Childbirth is the time in
which the new world comes to be. In the case of humans usually occurs after 40
weeks of gestation. Si If happens before 37 weeks are considered premature
birth.
This is a
crucial moment for both mother and son who pass through decisive moments.
Although there are risks for both, if all goes well the nature arrive happily
to its course and a new life will have begun.
Types of births
Depending on their length,
how they occur or where develops distinguish different types of delivery:
· Natural
Childbirth: one who comes to a close between 38 and 42 weeks and the birth occurs
without using anesthesia.
· Caesarean Birth: one in which
there was any failure or risk to the birth occurs vaginally. It anesthesia to
pregnant and the child is removed through a cut in the abdomen.
· Childbirth in the
water: it is a modality which resort to ever more women. It seems that this
environment is conducive to the relaxation of the mother and makes it feel less
pain. Its supporters believe that the arrival in the world of baby is less
traumatic to continue initially in a liquid medium.
Phases childbirth
Since the beginning of birth
until the birth of a child can take up to 24 hours in the mothers
primiparous (first-son), and no more than 10 hours in multiparous
(which have already had more children).
Se It is believed that the
birth ranges from the onset of regular contractions until such
time as the mother, after bringing his son into the world, expelling the
placenta and other remnants.
Some specialists speak of a
so-called pre pródromos childbirth are some contractions more intense
than those of Braxton Hicks. Some women confused with the start of labor.
During this period located a
few days before giving birth normally begins to occur shortening of the
cervix. In the evolution of childbirth are often distinguish typically
three phases.
Expansion Phase
It often results in the
expulsion of mucus plug from the womb, which protects them from
infection during pregnancy The cervix begins to dilate and the mother feels
contractions. These are every 15 or 20 minutes while dilation is 2 or 3
centimeters.
At this time the cervix
continuing its process of shortening, called borramiento. Contractions
will become more frequent (5 minutes) and will continue to rise until you are
alienated by only 2 or 3 minutes.
The process of
expansion is considered completed when it reaches 10 centimeters. During
this period there is usually broken waters, which involves the removal
of amniotic fluid housed in the placenta.
Phase expulsión
It is one in which the baby
abandoned its mother's womb and exits to the outside. Generally, the birth
takes place through the vagina.
Typically, the child is
placed with his head down and face-oriented back of his mother.
If this is not the case, complications can occur.
If the child is not placed by
example with their heads down, usually performed a caesarean section. It
consists of making a cut in the lower abdomen through which the child will come
after applying anesthesia to the mother.
At this stage it is too often
the gynecologist perform a epistonia consisting of a cut in the perineum
(outside of the pelvis) in order to avoid spontaneous tears.
Sometimes to help the exit of
the child are resorted to other instruments such as forceps. This is a
kind of pliers used to help turn and draw the face of the child.
The use of forceps can result
in the aftermath fetus so its use is limited to cases in which delivery
is prolonged much or presents any difficulties that may cause fetal distress to
the baby.
In some cases, even less, are
used suction cups that attach to the child's head and help their
extraction. Using the same also involves risks and are used only in
circumstances so require.
Phase
birthing
It is called the period
between the child's birth and expulsion by the mother of the placenta
and other remnants of the process of gestation. If the expulsion of these
substances and tissues does not occur spontaneously, it will require medical
intervention.
En el caso de que se haya
realizado una epistonia court or the doctor will also perform at this time to
suture the same.
Epidural
El The use of anesthesia as epidurals
during labor is widespread in recent years in order to avoid the pain.
Its implementation is done
via a puncture and the introduction of a catheter (thin tube and
elongated) between two vertebrae in the lower back.
Through the catheter be
administered small doses of anesthetic sleep that the lower body. It is
generally agreed that their use does not imply risk to the fetus.
Among the risks to the mother
is that during the occurrence accidentally prick a puncture mayor of the
desired resulting in loss of cerebrospinal fluid. This would involve
headaches and dizziness after missing the effects of anesthesia.
Some detractors of this use
of anesthesia during childbirth argue that the forces exerted mother to assist
in the removal of the child is not the same, also argue that the use of epidural
anesthesia increases the number of Caesarean sections and the use of
instruments such as forceps.
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