Stages of Childbirth Process
Stages of Childbirth Process – Labor is the most eagerly awaited by pregnant women, a fun time but on the other hand, is the most thrilling thing. Childbirth feels good because the little one, who for nine months hiding in your stomach will appear born into the world. On the other hand, labor is also thrilling, especially for new moms, who imagine painful labor, so much energy, and an exhausting struggle.
It is better for the prospective mothers to know the processor stage of birth like what so that the prospective mother can prepare everything to face this birth process. The process of labor is divided into four stages, namely:
Stages of Childbirth Process
kala I: Opening Stage
In part (parts start) is characterized by mucus mixed with blood, because the cervix starts to open and flat. Blood originates from the rupture of the capillary blood vessels around the cervical canals due to a shift when the cervix is flat and open. At this time divided into two phases, namely:
Latent phase: where the cervical opening is slow, until opening 3 cm
Active phase: divided into 3 sub-phases: acceleration, steady and deceleration.
- Kala I is the longest stage, lasting 12-14 hours for the first pregnancy and 6-10 hours for the next pregnancy. At this stage, the cervix will become thin and exposed due to periodic uterine contractions to push the baby into the birth canal. In each uterine contraction, the baby will be pushed further downwards causing the opening of the birth canal. The first stage of labor is called complete when the opening of the birth canal becomes 10 cm, which means perfect opening and the baby is ready to come out of the uterus.
- This transition period has been the most difficult time for mothers. Toward the end of the first stage, the opening of the birth canal was almost perfect. Contractions that occur will be more frequent and stronger. You may experience great pain, most women who have experienced this period who feel the most difficult period. You will feel a great feeling of heartburn and feel like there is enormous pressure downward, like wanting to defecate.
- Toward the end of the first stage, contractions are more frequent and stronger, and if the opening of the birth canal is 10 cm, the baby is ready to be born and the delivery process enters the second stage.
What Can Be Do During The Opening Phase?
Pay attention to your daily time during the process of getting into labor. If you are required to sleep, then you should sleep. During the contraction, if possible you can sleep. It is important for you to get enough rest. The pain before the onset of labor can be accompanied by an explosion in the adrenaline that affects you want to sleep.
During this opening phase, you can try some tips that can be done for relaxation. Although during the day, it would be better if you replace the activity by increasing the rest, in order to collect the energy needed for the birth process. Here are some suggestions from us that you can do during the opening phase:
- When the pain strikes, try to increase the sense of happiness and increase the rest time. Some activities can be done to help you, such as bathing with warm water, relaxation exercises or drinking hot drinks.
- Enough your body fluids to keep your body hydrated. Based on the rules mention that consuming fluids should be as much as 8 glasses per day. You can try to drink calorie-containing drinks such as sweetened tea, juice or other energy drinks that can help increase the energy needed for your activities.
- At the beginning of the normal birth process, should eat a light but healthy food. When the contractions come, the digestive system will work more slowly than normal so it will cause you nausea. You can choose easily digestible foods such as healthy fruits, yogurt or toast. Avoid some foods with high-fat content because such foods will be difficult to digest.
- Try to choose a position that can make you comfortable. During the contraction process, you will feel your body moving naturally, almost entirely capable of helping the movement of the baby in the pelvis bone (pelvis). During the contraction process, slow-motion swings can help you. In addition, standing can help you and your baby to move in accordance with gravity, and help improve the movement of the baby down through the pelvis.
- You can try to do light activities such as light exercise, massage, listening to calm music or hot or cold compresses on the body.
- When you experience contractions in the initial process of labor, you can try to do breathing techniques to determine the effect of contractions. Even so do not do it on every contraction until you really need it.
- You can try using visualization techniques. You can describe the cervix opening around the baby’s head. You can also visualize something that is open, just like a blooming flower.
- To relax the muscles in your abdomen and pelvis, then you can try using vocalization. You can try something like this:
- Try to make a high-pitched sound like “Eeek!”. Then try to see what happens to the muscles around your vagina and abdomen. Feel the muscles tighten or not. After that, you can again make a low, slow and long sound like “Oooohhhhh”. Then feel your muscles relax and relax? During the labor process, a similar situation will occur.
- A slow, low and long groaning or sound may help the muscles at the pelvic base and the abdomen relax. Meanwhile, if you make a scream or shout the effect will be opposite. When the labor process takes place, the people who accompany you when it will help you remember to vocalize.
- If you find the contractions stronger, you can start asking for support from those around you so they will always be there for you and help you during the labor process.
- In fact, in addition to the physical health, you should notice, positive emotions are also important and necessary during labor. Should avoid fear, worry because it will only release adrenaline that makes the labor becomes slow.
- There is nothing wrong if you talk about what you are feeling to your husband or those around you. Relaxation, good emotional support can make you better equipped to deal with labor and help relieve anxiety.
Kala II: Baby Expenditure Stage
- At the time of fetal release, heartburn is coordinated, strong, fast and longer, about 2-3 minutes. The fetal head descends into the pelvic space so that there is pressure on the pelvic floor muscles that electrically induce a sense of strain. You feel like going to have a bowel movement, with an open anal mark.
- Technically, although the birth process begins when the cervix is wide open, it may not occur at the same time as the baby drops. So that way, some women will feel the desire to push before the cervix is completely opened, while some other women may feel that they do not want to push until the cervix is completely exposed. When the stage pushes, the contraction will turn into a spur.
- If you start feeling like you want to push before your cervix is completely exposed, then you may feel that the one who performed the urge is your uterus and that you can not stop it. At that stage, the midwife or doctor will advise you to push slowly or otherwise which they will ask you to refrain from pushing. If such a thing happens, even if you can not hold the uterus, but all you can do is avoid to hold your breath or hold it with your abdominal muscles.
- If the cervix is wide open, but on the other hand there is no feeling or desire to push, it would be better if you wait until the baby is under and spur your desire to push.
- Maybe you will feel the baby’s downward movement, but some women just do not feel this way. Your baby is doing movements in your pelvis, he changes the position of his head to find the best position.
- If a doctor or midwife performs an epidural or local anesthetic injected at the back area with the aim of reducing pain in the vaginal, uterine and cervical areas, or intrathecal intestine which is anesthesia by injection of the nerve usually done after 4 cm opening, during the step second you may feel strong pressure, which will help you know the exact time when you should push. If the desire to push you to feel a little, midwives, nurses, doctors or your closest people can provide more clues to encourage. At the pushing stage, normal for women who have been done epidural will be bar than for a longer time than women who do not do epidural.
- Just as with the process of giving birth in the first stage, in this second stage, the emotional state is just as important. When pushing a baby goes fast, you may feel overwhelmed. However, on the other hand, if you push the baby slowly and slowly, you may feel tired and frustrated, even you will feel the doubt whether you can continue it or not. Even though you have pushed it with all your might, but your doctor or midwife will ask you to push even harder. It will be useful if you pause or rest before pushing again. You can rest, push slowly with contractions, you can drink something. Things like this can help you to restore body and soul. The spirit and support of the people around you are very important.
- As you get closer to the time of birth when you are pushing or pushing, the fetal head will begin to look and you will feel it, the vulva (the outside of the vagina) opens and the perineum (the area between the anus-vagina) stretches. With guided keed, ahead will be born followed by the entire body of the fetus.
- Mom will feel strong pressure in the perineal area. The perineal region is elastic, but if the doctor/midwife estimates that it needs to be cut in the perineal area (episiotomy), this action will be performed with the aim of preventing perineal tearing of the perineal region due to infant pressure
Kala III: Phase of Placental Expenditure
It starts after the baby is born, and the placenta will go out by itself. The process of delivery of the placenta lasts between 5-30 minutes. Placental exposure is accompanied by a blood loss of approximately 100-200 cc. With uterine contractions, the placenta will be released.
After that, the doctor/midwife will check whether the placenta is released from the uterine wall. After that, the doctor/midwife clean everything including stitches when the episiotomy action is done
Kala IV: Stage of Supervision
This stage is used to monitor the danger of bleeding. This supervision was done for about two hours. In this stage, the mother still has blood from the vagina, but not much, coming from the blood vessels in the uterine lining where the placenta is released, and after a few days you will release a small amount of blood called Nokia from tissue debris.
In some circumstances, the release of blood after the birth process becomes numerous. This is due to several factors such as weak contractions or not contracting the muscles of the uterus. Therefore it is necessary to monitor so that if the bleeding is getting bigger, action can be done immediately.
During the Birth Process, How Does The Body Work?
It is important to know how your body works at the end of pregnancy and during the birth process to prepare yourself for the birth process. If you know what exactly happens to your body, then you can more easily interpret and recognize the signs of what happens to the body effectively. You can participate thoroughly in labor.
- The bones and pelvic muscles will support the uterus that will continue to grow with the baby inside and pave the way when the baby is born.
- The development will continue to occur in the uterus that wraps the baby in accordance with the development of the baby in it.
- Actually, the cervix is part of the uterus, but both are composed of different networks. During your pregnancy, the cervix will thicken and close. Meanwhile, just before the birth, the contractions that occur at that time will pull the cervix to enter the uterus and will be thinning or called peeling, and open the so-called opening. By the time the cervix is fully open or approximately 10 cm, contraction after contraction will help the baby from the uterus shift to the vagina or cervix.
- The vagina connects the cervix to the outside of your body. There are many folds in the vagina called rugae and will open as the baby passes through it.
Circumstances That Will Happen Before Labor
During pregnancy, your body will prepare for labor. However, intensive final preparation will occur in the final week of labor.
Here’s what happens before delivery:
- Pregnancy hormones work in order to make the ligaments that lie between the bone structure in the pelvis to soften. During this time you will feel uncomfortable, you will feel pain in the joints, even you will feel easy to fatigue.
- The other hormones will begin to soften the cervix which is the cervix (the uterus). During pregnancy, the cervix will be closed to support the baby in the uterus (uterus). At the opening of the cervix, the labor process occurs. Before labor begins, the cervix may be softened, thinning and opening. However, every woman at every birth is not the same and experiences different things. Some women will experience labor before the cervix is completely exposed, while for other women it may experience contractions that result in an open cervix before the onset of labor. Approaching the approximate day of birth, the midwife or doctor may suggest a cervical examination.
- Inside your baby’s pelvis will begin to move down. At this stage, you will feel the pressure on the lower abdomen or you will feel able to breathe with relief. Your family or people closest to you might say that something is different from you and they might also say that your baby is looking down. This situation will occur several weeks before the time of delivery to the mother who first gave birth. In mothers who have previously given birth, this situation may not happen.
- You may experience bleeding in the mucous membranes. The mucous membrane is in the cervix during pregnancy. As the cervix begins to soften and open, there will be sagging of the mucous membrane, then it will slowly out of the vagina. Before the birth process, some women may feel an increase in the mucous membranes. While some other women may not be aware of it.
- Before delivery, it is possible that a rupture of membranes will occur. In most women, contractions will occur at the same time. If you feel the water is ruptured, you can tell your doctor or midwife.
Emotionally, What Can I Expect?
In addition to the physical preparation you have to do, you must also prepare emotionally. Although you may feel fearful and tense, you should feel ready and strong to make the process of childbirth. To do so you do not need to overdo it because you just enough to calm yourself and save a lot of energy for labor later.
Excessive worry will surely you feel. Some worries will haunt you, such as the thought of amniotic membranes will break out in public places, doctors or midwives are not present at the time of delivery, or any other worries that upset your mind.
In fact, you will start thinking and feeling anxious about the safety of your baby and yourself. You will also be worried if you have to do a cesarean section. However, for all these thoughts you need to know is a natural thing.
If you always worry constantly, you can try to find a time, then gather all the worries you feel. You can try some tips below:
- Choose anxiety or anxiety that haunts you. As for example, if you are afraid of having a cesarean section then you can say, “I’m afraid I can not give birth normally”.
- Try to mention your own positive qualities or traits that can make you feel stronger such as, “I am strong and I am healthy, I can deliver well and well”.
- Now, try to say the anxiety you feel in a positive form, along with what is possible and impossible, and how you can resolve your anxiety or anxiety. As for example, “My strength will help if I have to give birth by cesarean section, but almost all women give birth normally, I’ll be strong and definitely like them.”
- You can do the same commands to other anxieties. During times of worry, you can come back to say that and make sure your fears are over.
- When you re-feel the fear of coming back, you can again repeat a positive command that can help you collect positive energy.
- When doing so, you will find relaxation that focuses on positive mental preparation for labor.