Rapid and rapid childbirth. Quick delivery

  • The essence of the concept
  • The reasons
  • signs
  • Peculiarities
  • Treatment
  • Effects
  • Prevention

Preparing for the long-awaited birth of a baby, every woman dreams that it goes well - without complications and as quickly as possible, so as not to endure painful contractions for too long.

In fact, the whole process lasts differently for everyone: for someone everything ends in 2 hours, and for some it is resolved from the burden only at the end of the day. Both of these are pathological. And those very quick births that all expectant mothers dream about do not always end well. What is the reason?

The essence of the concept

First, you need to figure out what fast delivery means and whether they are actually dangerous for mom and baby.
Secondly, it is desirable to breed two very close concepts that exist in gynecology - rapid and rapid childbirth.
Thirdly, you need to understand that they will be different for primiparous and multiparous. For some, the body experiences such stress for the first time, which means that the cervix, birth canal, pelvic bones - everything will diverge much more slowly. For others, the so-called “memory of the body” works + all the organs involved in this process have already been stretched the last time, so now it all happens with the least amount of time. The birth canal is better prepared, and the cervical canal is stretched immediately along the entire length, and not gradually.

According to medical terminology, a quick labor is one that lasts less than 6 hours in primiparas and less than 4 in multiparas. In the people they are also called street. Normally, this period of time should be from 7 to 15 and from 5 to 12 hours, respectively. It is calculated based on the average normal value for a primiparous woman - the speed of cervical smoothing, which is 1 cm per hour. Anything that does not fit into this framework is considered pathology in gynecology.


There are also rapid labors that can last as little as 4 hours when the first child appears and 2 hours if the mother already has children.

Why is the baby in such a hurry to be born, endangering not only his own life and health, but also his mother? The main reasons are the characteristics of the female body, not the fetus. If a pregnant woman pays attention to them initially, she will be able to avoid rapid childbirth and the complications associated with them.

It is interesting. Previously, midwives used to say that a woman in labor should not meet the dawn twice, that is, childbirth should not last more than a day.

The reasons

As a rule, the causes of rapid labor in nulliparous and those who have already given birth are the same. With timely diagnosis and regular monitoring by a doctor, they are detected long before the birth of the baby. With the correct and coordinated actions of the pregnant woman and the gynecologist, they can be eliminated. These include:

  • pathology of the uterus;
  • isthmic-cervical insufficiency;
  • discoordination of labor activity, when the duration and power of contractions are unpredictable;
  • diseases of the endocrine system;
  • problems with the nervous system;
  • pathological course of pregnancy: polyhydramnios, multiple pregnancy, low location of the placenta, placental insufficiency, large fetus, Rh conflict, preeclampsia;
  • psychological unpreparedness for childbirth: fear provokes the release of adrenaline in huge quantities, which disrupts the regulation of labor and leads to its discoordination;
  • inflammatory diseases transferred during pregnancy;
  • abortions and miscarriages in the past;
  • diseases of the uterus: tumor, adenomyosis, endometritis;
  • operations on the uterus;
  • menstrual disorders before conception;
  • if all previous births were fast;
  • the age of the woman in labor is less than 18 years or more than 35.

Timely elimination of these causes reduces the risk of rapid childbirth, and hence the complications that they are fraught with. If it was not possible to avoid this, you just need to prepare well for this process in order to help your own body and the baby overcome all difficulties without consequences. It is quite possible. And the first step on the way to this is to understand from the very beginning of the contractions that it goes much faster for you than it should be in the norm.

According to statistics. Rapid delivery is diagnosed in 1% of cases.

signs

What signs may indicate that rapid labor has begun in primiparas:

  • a sharp increase in heart rate;
  • erratic breathing;
  • contractions move from the top of the abdomen down for 3 hours instead of the prescribed 5;
  • at the first stage of labor, contractions are repeated every 7-8 minutes instead of the normal 10-15;
  • the first contractions last 20-25 seconds instead of the prescribed 10-15;
  • pushing lasts less than an hour instead of two.

Approximately according to the same scheme, childbirth begins in multiparous, but they are much less painful. However, the risk of repeated ruptures, if they were before, increases. With a colossal load on the organs involved in this process, the old seams do not withstand and diverge again, no matter how well they were made the previous time.

To be prepared for all the unexpected, it is useful for a woman to know how it all happens in order to behave correctly and reduce the risk of complications.


Peculiarities

If you have already understood that a quick birth cannot be avoided, calm down and try to behave correctly at each stage of the difficult process. A lot depends on this: consequences, complications, injuries, ruptures, etc. If you prepare well and do everything that the doctor says, the risks can be minimized.

First period

  1. The cervix opens.
  2. In primiparous with rapid delivery, it lasts about 3 hours, in multiparous - only 1 hour.
  3. There are regular contractions of the muscles of the uterus - contractions. Occur involuntarily, but with a certain frequency.
  4. They are felt first - at the top of the abdomen, and then spread down for 3 hours instead of the prescribed 5.
  5. Contractions are repeated every 7-8 minutes instead of the normal 10-15, with the first lasting 20-25 seconds instead of the normal 10-15.
  6. Under the influence of contractions inside the uterus, pressure rises, the cervix becomes shorter and opens.
  7. With rapid labor, contractions are extremely strong and occur by the end of the period almost every 2 minutes.
  8. At this stage, such a rapid labor activity can lead to violations of the uteroplacental or fetal-placental blood flow, hypoxia, fetal death, placental abruption.

Second period

  1. If the first period of rapid labor is completed successfully, you need to prepare for the second stage - the pushing one.
  2. Duration - about an hour for primiparous and only 15 minutes for multiparous.
  3. Attempts are added to contractions - the so-called contractions of the muscles of the diaphragm and abdominals.
  4. They are involuntary, but the woman in labor, if possible, can strengthen or slow them down.
  5. The diaphragm descends, the abdominal muscles tighten, and the pressure in the uterus and abdominal cavity increases.
  6. The fetus begins to move along the birth canal to the exit.
  7. Here problems such as injuries in the child and ruptures in the woman in labor can begin.

Third period

  1. The postpartum period in rapid labor is no different from normal in time, as it lasts an average of about half an hour.
  2. Separation of the placenta and placenta occurs.
  3. A feature of rapid delivery at this stage is frequent bleeding, which, in the absence of medical assistance, can lead to the death of a woman in labor.

If this is a very fast delivery (rapid), you need to act competently and without panic. According to statistics, if the pregnancy proceeded without pathologies, there is every chance that the child and the woman's body will cope with this situation without any problems. Although many experts argue that such childbirth will still have negative consequences for both. Here, much will depend on the actions of the doctor taking delivery.

Treatment

With the rapid development of labor activity, various therapeutic measures are carried out depending on the condition of the mother and child. They are aimed at reducing the activity of the uterus.

  1. Intravenous drip of drugs to relax the muscles of the uterus and weaken contractions (for example, Ginipral).
  2. After that, the power and frequency of contractions are taken under control and regulated by changing the rate of administration of the prescribed drug.
  3. Contraindications for the introduction of these drugs: thyrotoxicosis, diabetes mellitus, cardiovascular disease. In these cases, calcium antagonists (for example, Verapamil) are administered intravenously. They reduce the contraction of muscle cells.
  4. With a quick birth, the woman in labor needs to lie down on the side where the back of the fetus is located. This position reduces the contractile activity of the uterus.
  5. Simultaneously with these activities, a constant monitoring of the baby's condition is carried out using cardiotocography.
  6. If there is a suspicion of hypoxia, doctors take measures to improve uteroplacental blood flow.
  7. When everything is over, a thorough examination of the birth canal is carried out. At breaks, stitches are applied.

A quick delivery is always stressful for the mother's body, for the baby and for the entire team of doctors who take part in this. At each stage, you need to carefully monitor the condition of the fetus in order to avoid tragic consequences.

Despite the fact that this is a great rarity at the modern level of medicine, they still make up a larger percentage than with the normal duration of the birth process.

Effects

Rapid delivery - is it good or bad? This question does not have a clear answer even among experts. Most of them still tend to the second option, because in 6 hours the body of a young woman who gives birth for the first time cannot prepare for such a stressful and difficult event.

Increasingly, they say that the consequences of rapid childbirth may not appear immediately, but only over time. However, no specific research has been carried out in this direction. You need to be ready for everything.

Consequences for the mother

  1. The cervical canal does not have time to stretch, as well as the pelvic bone ring. The result is breaks and cracks.
  2. The rapid stretching of the pubic joint is the cause of its rupture. The course of treatment is at least 2 weeks of bed rest in a motionless state.
  3. Episeotomy or episeorrhaphy - dissection of the perineum to avoid its deep rupture.
  4. Rupture of the perineum to the muscular sphincter of the rectum. Such an injury causes gas and fecal incontinence and requires reconstructive surgery.
  5. Severe uterine bleeding, which in severe cases leads to the death of the woman in labor.

Consequences for the child

  1. The bones of the child's skull do not have time to transform during a quick birth.
  2. Very high risk of traumatic brain injury.
  3. Very often there are fractures of the clavicle, humerus, ruptures of the nerve plexuses with the further development of paralysis of the arm, damage to the cervical spine. This is because the baby’s body does not have time to turn and adjust to the birth canal.
  4. The cervix may shrink due to sudden stretching. Such spasms lead to numerous hemorrhages and hematomas on the child's body. It is even more tragic when this causes a rupture of the liver or spleen.
  5. Fetal hypoxia due to the fact that the uterus, not having time to relax, compresses the blood vessels. Asphyxia of the fetus can lead to its death.
  6. Premature detachment of the placenta.

The most serious consequences for the child, which are difficult to identify immediately after childbirth, and even more so - to treat. Knowing about this kind of complications, you need to pay special attention to some points in its development, do not miss a single consultation with a pediatrician and conduct a maximum of examinations for abnormalities.


This is the only way to negate the complications of rapid childbirth. And, of course, it is best to engage in prevention in a timely manner so that the birth of the baby is within the normal range.

Prevention

Prevention of rapid labor is no different from the recommendations for pregnant women, which are known to all. If a woman leads a healthy lifestyle for 9 months (and ideally, a few months before conception) and protects herself from diseases, everything will be fine, without pathologies. To do this, it is enough to observe common truths:

  1. Get tested for ailments and diseases.
  2. Get treated.
  3. Psychologically, be ready for childbirth, do not be afraid and do not panic.
  4. Beware of infections and inflammation.
  5. Avoid abortions and miscarriages.
  6. If possible, do not give birth before 18 and after 35 years.
  7. I would like to say special attention to those who are looking for exercises for quick childbirth: they are recommended to be performed only for those who have a risk of protracted labor. Do not provoke such a situation - let everything take its course: it will be better for everyone.

So, dear women, there is no need to dream about too fast childbirth, which does not always end happily and can have a lot of negative consequences for you and your baby. Hope everything goes smoothly and without complications. And if you had to face such a situation, do everything right - this will minimize the risks and avoid trouble.

Many future mothers dream of a quick birth, especially after listening to the stories of their girlfriends, how well and quickly they had a birth, because I suffered with contractions less. For better or worse, most pregnant women do not think about this issue. But obstetricians are very, very negative about childbirth “according to the accelerated program”, that is, fast and swift. Such childbirth is fraught with many dangers, and first of all for the baby, but it is also fraught with mothers.

Duration of labor

Even in ancient times, they said that the sun should not rise twice over a woman in labor, that is, childbirth should not last 24 hours or more, but not be too short. The birth process is complex and laborious, especially for the fetus. For the entire birth period, the baby must not only be born, but also pass through the birth canal, and, first of all, overcome the bone ring of the mother's small pelvis.

The passage through the birth canal is accompanied by certain turns of the presenting part of the fetus in one or another plane of the pelvis. This is necessary for the optimal establishment of the fetal head at the exit from the small pelvis and the least traumatic birth of the baby. In addition, the fetus experiences stress during childbirth, which is necessary for the child to quickly adapt to existence in the outside world. And, accordingly, with a quick birth, as, indeed, with a caesarean section, adaptation mechanisms do not start, which can negatively affect the health of the baby.

Total duration of labor:

  • in primiparous it is 8 - 12 hours;
  • in women who give birth not for the first time - 7 - 10 hours.
  • The maximum duration of labor is 18 hours.

Let's define terms

The total number of births accounts for 0.8% of "accelerated" births.

  • What kind of birth is called swift? If childbirth is "shortened" to 4 - 2 hours in primiparas and lasts 2 hours or less in multiparous ones.
  • Which are fast? If the birth lasts 6 - 4 hours for the "firstborn" and from 4 to 2 hours for the multiparous, they are called fast.

Separately, they talk about “street childbirth”, when the birth process and the subsequent birth of a child take a woman by surprise (on the street or in transport). Moreover, this happens in an upright position (a woman either stands / sits, or actively moves.

Such a variant of childbirth, and specifically, their quick completion, is a complete surprise for a woman due to the absence of contractions and attempts and any painful sensations. Both the inexperience of the woman (if the birth is the first one) and the lack of resistance of the cervix (during normal childbirth, it performs the function of “constipation” and opens gradually, preventing the rapid passage of the fetus through the birth canal) are not excluded. The cervix does not offer resistance in the case of isthmic-cervical insufficiency or in women with a history of multiple births.

The reasons

The reasons for rapid and rapid childbirth are the same:

Genetically determined pathology of myocytes (muscle cells)

In this case, the excitability of myocytes is significantly increased, and in order to cause contractions of the myometrium, an insignificant force of impact is sufficient. This feature can be inherited, so the risk group includes women whose mothers or close relatives have had a quick or rapid birth.

Excessive excitability of the nervous system

Emotional lability, a tendency to depression, neurosis, anxiety, as well as psychological unpreparedness for childbirth can provoke excessively strong labor activity. Pregnancy in women with hypertension, anemia, infectious diseases and pathology of the cardiovascular system is also threatened in terms of the development of transient labor.

Diseases of the endocrine glands and metabolic disorders

This group includes diseases of the thyroid gland (for example, with thyrotoxicosis, metabolism is accelerated and, accordingly, their effect on the nervous system). Adrenal diseases also contribute (increased synthesis of norepinephrine and acetylcholine - mediators that provoke the excitability of the autonomic nervous system).

Burdened anamnesis

Various pathologies of the reproductive system: cycle disorders, inflammatory diseases of the uterus and appendages, tumors and cysts, endometriosis, malformations of the uterus. The course of previous births matters: fast or rapid, protracted or traumatic for both mother and baby.

Pathology of real pregnancy

Severe course of early toxicosis and / or preeclampsia, polyhydramnios or oligohydramnios, large fetal size, placenta previa, kidney pathology, post-term pregnancy or Rh conflict.

Iatrogenic causes

Incorrectly calculated dosage with the introduction of labor-stimulating agents (oxytocin, prostaglandins). Also unreasonable rhodostimulation with the same drugs.

outpouring of waters

The rapid emptying of the uterus in case of polyhydramnios during the discharge of water can also start childbirth according to the “accelerated program”. A sharp and rapid decrease in intrauterine pressure irritates the myometrium and causes hypertonic uterine contractions. Therefore, in the case of polyhydramnios, an early amniotomy is performed with careful opening of the fetal bladder and control of the rate of outflow of water.

Prolonged irritation and compression of the cervix by the fetal head.

In this case, the 1st period of labor is protracted, the contractions last 10-12 hours, and the presenting part remains in the same plane for a long time, which ensures compression and irritation of the cervix. After that, the head begins its rapid advance along the remaining planes of the small pelvis, and the neck rapidly opens.

Risk factors

The following factors predispose to the development of "speedy" childbirth:

  • neuroses;
  • parity (in the past 3 or more births);
  • too wide pelvis and small size of the fetus;
  • premature birth;
  • age (in women younger than 18 years old, there is immaturity and unpreparedness of the central nervous system for gestation and childbirth, and in women older than 30 there is a burdened obstetric and gynecological history and chronic somatic diseases);
  • isthmic-cervical insufficiency.

The course of childbirth

Knowledge of the course of normal (physiological childbirth) will help to suspect rapid or rapid childbirth. Experienced mothers who have had births in the past know that second (third, etc.) births often go faster, so they seek medical help when the first contractions appear. Rapid childbirth, especially in primiparas, is an unpredictable process not only for the woman in labor, but also for the doctor. Therefore, when conducting a pregnant woman in a antenatal clinic, a woman is assigned to one or another high-risk group, including "accelerated" births. The birth act includes three periods:

First period

This stage begins with the onset of regular contractions (2 - 3 in 10 minutes), and therefore it is called the period of contractions or the opening of the cervix. It is at this stage that the intensity and frequency of contractions gradually increase, and the cervix opens, which is necessary for the passage of the fetal head. At the end of the first period, the cervix (uterine os) opens completely (10 - 12 cm). The duration of the first stage of labor is 2/3 of the total labor time and takes approximately 8-10 hours.

Smooth and gradual opening of the uterine os under the influence of intensifying contractions prevents various injuries of the birth canal (cervix) and uterus, and also relieves the baby's head from excessive pressure. The end of the first period is characterized by a slight decrease in the strength of contractions.

Second period

As soon as the cervix has reached full disclosure, the second period begins (another name is the “fetal expulsion period”). At this stage, each uterine contraction (contraction) contributes to the advancement of the fetus along the birth canal to the vulvar ring - the “exit”. Due to the stretching of the vagina and cervix and the pressure of the head on the rectum, the woman in labor has a desire to push. Therefore, this period is also called straining.

The course of the second period is shorter than the first and is approximately 1-2 hours. The slow advancement of the baby contributes to the gentle stretching of the tissues of the birth canal and prevents their damage (ruptures of the vagina, vulva). In addition, the slow advancement of the head through the vagina allows the child to adapt to the pronounced pressure of its walls, which prevents the occurrence of intracranial hemorrhages.

Third period

This period is called the aftermath. It lasts no more than half an hour and is characterized by the birth of the afterbirth (placenta, remnants of the membranes with the umbilical cord). This is the fastest period, usually lasting a few minutes and characterized by one contraction.

The course of "accelerated" childbirth

"Accelerated" childbirth can proceed according to several scenarios:

1 option

In this case, rapid childbirth is distinguished by a uniform acceleration of the generic process as a whole, that is, there is an acceleration of both the first and second periods. Rapid labor begins from the moment the uterine os opens. The accelerated course of the first two periods is due to the increased extensibility of the cervix, vaginal walls and perineum. As a rule, the reason for the acceleration of labor is the weak resistance of the soft tissues of the birth canal against the background of growing contractions. This variant is often noted in women with hyperestrogenism, with isthmic-cervical insufficiency, or in multiparous women in labor.

Clinical manifestations: during the first hour of the onset of rapid labor, the strength and duration of contractions increase inadequately (2-3 contractions in 5 minutes), the total duration is about 4-5 hours, but are not accompanied by significant damage to the birth canal. Such a scenario of childbirth is more dangerous for the child, especially in case of prematurity or, on the contrary, large fetal sizes, or with existing intrauterine pathology (hypoxia, developmental delay or malformations).

Option 2

The course of labor according to variant 2 is characterized by spastic convulsive contractions. Clinical manifestations:

  • a sharp and sudden onset of frequent, prolonged and very painful contractions;
  • there are practically no gaps between contractions;
  • the number of contractions reaches 5 or more in 10 minutes;
  • restless state of the woman in labor;
  • nausea and vomiting;
  • increased sweating;
  • tachycardia.

Due to very intense, frequent and sharp contractions, the cervix, vagina, perineum are damaged (torn), and damage to the body of the uterus is also possible. Childbirth can be complicated by premature detachment of the placenta, impaired placental blood flow and fetal hypoxia and uterine bleeding. There is a high likelihood of complications for the fetus.

The duration of childbirth is not more than 3 hours, the birth of a child occurs in 1 - 2 attempts, which appear immediately after the full disclosure of the uterine os (the biomechanism of childbirth is disturbed, which leads to serious injury to the fetus).

3 option

This scenario of the course of labor is characterized by the rapid birth of the fetus and is fundamentally different from the first two options. The main difference lies in the disturbed ratio of the first and second periods. More often, childbirth proceeds normally in the first period or can be somewhat accelerated, but the second period (expulsion of the fetus) takes only 3 to 5 minutes. A similar variant of rapid labor (first or second / third) is typical for premature birth or with fetal hypotrophy, a wide pelvis of the woman in labor. Unreasonable medical rhodostimulation is capable of making childbirth fast and even rapid.

The rapid course of the period of attempts is fraught for a woman with severe damage to the soft tissues of the vulva and vagina, and for a child with craniocerebral and spinal injuries.

Birth management

As already mentioned, even at the stage of conducting a pregnant woman in a antenatal clinic, predisposing factors of “accelerated” childbirth are identified and, with a high degree of risk, a woman is hospitalized in a maternity hospital in advance, 1 to 2 weeks before the expected date of birth.

If the rapid or rapid course of childbirth began outside the walls of a medical institution, the woman in labor is urgently hospitalized in the maternity hospital (on a gurney from the moment the woman is discovered until she is transported to the ward) and all measures are taken to “slow down” labor activity:

Cleansing enema

A cleansing enema is mandatory for all women in labor to stimulate contractions, but in the case of rapid labor, it is contraindicated.

Horizontal position

The woman in labor spends the entire first and second periods lying down. During contractions, she should lie on the side opposite to the position of the fetus (not on the side where the back is adjacent, but vice versa) - it reduces the frequency and intensity of contractions.

Administration of tocolytics

In the absence of contraindications, an intravenous infusion of tocolytic drugs is performed (they relax the uterus): partusisten, ginipral, brikanil). Otherwise, intravenous "drip" calcium antagonists: nifedipine, verapamil. Magnesium sulphate, antispasmodics and narcotic analgesics (promedol, baralgin) are also administered intravenously.

Epidural anesthesia

If necessary, EDA is performed (anesthetic injection into the supra-thecal space of the spinal cord at the level of the lumbar vertebrae).

Maintaining 2nd and 3rd periods

The woman in labor also spends the second period on her side with intravenous administration of drugs that improve uteroplacental circulation. Immediately after the birth of the fetus, oxytocin or methylergometrine is connected intravenously and a manual control of the uterine cavity is carried out for the remaining lobules of the placenta and membranes.

Effects

Rapid labor can do without consequences, both for the child and for the mother, but the risk of their development remains high.

Maternal complications

  • Damage to the soft tissues of the birth canal. Tears of 3-4 degrees of the cervix, vaginal walls and arches, perineum, cervical avulsion, and uterine rupture are accompanied by severe bleeding and threaten the life of a woman.
  • Divergence of the pubic joint. It is characterized by a strong pain syndrome and requires either surgery (osteosynthesis) or a long (up to a month or more) stay in a fixed position (lying on your back with legs apart and bent at the knees).
  • Premature detachment of the placenta. An extremely dangerous complication for both the woman and the fetus. Childbirth ends with an emergency caesarean section.
  • Violation of the uteroplacental blood flow. Leads to the development of acute intrauterine hypoxia and also requires immediate delivery (caesarean section).
  • Violation of the separation of the placenta. It is accompanied by a delay in the lobules of the placenta and membranes in the uterus, provokes bleeding and requires manual control of the uterus.
  • Hypotonic bleeding. It develops in the early postpartum period (the first 2 hours after the completion of childbirth). Uterotonics (oxytocin) are administered intravenously; if ineffective, manual control of the uterine cavity and uterine massage on the fist are performed.

Consequences for the child

  • Injuries of the soft tissues of the child. Hemorrhages of varying intensity in the subcutaneous fat layer.
  • Collarbone and humerus injuries. Due to a violation of the biomechanism of childbirth, the fetus does not have time to complete the rotation after the birth of the head and the birth of the shoulders occurs in an oblique size, which is accompanied by fractures of the clavicle and humerus.
  • Cephalhematomas. The rapid advancement of the fetal head disrupts the biomechanism of childbirth, the head does not have time to be configured, which leads to hemorrhage under the periosteum of the cranial bones).
  • Hemorrhages in internal organs. Massive hemorrhages in parenchymal organs (liver, kidneys and adrenal glands) are possible.
  • Violation of cerebral circulation. Due to spasm of cerebral vessels, blood circulation in the brain is disturbed, which leads to strokes and death of brain cells. Increased intracranial pressure also impairs blood flow in the brain. These factors can lead to the death of a child or his disability in the future.
  • Spinal injury.
  • Acute hypoxia and the birth of the fetus in asphyxia. Requires resuscitation. In the distant future of the child, a lag in his neuropsychic and physical development is not ruled out.

Question answer

Is the risk of complications in the second rapid birth reduced?

No. The development of complications accompanies almost all rapid births, and the number of previous births does not play a role.

My delivery was easy and fast. She gave birth in 4.5 hours (first birth) and without any complications, including for the child. So doctors just scare mothers with the consequences of a quick (rapid) birth?

No, doctors quite rightly warn about the high likelihood of complications in the case of an "accelerated" course of childbirth. And you're just lucky that there were no complications.

Will the next delivery be shortened after a rapid delivery?

There is no single answer to this question. Of course, you are at a high risk of so-called rapid labor, especially if there are predisposing factors, but it is quite likely that the childbirth will be normal.

I gave birth for a total of 12 hours. The child was "pulled out" in one attempt. The extract from the hospital says that the birth is rapid. Why?

You answered your own question. There is a rapid birth of the fetus, and the period of contractions in duration approaches normal indicators, and the second period takes place in one or two attempts. It was precisely on the basis of a significant shortening of the straining period that obstetrician-gynecologists diagnosed rapid delivery.

How to prevent an accelerated course of childbirth?

Firstly, when determining a high risk for rapid or rapid delivery, one should strictly adhere to the recommendations of the obstetrician of the antenatal clinic. Avoid physical exertion and heavy lifting, if necessary, undergo preventive treatment in a hospital (threat of preterm birth, CCI, fetal growth retardation), attend courses on psychoprophylactic preparation for childbirth and be prepared for antenatal hospitalization in a maternity hospital.

Anna Sozinova

Every pregnant woman has her own problems. Someone suffers from the threat of a miscarriage due to, and someone, with the approach of the due date, can no longer wait for a certain relief that guarantees a successful delivery. The question of how to speed up childbirth, of course, visits mothers of the second category: those whose pregnancy was not complicated by any risks, and for some reason the baby is still in no hurry to tell the world about his appearance. The last weeks, and even more so, the days of pregnancy for each of the women are not easy. And if the process of childbirth itself is also delayed, then these circumstances make the woman think about how to speed up childbirth.

Is it possible to speed up childbirth?

First of all, one should always consider how strong the need for this very acceleration of the onset of labor is. Indeed, according to doctors, many ladies who still do not feel the approach of the cherished hour have a hereditary tendency to. So, if mothers-grandmothers carried the baby under their hearts longer than prescribed by traditional medicine, then, most likely, their granddaughters will also have such a characteristic feature. Also, last but not least, the onset of childbirth on time depends on the woman's menstrual cycle: if it is more than 30 days, then we can expect a delay in the onset of childbirth in the future. But, if, in spite of everything, the expectant mother is no longer able to bear all the delights of pregnancy, and you no longer want to postpone the meeting with the baby, then you can try to speed up the birth. First, of course, the proven experience and knowledge of previous generations in folk ways, which, according to those who have tried them on themselves, are completely safe.

Only in the event that it is not possible to solve the “problem” on our own, it is worth resorting to stimulating labor by medication. But only on condition that the pregnancy turns out to be truly overdue, that is, if an ultrasound scan confirms that the placenta has begun to age - and the fetus suffers from a lack of substances necessary for it. You should not be afraid of labor stimulation: it is carried out solely in the interests of the baby, believe me! But if you have the time and opportunity, then you should try to speed up the onset of childbirth on your own - what if it works? Moreover, all these methods are safe and completely accessible to every woman whose pregnancy has dragged on.

How to speed up childbirth at home?

The most pleasant way to speed up labor is sexual intimacy. Moreover, it is necessary to make sure that during orgasm the sperm enters the vagina: it contains prostaglandins, which then act on the uterus, causing it to contract. And, in addition, sex contributes to a greater flow of blood to the pelvic organs, including the genitals and the uterus, thus stimulating its contraction.

You can try to speed up labor by increasing physical activity. More movement - house cleaning with washing windows or landings, squats, lateral bends or rotational movements of the pelvis - all this can be a "push" for the start of uterine contractions. True, it is desirable that someone close knew about the intention of the expectant mother to meet the baby as soon as possible and was close to the pregnant woman during the implementation of this method of accelerating labor: she will definitely need help by the start of labor.

Many women have heard that excessive stimulation of the nipples in the early stages and even in the middle of pregnancy is unacceptable, as it can lead to miscarriage. But as a method of accelerating labor, nipple stimulation is very suitable: during nipple massage, a special hormone is released, which also promotes uterine contractions.

The diet can also play a role in accelerating labor: the intestines should work “like a clock”, nothing should interfere with its peristalsis. And for this, the intestines need vegetables and fruits in large quantities, fresh vegetable salads seasoned with vegetable oil. Traditional medicine claims that beets, parsley and spicy dishes are especially good at stimulating the onset of labor.

If the matter is not solved by vegetables and fruits alone, then you can resort to either an enema: such remedies cause the intestines to contract, the intestine, in turn, affects the uterus, “transferring” the ability to contract to it along the chain, which ultimately leads to the onset of contractions . Since ancient times, castor oil has been used as the most effective laxative in this case: earlier, even in maternity hospitals, in order to stimulate the onset of childbirth, a woman was given a piece of black salty bread with castor oil dripped on it. The same "delicacy" with no less success can be eaten at home, if there is a need or desire to speed up the birth.

It happens that folk methods of accelerating childbirth do not affect the pregnant woman in any way. Moreover, she is recommended to stimulate childbirth in a hospital, after hospitalization in a maternity hospital. The ideal way to speed up labor in this case would be a gradual and smooth labor induction, with the preparation of the uterus for disclosure, softening of the cervix with special preparations, and only then - with the use of labor induction agents. However, more often doctors resort to another method: opening the fetal bladder. Its essence is that after the discharge of amniotic fluid, the uterus begins to contract rapidly, which means that labor activity begins.

Specially for- Tatyana Argamakova

Preparing for the long-awaited birth of a baby, every woman dreams that it goes well - without complications and as quickly as possible, so as not to endure painful contractions for too long.

In fact, the whole process lasts differently for everyone: for someone everything ends in 2 hours, and for some it is resolved from the burden only at the end of the day. Both of these are pathological. And those very quick births that all expectant mothers dream about do not always end well. What is the reason?

First, you need to figure out what fast delivery means and whether they are actually dangerous for mom and baby.
Secondly, it is desirable to breed two very close concepts that exist in gynecology - rapid and rapid childbirth.
Thirdly, you need to understand that they will be different for primiparous and multiparous. For some, the body experiences such stress for the first time, which means that the cervix, birth canal, pelvic bones - everything will diverge much more slowly. For others, the so-called “memory of the body” works + all the organs involved in this process have already been stretched the last time, so now it all happens with the least amount of time. The birth canal is better prepared, and the cervical canal is stretched immediately along the entire length, and not gradually.

According to medical terminology, a quick labor is one that lasts less than 6 hours in primiparas and less than 4 in multiparas. In the people they are also called street. Normally, this period of time should be from 7 to 15 and from 5 to 12 hours, respectively. It is calculated based on the average normal value for a primiparous woman - the speed of cervical smoothing, which is 1 cm per hour. Anything that does not fit into this framework is considered pathology in gynecology.

There are also those that can last only 4 hours when the first child appears and 2 hours if the woman in labor already has children.

Why is the baby in such a hurry to be born, endangering not only his own life and health, but also his mother? The main reasons are the characteristics of the female body, not the fetus. If a pregnant woman pays attention to them initially, she will be able to avoid rapid childbirth and the complications associated with them.

It is interesting. Previously, midwives used to say that a woman in labor should not meet the dawn twice, that is, childbirth should not last more than a day.

The reasons

As a rule, the causes of rapid labor in nulliparous and those who have already given birth are the same. With timely diagnosis and regular monitoring by a doctor, they are detected long before the birth of the baby. With the correct and coordinated actions of the pregnant woman and the gynecologist, they can be eliminated. These include:

  • pathology of the uterus;
  • isthmic-cervical insufficiency;
  • discoordination of labor activity, when the duration and power of contractions are unpredictable;
  • diseases of the endocrine system;
  • problems with the nervous system;
  • pathological course of pregnancy: multiple pregnancy, placental insufficiency, large fetus, Rh conflict, preeclampsia;
  • psychological unpreparedness for childbirth: fear provokes the release of adrenaline in huge quantities, which disrupts the regulation of labor and leads to its discoordination;
  • inflammatory diseases transferred during pregnancy;
  • abortions and miscarriages in the past;
  • diseases of the uterus: tumor, adenomyosis, endometritis;
  • operations on the uterus;
  • menstrual disorders before conception;
  • if all previous births were fast;
  • the age of the woman in labor is less than 18 years or more than 35.

Timely elimination of these causes reduces the risk of rapid childbirth, and hence the complications that they are fraught with. If it was not possible to avoid this, you just need to prepare well for this process in order to help your own body and the baby overcome all difficulties without consequences. It is quite possible. And the first step on the way to this is to understand from the very beginning of the contractions that it goes much faster for you than it should be in the norm.

According to statistics. Rapid delivery is diagnosed in 1% of cases.

signs

What signs may indicate that rapid labor has begun in primiparas:

  • a sharp increase in heart rate;
  • erratic breathing;
  • contractions move from the top of the abdomen down for 3 hours instead of the prescribed 5;
  • at the first stage of labor, contractions are repeated every 7-8 minutes instead of the normal 10-15;
  • the first contractions last 20-25 seconds instead of the prescribed 10-15;
  • pushing lasts less than an hour instead of two.

Approximately according to the same scheme, they begin, but they are much less painful. However, the risk of repeated ruptures, if they were before, increases. With a colossal load on the organs involved in this process, the old seams do not withstand and diverge again, no matter how well they were made the previous time.

To be prepared for all the unexpected, it is useful for a woman to know how it all happens in order to behave correctly and reduce the risk of complications.

Peculiarities

If you have already understood that a quick birth cannot be avoided, calm down and try to behave correctly at each stage of the difficult process. A lot depends on this: consequences, complications, injuries, ruptures, etc. If you prepare well and do everything that the doctor says, the risks can be minimized.

First period

  1. The cervix opens.
  2. In primiparous with rapid delivery, it lasts about 3 hours, in multiparous - only 1 hour.
  3. There are regular contractions of the muscles of the uterus - contractions. Occur involuntarily, but with a certain frequency.
  4. They are felt first - at the top of the abdomen, and then spread down for 3 hours instead of the prescribed 5.
  5. Contractions are repeated every 7-8 minutes instead of the normal 10-15, with the first lasting 20-25 seconds instead of the normal 10-15.
  6. Under the influence of contractions inside the uterus, pressure rises, the cervix becomes shorter and opens.
  7. With rapid labor, contractions are extremely strong and occur by the end of the period almost every 2 minutes.
  8. At this stage, such a rapid labor activity can lead to violations of the uteroplacental or fetal-placental blood flow, hypoxia, fetal death, placental abruption.

Second period

  1. If the first period of rapid labor is completed successfully, you need to prepare for the second stage - the pushing one.
  2. Duration - about an hour for primiparous and only 15 minutes for multiparous.
  3. Attempts are added to contractions - the so-called contractions of the muscles of the diaphragm and abdominals.
  4. They are involuntary, but the woman in labor, if possible, can strengthen or slow them down.
  5. The diaphragm descends, the abdominal muscles tighten, and the pressure in the uterus and abdominal cavity increases.
  6. The fetus begins to move along the birth canal to the exit.
  7. Here problems such as injuries in the child and ruptures in the woman in labor can begin.

Third period

  1. The postpartum period in rapid labor is no different from normal in time, as it lasts an average of about half an hour.
  2. Separation of the placenta and placenta occurs.
  3. A feature of rapid delivery at this stage is frequent bleeding, which, in the absence of medical assistance, can lead to the death of a woman in labor.

If this is a very fast delivery (rapid), you need to act competently and without panic. According to statistics, if the pregnancy proceeded without pathologies, there is every chance that the child and the woman's body will cope with this situation without any problems. Although many experts argue that such childbirth will still have negative consequences for both. Here, much will depend on the actions of the doctor taking delivery.

Treatment

With the rapid development of labor activity, various therapeutic measures are carried out depending on the condition of the mother and child. They are aimed at reducing the activity of the uterus.

  1. Intravenous drip of drugs to relax the muscles of the uterus and weaken contractions (for example, Ginipral).
  2. After that, the power and frequency of contractions are taken under control and regulated by changing the rate of administration of the prescribed drug.
  3. Contraindications for the introduction of these drugs: thyrotoxicosis, cardiovascular disease. In these cases, calcium antagonists (for example, Verapamil) are administered intravenously. They reduce the contraction of muscle cells.
  4. With a quick birth, the woman in labor needs to lie down on the side where the back of the fetus is located. This position reduces the contractile activity of the uterus.
  5. Simultaneously with these activities, a constant monitoring of the baby's condition is carried out using cardiotocography.
  6. If there is a suspicion of hypoxia, doctors take measures to improve uteroplacental blood flow.
  7. When everything is over, a thorough examination of the birth canal is carried out. At breaks, stitches are applied.

A quick delivery is always stressful for the mother's body, for the baby and for the entire team of doctors who take part in this. At each stage, you need to carefully monitor the condition of the fetus in order to avoid tragic consequences.

Despite the fact that this is a great rarity at the modern level of medicine, they still make up a larger percentage than with the normal duration of the birth process.

Effects

Rapid delivery - is it good or bad? This question does not have a clear answer even among experts. Most of them still tend to the second option, because in 6 hours the body of a young woman who gives birth for the first time cannot prepare for such a stressful and difficult event.

Increasingly, they say that the consequences of rapid childbirth may not appear immediately, but only over time. However, no specific research has been carried out in this direction. You need to be ready for everything.

Consequences for the mother

  1. The cervical canal does not have time to stretch, as well as the pelvic bone ring. The result is breaks and cracks.
  2. The rapid stretching of the pubic joint is the cause of its rupture. The course of treatment is at least 2 weeks of bed rest in a motionless state.
  3. Episeotomy or episeorrhaphy - dissection of the perineum to avoid its deep rupture.
  4. Rupture of the perineum to the muscular sphincter of the rectum. Such an injury causes gas and fecal incontinence and requires reconstructive surgery.
  5. Severe uterine bleeding, which in severe cases leads to the death of the woman in labor.

Consequences for the child

  1. The bones of the child's skull do not have time to transform during a quick birth.
  2. Very high risk of traumatic brain injury.
  3. Very often there are fractures of the clavicle, humerus, ruptures of the nerve plexuses with the further development of paralysis of the arm, damage to the cervical spine. This is because the baby’s body does not have time to turn and adjust to the birth canal.
  4. The cervix may shrink due to sudden stretching. Such spasms lead to numerous hemorrhages and hematomas on the child's body. It is even more tragic when this causes a rupture of the liver or spleen.
  5. due to the fact that the uterus, not having time to relax, compresses the blood vessels. Asphyxia of the fetus can lead to its death.
  6. Premature detachment of the placenta.

The most serious consequences for the child, which are difficult to identify immediately after childbirth, and even more so - to treat. Knowing about this kind of complications, you need to pay special attention to some points in its development, do not miss a single consultation with a pediatrician and conduct a maximum of examinations for abnormalities.

This is the only way to negate the complications of rapid childbirth. And, of course, it is best to engage in prevention in a timely manner so that the birth of the baby is within the normal range.

Prevention

Prevention of rapid labor is no different from the recommendations for pregnant women, which are known to all. If a woman leads a healthy lifestyle for 9 months (and ideally, a few months before conception) and protects herself from diseases, everything will be fine, without pathologies. To do this, it is enough to observe common truths:

  1. Get tested for ailments and diseases.
  2. Get treated.
  3. Psychologically, be ready for childbirth, do not be afraid and do not panic.
  4. Beware of infections and inflammation.
  5. Avoid abortions and miscarriages.
  6. If possible, do not give birth before 18 and after 35 years.
  7. I would like to say special attention to those who are looking for exercises for quick childbirth: they are recommended to be performed only for those who have a risk of protracted labor. Do not provoke such a situation - let everything take its course: it will be better for everyone.

So, dear women, there is no need to dream about too fast childbirth, which does not always end happily and can have a lot of negative consequences for you and your baby. Hope everything goes smoothly and without complications. And if you had to face such a situation, do everything right - this will minimize the risks and avoid trouble.

selection from sibmama forum

Martha: Two popular ways: sex and enema. Both of these lead to fights. You also need to talk with the child, tell how you are waiting for him. Don't rush things at all. He knows when to go there. But do not gain weight - be sure to persuade. Tell her that it will be hard for mom, that it will be hard for him himself.

Svetlanka: they say it helps to squat..

Miss Anyuta: We walked in the hospital on the floors. Someone dragged a chair on outstretched arms, crawled on all fours, someone rode a car around the maternity hospital. Before giving birth, my mother washed the floor with her hands ... Someone cooked dinner for the whole family and warmed up with a vacuum cleaner. There is a sea of ​​\u200b\u200bthese tales, if you lie down in the maternity hospital earlier, you will hear more and not like that.

Ginger: I recommend walking more. Something to clean up in the house. It also helps to stimulate the nipples. You can read more about this on the Internet. Sex seems like a good idea. Although with such a belly it is difficult. Actually, this is all advice from my doctor.

Jenny: hot bath.

Manyusha: I squatted and walked down the street for a long time (they walked with heavy bags from the store), and there was sex, and the nipples were stimulated. Some of it helped. Well, at least an enema - they say it causes contractions. About sex: activity here is not as important as sperm! It contains some substances there that have a positive effect on the opening of the cervix. So you can lie down with a log.

Laticka: run up and down the stairs, wash the floors and persuade the child, I remember, I was sitting on August 2, like - daughter, get ready for the light, it’s very hard for me, etc. etc.

Oklan:"In recent years, new means of artificial stimulation of labor have been discovered. These are prostaglandins, which are found in large quantities in the amniotic fluid. Previously, these drugs were used in the form of a solution that was administered intravenously, and now a gel has been developed that is used vaginally. It gradually dissolves , causing the initial contractions of the uterus.If there are no contractions within 4 hours, the procedure is repeated.The good thing is that the contractions are caused gradually, forcing the cervix to expand, which stimulates the onset of normal labor.And in cases where the repetition of the procedure does not results in labor, it is perfectly safe to postpone the procedure until the next day."

Bantikova: Girls, and my birth was accelerated in a consultation. This is not a manual on how to give birth, but I’ll just share it ... They put a kelp candle on me in the evening, the doctor said to drive up to her in the morning, she will remove it ... And I decided why I should go (the path is not close), I went to my consultation, anyway, there was a scheduled appointment that day, I asked to be removed. It turned out that the thread came off ... And in general, while they were looking for this kelp for me and trying to get it, my contractions went right on the chair. And they never got this candle, although they assured me otherwise. I came with contractions to my doctor, where she got me this (candle) quickly and, most importantly, painlessly ... In general, this is how they accelerated the birth in my "native" consultation. On the same day, I gave birth to my son.

phantom: Acupressure massage is a natural method that can be used to induce labor in women who have had their baby too long, to reduce the pain associated with childbirth, or to hasten a slow labor.
Massage of biologically active points of the body is similar to acupuncture, however, the difference lies in the fact that massage is used here with fingers, and not with needles. The biggest benefit of acupressure is that it is an effective way to induce labor as well as reduce the pain associated with childbirth.

megan: From grandmother's advice: wash the floor in the whole apartment - not with a mop, but by hand, squatting. From personal experience: long walks. Try to talk to your baby again, explain to him why it is better to be born now. I know that many children in such a situation obeyed.


Marine:
On Rozhana's website in the section "Childbirth" there is a description of the herbal collection to speed up the opening and relieve pain, but it is noted that you need to start drinking it with the onset of contractions. I had a pretty quick delivery, I think that thanks to him.
"Collection for childbirth: 1 tablespoon of thyme, peppermint, lemon balm, rose hips, oregano brew 300 g of water in a water bath for 20 minutes. Cool and add a glass of boiled water. Take a few sips with the onset of contractions until full disclosure necks".
I repeat that with this collection I spent most of the time at home, in a rather relaxed state, gave birth in 30 minutes. upon arrival at the hospital, however, the birth was the second.
Therefore, be sure to note the PERIODICITY of contractions. Painful sensations are not an indicator.

NataliaI: For this purpose, I used window washing, remembering my mother's story that I was born after she sealed the windows. It helped, but I regret it a little, because, perhaps, the body was not ready yet, and everything went not in the best way

Valerochka: Sex, washing floors, walking up to the 9th floor, walking with bags ... None of this helped! Although, after non-painful contractions, the disclosure was 7 fingers and a very soft neck, according to the doctor. Maybe sex helped here?
And the birth began after I took off the curtains and hung them back, and also lifted a stool (they are heavy with us) on outstretched arms above my head. I did it all in the afternoon, and at 3 o'clock in the morning I woke up from the fact that my stomach hurts. Began.

Oza: Sex (necessarily with an orgasm, so that the uterus contracts), long walks and a warm bath.

Stephen: In my opinion, the best stimulation is a good mood and warm relations with others, when everything has already been decided and determined, you can just relax and enjoy life.

palmira: But nothing helped me - neither running (in the last stages), nor walking, nor washing the floor by hand, nor lifting weights, nor sex ... absolutely nothing. Except! Inspection on the chair, where they checked for me if the bubble was intact, poking fingers at the top of the child. So we were born the next day.

Slightly pregnant. The doctor advised to stimulate the nipples. Which is what I did for two days. Even in the evenings, when it was impossible to walk, she ran up the stairs there, and when it was possible, accordingly, she walked. I went to the city by minibus (I gave birth in Pervomayka).

Senefera: And I gave birth after I laughed with the girls in the evening until they lost their pulse and to tears! And after 2 hours the contractions started!

Nana: I, apparently, also stimulated myself. 2 weeks in pathology, transfer to another maternity hospital (the city hospital was closed for washing), my nerves could not stand it, and I sobbed to my husband on the phone all evening about how much I want to go home. The contractions started that night and my son was born at 37 weeks.

Magali: childbirth begins when the baby produces a special hormone. How jumping, squats can contribute to this is not very clear))) Sex helps to some extent, there is prostaglandin in the sperm, it softens the neck ....

Eseniya: I don't know if it was a coincidence or not, but it's a fact. I wanted to do a grand cleaning that day, I even washed the windows, in general, I was so tired by the evening that I didn’t even understand why my whole body was aching. Well, at one in the morning she already gave birth

Aksa: I can say that it really helped me to give birth at 38.5 weeks without stimulation and breaks:
1) olive oil from one to 3 tablespoons 2 months before the due date.
2) raspberry leaf tea a month before the due date.
Walk up the stairs, but only through 2 steps and preferably at a fast pace.

Lenka: I was helped with the first Re - a relaxing bath by candlelight + a glass of red wine + sex. Then we immediately went to give birth.

Free_Dom+: I also tried - walks (mnooooogo and further ekooooo), a special diet, washing the floors, thinking about the baby, and everything that is described here. As a result, the inspection on the chair helped. Or maybe not - but after the examination she gave birth 12 hours later.

K@tenok: She gave birth exactly at 40 weeks, because she was actively preparing so as not to cross - sex (many), moving, assembling cabinets, long walks with her eldest daughter, and especially tea from raspberry leaves - she drank liters of 2 last days before giving birth.


RELATED LINKS

KatyaD (06/01/2019)

POST ABOUT STUPIDITY AND SELF-CONFIDENCE.
Woman, 20 years old. Primipara. 39 weeks. Premature detachment of a normally located placenta. On the advice of an experienced friend, she collected six boxes of matches scattered on the floor in order to give birth faster. I squatted. Went down and up to the ninth floor without an elevator. Running, back and forth, back and forth. Profuse bleeding. Severe fetal hypoxia. Extirpation of the uterus. The child could not be saved.

Adocada (01/06/2017)

Until recently, I walked a lot, did repairs, talked with my daughters, because. I felt that it was hard for her already - it did not help. And all sorts of somersaults with cabinets / refrigerators / floors can be harmful. Whoever has a trained body, then the muscles, even stretched ones, will withstand the load, there will be no contractions, but the water can move away.
I decided to do a pedicure after a shower, as a result, the water broke, and there were no contractions as such. The contractions went normal after 5 hours, she also gave birth only 5 hours after the start of the contractions, and even then with the help of a dropper with oxytocin, an epidural and doctor's elbows.
As a result, hypoxia, tight entanglement of the umbilical cord and other "charms" of the incorrect course of labor activity (although the entanglement was filmed 10 days before by ultrasound).
So be careful with somersaults and weights. As a variant of prostaglandins, but not from tubes, but from her husband - sex. Many have the effect, and if not, then at least without harm and with pleasure.

Shabalinova Tatiana (01/02/2011)

I gave birth twice after rubbing the nipples .... natural oxytocin is produced in this way, only it does not work for everyone, because many breastfeed for a long time and the sensitivity decreases or the sensitivity is simply reduced by nature. For this very reason (due to high sensitivity) I could not breastfeed, because the sensations are unpleasant to say the least .....

We are not tired of sharing, where it turned out that only 4% of women give birth in their due date and that the duration of a normal pregnancy varies in women with a delta of as much as three weeks!


One midwife told us this: “Imagine that two apple trees are growing - one is an early ripening one, and the other is an autumn variety. Both bloom in spring, stand in the rain and bask in the sun. But one is so arranged that in July it will have apples, and the other - not earlier than September. All apples are delicious and ruddy, they just ripen at different times.”

I remember one day an anxious dad called me: “How can we speed up the birth? She seems to enjoy being pregnant so much that she won't give birth by 45 weeks!"

And sometimes it also happens that a woman wants to somehow influence the process and speed up the birth of a baby a little. Sometimes, before the recommended medical induction (induction), mothers try gentler ways to start labor.

NBAny, even soft and natural, means for inducing labor is an interference in the natural process of the birth of a baby.Check with your doctor and/or midwife before using them.

Are there really reasons for concern?

20 ways to speed up childbirth or what to do with yourself if childbirth does not start?

Why does it work?

Because the specialist stimulates biologically active points associated with the uterus. If there is no opportunity to visit a trusted specialist, then you can try self-stimulation “based on” in the format of a general relaxing massage with clary sage (a few drops in the base oil)

    Alcohol

A glass of wine or champagne, if that.

Why does it work?

Under the influence of alcohol, the cerebral cortex is inhibited, a pronounced sedative effect appears - in other words, a woman calms down and stops worrying about every occasion. Stress hormone levels are dropping again.

Most often, women abstain from alcohol during pregnancy, so even a glass of wine is enough for a clear effect.

**Attention! If you are categorically against alcohol during pregnancy, this method is not necessary - there are many others!

    Conversation

Talk to the child, ask to quickly go to a meeting with mom and dad; talk to each other and revisit ALL possible "what if" options; talk to a specialist you trust.

Why does it work?

No one fully understands talking with a child, but this advice is given not only by traditional midwives, but also by official doctors.

About conversations with adults - all the same effect about reducing stress, sharing responsibility and accepting the situation as it is.

    Homeopathist

Elizabeth Davis, a California midwife with 30 years of experience, in her book "Hearts and Hands" recommends taking Cimifugu 30C once an hour for 8 hours, and then also Caulophyllum 30C to ripen and soften the cervix. If the cervix is ​​already soft, then Elizabeth advises taking Caulophyllum 200C once at night.

Why does it work?

It is believed that microdoses of the active substance cause a strong response in the body according to the principle of treating like with like.randomized trialsdo not yet confirm the effectiveness of Caulophyllum for labor induction. However, this may be due to the need for an individual approach when prescribing homeopathic medicines, scientists say.

***Keep in mind : the effect of drugs is reduced by the use of caffeine, tobacco, alcohol and mint (tea, paste, chewing gum).

"Shake" yourself with sex, walking up and down stairs, walking in the park, swinging on a fitball and yes, mopping, thanks to Olga Fokina for the reminder!

Why does it work?

In response to physical activity, uterine contractions are triggered and, if the body is ready for childbirth, there is a chance that contractions will become regular and intensify.

    Food

Dates, spicy curry, ginger, pineapple, eggplant, licorice, balsamic vinegar, cinnamon fermented baked milk (thanks to Yulia Karpenko for the recipe).

Why does it work?

If there are already studies about dates, then the rest of the menu components are traditional, but not scientifically proven methods. It is believed that the mechanism of action is usually based on two factors: the presence of substances that contribute to the softening and maturation of the cervix, and the stimulation of the intestines.

OneAmerican pizzeriathey even serve a special “delivery salad” (green leaves + olive oil and balsamic dressing).

    Occupation

“Give yourself time...children are born when they are ready for it...” - everything is true, but how painful it is to just sit and wait!

Therefore, many women find important and useful things for themselves that should be completed before the onset of childbirth: find the best-mattress-in-the-bed, learn how to bake a Napoleon cake, make a wardrobe for after childbirth - sale now, watch all parts of the Midwives series or "Fizruk", hand over financial statements. Who knows what will be useful for you?

Why does it work?

Because sometimes you just have to wait.

The onset of labor is associated with the baby's readiness to breathe. If everything is in order with mother and child (test, CTG and regular observation of a doctor / midwife can confirm this), it remains only to wait for the moment. It is believed that women with a long cycle can add as many days to theirs as the cycle is longer than 28 days.

    Get rid of constipation

Dried fruits (pre-soak in water for a few hours) ordried fruit sweets , light laxatives, enema help cleanse the intestines and stimulate excretory processes.

Why does it work?

As you know, mild diarrhea is one of the harbingers of close childbirth. Bowel contractions can stimulate contractions. Emptying the bowels (and bladder) allows the uterus to contract more efficiently.

**Attention! Drink thirsty, as severe diarrhea causes dehydration, which, on the contrary, interferes with childbirth.

It is often recommended as a "home" method of labor induction. In Russia, they usually advise an “obstetric cocktail” (a glass ofapricot juice and brut or soda mixed with a couple of tablespoons of ground almonds and castor oil), in America it is often mixed with orange juice. Dosages vary greatly - from 10 to 100 ml. Accordingly, the effect occurs within 3-12 hours. Before the era of synthetic prostaglandins, castor oil was quite officially used for induction in maternity hospitals.

Why does it work?

Castor oil increases the production of prostaglandins, causing a softening of the cervix, and the accompanying diarrhea and bowel contractions further stimulate the uterus.Researchshow that castor oil did not affect either the duration of labor or the health of the mother or child.

**Attention! Modern midwives are divided in their attitudes towards inducing labor with castor oil. Many consider its use unjustified, since severe diarrhea causes dehydration, which leads to loss of strength and the prospect of childbirth on the toilet. Also, contractions caused by castor oil may subside within a few hours, which in a maternity hospital is likely to lead to additional interventions to stimulate labor.

    evening primrose oil

It is commonly used as a dietary supplement (500-2000mg per day) and as a perineal massage oil.

Why does it work?

It is believed that gamma-linoleic acid, which is rich in evening primrose oil (primrose) helps the production of prostaglandins, which are responsible for the maturation of the cervix.

Scientific researchevening primrose oil is scarce and controversial. Some show no effect, others show a faster maturation of the cervix, others show a bunch of side effects from an increased risk of bleeding and premature rupture of amniotic fluid to an increase in the duration of labor and more frequent stimulation with oxytocin.



Yes, at least just sit quietly for 10 minutes. You can download a special application for meditation.

Why does it work?

It is believed that meditation helps to relieve stress, calm the mind and trigger relaxation mechanisms in the body. This is confirmed by a number of studies (for example, a professor from Harvard even created a special Mind Body Institute to study the effects of meditation).

    tenderness and everything that helps to be in bliss and bliss.

A four-hand massage, a bubble bath with lavender and rose essential oils, lying in bed all day, going to the opera, gourmet or taking a bath - everything that previously gave you a feeling of absolute happiness will work now.

Why does it work?

When we relax and enjoy ourselves, stress hormone levels decrease and oxytocin is released more easily.

    Osteopath

This is not manual therapy, all manipulations are very gentle. So if you are going for the first time, get ready to be amazed. In most cases, the effect occurs within 2-3 days, and before that, many are wondering: did I just give 3-5-7 thousand for gentle strokes? Give yourself time, it works!

Why does it work?

A mild effect on muscles and ligaments that helps balance tension and relaxation in the body. Sometimes the baby does not take it in any way and the contractions start and then subside again. An osteopath can help loosen the ligaments that support the uterus, allowing the baby to finally get into the most favorable position for childbirth.

For some women, alternating physical activity with intense relaxation helps to calm down and relieve stress. For example, the pool and the practice of yoga nidra. Or maybe a bath or just an endless jasmine bath

Attention! jasmine essential oil causes uterine contractions

Why does it work?

Sometimes childbirth does not start because the woman is tired, worried and afraid. When stress hormones and adrenaline accumulate in the body, the production of oxytocin becomes more difficult. Physical activity and relaxation help relieve tension and get a rush of endorphins. From this state, it is much easier and more pleasant to start childbirth.

    Sex

Yes, cunnilingus also counts. Yes, without a condom. Yes, orgasms are important.

Why does it work?

First, blood rushes to the pelvic organs.

Secondly, during orgasm, the hormone oxytocin is released, which, as you know, is also responsible for uterine contractions during childbirth. If the uterine receptors are already sufficiently sensitive, an additional portion of oxytocin can become a trigger.

Thirdly, semen contains prostaglandins, which contribute to the maturation and softening of the cervix.

    Nipple stimulation

The movements should be quite active, similar to pumping. Some mothers even use a breast pump to stimulate their nipples.

Why does it work?

The uterus contracts in response to the release of oxytocin during nipple stimulation. Yes, yes, oxytocin is also needed during breastfeeding - it is responsible for the milk ejection reflex. Don't be alarmed if you see droplets of colostrum - many mothers already have it in their breasts before giving birth.

    Creation

It's enough just to start with what you yourself will be pleased to do. Hints? Soft pastel and drawing “Landscape of childbirth”, a diary in pictures or a whole diy project for a nursery.

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