What are the phases of work?

There are three main phases of work. The first phase that includes early work, active work and transition follows, the second phase that includes pushing and delivery, and the third phase, which is a placenta delivery. Women passing through their first van can expect longer work, usually about 15 hours. After the first van, a woman can expect to work on average eight hours. Since all women and supplies are different, it may vary significantly in both directions.

The first phase:

Early begins with contraction that gains intensity and regularity. It must not be confused with the contractions of Braxton Hicks, which are "exercises" of contractions that the uterus performs during pregnancy. They tend to endure longer, are more painful and are closer to each other. Their function is efface and dilatate uterine cervix, which means to thin and open.

women can also experience blood, mucosal vaginal discharge as a "bloody show". This phaseThe first phase of the work on average about eight hours, although it is difficult to determine the exact amount of time. Once you are in early work, it may be a good idea to call your doctor.

active work begins when the cervix expands from about three or four centimeters to about eight. Until this time, contractions are very intense and usually painful. Women find that contractions during the active phase of work is difficult or impossible to speak. Contractions last approximately 60 seconds and occur every five minutes for at least an hour. The average woman expands from four to ten centimeters in about six hours, depending on whether Pitocin or epidural was administered.

The transition is characterized by its dilation from eight to ten centimeters. This is known as the most intense phase of work characterized by extremely strong and painful contractions of eachtwo to three minutes. The child descended into the pan and put the added pressure on the rectum.

At this point, a bag of water usually broke and some bloody discharge occurs. Women may suffer intense urge at this point. This phase of work can only take a few minutes to several hours. If you had other children, this phase of work can go quite quickly.

second phase:

The second phase of work, pushing, occurs after the cervix has been fully expanded. This is considered to be a slightly simpler stage than the transition because pushing helps. Women can try different positions to find out which of them works best for pushing. When a child passes through the birth canal, there is extreme pressure on the perineum, the area of ​​the intermediate and vagina. Doktor nebo porodní asistentka natáhne vagínu a perineum, aby se zabránilo roztržení.

Once the widest part of the child's head is out, an event called crowning , the doctor maneuver the child's head to help the shouldersm to pass. Some women are able to push the baby a few pressures while others work for hours. Unfortunately, for some, it is a point in which an emergency caesarean section must be made if the child cannot reach the birth canal.

third phase:

The third and last phase of the work is the delivery of the placenta. Continuation, smaller contractions separate the placenta from the uterus wall. Only one or a few small pressures give the placenta, usually lasting only five to 30 minutes.

After examining the placenta to check that it is completed, the doctor and nurses follow the uterus to make sure it is properly downloading and reinforcing. If a perineum or epiotomy occurred, a doctor or midwife ears it. Many women feel euphorically at this stage and have been relieved because there is a pain of childbirth and have their new child in their arms.