Birth after the appointment

Only few babies hold on to the calculated birth appointment. A real prolonged gestation is nevertheless rare. It is usually true this one didn't calculate birth appointment. Usually is of a gestation time of 280 days (calculates after the last menstruation) run plus/minus 14 days. The pregnancy is regarded as transferred by definition if more than 293 day lasts it. There is the danger at a real prolonged gestation that the baby is provided with nutrients no longer sufficiently and finally gets by the aging placenta no longer adequately oxygen. The attending doctor can find out with special examinations (fetus water endoscopy, CTG, load test with oxytocin, ultrasound etc.) whether the child is still well or whether the birth must be induced, if the birth appointment is exceeded by 10 days.

Examinations

Fetus water endoscopy (amnioscopy)

The physician leads a view pipe (amnioscope) to the transparent amniotic sac at a fetus water endoscopy carefully by the sheath and the os uteri close. The color and the consistence of the fetus water are judged. A clear or milkily cheerless fetus water is normal. The ring opacity is caused by additions of vernix caseosa of the skin of the child. The examination is then carried out every two days to the control. You often trigger by blowing and the birth starts. A green coloring of the fetus water suggests that the unborn is provided badly or it had stress. The discoloration comes, that the baby eliminates meconium (intestine content). An ultrasound, the CTG and further examinations decide whether the child must be fetched at once.

Heart sound labor author (CTG)

The fetal heart sounds are checked every second day for one half hour. The labor activity is recorded at this examination at the same time. A load test with oxytocin can in addition be carried out under monitoring with the CTG. The mother becomes the labor triggering hormone to soundly in a low dosage over a drip. The heart rate of the child is found out under light labor activity.

Birth induction

If the birth appointment is exceeded, there absolutely are possibilities with which the labors can be put into gait. It is prerequisite that an actual birth readiness insists on, this means birth ready os uteri results and a birth ready lie of the child are existing.

1. Nipple stimulation

The nascent mother or her partner rubs strongly two nipples for the duration of a minute. A pause from two to three minutes is then had. By the stimulus the womb musculature is activated to labors. Departments use this method as labor load test some obstetrics lichen. If some labors are triggered within half an hour, then the womb is birth ready. The heart sounds of the child are checked with the CTG at this time. If they are unobtrusive during the appearing labors, the child is well. This stimulation exerting for duration leads to labors with a great probability after one to two hours.

2. Enema

The nerve stimulation by an enema can trigger labors. Water becomes the intestinal peristalsis activated and the womb reacts with amplified contractions by the enema with warm.

3. Natural prostaglandins

If you still feel like sex, then this is a good method to get the birth going. Natural prostaglandins which can trigger labors and make the os uteri soft are in the seminal fluid.

4. Castor-oil cocktail

Strong labors shall cause a mixture of castor oil, a fruit juice and a drink of alcohol (clear schnapps or champagne) at a real birth maturity after three to six hours. The experience reports of midwifes and women are very different have these tried out this cocktail. The side effects, like diarrhea and nausea, can exhaust many a woman to unnecessarily to the birth. However, labors nevertheless don't start. Other experience reports are very positive.

The induced birth
The artificial induction of the birth is an intervention in the natural expiry of the birth. It should be carried out only in well-founded cases, all gentler methods should be exhausted. The reasons discusses and medical measures at an induced birth get it in the chapter birth methods.


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