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CHILDBIRTH. BEHAVIOR OF THE WOMAN IN LABOR.

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Title: CHILDBIRTH. BEHAVIOR OF THE WOMAN IN LABOR.


1
LECTURE ? 8
  • CHILDBIRTH. BEHAVIOR OF THE WOMAN IN LABOR.
  • Dr. Nagayeva S.

2
FOREWORD
  • The outcome of labor depends from woman's
    behavior and management ability of a body and
    breath.
  • The given lecture represents brief instruction
    to correct woman's behavior in childbirth.

3
WHAT YOU MUST TO DO, WHEN CONTRCTIONS HAS BEGUN
  • STAGE ? 1 AT HOME
  • You are on the 40th week. You began to notice
    that an uterus strains more often than before.
    Listen to yourselves and to your sensations. The
    true contractions are felt as feeling of an
    increasing pressure in an uterus. Normally it
    arises in the bottom of uterus and spreads to
    lower parts of it.
  • At first pauses between contractions are long
    ,about 30-40 minutes. Then, with each hour the
    intervals between contractions decrease, it's
    intensity increase. It should not be very
    painful. It is necessary to go to maternity home
    as soon as the interval between contractions
    becomes 10 minutes.

4
  • The movement you have felt, that at you this
    long-awaited moment a has come - REJOICE!
    Collect things, which will be necessary for you
    and your kid at maternity home calmly.
    Necessary list, you have to take is in your
    medical exchange card of the pregnant woman. It
    is obligatory to take medical exchange card of
    the pregnant woman, passport and insurance
    policy.
  • Cut nails, shave genitals, give an enema to
    yourselves by means of Esmarh's mug and 2 litres
    of boiled warm water, take a shower. You can get
    all just listed procedures at maternity hospital,
    if you not sure how to do it.

5
If you are worry very much , the following
actions can help
  • Lie down on a bed , take the control over breath.
  • Stroke a tummy, talk to the baby, calm him. It
    is not smaller stress for him, than for you. Do
    not do sharp hasty movements, it can scare your
    baby.
  • Gather to the childbirth as for a holiday. Give
    to yourselves positive aim at all process of the
    labor.

6
STAGE ? 2 AT THE MATERNITY HOSPITAL.
  • You have got to the maternity hospital. There,
    at reception ward, midwife will ask a documents
    (an exchange card, the passport and an insurance
    policy), will measure the blood pressure, the
    pulse.
  • Doctor on duty will familiarize with data of
    your exchange card, will talk to you. You must
    tell him openly, how and when the contractions
    has begun, with what interval they are followed
    one by one, which intensity and how much painful
    it has had, how your baby moves, your
    complaints).
  • The doctor will listen and palpate to your baby,
    will measure a circle of an abdomen, height of
    the uterus, the sizes of a basin. Then he'll
    examine you, to familiarize with the changes from
    maternal passages, to estimate the water bag

7
  • After examination you'll get an enema, shaving
    of a genitals, shower , if you certainly
    hasn't made it at home .
  • During sanitary processing with the advent of
    contraction strike the comfortable attitude,
    breathe deeply, correctly.

8
  • Apparently, the muscular effort causes waste of
    forces, that's why you should stay in slackness
    during the moment of contraction. But this
    relaxation - not passive, but active, it is
    subordinated to your will.
  • During this period you should use the formula of
    autohypnosis " I am quiet. Contractions is a
    parameter of the birth activity. Gradually it'll
    become stronger. Breath is deep and steady.
    Muscles are weakened. Contraction comes to the
    end. After that there will be a period of rest ".

9
  • After procedures you will be moved to the
    prenatal ward. Here you will spend the time
    expecting, when contractions will make their
    business and the cervix of the uterus will opens
    completely. That is in obstetrical language - 5
    fingers. Getting to the end, the contractions
    become stronger and more often. The interval
    between them decreases up to 4-3-2 minutes.

10
  • Between contractions, woman can apply receptions
    of relaxation, beginning from face's muscles and
    finishing by the muscles of lower extremities.
    Auto-suggestion between contractions is carried
    out by mental repetition of formulas " I am
    quiet. I supervise myself. My breath is stead and
    quiet. Muscles of the face are weakened. Muscles
    of shoulders, forearms, hands are weakened. All
    muscles of my hands are weakened completely and
    also warm.
  • Muscles of the perineum and buttocks are
    weakened. Muscles of the hips, shins are
    weakened completely.. Between contractions my
    organism has a rest. My childbirth has been
    proceeding safely. I am quiet. I feel movements
    of the child very well. A condition of the child
    is good. I am quiet for him" .

11
PROCEDURES USED MOSTLY OFTEN IN THE MATERNITY
WARD.
  • There may suggest to make a spasmolytics and a
    metabolic complex, for the improvement of
    processes of contractions and relaxation of
    muscular fibers of the uterus and preventive
    measures of fetal hypoxia during the labor.
  • Besides, of procedures which may be offered in
    the maternity home is amniotomy - artificial
    laceration of the extraembrionic membranes. This
    procedure has been made in the cases, when it has
    done his function or it is pathological. The
    procedure is absolutely painless.
  • If you have fears of a procedure, ask your
    doctor interesting questions . After the
    amniotomy contractions become more intensively
    and more often than before.
  • You should breathe during all contractions as you
    studied during all pregnancy, mentally tell
    endearing words to your baby , so as he can felt
    your support. Close your eyes between
    contractions, relax completely, leave in itself.
    Feel as heat spreading throughout body, as though
    you lay in a warm bath.

12
  • You'll feel pressure on perineum , after the next
    series of contractions. Character of contractions
    has been changed, you'll want to make an effort.
    Inform your doctor about it.
  • The doctor will look you and if the cervix of an
    uterus has opened completely, you will be dressed
    on a sterile shirt, a cap and shoe covers. Then
    will suggest to accept convenient position in
    Rakhmanov's armchair. The most important to take
    the position, which is convenient for you, thus
    legs should rest against special supports, you
    will find handles, to hold on , when you will
    strain.

13
STAGE OF PUSHING
  • So you on the armchair already, there are a
    doctor and a midwife near you. You should strain
    in doctor's or the midwife's order. It is the
    most important and responsible moment, collect
    all your forces.
  • It is necessary to strain 3 times, during the
    labor pushing. Therefore you should forethought
    your forces and the air-supply.

14
  • So you feel that the labor pushing begins. Take
    a deep breath , bend a head to a breast (your
    sight should fall on your navel), press a waist
    to a table and strain. Then on a doctor's sign
    do a smooth exhalation and take a deep breath ,
    bend a head to a breast press a waist to a table
    and strain again. You must do it 3 times in that
    way. During the moment of labor pushing repeat
    following formula " Breath. To strain the
    muscles of an abdomen. To strengthen the
    pressure to the bottom smoothly. Pressure is more
    strongly and more strongly. The child moves ahead
    through maternal passages . A smooth exhalation
    ".

15
  • When the labor pushing ends you can to relax, to
    close an eyes, to feel as heat spreads
    throughout your body. Pauses between labor
    pushing are about 1 - 1,5 minutes. Mentally tell
    to your baby an endearing words. The new labor
    pushing will take you out from relaxation.

16
  • As soon as the head of your baby begins to come
    through , you will feel the pressure sense in the
    perineum. Listen to the midwife attentively ,she
    will release a head of your baby accurately.
  • You should strain in a half of a force to prevent
    the rupture of the perineum. Thus you gave a
    birth to the head, and then you might to do the
    same with the babys body. It is smaller than a
    head ,therefore it can't make a problem. So take
    a full breath and strain.

17
MIRACLE!
  • My congratulations to you. You are a mom now,
    your baby lays on your abdomen, feels your heat,
    your love! Rewarding your diligence . Here is it
    your miracle, you just have made it.

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29
LABOR HASN'T ENDED YET!
  • It is necessary to give birth to a children's
    place, that is placenta. While you observe your
    child on a special warming little table, the
    children's place is separated from a place of the
    attachment. When it will be separated completely,
    the doctor or the midwife will ask to strain
    again. Then cargo will be placed on the bottom
    of an abdomen. This action is necessary to
    prevent postnatal bleeding.
  • Your baby is examined by neonatolog (the expert
    on newborn babys) at this moment, an umbilical
    cord is processed by the disinfectant, will put
    on a bracket and a bandage. Eyes, and a vulva at
    newborn girls are processed with a special
    antimicrobic drops.

30
THE FINAL STAGE
  • It is an examination of maternal passages by the
    mirrors. Certainly it is not such pleasure as the
    childbirth, but you can tolerate it. Genitals
    will be washed with the warm water, then will be
    drained. Now you can relax and enjoy the
    dialogue with the child.

31
FIRST FEEDING
  • Baby can't see well yet, can't concentrate a
    sight, but has a well developed sucking reflex.
    And you'll engage with it now. The midwife or
    doctor will bring the newborn to you, will show
    how to hold the baby at feeding. At the first
    feeding, you will transfer nutrients , immune
    complexes, which will protect your baby from
    infections, your love, by the first drops of
    colostrum.
  • And in the answer you'll get a love of the baby,
    his boundless trust, and also reliable
    prophylactic of the postnatal bleeding (as
    during the moment of breast feeding ,there in
    woman's organism hormon oxytocin develops and
    causes the uterine contractions).
  • During feeding hidden strings are stretched and
    communicate from soul to soul.

32
THE CONCLUSION
  • You'll spend 2 hours at the maternity ward. You
    and your newborn will be under medical
    personnel's supervision and then will move to"
    Mother and the child " ward .
  • Enjoy your motherhood!
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