The first births differ from the second

Let's start from the very beginning: the beginning of childbirth is preceded by the phase of preparatory fights, they are weaker than the real ones, they appear from time to time, with large gaps. "Debutante" feel them quite clearly, and mothers with experience may not notice.

This period lasts about 7 hours. For the first time the preparatory fights can be delayed, which means that they will prevent the future mother from having a rest and gaining strength for the upcoming "work". Then the doctor will introduce a sedative medication to enable her to sleep. For every mother, the first, second births are purely individual, details - in an article on the topic "The first births differ from the second."

This happens if the phase of the preparatory contractions has been protracted and tired of the expectant mother or amniotic fluid flowed ahead of time. In this case, the doctor will give her a sedative remedy to allow him to rest and restore the rhythm. It also happens that by the time of the birth of the cervix, the mother of the "debutante" is not ready, that is, it does not soften and does not shorten. In this it is helped by contractions: they become regular and intense. Under their action, the neck is softened, shortened and slightly opened. The neck resembles a tube with 2 constrictions: the first "closes" the entrance to the uterus (there, the baby swims in the amniotic waters), and the other - the "exit" outward. It is this last constriction that carries the greatest burden during childbirth: it has to open more and more to let the baby pass. For clarity, imagine an air balloon (uterus), the leg (cervical canal) of which is tied with two strings (inner and outer narrowing of the cervix). The first period for "inexperienced" mothers lasts 12-18 hours (this includes 7 preparatory ones), during the next birth it takes 6-8 hours. For the first time the rhythm of the fights at this stage can deviate from the nature, then they become short, irregular, and the cervix as a result does not open. Then the doctor will start to prepare the cervix with the help of medicines, for example a gel, which includes biologically active elements - prostaglandins, or candles with substances that relax her muscles.

It begins with the moment of full opening of the cervix and ends with the birth of the baby. At this time, the bouts become more intense, and attempts are added to them. The head of the baby presses on the muscles of the pelvic floor of the woman, irritates the nerve endings, from which she has an unbearable desire to stiffen. The second period lasts longer for "debutants", from 1 hour to 2. This is partly due to the fact that in women becoming a mom for the first time, the muscles of the pelvic floor, perineal tissues are less elastic, which means they are not too willing to stretch and exert more resistance to the birth of a child. For this reason, the trauma of the birth canal in "debutant" happens 2-3 times more often. To prevent this, the doctor resorts to tissue dissection. The third period is the birth of the afterbirth. It begins with the appearance of the baby and ends with the birth of the afterbirth (that is, the placenta with fetal membranes). The third period lasts about 5-10 minutes. During this time, the uterus is reduced, falls down to the level of the navel, which is why its connection with the placenta is broken, it exfoliates and, with the help of fights, is expelled outward along with the membranes. There is no particular difference in how "inexperienced" and "experienced" moms experience this period, no. Repeated natural births have their own peculiarities. The anterior abdominal wall and I of the uterine wall in such future mothers are less elastic, so the baby's head, which is closer to the exit, up to the beginning of the fights, may remain mobile above the entrance to the pelvis, rather than pressed to it, as during the first delivery. Because of this, a woman does not feel like her "belly dropped" - usually it happens 2-3 weeks before the birth. Cervix during reruns ripens easier and faster. The exception will be only those future mothers who received a serious neck injury during previous births. Fortunately, now such situations are rare. If the cervical ruptures were all its length and did not heal or a scar appeared in their place, doctors can direct the woman to the planned cesarean section. Disclosure of the cervix during repeated labor is faster and takes an average of 6-8 hours. Simultaneously with the first fights, both the opening and the shortening of the cervix begin.

Due to the fact that repeated childbirths go faster and the stage when the contractions become painful does not last long, the need for serious anesthesia arises less frequently. If the child that is born does not significantly exceed the size of the first and is right, the 2nd period of labor also passes faster . The baby goes "along the beaten track", and if for the first time from the moment of full disclosure of the cervix before the birth of the baby it usually takes 1-1.5 hours, then 20-30 minutes later. Analgesics are used more often for analgesia, they are injected once intramuscularly or intravenously. Damage to the cervix and perineum during repeated labor is less common than the first time, provided that the soft tissues are not inflamed. Of course, every pregnancy and childbirth is a test for a woman. And the first birth, provided that they developed naturally, still almost always remain in the memory of the young mother as a difficult job, while the latter leave a feeling of much less tension and fatigue. Now we know how the first birth differs from the second. And the newborns, due to the fact that the movement through the birth canal is faster, are usually more active and better take the breast at the first feeding. Since every subsequent birth increases the risk of bleeding in a young mother, the condition of experienced parents in the third stage of labor and in the first hours after their graduation, the doctor and midwife are especially vigilant. In the first days after repeated delivery, some women notice a painful contraction of the uterus, sometimes even requiring mild analgesia. However, these feelings quickly pass, and less fatigue from the process and the experience gained with the care of the first-born helps women to get stronger quickly.