What Are the Different Reasons to Induce Childbirth?

In labor means that the mother has entered the labor process. The main signs are: regular and gradually increasing uterine contractions, lasting 30 seconds or more, with an interval of 5-6 minutes, accompanied by progressive disappearance of the cervical canal, dilation of the cervix, and decline of the fetal exposed part, which cannot be suppressed with sedative drugs.

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Parturition

When your body has the following symptoms, it means that your childbirth is getting closer. You need to tell the doctor how you feel and follow the doctor's instructions, because childbirth may happen at any time ...

* Decline of the palace: swollen

1, pay attention to the delivery room

The weather is cold and dry in winter, be sure to add warm equipment in the delivery room, pay attention to air humidity;

Close the doors and windows in the delivery room to prevent cold wind from entering;

After the newborn is born, it should be wrapped in a towel or cotton pad in time to prevent cold.

2. Dress your baby in moderation

The texture of your baby's clothes should be warm, soft and comfortable, and simple in thickness.

When dressing, remember that the belt should not be tightened too tightly, so as not to hinder the newborn's breathing.

3.Improve your baby's adaptability

It is not appropriate to cover your baby for a long time. Babies who have not yet reached the full moon can take an "air bath" indoors, which can be 1-2 minutes each time. Pay attention that the indoor temperature should not be lower than 20

When bathing your baby, the speed should be fast. After washing, put it on the big quilt and wipe it while dressing. Be careful not to catch cold.

Infants who insist on breastfeeding are more resistant and less susceptible to illness;

Mothers and babies are in the same room to enhance their relationship.

Hair style: It s best to cut short, clean and easy-to-dress hair, because within 4 weeks after giving birth, the maternal sweating is very large, and long hair is not easy to manage.

Hygiene products: Prepare enough sanitary napkins, pumping papers and disinfection wipes, preferably in packages. In addition, there are towels and sanitary pads on the bed.

Nursing bras: Prepare at least two cotton bras that can be opened from the front, and add some breast pads to prevent milk from soaking your clothes.

Clothing for confinement: It is best to prepare a few extra large cotton pajamas, which are easy to put on and take off, with a front opening style, easy to absorb sweat, soft and warm, and easy to feed.

Shoes, socks and hats: Prepare socks, slippers with heels. If it is confinement in autumn and winter, it is best to prepare a cotton single hat. Keeping warm is very important in confinement.

Clothing: The baby's clothing should be made of pure cotton, loose and comfortable, with a front placket, without any dangerous objects or decorations such as buttons and zippers. It is better not to fade.

Diapers or diapers: Prepare a sufficient amount of diapers. If diapers are not wet, it is best to buy them in full boxes. They will be used quickly.

Toiletries: baby's bath tub, towels, ladle powder, baby oil, wet paper towels, etc. are all necessities.

Socks and hats: babies don't have to wear shoes yet, they just need to prepare socks. The baby's head is not closed, so a hat must be available.

Beds and bedding: Small wooden beds with railings and railings can be put down. Some can be flexibly adjusted to sleep until five or six years old. The bedding should be easy to remove and wash, soft and comfortable, and moderate in thickness. You also need to prepare a small blanket that you can use when you leave the hospital.

Under normal circumstances, redness in the third trimester is a symptom of labor, that is, the uterus contracts, the baby's head begins to fall into the pelvis, and the separation of the fetal membrane and the uterine wall will cause blood vessels to rupture and bleed, commonly known as redness. Many mothers think that when they see red, they will immediately feel pain, because the nervousness completely concentrates on this, which leads to insomnia. The fatigue caused by lack of sleep will lead to a decline in physical strength and no mentality. This is very important for childbirth. Adverse. To maintain a good mood, wait actively and patiently, eat normally, ensure sleep, and maintain physical strength. If it is only a slight amount of bloodshot, and the amount is not much, pregnant mommy can stay at home to observe, usually pay attention not to be too laborious, to avoid strenuous exercise.

Understanding the labor process

The labor process refers to the process from the beginning of labor to the delivery of the fetus to the delivery of the placental membrane. Generally, the total labor process is divided into three stages: the first labor process starts from the contraction of the uterus, and the cervix is never opened to as large as 10 cm. The primipara usually takes 10 to 12 hours, and it is much faster after passing through the puerperium. The second stage of labor is from the opening of the cervix by 10 cm (also known as full opening) to the delivery of the fetus. Generally, the primipara is completed within 1 to 2 hours. The parturient is faster; the third stage is when the fetus is delivered to the placenta and the placenta is completely discharged, which can usually be completed in a few minutes to 10 minutes. The total labor process 24 hours is called delayed production. The first labor process should end in more than 10 hours, the second labor process should not exceed 2 hours, and the third labor process should not exceed 30 minutes. Otherwise, it is an abnormal situation and should be interfered with. To promote the progress of labor.

Reasons for the length of labor: As mentioned earlier, delivery depends on three factors: productivity, birth canal, and fetus. Any one of the three factors is abnormal or the coordination between the three factors can cause the labor process to take too long. For example: uterine contraction is weak, the frequency, duration and intensity of uterine contractions are not good enough, the uterine opening cannot be enlarged as scheduled, and the exposed part of the fetus cannot be reduced well, making the labor process progress slowly or not. During the delivery of the fetus through the pelvis, the fetal head passes through the pelvis with the smallest meridian in order to adapt to the shape of the pelvis. The fetal head cannot flex and rotate, making the relationship between the position of the fetal head and the pelvis abnormal, and making the uterine opening difficult to expand. The fetal first exposure does not drop well. When the birth canal and fertility are normal, if the fetus is too large or the fetal position is abnormal, it will also cause a long labor. Fertility, birth canal and fetus need to cooperate well in order to make the delivery progress smoothly. For example, although the fetus is large, but the fertility is very good, the birth canal is also normal, and vaginal delivery can still be smooth. To prevent the labor process from being too long, strict prenatal inspections are important. Find out the existence of abnormalities in the fetus and birth canal in time, and pay attention to the situation of fertility when giving birth. If the productivity is not good, pay attention to replenishing energy and use oxytocin to enhance productivity in a timely manner. Pay attention to the coordination and unification of the three during the labor process. In order to avoid the occurrence of long labor.

The main hazards of too long labor: the total labor should not exceed 24 hours. If this time is exceeded, it is called delayed labor. Because the labor process is too long and the uterus is continually contracting, the muscles of the uterus will be stretched long and thin after a long period of contraction and contraction, which may cause uterine rupture. The fetus is squeezed by uterine contraction in the uterus for a long time. As each peak period of uterine contraction, there is a short interruption of fetal blood circulation. If the time is too long, the fetus will be hypoxic, and neonatal breathing may occur at birth. Not good, even the possibility of fetal death. After a long period of childbirth and childbirth, the mother is often very tired and can even fail. Therefore, the postpartum uterine contraction will be weak, and postpartum bleeding is easy to occur. The delivery process is too long, and it is also prone to infections of the mother and child. Newborns may have pneumonia, sepsis, maternal infections of the uterus, and even more serious infections. If you enter the second stage of labor, the fetal head has reached a lower position, which is too long. The front of the fetal head is pressed near the bladder and urethra, and the back is pressed against the rectum, which will cause poor blood circulation of the bladder, urethra or rectum. The possibility of bladder vaginal fistula, urethral vaginal fistula or rectal vaginal fistula, urine or thin can flow directly from the vagina, causing great pain to the postpartum. From the above-mentioned hazards of too long labor process, we can see the situation to prevent the progress of labor process, and make timely judgments and treatments to avoid this situation.

Instructions for hospitalization in labor

If the labor is officially in the market, or if the labor is not officially in labor, but the fetal membrane is broken, all need to be hospitalized. After the hospitalization, a doctor will perform a comprehensive examination of the mother, and the nurse will be ready for delivery after the vulva shaving and skin preparation. The delivery process has progressed significantly, and you will feel uncomfortable. Don't be nervous at this time, be afraid. It is normal to have labor pains during labor. If you have any questions, you can ask your doctor or nurse for help. Excessive nervousness and fear will affect the contraction and the progress of the labor process. You should eat well and keep yourself active with proper activities. If the contractions are not tight enough, you can accompany your family members to walk around the delivery room, because when standing more, gravity can speed up the labor process; chatting with family members can reduce tension. Working closely with doctors and nurses will help you through labor and delivery.

Observation of labor

The labor and childbirth periods are the most critical moments, and unexpected situations often occur at this critical moment. Therefore, it is very important to observe and care carefully during this period. The parturient should observe whether the fetal movement is abnormal, the uterine contraction, the vaginal bleeding and the running water, and pay attention to any discomfort such as headache, dizziness, palpitation, dyspnea, etc. Medical staff should regularly observe the changes in maternal blood pressure, pulse and body temperature, listen to the fetal heartbeat regularly, check the cycle, duration and intensity of uterine contractions, and regularly perform anal or vaginal examination to understand the opening of the cervix and The situation of the fetus's first exposure declines. After the membrane is broken, the changes of amniotic fluid should be paid attention to, and the maternal feeding and urination should be paid attention. If abnormal conditions are found, they should be handled in time. For example, the doctor does anal or vaginal examination every two hours to find that the degree of opening of the cervix does not progress, and the exposed part of the fetus does not fall, but the uterine contraction is still good, you must check whether the pelvis is normal and the fetal head is in the correct position If the pelvis is abnormal, you need to consider the delivery method of cesarean section. If the fetal head is abnormal, you need to help the rotation. If the fertility is not good, you need to give intravenous oxytocin to strengthen it. In short, the medical staff and mothers in the labor process should cooperate closely and carefully observe all aspects of the labor process to ensure the safety of the mother and child.

Parturition diet

At birth, due to contractions, some women are not quiet enough, and do not eat, or even drink water. This is unscientific. The labor is equivalent to a heavy physical labor. The mother must have sufficient energy supply to have a good uterine contractility. Only when the cervix is fully open can the child be born physically. If you don't eat well and drink water, it will cause dehydration and cause inadequate circulating blood volume. Of course, the blood supply to the placenta will also decrease, causing the fetus to be hypoxic in the uterus. Therefore, parturients should consume high-energy digestible foods such as milk, chocolate candies, and their favorite meals. If they are too uncomfortable due to contractions, they can also enter glucose and vitamins to supplement their energy. Especially in the hot summer, sweating at the time of childbirth, no matter how hard to eat or drink, it is more likely to cause dehydration. It is necessary to pay attention to the diet for the health of children and mothers.

Labor check

There is a certain regularity in the progress of childbirth. Judging whether the progress of the labor process is normal is mainly to observe the progressive enlargement of the cervix and the progressive decline of the exposed part of the fetus. These two aspects of the examination must be confirmed by anal examination or vaginal examination. Anal examination is more convenient, but it is not directly in contact with the fetal head and cervix, so it is less clear than the vaginal examination, and because of the inspection across the rectum and vagina, the number of examinations may cause infection. The vaginal examination must be performed under strict disinfection, otherwise it can cause infection, but the vaginal examination can clearly understand the degree of cervix enlargement, such as the position of the cervix, hardness, position of the fetal head, and whether the fetal head is deformed. The relationship with the pelvis is correct. Therefore, during the first stage of labor, medical staff perform anal or negative examinations every 2 hours. If the progress is not good, that is, the uterine opening is still open and the fetal exposed part does not fall, or the exposed part is satisfactory but the cervical part is not lowered. The development of the university, or neither of them, indicates that there is a problem in the progress of the labor process, and the doctor will deal with it in a timely manner according to the situation. At the time of labor, each mother must cooperate with the medical staff to complete this check.

Empty the bladder in labor

Anatomically, the urinary organs are closely related to the reproductive organs. The bladder is in front of the uterus. The filling of the bladder can directly affect the decline of the fetal head and the progress of the labor process. And parturient women sometimes ignore the problem of urination due to contraction pain. Most women still do not urinate in bed because they are not used to urinate because of fetal head compression, which makes the bladder full. The fetal head cannot be lowered, and the repeated uterine contraction of the fetal head compresses the bladder, and hematuria can occur over time, and bladder vaginal fistula can occur if it is longer. For the parturient at night, pay more attention to the problem of urination, because it is more common to ignore this situation at night. The bladder is full of women who are obviously unable to urinate on the bed. With the cooperation of medical staff, they can go to the toilet as long as it is not broken. When you still can't urinate, you can also try to flush the vulva first, and then gently press the pubic bone with the upper bladder area to test whether you can urinate. If it is still unsuccessful, only under strict aseptic operation, the nurse will place it after catheterization. Catheter to urinate, remember that women who are unable to urinate during labor are often prone to urinary retention after delivery, so special attention must be paid to urination.

Labor monitoring situation

The fetal heart reflects the state of the fetus in the uterus. When the fetal hypoxia is caused by various reasons, the fetal heart changes very sensitively. The normal fetal heart rate is 120-160 beats / min, lower than 120 beats / min, or higher than 160 beats / min, it indicates that the fetus has signs of hypoxia. It is necessary to understand the situation of the fetal heart at the time of delivery, and to use it continuously. Auscultation of the fetal heart stethoscope. The first labor is usually heard once an hour, and the second labor is heard every 5 to 10 minutes. The fetal heart monitor is gradually popular and has been used in many hospitals. It uses a fetal heart probe and is fixed to the abdomen. The most clear part of the heart continuously records the fetal heart signal and records it on the drawings of the fetal heart monitoring, so you can continuously understand the fetal heart changes for a long time, and also record the uterine contraction and understand the fetal heart and the palace The relationship between contraction changes can be further determined not only by the speed of the fetal heart rate, but also by the change of the fetal heart rate when the contractions change, so the fetal heart rate monitor monitors the fetal heart rate and contractions. The change is good guardianship.

Changes in amniotic fluid in labor

Most women are born with amniotic fluid after the rupture of the membranes during labor. The characteristics and quantity of amniotic fluid are as important as changes in the fetal heart rate, and are also important factors that can reflect the fetal condition in the uterus. Normal amniotic fluid is translucent milky white, contains white fetal fat, and fetal hair, and The fluid of the fetal shedding of squamous epithelial cells. When a small amount of meconium is mixed into the amniotic fluid, the amniotic fluid can turn yellow, but when a large amount of meconium is discharged into the amniotic fluid, especially when the amount of amniotic fluid is small, the amniotic fluid can turn green or even dark green. It's very sticky. A fetus delivered in a normal head position should not have meconium excretion during the delivery process. Meconium excretion only when the fetus is hypoxic. Therefore, when we see that the amniotic fluid turns yellow and green, it indicates that the fetus has hypoxia. The darker the amniotic fluid, the less the amount of amniotic fluid, the worse the situation. The fetal swallows such amniotic fluid, and the thick meconium is sucked into the lungs through the trachea, which will cause serious problems. Therefore, in addition to observing the condition of the fetal heart after breaking the water during labor, it is necessary to closely observe the changes of amniotic fluid.

Enter labor room

The entrance of Miyaguchi into the delivery room means that the fetal head is close to the vaginal exit. After another 1-2 hours, the fetus will be born. At this time, the fetal head is pressed against the pelvic floor, and fetal heart rate changes easily. Therefore, medical personnel often listen to the fetal heart rate frequently. After a long period of contractions, the mother is tired and prone to contractions and weakness. Observing the quality of the contractions is also very important. The mother should eat something and drink water to ensure sufficient energy. When the contractions are not good, intravenous oxytocin is often needed to tighten the uterine contraction; when you can't eat well, you also need infusion. Replenish energy. Women work closely with medical staff. In the process of fetal discharge in the second stage, it is not only dependent on uterine contraction, but the mother also cooperates with uterine contraction. It is also important to use the abdominal muscles to exert force in the direction of the anus and perineum like bowel movements. . When the fetal head is 2 to 3 cm in size from the vagina, the nurse should disinfect the vulva, sterilize the sterile towel, brush the hands of the midwife, spread various sterile sheets, and prepare for delivery. After laying down the list and disinfecting, the mother should not wiggle at will, and her hands should not touch the disinfection towel. The delivery must be performed under sterile conditions, otherwise, the pollution will cause infection and bring harm to the mother and child. When the fetal head is about to be delivered, it is necessary to cooperate closely. Medical staff often let you open your mouth and hold your breath. Do not use force, otherwise you may tear the perineum too much. After the child is born, you need to pay attention to vaginal bleeding.