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Sunday, October 6, 2013

Child birth (Labor and delivery)

 Posted by Chantel Martiromo,  Article By Kyle J. Norton 

It is important the the mother understand each stage of child birth so she can well prepare for the moment the child begins to push against the walls of the uterus, signaling their desire to come out into the world.
The process of normal childbirth is divided in three stages of labor
dilation of the cervix, descent and birth of the infant, and birth of the placenta.
1. Cervical dilatation
Cervical dilatation as it said starts from the opening of the entrance to the uterus called cervix, during a natural childbirth. At the beginning of the labor, the cervix may already have opened up to 3 cm but during labor, due to the repeated uterine contractions the opening is widen to about 6 cm. As the pressure of the head descended , along with continued uterine contraction, the cervical opening is widen even further to about 10 cm. At his stage, the baby head is ready to pass through the pelvic brim as the women enter the second stage of childbirth.
Cervical dilation is always accompanied by the thinning of the cervix. In medical term, cervical dilation is divided into
a. Latent phase: 1-3 cm
b. Active Labor phrase: 4-7 cm
c. Transition phrase: 8-9 cm
d. Complete phrase: 10 cm

2. Second stage
The second stage is taken about up to 2 hours. At the beginning of second stage, as the cervical opening is widen enough about 10 cm to allow the descended head to pass through the pelvic brim. It may stretch your vagina and perineum, causing a burning sensation that leads to a urge to push. At this point, please listen to your nurses and doctor instruction, when to push and stop to prevent any injure to your cervix. As soon as the crowning occurs, your baby head is pushed through the vaginal opening and you have given birth to your baby but he/she still is connected to the placenta by the umbilical cord. The nurses will clean and remove all the mucous and amniotic from the baby's mouth and nose with a syringe. Your baby will take his/her first breath, and start to cry as the nurse clamps and cuts the umbilical cord.

3. The third stage
The third stage begins as soon as the baby is delivered and lasts after the placenta is expelled. Due to bleeding during giving birth of your baby, you are required to stay in the bed for the next few hours to prevent excessive bleeding as the placental expulsion has caused some physical damage to the wall of uterus. Your nurse will massage your lower abdomen to make sure that your uterus is contracting ( it can be painful).The third stage is a shortest stage as it is completed with 15-30 minutes.

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