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Stages of labor. Dilation, expulsion and delivery of the baby

Stages of labor. Dilation, expulsion and delivery of the baby



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The moment of delivery is one of the most feared by new moms. Many women get advice from other moms and listen to personal stories from friends and family. This contributes to anxiety and uneasiness about the delivery. However, each birth is unique and each woman experiences it in a different way. Know the different stages of labor And knowing what will happen in each one of them will help you face the birth of your baby with less anxiety.

In primímara women, the effacement of the cervix and the dilation can last several days. During this time, the cervix has to fully widen to allow the baby out.

The erasure consists of the shortening of the cervix, once this has happened, the stage of dilation begins, which in turn is divided into passive dilation and active dilation. You will have dilate from 0 to 10 centimeters throughout the process, and this not only takes time, but is also accompanied by contractions. During the passive dilation, in which it expands from 0 to 3 centimeters, the contractions occur irregularly and with medium intensity. The pain of contractions varies for each woman.

This stage of dilation is convenient to live at home or in a quiet environment outside the hospital. Try to distract yourself, take a shower, watch a movie, and even sleep to gain sufficient strength for childbirth. Until the contractions occur every 5 minutes for at least a period of one hour it is not advisable to go to the hospital.

In the active dilation, the cervix is ​​dilated 3 to 10 centimeters. Contractions will be more frequent and intense. In stage of labor is when you will be administered epidural anesthesia if you wish.

When you are fully dilated, the expulsion phase arrives. The midwife or gynecologist will guide you on when to push to go helping the baby down the birth canal. With each contraction you will have to push as hard as you can. Never push with the face and neck, the force must be in the abdominal area and in the genitals.

The duration of the expulsive stage depends on each woman but it can range from a few minutes to an hour. When you push the baby's head out, the staff will clean the lines and check that the umbilical cord is free. There is only one push left to lift the shoulders and the rest will come out alone. At that point, the baby will be placed on top of you so you can see him before taking him for the Apgar test and dressing him.

The phase of delivery of the placenta marks the end of labor. The doctor will massage your lower abdomen and will press to extract the placenta. They may even ask you to push a little more so that the organ where your child has lived during the 40 weeks of pregnancy can come out. The placenta has protected and brought the necessary nutrients to your child. It is a membranous organ full of veins and at this point, after all the gestation it is already old.

If you have had an episotomy, they will make some stitches that will later fall out and with which you will have to carry out careful hygiene to avoid infection.

Pregnancy and childbirth have come to an end. You already have your newborn baby in your arms who needs all your love, attention and care. Now begins a new stage in which you face new challenges, the first of them all will be breastfeeding, if you choose to breastfeed your baby.

You can read more articles similar to Stages of labor. Dilation, expulsion and delivery of the baby, in the On-Site Delivery category.


Video: Khan Academy - Labor Parturition (August 2022).