-Labor & Delivery-
"I think my water just broke"
Labor is a unique journey for every woman. Labor is the process through which a fetus and placenta are delivered from the uterus through the vagina. Human labor divides into three stages. While some mothers breeze through labor in a few hours, others must dig deep into their physical and emotional strength to endure a longer, more challenging birthing process. Successful labor involves three factors: maternal efforts and uterine contractions, fetal characteristics, and pelvic anatomy. This triad is classically referred to as the passenger, power, and passage.
First Stage of Labor: Embracing the Journey
The first stage of labor and birth occurs when you begin to feel persistent contractions, it is the longest of the three stages. Over time, these contractions became stronger, more consistent, and more frequent. To make room for your baby to pass into the birth canal, they induce the cervix to shorten and thin (efface), as well as to open (dilate) and soften.
Early Labor (0-3cm dilation): This phase is characterised by regular contractions and a gradual opening of the cervix, reaching up to 3 cm dilation. As the body gently eases into the rhythm of early labor, focusing on the breath becomes paramount. Hydration and nourishment play vital roles in sustaining energy during this stage.
Active Labor (4-7 cm dilation): The second phase, active labour brings intensified contractions and increased dilation from 4-7 cm. Implement supportive techniques and movements to navigate this phase of labour
Transition Stage (8-10 cm): The final stretch of active labour, this phase ushers in intense contractions and full dilation, signalling the transition to the pushing stage. Here, resilience takes canter stage, and each contraction becomes a testament to the extraordinary power within, paving the way for the imminent joy of meeting your precious baby.
Second Stage of Labor: Welcoming Your baby
The second stage of labor commences with complete cervical dilation to 10 centimeters and ends with the delivery of the baby.
Full Dilation: It begins when the cervix is fully dilated at 10cm. This stage typically lasts 2-3 hours for first-time mothers and may be shorter for subsequent births. During this stage, you will feel an intense urge to push as your baby descends through the birth canal.
Crowning and Birth Crowning: the emergence of the baby's head, is a remarkable sight during this stage. As the head passes through the vaginal opening, it signifies the final moments before complete birth.
Immediate Post-Birth: Following the birth, Immediate skin-to-skin contact is encouraged, promoting bonding between the mother and her newborn. The umbilical cord, the lifeline connecting mother and baby, is typically clamped and cut. This stage, guided by the expertise of the healthcare team and the innate instincts of the birthing person, is a testament to the marvels of the human body.
The Third Act of Birth: Delivery of the Placenta
The birth of a child is often seen as a two-part event: the baby's arrival and then, well, that's it. But there's actually a crucial third act: delivering the placenta, also known as the afterbirth. This organ, responsible for nourishing your baby throughout pregnancy, detaches from the uterine wall after delivery, marking the official end of childbirth.
Vaginal deliveries typically see the placenta delivered within 30-60 minutes after the baby. Natural contractions triggered by hormonal shifts help push the placenta out. Your healthcare provider might gently massage your abdomen and cord or suggest pushing to aid the process. Sometimes, a medication called oxytocin is given to stimulate stronger contractions.
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C-sections follow a different path. During the surgery, the doctor removes the placenta before delivering the baby. Afterwards, your uterus will still contract naturally to expel any remaining placental tissue. Both methods are safe and effective ways to complete the birthing process.
While delivering the placenta is a less dramatic stage of childbirth, it's still an important one. It allows for proper healing and reduces the risk of complications like excessive bleeding. So next time you hear about a birth, remember to acknowledge not just the arrival of the baby, but also the silent departure of the remarkable organ that made it all possible.
It's Not My Due Date Yet!
Don't panic! Knowledge is power, and with the right information, you can navigate this bumpy journey with confidence.
Globally, an estimated 10.4% of all births in 2020 were preterm, meaning before 37 completed weeks of gestation. This represents approximately 15.1 million babies born preterm worldwide.
What is Pre-term Labor?
This occurs when regular contractions and cervical changes happen before 37 weeks of pregnancy. Contractions can be frequent (every 5-10 minutes) or less frequent, but consistent. Pre-term labor may or may not lead to premature birth. Many women with preterm labor go on to have healthy term pregnancies with proper medical care and monitoring. If you experience these signs or symptoms or you're concerned about what you're feeling, contact your health care provider right away. Don't worry about mistaking false labor for the real thing. Everyone will be pleased if it's a false alarm.
What is Pre-mature Birth?
Preterm is defined as babies born alive before 37 weeks of pregnancy are completed. There are sub-categories of preterm birth, based on gestational age:
● Extremely preterm (less than 28 weeks)● Very preterm (28 to less than 32 weeks)● Moderate to late preterm (32 to 37 weeks).
If this happens, your baby may need specialist care. This can be a challenging and emotional experience for both parents and baby.
Why does preterm birth happen?
While the reasons for preterm birth remain complex and multifaceted, some key factors contribute to this early arrival:● Spontaneous Preterm Labor● Medical Induction or Cesarean Birth
It's important to remember that each case is unique, and the reason for preterm birth will differ depending on the individual circumstances. Read more about it here
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