Emergency Natural Childbirth: 3 Stages of Labor Stage 2 Delivery
About the second of three stages of emergency natural childbirth and labor, delivery of the baby, tips and advice on what to do.
2nd Stage of Labor. Gradually the time between labor pains grows shorter and the pains increase in severity until they come every 2 or 3 minutes. At this point it will not be long before the baby is born. At the beginning of this stage the mother will notice a change. Instead of the tightness in the lower abdomen and pain across the back, she will feel a bearing down sensation almost as if she were having a bowel movement. This means the baby is moving down. When this happens, she should lie down and get ready for the birth of the child. The tightening and bearing down feelings will come more frequently and be harder.
If the patient has had a full meal and is near delivering, she will often vomit. She will have an uncontrollable urge to push down, which, at this point, is permissible. However, the mother should not work too hard at it because the baby will be brought out without much straining. There will probably be more blood showing at this point; if bleeding is heavy and is pure blood, it is an extreme danger signal.
The person attending the delivery should scrub his hands thoroughly with soap and water, or wear rubber gloves. The attendant should never touch the vagina or put fingers inside. The mother should also keep her hands away from the vagina.
The very last occurrence before the child is born is referred to as crowning; the vaginal opening will bulge and the top of the child's head will actually be seen. At this time the mother should stop pushing down. She should try to breathe like a panting dog with her mouth open in order not to push the baby out too rapidly, with consequent tearing of her tissues.
The patient should be placed on her back with her knees elevated and legs separated so that the person helping her can get at the baby more easily. But the attendant helping the mother should always let the baby be born by itself. No attempt should be made to pull the baby out in any way.
Usually the baby's head appears 1st, the top of the head presenting and the face downward. Infrequently the baby will be born in a different position, sometimes buttocks 1st, occasionally foot or arm 1st. In these infrequent situations, patience without interference in the birth process is most important. The natural process is most important. The natural process of delivery, although slower, will give the child and the mother the best chance of a safe and successful birth. ...
Usually about a minute after the head appears the mother will have another bearing down impulse; this will push the shoulders and the rest of the baby out. While supporting the head, feel around the neck to determine if the cord, which attaches the child from its navel to the placenta in the mother's womb, is wrapped around the baby's neck. If it is, try to slip it quickly over his head so that he will not strangle. If the cord is too tight, it must be cut.
As the baby is being expelled, the person helping the mother should support the baby on his or her arms so that the child will avoid contact with any blood or waste material on the bed. If there is still a membrane from the water sac over the baby's head and face at delivery, it should immediately be taken between the fingers and torn so that the water inside will run out and allow the child to breathe.
The mother sometimes has difficulty delivering the shoulders because of their width. The top shoulder is usually the 1st to present itself; slight downward pressure on the head towards the floor will help deliver the upper shoulder.
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