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Due Date Club November 2003:Working through Labor
2003-10-07
Name: Vindhya



November-Moms-To-Be,

We are almost getting there, so thought of sharing this information.

The better you understand the labor experience, the more prepared
you'll be. First of all, although labor is different for each woman and for
each pregnancy, there are three main stages:
- Stage 1 - (the longest) that ends with the dilation of your cervix
- Stage 2 - pushing and delivery
- Stage 3 - delivery of the placenta

Are you dreading labor? Do yourself a favor¡Vlearn as much as you possibly can about labor beforehand. Most women fear labor because of what they think will happen. And while, grant you, labor is no picnic, you can allay many of your fears by understanding what will be happening to your body.

While labor is different for each woman and for each pregnancy, there are 3 main stages:

Stage 1¡Vthe longest stage
During this stage¡Vwhich begins with the first uterine contractions and ends with complete dilation of the cervix¡Vyou¡¦ll probably spend most of your time at home. At first, the contractions are like strong menstrual cramps, lasting from 30 to 40 seconds and occurring every 5 to 15 minutes. They increase in rhythm, strength, and duration until, eventually, they last as long as 60 seconds and come every 2 to 3 minutes.

Here¡¦s what¡¦s happening during stage 1: Your uterus and cervix, which together look like an upside-down pear, are rearranging themselves into the shape of a keg. The cervix, or neck of the pear, is getting shorter and dilating or opening so baby¡¦s head can get through. This change is called effacement. At the end of this stage, the cervix will be dilated to about 10 centimeters (nearly 4 inches).

Stage 2¡Vpushing and delivery

Your labor coach can use a tennis ball to help ease the backaches that occur during early labor by applying firm gentle pressure to the ball while rotating it over your lower back.

Now it¡¦s time to go to work. Although this stage is no more comfortable, at least you¡¦re an active participant, pushing with the contractions. Using the techniques learned in childbirth classes will help you breathe and bear down, making each contraction more effective. Plus, you¡¦ll get lots of coaching from your partner and the medical personnel.

Here¡¦s what¡¦s happening during stage 2: Near the end, the baby¡¦s head can be seen during and after a contraction. That¡¦s called crowning. At this point, the doctor may do an episiotomy¡Va shallow cut into the lower vagina to keep your tissue from tearing. Next (the part you¡¦ve been anticipating forever!) the baby is born, usually head first and face down. At this point, the doctor may place your baby face down on your abdomen for skin-to-skin contact. Your newborn may take a first breath at that moment, or perhaps the doctor will have you gently massage the baby¡¦s back. Sometimes the doctor will perform a little suctioning to make sure the baby breathes freely. Finally, the umbilical cord is cut. Your partner may be allowed to assist here. There also may be other activity, for example treating baby¡¦s eyes to prevent gonorrheal infection, evaluating baby¡¦s condition, or perhaps injecting baby with some vitamin K to aid in blood clotting. And of course, someone will take footprints and issue the ID bracelets¡Vone for you and one for baby.

Stage 3¡Vthe afterbirth
One more job to do¡Vdeliver the afterbirth. Your contractions may have stopped but will restart, and will last between 5 and 20 minutes until the placenta is expelled.

Fetal monitoring
During the first 2 stages of labor, your baby¡¦s progress may be monitored electronically.

What about pain control?
While labor pains sometimes can be significant, there are several ways you can help alleviate the pain.

-----------------------------------------------------------------
We can talk about Fetal Monitoring and Pain Control later :)

Vindhya
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2003-10-08
#1
Anonymous Name: Avi
Subject:  great info indeed



Great info Vindhya, thank you so much... I didn't know, until I went to the child birth prep classes that we deliver the placenta too (after the baby).. and yes I learnt quite a bit about effacement and dilation too... your info sure did refresh my memory about info I am starting to forget already....

Simmi, dont worry about learning any particular breathing techinique... What's important is making sure you breath and doing it out aloud so that your hubby can keep track of whether or not you are doing it and for him to guide you to do it in case you are holding your breath...the simplest technique would be to breath like you are blowing a candle....

Vindhya, when is your class???... it should be pretty soon..
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2003-10-09
#2
Anonymous Name: Simmi
Subject:  U R a Star



Hey Avi. The trick of blowing candles sure puts things in perspective. So if I breathe through the nose and blow out through the mouth as if I was blowing candles, it should be nearly right? I am going to start practicing this way. Vidhya, U too let me know if you learn something different from the videos. Thx.
Don't know what I would do without u guys!!
Love,
Simmi
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2003-10-08
#3
Anonymous Name: Avi
Subject:  you are right



Vindhya, it surely helps when we see someone do it and when we are made to practice it ourselves.... but I am sure the tapes will go over some techniques that you can practice with your hubby helping you through them...

Techinique is not as important as making sure you are breathing and not holding your breath... so pick one that you are comfortable with and stick to it...

I packed the info that we got on breathing exercises in a box before we moved and now I cant remember which of the boxes has it.. I will surely post the info when I find it (We dont have too many more boxes left to unpack)
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2003-10-08
#4
Anonymous Name: Vindhya
Subject:  Breathing exercises



Avi,

Like Simmi, I too feel that I would be missing those breathing exercises big time. It would've been better if we could see a person doing it rather than watching on TV or reading it online.

Vindhya
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2003-10-08
#5
Anonymous Name: Avi
Subject:  85$ is quite expensive



We paid 40 bucks for 5 classes(over 5 weeks) so yes, 85 is a bit too much for a 1 day class... that is quite wierd..
but the tapes should work too.. as long you know what to expect and how to deal with things (since this is our first time)it shouldn't matter..

most of the stuff in my classes was something I already knew from all the research I did online..about labor - we were told something very similar to what your article here says..

Hope you and hubby do sit down and watch em' soon.. :)
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2003-10-08
#6
Anonymous Name: Vindhya
Subject:  Cancelled!!!



Avi,

Everyone said that 85$ was too expensive for a one day class, so I cancelled it. I've rented a couple of videos from the library, yet to watch them. Each day I say let's watch, my husband says not today, let's watch it tomorrow. I am not sure if that tomorrow would ever come or not. We have extended those videos two times already.

By the way, did you get your furnitures?

Vindhya
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2003-10-08
#7
Anonymous Name: Arshiya
Subject:  Thanks



Vindhya,
Thanks for very sharing this information. It's really helpful.

Arshiya
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2003-10-08
#8
Anonymous Name: Avi
Subject:  I do it all the time



that was so cute Arshiya... :)
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2003-10-08
#9
Anonymous Name: Arshiya
Subject:  Oops



I meant thanks for sharing this helpful information.
I guess, I am not myself today:)

Arshiya
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2003-10-08
#10
Anonymous Name: Simmi
Subject:  Brilliant



Hi Vidhya. Thx so much for this extremely useful information. I am sure dreading labor like anything. It is good to know the reasons behind what is happening. My main concern is breathing through the contractions, haven't taken to classes and reading don't really teach much. I have been trying to breath through nose and breath out from the mouth but I am not good at it!! I just hope it comes to me when I really have to work on it.
I hope it goes well for all of us.
Thx again. Simmi
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2003-10-07
#11
Anonymous Name: hetal
Subject:  good info.



hi vindhya,

oh u hv a very good information that is realy helpfull to all.

keep sharing

hetal
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