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Normal Delivery: Its Signs, Process,Tips And

Normal Delivery: Its Signs, Process,Tips And Exercises

These facts might surprise you. According to research studies, 85% of pregnant women can have a non-medicated natural birth while only the remaining 15% require medical interventions such as a C-section. But, statistically, one in three pregnant women (more than 30%) goes through a C-section

What Factors Improve Your Chances Of A Normal Delivery?
Certain factors determine your ability to have a normal delivery. They may not guarantee a 100% result though. You will have increased chances if:

You had a normal vaginal delivery in your previous pregnancies.
You do not have any underlying health issues, such as asthma, which may aggravate during pregnancy and labor.
You have ideal weight, as being overweight could increase the chances of having a large baby and lower the chances of normal delivery.
Your pregnancy is going smoothly without any complications.
You are physically active all through your pregnancy. The more physically fit you are, the higher are the chances of a normal birth.
Your physiological conditions including blood pressure, blood sugar, and hemoglobin are in control

Signs And Symptoms Of Normal Delivery:
Changes may occur a few weeks before the expected due date. And your doctor asks you to be on the lookout for these signs as they indicate labor. However, the signs may vary from one woman to another and from pregnancy to pregnancy.

Pre-labor signs and symptoms that appear one to four weeks before labor:
Lack of coordination in movements as the baby descends lower into the pelvic region
Loosened joints as relaxin hormone softens and loosens the ligaments and joints in the pelvic area
Urge to urinate frequently as the baby’s head presses against the urinary bladder
Braxton Hick’s contractions, the false contractions that develop before the real labor
Cramping and pain in the lower back as the joints and muscles stretch and become active for the nearing labor
Dilation of the cervix, which is noted by your doctor during the prenatal checkup
Watery stools as the rectal muscles begin to relax for the delivery
Early labor signs and symptoms that appear days or hours before labor:
Vaginal discharge increases and becomes thicker in consistency
Parts of mucus plug get eliminated every time you urinate; look for pinkish and thick mucus as this is an important sign of nearing labor
More frequent and stronger contractions that progress with time
Cramping and pain in the lower back that radiates to abdomen and legs
Water breaking, i.e., the rupture of amniotic sac

Advanced Labor Signs And Symptoms:
Warm sensation in the abdomen
Increasing contractions
Severe pains from contractions that continue for almost 40 to 60 seconds
Intensifying back pain
Vaginal bleeding
While some women go straight into advanced labor, some others may undergo all of this discomfort associated with normal delivery

What Is The Process Of A Normal Delivery?
A normal childbirth is divided into three stages.

Stage 1: It consists of three phases – latent, active, and transition – where the uterus effaces and dilates.
I. Early Or Latent Phase: Cervix Dilates From 0-4cm
This initial step lasts from six to ten hours in first-time pregnancy. In some cases, it can be longer or shorter.

What Will You Experience?
Cervix thins out and opens by 3-4cm.
Contractions become frequent, occur irregularly between five and 30 minutes, and last for 30 to 45 seconds.
Abdominal discomfort is followed by a slightly pink discharge. This is the time you may be admitted in hospital and frequently checked for the degree of dilation.
What Can Help?
Rest and take good care of yourself.
Alternate between activity and rest (for instance, take a short walk followed by a shower), drink plenty of fluids, and eat easily digestible foods.
The best place to stay is home (or hospital). Do not move around a lot.
Have someone with you so that you can stay calm and be confident that you are not alone.
When contractions turn stronger, you should do relaxation and breathing exercises.
Get a shoulder massage from your partner, or listen to music for a pleasant environment.
II. Active Phase: Cervix Dilates From 4-7cm
This phase lasts from three to six hours in first-time pregnancy and for lesser duration in the subsequent deliveries.

What Will You Experience?
With each contraction, you will feel severe pain and pressure in the abdomen and back.
The contractions now occur between three and five minutes, and radiate along the lower back, abdomen, and thighs.
You will feel the urge to push down and become more focused. You might have dark pink or brown discharge.
What Can Help?
Empty your bladder and have a lot of fluids.
Try to do relaxation or breathing exercises and take rest between contractions.
Change positions often to stay comfortable and support progression.
As the contractions get stronger, you could ask your partner to give you a massage.
Take a warm shower if your healthcare practitioner allows you to do so.
You can also make the environment pleasant by dimming the lights and playing light music.
III. Transition Phase: Cervix Dilates To 10cm
The last phase lasts between 20 minutes and two hours in first-time pregnancy and lesser duration the subsequent pregnancies.

What Will You Experience?
Cervix completes dilation and effacement.
Contractions become strong, frequent, and painful and recur every three to four minutes.
You will feel increasingly nauseous, fatigued, and shivery.
You will have a strong urge to push down as there is pressure built in the rectal and vaginal area. But do not push until your doctor gives you the signal.
What Can Help?
Focus on breathing and relaxation techniques.
If you have a strong urge to push but it is not the right time yet, your practitioner tell you about the ways to resist the urge.
Your partner should encourage you and give you undivided attention.
Stage 2: The baby is pushed out and delivered.
This stage begins with a fully dilated cervix. It lasts between half-an-hour and two hours in first-time pregnancies and reduces in subsequent births.

What Will You Experience?
The body transits from dilating to pushing.
The baby makes her way down through the pelvic region and birth canal.
The soft spots on the baby’s head, called fontanels, allow the body to fit through the birth canal.
Just before the baby pushes out, you will feel a stinging, burning, and stretching sensation near the vaginal opening.
The baby’s head comes out first, and then you will find it easier to push the rest of the body out.
Your practitioner will clamp and cut the umbilical cord.
What Can Help?
Just breathe easy and look at your partner or family member as they would encourage you.
If the labor is progressing slowly, try to change positions. All-fours, side lying, and squatting can help you.
You may feel tension in the perineum. Warm compresses relieve the tension.
Your practitioner will tell you the right way to breathe and push. Follow their instructions.
Stage 3: The placenta is removed from the body.
It is also called “the afterbirth,” which happens right after the birth of the baby. It usually takes about a few minutes to half-an-hour.

What Will You Experience?
The cord is cut, and your baby is cleaned and placed on the abdomen.
You will be asked to push out the placenta, when again you will have pain and cramping (14).
You will be so overwhelmed with your baby that you hardly notice this phase.
What Can Help?
Place your baby on your breast for skin-to-skin contact. Touch, cuddle, and caress her.
It is time to breastfeed her for the first-time, and this helps tighten the uterus and decrease bleeding.
Apply cold compress to the perineum as it helps reduce swelling and eases the discomfort.


All information, content, and material of this application is for informational  purposes only and are not intended to serve as a substitute for the consultation,  diagnosis, and/or medical treatment of a qualified physician or healthcare provider.

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