CHILDBIRTH

Ways To Relief PAIN During Childbirthwww.layyous.com

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What Is Labour?

When The Time Comes, Uterine

Contractions Will Make The BABY To

Go Out To LIFE

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There Are THREE Stages Of labour

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1st StageTime:Primigravida : 8-12 hours in primigravidaMultipara: 4-6 hours in multiparaDilatation Of Cervix : cervix 10 cm to allow the passage of the head.

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Time:Primigravida : Mmore than 42 minutes in primigravida Multipara: Between 10-30 minutes in multiparaIt is the stage of passage of the head.

2nd Stage

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Time:10-20 minutesIt is the stage of passage of the placenta.

You may feel irregular, and separate labour pain in the last weeks of pregnancy, and once they become regular intervals, about 5 minutes, it is the time for delivery.

3rd Stage

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Causes Of Labour Pain Cervical dilatation Contraction and retraction in the

lower uterine part Contractions and retractions

affect blood vessels & accumulates metabolites which leads to pain.

Contractions cause tension on the ligaments that hold the uterus

Where you may feel pain?Down in the abdomen.

Sides of the pelvic bone. Umbilicus down to the

genital area. Lower back.

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Signs of labour: Labour pain : regular uterine contraction very

often, Pain can’t be relieved by analgesia. Bloody show. For primigravida : feel irregular uterine

contractions ½-1 hour apart, Can be relieved with analgesiaWhen should you go to the hospital?1- If labour pain started.2- Heavy sudden bleeding.3- Passage of watery vaginal Discharge 4- Passage of greenish watery vaginal discharge

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What Should You DO During Labour

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1st Stage Of labour:1- Don’t push downward.2-Take slow deep breath.3-Lie on the left or right side.

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2nd stage of labour: Follow your doctor’s instructions, by taking deep breaths, then push downward (as if you want

to defecate), then rest and relax in between

contractions. Please do not scream in this stage, or

pull your hair, or jump from the bed.Your doctor may need to cut an incision in your perineum especially in primigravida to help your baby through the process. This is done under local anesthesia.

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Empty your bladder. When blood gushes out of your vagina your

doctor will pull the umbilical cord, so try to help by pushing down, then he will do uterine massage to help the uterus to contract.

Once labour is finished, your doctor will start suturing your perineum under local anesthesia.

In cases of difficult labour, your doctor may need to use vacuum or forceps, in order to get the baby out, so you need to know what type of delivery may be necessary.

 

3rd stage of labour

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  It can be done under general or spinal

anesthesia. It is done to save the life of the mother or

her baby as in cases of: Cephalo-pelvic disproportion Fetal distress, Placenta previa, Severe bleeding, Severe pre-eclampsia.

Caesarean section

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How pain could be managed during labour?

 Psychoprophylaxsis or natural birth:

In this method, no analgesia is used but it involves increasing the spirit of the pregnant woman, and asking her to relax, breathe deeply and slowly,

So, if the doctor explains what will occur during labour to the pregnant woman, especially to primigravida, this will help her to tolerate pain.

Pain Killing Drugs:Which are given either intramuscularly or

intravenously.Type of analgesia, its method of

administration, amount of medication, (depends on the patient condition during labour).

How pain could be managed during labour?

In this method, the drug is inserted in the epidural space after local anesthesia.

The anesthesiologist will test the efficiency of the drug by pricking the patient gently, starting from the thigh to the abdomen

It usually has no direct effect. It may lengthen, shorten or not affect the duration of delivery.

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Epidural Analgesia

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Analgesia during labour is a choice left for the pregnant woman, and her doctor, to determine if this is possible or not.

If you notice any of these things, call your doctor immediately:Bleeding.Passage of watery vaginal discharge.uterine contraction lasting 15-20 seconds in

the beginning then increase to 40-50 seconds, occuring at 2-3 minutes intervals. At this time, concentrate on taking deep and slow breaths.

Important Notes 

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When you arrive to the hospital, the nurse and the resident doctor will assess your condition, if it is early labour, then you may be discharged home.

If you are in true labour you will be admitted to the hospital.

You also may be admitted to the hospital if you are hypertensive, or complain of pre-eclampsia, diabetic, or if there is fetal distress.

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PREPARATION For Birth

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After delivery, your baby’s mouth and nostrils will be cleaned from mucus, and covered.

The umbilical cord will be cut in order that your baby will breathe from his nose and mouth.

Then another sequence of contractions will occur in order to deliver the placenta.

You will carry your baby between your hands and his weight and length will be measured.

PREPARATION For Birth

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