Главная 7 Child development 7 At first-second

At first-second

At first-second

Let’s start from the very beginning: the beginning of childbirth is preceded by the phase of preparatory contractions, they are weaker than the real ones, they appear from time to time, with large intervals. “Debutantes” feel them quite clearly, and moms with experience may not notice. This period lasts about 7 hours. For the first time, the preparatory fights may be delayed, which means they will prevent the expectant mother from resting and gaining strength for the upcoming “work”.

Then the doctor will inject a sedative to give her a chance to sleep.

This is where fights help her: they become regular and intense. Under their action, the neck softens, shortens and opens slightly.

The cervix resembles a tube with 2 contractions: the first “closes” the entrance to the uterus (the baby floats there in the amniotic fluid), and the other “exit” to the outside. It is this last narrowing and carries the greatest burden during childbirth: he will have to open more and more to miss the baby.

For clarity, imagine a balloon (uterus), the leg (cervical canal) of which is tied up with two ropes (internal and external narrowing of the cervix). With the onset of contractions, the upper rope is untied (that is, the inner constriction is stretched), and then the lower (outer) one.

For mummy “debutantes” they open one after another, and for “experienced” ones – at the same time.

The first period for “inexperienced” mothers lasts 12–18 hours (7 preparatory ones are included here), during the next birth it takes 6–8 hours. For the first time, the rhythm of contractions at this stage may deviate from the nature’s position, then they become short, irregular, and the cervix does not open as a result.

This happens if the phase of the preparatory fights was delayed and tired of the future mother or the amniotic fluid poured out ahead of time. In this case, the doctor will introduce a sedative medicine to her to give her a chance to relax and restore the rhythm.

It also happens that by the time the labor starts, the cervix of the mother “debutant” is not ready, that is, it does not soften or shorten. Then the doctor will begin to prepare the neck with the help of drugs, such as a gel, which consists of biologically active elements – prostaglandins, or candles with substances that relax its muscles.

It begins with the full opening of the cervix and ends with the birth of the baby. At this time, the contractions become more intense, they join the attempts. The head of the baby presses on the muscles of the pelvic floor of the woman, irritates the nerve endings, from which she has an unbearable desire to pull.

The second period lasts for “debutantes” longer, from 1 hour to 2. This is partly due to the fact that women who become mother for the first time have pelvic floor muscles, perineal tissues are less elastic, which means that they are not too willing to stretch and have more resistance to the birth of a child. For this reason, injuries of the birth canal in the “debutantes” occur 2-3 times more often.

To prevent this, the doctor resorts to dissecting tissue.

It starts from the moment the baby is born and ends with the birth of the afterbirth (that is, the placenta with fetal membranes). The third period lasts about 5–10 minutes. During this time, the uterus contracts, drops to the level of the navel, from which its connection with the placenta is broken, it exfoliates and, with the help of contractions, is expelled out along with the membranes.

There is no particular difference in how “inexperienced” and “experienced” mothers experience this period.

ELENA BRAIN, obstetrician-gynecologist, head of the 3rd maternity ward of the Research Institute of Obstetrics and Gynecology. BEFORE. Otta, St. Petersburg

At first-second

Repeated natural childbirth has its own characteristics. The anterior abdominal wall and the uterine walls of such expectant mothers are less elastic, so the baby’s head, which is closer to the exit, may remain mobile above the pelvic entrance and not pressed to it, as during the first birth, until the beginning of labor.

Because of this, a woman does not feel that her stomach has “dropped” – usually it happens 2-3 weeks before giving birth.

The cervix ripens more easily and faster during repetitive labor. The only exceptions are those expectant mothers who suffered a serious cervical injury during previous births.

Fortunately, now such situations are rare. If the cervical ruptures were all its length and did not heal or a scar appeared in their place, doctors can refer the woman to a planned cesarean section.

Cervical dilatation during repetitive labor goes faster and takes an average of 6–8 hours. Simultaneously with the first contractions, the opening and shortening of the neck begins.

If a newborn child does not significantly exceed the size of the first one and lies correctly, then the 2nd stage of labor also passes faster. The baby walks “along the beaten path”, and if for the first time from the moment of complete disclosure of the cervix until the birth of a child, usually 1–1.5 hours pass, then later it takes 20-30 minutes.

Due to the fact that repeated deliveries go faster and the stage when contractions become painful, does not last long, the need for serious anesthesia occurs less often. Analgesics are more commonly used for pain relief, they are administered once intramuscularly or intravenously.

Damage to the cervix and perineum at repeated births occur less frequently than the first time, provided that the soft tissues are not inflamed. And newborns, due to the fact that the movement through the birth canal is faster, is usually more active and better take the breast when you first feed.

Since each subsequent birth increases the risk of bleeding in a young mother, the doctor and midwife are especially vigilant about the condition of experienced parents in the 3rd period of labor and in the first hours after their termination.

In the first days after the second birth, some women notice a more painful contraction of the uterus, sometimes even requiring a little pain relief. However, these feelings pass quickly, and the lesser tiredness of the process itself and the experience gained in caring for the firstborn helps women to get stronger quickly.

Of course, every pregnancy and childbirth is a test for a woman. And the first birth, provided that they developed naturally, still almost always remain in the memory of a young mother as a difficult job, while the latter leave a feeling of much less stress and fatigue.

Is this not a reason to think about the third child?

If the first pregnancy ended with a cesarean section, are natural childbirth possible afterwards? Usually, the operation is done again in a situation where the reason for which it was assigned for the first time has been preserved (for example, mother’s narrow pelvis).

If the grounds for cesarean section were different (the child’s position was incorrect), after the operation about 3 years passed and the scar on the uterus is in good condition, childbirth is naturally possible. However, before you make a verdict, the doctor needs to be examined.

For this, the future mother will be determined in the maternity hospital in advance, at the 38th week of pregnancy.

О admin


Check Also

How to wean a baby from a pacifier?

Before you firmly decide “everything, from today no nipples,” think about how well the moment ...

Know the measure (about intimate and not only)

When bathing a child, be sensitive, especially when it comes to the intimate parts of ...

Angry at child because he looks like ex-husband

This is a common situation. Your ex-husband hurt you very much, betrayed you, hurt you. ...

How to stop constantly being afraid for your children?

Fear for your child (like any other fear) warns us about the danger – in ...

In your own way

Adults make predictions for the future at once, at birth. After all, even choosing a ...

Personal experience: Girl after three boys

The first psychological difference between a girl and a boy, which I realized: if boys ...

Foreign language for a child

With foreign languages, each of us develop a purely personal relationship. Some from the school ...

Lady perfection

Clean work. We start with an important rule – thoroughly clean the skin of the ...

We acquaint the child with time: useful games

Time is a difficult concept for children, they master it gradually. But, despite the individual ...

Develop attention

Scarce from the first month of life shows that he has attention. He looks at ...

Abuse of sweet leads to premature skin aging

But to succumb to sweets is not just to sacrifice your waist. Experts say it ...

Golden Key

The provincial theater in its repertoire pays great attention to high-quality productions for children and ...

How to take vitamins depending on the trimester

It is necessary to supplement the nutrition of the future mother with vitamin preparations. First, ...

Goodbye, diaper!

15 months: The kid is able to say that he has soiled his pants. 18 ...

Playing gardeners: practical botany for kids

Properly selected plants have the same beneficial effect on the body, mind and soul. In ...

How to help your child feel more comfortable in the house?

Experts in the field of education advise to teach children to communicate with others as ...

Baby hiccups

Hiccup is a reflex contraction of the diaphragm. A spasm occurs when the phrenic nerve ...

I want: all at once!

Strictly speaking, children under four do not react to advertising. And they react rather to ...

Give up

First of all, you should ask the parents who lead (or drove) their children to ...

Gene Game

The secret of human life lies in a filament meter-long and only a few billionth ...

Find a friend

In the process of communication, kids learn interaction and mutual understanding, get the opportunity to ...

Fast food: you can, but be careful!

Fast food is the main cause of mass obesity in developed countries. We get tired ...

How to wash the baby’s head without hysteria

Many children do not like to wash their hair, because they are afraid that water ...

Alcohol abuse during pregnancy harms the psyche of the unborn child

Researchers have found that one-time excessive drinking during pregnancy may increase the risk of mental ...