Delivery – The Three Signs Always Herald the Arrival of the Baby without any Ambiguity
Mostly the pregnant women, especially if it is their first delivery, get unusually worried about their deciphering the correct time of the delivery. They remain apprehensive lest they fail to judge the onset of labour correctly and delivery may take place suddenly. However, as a matter of fact, these apprehension and worries are unfounded. The woman becomes aware of the imminent delivery well in advance. The following three signs always herald the arrival of the baby without any ambiguity.
- There is a discharge of a blood-like fluid from the vagina. The discharge starts up rather suddenly.
- Urination is accompanied by pain in the pelvic region.
- There are intermittent spasms of pain in the abdomen, otherwise described as ‘onset of labour’. The pain is due to contractions of the uterus.
Anyone or more of the above signs should alert the mother-to-be to the fact that delivery is now imminent, and she should hasten to the hospital without delay.
Delivery is a process in which the baby is pushed out of the uterus by contractions and relaxations of specific muscles. The whole period starting from the onset of labour pains to the time after delivery when the fetus-bearing organs of the mother regain their original shape and condition.
The above stages can be classified in the following ways:
(a) The First Stages: This is the stage when the muscles of the upper part of the uterus begin their contractions. As a consequence, the cervix (the mouth of the uterus, which is circular) begins to thin out and dilate due to the pressure on the principal blood vessels of the cervix. The contractions follow each other at intervals of about five minutes. In this phase, the cervix dilates (the circle widens) to about 3 centimeters (1.2 inches). Then the contractions increase in frequency, coming ate every three minutes. The cervix has dilated to about 6 centimeters (21/3 inches) at about this time. As the contractions begin to recur every two minutes or so, the cervix becomes fully dilated, and normally the head of the baby begins to emerge.
(b) The Second Stage: This is the stage when the contractions of the uterus start altering. The response of the mother to every contraction now is a desire to exert a force pushing the baby back. A woman who is experiencing her first delivery, and who has absolutely no information about the sequence of events during a delivery, instinctively begins to take deep breaths at the very commencement of this stage and tends to hold her breath at every contraction. She feels the urge to defecate. She continues to brace herself to endure the pain with every deep breath till the baby emerges completely from the uterus. As the baby slides outward through the vagina, the mother experiences and intense to grasp her own legs. Labour ends with the emergence of the baby from the vagina.
Now the fluids in the baby’s mouth, nose, and respiratory passages are cleaned out. After making sure that the baby is able to breathe normally, it is handed over to the mother. When the baby is thus finally placed in her arms, the mother finds her heart flooded with a sense of relief and achievement, as she feels that she has gone through a number of trials and tribulations and has finally given birth to a brand-new human being, her very own creation.
(c) The Third Stage: This is the stage after the delivery when the contractions of the uterus cease and its muscles relax, although after about fifteen minutes the contractions start up again. The contraction becomes gradually stronger, until at last the placenta, or after-birth, is also expelled. Then the uterus retracts upwards and gradually returns to its original condition. In case this process gets delayed or the bleeding continues, an injection of METHERGIN is normally given to expedite the process.