The first stage of labor

The first stage of labor

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Normal birth is divided into three stages. There are early, active and transitional stages, which end with the full opening of the cervix. The second stage is the birth and ends with the birth of the baby. The third stage is the emergence of the placenta. until the stage of birth may not understand. The third stage of the pain stage results in the opening of the cervix 10 cm. The timing and severity of contractions can help determine the stage of the woman's birth at a given time. Regular internal inspection will confirm progress to see if opening is progressing.


First stage: Early pain or waiting period
Usually this is the longest and least severe stage of the pain. At this stage the cervix opens up to 3 centimeters. This stage takes place in a few days without disturbing contractions and pains or takes 2 to 6 hours with pains without any doubt. The pains at this stage usually last for 30-45 seconds. Some women don't notice it. You will probably be told to go to the hospital at this stage. The most common symptoms at this stage are low back pain, cramps, diarrhea, a feeling of warmth in the abdomen, and bloody marks. (If it does not tear spontaneously, your doctor may try to artificially tear the sac.) Emotionally, you can feel excitement, expectation, uncertainty, anxiety and fear.
• If it is midnight, try to sleep. It is important that you rest now because you will not have the opportunity to rest later. Get up and try to do things that distract you from inside the house.
• Do your usual chores that do not require you to go out during the day.
• Relax yourself. If your water pouch is not torn, take a warm bath. If your back is painful, put a hot water bag (do not take painkillers or lie on your back)
• Snack if you're hungry.
• Urinate frequently to prevent stretching of the bladder, as this may interfere with delivery.
• If it works, use relaxation techniques, but do not start breathing exercises yet.
• Practice counting contractions with your partner. The time between contractions is the time from the beginning of one contraction to the beginning of another. Regularly hold the clock and save it. Count more often if intervals are less than 10 minutes.
• Your partner should be comfortable and try to relax you verbally or through contact. Do things with your wife to keep your mind away from pains.

Second stage: Active pain
The second and active part of the pains phase usually lasts shorter than the first. The average lasts for 2-3 hours. 3-4 minutes) the cervix opens up to 7 cm as it becomes. Rest time between contractions is shorter. you can live one or both of them. Your focus on childbirth may increase and your self-confidence may begin to shake, as if the pains will never end.
• Start breathing exercises when the pains are so severe that you cannot make them speak. Without these, you can give birth.
• At this stage, you can breathe as follows: Deep breath through your nose at the beginning and end of the pains and quickly exhale. Breathe only lighter and superficially at the moment of pain. Also, focus your attention not on pains but on breathing.
• Think of each pain separately, then pains to worry about future pain in advance.You can see each pain as a wave that will bring you closer to your baby.
• If your doctor permits it and you will not be anesthetized, you will often have something to replace the lost fluids and to prevent dry mouth.
• Strive to unwind between contractions. This will be more difficult as contractions become stronger, but relaxation will become increasingly important to gain energy.
• Walk or change your posture frequently if possible.
• Do not forget to urinate regularly, you may not feel the need to empty your bladder because of the pressure in your basin.

What can your partner do at this stage:
• Keep a record of contractions. If you have a monitor here, or put your hand on the belly of your wife to try to feel the coming of pains.
• If your partner has signs of excessive breathing (dizziness, blurred vision, tingling in his hands and feet), ask him to breathe on a paper bag or his palms, then breathe this air. After repeating it several times, he will feel better.
• Always reassure your partner with your words and praise his endeavor.
• Wet your forehead's lips, soak your lips with water, massage your back and waist. This will soothe and relieve your pain.
• Tell them to relax between contractions.
• Remind him to urinate at least once per hour, so a full bladder does not interfere with the baby's path.
• To cool the body and face, wipe it frequently with a wet cloth.
• If her feet get cold, let her wear socks.
• Make him change his posture.
• Act as an intermediary between your spouse and hospital staff and inform the staff of their requests.

Third stage: Advanced active pain or transition stage The transition stage is the most exhausting stage of the pain stage. Suddenly the severity of contractions increases. They become very strong, come in 2-3 minutes and last for 60-90 seconds. The pain continues at peak intensity during almost the entire contraction (it starts slowly as before and does not slow after a short period of time). it will take between 15 minutes and an hour to reach its full width and reach a width of 10 cm. During the transition phase you will probably feel a strong pressure on your waist. You may feel very hot and sweaty, or you are cold; between the two. As the capillaries rupture in the cervix, your bloody vagina discharge will increase. Your legs may tremble uncontrolled and cramping. You may feel nausea and vomiting, and you can slumber between contractions as your oxygen moves from your brain to the birth site. You may feel tired, discouraged, frustrated and confused; At this stage you can:
• Do not let yourself down. At the end of this stage, the cervix will open completely and the line will come to push.
• Instead of thinking about the challenge ahead, consider how far you have made.
• If you feel craving, try blowing instead if you have not received any other instructions. Pushing against a cervix that has not been fully opened can cause the cervix to swell, which may delay delivery.
• Try to relax as much as you can with slow, rhythmic chest breathing between contractions.

How your partner can help you:
• Help him and praise his resilience as long as he doesn't want you to shut up. At this point, eye contact and touching can mean more than words.
• If it works, breathe with it in every contraction.
• Recommend dealing with one contraction at a time.
• Help her relax between contractions. Touch her belly gently to indicate that the contractions are over. Now remind her to breathe slowly and rhythmically.
• If the contractions become more frequent and require straining, do not have a close examination, inform the nurse or doctor. The cervix may be completely open.
• Moisten your lips often and wipe your face, it will comfort her.
• You can take your partner to the maternity ward at this stage.

N What awaits you while you wait for your baby ” from the book.

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