Introduction of birth

Especially important for facilitating the birth are the avoidance of tension, fear and pain. Through breathing exercises and pregnancy exercises during the preparation for birth, techniques for relaxation and abdominal breathing can be learned which counteract tension during birth. Early information about the course of birth, a visit to the delivery room, human attention and security can minimize the resulting anxiety in order to be able to induce a birth optimally.

The pain caused by the birth varies greatly from one individual to another and can be made bearable for the mother by means of various painkillers (analgesics) or forms of anaesthesia. Birth initiation at mamiweb. de

Birth Pangs

Contractions represent the basic forces of an initiation of birth. They have their origin in the contraction of the uterine muscle layer (myometrium). Even during pregnancy, contractions occur at irregular intervals, which increase in frequency towards the end of the pregnancy.

However, the pregnant woman does not yet experience them as painful, but only as hardening. Approximately one month before the birth the so-called “sink pains” occur, through which the uterus sinks. In the days before the birth, it then comes to strong, irregular preliminary contractions.

They push the child’s head into the pelvic cavity, especially in first-time mothers. There is a smooth transition to the following birth pangs. Birth pangs increase continuously in strength and frequency, so that at the end of the expulsion phase a contraction occurs every 2 to 3 minutes and the abdominal muscles are also involved in the formation of contractions.

At the end of each contraction, the muscle fibres remain in a shortened state. The placenta is born with the final postpartum contractions, which decrease in strength and frequency. It can also happen that the contractions have not yet started 14 days after the date of delivery or after the rupture of the bladder.

In these cases, the clinic will consider the administration of a contraceptive cocktail based on castor oil, which consists of natural ingredients and can promote the development of regular contractions. The process of a regular birth is divided into three phases. 1. opening phase: It begins with the appearance of regular painful contractions, which open the cervix and stretch and loosen the cervix.

The opening of the cervix is further enhanced by the action of prostaglandins, certain tissue hormones; this process is called cervical maturation. In a first-time mother, the cervix initially shortens, which leads to the opening of the inner cervix. The outer cervix only opens after the cervix has been completely shortened.

If a pregnant woman has had several previous births, the shortening and opening of the inner and outer cervix occurs simultaneously. The pain during this phase is mainly caused by the opening of the cervix and the stretching of the cervix and the lower part of the uterus. At the end of the opening phase with a complete opening of the cervix there is a rupture of the bladder followed by stronger and more frequent contractions.

2nd expulsion phase: It begins with the complete opening of the cervix and ends with the birth of the child. As soon as the infant’s head reaches the mother’s pelvic floor, the mother begins to press along with the baby’s head by tensing the abdominal muscles. The soft tissue tube of the birth canal is widened by this increased pressing phase.

The stretching of the pelvic floor and the soft tissue canal is also the main cause of pain during this period. Understandably, the strain on the mother is greatest in this phase of the birth. If the child’s head is visible in the vagina during a contraction, this is called “incision”.

If the head is also visible during the pauses in labor, the head may protrude; this is called “cutting through” the head. In this process, the perineum is subjected to maximum stress through extreme stretching. The back of the head is the first to emerge from the birth canal.

Afterwards, the vertex and the forehead with face come. The expulsion phase is the most dangerous phase for the child during birth. Due to the pressing contractions, the uterus and thus also the placenta is no longer supplied with blood, which is why the baby does not receive enough oxygen if the expulsion phase is too long.Especially the strong pressure with every new contraction on the child’s head can lead to reduced blood circulation in the brain.

For first-time mothers it should therefore last about one hour, for multi-mothers about half an hour. For this reason, the birth is monitored particularly intensively during this phase. 3rd postpartum phase: This phase covers the period from the birth of the child to the complete expulsion of the placenta.

This occurs after the placenta itself releases a large amount of prostaglandins, which causes the uterus to contract. This causes the placenta’s adhesive surface to shrink and detachment occurs. With the help of three signs, one can conclude that the placenta has dissolved.

First, the uterus contracts narrowly and angularly above the detached placenta and can be palpated (uterine edge sign). Also by pressing in the abdominal wall below the navel, the dissolution of the placenta can be assessed. If the umbilical cord moves back into the vagina when it is pressed in, the placenta is not yet detached.

In addition, the advancement of the umbilical cord is used for postnatal evaluation. The contractions during the postpartum period cause the uterus to contract, which compresses the blood vessels and thus reduces the blood flow. Also, the activation of the blood’s coagulation system (blood clotting) and the clamping of the umbilical cord cause the blood loss of a birth to normally be 300 ml.

  • Opening phase
  • Expulsion phase
  • Afterbirth phase