First pregnancy labor length,pregnancy symptoms week 21,signs your body is ready to get pregnant fast,40 5 days pregnant feeling sick - For Begninners

30.11.2015


Monica Beyer is a mom of four and has been writing professionally since 2000, when her first book, Baby Talk, was published. Brittney experienced prodromal labor for weeks with her second baby, and had an excellent support system in place so she could get the rest she needed. While the contractions for many moms can be mild, they can also be uncomfortable to downright painful. As Brittney and Jessica experienced, contracting without being in active labor can be exhausting and if it goes on for a long time, it can be discouraging as well.
Jessica, who is expecting her second baby, already has a plan in place if it happens again. So, if contractions have started up, but your labor is going nowhere, take heart — it may be dilating your cervix just a little bit, which is less work to do later. Labor is a series of continuous, progressive contractions of the uterus which help the cervix to open (dilate) and to thin (efface), allowing the fetus to move through the birth canal. If a woman feels unsure if labor is beginning, she should always call her health care provider.
The first phase of the first stage of labor is called the latent phase, when contractions are becoming more frequent (usually 5 to 20 minutes apart) and somewhat stronger. The second phase of the first stage (active phase) is signaled by the dilation of the cervix from 4 to 7 centimeters (approximately 4 inches). The third phase of the first stage (transitional phase) contraction sare longer and the woman begins to feel the urge to pushe. The second stage of labor begins when the cervix is completely opened and ends with the delivery of the baby. After the baby is delivered, the new mother enters the third and final stage of labor -- delivery of the placenta (the organ that has nourished the baby inside of the uterus). It is important during this time to stay upright, using hte force of gravity to assist in the dilation of the cervix. The second stage of labor starts when the cervix is fully dilated and ends with the birth of the baby. Refer to Positions for Pushing for the most effective positions for the second stage of labor. Note: When there is a significant degree of caput or moulding, assessment by abdominal palpation using fifths of head palpable is more useful than assessment by vaginal exam. FIGURE C-5 Assessing descent of the fetal head by vaginal examination; 0 station is at the level of the ischial spine (Sp).


Progress of the first stage of labour should be plotted on a partograph once the woman enters the active phase of labour.
Vaginal examinations should be carried out at least once every 4 hours during the first stage of labour and after rupture of the membranes. Patient information: Fill out name, gravida, para, hospital number, date and time of admission and time of ruptured membranes.
Alert line: A line starts at 4 cm of cervical dilatation to the point of expected full dilatation at the rate of 1 cm per hour. Hours: Refers to the time elapsed since onset of active phase of labour (observed or extrapolated).
Oxytocin: Record the amount of oxytocin per volume IV fluids in drops per minute every 30 minutes when used.
Note: The woman was in the active phase of labour and this information is plotted on the partograph.
Anticipate the need for resuscitation and have a plan to get assistance for every baby but especially if the mother has a history of eclampsia, bleeding, prolonged or obstructed labour, preterm birth or infection. Active management of the third stage (active delivery of the placenta) helps prevent postpartum haemorrhage. Do not give ergometrine to women with pre-eclampsia, eclampsia or high blood pressure because it increases the risk of convulsions and cerebrovascular accidents. Note: Povidone-iodine should not be confused with tincture of iodine, which could cause blindness if used. We chatted with moms who experienced it to learn how they dealt with contractions that seem go nowhere, but are still uncomfortable and not so much fun.
Allison Hill, co-author of The Mommy Docs’ Ultimate Guide to Pregnancy and Birth (Amazon, $12) was on hand to discuss prodromal labor with us. Women who experience a rupture of the amniotic sac membranes should contact their health care provider immediately.
This stage usually lasts just a few minutes and involves the passage of the placenta out of the uterus and through the vagina.
However, contractions tend to last less than a minute with five or more minutes between contractions. During this stage, the urge to push or bear down usually increases as the baby's head moves down the vagina and puts pressure on the pelvic floor. Failure of an occiput transverse position to rotate to an occiput anterior position should be managed as an occiput posterior position.


At this stage, if there is effacement and dilatation, the woman is in labour; if there is no change, the diagnosis is false labour.
The latent phase has been removed and plotting on the partograph begins in the active phase when the cervix is 4 cm dilated.
There is no evidence that routine episiotomy decreases perineal damage, future vaginal prolapse or urinary incontinence. Wrap the baby in a soft, dry cloth, cover with a blanket and ensure the head is covered to prevent heat loss. Never apply cord traction (pull) without applying counter traction (push) above the pubic bone with the other hand.
If a portion of the maternal surface is missing or there are torn membranes with vessels, suspect retained placental fragments. During the second stage, the woman becomes actively involved by pushing the baby through the birth canal to the outside world. Contractions grow progressively stronger and longer during this time, lasting 40-60 seconds or mote and coming every two to five minutes. Contractions are very intense, lasting 60-90 seconds and occurring as close as every two minutes. In fact, routine episiotomy is associated with an increase of third and fourth degree tears and subsequent anal sphincter muscle dysfunction. When labor begins, the cervix begins to shorten, dilating to an opening of about 10 centimeters (about four inches) to allow the fetus to pass through. If labor still has not begun after 24 hours, a woman may be hospitalized for labor to be induced. Some women may not recognize that they are labor if their contractions are mild and irregular.
Pushing efforts are most effective when women follow their natural urge to bear down and relax when the urge subsides. The cervix also thins and merges with the uterus (effacement) during the first stage of labor. The second stage is shorter than the first stage, and generally takes between 30 ?60 minutes in a woman first pregnancy.



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