Ordinary Birth Course
Excitement begins to increase as the birthday approaches, and when the baby is embraced, the most valuable works of the parents in the world, after everything has ended with the first signs of birth, all the hardships experienced. All the pains are replaced by peace and happiness.
Ordinary birth; It refers to the expulsion of a baby who has completed the 40th week of pregnancy, together with the membranes and placenta. A human pregnancy lasts an average of 280 days, but only 5% of all pregnancies end on the expected day. Most of the pregnant women, on the other hand, begin to have pain and give birth in the 15-day period, which includes a week before and after the expected delivery date.
The respite, which begins with the appearance of systematic uterine contractions that the expectant mother perceives as pain, is also called “action-travay”.
The ability of a pregnancy to end with normal delivery depends on three main factors, which may not be entirely in our control. These;
forces connected to the uterus (uterine contractions),
baby-bound-passenger (baby)
-way attached to the mother’s bone roof (bone structure)
AT BIRTH PAIN / PAINS
In order for the uterus to open, the uterus should be contracted at regular intervals and there should be no roughness in the opening of the cervix in the face of these contractions. The contractions that continue after the uterus opens will push the baby out of the uterus. In order to provide this push, the baby should be in the appropriate position and there should be no obstacle in front of him again. Finally, in order for the normal birth to take place, there should be no incompatibility between the way the baby will pass and the passenger (baby). If the baby is larger than usual or the path is narrower than usual, it will prevent the normal course of birth.
In general, the first signs of approaching birth are unsystematic contractions and what is popularly known as “engagement”. The cervix is closed with a slimy plug throughout pregnancy. This plug protects the baby against external factors. Before the start of the birth action, there is a slight opening in the cervix and this plug is thrown out of the body in the form of a bloody discharge. One of the early signs of rebirth is unsystematic uterine contractions. The person perceives these contractions as pain. These contractions, called false labor pains, are relieved by rest and usually do not increase in intensity over time.
The arrival of water is another sign of childbirth, and the movement naturally begins within 12-24 hours after the membranes are opened. Sometimes it may be necessary to support the birth movement with artificial pain. While false labor pains come and go at unsystematic intervals, have a short duration (15-20 seconds) and are mild pains, real labor pains come and go at more regular intervals, gradually increasing in intensity and shortening in the middle, do not go away with rest, lasting 45-60 seconds, uterine opening. and pain that causes erasure.
Real labor pains:
The contractions repeat regularly and the contractions become more frequent and become tangential in 2-4 minutes.
The intensity of the contractions gradually increases and lasts 45-60 seconds. It does not go away with rest and time, on the contrary, its severity and frequency gradually increase. It causes softening and opening of the cervix.
False labor pains:
The contractions are at irregular intervals, the middle is long and there is no regular repetition, the intensity of the contractions remains the same, they are discontinuous pain. Sometimes, it can start with the coming of amniotic water as a result of the rupture of the amniotic membrane before the pains start at all. Amniotic fluid is a valuable ingredient that protects the baby from external traumas and infections, as well as feeding the baby in the womb. As a result of the rupture of the amniotic membrane, both the baby and the expectant mother may be exposed to infections if the birth is delayed. Usually, pains begin within the first 12 hours after the waters come. If the birth action does not start despite this prolongation, it would be appropriate to start the birth artificially with induction (artificial pain with serum) because the risk of infection in the baby and mother increases.
There are three basic stages of birth:
Stage I; It is the process from the beginning of the contractions that will cause the opening of the cervix until the full opening of the cervix (10 cm). At this stage, with the increase in the cervical opening, the baby’s head goes down by making some movements inside.
II. Phase; It refers to the process from the fully open cervix to the full birth of the baby.
III. Phase; It is the process from the birth of the baby to the complete expulsion of the placenta and its appendages. As a result of this phase, birth is concluded. Although the exact cause is not known, tremors are seen in the mother soon after the placenta is removed at birth. This is not an important situation and will pass ex officio after a while.
By which mechanism does birth occur?
Today, it is still not fully understood what the factors that initiate the birth are, the mother’s body’s understanding of the baby’s maturation, and the factors that initiate the labor by initiating the birth. Despite the wide variety of theories on this issue, the birth event still remains a mystery. Although it is not known exactly what the mechanism that initiates the birth is, it is partially known which system and hormones affect uterine contractions. Uterine contractions are provided by the hormone “oxytocin” secreted from the pituitary gland of the brain. In addition, changes in the concentration of certain elements called “prostaglandins” in the body can trigger contractions. Knowledge of these mechanisms allows us to initiate or stop uterine contractions.
When is it necessary to inform your doctor or apply to the hospital for delivery?
As stated above, one should go to delivery when the pains become more frequent and their severity increases. When real labor pains begin, a pregnant woman may perceive that she is different from others.
With the onset of pain, the presence of a small amount of bloody discharge such as snot (“mark”) is a harbinger of birth. Sometimes, amniotic fluid may come before labor pains begin. The coming of water can be slightly but always in the way, or it can be in a style that makes the legs suddenly wet. In this case, call your doctor immediately. Bleeding is a risky situation during pregnancy. Any bleeding should be carefully evaluated. Although more or less bleeding is a harbinger of delivery, it can also indicate a problem related to pregnancy. If a decrease in baby’s movements is felt, a doctor and hospital should be consulted. This could be a sign that the baby is struggling. In this case, the decision is usually made by taking the NST and making an ultrasound evaluation.
