Labor at birth

Attempts at birth - their significance, when they start and how to push

Value of attempts

The period of attempts begins when the cervix is ??already sufficiently opened in order to miss the baby. Actually, this is their role: to help the child to come into the world. Puteaux is the contraction of the muscles of the abdominal press and the diaphragm, as a result of which intra-abdominal pressure is created, helping to expel the fetus from the womb. Attempts join the fights at a stage when the latter noticeably increase, become more prolonged and painful.

Labor at birth occurs reflexively, regardless of the desire of the mother, which is due to the increasing pressure of the fetus on the cervix. But unlike battles, they can be controlled. And that's the whole essence of the birth: mother and child make mutual efforts to accelerate the long-awaited moment.

Most women experience a feeling similar to a defecation during an attempt: it seems as if the bowel is being emptied, and therefore there is an irresistible and irresistible desire to push - it should not be restrained unless obstetricians prohibit it. Thus, nature helps a woman to survive her attempts most effectively and to cope with her main task perfectly.

Woman with attempts

In the first stage of labor, when the contractions are aimed at opening the cervix, the woman is only able to ease her health, taking comfortable postures and applying the correct technique of breathing during childbirth. Contractions are completely independent of the parturient child, as well as the course of labor in this period. But already with the onset of attempts from the passive participant in the generic process, the mother turns into quite active.

It is extremely important to feel labor during childbirth, therefore anesthesia for anesthetic contractions is not applied. However, parturient women note that with the onset of attempts, the painfulness of labor is not felt so much: all consciousness switches to effective straining.

Passing by birth, the baby's body will squeeze the surrounding organs. With the simultaneous straining of the parturient woman, that the bladder and intestine can be involuntarily emptied during attempts. As a rule, a woman does not pay special attention to this during labor, but often worries because of the likely "embarrassment" before childbirth. It is absolutely not worth worrying about this: firstly, such phenomena are completely physiological, normal and habitual for the medical staff; secondly, all unwanted discharges from the mother's organism are immediately removed by the midwife, therefore their contact with the child is excluded.

The only right thing in the period of effort will be to concentrate on your own feelings and the directions of the doctor who receives the delivery. From you now much will depend. The more quality and more correct you will push, the easier the baby will be born. However, it should be understood that the rapid birth of a child is a great stress for him, therefore from time to time the doctor can give a "retreat" to straining.

Always remember that the child tries harder than you. In addition, he is now experiencing a shortage of oxygen, so to obey the doctor should be unquestioning! It is necessary to restrain attempts, if severe straining can be unsafe, and maximally put on the strain if the doctor gave such a command.

How to properly push at delivery?

You will certainly feel that attempts have begun. But it can be too early to push it - listen to the doctor's instructions. If it is necessary to restrain or suspend the attempt (it can not be liquidated, since it occurs reflexively, regardless of your desire), then you should relax as much as possible, and make short, frequent, superficial breaths (go to "canine breath").

In the period of attempts, apply the correct technique of breathing, accumulating all forces on the strain. When the time comes to help your baby, follow the following directions:

  1. Make a quiet maximum exhalation on the threshold of exertion, and then calmly and deeply inhale into the stomach - as deep as possible, and not as much as possible.
  2. Hold your breath, lean slightly forward, pressing your chin to your chest, spread your knees to the sides, crouching against the muscle cavities, and wrap your arms around it.
  3. Start pushing at the peak of the attempt, when you feel the maximum urge.
  4. With the onset of an attempt, push down, "pushing" the baby out of yourself - make maximum efforts. In no case should the face and eyes be strained - only the diaphragm and below.
  5. Try to push the child forward, putting maximum effort on the attempt.
  6. Direct the attempt to the point of the most intense pain: the burning and pain in the cervix and vagina should be strengthened, which is the proof of the correct effective effort.
  7. Tighten until you feel the need to take the next breath: in this case, slowly exhale the air, take a deep breath, hold your breath and repeat all over again.
  8. Observe a smooth and smooth breathing, without jerks and drops. A sharp exhalation will "tighten" the child back into the vagina.
  9. Do not shout at the time of exertion - it does not help, but will squander a lot of power. Try to keep silent or, at least, grunting.
  10. During one fight, you should arrange 3 attempts in a row without breaks.
  11. In between breaks, try to relax and rest as much as possible, restoring the strength for the next strain.
  12. Do not force: ahead of hard work, you need to concentrate and properly distribute your forces.

Another good tip: when taking a breath before an attempt, imagine that you are swallowing the ball - try to feel it in your stomach. Now with the effort of the abdominal press push the "ball" to the perineum. In general, listen to your own feelings: they will not let you down.

On average, during one fight there are 3 attempts of duration of 10-15 seconds. Many women try to make one lasting attempt, but it is a mistake: it is better to make 2-3 effective attempts in one fight than one unproductive, in which the complete flow of oxygen, so necessary for the baby, stops.

It is very important to push right, otherwise midwives will have to resort to extreme measures: squeezing the baby out of the abdomen and even using forceps, which is not very desirable. Therefore, you need to calm down, objectively assess the situation and do everything you can.

It is worth noting that vertical births not only accelerate and facilitate the process of birth, but also contribute to correct straining, as the woman gives in to her sensations without thinking about where to exhale (the force of gravity acts). On the most convenient poses for delivery, ask in advance.

If there are no attempts at childbirth

Unfortunately, not all women feel any attempts at childbirth. In some cases, they are absent, which is not at all a violation, but is due to the physiological characteristics of the mother. Nevertheless, the lack of attempts does not have the best effect on the course of labor. In this situation, the woman has to rely entirely on the doctor, listen carefully and diligently follow his instructions. Frankly, it is very difficult. But what to do: this is nature - attempts are coming, as it turns out, not at all.

Ending the Afterbirth

After the birth of the child, the placenta (or the latter, as it is called) should also be born. You will again feel the urge to strain, but not so powerful as in the second stage of childbirth. The last little effort - and the process of delivery is complete!

Do not be intimidated by the description of attempts. In fact, they are very helpful in childbirth and are not as scary as they are painted. The main thing is to take attempts as an effective tool for proper delivery and use it in the best possible way.

In the process of attempts from the vagina, the head (or another part of the baby's body, if the presentation was not the head one) will begin to appear. The child makes translational movements, and so for a while the head will show up and hide back. Finally, when the reverse "swallowing" stops, you will be transferred to the delivery room or placed on the delivery desk. And very soon you will not remember how hard it was for you.

Do not worry about anything: childbirth is a natural process, which has long been well studied and "worked out" in practice. Do not be afraid of them - everything will be fine!

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