As the child is born

Preparations for acceptance of sorts in clinic or houses not too differ from each other. The midwife asks about a current of pregnancy and its features and gets a card of the lying-in woman. Then external survey and inspection through a rectum follow to be convinced, that everything is all right. Tones of heart of the child are listened, the blood pressure at mother is measured. This first inspection is necessary to establish, at what stage there is a patrimonial certificate. If it is a question of the first or second period of sorts necessity to carry out some preparatory measures disappears. If childbirth only has begun, the uterus neck has gradually started to reveal, and плодный the bubble has not burst yet preparation for sorts passes under the usual program: it is necessary to empty a bladder, thus undertakes wetting for the analysis on fiber and sugar presence. To reach full опорожнения intestines, it is put клизма. Then the lying-in woman should take a shower. If плодный the bubble has already burst and околоплодные waters have departed, a shower to accept it is impossible. The lying-in woman should be put immediately to bed to prevent umbilical cord loss.

The period of disclosing of a neck of a uterus lasts from the moment of the beginning of correctly alternating patrimonial fights before expansion маточного a pharynx. The midwife observes all this time and supervises a condition of mother and still not born child. Each six hours are measured a body temperature of mother and the pulse, each two hours — a blood pressure. The midwife watches quality and frequency of patrimonial fights. Everyone 5 — 10 mines are listened tones of heart of the child, the number of blows of heart in a minute (probably, by means of special equipment) is established and brought in a card of record of supervision over patrimonial activity. The norm considers, if heart of the child fights with frequency 120 — 140 blows in a minute. Bleach heart fights with frequency more than 160 or less 100 blows in a minute, it there is, that the life of the child is exposed to serious danger. In that case the patrimonial certificate should be immediately finished. If patrimonial ways have not extended yet there is a necessity in родоразрешающей operations (the Cesarean section, etc.).
Food intake mother during the patrimonial certificate is reduced to a minimum.
Some легковозбудимые the women who were expecting birth of the first-born or not visiting courses of psychological preparation, test strong feeling of fear, excessively worry. It appoint reception of demulcents.
If the woman feels intolerably strong pains, the doctor appoints sedative which promotes simultaneously and to faster disclosing маточного a pharynx.
The important problem of the doctor delivering, — to lower a threshold of painful sensations. The most widespread all over the world a way — inhalation of a mix of oxygen and закиси nitrogen (amusing gas). The mix is made in such proportion, that the quantity of oxygen makes from 20 to 50 % and does not represent danger neither to the lying-in woman, nor to the child. The lying-in woman when she feels strong patrimonial are shaky, itself takes a mask, imposes it and inhales. The mix of gases starts to arrive only after that. Thus the lying-in woman can take itself measures to reduce a pain, inhaling sedative.
Facilitates patrimonial activity and stimulation of weak patrimonial fights. If магка it is reduced inertly for stimulation of activity of the hormone influencing on янтенсивность of fights, use a dropper. It do, that because of weak patrimonial activity not to tighten childbirth. The tightened childbirth not only exhausts forces of mother which will be necessary for it in fruit exile when it should make an effort, but also can lead to pathological development of the child.
The period of exile of a fruit at not complicated physiological sorts lasts an average 15 — 20 minutes It begin with that moment when the external pharynx of a neck of a uterus completely reveals and in a sexual crack there is a head of the child, and comes to an end, when the child already was born. Attempts join fights, to (торые the lying-in woman perceives as desires to опорожнению intestines and starts to make an effort. If it does not occur, the midwife specifies, when следуе to make an effort. If the lying-in woman feels a strong pain, that in general happens seldom enough in pauses between fights impose a mask with закисью nitrogen.; the equipment should supervise palpitation of the child; if such условн is not present, in pauses between fights the midwife listens to tones of heart of the child brings the records of supervision given in a card behind patrimonial activity.