Birth
When the pregnant woman arrives at the beginning of the ninth month of pregnancy, it is expected that the birth will occur at any moment, the fetus is nearly complete and ready to get out of the womb. In the ninth month, the fetus is about 45 cm long and weighs between 2.4-3.6 kg. Its skin becomes soft, its body is rounded, and its eyes are open when it is awake.
During this month, some signs of nearing birth begin to appear, including a sudden sense of vitality and desire to organize and regulate, which is known as nesting instinct. In some pregnant women, this condition may appear long before birth, It may be a sign of approaching birth at others.
Another sign of near birth is the fetus’s descent into the pelvic area, leading to a feeling of heaviness and pressure on the bladder. This condition occurs one month before birth if this is the first birth of the mother, but if the first birth does not occur at the beginning of the birth only. The frequency of false contractions (Braxton Hicks) increases to strengthen the uterus and cervix and prepare it for real birth contractions.
Stages of birth
Birth is different in terms of the length of time each stage takes from one woman to another and from one pregnancy to another. Birth in the first pregnancy of the mother may take between 12 and 14 hours, while less time is required in subsequent pregnancies.
- The first stage : The stage of contractions of the uterus (open) and consists of three stages:
- The latent phase: the longest stage, and rapid contractions to expand the cervix.
- Active stage: The pregnant woman feels pain in the back and abdomen at each contraction, and the expansion of the cervix, but it still needs further expansion.
- Transition: The contractions become strong and painful, repeated every 3-4 minutes, lasting for 1-1.5 minutes, at the end of this stage the cervix expands completely and reaches 10 cm, which is enough to exit the newborn.
- The second phase : The stage of the exit of the newborn, and head out first and then the rest of the body.
- third level : Placenta exit stage, which connects the mother and fetus, responsible for providing the fetus with food and oxygen.
Signs of the beginning of the
What is felt by the pregnant woman in the early stage of labor, or what is known as divorce, is related to its ability to tolerate pain and its ability to adapt to the nature of the stage in which it passes, and it depends on the presence or absence of a previous birth experience. In any case, Do not feel embarrassed to communicate with her doctor at this stage and get guidance from him, the doctor may see that the time is still early and does not require going to the hospital, may be asked to go immediately to a hospital depending on the symptoms that describe him. From the beginning signs of the following:
- Continuous pain begins in the abdomen, or at the lower back, and is accompanied by cramps similar to contractions of the onset of menstruation.
- Staphylococcus aureus from the cervix, with vaginal discharge that may be accompanied by blood.
- Regular contractions of the uterus, become more severe and longer with time, leading to cervical maturity and expansion.
- Explosion of salivary sac (water bag).
- Sleep disorder.
- Mood swings.
- Abdominal disorder, diarrhea (soft stool).
Ways to relieve pain during pregnancy and childbirth
Many women resort to some practices during the last months of pregnancy to help facilitate birth and ease the pain, and there are some actions that can be done during the period of labor, including:
- Exercise : Exercise helps the pregnant to prepare for the birth, and it reduces some of the pain you feel, and exercises that can be exercised by pregnant women as follows:
- Pelvic floor exercises: These exercises help to strengthen the muscles of the pelvic floor, enabling them to bear the weight of the fetus, and increase the flow of blood to the anal and vaginal area, which accelerates the healing of the area of birth effects, this exercise is as follows: Gout or urine. This will remove the areas of the vagina and the anus. This should be done without pulling the abdomen or holding the breath. The exercise will continue for ten seconds followed by ten seconds to relax and repeat the exercise ten times.
- Squatting: This exercise helps to expand the pelvis and strengthen the thighs. The exercise can be done as follows: The pregnant woman stands with a chair back, her feet slightly apart, her toes are stretched out, her abdominal muscles are stretched, the shoulder is relaxed, the chest is lifted slightly, On a chair, with the direction of the body weight towards the heel of the foot, followed by deep inspiration and exhalation, then return to stand position.
- Walking: Pregnant walking can maintain fitness and prepare the body for labor.
- Tilt the ball using a rubber ball: The holder uses the ball to tilt its body and bend over it
- Status Cobbler: one of the yoga exercises, and be sitting on the floor with a little bending back, and bring the soles of the feet of each other, then squeeze your knees to the bottom away from each other, can stability on this situation and stop when feeling disturbed. This exercise helps to relieve the pressure on the lower back, and the expansion of the pelvis, and loosen the joints of the hips.
- Massage : Massage or massage is a useful practice for pregnant women in the first period of labor, it helps the body to secrete endorphins, a pain reliever. This exercise helps to cope with contractions and cope with them, and reduces the risk of postpartum depression. Aromatic oils can be used to facilitate massage, such as lavender oil, bergamot oil, chamomile oil, orange blossom oil, rose, sweet almond oil, and grape seed oil. The recommended places to massage are as follows:
- Hand massage, the back of each hand is then handcuffed, begins to massage the wrist to the fingertips, then massage the palm of the hand with a circular motion, pulling each finger separately to rid it of tension.
- Foot massage: The foot massage from the ankle to the toes, can also massage the soles of the feet in a circular way.
- Back massage: Massage starts from the shoulder down on both sides of the spine, and it can be firmly pressed on the base of the spine. The back massage helps calm the pregnant woman and relieve the effects of strong lower back contractions.
- Shoulder massage: Massage from the bottom of the shoulders to the elbows starts with a steady pressure, and the thumb can be used to massage circularly behind the shoulder blades.
- Deep breathing : The pregnant woman is advised to concentrate on breathing to relieve the pain of contractions and to maintain energy. This is as follows: At the beginning of the contraction, the pregnant woman takes a deep breath from the nose and then relaxes and exits the air slowly through the mouth, repeating this while maintaining the constant rhythm of breathing.
- At the beginning of labor, you are advised to relax in bed or on a chair , And the maintenance of energy, and at the beginning of the active stage of labor must be pregnant to avoid lying on the back and to take short walking short distances, and take vertical positions, which shortens the time of labor, and makes the contractions faster and less painful, and reduces the possibility of caesarean section. As labor progresses, lying on the side can help the fetus to rotate in the uterus and facilitate delivery.
- Take a warm bath .
- Use gas to ease the pain of contractions , Pethidine, or ipedoral injection may be used when needed.
- Acupuncture : It is intended to stitches needles at specific points of the body with the aim of secreting endorphins and ease the pain of childbirth.
- Acupuncture : Acupuncture-like exercise, but it is done by pressing the fingers at certain points in the body.
- Electrical stimulation of the nerve across the skin : An electric current is passed to stimulate nerves and relieve pain.
- Hydrotherapy : Any delivery in water basins to relieve pain.
- Self hypnosis : A technique that needs prior training so that the pregnant woman learns deep relaxation, which reduces her pain during childbirth.