Frequently encountered forms of narrow pelvis: a shared pelvic pelvis: all sizes (straight, transverse and oblique) are reduced to the same value, most often by 2 cm. This kind of narrow pelvis is observed in women of small growth, the right physique. The pelvis has the correct form of a normal, well-developed pelvis, but all sizes are reduced. Features of biomechanism of childbirth: Biomechanism of childbirth resembles the usual, however, childbirth proceeds more slowly, the extension of the head is difficult due to a narrow lane corner, the inner turn of the shoulders is also difficult.
Also on the outcome of genera affects the mass of the fetus; The pelvis and so less normal for the size of the sizes, but if the fruit is large, then the tactics of the pricewide should be revised. Cross-narrowed pelvis: characterized by a decrease in the transverse sizes of the pelvis by 0.5 - 1 cm and more at normal (or increased) the size of true conjugates. The shape of the input of a small pelvis is rounded or longitudinally - oval instead of a transverse - oval, inherent in a normal pelvic of a female type. In the transverse narrowing, the pelvis is often observed by a piece of a sacrum.
Features of biomechanism of childbirth: There is an excessive bending, there may be a long standing heads in direct size. The extension of the head at the exit from the cavity of the small pelvis is difficult and likely to break the crotch. In this case, and if the fruit is large, then the delivery can be completed by the cesarean operation. Flat pelvis: direct dimensions are shortened in it with the usual magnitude of the transverse and oblique size. With a simple flatness, all direct sizes are narrowed, the rest are normal indicators. Features of childbirth biomechanism: a clinical inconsistency may occur. If the head is lowered down, then due to the broad size of the output, a very fast "assault" flow rate is possible. To increase the direct size of the input, the position of the Wolcher is recommended (with the horizontal position of the body, the legs are lowered down from the edge of the maternity bed).
Clinically narrow pelvis may occur even at normal sizes of the pelvis due to the presence of a large fetus, anomaly of the insertion of the head, migration, and others. With normal sizes of the pelvis and the average growth of women, the fruit is considered to be the fruit of a massive mass of 4000 g and more . You can predetermine the risk factors for the formation of a clinical inconsistency. However, the final diagnosis is already placed in the 1st period of childbirth.
Thus, we can confidently assert that the determination of the mass of the fetus, the size of the pelvis of a woman's pelvis and their conformity is very important for the tactics of delivery. Therefore, when registering for pregnancy, it is necessary: - Consult with the doctor about the sizes of your pelvis; - If the measurement data was not carried out on early terms of pregnancy, then ask the Doctors to spend them, starting with 35 pregnancy weeks; - Starting from 35-36 weeks of pregnancy, it is necessary to determine the alleged mass of the fetus (according to the above calculations); - controlling its weight and calculating the alleged mass of the fetus; - it is necessary to consult with the doctor about the mode of nutrition and the rules of behavior for the flow of prosperity; - from 37-40 (41-42 with prolonged pregnancy) It is necessary to determine and control the weight of the fetus to select the tactics of childbirth.
About two weeks before the date of birth, women are advised not to leave the house for a long time, since regular cuts in the uterus, that is, the contractions can begin at any time. It is the fights that are considered a formal start of childbirth and a signal for the immediate departure of a woman in the maternity hospital. If the woman during the first fights turned out to be at home, it is important to call doctors as soon as possible, and before their arrival to give her first help.
In childbirth, three periods are distinguished: the opening of the cervix, the expulsion of the fetus and the last one. The period of revealing the cervix, from the beginning of regular bouts to the full opening of the cervix and the influence of the octoplodic water, is the longest. At first-night, it lasts an average of 13-18 hours, and in repeated agents - 6-9 hours.
Call Help. If you are next to the giving birth to a woman, then call an ambulance. Hospitalize a woman in need as quickly as possible so that she had qualified assistance and to avoid possible complications.
Collect information. It is important to find out whether the woman gives birth for the first time or repeatedly. If these are the first births that usually leak slowly, it means that there are more chances to have time to deliver the hospital in the medical institution.
When the stomach begins to grow in pregnant women - you are interested in absolutely all future moms. After all, it is very difficult, especially for the primordin, to realize what it is not a dream, and that the new life is really developing within them
oddly enough, the time when the belly begins to grow during pregnancy, not "individually". On various female forums, you can read that one mommy has a belly grew in 5 weeks, and in another only 30. Maybe this is true. But the keyword here is the "belly". The stomach can grow and not a pregnant woman due to overeating, or become visually more for some time lapse due to increased gas formation (the situation is not rare in future mothers, by the way). So, those who claim that the stomach can start growing in the first trimester can only be mistaken in the fact that the stomach is confused with the uterus.
After the 20th week of pregnancy, close people can already understand that the woman is in an interesting position on her rounded tummy. Of course, the conchion of the tummy of the future mother depends on the position of the child inside, and on the peculiarities of the pelvis, even from the elasticity of the abdominal wall. Therefore, some ladies, mostly engaged in sports, the tummy begins to clearly draw closer to the third trimester, and that if they are in tight clothing. In earlier time, the tummy is visible in repeated. But the growth and weight of the fetus in the first two trimesters depends very little. Since all healthy babes to the third trimester of pregnancy develop approximately the same.
When you first receive a gynecologist, the midwife measures the size of it. This indicator is very important for future childbirth, affects the time when the belly appears: the already the pelvis, the earlier you have a tummy.
If you expect twins or triples, your tummy will become more much earlier than you have a girlfriend with one-bed pregnancy. The reason is simple - all the kids will not fit in a small pelvis to 12 weeks of pregnancy.
To this event, it is necessary to approach yourself, its forces, opportunities and reliability of information obtained about childbirth in the course of pregnancy. Customizing the right way and do everything right, help knowledge. Pregnant women who are well represented by all the stages of the generic process and are psychologically prepared for the upcoming event, it is increasingly lighter than that future mothers who are poorly aware of what will happen to them.
The fact that childbirth has already begun or is about to begin, indicates the emergence of regular bouts and / or influencing the accumulating waters. Fights are involuntary periodic cuts of the muscles of the uterus, aimed at shortening and opening the cervix. Normally, the length of the cervix is 3-5 cm, and the diameter is only a few millimeters. And for the birth of a child, it is necessary that the neck is completely rooted and revealed to 9-10 cm.
At the beginning of this period, regular contractions arise, which last 15-20 seconds with an interval of about 15 minutes. As the cervix is disclosed, the fight is enhanced, become longer, and the intervals between them are shortened. When the break between the fights will be 10 minutes, you need to go to the maternity hospital.
During the period of disclosure, it is recommended to walk, move, breathe correctly, take a warm shower or bath. These measures contribute to a more rapid disclosure of the cervix, reducing the pain. You can ask your husband or midwife to make a massage of the lumbar department - this will reduce the unpleasant sensations from the bouts.
Most women agree that the end of the disclosure phase, before the onset of the second birth period is the most difficult. The fights become frequent and painful, anesthesia at this point usually ceases to act, the fatigue accumulates, it is still impossible to continue. The state of many women at this moment is described by one single phrase: "Everything! I can not anymore!". It consotes only what he lasts long.
After the full disclosure of the cervix, the doctor allows the feminine to sleep. A woman usually feel the strong urge to "push out" the child from the tricks. These urges are called attempts.
For swelling to be effective, it is necessary to be right and breathe correctly. Before Ferred, you need to dial more air into the lungs, delay your breath and try to achieve effectively. It is important not to strain the face and legs during the dyness, but on the contrary - to relax as much as possible. Between the attempts also need to relax and relax.
The second period of childbirth lasts from 15 minutes to two hours, and in repeatedly, this stage is shorter than the primordial. During this period, doctors are especially closely followed by the state of mom and fetus (regularly listen to heartbeat, etc.).
How many days did it last? Yesterday, Major All day. This morning, it seems that there was nothing but all the same thing. Not very pleasant sensations.
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