What happens if you push hard with constipation. How to push during childbirth: a few rules for an easier birth

Every pregnant woman needs to know how to push during childbirth. Not only the speed of childbirth, but also the health of the expectant mother and baby depends on the correct technique of attempts. Improper behavior in the third phase of labor can lead to ruptures of the vagina and cervix, as well as hemorrhoids. So how to push correctly so that there are no tears? And how to breathe during childbirth?

A woman begins to push during childbirth when the cervix is ​​​​fully opened and the baby's head appears. It is at this moment that the hardest work from a physical point of view begins.

Inappropriate behavior, early attempts and fussy movements - not the best helpers women. No matter how strange it may sound, but you need to calm down, try to relax as much as possible and strain for attempts at the doctor's command. Otherwise, avoid birth trauma. So, here are the main tips for pushing technique:

1. First you need to take comfortable position. It is best to squat down, spreading your knees to the side and keeping your heels off the floor. If they don’t practice in the maternity hospital vertical delivery, then it is better to ask the doctor to help him sit in the chair in such a way that the knees of the woman in labor will be lower than her shoulders. You can also pull the legs bent and spread apart on both sides to the shoulders. In this case, the chin must be pressed to the chest - directly to the fossa of the collarbone in the middle.
2. Before the next fight, you need to do deep breath, while imagining the air in the form of a ball filling the stomach, and at the command of the doctor, you need to push this ball out, as if driving it down the stomach. This technique should be learned in advance, before childbirth, so that everything goes smoothly at the crucial moment.
3. Such an action during one attempt, which lasts 60-90 seconds, must be repeated 3 times.
4. You can not take sharp breaths and exhalations while the child is moving through the birth canal. This will pull the baby's head back in.

It is important to remember that you should push at the command of the obstetrician, if there is no clear understanding of the frequency. With too active and untimely attempts, serious injuries almost always occur: ruptures of the cervix, vagina. Hemorrhoids often appear, which can be avoided by relaxing the rectum during childbirth and straining only the abdominal muscles.

It seems complicated and unrealistic, but it is this technique that allows you to preserve the health of a woman and make the process of giving birth to a baby as fast as possible. That is why all doctors recommend attending special courses during pregnancy, in which the expectant mother will be taught to breathe and push properly.

Video. What do you feel when you push

Pushing on the toilet during pregnancy

Pushing are milestone childbirth. And most importantly, they must be correct and strong. But at the same time, it is not recommended to strain the abdominal muscles. This is usually necessary because hard work intestines, and many are wondering: is it possible to push during pregnancy, however this question should be put differently: "how to avoid constipation?".

So, let's answer the question.

• if a pregnant woman does not push very hard and not often, this should not lead to problems.
• frequent constipation is dangerous, because due to the tension of the abdominal muscles, hemorrhoids can develop or a miscarriage can occur.
• the right ones will save the woman from unnecessary attempts physical exercise, a fiber-rich diet and adequate fluid intake.

Causes of constipation in pregnant women

Constipation is a very common problem, especially during pregnancy. It occurs due to an increase in the level of the hormone progesterone, which suppresses the intestines.

Also, very often pregnant women experience constipation due to lack of movement. Moms try to protect themselves from dangers and limit their movements.

Often after the appearance of edema, pregnant women are advised not to drink a lot of water, but this measure makes the stool even harder.

How to protect yourself from constipation during pregnancy? Try to walk more, do gymnastics for pregnant women. Remember to drink enough liquid.

The opinion that excess water leads to swelling of the legs is wrong. These concepts are completely unrelated.

Pregnant women should consume a large number of foods containing fiber, such as fruits and vegetables. And limit yourself to the use of sweets, semi-finished products and canned food.

Can you push on the toilet?

Experienced experts do not recommend pushing in the toilet even in the normal state, and during pregnancy this can lead to the development of hemorrhoids and even bleeding. In addition, during pregnancy, frequent and strong breastfeeding increases the risk of miscarriage or may cause premature birth by increasing uterine contractions.

It is most dangerous to push in the 1st and 3rd trimester of pregnancy. But if future mommy will do it infrequently - there will be fewer problems.

The real threat appears when a pregnant woman has to constantly work very hard to go to the toilet normally. IN similar cases it is recommended to consult a doctor, change the diet or use laxatives.

Baby pushing on the toilet

Every young mother is very gentle, reverent, and sometimes fearful of her baby. After all, she practically doesn’t know anything yet, and knows little, and caring for a baby causes her anxiety and some questions. Many parents have to face the problem when their baby pushes and blushes, or growls or grunts. The spectacle is not very optimistic.

And if you pay attention to it - it's very good. However, hurry to decide somehow this problem still not worth it, because it may turn out that your child is in in perfect order and your actions will only make things worse. Why does the baby push, and what to do in such situations?

Why does the child push

If the baby is pushing, this does not mean anything bad. Since almost all babies do this up to four months, or even longer, experts explain this behavior in different ways.

The most common version is that the child cannot go to the toilet in a different way, since the abdominal muscles, as well as the anal muscle, are still underdeveloped. And even if the baby blushes at the same time or makes various sounds that frighten you, it is likely that he feels very comfortable at the same time. And he pushes in order to pee or poop - this is quite normal. In addition, the baby is constantly in a horizontal position, and gravity does not help him in this matter. Moreover, mushy a soft chair does not press hard enough on the anus so that emptying occurs naturally and easily.

According to experts, groaning and straining is associated with the still imperfect work of the intestine. When the intestines are filled with bacteria, form their own microflora and learn to digest food, the baby feels new and incomprehensible feelings, getting used to natural processes.

And do not worry that the child blushes at the same time. You can try to help your child: press the legs to the stomach and make a "bicycle" in order to activate the work of the intestines to facilitate the process of emptying.

Many pediatricians recommend in such cases to attach the baby to the breast, because, perhaps, he experiences some discomfort or anxiety. To calm down, put the baby in the fetal position, that is, curl up and gently press against you. From the point of view of doctors, pushing, the child expresses dissatisfaction - something bothers him or does not like him. Try to determine the cause of the disturbances and eliminate it (change clothes, feed, take out for a walk). There is also an opinion that in this way newborns are trying to express emotions, because they still do not know how to do it differently. This is the so-called first language of the baby: he wants to tell you something.

If you have nothing else to worry about except straining, then there is no reason to worry. The most important good health baby: restful sleep, good food, regular emptying. Remember that the baby may push due to a disruption in the digestive system. In such cases, the child is restless, he rushes about, cries, beats with his legs, draws his knees to his tummy.

When to help a struggling baby

To push, as well as to cry and act up, the baby is forced intestinal colic. This problem occurs in almost all newborns. However, do not rush to treat the child, using even such means as Dill water. Initially, it is recommended to correct your diet. Avoid sugar, salt, flour, cabbage, legumes, bell peppers, cucumbers, radishes, and other foods that cause gas.

If your child is on artificial feeding, it is very important to choose the right mixture. Children who eat mixtures should drink water.

Make sure that the baby does not swallow air during feeding. To do this, hold the formula bottle correctly and apply the baby to the breast.

Analyze all recent changes and appointments - yours and the child, and try to find the reason: why gases are formed. So, for example, mothers of some crumbs noticed that straining and colic in their children appeared after the use of the vitamin.

To stimulate the digestive tract and release the swallowed air, often put the baby on the tummy between feedings, and after feeding - wear a “column”. To make it easier for the child, it is necessary to massage his tummy, stroke it clockwise with the palm of your hand, tighten the legs and lightly press them on the tummy.

To relieve spasms, press the baby to you with your tummy to your stomach, or you can put a warm diaper on his tummy.

But if none of the above methods worked, you should seek help from pediatrician who will examine the baby and prescribe treatment.

Constipation or malnutrition?

If your baby is constipated, he will, of course, push, making great efforts in order to poop. But this cannot be allowed. And already if it was not possible to avoid constipation, urgently adjust the feeding and care of the baby.

If the baby is breastfeeding, the consistency and regularity of the stool will depend on the nutrition of mommy. And therefore, it is often worth just changing the diet - and the child does not have to push to empty himself. It is recommended to drink plenty of fluids and fresh yogurt.

But with children who are bottle-fed, things are different. There are times when the stool is disturbed in babies due to one or another milk mixture. After all, pick up suitable mixture, it’s not easy at all, and sometimes you can’t do without the advice of specialists.

Often, parental care and concern can turn into problems for the child. Having panicked ahead of time and delivered a cleansing enema or vent tube the baby unnecessarily, he will soon not be able to fart and poop on his own. WITH similar methods, the so-called help, you should be careful and think well before using them.

In general, babies rarely suffer from constipation. After all, mother's milk in the best way affects digestive system baby, so such children should not have problems with stool - they poop much more often than children on artificial nutrition.

If the baby suffers from constipation, then when defecating, it is hard to push, growls and blushes, often even naughty and cries. After all, attempts to poop bring discomfort and pain to the child.

But do not forget that constipation is when a child does not poop for more than two days and he has a hard stool. And if the baby does not empty often, but the stool is of normal consistency - mushy, soft, and at the same time the child loses weight - this is probably "hungry constipation". This happens when the baby has little milk, and there is nothing to poop due to constant malnutrition. In such cases, pediatricians recommend supplementing the child.

Summing up, we recommend that young mothers still do not rush to treat their children. Sometimes medicines can do more harm than good. Basically, problems with the abdomen, due to which the baby strains, can be solved without resorting to the use of medications. Many pediatricians consider this phenomenon in infants to be the norm. The baby can push until he starts to eat solid food. The main thing is that, apart from straining, the child does not suffer in any way.

It is important to understand that attempts can take only a few tens of minutes in a standard birth process, however, it is attempts that are the most important period V labor activity. Note that depending on the specific physiological characteristics female body, from, from its size, from the real intensity of the current labor activity, and, of course, from what exactly it is specific pregnancy, the total duration of such attempts can be completely different. Modern statistics show that, as a rule, in nulliparous women, the second or second period of labor lasts no more than two hours, but in multiparous women, this period takes no more than one hour.

The general value of attempts in labor

Recall that the period of attempts usually begins only when the woman's cervix opens enough to allow her baby to pass quietly in the future. Actually, this is usually the main role of attempts - to help the crumbs to be born into this world in a timely manner. Pushing is pretty strong contraction muscles, and completely various groups. The abdominal muscles, diaphragms, and many others are involved in attempts, and as a result of this, increased intra-abdominal pressure is created, which subsequently helps to expel the fetus from its home - from the womb. Strong attempts usually join the contractions of a woman at a stage when they themselves become noticeably more frequent, intensify and become more powerful, longer and, unfortunately, more painful.

Attempts during labor always occur reflexively, and they absolutely do not depend on the desire of the woman in labor, the attempts are due to the increasing pressure of the so-called presenting part of the fetus itself directly on the cervix, because the fetus by this time is strongly falling down. However, unlike the strongest fights, attempts can still be controlled by a woman. Note that it was in this that the very essence of labor activity was laid. How future mom so her child must make mutual efforts in order to hasten that same long-term this moment the birth of a baby.

The vast majority of women directly during attempts can experience a sensation very similar to the condition that occurs during defecation. Many people have a certain impression that the maximum emptying of the intestines takes place on this very day, which is probably why women simply have an irresistible and even irresistible desire to push hard. According to doctors, such a desire should not be restrained at all, especially if the obstetricians themselves insist on this, constantly monitoring the birth process. Thus, nature itself is trying to help a woman giving birth to survive the strongest attempts and most effectively, fully cope with her main task for this period of time.

Women in pushing

According to the medical staff in the first period of labor, when the contractions of the female body are aimed primarily at the full disclosure of the cervix, the woman in labor herself is only able to partially alleviate her well-being, trying to take more comfortable posture or by applying . Recall that contractions in no way depend on the woman in labor, as well as the general course of labor activity in given period. However, already with the onset of full-fledged attempts from a completely passive participant in labor, the expectant mother will have to turn into a fairly active participant.

It is extremely important to fully feel the attempts during labor, which is why anesthesia is not used by doctors to anesthetize contractions, well, at least in standard cases. However, many women in labor still note that with the onset of attempts, the pain of the strongest contractions is already felt, not as much as it was before. Almost the entire consciousness of a woman would switch to the most effective straining and expulsion of the child from the womb.

It is also important to understand that, passing through the birth canal of a woman, the body of a small child will strongly squeeze all the organs surrounding the baby. And with the simultaneous straining of the woman in labor herself, all this can lead to the fact that the female bladder and accordingly, the intestines may well involuntarily and regardless of the desire of the woman to empty directly during strong attempts. Although, as a rule, the woman herself does not pay attention to such nuances during attempts. special attention, often women worry about such quite probable "embarrassments" just before childbirth, not remembering their worries during childbirth. Definitely, women should not worry too much about this at all. After all, firstly, such phenomena are more than physiological, absolutely normal and even familiar to any medical staff of a maternity hospital. And secondly, literally all unwanted or unplanned discharge from the body of the woman in labor will be immediately removed by the midwife, and as a result, their contact with the woman in labor with the medical staff or with the child is completely excluded.

For the mother in labor only right decision during the period of the onset of attempts, he will fully concentrate both on his own feelings and on the basic instructions of the doctor taking your birth. Understand that a lot will depend on the woman in labor right now, and directly. It is important to understand what is better and what correct woman will push, the easier it will be for the baby to be born into this world. However, it should also be understood that too quick birth a baby is a very big stress for him, and that is why your doctor from time to time may well give a woman in labor a “hang up” by stopping her straining.

You should always remember that the child himself during the attempts will work no less than yours. And, besides, right now the little one will experience the greatest lack of oxygen, so you should obey your doctor who takes birth and observes the process unquestioningly! So it is necessary to restrain one's attempts, if the doctor so requires, if strong straining, in his opinion, may not be too safe for the child. You will also have to do your best directly on that attempt when the doctor gives the woman such a command.

What is the right way to push during childbirth?

Any woman in labor will certainly feel that she has begun to attempt (it will be useful for you to read an article about that). However, it may turn out to be very early to push at the same time - and therefore listen carefully to the instructions of the doctor taking delivery. If the doctor is convinced that it is necessary to restrain or even completely stop the attempt (after all, it is impossible to completely eliminate it, since it happens reflexively, regardless of the desire of the woman giving birth), and tells you about it, you should try and relax as much as possible, and as much as possible maybe, perhaps, when relaxing, it is desirable to take very short, but rather frequent and most importantly superficial breaths (as doctors call this process - switch to the so-called "dog breathing").

Also try to apply during the period of attempts correct techniques breathing, constantly accumulating the maximum of their forces for straining. And when it is time to help your unborn baby, it is important to follow the further instructions of the doctor as clearly as possible. And the directions are usually:

• In anticipation of the attempts, take calm exhalations as deep as possible, and after them also calmly and as deeply as possible inhale into the stomach - and as deeply as possible, and not at all as much as possible, longer or more.
• Try to hold your breath, leaning slightly forward, and while pressing your chin to your chest, and at this moment spread your knees to the sides, strongly pressing against your muscle cavities, you can clasp your knees with your hands.
• Then gradually begin to push, and at the peak of the physiological effort, when you yourself begin to feel the maximum urge.
• Then, with the onset of a new attempt, try to push down, as if “pushing” the baby out of the womb - and at the same time make maximum efforts. However, remember, in no case should you strain in the face or in the eyes - remember, only the diaphragm and the organs below should be involved in attempts.
• Next, try to push the baby forward, while applying maximum effort on each new attempt.
• Try to direct new attempts to the point of the most intense pain. Moreover, burning or pain in the area of ​​\u200b\u200bthe cervix or vagina itself should intensify each time, which will be proof of an absolutely correct and most effectively performed attempt.
• Then push until you feel the urgent need to take another breath. And in such cases, slowly exhale the air, inhaling deeply, hold a few breaths and try to repeat all over again.
• It is important to observe even, rhythmic and smooth breathing, without any jerks or drops. Sharp exhalations will “pull” the baby back into the womb.
• You should not scream during attempts - believe me, this will not help you in any way, but such screams will waste a lot of strength. Try to remain silent, or at least groan calmly.
• Remember, during one contraction, a woman in labor should arrange at least three attempts in a row, naturally, without interruptions and rest.
• In addition, in the intervals between strong contractions, the woman in labor should try to relax as much as possible and rest at least a little in order to restore her strength for subsequent straining.
• Don't force things. After all, a woman has hard work ahead, and you need to concentrate as much as possible and correctly distribute your own forces.
• And one more important nuance And good advice When you take a breath before the next attempt, imagine that you want to absorb the ball - and even try to feel the big ball in your stomach. And then, with an effort at the level of the abdominals, try to push this virtual “ball” to the perineum. Although, of course, you should listen to own feelings, you know, nature, in this way, arranged for us that women's own feelings during childbirth usually do not fail.

It is important to remember that on average, during a single contraction, about three attempts can occur, lasting approximately 10 or even 15 seconds each. Note that many women during childbirth try to make one maximally long attempt, although this, of course, is a global mistake. Believe me, it would be better to make two or even effective attempts during one contraction than to make one attempt, but unproductive, in which any supply of oxygen to the fetus, which is so necessary right now for your baby, can stop.

It is extremely important to push as correctly as possible, otherwise your obstetricians will have to resort to the most extreme measures, including squeezing the baby out of the female abdomen, using forceps, or a vacuum, which in reality is highly undesirable and dangerous for the baby. And therefore, the woman herself needs to calm down, and assess the current situation as objectively as possible and try to do absolutely everything in your power for the normal birth of the crumbs.

It is also worth noting that the so-called can not only speed up but also greatly facilitate the very process of giving birth to a baby. Such vertical childbirth also contributes to the correct straining, if only because a woman can completely succumb to her own sensations without at all thinking about where to direct her exhalation (after all, the usual force of gravity acts). In addition, try to inquire about the most comfortable and beneficial positions during childbirth in advance, and even try these positions after trying to understand which one will be most comfortable for you. We definitely recommend watching an article with a video about existing ones today.

When pushing during childbirth does not occur

Unfortunately, not all of the women in labor feel full-fledged attempts during labor. In some cases, attempts are completely absent, which, however, is not at all serious violation process. Rather, it may be due to some physiological features the mother herself.

And yet, complete absence attempts may not be the best way to affect the general course of childbirth and the condition of the baby. In such situations, a woman simply has to completely and completely rely on the doctor taking delivery, listen to him as carefully as possible and just as diligently follow all his instructions. Although to be honest, it can be very, very difficult. However, what to do: such is mother nature - full-fledged physiologically correct attempts may occur, as it turns out, not all women in labor.

The final push

Remember, after the birth of your child, the placenta (or it is also called the placenta) will also have to be born. At this moment, the woman in labor may again feel the urge to strain, although this time it is not as strong and powerful as it was in the second period. birth process. The last very small effort - and your entire birth process is completely completed!

We would really like, whatever the description of attempts scares you. Indeed, in reality, attempts are very helpful in full-fledged labor, and besides, attempts are not so terrible as they are described. The most important thing is to try to perceive your attempts as the most effective tool for the correct full-fledged delivery and try to use this tool in the best possible way.

Recall that in the process of attempts directly from the vagina, a small head of the baby will gradually begin to appear (or perhaps another part of your baby's body, if in your case it was the buttock, and not the head). The child himself will make special translational movements, in fact, that is why for some time his head will either show or hide, back into the womb. And finally, when such reverse "swallowing" of the baby stops, you will be transferred directly to the delivery room or transferred to a special delivery table. And remember, very soon you will not even remember how difficult it was for you at that moment.

Try not to worry about anything. After all, childbirth is a wonderful natural process, which has been perfectly studied for a long time and “worked out” to automatism, as they say in practice. Remember, you should not be afraid of childbirth - everything will definitely be fine with you!

There are two types of pushes:
- natural;
- managed.

Attempts are an arbitrary contraction of the muscles of the abdominal wall, which feels like the urge to defecate.

With natural attempts, the whole process is not controlled or controlled by anyone. Your attitude and self-control are very important here. Just breathe and relax. To begin with, imagine that you are a flower bud that is currently beginning to bloom. Between contractions, try to take deep and calm breaths, relax your body and give yourself a little rest. Listen to your body and don't be nervous.

With controlled attempts, the entire process is controlled by a doctor. It tells you when to push and when to rest. Most often, such attempts are less effective. Since the mother gets tired quickly enough, they drag on too much, and as a result, the baby begins to suffer. In addition, often in the process of controlled attempts, tears occur, and doctors make an incision in the perineum - an episiotomy.

The choice of posture when trying

In the process of attempts, freedom of choice is very important. Take the positions in which you are most comfortable. For the first, vertical is considered correct. This position helps to tilt the coccyx 3 cm back, thereby leaving free space for the crumbs. In addition, the upright position helps the baby move smoothly towards the “exit”, eliminating the chance of perineal tissue tears. With this attraction, which provokes natural attempts.

When trying in a horizontal position, it is recommended to take a position in which the feet are just below the pelvis. In this position, the force of attraction will help speed up labor. Then inhale deeply and hold your breath. Then, for 5-6 seconds, begin to intensively press the abdominal muscles on top, then exhale smoothly and repeat this action. During one natural push, you have to push 4-6 times.

Remember! It is necessary to rehearse attempts half-heartedly.

You can rehearse this process in advance. To do this, sit down on the floor, lean your back on a sofa or pillow, note the time (1 minute) and proceed. Keep in mind that it is necessary to strain precisely those muscles that are located above. Put your hand on your stomach and try to feel them.

How to breathe properly when pushing

Once you are comfortable, take a deep breath. Holding your breath and tensing your abdominal muscles, you should gradually increase the pressure on the bottom. Then you need to slowly exhale and inhale deeply again. Without a break for rest, you should start pushing. During a full attempt, you need to repeat all these 3 times.

Then you should take a deep breath and a slow, calm exhalation, then relax. When the baby's head is born, you need to start breathing like a dog.

Most importantly, do not be afraid and listen to the advice of the medical staff. Do not shout, relax, tune in to the positive, and everything will go well for you and your baby.

At courses for pregnant women, experts regularly raise the question of how to give birth and push properly, because this is extremely important, but you know why?

Knowledge of the matter allows you to make the delivery process as quick and painless as possible in best case, and at worst - to prevent the development of complications in the crumbs. It can be both banal injuries due to passage through the birth canal, and hypoxia due to the slightest delay. Needless to say, the treatment can then stretch for a lifetime, depriving the mother of the joys of motherhood, and her baby - a happy and carefree childhood.

A young mother can talk forever about her birth. For her, everything begins at the moment of the appearance of contractions, and ends with the exit children's place. Meanwhile, doctors distinguish three main stages of labor activity, simultaneously explaining to the woman in labor how to breathe during each of them.

Truth precedes them preparatory stage. It usually lasts for a day. Due to the fact that at this stage the cervix is ​​only preparing for childbirth, it does not cause much discomfort. There is a softening of the tissues, opening the neck itself. There may be minor contractions that will intensify over time.

Does the woman hurt at this moment? No, if she does not have pathologies overshadowed by irregular, pronounced contractions. Only a doctor can identify them. Moreover, they are diagnosed most often in women in labor who experience severe fear due to upcoming birth accompanied by sleep disturbances, chronic fatigue.

Please note that any difficulties during the preparatory period do not affect the further course of childbirth. Here, as in a lottery: you will definitely be lucky if you give birth correctly and with a good specialist.

Childbirth periods:

• The first is long, uncomfortable, even painful, it all depends on the woman's sensitivity threshold. It is characterized by regular contractions, due to which the cervix constantly opens.

Moreover, the fetus practically does not move along the birth canal at the time of its contractions. Doctors distinguish several phases during which contractions can intensify or weaken, giving the woman in labor the opportunity to rest a bit.

The whole process is tied to the work of muscle fibers, which lead to thickening and softening of the walls of the uterus in certain places. Subsequently, the bubble bursts or pierces, and the cervix opens by 10 cm. Until this moment, the woman in labor usually moves quietly, sometimes she is injected with antispasmodics, analgesics, for example.

• The second is the period of expulsion of the fetus. It is characterized by the appearance of strong, prolonged contractions, which provoke the descent of the head into the pelvic area and the advancement of the crumbs to the exit. At this time, attempts are developing - the same uterine contractions that increase the pressure in abdominal cavity and facilitate the process of having a baby.

It is for its successful implementation that a woman needs to learn how to breathe correctly so as not to harm. Moreover, nature took care of the appearance strong desire pushing, which young women in labor may confuse with a desire to have a bowel movement.

It is interesting that sometimes attempts occur even when the cervix opens only 8 cm. Then it is important to breathe properly and not push so as not to injure the cervix. IN birth period you should listen to all the recommendations of the doctor, since passing through the birth canal the child now and then turns or unbends and risks injuring himself.

During attempts, you need to help the crumbs move forward, otherwise they may weaken and completely disappear. What does it threaten? Surgical intervention. Normally, the period lasts 15 - 30 minutes, but if complications are detected, it continues until the baby is born.

• Third - postpartum period. It is characterized by separation of the child's place and a decrease in the uterus in volume. It starts, as a rule, 10 minutes after the end of the second period and lasts about 20 minutes.

In case of complications, the placenta is separated under anesthesia. If there is an injury to the birth canal, followed by uterine bleeding, the latter is stopped, drugs are injected, ice is put on the lower abdomen.

How to know when it's time to push

In order to protect yourself from the problems that arise during labor, it is necessary not only to understand how to push, but also when to do it. If you start ahead of time, you can either get exhausted and lose all your strength before the onset of childbirth, or injure yourself and the baby. They usually push when pushing. They are felt when, due to uterine contractions, there is pressure on the rectum and tension in the muscles of the peritoneum and diaphragm.

Before pushing, you need to make sure that the child has taken correct position and the cervix is ​​fully open. This can be done only through the study of the latter, which is what the midwife or doctor does. That is why it is so important to trust them. Inspection of the uterine cavity and listening to the fetal heartbeat, they are likely to do during labor and childbirth all the time.

Please note that in the process of labor, there will also be a need to stop pushing. This happens when the fetal head passes through the cervix. This must be done so as not to tear in the neck area.

Summing up all of the above, it is worth noting that a woman should push only at the command of the medical staff. If she feels pressure and a desire to empty her bowels before this command arrives, she needs to notify the doctor about this. He will inspect the neck and agree with it further actions. Any delay, initiative, ignoring the advice of even "experienced" can lead to irreversible consequences.

How to push and breathe correctly

Do you want to give birth to a strong and healthy baby? Tune in to fruitful work with the medical staff during childbirth and birth in a few attempts. At the same time, it is important to remain calm and not panic, since fear and stress entail not only loss of strength, but also hypoxia in the child.

Below is a guide to action, and also describes the main thing - what it means to push. So:

During the straining period, it is important to remember that sharp inhalations and exhalations entail changes in abdominal pressure and, as a result, tightening the baby's head back.

Breaks between attempts last no more than a minute, during which the woman in labor must rest and gain strength. There are situations when the midwife will ask you to endure the attempt, breathing quickly and superficially, like a dog.