1 stage of LabourContractions open (dilatation) The cervix. (fully dilatated) Contractions quite painfull and regular about 5-10 min quicken 2-3 min. Duration about 45-60 s. Primipara proactive contractions even 48 hours latent Stage, Internal rotation.1 stage last Primipara about12-14 hours and Multipara 6-7 hours, 1 stage end cervix Opened and fetus is settled down(descend)
Stage 2Cervix is dilatated 10 cm and the Foetus is settled in a good presentation Mother feels need to push, Head rotation (face to the side) external rotation, check the umbilical cord (neck!) help The upper shoulder to be born then the Lower shoulder. Raise the newborn infant to the mother when the umbilicar cord Pulse rate stop close itcut it check the baby, If necessary suck Mucus of the upper airway, DRY the infant CAREFULLY SKIN CONTACT !! Breastfeeding, After childbirth bloodsamples Of umbilicus cord, Measure: weight, height, measurement of head, k-vitamin inj. (i.M), t.Ax. Apgar (1/5/10 min) pulse, breathing, Appearance, Activity, Grimace.
Stage 3Separation and expulsion of Placenta and membranes, Control of postpartum bleeding, Bleeding normal 500 – 1000 ml, Contraction of the uterus, 10-20 min., Suturation (sewing), Check Placenta, membranes etc.
Epidural And spinal blockis always administered by an Anaesthesiologist. Monitoring the condition of the mother and the baby is Intensified after applying the anaesthetic. Epidural anaesthesia is Administered when labour is well under way. The anaesthetic effect sets in About 15 minutes after administration. More anaesthetic may be administered to The epidural space via a separate catheter throughout labour and delivery. Spinal Block is given once; the effect lasts about 2 hours. Laughing gas can be used For pain relief throughout the dilation phase. The gas is inhaled using a mask During contractions. Laughing gas poses no risk to the mother or the child, as It is quickly eliminated through the lungs.
Caesarean Section may be pre-planned, or a Decision to use Caesarean section may be taken during birth. The reasons for a Caesarean section may include poor progress of the birth, infection or factors Related to the baby. Caesarean section is usually performed under spinal Anaesthesia, but it may also be performed under general anaesthesia.
Preterm Birth refers to birth at less than 37 weeks of gestation. Decision about Delivery method is always made by a doctor.
Time when the mother's body returns to state before the birth. The start of
Duration varies individually, an average of 5-12 weeks (post-inspection). Recovery continues in all, for about a year. Ovulation: no breastfeeding for About 4 months and breastfeeding for about 8 months postpartum. After the Birth, the mother stay in ward 3 to 5 days Post-natal care plan takes into Account the mother's condition and needs individually. Symptoms: wound redness, Swelling, and pain and festering sore. Treatment: painkiller, rest, no sitting, Bowel function, wound shower in each toilet trip, air bathes, and antibiotic Treatment of an infected wound, 4-10 day after labour, bleeding after labour Smells bad, lower abdominal pain, sore uterus, fever, feeling generally unwell Treatment: Antibiotics, pain medications, hydration and rest. Nipple sores, inflammation Of the breast: pain, swelling, redness, fever, headache.Treatment: check out How the baby breastfeeds, painkillers, breastfeeding, antibiotics. Baby Blues:tearfulness, hormones, fatigue, difficulty sleeping, if prolonged can Turn into depression. Treatment: help daily life, sleep, rest, relaxation, Exercise and good nutrition.
Before a Child going home the pediatrician makes a repatriation inspection. The doctor Will evaluate your heart, lungs and other internal organs size. Also, the child's Reaction to to irritation, such as light and sound are reviewed, as well as Muscle sinevy and the so-called primaari reflection. Punaheijaste examined and Nurse examining a hearing before the medical examination. If necessary, the Explanations extended by laboratory tests and X-ray studies. Check out a home Inspection is an effective way to ensure the child's well-being. However, one Hundred percent attention is not because of congenital problems, such as some Heart defects and neurological problems, may occur only during the coming weeks Or months.
Breast FeedingPositives:Reduce childhood obesity, Type I and II DM, Cardiovascular Disease, Maternal risk of premenopausal breast cancer, Ovarian cancer, DM II, hypertension, Cardiovascular disease, Sudden infant death is less frequent among breastfed Infants, Severe respiratory infections, diarrhoea, ear infections. Ensuring Individual Breastfeeding support Good, consistent basic education and Continuing education, IndividualBreastfeeding counselling, Recognize the need for support and focus Breastfeeding counselling to the riskgroups (discontinuation of breast-feeding Risk groups: young people, low-skilled, low-income mothers),Family-centered Counselling! Involve family members in breastfeeding education. Breastfeeding Support during pregnancy and delivery and after birth, Uninterruptedbreastfeeding Support from antenatal care to child welfare clinic, Breastfeeding support During pregnancy, BF support in maternity hospital, BF support after hospital Discharge.