Surely you have already managed to give birth to friends about how much is childbirth. Some told you the saga in the spirit of "a day lasts longer than a century" (and were not far from the truth if there was a prolonged birth), others waved off - gave birth, they say, and did not notice. Which is also partly true if it was a case of rapid delivery, and even repeated.
How long does the birth really last?
Duration of delivery depends on many things, and it is impossible to accurately name the time that will be spent on the birth of a baby. Here plays the role of the age of the mother, the position of the fetus, the state of health of both.
Also, the duration of labor is influenced by emotions, physiological characteristics of a woman, even the use of painkillers. And this is not the whole list.
Doctors, however, determine the average time of normal delivery in this way.
If you are giving birth for the first time, the process will take 6-10 hours for some sources, 15-20 for others. This discrepancy, it seems, is due to the fact that in the first case, the actual phase of labor is considered, and in the second, all stages.
Therefore, I propose to consider all periods of labor, their characteristics and duration.
Duration of labor: the first period
This period is divided into 3 phases.
The first phase, referred to as latentIt takes most of the time, and can last up to 9 hours. At this time, contractions begin, while they are rather weak, the cervix becomes softer and more elastic and begins to gradually unfold. This happens rather slowly and for the entire first phase there is a disclosure of 3-4 centimeters.
The second phase is active. - continues from 3 to 6 hours. At this time, contractions become stronger, more painful, occur more and more, the cervix continues to open. By the end of the phase the neck should open up to 7-8 centimeters.
Third, or transitional phase, actually means the transition to the process of birth, that is, attempts. At this time, the contractions become even stronger and more frequent, the cervix opening up to 10 centimeters. Phase lasts from several minutes to an hour and ends with the feeling that you need to tighter.
This is the signal that the second period began.
Duration of labor: second period
At this point, in normal childbirth, the neck has opened up to 10 centimeters, that is, it is quite capable of missing the head of the baby. During the attempts the doctor will ask you to make every effort to push the head out. Then the doctors will help him to get out into the world.
In normal childbirth, this the period lasts about 45 minutes for women who give birth for the first time and half as much for those who give birth again.
This is a very crucial period. Here, if the case drags on for a long time, the doctors will have to help the kid, using tools or other methods. It is necessary to understand that this is necessary, since the baby, while staying in the birth canal for a long time in an uncomfortable position, may suffer.
Duration of labor: the third period
Actually the baby was already born and you are completely happy. You want to close your eyes and relax, but it is still early. After the baby is born, the afterbirth should be released, which is still left in the uterus.
In some cases, everything happens quickly, and the afterbirth comes out literally a couple of minutes after birth. If this does not happen, the doctors will wait, but no more than half an hour, since after this time, an independent exit of the placenta is already unlikely.
Then the midwife simply helps him to separate with the help of special, practically painless manipulations.
That's all. But still it is necessary to take into account that after childbirth small operations may be necessary in case of cracks and tears of the fabric. Also, some time you have to spend in the delivery room with a cooling heater to stop the bleeding.
In conclusion, I would like to focus your attention on the fact that you yourself can in some way influence duration of labor.
For example, it directly depends on your emotional state, how much is labor. If you experience fear and distrust of doctors, the process can be delayed. Experiencing psychological stress, you thereby provoke muscle tension, which should not be done.
In this case, doctors may resort to the introduction of drugs that stimulate labor. On the one hand, there is nothing terrible about it, this is a normal practice. On the other hand, in this case, the contractions will become not only frequent, but will also be more painful than in a normal state.
Also a significant role in that how much is laborplays your behavior, especially in the first period. If you are lying still on your back, then you do not use gravity to speed up the process. It is much better to stand or walk (of course, not too fast), then the baby will quickly “move to the exit”. At worst, you can lie on your side or sit down.
But it should be borne in mind that at some point you will be banned from sitting and then you should obey the doctors.
Childbirth can be delayed if you decide that you can not tolerate the pain and will require anesthesia before the birth enters the active phase. According to the observations of physicians, such an untimely intervention often leads to a weakening of labor activity.
So, it is better to gain strength and endure.
Good helpers and massage of special points will be good assistants at this time.
Women's magazine JustLady
The content of the article
- How long does the first birth last
- How long do the first birth
- How do births occur in 2018
The first birth is a long-awaited and very exciting event. Primiparous woman often worries about the outcome of a little stronger than is reasonable. Her anxiety and excitement are explained first of all by uncertainty - after all, it is not clear what will have to go through. She can endlessly ask herself the same questions about the behavior during childbirth, their pain, duration. But especially there is nothing to worry about.
How long can delivery last
Before it was believed that during the first birth this period should last no more than 24 hours. Now these terms are considered slightly different. According to the doctors, at birth of the first child it is quite normal, when childbirth continues until 18 hours. The average duration of the first birth is 11-12 hours.
It should be borne in mind that the factors on which the duration of labor will depend, can be quite a lot. Almost never exactly guess how long it will take to have a baby. It is important and the age of the pregnant woman, and the health of the baby and mother, and presentation.
An important role is played by the psychological state of the pregnant woman, physiological features, medicines, which the woman took, and much more.
How to calculate the time of delivery
The total time can be calculated from the moment the contractions begin, before the afterbirth is born. Normal uncomplicated contractions last about 10 hours. The initial stage may be generally imperceptible to the future mother. The next stage will take about an hour - at the end the child will be born. After this comes the third stage - its duration is the shortest, hardly more than half an hour. There is almost no effort from the woman in labor. In most cases, the afterbirth comes from one of the contractions, which become much easier after the birth of the child.
We can assume that the birth is complete. In some cases, you will need to perform a few more manipulations. For example, during childbirth, perine tissue tears could happen - in this case stitching is necessary. And after the birth will bleed - it will need to stop. A hot water bottle with ice is placed on a woman's belly, for some time she will be in a delivery room.
When the first birth occurs within 4-6 hours, they are called fast. With a smaller period it is already a rapid birth. With a duration of more than 18 hours, childbirth is considered prolonged. In this case, doctors may decide to stimulate the process with medications or decide on a cesarean section.
Differences first birth
The first birth is different from the next. Subjectively, women consider them the most difficult and painful. The appearance of the first child takes more time, mainly due to the longer first stage. Full disclosure of the cervix for the first time takes 13-18 hours, and the next - 10-11. This is due to the fact that in the first birth, under the action of contractions, the inner uterine pharynx first opens and then the outer one. In the process of multiplication, both processes proceed simultaneously.
Many women note that contractions seem less painful the second time. This can be explained by greater ductility of the cervix and psychological readiness of the mother.
The period of exile in women in the first birth takes 1-2 hours. In the event that a woman has already given birth, then this stage is somewhat shorter - 0.5-1 hour. As for the third stage, its duration in the first and subsequent births is not significantly different and ranges from a few minutes to 2 hours.
Why the first birth is longer
For the first time, an effective labor activity is not established immediately - the central regulators in the brain and the receptors in the uterus “learn” the correct interaction at the time of birth of the first child. Accordingly, the second time the body no longer "learns", but only "remembers" the necessary mechanisms. The main hormone responsible for the generic activity - oxytocin - is produced in the hypothalamus. His role is especially great in the first stage of labor.
The duration of the first birth is significantly longer due to the duration of the disclosure phase. In addition, the expulsion of the fetus takes more time. The passage of the fetus through the birth canal in the second stage is slower in the primiparous, since the tissues for the first time are subjected to strong stretching and have a strong resistance to the movement of the presenting part.