Pregnancy labour stories,how to get through pregnancy nausea vomiting,trying to get pregnant not ovulating late - PDF Review

09.08.2015


When you enter the first stage of labour, any light contractions you may have been having change into ones that are more painful and which follow more of a rhythm. As labour progresses, your waters may break, involving the rupturing of the amniotic sac surrounding your baby so the fluid flows out – it could gush out or leak more slowly, depending on how your baby is positioned in your uterus. While you may not be thinking about the music or lighting in the hospital birth centre by the time you’re in early labour, your support partner or doula should know how to set the atmosphere. Your support partner can help with your breathing – while you might lose control of your breathing during early labour, your support partner should be close by and gently guide you through your practised breathing pattern.
Kneeling on the floor, with your arms and elbows resting on cushions and bottom raised, can help if you have backache. As your contractions get stronger, it might be less tiring to kneel on your lower legs and hands, trying to keep your back straight. This article was written by Joanna Bounds for Kidspot, New Zealand’s best pregnancy resource. Scientifically proven: An evidence-based study has proven that antenatal perineal massage (at least once or twice a week as of 35 weeks at the latest) significantly reduces the frequency of perineal suture and episiotomy.
Preparation: Before you begin with the massage, we recommend you go to the toilet, carefully clean the area and wash your hands and fingernails. Stretching massage: Place the whole thumb into the vagina and, on an outbreath, stretch the tissue towards the anus. Every woman feels contraction pain differently, but in the first stage of labour it could vary from cramps similar to those during your period to waves of discomfort.
This is when a thick mucus plug at the opening of the cervix comes away in preparation for the birth. Wait until your contractions are coming every five minutes and last for around a minute, and call the hospital to check if you’re unsure. If they haven’t, and depending on how far you are into early labour when you arrive at hospital, you or your partner should pass on a copy so midwives have a chance to look over it. That might involve getting out the things you have packed for hospital, dimming the lights, asking for a Fitball for you to lean on during labour, organising extra pillows or blankets and aromatherapy oils, asking whether the tubs are free for a water birth and stroking or massaging you if you find it comforting. They can also have water or sports drinks to hand, so you stay hydrated and as a way to boost your energy if you begin to tire. A recent Cochrane report found that women who walk, sit, kneel during early labour can shorten the first stage by about an hour. You could also try leaning over the side of a bed or a Fitball, supporting yourself against a wall or table or leaning against your birth partner to help quicken the pace of labour. Allow yourself 5-10 minutes three to four times a week starting 6 weeks before the birth in order to make this sensitive area of the body more flexible.
Ensure that the perineum is easy to reach: lying down, squatting or standing with one leg raised.


Apply the oil in circles along the outer labia and then to the area between the vagina and the anus with the tips of your fingers.
It is best to practise with a table or a wall to steady you if you have problems with your balance.
In the first stage, contractions are usually 30 to 60 seconds long and come at intervals of five to 20 minutes, although it can vary widely from woman to woman. Your partner can also give you ice cubes to suck on, and you can use the other person to lean against during contractions. You experience yourself and your body from a completely new perspective when you are pregnant.
Since most women hope for a gentle birth without an episiotomy we recommend perineal massage in preparation for the birth. Massaging with this special composition based on mild almond oil and vitamin E-rich wheatgerm oil loosens the perineal tissue and increases its elasticity. A second exercise is to arch the perineum downwards and outwards with your thumb (Figure 4). Antenatal perineal massage helps reduce both perineal trauma during birth and pain afterwards. It is important that your feet are flat on the floor, otherwise it could result in tension in the area around the pelvis. There are many ways to have pain relief and your midwife can help you choose which is best for you.
During this time your cervix will be dilating from zero to ten centimetres, becoming fully dilated during transition. In addition, massaging stimulates the blood circulation thus increasing the suppleness of the tissue. With your fingers massage the inner and outer perineal area between the imaginary lines of 3 and 9 o’clock (Figure 1), first in a circular pattern and then, increasing the pressure and for about 1 minute in a pendular pattern (Figure 2).
It is a good idea to have at least one trusted friend or member of your family with you during labour. It may happen sometime before labour starts but shows your body is getting ready to have the baby. If you do not, your hospital doctor will talk about starting your labour for you - inducing your labour.
The softening process may be quite slow and it may be several hours until you're in what midwives call 'established labour'.
If you go to hospital before labour is established, it may be better to go home than spend hours there unnecessarily.
As the contractions become more painful you can use relaxation and breathing techniques to cope.


They will ask you to pant or puff a couple of quick short breaths, blowing out through your mouth.
This is so that your baby's head can be born slowly and gently, giving the skin and muscles around your vagina time to stretch without tearing. Sometimes, to avoid a tear or to speed up delivery, the midwife or doctor will inject local anaesthetic and make a cut.
If you have more than one maternity unit locally, you may want to visit them before you make a choice.
If they are assessed as being low risk for complications and live close to their local hospital, this may be possible. Your midwife will transfer you to hospital if they are unhappy at any time; that is, they are concerned for you or your baby. It may be available just for pain relief early in labour, or sometimes women may deliver in it.
It makes you feel light-headed and will just provide enough pain relief to help you through the worst of the contraction.
Some hospitals have a 'walking epidural' sevice but most women will not be able to walk when they have an epidural.
Their gut is also not fully developed and they may need to be fed through their veins (blood vessels) instead of the normal route. The pessary is given in the hospital ward and you are taken to labour ward, when your labour has started. If your waters have broken and a better monitoring of the heartbeat is needed, the probe can be attached to the baby's head.
It gives a better recording because it is directly attached to the baby and doesn't have to go through your tummy wall.
A forceps delivery involves metal instruments (a bit like salad spoons) being placed around the baby's head. If their number is not there, you could phone the labour ward where you are due to deliver.
You will need them after your delivery, as it is usual to bleed for about two week afterwards. If they are worried by any aspect of your pregnancy or labour they will ask an obstetrician to see you.
There are many factors that can prevent a normal delivery and you can do nothing to change most of them.



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