Birth event

A child usually comes onto the world if its development is completed this one. The interplay of mechanical, hormonal and neural events is responsible for the beginning of regular birth effective labors. The "starting signal" for the birth starts out from the child itself.

The birth beginning

Primarily first giving birth have anxiety that they miss the birth beginning and go to the maternity hospital too late. Frequently the opposite is, however, the case and the nascent mother already comes into the clinic too early.

The symptoms of the birth beginning are the followings:
  • The mucous plug which has locked the cervix canal during the pregnancy to the outside comes loose already days or hours before the labor beginning. The fetus was protected from ascendent shoots by it. The pregnant woman notices the discharge of mucus which also can be bloody from the sheath.
  • The fetus water can already come off before the labor beginning, too. This happens either drop by drop or in the flood. The pregnant woman notices at a droplet wise departure of the fetus water that her underwear gets wet again and again. Fetus water is considerably different in smell and consistence from urine. Fetus water will notice the pregnant woman unite bladder jump with departure without much explanation need of much. Caution is advisable here. The pregnant woman should let herself be transported if possible lying and rapidly to the maternity hospital since the rare complication of a cord prolapse can appear. At only moderate departure of the fetus water the pregnant woman should go into the clinic in the next hours since mother and child are protected from ascendent infections no longer sufficiently.
  • The birth starts with using regular labors. The transitions between quite intense premonitory pains which the pregnant woman can have already days until weeks before the birth beginning and opening labors are fluent.
The labor beginning

First the labors manifest themselves by a menstruation similar pain in the lower abdomen or a feeling of pressure feels the pregnant woman in the abdomen. Which often starts out later be the labors found a convulsive pain from the sacrum, and then the abdomen co-included. These contractions get more painful and stronger and appear every 20 to 25 minutes, the birth starts. At first giving birth, the phase of menstruation similar pains is often longer and more distinctive than at increase giving birth up to right opening labors.

You still have time for the following activities at these long distances (20 to 25 minutes) between the labors:
  • Contact the nascent father if he is and shall not take part in the birth at home.
  • Accommodate the brothers and sisters children.
  • Allow yourself an easily digestible snack depending on need. On a complete meal they should do without at a short labor sequence since sometimes a general anesthesia is necessary at birth complications.
  • Complete your clinic pocket. Don't forget your mother passport.
  • You pack the nascent father or your accompanying confidante eat and drink a small pocket. If the escort brings nothing down also at the birth beginning, then it really can be that it gets hunger at a long-lasting birth. A sinking of the blood-sugar level can cause malaise and further it doesn't keep the situation in the labor room.
  • You take lemon disks cut even against the thirst this one, ice cubes can suck them or else under the birth in a thermos jug. You may drink nothing under the birth.
When into the birth clinic?

In any case you should immediately go to the clinic if:
  • a pale red, strong bleeding at which blood lumps perhaps also flow with out appears one. Such a bleeding almost always indicates a premature placenta detachment
  • the amniotic sac has jumped. It is found out at an examination in the hospital whether there is a cord prolapse.
  • the labors coming in regular distances already every 5 minutes.
The recommendation is, frequently also given to find the clinic already if the labors come in 10-minute distances. Follow this recommendation if you live far the clinic away and/or don't take your first child to the world. It then can be of course that you still must wait for the birth in the clinic hours or are sent by the midwife home even again since the opening labors drag on. If you come only at a very short labor consequence, though, then the obstetricians have very little time to intervene at complications left.

Always call in the clinic before you drive off.

Clinic photo

Report directly at the maternity ward or in the labor room if you have reached the clinic. Ask also absolutely how you come to the individual clinic areas at night. Perhaps if the labor room is put in the building in a heavily traceable place, floor markings lead there. In any case ask about the local conditions in front of the birth.

A midwife will greet and lead into an examination room you. She has your mother passport given to herself and asks for your particulars, perhaps a medical file already has been laid out over you, too. It is definitely normal in this situation that the labors quite regular until then stop. The contractions let the unconscious fear of what comes toward the nascent mother now fail to appear. Alone the subliminal aversion to an obstetrician can bring the labors to a standstill in every birth phase. Of a sensitive midwife this situation is definitely conscious and the photo examination will nevertheless carry you out.

It notices how far progressed has already the birth. It establishes the composition and the distance of the os uteri at a pelvic examination and checks whether the head of the baby already is in the small pelvis. The heart sounds of the child are bugged, the body temperature and the blood pressure of the mother measured in terms of perhaps the abdomen circumference and the weight of the mother determines. The midwife lays out the birth protocol with the help this data and the mother passport. After this a physician or also the midwife will check the labor activity and the fetal heart sounds with the help of a CTGs. By an ultrasound photo the doctor gets an exact survey of the lie of the baby, his position to the birth canal and the height of the child.

If all results are lifted up, is assessed, it is how further to proceed. If the opening phase probably still drags on over hours, then the pregnant woman may walk around in the clinic area. One offers the nascent mother at very strong contractions if available a labor room. She can lie down again and again and run around in between times, too here. There are a good chance for the birth soon, pubic hairs are partly shaved so for the preparation on the labor room in many birth clinical complexes an enema made and this one. Nowadays many clinical complexes already do without these procedures. Many women find them unpleasant and shameful. A defecation in front of the birth makes sense. It has a positive effect on the labor activity. The uterus musculature can contract more strongly. A filled intestine empties inevitably with the pressing labors. It is in many clinical complexes to put a hypodermic syringe in the arm or the hand in the delivery room of usual, the woman. This is, around at complications immediately entry to the bloodstream the giving birth seen as a precaution to have.

Birth phases

A birth can be divided up into three segments (phases:) the opening phase, the kard ejection phase and the afterbirth phase.

Opening phase

The opening phase starts with using regular uterus contractions and ends with the complete opening of the os uteri. It is the longest phase at a normal course of the birth. It can last for 10 to 12 hours at first giving birth at 6 to 8 hours increase giving birth. However, these dates are only approximate orientation times. The duration until the os uteri is opened completely can be also fundamentally longer, the opening phase can be ended also after only two hours. During the opening phase the child pushes into the pelvis, the cervix is shortened until it has passed. The os uteri starts to open. The on-stretching of the os uteri doesn't take place continuously. It is the next three for common centimeter slowly first, rapid and the last one up to the complete opening from 9 to 11 centimeters again slow at the first five. At first the distances between the labors still big (10 to 20 minutes) are, they, however, get still shorter and also more painful. To influence the pains, there are natural and medical birth reliefs. Take the opportunity during the labor pauses and they talk with the obstetricians about use from medicines or other birth reliefs as well as about an episiotomy.

During the opening phase the fetal heart sounds and the labor activity are checked either permanently or in intervals with a CTG (Cardiotokograph). The freedom of movement is limited by this apparatus. However, some clinical complexes also have a "mobile" CTG. The amniotic sac is the derivation of the CTG can already openly be also internally carried out so. To this a so-called labor pressure catheter is fastened into the womb inserted and a small measuring probe at the scalp of the baby. With very intense labors which start every one to three minutes and have a duration of 60 to 90 seconds the os uteri enlarges itself the last centimeters. The child blames for itself by the osseous pelvis ring and presses the pelvic floor and the intestine. The next phase of the birth starts.

Kard ejection phase

This phase of the birth lasts approximately between 30 and 90 minutes. The real pressing phase takes up approximately the half of the time of this. The species of the labors changes. Pressing labors are very strong contractions of the womb but they often are found some painfully as opening woes. The pauses between the labors are longer and offer time to relax. If the amniotic sac is still intact, then these labors are found muffled than at an open amniotic sac. The enormous pressure is preparing troubles in the lower abdomen now. The nascent mother has the feeling particularly at the last pressing labors to have to let waters as well as to empty. The mother can now press the child with out actively or support the birth by breathing out specific intensively, however. When breathing out intensively the abdomen musculature tightens itself automatically, puts pressure to inside and the abdominal pressure gets effective. The head of the child stretches the sheath now and gets visible for the first time. Every labor advances it centimeters for centimeters by the sheath to the outside. The tissue between anus and sheath is, tense the perineum except for the utmost one now. Doesn't pull down the tissue, will provide it the midwife that the child glides slowly out and support the perineum with that. An episiotomy which the nascent mother then doesn't feel is carried out during a labor at special indications.

After the head has passed the birth canal, the back of the head, then the forehead and last the chin appears first. With the next labor the shoulders and the other body follow. If the baby is born, the last phase of the birth begins, the afterbirth phase.

Afterbirth phase

The afterbirth phase is the last birth phase. Omphalotomy of the child starts with it and you ends with the expulsion of the placenta. The umbilical cord the placenta and the fetal membranes with the appending cord take turns and are "born". The placenta also is described as an afterbirth or placenta. The detachment of the placenta by painless labors is usually within five to fifteen minutes carried out after the birth of the child. By the contractions of the womb the placenta of its custody plane comes loose. It comes to bleedings which are stopped by clotting events immediately starting and pulling together the womb musculature strongly. However, it can last also up to an hour until the afterbirth comes. As long as no bleedings appear at the mother, it feels well and doesn't have any circulation problems, can be waited for. The detachment of the placenta is accelerated by the injection of a labor hormone (oxytocin) in most clinical complexes. This hormone increased naturally is ejected if the baby is laid out just after the birth for calming. The placenta is checked by the midwife for its completeness. If the placenta hasn't come loose completely, is possible end cockroaches unite urgently. The afterbirth is approximately cake plate great, two to three centimeters thick and disposed over a shimmering side which was turned towards the baby. After a perfect afterbirth phase the childbed starts.


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