The day of childbirth, step by step


The day of childbirth, step by step

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The contractions are becoming stronger and closer together, you may have lost the water ... Sure, it's time to go to maternity. Step by step, we make you live the birth live.

  1. Arrival at maternity on the day of delivery
  2. Sometimes a pre-work room
  3. Before childbirth: dilation of the cervix
  4. Check the effectiveness of contractions
  5. Overcome the pain
  6. The baby's expulsion or delivery
  7. How should you push?
  8. After childbirth: delivery
  9. New contractions
  10. A rigorous examination

Here you are at the maternity ward, you go directly to the emergency room. You may have to wait in the waiting room. Your guide will be responsible for reassuring you and reminding you to breathe deeply and calmly. He will take care of giving the necessary papers.

Arrival at maternity on the day of delivery

A midwife (usually) invites you to come to the consultation room to examine your cervix. It is, therefore, necessary to measure its opening, its length, its tone to know when the work will really start without forgetting to check the position of the baby's head.

The total dilation is 10 centimetres. If you are more than 3 cm away, go to the birthing room. Before reaching this rate, the expectant mother can be invited to go home with treatment if the cervix is barely changed. Or, the patient is advised to walk around the maternity unit for one to two hours.

Sometimes a pre-work room

Like a hospital room, the pre-work room allows you to wait more calmly until work starts. You are led there if your contractions are very painful and you only have a few hours left before the cervix changes.

The midwife will come to see you when you call when you are in too much pain. Your guide reassures you, helps you breathe. To better manage the pain of uterine contractions, you can read a magazine, listen to music, walk, sit on a balloon (if maternity has it).

Before childbirth: dilation of the cervix

This time your collar is more than 3 cm open, the stretcher-bearer takes you to the workroom. Today it looks like rooms equipped with surveillance equipment. The future dad follows you.

A dilation takes an average of six hours for a first child. Put on the clothes intended for childbirth (preferably a long t-shirt) if you have not had time.

Check the effectiveness of contractions

Here we will check the effectiveness of uterine contractions (if there is stagnation or if you do not have an epidural, we will inject you with an infusion of drugs to make the contractions more regular, stronger), dilation of the cervix and head progression.

Monitoring is often installed to listen to the baby's heart rate. Don't be surprised if you feel a hot liquid between your legs. The midwife may have pierced the water pocket. She comes to examine you regularly, your guide can call her. The door remains open. You will surely hear in the adjoining rooms the tears of the newborns.

Overcome the pain

The contractions get closer and closer, about every three minutes. You will feel like a wave is invading your body. When you feel it coming, think according to the chosen method of a positive image and your fulcrum as you learned in sophrology or else breathe very deeply as during your preparation sessions. The midwife can help you.

Also remember to change position: sitting, sideways, standing ... You are free to move during this phase. If you wish or for medical reasons, you can benefit from the epidural. It numbs the lower part of the body.

The baby's expulsion or delivery

The cervix is now completely dilated. You are lying on your back and slightly raised, feet on stirrups, legs apart.

The baby begins his descent by the pelvis. His chin is pressed against his chest. You feel it making its way through you. Do not push until the midwife or doctor tells you to.

How should you push?

To help the uterus, you will contract your abs and push hard. Your effort should coincide with the contraction. The doctor or midwife will help you. As soon as a contraction arrives, take a deep breath, block your breath by contracting your lower body and push. Between two contractions, recover. Your guide can encourage you, massage you.

This stage lasts between 5 and 30 minutes (beyond that we use forceps). The vulva stretches, spreads, your baby's skull is placed against the perineum. At that point, stop working, the medical team will take the baby out slowly.

Sometimes an episiotomy is performed. It is an incision of the perineum to avoid a complex tear. The midwife puts your baby in your arms. Great emotion.

After childbirth: delivery

In the quarter of an hour after birth, there is a new phase called “deliverance”.

New contractions

You will still have some weaker uterine contractions. They help detach the placenta present in the uterus.

The doctor or midwife then presses it and the mother pushes one last time, tightening the belly well. The placenta is expelled by itself.

A rigorous examination

The placenta, a kind of thick disc covered with blood vessels, allowed the vital exchanges between the mother and the baby. He is carefully examined to verify that he has been completely expelled.

If this is not the case, there is a risk of bleeding. The doctor or midwife must, under anaesthesia, put their hand into the uterus to collect placental debris.

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