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To all the excitement associated with the novelty of sensationsfirst pregnancy, added another and experiences about how not to miss the beginning of labor. It all happens for the first time! As it happens, when you start the first birth, and how they should proceed - all this does not rest nulliparous mums.
It is unlikely that such fears are baseless- Genera almost never start suddenly. The first hints of the approach of the long-awaited moment of the birth of the beloved man beginning to be recognized for 2-4 weeks.
During this period, female hormonal changesorganism. If the entire 9-month period, the body of a pregnant woman lived under the influence of the female hormone progesterone, at the end of pregnancy, it gives way to estrogen.
The role of progesterone during gestationIt lies in the fact that he provided the fetal growth and its successful development. Progesterone ensures proper tone the uterus, the necessary concentration of oxygen and nutrients in the blood responsible for the timely delivery of the baby.
At some point, the fetus in the womb is ripe toMoreover, to begin preparations to enter "into the light". To help comes to him the other female hormone - estrogen, progesterone replacement, which the concentration starts to decrease. Important role of estrogen in the first and in the second stage of labor. From it depends on how quickly the first stage of labor revealed the cervix, and how much will be flexible and able to stretch the vaginal wall. And this, in turn, determines the duration of the period of attempts. Home birth is usually determined by two main features: on the struggles, on discharge of amniotic fluid.
The contractions before birth
estrogen concentration is important in the beginninglabor, that is, during labor. The fact that the battle takes place in connection with the emergence of the nerve impulse, which appears after reaching the required level of hormone concentration. In fact, a complicated delivery process is reflexively and further regulated by the nervous and hormonal systems of the female body. Quest, which is a reduction in the uterine wall - a reaction to the irritation of its nerve cells that produce at this moment active substances, which in turn are used to prepare the next bout. The process of labor becomes a recurring character and continues until the final exit of the fetus out. Contractions occur at certain time intervals, between which there comes a lull, in such moments, relaxes the uterus, and the woman does not feel any sensations.
Note!The most important feature of active labor is the dynamics of development and regularity of contractions.
Under the influence of labor occurs:
- in the 1st stage of labor: the disclosure of the uterine cervix; the duration of the bout 10-15, the intervals between contractions - 15 minutes or more;
- in the 2nd stage of labor: the movement of the baby through the birth canal and its birth; contractions intensify and lengthen the intervals between them are reduced;
- in the 3rd stage of labor: the rejection of the placenta from the uterine wall; placenta output parts of membranes and the umbilical cord, that is, the birth of the placenta; bout duration of 2-3 minutes.
Discharge of amniotic fluid
And here is the birth!
The sac of a pregnant woman as a ruleIt contains about 800 ml of amniotic fluid, although this figure may reach 1.5-3 ml. The waters are transparent and have no smell, but if they have a greenish tint, this indicates unfavorable condition of the child (fetal hypoxia). Even before the fetal bladder contractions may get a break. With a small break water will leak. No pain a woman is not experiencing. Prior to active labor in reserve mothers have a few more hours.
Note!The result will be suddenly torn bladderstrong flow of amniotic fluid. If this happens before the onset of labor, you should immediately go to the maternity hospital. Note that this is not always typical for nulliparous women.
If you have at least some of the symptoms mentioned above should take immediate measures to further passage of labor took place under the supervision of doctors.
Nulliparous mom more than the others fear"Skip" the beginning of birth, no time to get to the maternity hospital. It is unlikely that, in practice, it happens. It should be noted that most of nulliparous women takes for the beginning of the birth is not its symptoms, and its precursors. Although enhanced vigilance at first birth is never superfluous.
Forerunners of birth
Approximation of birth can indicate certainsignals, which are called the forerunners. About them a pregnant woman will learn closer to 36 weeks. Harbingers of the beginning of the 36th week suggests that a woman's body prepares itself for childbirth. They also continue to occur just before the birth. Consider them.
- The omission of the stomach. This occurs as a result of the displacement of a baby inlower abdomen, so kaktonus abdominals at the same time reduced. This woman is experiencing some discomfort due to pressure on the bladder and intestines. But when such a displacement breathe fetus easier because of reduced pressure on the diaphragm is less concerned about heartburn stomach. Nulliparous observed ptosis stomach for 2-4 weeks before the onset of labor, all other women giving birth - just before birth.
Expansion of the pelvic bones
- Expansion of the pelvic bones. Sacroiliac joint is stretchedpressure potyazhelevshy baby, which is accompanied by drawing pains in the lower back. Swimming and special exercises for the hip facilitate the situation.
- Changing the child's activity. Baby often become sedentary - it cramped in the uterus, especially with the weight of more than 3 kg. But it can also occur the alternation of its activity: the more, sometimes less.
- Irregular contractions. Starting from the 30 th week, can be observedpainless and irregular contractions that are easily mistaken for a sign of the onset of labor. These are called false labor or Braxton-Higgs. Especially clearly they manifest themselves in the 37-39 week. They are characterized by uneven interval (15 min., 30 min., 20 min., 10 min., Etc.), they are not intensified. And, as we already know, a sign of the beginning of the true birth is regularity and dynamic development skhvatok.Dlyatsya false contractions no more than 2-3 hours, especially in the last week before the birth, which resembles a kind of uterine training before an important period of true labor. Sometimes false labor smoothly into the regular labor.
Swelling in Pregnancy
- Swelling and cramps. They arise from the fetal blood pressure vessels pelvis.
- Vaginal discharge (Mucous plug). Before birth vaginal discharge maybecome more abundant. In order not to confuse them with Dribble of amniotic fluid, use a cotton lining that absorbs water and allocation will remain on the fabric. Any suspected leakage of amniotic fluid is an urgent need to consult a doctor for the test, the answer to which will be ready after 15-20 minutes. During pregnancy, the so-called mucus plug closes the outlet channel of the fetus. Cork can move like 2 weeks before delivery and 3-4 days before the onset of labor. Therefore, discharge of her - not a reason to strive to the hospital.
Change in appetite pregnant
- Emotional instability, change in appetite and decrease body weight (2 kg) exumbilication - As harbingers of labor.
Before birth the woman does not necessarily have toobserved all precursors simultaneously. For example, 2-3 trait - a common phenomenon during the upcoming birth. But it also happens that a pregnant woman to become a mother and have not experienced the typical signs of the first birth.