Learn About Labor And Delivery

Labor is a normal physiological process in pregnant women preparing to "go through labor". It starts with the onset of uterine contractions at regular intervals, then increasing day by day. Together with the strength of the pregnant woman, the opening of the cervix, the fetus will gradually pass through the mother's pelvis. The end result is that the fetus and placenta are completely expelled from the digestive tract.
In order to help the pregnant mother no longer be surprised by this hard but sacred labor, Hopital Hospital would like to send you useful information about the stages of labor and delivery, how to distinguish between fake labor - Real labor and some signs of labor should be noted to identify correctly

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3 stages of labor and delivery
Stage 1: Opening phase - Clear, open the cervix
During the period of low uterine pain, the level of uterine contractions increases sharply and the cervix begins to dilate. It can be said that this is the longest and most painful period that every mother must go through during childbirth. Duration of contractions is 1-2 minutes apart
Severe pain will appear in areas such as the abdomen, lower back pain, pain in the perineum, shaky limbs and erratic hot and cold.



This is the beginning phase, usually the longest stage. During this period, the cervix will need to be opened from 9 -10 cm. Labor pain is often interrupted and prolonged.
Opening stage - Delete, open the cervix
Stage 2: The stage of pushing the baby out - The fetus book
When the cervix has been dilated to a certain extent with the intervention of a specialist, the fetus is removed through the vagina with contractions. Open uterine pain signals birth. For mothers with the first time of giving birth often, pushing time is 1 hour while for the second pregnancy will take place more quickly.
However, at this stage, spasms still occur but the severity is lower than in stage 1 Stage 2 of the birth begins when the cervix is fully opened and ends with lawsuits that pregnant women have long expected: A baby is born.




Stage 3: Postpartum period - Placenta book
The third stage of a birth lasts from the time the baby is born until the placenta with the umbilical cord. During this period, the mother will be urgently in pain to push the baby away. When the baby is born, the cervix continues to contract so the placenta slips off the wall of the uterus and is pushed out from the vaginal tract. At this level of pain just like the pain of menstrual period abdominal pain, the mother to do is trying to push the placenta out. So is complete labor, beyond safety.
Postpartum period - Placenta book
Full term labor
Full term labor when pregnant women show signs of labor week 38 to 42 weeks (40 weeks on average), at which time the fetus is mature and able to develop independently in the ectopic environment.
Premature labor
Premature labor at birth from 22 to 37 weeks, the fetus can still be alive at this time. How to treat preterm labor?
Medicine
During labor, there is no medicine or surgical procedure to stop labor.



However, your doctor may use the following medications:
Corticosteroids: If the fetus is in the 24th to 34th week of pregnancy, the doctor may prescribe a strong steroid injection to speed up the fetal lung maturation. Corticosteroids may also be recommended starting at 23 weeks of pregnancy if you are at risk of having a baby within the next seven days. In addition, corticosteroids can be used between 34 and 36 weeks, if a woman is at risk of giving birth within the next seven days and has not previously used corticosteroids.
Magnesium sulfate is a medication prescribed for women at high risk of childbirth between 24 and 32 weeks of pregnancy. Several studies have shown that magnesium sulfate may reduce the risk of a type of brain damage (cerebral palsy) in babies born before 32 weeks.
Tocolytics with a temporary effect of stopping contractions of women. However, these drugs cannot stop preterm delivery for longer than two days because they do not address the underlying cause of preterm birth. On the other hand, tocolytics may delay preterm labor long enough to optimize the benefits of corticosteroids or, if necessary, women will be referred to specialized facilities for special care for both mother and baby.



Tocolytics is not used in some cases, such as pregnancy hypertension.
The drug is used in suspending symptoms of preterm labor
Surgery
For some women, a cervical waist is needed because the cervix is short to keep the amniotic fluid and fetus developing normally in the womb. In this technique, the cervix is sewn closed with sutures. Typically, sutures are removed after 36 weeks, however if necessary, sutures can be removed earlier.
Cervical waist circumference is recommended if you are less than 24 weeks pregnant, with a history of preterm birth and ultrasound showing the cervix is open or the cervix length is less than 25 mm.
Premature labor in labor
Premature labor during pregnancy.

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