Dolgozh this moment when the baby should be born, will come very soon.
Often, over a long period of time, the behavior of the crumbs can change dramatically: he becomes quiet, calm, rests a lot, gaining strength before being born.
But it can happen quite the opposite: the little one is very active, delivering to his mother.
Usually, by 37-38 weeks, the baby is also preparing for childbirth and takes its final position in the uterus.
But remember that children are fidgets, so they can roll over as they please, until the very moment of birth.
This is completely normal, so you have nothing to worry about. But if you decide to help your baby lie down in the correct position, a few simple tips will help you.
stick to healthy lifestyle life
It is still very important to eat right, walk in the fresh air, physical activity(swimming, walking). It is useful, by the way, to swim on your back or dive.
Experts say that the often unsuccessful position of the child in the mother's tummy is the result of a too comfortable life without physical exertion.
Little tricks
Try not to sit on a soft sofa, but on hard chairs with a straight and hard back. If you sat down on the sofa, then do not lean on its back - sit on the edge, spread your legs, and let your stomach be between your knees.
As often as possible, sit on a chair backwards - facing the back. Buy a special big ball (fitball) and sit on it more often, even when just watching TV.
If you drive a car, it is better to give it up for a while or make sure that the seatback is straight at all times.
Exercises to change the position of the fetus
There are special exercises that will help the baby to take the correct position for childbirth. We will give examples of the most simple and effective of them.
Get on all fours, swing your hips from side to side. Take this position more often, especially when you feel that the baby is awake. You can even walk around the house in this position - and useful, and amuse your husband!
Without kneeling, lower your hands down, touch the floor with them, and in this position take a little walk around the house.
Sit on the floor, put the soles of your feet together. Press your knees as close to the floor as possible, and pull your feet towards you. Sit like this for 10-20 minutes 2 times a day.
There is also an easy and affordable way to turn the baby head down - this is the method of I. F. Dikan.
You need to lie on a flat surface - first on the side where the baby's head is displaced (usually this is the left or right hypochondrium). After 10 minutes, roll over over your back to the second side and lie down for another 10 minutes. Repeat 6 times. You need to do the exercise 2-3 times a day before meals. Try to sleep on the side where the baby's head is shifted. By the way, the little one does not like it at all: in protest, he turns over, and in exactly the direction we need.
Self-hypnosis and visualization
Psychologists often talk about the great power of thought. So you can try this method for yourself: clearly imagine a child who is lying head down. For better visualization, find pictures in books with correct location crumbs, copy and hang them in a conspicuous place.
The more often you look at them and inspire yourself, the more likely it is that the little one will really roll over. Relax and imagine the process of turning the baby.
But remember that you should not rush to help the child roll over. He can do it on his own right before the birth. In addition, in the maternity hospital you will definitely have an ultrasound scan that will show the position of the little one.
Your baby loves his mommy very much, which means that she will definitely want to help in childbirth in order to meet you as soon as possible. Happy delivery and a healthy baby!
For 40 weeks of intrauterine development, the baby changes position many times. In the first and second trimesters, there is a lot of space in the fetal bladder. The baby turns over in the amniotic waters 5 times a day, so until 32 weeks the position of the fetus is not a key indicator on ultrasound. But by the middle of the third trimester, a constant posture is established in relation to the exit from the uterus. From the 35th week of pregnancy, the probability of changes is no more than 2%, since a coup in the limited space of the amniotic bladder is impossible. The correct position of the fetus before childbirth is longitudinally head, diagnosed in 95% of cases.
Norms and types
When determining pathologies and tactics of childbirth, 2 indicators are important: presentation and position of the child before childbirth. In the first case, the ratio to the uterine outlet is determined - head, pelvic. But if the baby turned obliquely or across, we are talking about the wrong location of the fetus before childbirth. In such a situation, the ratio of the vertical axis of the child's torso to the corresponding line of the exit plane into the pelvis is indicated. The position is determined depending on the direction of the back to one of the sides of the uterus, the direction (backward or forward) indicates the type of position.
The correct presentation of the fetus before childbirth should be head in a longitudinal arrangement. In this case, the risk of complications is minimal and is associated only with the insufficiency of tribal forces. The baby moves through the birth canal according to the standard biomechanism, in 4 stages. In the normal course of pregnancy, attempts last 15-20 minutes, the baby is born in a natural way.
Depending on the position, occipital, facial, frontal presentation are distinguished. Childbirth is complex. With the back of the head facing the exit, possibly EC, the fetus is released through lateral flexion. Facial and frontal presentation requires extension of the head before entering the small pelvis at the initial stage, childbirth is traumatic and difficult. The ratio of the location and position of the baby determines the classification of species.
Table - How does the child lie before childbirth
Longitudinal | transverse |
||
| presentation | Anterior head | Pathology | Pathology |
| Occipital anterior | |||
| Occipital posterior | |||
| Execution | |||
| Facial | |||
| Pelvic |
In 65%, with an incorrect position of the fetus, it is prescribed C-section. The practice of foreign obstetrics in breech presentation of the fetus recommends natural childbirth. In this case, the prognosis is favorable under the conditions that the sex of the fetus is female, the neck is 4-5 cm open, the mother has a wide pelvic ring, the baby weighs up to 3500 kg.
How should the baby lie before childbirth? The forward head longitudinal position is the safest option for mom and baby. With sufficient labor activity, the risk of injury and rupture is not more than 2%.
When is the baby in the correct position before birth? There have been cases when the baby turned over in the womb, after the verdict last ultrasound, 3 days before delivery. 5-7% - the chances of a change in the oblique position in the last 3 weeks of pregnancy. In a longitudinal position, the likelihood of changes is extremely small.
Diagnosis and causes of incorrect position
The probability of oblique and transverse location does not exceed 0.7%, on average 1/200 women in labor. The pregnant woman is admitted to the hospital at 36 weeks, and is monitored until full term with the help of CTG, ultrasound. Scheduled caesarean section.
When the longitudinal axis of the child is related to a similar exit line into the pelvis at an angle of 90 degrees, a transverse position is diagnosed. Deviation of 5 degrees from the right angle - oblique placement.
- polyhydramnios;
- prematurity;
- multiple pregnancy;
- deformation of the uterus;
- weak muscles of the anterior abdominal wall of a woman;
- oligohydramnios;
- fruit from 4500 g;
- hypertonicity;
- obstacles for inserting the head - a narrowed pelvis, pathologies of the structure of the uterus.
Due to polyhydramnios, the baby turns over in the womb until the water is poured out. In such a situation, the diagnosis gives hope in the oblique position of the fetus, since before childbirth the head can move and stand in the opening of the small pelvis. With polyhydramnios, there are situations when the child is located longitudinally throughout the pregnancy, but in 2-3 weeks it turns over parallel to the plane of the pelvis.
If 2 or more embryos develop in the womb (with a weight of 2800 g or more), the bubble becomes more and more crowded. After 35 weeks, the situation will not change.
Anomalies of the uterus and repeated pregnancy also prevent the fetus from passing and gaining a foothold in the pelvic opening. In a woman giving birth, muscle tissue is weakened. If a child, weighing more than 1.5 kg, "rested" his head against the abdominal wall, he will not turn around, since the muscles are not able to maintain the shape of the uterus, the organ is stretched under the pressure of a large part of the fetus.
To determine the tactics of delivery, a comprehensive examination is carried out. For a period of 35 weeks, the results give the final decision on the choice of technique.
Diagnostic methods:
- diagnosis of finding the bottom of the uterus;
- palpation examination;
- vaginal examination;
The height of the uterine day is measured in centimeters. If the baby is located across, the distance will be shorter by 2-4 cm (relative to the norm for the current period). The abdomen has the shape of a melon, which stands out across or obliquely, with a low position of the uterine fundus.
Palpation does not determine the convex parts in the lower segment. The head and pelvis are palpable to the sides of the central axis. The heartbeat is heard near the navel. With multiple pregnancy, hypertonicity, the position is difficult to diagnose.
Vaginal examination is not informative, as it does not determine the presenting part of the fetus. The transverse position is diagnosed accurately if a dropped handle is groped. After the outflow of water, with the neck open, the shoulders, shoulder blade, and ribs are determined. With a breech presentation, the buttocks are turned to the pharynx, a soft elastic part is felt.
An informative method that clearly defines the tactics of delivery is ultrasound. If the fetus is in the wrong position, the examination is scheduled for 37 weeks.
Treatment and management of childbirth
If there are no pathologies of pregnancy, the head presentation of the fetus during physiological childbirth has a favorable prognosis in 95% of cases. If the position is longitudinal, the decision on tactics is made after 37 weeks. At malpresentation caesarean section is prescribed in a 50/50 ratio, contractions last longer, up to 8-10 hours.
In theory, only 1.2% of births in the transverse position of the fetus end on their own. But such development is possible with prematurity or weight up to 2.3 kg, if the head is inserted into the hole. Then, in the course of movement, through the extension of the neck, the body rises longitudinally and is released according to the standard biomechanism.
The wrong position, with a low head presentation of the child during childbirth, is fraught with a fatal outcome for the fetus. A caesarean section is scheduled for the thirty-eighth week, to eliminate the risk of contractions. Independent movement through the channels will end for the baby with injuries incompatible with life.
The mechanism of childbirth in the posterior view of the occipital presentation takes place in 5 stages. During movement, the head rotates along the curl, is set towards the sacrum, the fetus is released freely moving along the canal. The face comes first, then the shoulders, then the torso.
Since childbirth in the posterior view of the occipital presentation involves a reversal of the baby, complications are possible for the mother. The walls of the birth canal are stretched, there is a risk of eversion, prolapse of the uterus. But for the child, the situation is considered favorable, since at the second moment the process passes into a normal physiological one.
Anterior occiput delivery also allows EP, with only 31% receiving CS. The biomechanism includes the stages of bending the chin to the chest. The moments are dangerous, but doable, with normal opening and attempts. However, the risk of injury is not justified by the advantages of natural childbirth.
If, in an oblique position, the face is turned into the opening of the cervical canal, a facial presentation is diagnosed during childbirth. The view is established in relation to 1/250 patients. Third in terms of risk of complications for the fetus. Natural childbirth with a facial presentation of the posterior view is not possible, but is acceptable with an anterior subgenus.
Consequences
In half of the cases, the incorrect position of the child is complicated by the early outflow of amniotic fluid. The rupture of the bubble provokes the onset of contractions and pressure on the fetus. With an incorrect presentation, childbirth without obstetric supervision is unacceptable. Therefore, patients are recommended to be placed in a hospital at 36-37 weeks.
Complications:
- as a result of the rapid release of amniotic fluid, the arms and legs of the fetus fall out;
- squeezing the umbilical cord, circulatory arrest;
- insertion of a shoulder, under pressure, stretches the lower segment, the threat of uterine rupture;
- during the anhydrous period, infections penetrate the fetus;
- hypoxia;
- asphyxia (often in the pelvic form);
- fractures;
- disorders in the work of the nervous system;
- lethal gathering.
Situations where the baby was born buttocks forward, with subsequent complications occur in 50% of ER. In this case, the diagnosis of breech presentation is established in every 20 patients. The tactics of obstetricians in this situation is aimed at performing a caesarean section.
The risk of deviations in the wrong position of the fetus is 53%. If there are no signs of complications, in the management of labor in the transverse position of the fetus, the tactics of manual obstetric reversal is used. The doctor, at the last moments, turns the baby with one hand in utero, the second outside.
The natural mechanism of childbirth involves the movement of the child to the exit according to the standard scenario, which is characteristic of the head longitudinal position of the fetus. But the process is described only theoretically, in practice, incorrect types of presentation account for about 37% of all deaths. Therefore, often a caesarean section is the only option for the safe birth of a baby.
Until a certain point in pregnancy, the fetus turns freely in the uterus many times a day. But as they grow, there is less and less room to maneuver, and the baby takes a stable position in the uterus. This happens around 34 weeks.
What position can a baby take in the womb?
Relative to axis of the child's body (from the head to the coccyx) to the vertical axis of the uterus distinguish: longitudinal, transverse and oblique position of the fetus.
Longitudinal This position is called in which the back of the child is parallel to the vertical axis of the uterus.
transverse- the child lies perpendicular to the axis of the uterus.
Oblique- the child occupies an average between the longitudinal and transverse position.
Transverse and oblique position of the embryo before childbirth considered pathological. This is one hundred percent indication for caesarean section, since naturally the child cannot be born.
The most favorable is the longitudinal position of the fetus, but it all depends on the presentation.
The position and presentation of the fetus is determined by ultrasound.
Types of fetal presentation
Fetal presentation is determined by which part of the body is closest to the cervix (present), i.e. will come out first at birth. With a longitudinal position, there is a pelvic and head presentation of the fetus, with an oblique 
and the transverse position presentation is not determined.
head presentation- the baby lies head down. This is the most natural position of the embryo, occurs in more than 90% of pregnant women. In this position, childbirth is easy and without complications, unless the child extends the neck.
Perfect option, occiput presentation- the baby's chin is pressed against the chest, and the baby is born forward with the back of the head.
considered more risky anterior presentation when the first large fontanel (formed by the parietal and frontal) bones comes out. This is due to the fact that the child slightly unbends the neck before or during childbirth. In this case, natural childbirth is possible, but there is the possibility of tears, birth trauma child. Therefore, the doctor may decide on surgical intervention.
Frontal and facial presentation, when the child unbends the neck even more, are very dangerous for the child and the mother. Therefore, with this arrangement, the child is born by caesarean section.
Breech presentation of the fetus- this is when the child lies with his buttocks or legs towards the exit from the pelvis, it is quite rare (about 3% of pregnancies).
Happens breech presentation of the fetus- the buttocks are located at the exit from the birth canal, the legs are bent only at the hip joints and lie along the body. In this case, delivery is possible naturally, but it is associated with a number of risks, since even if the entire body passes correctly, then the largest part, the head, can get stuck. Therefore, if the head is large or the fetus is large, a decision is made on a planned caesarean section. With a breech presentation, a child weighing more than 3.5 kg is considered large, while with a head presentation, more than 4 kg.
Mixed presentation- the buttocks are deployed to the mother's pelvis along with the legs.
foot- there is complete and incomplete, i.e. both or one leg of the child is located near the exit from the pelvis.
In both cases, natural childbirth is contraindicated.
Causes of abnormal fetal positions
- polyhydramnios or oligohydramnios;
- multiple pregnancy;
- narrow pelvis of the mother;
- low placenta previa;
- pathological course of previous pregnancies;
– tumors (myomas, fibromas);
- irregular shape of the uterus;
- a suture from a previous caesarean section.
The child may take the wrong position and for no apparent reason.
Ways to correct the abnormal position of the child
It is believed that if the child lies incorrectly, then you need to try to shift the center of gravity.
In an oblique position you can lie on the side where the back of the child is located, without fear of harming him, because the baby is protected by amniotic fluid.
With breech presentation a woman should more often take a vertical position. If pregnant 
you have to sit a lot, for example at work, then you need to make sure that your knees are no higher than the pelvis.
In any undesirable position the knee-elbow posture, i.e. standing on all fours. This exercise should be repeated several times a day for 10-15 minutes. It was not in vain that our grandmothers believed that mopping is a great activity for pregnant women.
Many mothers claim that the baby can take in the tummy correct position before childbirth if you ask him to. True or not, but you can try, because talking with the future baby will not lead to bad things.
Even if the situation of the child could not be changed, this is not at all a reason for grief. The maximum that this threatens to mother and child is a caesarean section, through which healthy and happy children are also born. The main thing is to find good doctor and trust him. And it also happens that the baby takes the right position a few days before DA.
Happy and easy childbirth!
(Visitors 1,462 all time, 1 views today)
What is the best position for my baby to give birth?
Childbirth is almost always quicker and easier if the baby is in a head-down position with the back of the head facing your belly. This position of the fetus is called "head presentation, anterior view." In most cases, the child by the end of the pregnancy takes just such a position.
When in the front position, the baby is most comfortable in the crook of your womb. During labor, the baby tilts its head forward so that its chin touches the chest. In this position, childbirth proceeds easier and faster, because in this case:
- During contractions, the crown of the baby exerts gentle and even pressure on the cervix. This contributes to the expansion of the cervix and the release of hormones necessary for the successful course of childbirth.
- In time, the child passes through the pelvic bones at an angle at which the smallest circumference of his head is in front. To better visualize this, try wearing a shirt with a tight-fitting high collar without hiding your chin in it, and you will immediately understand everything.
- When the baby reaches the pelvic floor, he turns his head slightly so that the widest part of it is in the widest part of the pelvis. In doing so, the back of his head may pass under your pubic bone. When born, the baby leaves the mother's body, sliding its face along the surface located between the vagina and the anus (perineum).
What is the back position?
The back position is one in which the baby's head is down and the back of their head is facing your spine. By now, about one in ten children is in this position.
In most cases, these children are born in the process of normal, vaginal delivery, but for the mother, this arrangement creates additional difficulties, especially if the child's chin is not lowered down, but raised up. As a result:
- you may feel lower back pain caused by the pressure of the baby's head on your spine,
- you may have an early discharge of water,
- childbirth can go long and slow,
- you may begin to feel contractions before your cervix is fully dilated.
When the baby reaches the pelvic floor, he will have to turn almost 180 degrees in order to get into the most comfortable position for childbirth.
This process may take some time, and it also happens that the child prefers not to roll over at all! In the latter case, he is born face up, as if looking at you. In addition, in this case, to help him be born, you may need.
Why are some children in the back position?
If your child is in a backward position, it may be due to the type and shape of your pelvis. The female pelvis is sometimes not round, but rather narrow, having oval shape(the so-called anthropoid pelvis) or wide, heart-shaped (the so-called android pelvis or male-type pelvis).
If your pelvis is not round, but oval or heart-shaped, then there is a relatively greater chance that the baby will be in a back-to-back position at the widest part of your pelvis. The fact is that in this position it is easier for him to rest his head.
The lifestyle of the mother also plays a role. It appears that posterior fetal position is significantly more common among European women than among women in developing countries who are accustomed to working in the fields all day and eating or cooking while squatting. The reason is obvious enough.
When you're sitting comfortably in your chair watching TV or working at your computer for hours, your pelvis is tilted back. In this case, naturally, the heaviest part of the child's body ( rear end head and spine) also tends to lean back. So, in the end, the child ends up in a back-to-back position.
If you work a lot or spend time standing up, your baby is more likely to be in an anterior position in the pelvic cavity because your pelvis always tilts forward.
How can I help my child get into a forward position?
You may have heard of the so-called methods to get the fetus in the optimal position. These are methods that can help your child get into a forward position by changing your posture, especially when sitting. Remember: you want your pelvis to tilt forward, not backward. So when you sit, make sure that your knees are always lower than your hips.
Try doing the following:
- Pay attention to the design of your favorite chair. It should not be such that your knees rise above the level of your hips when you sit down. If this happens, try turning the chair 180 degrees, kneeling on the seat and leaning forward over the back of the chair.
- Wash floors. Our grandmothers used to say that washing the kitchen floor is the best way to prepare for childbirth. And they were right! While you are on all fours, your baby turns the back of his head to your stomach.
- When driving, place a pillow on the seat to keep your pelvis elevated in relation to your legs.
- Sitting in front of the TV, lean forward, bending over the fitball.
Going to bed, you can not worry about the position of the child. However, the optimal sleeping position for later dates pregnancy - lying on your side, not on your back.
Will I actually be able to get my baby into the correct prenatal position?
Attempts to bring the child into the correct prenatal position is a well-known practice, there is nothing particularly new here. The first reports of "giving the fetus optimal position appeared in the 19th century. Today, this method is known thanks to the description proposed by the obstetrician Jean Sutton and published in the 1990s. Jean Sutton suggested that women in late pregnancy adopt an upright or forward-leaning position as often as possible.
One often hears the question - does it really help, or does it simply create additional difficulties for a pregnant woman.
While research on this method, only confirm that in late pregnancy, being in the knee-elbow position twice a day for 10 minutes really helps the child to take the front position.
Unfortunately, this does not seem to affect the position of the child during childbirth. As for adopting an upright or forward leaning position, Sutton recommends doing it regularly.
If you practice the described technique during pregnancy, but despite this, the child ends up in a backward position when labor begins, this may be due more to the shape of your pelvis than your posture.
Can I put my baby in the correct position during labor?
If your baby is in the back position at the start of labour, you can still try the above positions (upright or forward leaning position) to help your baby get into the correct position and make it easier. pain. It is not uncommon for a baby to change position during labor and most babies will find themselves in an anterior position during the pushing period, regardless of the position taken at the start of labor.
Sometimes women begin to feel slight pain a few days before the onset of labor. Any pain is not very pleasant, but in this case, it may be a sign that your child is trying to turn into a forward position. However, we can recommend:
- try to rest better at night,
- stay upright and move more throughout the day,
- lean forward during contractions
- drink water regularly
- maintain your strength
- try not to strain and keep a good mood.
It may turn out that the most comfortable position for you during childbirth will be knee-elbow. In this case, the child falls down away from your spine, and this will not only reduce your pain, but can also help the child to assume the correct position.
When labor begins, try to:
- Stay upright as much as possible.
- During contractions, lean forward, bending over the barrier. In this capacity, for example, a fitball, your assistant or a bed can be used.
- Ask your assistant.
- During contractions, make slight rotations of the pelvis to help your baby turn around as he passes through the pelvic cavity.
- If you lean back while sitting in a chair or bed, do not stay in that position for too long.
- If possible, try not to resort to, as it increases the likelihood that the child will be in the rear position during childbirth. Epidural anesthesia also increases the likelihood that instrumental obstetric intervention may be required.
- Feeling signs of exhaustion during childbirth, lie on your left side. This is because your pelvis will be able to expand to allow your baby to turn around while you rest.
WHEN THE STOMACH LOWERS ON THE EVE OF BIRTH (PHOTO)
The approach of childbirth is characterized by numerous changes in the body of a pregnant woman. , which indicate their near beginning.
Expectant mothers listen to themselves more and more and notice new sensations and changes. Child before childbirth moves much less than during pregnancy . Its activity is reduced, because there is little free space left in the mother's stomach. A pregnant woman may change her mood, her appetite worsens, training contractions begin.
The child, feeling ready to go out into the light, begins to move closer to the "exit". He takes the place of the presenting part in the small pelvis, taking a comfortable position for himself to wait for the start of contractions . Often before childbirth, the stomach hurts and turns to stone. Often women ask if the stomach drops. Of course, a real sign close birth the child is precisely . In fact, when the abdomen drops before childbirth, this means that the uterine fundus has occurred. Sometimes On the eve of childbirth, women have the appearance of blood . It can be used to judge the exit of the mucous plug.
Belly before childbirth, as seen in the photo, and its lowering for all women occurs individually - in different dates and differently. Many primiparous women feel omission before the onset of labor 2-4 weeks. When a woman gives birth again, the belly drops a few days before giving birth , as shown in the photo, or do not drop right up to the birth itself.
Characteristic signs of lowering the abdomen before childbirth:
- the disappearance of heartburn and belching, so tormented during pregnancy;
Easier breathing, because the uterus is no longer putting pressure on the diaphragm;
The appearance of discomfort when walking and in a sitting position;
Increased urge to go to the toilet on the eve of childbirth;
The presence of unpleasant pain in the perineum and pelvis. 
Some pregnant women do not notice these sensations. by the most in a simple way understand if you have drooping belly before childbirth (photo above) is to put your palm between your stomach and chest. If it fits there, it is likely that the prolapse of the abdomen before childbirth has already occurred, and you will soon go to the maternity hospital.
HOW TO UNDERSTAND WHAT THE BREAKS BEGIN BEFORE BIRTH
Pregnant women before childbirth are usually very afraid of the onset of contractions and the very process of childbirth. It is very important to understand how contractions begin.
The cervix of a woman during pregnancy tightly closed. At the very beginning, when contractions begin before childbirth, the uterus is also ready to open - its pharynx is smoothed out, expanding to 10-12 centimeters in diameter. During contractions, intrauterine pressure rises as the uterus begins to shrink in size. This leads to rupture of the amniotic sac resulting in the release of amniotic fluid.
How do you know if you're having contractions? At first, you will feel some discomfort in the abdomen, hips and lower back. At first, the contractions before childbirth will last only a few seconds, you will not notice much pain. The time interval between contractions will be about 10-12 minutes, sometimes - 7-8 minutes. All these sensations will no longer cause you a question, how to understand that the first contractions have begun.
Then the contractions will become stronger, more frequent and painful, and even with a shorter interval. This will be the next phase. Thus, the contractions will reach the moment when they last about 2 minutes, and the next comes after 60 seconds. If such moments occur, you should be prepared for the fact that labor will begin soon, in 30-40 minutes.
How to behave before childbirth? After all, the most painful and final stage of contractions is coming. Since a pregnant woman has a high diaphragm during childbirth, she can only breathe with her upper lungs. However, each breath should be accompanied by an infusion of air into the lungs, filling the upper chest freely. Carefully and easily exhale. In no case is it recommended to inhale air with effort, exhaling in jerks. With pain relief in childbirth, self-massage can be used without resorting to analgesics.
Press in front of the points along the thighs, and massage with slightly set back vibrating thumbs. Lying on your side with slightly bent knees is the most convenient position for lightly massaging the lower half of the abdomen, with the correct observance of the inhalation-exhalation rhythm. Stroking is done with your fingertips - from the middle of the abdomen to the sides. 
Once labor begins, some pregnant women vomiting may occur. It does not last long, no treatment is required. As soon as the vomiting stops, rinse your mouth with water and drink 1-2 sips of water, but no more, so as not to cause new nausea .
The second period of childbirth is characterized by the transfer of women in labor to the delivery room. You can manage the pushing yourself under the supervision of a midwife and a doctor. There will be an unpleasant feeling of strong bursting. From what your posture is and whether you are pushing correctly, the pain in general depends on the attempts.
It is necessary to completely relax and breathe deeply - while inhaling without delay. The strongest attempts are those attempts when the fetal head passes through the pelvis. When the fetal head appears, the midwife assists the woman in labor so that she does not tear the muscles of the perineum. Follow exactly all the professional instructions of the midwife. Remember that the baby's head will be removed from the genital tract when there is no pushing. Therefore, it must be restrained by relaxing and breathing only through the mouth without any delay in inhalation.
HOW THE MUCOUS PLUG IS DONE BEFORE CHILD
The passage of a cork before childbirth is very individual. However, this can happen no earlier than 3-4 weeks before delivery. Often, it departs 7 days before the onset of labor pains.
What does a mucus plug look like? It consists of a dense clot of mucus (photo at the link) , which closes the entrance to the uterus. The infection cannot penetrate there, so the baby is safe.
How does the mucous plug go before childbirth ? You may feel that clots of mucus are coming off. The mucous plug before childbirth (photo) looks beige, pinkish or whitish-yellowish. Often discharge may contain blood or streaked, as the cervix, expanding, causes the bursting of small capillaries. A small amount of blood on the eve of childbirth is quite normal. No need to panic. remember that this is a mucus plug. Just take a closer look.
Mucus plug does not look like normal discharge. It looks more dense. It is possible that it comes out immediately in large volume. From that how does the cork go before the birth, for example, little by little, gradually, this may not be noticed, but it can also be confused with secretions.
Most of the cases when the mucous plug has come off before childbirth occurs during the toilet or shower. However, if the characteristic cork came off before childbirth, while you were dressed, you can definitely see this mucus on the sheet or underwear.
The discharge of the cork sometimes happens directly during childbirth.
In the event that the cork has come off, and then the water or contractions, it means that you urgently need to go to the maternity hospital. It is also necessary to go there in case of bleeding after the cork is released. You should visit a doctor if the cork has come off too early, 14 days before the due date, especially when it is bright red.
The cork should not be accompanied by blood discharge. It only comes in dark colors.
AT WHAT TIME DOES THE CERVIC OPEN BEFORE BIRTH IN PRIMARY AND REPETIRATORIES
In every pregnant woman before childbirth, the reproductive organ becomes the maximum size. The shape of the uterus (belly) before the upcoming birth may be different. In the event that the fetus occupies the most unfavorable position and lies across, this means that the uterus is stretched in width just before the birth, and not in length. In this position, as a rule, according to indications, a caesarean section is performed.
With longitudinal presentation of the fetus, the shape of the abdomen acquires the correct oval shape. An irregularly shaped belly occurs in cases where the child deviates to the side.
During an external examination, the midwife analyzes the tone of the muscles of the uterus . The wall of the uterus is normally soft in a pregnant woman. However, with increased tone, it is solid. Uterine hypertonicity (increased tone) - one of the threats of abortion. An increase in tone can occur at any stage of pregnancy. Feelings will be in the form of pain in the lower back and lower abdomen. They can be slight, very strong, or sipping. Signs of pain depend on the intensity and duration of uterine hypertonicity before childbirth, as well as on the pain threshold. sensitivity of a pregnant woman . With a short-term increased tone, sensations of pain or heaviness in the lower abdomen are small.
The cervix begins to open before childbirth. This is the first stage of childbirth. It opens due to tension during contractions, when the muscles of the uterus contract.
The maturity of the cervix depends on the production necessary hormones in the body of a pregnant woman, namely prostaglandins. They have a complex effect - on the immune system, on the sensation of pain, on the regulation of blood pressure, secretion of gastric juice, blood clotting and uterine contractility.
Specialists should monitor when the cervix begins to open before childbirth. Women in labor are required to comply with all their professional requirements.
In primiparous women, the internal os of the cervix first begins to open, acquiring the shape of a funnel, and then the external os also stretches. Harbingers of childbirth in multiparous - the opening of the external os of the uterus on one finger. It happens at the end of pregnancy , and they are given easier opening of the cervix. The inner and outer os begin to open almost simultaneously.
Repeated births, as a rule, in women are faster and easier than the first. In order to give birth to a child without ruptures and not tear the cervix, one must listen and follow the advice of gynecologists who take delivery. The preservation of the perineum and birth canal of the woman in labor depends on them by 80%. To avoid episiotomy during childbirth, the gynecologist should lubricate the vaginal area and cervix with a special gel or oil, then straighten it and the folds. At the next stage, the doctor teaches the correct attempts. Don't neglect these tips.
special differences in the precursors of childbirth in primiparous and multiparous not available. A reliable determination of the onset of labor can only be made by monitoring the dynamics of cervical dilatation.
Harbingers of childbirth can be, for example, a change in mood. Often a woman manifests the so-called "nesting" instinct. This is when a woman begins to clean everything, wash, sew, clean up. In a word, prepare for the welcome meeting of the long-awaited baby.
Signs of the onset of labor are changes in motor activity the fetus itself. The child begins to calm down, then, on the contrary, to be very active. The baby begins to choose a rhythm, as well as prepare for the right moment of his birth.
From the female womb 1-3 days or a few hours before the onset of childbirth, mucus is sometimes released, which resembles egg white. In appearance, it is brown, very similar to the spotting of menstruation. The discharge may also be streaked with blood.
Before childbirth, a woman in labor may noticeably change her appetite in the direction of decrease.
A harbinger of childbirth can be the emptying of the intestines of a woman. A pregnant woman often goes to the toilet. The stool is much larger than usual. The urge to urinate will also become more frequent as the pressure on the bladder increases.
On the eve of childbirth, a woman may lose some weight - about 1-2 kilograms.
The lowering of the abdomen occurs due to the preparation of the child for the "exit" - he lies with the presenting part in the entrance of the small pelvis. The bottom of the uterus at this time deviates anteriorly due to a slight decrease in the tone of the woman's abdominals.
It becomes easier for a pregnant woman to breathe, as pressure is removed from the stomach and diaphragm due to the baby moving down.
When the child moves down, the woman may begin to experience pain in the lower back. , in the lumbar region.
Sometimes, the onset of labor is characterized by the appearance of dull, incomprehensible pains in the lower abdomen or lower back. There are also so-called girdle pains - when both the lower back and the stomach hurt.
The most reliable sign of the onset of labor is the presence of constant contractions in a woman in labor . At this time, the uterine muscles begin regular contractions with a steady rhythm.
Sometimes the amniotic sac may leak before delivery. . But it can break suddenly. In this case, all the water can flow out at once. If amniotic fluid leaked out, you need to urgently go to the maternity hospital.
HOW TO ELIMINATE PAIN BEFORE CHILD (BUT SHPA, CANDLES BUSCOPAN, CANDLES WITH BEAUTIFUL, OIL, ENNEMA, SANATION)
Pregnant women before childbirth are recommended a special diet that helps the digestive system prepare for labor. vegetable oil before childbirth, it has a beneficial effect on stretching and contraction of the uterus. In addition to everything else, dishes with vegetable oil enrich the body with vitamin E and are a means of preventing hemorrhoids and possible ruptures.
Women must visit preparatory classes during pregnancy, where they will be taught how to breathe properly , introduce you to an adaptive comfortable posture, as well as perform effective exercises (including the Kegel method for intimate muscles ) to reduce pain.
Pain, sometimes delivering unpleasant moments to a woman before childbirth, is a harbinger of labor activity. On the pain Before a normal birth, the following factors may affect:
health status and age of the mother;
physiological and psycho-emotional preparation for childbirth;
menstrual irregularities fixed before pregnancy;
the size and position of the fetus;
premature birth;
woman's pain threshold;
individual anatomical features of the pelvis, muscular, hormonal systems, etc.
False contractions are a typical first cause of pain before childbirth. This process is often referred to as training. At this time, the muscles of the uterus begin to contract, coming into tone for only one minute. Thus, the woman's cervix is prepared for childbirth. Such sensations appear after 20 weeks , but they do not cause severe pain.
False contractions are intended to prepare a woman's body for labor. They are usually not intense and are concentrated in the lower abdomen.
Prepartum pain symptoms that require special attention in order to understand signs of the onset of labor:
constant uterine contractions;
the frequency of repetition of pain with a break of 10-20 minutes;
reducing the gap between contractions to 2-3 minutes;
rapid relaxation of the uterus in between contractions;
the nature of the pain is widespread, pressing and girdle.
Drawing pains before childbirth signal the imminent birth of a child. They start at 33-34 weeks. This process is due to stretching of the ligaments and muscles. In other words, preparation for labor activity. Pain is localized in the lower abdomen . This is due to false contractions and the preparatory period, when the uterus becomes toned, and the cervix shortens and decreases. Pain in the lower abdomen is therefore adaptation period, which helps prepare muscles, ligaments and tissues for normal labor activity. It is not necessary to dramatize the pain sensations, since they are explained by a simple physiological stretching of the uterus and displacement of the organs located nearby.
Cause of pelvic pain before childbirth is to increase the tone of the spiral uterine ligaments. Such sensations are especially characteristic of pregnant women who have a history of pelvic muscle distortion (twisted pelvis). The ligaments that attach the uterus to the pelvis, as a result of the sacroiliac displacement, are unevenly stretched, thereby causing pulling pains in the pelvic and lumbar region.
Chest pain accompany almost the entire period of pregnancy. This is normal. Within nine months, the mammary glands undergo changes. The most noticeable breast growth is after 30 weeks, when the glandular tissue grows rapidly. The capsules of the mammary glands stretch strongly, like the skin of a pregnant woman. This is what causes chest pain.
Back pain before childbirth, they are associated with the movement of the child into a natural prenatal presentation - head down. The fetus presses on the lower back, and the connective tissue of the sacroiliac zone is stretched. The lower back hurts mainly during contractions.
Hormonal dysfunctions in women provoke the expansion and relaxation of the pelvic joints and intervertebral ligaments.
Due to the large abdomen, a physiological shift occurs ahead of the center of gravity of the body. It leads to compensatory tension of the back muscles. At this time, posture may be disturbed and a curvature of the spine may appear.
Factors that cause pain in the perineum before childbirth:
weight gain loads the lumbosacral region, which leads to pain in the perineum;
increased production of the hormone - relaxin, which controls the elasticity of interosseous joints;
gradual expansion of the pelvic bones (pubic joints) in preparation for labor.
To prepare the birth canal for the passage of the fetus, doctors prescribe No-shpa before childbirth. However, it should not be taken without the appointment of a specialist. No-shpa is contraindicated in hepatic, renal and isthmic-cervical insufficiency. Theoretically, it sometimes causes premature onset of labor, as it accelerates the opening of the cervix.
Usually it is prescribed by specialists along with other drugs, more often with suppositories. This Could it be Buscopan spark plugs?, Papaverine and candles Krasavka. Experts assure that before giving birth, No-shpa can help determine the authenticity of contractions. In case you are not sure whether these contractions are real or false, then you can take two tablets of No-shpa . If the pain becomes more frequent and intensifies, it is recommended to go to the maternity hospital.
Candles Buscopan will have a stimulating and relaxing effect on the muscles of the cervix. Thus, they contribute to its disclosure. As a rule, they are prescribed to prepare the cervix and accelerate the development of the first stage of the childbirth process.
Buscopan suppositories before childbirth are prescribed only if the expected benefit from them is higher than the potential harm to the child and mother. Of course, the best option would be if you do not use them at all. But in the last weeks, at the end of the third trimester, gynecologists quite often prescribe the use of special suppositories for pregnant women.
The main thing that a pregnant woman should know is that Buscopan suppositories cannot be used in the first trimester, as well as for constipation. the best way The solution to this problem will be a revision of the diet. Thus, Buscopan suppositories can be used no earlier than the 38th week of pregnancy in order to prepare the muscles of the uterus as much as possible in order to facilitate future childbirth.
In candlelight with belladonna contains belladonna extract. The drug is produced in the form of rectal suppositories. It is used in the treatment of hemorrhoids and anal fissures. An additional function of this drug is to provide a relaxing effect on the cervix.
Candles with belladonna have proven to be very effective in relieving cervical tension. However, they still fail to completely relieve pain when the cervix opens. Candles with belladonna are used before childbirth only if the pregnant woman does not have the risk of hemorrhoids and a predisposition to slow opening of the cervix.
A pregnant woman is given an enema just before giving birth.. The absence of feces can facilitate the movement of the baby's head in the pelvis, because in this case there will be no seals when moving through the birth canal. The ability of an enema to tone the vagina, stimulating contractions and improving the birth process, is its undoubted plus.
An enema before childbirth is very simple. Prepare a solution from a decoction of chamomile, for example. Water temperature is recommended no more than 37 degrees. Fill the mug with the solution, let the air out of it and fix it at the level of one meter from the place where you will be.
Soap, cream or petroleum jelly, lubricate the tip of the tube, release the air and carefully insert the tip. Gradually, you should feel the filling of the intestines. If there is no such sensation, try changing the direction of the tip. Make sure that air does not get into the intestines. If you feel discomfort, start breathing slowly and deeply, stroke your stomach and relax. After the solution is introduced, go immediately to the toilet.
Sanation- one of the important components of preparing pregnant women for childbirth. Sanitation is called purification from pathogenic microorganisms of the birth canal. When a child is born, it comes into contact with the walls of the birth canal. He can swallow lubricants, secretions, etc. In the case of pathogenic microflora, the risk of various infections in the baby in the postpartum period increases (thrush in the mouth, conjunctivitis, etc.)
To clear the birth canal, use antiseptics. It can be a decoction for washing from St. John's wort, sage or chamomile. Dissolved baking soda well relieves burning sensations and itching.
In addition, doctors may prescribe antiseptics in the form of tablets or suppositories before childbirth. They will be aimed at combating pathogenic microorganisms. The most common drugs are vinylin, miramistin, clotrimazole, terzhinan , chlorophyll solution.
It should be noted that antibiotics do not work on Candida fungus. This means that antibiotic therapy only involves the fungus itself. Antifungal antibiotics are such antibiotics. For example, nystatin contained in terzhinan.
Especially useful during pregnancy is the use of olive oil on an empty stomach, which normalizes the functioning of the gastrointestinal tract, relieving a pregnant woman from constipation. In the last months of pregnancy, constipation in women is a very common occurrence. Olive oil it is also an excellent remedy for late toxicosis in the last months of pregnancy . To soften the cervix before childbirth, it will also not be superfluous to use olive oil.
HOW WATER IS DONE IN PREGNANT WOMEN
Answering the question of how amniotic fluid in pregnant women departs, we can say the following. Before childbirth, the fetus increases pressure on the cervix of the woman in labor. The shell at a certain moment may burst, then amniotic fluid is poured out. However, even in this case the child is not in dryness, since it is mainly that part of the anterior waters that was between the head and the cervix that is poured out. In addition, the waters are replenished and renewed every three hours. Sometimes the water breaks before the contractions come.
Understanding now how the waters of pregnant women who begin to give birth, you need to know that they sometimes leave immediately in a huge volume, which is about 200 ml, or a glass of liquid. This process is such a feeling, as if the cork was taken out, the exit opened and a bucket of water is poured out, at least. Such a process cannot be confused with anything. If this happens to you, you will have no doubt that the amniotic fluid is already breaking.
Sometimes the water leaves in a peculiar way, leaking in a small amount, little by little. This is simply due to the fact that the amniotic membrane is torn from the side or from above.
Light-coloured waters, almost colorless, are considered normal. They are sometimes slightly cloudy and should not have an unpleasant or pronounced odor.
After the water pours out in a pregnant woman, contractions can immediately begin. Sometimes this happens after a few hours.
The most favorable and successful option for women will be the departure amniotic fluid after the fight started. This process takes place against the background of very strong contractions of the pregnant uterus.
It is not worth accelerating childbirth with medications when the fetal bladder is intact, therefore, the penetration of infection is impossible. If the water remains, then the contractions will not be very painful. In this case, the opening of the cervix will be more effective.
Apply for urgent medical care it is necessary in the case when the departed waters are greenish in color. Such green color signals that the fetus has either experienced, or is currently experiencing, a serious lack of oxygen. This also happens when some of the contents of his intestines - meconium, the original feces, get in.
The temperature before childbirth can sometimes be elevated. This signals an ongoing pathological process. Fever should not be taken as a symptom of approaching labor. She, of course, can rise, as a reaction to contractions and stress. But often she talks about an existing infectious disease in a pregnant woman.
An increase in temperature, which is associated with an obstetric infection, acquires serious significance for the child. Premature leakage of water, not diagnosed for a long time, leads to inflammation of the membranes - chorioamnionitis. It can develop as early as 3-4 days in full force after damage to the amniotic sac. This happens if the pregnant woman did not turn to the doctors in a timely manner, therefore she did not receive any protection from them. Watch not only for the temperature, but also for the discharge of amniotic fluid.
If an infection has got inside the womb, then the child will not resist it well. At first, bacteria can affect the eyes, resulting in conjunctivitis and blepharitis. The lungs may be affected in utero (congenital pneumonia). Penetrating into the blood, bacteria cause blood poisoning (sepsis) and meningitis.
In the first days immediately after birth, it is very difficult to treat a child with intrauterine infection and infections.
The fear that often occurs in pregnant women before childbirth is the most common among nulliparous women. This is a completely natural phenomenon. In order to successfully overcome it, it is necessary, first of all, to think about the child and his safety.
Tune in to your behavior when you need to listen to the opinion of an obstetrician-gynecologist. Only in this case, childbirth can be easy, quick and relatively painless. A little pain will only speak of their positive resolution. Always believe in your own strength.
Overcoming fear, as a natural reaction of the body, is necessary because during childbirth it is an absolutely useless thing. And even harmful. Installation on a favorable outcome of childbirth, and your confidence in this will help to successfully overcome it.
Do not listen too much to the stories of friends who have already once given birth and are now savoring the smallest details of the process, sharing with you the details of their already forgotten sensations, and maybe somewhat exaggerated. The best option for you will be the passage of preparatory courses for pregnant women. There you will have the opportunity to ask all your questions, to which you will receive comprehensive and very useful answers from professional medical professionals.
Look for only positive information about childbirth. Listen to the stories of those who consider childbirth the most amazing and wonderful moment of life.
Pregnancy is a natural process for a woman. As is often said, pregnancy is not a disease. Don't neglect exercise. Continue to do gymnastics and go to the pool. Your activity for nine months will be the basis for the absolute preparation for childbirth.
LAST PREPARATIONS BEFORE DELIVERY (WEEK). WHAT TO BRING WITH YOU TO Maternity Hospital
The long-awaited week before the birth has come after so many days and a month of waiting for the baby to appear. 36-37 weeks are already called the prenatal period. The baby may already be born any time. Now future mothers are beginning to experience fears that are not associated with pregnancy, but with the upcoming birth, increasingly thinking about the very process of childbirth. But first you need to do some recommendations of experts in order to childbirth was successful and without complications . Pregnant women themselves can largely contribute to this if they unconditionally comply with the requirements and advice that doctors give them.
Recommended approximately one month before expected delivery, starting at 36 weeks gestation , remove animal protein from your diet: fish, meat, butter, eggs and milk. The diet at this time for you will be dairy products, cereals on the water, a variety of plant foods, fresh juices, baked vegetables, herbal teas and mineral water.
As the due date approaches, the diet becomes more restrictive. This is due to the fact that before childbirth, the intestines should not be overloaded. It is also recommended to refuse fermented milk products in the last days before childbirth.
Specialists recommended to make a complete sanitation of the birth canal, starting from the 36th week of pregnancy. This is done in order to cleanse the birth canal from pathogenic microflora and ensure their purity directly during the upcoming birth. The risk of infection of the child increases if there is any infection in the birth canal. For example, herpes, banal thrush and STDs . A child can become infected with all this when passing through the birth canal.
Throughout the nine months, pregnant women should be weighed regularly. Weight gain for all this time by 9-13 kilograms is considered optimal. Such a calculation is done along with the weight of the baby, uterus, amniotic fluid, breast, placenta. The placenta, we note, at the end of pregnancy becomes much heavier and grows in size.
Urine donated by a woman before each doctor's appointment is examined for the presence of sugar and protein in it. . Protein can signal the so-called preeclampsia. This late toxicosis, or toxicosis of the second half of pregnancy. The presence of sugar is known to be indicative of diabetes.
You can exercise and swim in the pool until the very birth. Do not under any circumstances give up on this.
The day before giving birth, a woman should get enough sleep. Sleep can be at least 8-10 hours. This is only the minimum time, do not deny yourself sleep, because it calms the body. The main thing is to feel rested and energized.
Before childbirth, doctors prescribe No-shpu to pregnant women , as well as candles with belladonna. They are necessary in the preparation of the cervix of those women who are at risk of slow dilatation.
Very often, before giving birth, a pregnant woman begins to feel sick in a few hours, vomiting and diarrhea appear. Do not panic, this is the way the body begins to prepare for childbirth, naturally clearing itself of everything superfluous.
Childbirth immediately begins with regular labor pains. At first they pass with an interval of 10-15 minutes. Then they become more frequent, become much stronger. There is a gradual opening and smoothing of the cervix. Then the mucus, slightly stained with blood, begins to depart, a fetal bladder forms.
Two weeks before the upcoming birth, it is recommended to think about what to take with you to the hospital ? Do not take anything extra, so as not to return home later. Here sample list necessary things.
1. Required documents.
2. Things required during childbirth.
3. Things that will be required after childbirth.
4. Necessary things for a newborn baby.
5. Necessary things for discharge:
- things for mom;
- things to be discharged for the child;
- required documents.
The best list of things to take with you to the hospital:
Maybe you just need take some other things to the hospital additionally. Consult with your family doctor and specialists who monitored your health during pregnancy.