As the time of birth approaches, time does not pass for expectant mothers. They eagerly await this time, which they both fear and want to come as soon as possible. It is still not known exactly what initiates labor.
Mothers-to-be should pay attention to two signs: regular and intensifying contractions and water coming off. These are sure signs that the birth is approaching. Although it is not certain that a light bloody mucus secretion, which is called engagement among the people, will come, it may be a sign that the birth is approaching.
Work of the Uterine Muscles
Some contractions may be felt a few weeks before delivery. These are mild contractions that develop as the baby descends and settles in the birth canal. With these light and irregular contractions, your baby takes the optimum position for labor in the birth canal. These contractions are not considered to be a sign that the birth is approaching.
If the contractions felt in the uterus are severe (that is, they are usually felt as severe menstrual pains) and are felt at regular intervals, it means that labor has begun. Such contractions are of a character that becomes more and more intense and lasts longer each time.
It usually starts at 30-minute intervals and gets narrower as you go. According to some experiences, contractions that feel really strong are a sign that the cervix is opening. Such contractions continue constantly. If the contractions started to come every 10 minutes, then the labor is very close.
Sometimes labor can begin with the arrival of water. Up to one liter of amniotic fluid may flow. This liquid is generally colorless and odorless. It is useful to look at the color of the water. If the liquid is greenish, it may be a sign that the baby is experiencing stress inside. The amniotic fluid may come suddenly, or it may come drop by drop.
In these cases, the pregnant woman should be evaluated by a specialist. After the water comes, the time the baby will stay in the womb is limited. If normal delivery is intended, delivery is expected within 24 to 48 hours after the water comes in. If the birth does not occur spontaneously, intervention may be required and the birth is started.
The mucus, called the incision, covers the cervix and protects the baby against external infections for 9 months of pregnancy. The arrival of the engagement means the act of the cervix. This mucous plug may be light brown, pink, or slightly bloody. The arrival of the engagement indicates that the birth is approaching, but it is not considered as a definite sign. Because it can come 3-4 days before birth.
Most babies are born after the given date.
The birthday you’ve been waiting for impatiently has arrived and you still don’t move. Don’t worry. In normal births, the baby can be born two weeks before or after the given date. After the estimated date, doctor’s visits are more frequent. Your baby is followed more closely. Under normal conditions, an examination takes place every two days.
The most important point is how well the placenta can feed the baby. As the baby grows and matures, the placenta ages. In the first stage of the examination, the baby’s heartbeat is measured with devices called CTG (Cardio-Tocography). It is also checked whether the cervix is open. If an abnormality is detected in CTG, doppler ultrasound examination is applied.
With this ultrasound device, the baby’s blood circulation can be monitored in color and detail. In this way, it can be evaluated in detail whether there is a problem in the blood circulation of the baby or the mother. Blood gas analyzes are performed to evaluate the functions of the placenta.
If the baby continues to grow healthy after the given date, a decision is made to start the birth after 10-14 days or for a cesarean section if necessary.
Starting Birth with Medication
In some cases, it may be necessary to induce labor with medication. These situations are:
. If the fetus is not feeding well
. If there are some complications in the mother (such as gestosis or gestational diabetes). If the mother does not have contractions naturally or if the contractions are very weak,
. If the contractions have been going on for a very long time and the mother has become weak, . If the time of birth has already passed.
. It means to start the act of birth; It means giving the medicine that will cause contractions or speeding up the birth by manually puncturing the amniotic sac. . After these procedures, the mother and the baby should be under the constant supervision of the doctor.
stages of birth
Physiologically, birth consists of three stages:
Stage 1: The contracting uterine walls pull the cervix up. The cervical canal (Cervix) is a canal approximately 2-3 cm long under normal conditions and ends with the cervix (Portio). The cervix gradually opens with the help of contractions and opens until it reaches 10 cm. Wiping and opening of the cervix may occur at the same time in those who have given birth for the second or more times.
The opening phase normally lasts between 8 and 14 hours in those who give birth for the first time. Sometimes it can take even longer. In the second birth, this period can be shortened to 2 to 8 hours. Walking during this time can be beneficial. But of course, the mother-to-be can be chosen in whatever position she feels comfortable in.
If the cervix is completely erased and opened, it is time for the baby to be born. The second phase begins.
Stage 2: At the beginning of this stage, the expectant mother may feel a new pain. This may be a feeling of strong pressure in the after area. Now is the time to settle into the delivery chair. Instinctively, the desire to push should be realized and it should be pushed hard with the instruction of the doctor or midwife. The baby has also taken the position that assists the birth and has reached the exit with the back of his head.
When the baby’s head reaches the exit, pushing should be stopped with the doctor’s instruction. In the meantime, an episio can be opened to prevent tears in the perineum and to make the birth process easier. The baby’s head comes out first, facing backwards. The first thing to do is look curiously to the left and then to the right. In the next contraction, he emerges from the shoulders and the rest of his tiny body slides away from his mother’s body. The baby is born.
The first thing to do is to cut the baby’s cord and give it to the mother’s lap. The baby is immediately wrapped up against the cold. The pain and pain felt are replaced by endless happiness as if they had never been experienced. The baby may even be looking for the mother’s breast. These first minutes after birth are the most beautiful moments that mother, father and baby can experience as a family. It must be savored.
3. Stage: In the postpartum phase, the placenta is also thrown out of the body, accompanied by the last pain felt after the first minutes the mother and baby spend together. The placenta is approximately the size of a large plate, 2-3 cm thick. After the placenta is expelled, it is carefully checked. Check to see if there are any pieces left inside. With the pains felt after the placenta is removed, the uterus contracts and shrinks a little. This reduces bleeding. These pains are hardly felt by mothers.
No matter how tired the mother is, she cannot sleep easily thanks to the excitement and happiness experienced.
Natural Pain Relief Methods
The most effective and easiest method to reduce labor pains is movement. The movements that will move the hip will help you not to be too tense at the highest points of the pain, so that the cervix can open more easily. Standing can also shorten the opening phase due to the downward pressure of the baby’s head. Not squeezing yourself too much during the contractions and leaving it alone makes it easier for the contractions to reach their goal.
Medicines and Painkillers that Relieve Cramps
If it is determined that the cervix is too tight and does not open properly for delivery in the early stages of labor, drugs that will relieve cramps can be given (for example, Buscopan). These drugs relax the smooth muscles, allowing the cervix to open more easily.
Combination drugs called spasmoanalgesics can often be used during delivery. They have both spasmolytic, i.e. cramp-relieving, and analgesic, i.e. pain-relieving effects.
In this commonly used method of pain relief, anesthetic drug is injected into the spinal canal. The pain nerves of the regions below the injection site are blocked. With the first needle made, a catheter is placed in that area. In the later stages of delivery, when necessary, anesthetic drug is injected with the help of this catheter.
For this procedure, the expectant mother has to stand still for a while, in a sitting position and leaning forward. It is not a very painful procedure.
Advantages of epidural anesthesia: The mother-to-be is fully conscious during delivery, but does not feel any pain. She just feels the contractions come and when the time comes she contributes to the labor by pushing. Epidural anesthesia does not harm the baby.
The harms of epidural anesthesia: the catheter is not always well placed, which does not completely relieve the pain. Another side effect is that the pains may disappear at the end of this procedure. This further prolongs the labor. In such cases, artificial pain medication is given. Some pregnant women may also experience a sudden drop in blood pressure.
In this case, drugs are given to maintain circulation. Another feared side effect is that the drug given as a result of incorrect insertion of the epidural catheter goes up and respiratory distress occurs in the expectant mother. Some expectant mothers also expressed the problem of headache.
The above-mentioned side effects are very rare.