Normal Delivery -Do\'s & Dont\'s

Discussion in 'Labor and Delivery' started by PremaBarani, Mar 22, 2015.


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  1. PremaBarani

    PremaBarani Contributor New wings

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    Vaginal delivery

    It is the birth ofthe baby through the vagina.. The average length of a hospital stay for a normal vaginal delivery is 36–48 hours or with an episiotomy (a surgical cut to widen the vaginal canal) 48–60 hours.

    Signs of labour

    Every woman\'s labour is different.But the most common symptoms I shall tell here...

    : Persistent lower back pain or abdominal pain, with a pre-menstrual feeling and cramps.
    : Painful contractions that occur at regular and increasingly shorter intervals, and become longer and stronger in intensity.
    : Broken waters. Your membranes may rupture with a gush or a trickle of amniotic fluid.
    : A brownish or blood-tinged mucus discharge (bloody show).
    : An upset tummy or loose bowels.

    These 2 symptoms below, you should contact your doctor immediately.
    : Your baby is moving less than usual.
    : You have a fever, severe headaches, changes in your vision, along with abdominal pain.


    What are contractions like?

    When you have a contraction, your womb (uterus) tightens and then relaxes, like a stronger version of period pains.
    When you are having regular, painful contractions that feel stronger and last more than 30 seconds, labour may have started. As labour gets going, your contractions tend to become longer, stronger and more frequent.

    What should You do


    : Keeping calm and relaxed will help your body to release the hormone oxytocin that you need for your labour to progress and will help you to cope with the contractions. Do whatever will help you to stay relaxed.
    : You can even keep walking or You could alternate between walking and resting, or try taking a warm bath or shower to ease any aches and pain
    : During early labour, you may feel hungry, so eat and drink if you feel like it.
    ( But this confirm with your doctor also because if she feels That there may be a necessity to do Ceaserian, then you must not eat or drink anything)


    Can I have contractions and not be in labour?

    Yes. You can have pre-labour contractions. These help your cervix to go through the changes it needs to before it starts to dilate.

    These changes may take place without you noticing over the last few weeks of your pregnancy. Or you may experience hours or days of cramps or contraction.


    Can I tell if labour is about to happen soon?

    Yes.
    : More frequent and noticeably more intense Braxton Hicks contractions.
    : Heavier and more mucus vaginal discharge.



    Ok Friends. Sorry I put in English.
    I\'ll continue with labour pain relief soon.
    Thank you.
    Prema Barani
     
    Last edited: Mar 22, 2015
     
  2. Sudha Ravi

    Sudha Ravi Bronze Wings New wings LW WRITER

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    தேங்க்ஸ் பிரேமா.................மிகவும் அவசியமான ஒரு திரி ........அதுவும் டெலிவரியை எதிர்நோக்கி இருக்கும் பெண்கள் அவசியம் தெரிந்து கொள்ள வேண்டிய ஒன்று.............
     
     
  3. PremaBarani

    PremaBarani Contributor New wings

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    Hi Friends

    The Above said first step in the journey toward childbirth lasts an average of 6 to 10 hours for a first-time mother, but can be much shorter in next deliveries ( 1 to 2 hours).

    As you proceed to more active state of delivery,
    contractions become more severe in intensity and frequency, from three to five minutes apart. Pains may be centered in the lower back, abdomen, or thighs, and they may be intense enough to make it hard for you to talk. You might also experience an increased amount of pinkish or brownish discharge, or what\'s sometimes called a \"bloody show.\"
    [h=4]What You Can Do:[/h]You should empty your bladder, drink fluids, and practice whatever breathing or relaxation techniques you learned during childbirth class. Accept that it\'s normal to be nervous and even a little scared. If your practitioner okays it and the facilities are available, a warm shower may help you relax . If you choose to have an epidural, it\'s likely to be administered given at this stage.

    You may feel a strong urge to push or bear down, along with pressure in the rectal area and stinging in the vaginal area as the baby\'s head moves down toward the vaginal opening. But you should NOT push -- wait until your practitioner gives you the go-ahead, which will happen when the cervix is fully dilated.

    Second Stage
    [h=4]Pushing and Birth[/h]The second stage of childbirth begins when the cervix is fully dilated. It lasts about an average of one-half hour to two hours in first-time moms. In subsequent births, it may last anywhere from a few minutes to two hours.

    Now your practitioner will probably give you the go ahead to push. Contractions don\'t stop now, though they often come farther apart. Some women experience nausea and vomiting. As you begin pushing, you may become increasingly breathless and fatigued -- you are getting what is likely the hardest workout of your life. You may feel intense pain around your vaginal and perineal areas as the baby\'s head crowns, or protrudes at its widest part outside the vaginal opening. If you have an episiotomy (an incision made in the area between the vagina and the rectum to widen the vaginal opening) it will probably happen at this point. You may be asked to push more gently or slowly as the rest of your baby\'s head and body emerge. Finally, with one last push, your baby is out in the world!

    Delivery of the Placenta
    The incredible moment of baby\'s birth is followed swiftly by the delivery of the placenta (sometimes called \"the afterbirth\"). This usually takes anywhere from a few minutes to a half hour.

    CONGRATULATIONS TO ALL MOTHERS & MOTHERS -TO-BE.

    Prema barani
     
     
  4. PremaBarani

    PremaBarani Contributor New wings

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    Hi Friends

    Now We shall know how we can overcome the fearful labour pain.
    It is becoming more popular now-a-days with more awareness among the public & advance medical care.

    Epidural anesthesia is the most popular method of pain relief during labor. More women request an epidural by name than any other method of pain relief.

    [h=2]What is epidural anesthesia?[/h]Epidural anesthesia is regional anesthesia that blocks pain in a particular region of the body. Thus it provide analgesia, or pain relief, rather than anesthesia which leads to total lack of sensation.

    In this method patient’s back is cleaned with an antiseptic liquid and the area where the catheter is to be introduced is numbed with a local anesthetic. The needle is then passed into the epidural space, small doses of medicines is introduced into the lower back spine through a fine plastic tube. This medicine so injected relives pain while labor and descent of the baby continues.

    The early mild labor pains have to be borne by the patient Epidural analgesia is given only when labor is well set and the cervix or the opening of the uterus is at least 3-4 cm. This requires close monitoring by a team of Gynaecologist and Anaesthetist. Drug is introduced at regular intervals depending on the requirement and intensity of the pain. This procedure is SAFE for both the baby and the mother.


    ADVANTAGES OF PAINLESS LABOR ( DELIVERY)

    • Avoids embarrassing situations like screaming ,pulling of hairs etc
    • No stress or anxiety on the part of the mother
    • As no pain is felt the lady can focus on pushing the baby
    • Allows time for rest, exhaustion does not set in.
    • Good for hypertensive patients, they feel relaxed and thus there is no increase of B.P.
    • Does not prolong labor.
    • Post labor recovery is faster;
    • Early mother child bonding.
    • Can participate in the joyous moment of the new arrival.
    • Psychologically she is in an upbeat mood.
    • If you deliver by cesarean, the same epidural anesthesia can be prolonged to do C\'section also under Epidural Anaesthesia.


    Can there be any complications?
    Any procedure in medicine has complications and epidural is no exception to that!

    : The most serious complication that can occur is that the desired effect is not achieved which means failed epidural, or it can act partly which is called a patchy epidural.
    : Epidurals may cause your blood pressure to suddenly drop. For this reason your blood pressure will be routinely checked to help ensure an adequate blood flow to your baby.
    : You may experience a severe headache caused by leakage of spinal fluid. Less than 1% of women experience this side effect.
    : You might experience the following side effects: shivering, ringing of the ears, backache, soreness where the needle is inserted, nausea, or difficulty urinating.
    : Sometimes epidural makes pushing more difficult and additional medications or interventions may be needed such forceps or cesarean.


    These may happen only in few patients.


    Who should not be administered an epidural?
    The contraindications for an epidural anaesthetic are patients with following conditions:

    • Low blood pressure due to shock,
    • Heart diseases,
    • Anatomical difficulties in the spinal column,
    • Skin infections at the site where epidural is given,
    • Known allergy to the local anaesthetic drug that is injected in epidural anaesthetic.

    So Friends If your Doctor & Anaesthesist suggestes Epidural, you can go ahead with for \'Painless Safe Normal Delivery\'.
    Prema Barani
     
     
  5. chitramumbai

    chitramumbai Pillars of LW LW WRITER

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    Thank you very much prema. thanks a lot. you have given a valuable and mandatory information.

    it is a must read post..Every women must know this..at what ever age they might be.
     
     
  6. PremaBarani

    PremaBarani Contributor New wings

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    Thank you Sudha.
    Prema Barani
     
     
  7. PremaBarani

    PremaBarani Contributor New wings

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    Hi Chitra
    Thankyou very much .
    Prema barani
     
     

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