The signs of labor
Before childbirth can start with contractions and then the woman will see if a contraction has started, about a half-hour, she will have another. Near the date of delivery, the woman may feel her belly harden, with contractions that do not last long. Before thinking about going to the hospital, take a shower, rest, and see if these contractions are still strong and regular. It may not be labor yet, but just training.
Days before delivery, a thick yellowish mucus may come out of the vagina, like an egg white, with streaks of blood, this is the mucous plug. It is a sign that childbirth is near and this bleeding is part of the stages. If there is bright red bleeding, in large quantities, the advice is that she immediately go to the hospital.
As it is a time of great anxiety for the woman. In case she doubts, seeks professional assistance to be evaluated. Take advantage of prenatal care to prepare yourself for all the steps that will come and take all the doubts to feel calm and confident for the birth.
Shaving for delivery
It is not necessary to shave when in labor. Hair is a natural protection for the vagina and there is no need to remove it. If the woman wants to trim the hair, fine, but this procedure does not interfere at the time of delivery and if it is her desire to do, the epilation is performed in advance.
If she chooses epilation with a razor, on the day of delivery, it can open a small lesion on the skin that can be a doorway to infection. Caution! There is no need to shave intimate hair either at home or when you arrive at the maternity ward.
Fasting for normal delivery.
Labor is exhausting and requires a lot of energy from women. Give preference to light foods and natural juices, which are easy to digest, remembering that the portions, both of the drinks and of the food, must be small. The blood sugar level is very low, leading the woman to weakness, dizziness, nausea, vomiting, and even fainting). If she wants, she can have chocolate or brown sugar to raise blood glucose. It is important that she eats, even if she is nauseous.
If she has high blood pressure or has high blood pressure problems, then more care is needed with her food and she should avoid fatty foods and fried foods. If you want to eat normally, as she does every day, you can eat. No problem!
Jika dia memiliki tekanan darah tinggi atau memiliki masalah tekanan darah tinggi, maka lebih banyak perawatan diperlukan dengan makanannya dan dia harus menghindari makanan berlemak dan makanan yang digoreng. Jika Anda ingin makan secara normal, seperti yang dilakukannya setiap hari, Anda bisa makan. Tidak masalah!
What to do if the bag breaks?
Not necessarily when the pouch breaks it means that the baby is about to be born. If she has regular contractions and the pouch ruptures, delivery usually progresses faster, but the pouch can also rupture even without contractions.
Observe some signs: If the bag breaks and the liquid is clear, you can get organized, take a shower, and go to the place where you planned to have the baby calmly.
Now, if the bag has ruptured and the liquid is a little green or yellow, she will have to go immediately to the maternity ward, Centro de Parto Normal, or hospital. If the liquid is not transparent it may be an indication of an emergency.
If the bag does not rupture during labor, even at the time of delivery it can rupture, then it does not necessarily need interference for this process. The evolution of childbirth itself can lead to rupture and in very rare cases, it may be necessary to prick the pouch for it to break.
The baby may even come inside the bag, which is called a blistering delivery. The child leaves the mother’s womb still in the gestational pouch.
It can rarely happen that the obstetric team needs to break the bag still in the mother’s belly to make the baby be born. If this is the case, it always needs to be talked to the woman, explaining the reason beforehand. The rupture of the pouch can help speed up delivery.
This will be necessary, for example, when the mother has been with complete dilation for hours and the baby does not descend, there is still a lot of fluid in the placenta and the baby cannot fully descend. It can be a method used, but always with the patient’s agreement.
The duration of labor
The duration of labor can vary for each woman. Active birth is considered when the pregnant woman is already four centimeters dilated, with frequent and regular contractions. At least three contractions, 30 to 35 seconds each, in ten minutes. Therefore, if the woman is four centimeters and has only a sporadic contraction, she is not yet in labor.
Many women, thinking they are already in labor, say they have waited up to 40 hours for the baby to be born. This is a mistake since she was not in active labor, but in the prodrome period (which precedes the active period – four centimeters of dilation, with frequent and regular contractions).
If the woman has already been admitted to the health service, she is four centimeters with regular and frequent contractions, it is normal for her to evolve, more or less, one centimeter per hour. With the expulsion period, which is finally when the baby’s head is very close to leaving, it would give a total of 10 am to 12 pm. But this time varies a lot depending on the case.
It is essential to understand each of the phases that involve the birth of the child. Because, many times, she is not yet in active childbirth, the obstetric team indicates that she is not staying where she chose to have her baby yet. It is much better for her to stay home, try to rest. Sometimes the contraction is irregular and it takes 30 minutes to return.
It is important to check the baby’s heart every half hour, along with maternal signs. There is also another detail: if the dilation has stopped and it has been without any evolution for three or four hours, you need to understand that there may be a need for intervention, a cesarean section for some reason. Remembering that there are women who can go through all stages of normal delivery in two hours. It is not so common, but it can happen.
Applying force during normal birth
The woman does not need to apply force during labor as a whole. Her body is already dilating and when the contraction comes, what she needs to do is breathe and wait for the contraction to pass.
You will only push when her body demands it. So she does not need to apply force with an expansion of eight centimeters, with ten centimeters. However, if she is ten centimeters – full dilation, the baby crowned and the baby’s head pressed against the pelvic floor naturally, she will feel like pushing, the body will tell her to do it. As a rule, women will have an uncontrollable urge to push. She follows her instincts and, when the will comes, she pushes in whatever way is most natural to her.
So, don’t try hard before, because if she does, she will not breathe properly, the body will release hormones that are not good for the moment of delivery, she will be anxious, more nervous waiting for a result that will not yet come.
In order to deal with this step, it is important that the woman uses the available resources during the dilation, such as ball exercises (Pilates), walking, squatting, warm bath, which will calm, reduce anxiety and support her so that she waits for the right moment.
Difference between a true and a false contraction
This training contraction, called Braxton Hicks, are normally painless contractions called false. The belly hardens completely, but the woman does not feel pain or she may feel a little discomfort, depending on the woman’s sensitivity. The contraction is present throughout the pregnancy, but they are sporadic, painless, short, irregular, and without direction.
The other contractions that are already stimulating childbirth are painful, intense, and regular. The intensity of the pain depends. It can be very mild, like colic, or with more severe pain.
How is induced labor and when is it necessary?
Childbirth can be induced when using drugs that stimulate dilation and contraction. Medications can be used directly in the vagina or intravenous, combined or not. There is an indication when the woman reached 41 weeks of gestation and has not yet gone into labor. Or the bag broke, but she has no effective, strong contractions and waited 12 hours, 18 hours, and did not go into active labor.