- If you have any of the signs of labor, but you haven’t reached your 37th week of pregnancy. You may be going into labor before your baby is ready and will need medical help right away.
Your health care provider will give you specific guidelines about when you should get ready to come to the hospital.
Pulsation in the abdomen - the causes of occurrence, in what diseases it occurs, diagnosis and methods of treatment
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IMPORTANT!
The information in this section should not be used for self-diagnosis or self-treatment. In case of pain or other exacerbation of the disease, only the attending physician should prescribe diagnostic tests. For diagnosis and proper treatment, you should contact your doctor.
For a correct assessment of the results of your analyzes in dynamics, it is preferable to do studies in the same laboratory, since different laboratories may use different research methods and units of measurement to perform the same analyzes.
Pulsation in the abdomen: the causes of occurrence, in which diseases it occurs, diagnosis and methods of treatment.
Definition
Normally, a pulsation in the abdomen can be felt after a long stay in an uncomfortable position, playing sports, or when exposed to factors that irritate the nervous system. There is no cause for concern if the pulsation resolves on its own after a short rest on the back.
However, the sensation of a pulse in the abdomen can be a symptom of various diseases of the organs and systems of the abdominal cavity. The abdominal cavity is the seat of many organs, such as the stomach, liver, gallbladder, intestines; important blood vessels (abdominal aorta) and lymphatic vessels, nerve bundles are located here.
Failure of at least one of the organs that make up the abdominal cavity leads to functional disorders of varying severity. Most often, it is impossible to identify the cause of the pulsation in the abdomen on your own, for this you need to consult a doctor, since in addition to a “harmless” indigestion, more serious life-threatening conditions can also be the cause.
Abdominal pulsations
The pulsation in the abdomen can vary in location: above the navel, in the solar plexus area, to the right or left of the center of the abdomen.
Possible causes of pulsation in the abdomen
- Digestive disorders.
- Pregnancy.
- Features of the menstrual cycle.
- Pathology of the abdominal aorta.
- Tumors of the abdominal organs.
Under indigestion means pathologies of the stomach, intestines, pancreas of various nature and diseases of the biliary tract. Most often, diseases of the gallbladder are not manifested by a pulsation in the abdomen, the symptoms of these conditions are characterized by aching pains in the right hypochondrium, which in some cases become acute and unbearable (for example, with biliary colic), yellowing of the sclera and skin, etc.
The clinical picture of gastritis includes heaviness in the abdomen, pulsation in the epigastric region (the space located directly under the xiphoid process and which is the projection of the stomach onto the anterior abdominal wall), heartburn, nausea, in some cases vomiting, loss of appetite.
When overeating due to overstretching of the walls of the stomach, it is also possible to experience pulsating sensations in the abdomen.
Colitis are manifested by inflammation, constipation, diarrhea (or their alternation), the appearance of blood or mucus in the stool, discomfort and discomfort in the abdomen, weakness, lack of appetite. Provoking factors of colitis can be poor-quality food and water, as well as wearing tight, uncomfortable clothes that put pressure on the intestines. Pulsation in the abdomen can occur in diseases such as Crohn's disease (a chronic inflammatory disease of the gastrointestinal tract, characterized by damage to the epithelium of the intestinal tube and impaired digestion and absorption of nutrients) and intestinal tumors . With tumors of the intestine, the following nonspecific symptoms are possible: upset stool, weight loss, a decrease in appetite up to an aversion to food, a significant increase in the volume of the abdomen.
The clinical picture of intestinal obstruction is as follows: a violation of the discharge of feces and gases, pain and pulsation in the abdomen, in some cases there is a feeling of increased peristalsis, nausea, vomiting. The appearance of these symptoms in a complex or separately requires immediate medical attention. Lack of proper treatment in the development of intestinal obstruction can cause severe complications and even death.
During pregnancy as the baby develops and grows, the uterus enlarges. This process is accompanied by pressure on the surrounding organs - the intestines, the bladder, which is manifested by frequent urination, pulsation in the abdomen, heartburn (in late pregnancy, which is associated with increasing intra-abdominal pressure).
Sometimes a woman mistakenly takes the movement of the fetus for a pulsation in the abdomen. In the prenatal period in the later stages, pulsating sensations in the abdomen may appear due to fetal hiccups. This condition is not pathological unless it is permanent.
During menstruation the endometrium is renewed - the cells that line the inside of the uterine cavity. During this period, the uterus contracts in waves, which in some women is accompanied by pain, and in some - a sensation of pulsation in the abdomen. This condition is physiological and does not require specific treatment. In cases where, during the days of menstruation, a woman acutely experiences the above symptoms, which disrupts the usual rhythm of her life, it is advisable to consult a doctor to select the optimal therapy.
The aorta is the largest unpaired vessel in the human body. It enters the systemic circulation, the main function of which is to provide all organs and tissues with oxygen-rich blood. The aorta is usually divided into three sections: the ascending aorta, the aortic arch and the descending aorta (divided into the thoracic and abdominal aorta).
The abdominal aorta supplies blood to the stomach, intestines, kidneys, spleen, and testicles in men and ovaries in women.
An aneurysm is a pathology of the vessel wall, in which a peculiar protrusion, similar to a bag, forms on it. The presence of an aneurysm of the abdominal aorta can be manifested by pulsating sensations in the abdomen. Abdominal pain is often absent or tolerable, but attacks similar to sciatica or exacerbation of inflammation of the pancreas are also possible. Men are more often ill after 60 years, and most of them are smokers with a long history. With a late diagnosis, the aortic wall becomes thinner, which can lead to rupture of the aneurysm during physical exertion or even at rest.
The causes of aortic aneurysms include congenital pathology of the connective tissue, inflammatory diseases (for example, aortitis), non-infectious (specific) inflammation (for example, Takayasu's disease), penetrating wound or blunt abdominal trauma, hypercholesterolemia and atherosclerosis (characterized by the deposition of cholesterol plaques). in the vessels, which makes their walls less resistant to the effects of blood pressure).
Which doctor should I contact if there is a pulsation in the abdomen
In case of indigestion, contact therapist or gastroenterologist. In cases where the disorder is of an infectious nature, an infectious disease specialist will provide assistance.
With digestive disorders, accompanied by profuse vomiting, repeated loose stools, severe dehydration develops - this condition may require hospitalization.
An aneurysm of the abdominal aorta is usually treated by a surgeon.
During pregnancy, women are observed in obstetrician-gynecologist.
Diagnosis and examination of abdominal pulsations
For the diagnosis of gastritis or colitis, gastroscopy or colonoscopy (in some cases, studies are carried out with sedation) and ultrasound of the abdominal organs to detect tumors in the abdomen are widely used. When conducting endoscopic examinations, it is possible to take material to determine the cellular characteristics of the formation, which determines the tactics of further treatment.
Gastroscopy
Examination of the mucous membrane of the upper gastrointestinal tract with the possibility of performing a biopsy or endoscopic removal of small pathological. ..
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Colonoscopy
Endoscopic examination of the large intestine to look for abnormalities, biopsy and remove small polyps and tumors.
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Gastroscopy and colonoscopy with sedation (during sleep)
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Comprehensive ultrasound examination of the organs of the abdominal cavity and retroperitoneal space (kidneys, liver, gallbladder, pancreas, spleen)
Ultrasound of the organs of the abdominal cavity and retroperitoneal space to search for pathological changes
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If malignant or benign tumors in the gastrointestinal tract are suspected, in addition to the above studies, consultation is required oncologist, as well as CT or MRI of the abdominal organs. In some clinical situations, they resort to the introduction of a contrast agent.
Injection of a contrast agent (MRI)
Intravenous injection of a contrast agent.
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At different stages of pregnancy, examinations are carried out in different volumes - ultrasound of the uterus and fetus, quantitative determination of the necessary substances for the normal development of the embryo, as well as for the timely diagnosis of possible complications of pregnancy and congenital features of the fetus.
Ultrasound diagnosis of pregnancy
Examination to confirm pregnancy and determine the place of attachment of the ovum (to exclude ectopic pregnancy).
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If discomfort occurs during menstruation, the gynecologist recommends an ultrasound of the pelvic organs and determination of the level of sex hormones - estradiol, progesterone, etc.
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For the diagnosis of aortic aneurysm, CT and ultrasound of the abdominal cavity, aortography (X-ray examination with the introduction of a contrast agent into the aortic cavity) are used.
Comprehensive ultrasound examination of the abdominal cavity and retroperitoneal space (kidneys, liver, gallbladder, pancreas, spleen)
Ultrasound of the abdominal cavity and retroperitoneal space to search for pathological changes
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What to do if there is a pulsation in the abdomen
If the pulsation in the abdomen is accompanied by acute pain, you need to call an ambulance, because there is a risk of rupture of a previously undiagnosed abdominal aortic aneurysm. In other cases (if the pulsation regularly reminds of itself), you need to contact the clinic for a thorough examination.
Treatment for abdominal pulsations
In case of digestive disorders, gastritis and colitis, diet is the mainstay of treatment. In addition, the doctor prescribes the necessary drugs to reduce the load on the digestive tract during the illness (enzymes, antispasmodics, probiotics, drugs that prevent bloating).
Treatment of aortic aneurysms is usually surgical.
When tumor processes are detected, the oncologist, focusing on the characteristics of the tumor, selects the optimal amount of care, which may include surgical removal of the neoplasm, chemotherapy and radiation therapy.
Sources:
- Instructions for the diagnosis and treatment of acute surgical diseases of the abdominal cavity in medical organizations of the public health system of Moscow. - Moscow, 2017. - 47 p.
- Shlomin V.V., Gusinsky A.V., Gordeev M.V., et al. Surgical treatment of aneurysms of the abdominal aorta. Bulletin of Surgery. 2016. S. 24-27.
IMPORTANT!
The information in this section should not be used for self-diagnosis or self-treatment. In case of pain or other exacerbation of the disease, only the attending physician should prescribe diagnostic tests. For diagnosis and proper treatment, you should contact your doctor.
For a correct assessment of the results of your analyzes in dynamics, it is preferable to do studies in the same laboratory, since different laboratories may use different research methods and units of measurement to perform the same analyzes.
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How to behave in childbirth? Learning to give birth quickly and with problems
Childbirth is a natural process, laid down by nature. The whole sequence of events that take place during this period is predetermined, but by your actions you can either speed up the birth of a baby, or complicate his birth.
Childbirth is the final and most important stage of pregnancy. How you behave and how accurately and skillfully you follow the instructions of the obstetrician depends on how you will feel and how quickly your baby will be born. What does a newborn need to know? Let's try to answer the most important questions.
1. When is it time to go to the maternity hospital?
Childbirth is a natural result of hormonal changes that occur in your body during the final stages of pregnancy. The sagging belly and heaviness in its lower part and the lumbar region speak of the imminent denouement of the story. Periodically, weak contractions occur, the stomach tenses and pulls down, but these sensations quickly pass, the uterus relaxes again and becomes soft. Such contractions are harbingers of childbirth, but they are far from real labor activity.
The signal to call an ambulance should be sufficiently strong contractions that are repeated at regular intervals, the appearance of mucous secretions from the genital tract, slightly stained with blood, or the outflow of amniotic fluid.
2. First stage of childbirth: we breathe for two!
From the moment the contractions become regular, the first stage of labor begins, during which the strength, frequency and duration of uterine spasms increases and the cervix opens.
During spastic contraction of the fibers of the uterine muscles, the blood vessels that carry arterial blood to the placenta and fetus are compressed. The fetus begins to experience a lack of oxygen, and this involuntarily makes you breathe deeper. The reflex increase in the rate of contractions of your heart will ensure the delivery of oxygen to the child. Nature has provided that these processes take place regardless of your consciousness, but you should not completely rely on it.
In the first stage of labor, during each contraction, you need to breathe calmly and deeply, trying not to hold your breath while inhaling. At the same time, the air should fill the upper sections of the lungs, as if raising the chest. You need to inhale through the nose, slowly and smoothly, exhale through the mouth, just as evenly.
3. Auto-training in the prenatal ward
To speed up the opening of the cervix, you need to walk more, but sitting is not recommended, while blood flow in the limbs is disturbed and venous blood stagnation occurs in the pelvis. From time to time it is useful to lie on your side, stroking your lower abdomen with both hands in the direction from the center to the sides, focusing on breathing and saying to yourself: "I am calm, I am in control of the situation, each contraction brings me closer to the birth of a baby."
4. To relieve pain
Acupressure of the lower back can help relieve pain. Find the outer corners of the sacral rhombus on your lower back and massage these points with clenched fists.
Monitor the frequency and duration of contractions and if they weaken or sharply increase, immediately inform your doctor. In case of severe pain, you can ask for an anesthetic, but you should remember that you should not take the medicine too often, this is fraught with narcotic depression of the newborn and a decrease in his adaptive abilities.
If cervical dilatation has caused reflex vomiting, rinse your mouth with water and then drink a few sips to replace fluid loss. Do not drink a lot, this can provoke a recurrence of vomiting.
5. The maternity ward is not a place for tantrums
They say that difficult childbirth is a person's retribution for walking upright. Childbirth is actually a painful process, but the presence of reason allows us, representatives of the genus Homo sapiens, to control our emotions. Screaming, crying, tantrums and swearing have no place in the maternity ward. This creates a tense environment, interferes with the normal course of childbirth, complicates diagnostic and therapeutic measures, and ultimately affects their outcome.
6. Second stage of labor - pushing and expulsion of the fetus
After the baby's head slips through the dilated cervix and finds itself on the bottom of the pelvis, the pushing period of labor begins. At this time, there is a desire to push, as it usually happens during a bowel movement, but at the same time many times stronger. At first, the attempts are controllable, they can be "breathed", but by the beginning of the third stage of labor, the expulsion of the fetus, they become unbearable.
With the beginning of the straining period, you will be transferred to the delivery room. Having settled down on the delivery table, rest your feet on the special steps, firmly grasp the handrails and wait for the midwife's command.
While pushing, inhale deeply, close your mouth, clench your lips tightly, pull the handrails of the birthing table towards you and direct all the exhalation energy down, squeezing the fetus out of you. When the top of the baby appears from the genital slit, the midwife will ask you to ease your efforts. With gentle movements of her hands, she will first release the baby’s forehead, then his face and chin, after which she will ask you to push again. At the moment of the next attempt, the baby's shoulders and torso will be born. After the newborn is born, you can breathe freely and rest a little, but the birth is not over.
7. The third stage of labor and the final stage
The third stage of labor is the afterbirth period. At this time, weak contractions are observed, due to which the fetal membranes gradually exfoliate from the walls of the uterus.
About 10 minutes after your baby is born, your midwife will ask you to push again to deliver your afterbirth.