Women need to wait until the cervix is fully dilated before giving birth. However, a small number of pregnant women have an inability to fully dilate their cervix due to physiological reasons. In this way, they will continue to endure the pain of uterine contractions, and will gradually feel that their uterine contractions are becoming more and more intense. At this time, they can use midwifery to give birth, or choose a caesarean section. From full dilation of the cervix to delivery of the fetus. The average labor lasts about 2 hours. At this time, the mother will feel the pain of uterine contractions relieved, but will have an involuntary feeling of defecation during the contractions, which is caused by the fetal head pressing on the rectum. During natural childbirth, learn to hold your breath and push down correctly while the uterus contracts, mobilizing the strength of the rectus abdominis and levator ani muscles to help the fetus be delivered smoothly. Stop pushing and rest during breaks in contractions. When the fetal head is about to be delivered, open your mouth and exhale to avoid using excessive force to deliver the fetal head too quickly and cause perineal tearing. At this time, the doctor performs a vaginal examination to determine the fetal position and instructs the mother to hold her breath during each contraction so that the fetal head gradually descends through the pelvic cavity and gradually expands the vaginal opening. During contractions, the midwife places her left palm on the fetal head to control the speed of its advancement. Bend the fingers of the right hand to protect the perineum and assist in the delivery of the fetus. The midwife's control over the speed of delivery of the fetal head is the key to a safe delivery. After the fetal head is delivered, the fetal body rotates and the shoulders are located at the anterior-posterior diameter of the outlet. The fetal head is gently pressed and the anterior shoulders are delivered from under the pubic arch. The fetal head is slightly lifted, the posterior shoulders are delivered from the perineum, and finally the fetal body is delivered one after another. The midwife will clear the newborn's respiratory tract, suck out the mucus and amniotic fluid from the mouth, nose, and pharynx, and stimulate the soles of the newborn's feet, and you will be able to hear your baby's loud first cry. The umbilical cord is then handled and the newborn is finally placed in a warm crib or in the mother's arms. You will be able to see what your baby looks like. It starts from the delivery of the fetus until the delivery of the placenta. After the fetus is delivered, the placenta begins to separate after 1 to 2 uterine contractions, and a small amount of bleeding occurs. At this time, under the guidance of medical staff, hold your breath to assist in the delivery of the placenta. Usually the placenta will be delivered intact within 30 minutes. If the placenta has not been delivered 45 to 60 minutes after the fetus is delivered, it needs to be removed manually. After the separation, the doctor will check whether the placenta is intact, because placental tissue remaining in the uterine cavity can cause postpartum bleeding or even infection. If the placenta is incomplete, the uterine cavity needs to be explored. After the episiotomy is sutured, the mother can enter the postpartum observation room with her newborn. You can start breastfeeding at this time, put the baby in your arms, and promote emotional communication with the child. The mother can be transferred to the general ward after observing her bleeding, blood pressure and general condition for about 1 hour. |
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