Precations during Labour


PRECAUTIONS DURING LABOUR (DELIVERY)


Pregnancy articles:
22. Birth

Introduction-

         Giving birth (delivery) is a very difficult process for every women. It is very important for a pregnant or other woman to have a proper knowledge about delivery. It is thinkable matter that which is the appropriate place for delivery i.e. home or hospital. Well, hospital or maternity house is ideal place for delivery, but if there are no any types of complication found during pregnancy period, it can be done at home. Today in villages, delivery process is completed at home in the presence of an expert mid-wife.     

Important tips-

          In normal condition, a woman should give birth at home. There is a need of an expert mid-wife or any other woman having complete knowledge for caring of a pregnant at the time of delivery and after it. One thing is most important that a room in which delivery has to done should be airy, neat and clean.

       In case of delivery at home, all the important and required things should be arranged after asking to a mid-wife or nurse before about 2 weeks-

  • A piece of neat and clean bed-sheet.
  • 2 pieces of big clean towel.
  • A bottle of dettol.
  • Soap.
  • A big pan.
  • 2 dozen sanitary pads.
  • Clean cotton.
  • 2 pieces of chilmachi.
  • Stove.
  • Thermometer.
  • A clean big pot.
  • Thick thread.
  • New blade.
  • Scissors.

Troubles at the time of delivery-

          After conception, a woman remains worry and tensed that how much trouble will she has to face and how will she overcome on it. But it is unnecessary, because the nature has made a woman as capable and strong for it. Hence, delivery pain takes place as much as she can bear it. Yet the pregnant has to prepare herself mentally for giving birth (delivery).

          In modern age, medical science has made the delivery easier so that she could bear labour pain easily. For this purpose, it is necessary for a woman to understand the complications of delivery.

Delivery has divided in to 3 parts-

  • Position of the foetus before birth (delivery).
  • Signs of delivery.
  • Delivery process and child birth.

Position of the foetus before birth-

          The baby presents inside the uterus in a special position. Inside the uterus, the head of the baby is located as forward and the chin bends towards chest. Both the hands as crossed in this way that the left hand is lie on the right shoulder and the right hand is on the left shoulder. The legs remain bended inward from the knees. It is the normal position of the foetus.

There are three stages of lying down of the child inside the uterus-

  • In the first stage, the child remains lying down along with the length of the uterus. This, normal stage, of the child is found up to 98 %.
  • In the second stage, the child remains lying down in slanting position inside the uterus and turns straight before delivery (birth).
  • In the third stage, the child remains lying down along with the width of the uterus. In this case, operation (surgery) is needed for delivery.   

Signs (symptoms) of delivery-

          Normally, the child takes birth after 280 days of conception, but in few cases, it takes place 1-2 weeks earlier.

          The first sign showing that delivery is about to take place is labor pain. At the time of delivery, pain keeps on starting frequently. With pain, vaginal discharges also take place with blood. At this time, the pregnant has frequent desires for urination. Just after finding such symptoms (signs), she should be carried to the hospital or should call mid-wife at home.

          The pregnant should have free from bath and toilet before giving birth. In the hospital too, her bowels are cleaned with the help of enema before delivery. Hairs grown on the genitals should be cut clean before few days of delivery.

Delivery process has divided into three stages-

First stage-

          As well as delivery pain (labor pain) starts, the narrow mouth of the uterus starts becoming wider gradually. In this way, the uterus mouth, after becoming wide, is merged in the vastiguha of the uterus that helps the child to come out easily at the time of birth.

          This stage can take 5 to 20 hours for ending. At the time of first delivery, this stage is longer than normal. In this stage, amniotic membrane present around the child is exploded. Labor pain keeps on taking place at the interval of 2-3 minutes. In this stage, the blood pressure and heartbeats of the pregnant, heartbeats and body temperature of the child, the expansion of the uterus, etc. are checked. If the contraction of the uterus is found less and uterus mouth does not able to expand properly, doctor injects an injection in the veins of pregnant. In the end of this stage, the uterus mouth gets opened completely and the child starts moving downwards. Due to bursting amniotic membrane, the pressure of amniotic fluid falls on the child that pushes him/her downwards.        

Second stage-

          In this stage when the uterus mouth is opened completely, the head of the child is come in the vagina due to uterus pressure. At this time, the pregnant feels pain as well as has desire to push the child downwards. By falling pressure on the child continuously, his/her waist is bended and the head of the child comes out through opened uterus mouth. As soon as she starts desiring to push the child, doctors encourage her to push the child with each time of pain. For this purpose, she should have apply force with holding her breathe as in case of excretion. With pain as much she applies force as the child takes birth easily. But one thing is the most important for her that she has to apply force only at the time of pain.  

          Just after coming out the head of the child, doctor cleans his/her eyes, nose, ears and mouth properly. After birth, doctor hangs the child as inverse to clean out unwanted fluids. After few minutes of taking birth when newly born baby takes breath, his color is changed in to red or pink along with he/she starts crying or weeping. Now, the baby is separated from his/her after cutting the cord (navel).

          After taking birth, the navel tube is wet and sticky, so only sharp new blade is used to cut it. When the breathe of the baby becomes normal, the navel tube is tied at two places with strong thread tightly and then it is cut from middle.

Third stage-

          In this stage, apra is separated from uterus by stretching the navel tube (cord). But it is necessary to be careful that the apra and membrane came out completely, because if its little parts are left inside the body, profuse bleeding takes place. This process takes 5 to 15 minutes. During normal delivery, about 250 to 300 ml blood comes out.  

Abnormal delivery-

        If the birth procedure does not complete properly and any type of disturbance occurred or surgery (operation) is required, it is called abnormal delivery. There can be several reasons of it-

  • Wrong position of the baby inside the uterus.
  • Becoming uterus mouth narrow at the time of birth.
  • Location of apra in the lower section.
  • Obstruction due to coming out another body part of the baby in place of head at the time of birth.
  • Toxemia in delivered woman.
  • Contracted or formless of shronimekhala.

Birth of child with the help of forceps-

          In the case of normal delivery, doctor uses a type of device (instrument) for the birth of child, which is called obstetrical forceps. In the second stage when the head of the child is entangled in the vagina, the child is taken out with the help of forceps. This act is not painful.      

Birth through head-

          Normally about 98 % child takes birth through the head and remaining 2 % child takes birth through legs or hips.

          Till 7 months after conception, the unborn baby presents inside the uterus with his/her buttock as downward, but before ninth month of pregnancy, the baby is turned suddenly and his/her head is moved towards the uterus mouth. But, it did not happened in about 3-4 % of child, so, in this case, surgery is needed for delivery.

Caesarean section-

          Caesarean section is a type of operation (surgery) in which the section between lower abdomen and uterus is operated and birth is completed. This operation is done when any type of obstruction is found in birth. Well, the main reason of this operation is to become the shronimekhala narrow or become out of order. After this operation (caesarean section), normal delivery can be taken place again.