Prepare the bag
Prepare your bag a few days before. Do not forget to take all the information about pregnancy, your membership card and your ID card at the time of entry.
- Two or three cotton nightgowns, open at the front to facilitate breastfeeding.
- Two nursing corpses, remember to buy one or two larger sizes.
- A bathrobe to be in the clinic
- Slippers, comfortable and do not have to make great efforts to fasten them.
- Personal hygiene items.
For the baby:
- A cotton cap, to keep the heat on your head.
- T-shirts or cotton bodys (3 or 4).
- Newborn diapers.
- Pijamitas (2 or 3), and everything that the midwife tells you in the course.
Do not forget to take all the information about pregnancy (ultrasounds, analysis, special tests …)
Recognize labor contractions
The contractions you have had during pregnancy, have been irregular in time, now they will be regular, more intense and longer.
At the beginning of this phase will occur every 15 to 20 minutes and will not hurt much; Then, they will intensify and the periods between each one will be reducing.
If you place your hand on the belly, you will notice how it hardens. When contractions are not yet intense and repeated enough to go to motherhood, several positions can be taken to relieve them.
1. Sit on a chair looking at your back and place your arms on it, lean your head, your back bend.
2. Sit on the floor with a cushion under the buttocks to make them slightly elevated.
Do not eat or drink when contractions start, as it could be a problem if an emergency cesarean section is to be performed. If you are thirsty, wet your lips with wet gauze.
It is advisable to take a shower before going to the maternity, as the shower has a great relaxing effect. It is very important that you perform the relaxation and breathing exercises and do not be afraid to do wrong, a whole team of professionals will be attentive to you, just think about your child.
The cervix has to “open” to get a space wide enough that the baby can descend. This is what we call dilation.
Before the onset of the period of dilation, certain symptoms appear that will warn us that labor is very close.
Not for all women is equal. By week 36 there are discomforts that you have not experienced before: an unpleasant sensation in the pubis, urination more frequently and some contractions that perceive it as tightening of the abdomen that last about a minute and are repeated every five or ten minutes during Little time.
The discomfort is due to the compression of the head of the fetus by insinuating itself in the pelvis of the mother and to the appearance more and more frequent of contractions.
These are contractions, but not labor. They occur because at the end of pregnancy the organism stops producing progesterone (the hormone that has been in charge of controlling and prevent the uterus from contracting) and increases the secretion of oxytocin, another hormone with the opposite function: activate the contractions that will favor the dilatation.
They are false contractions that have nothing to do with those that favor dilation in childbirth: they are not regular and practically do not hurt, they simply cause a strange sensation.
Less fetal movements
The baby has been very comfortable leaning and kicking the walls of the uterus but at the end of the pregnancy moves much less.
They barely take place, it is already in the starting position and you have much less amniotic fluid where you can swim at your leisure. The time of childbirth is near.
Expulsion of the mucus plug Throughout the pregnancy
the uterus has been isolated from the outside thanks to a viscous substance that has taken care to prevent entry to any infectious agent.
Before the dilatation begins, the mucous plug disappears. This is not a symptom of impending childbirth, but it serves to alert us that the moment is already near, perhaps a few hours.
Some women do not realize that they have lost the plug because they confuse it with the increased flow characteristic of the last weeks. It is usually more viscous and sometimes accompanied by a little blood.
If you have broken bag, must inform the doctor quickly. It is most likely that labor will begin within the next 12 to 24 hours, but normally if the dilatation does not occur naturally, it will be induced within 24 hours.
The symptoms that you have broken bag are very clear: you will begin to lose liquid, little by little or in large quantities, but you will realize that it is not a simple leak of urine.
You should not worry if it happens outside the house, this happens rarely and when more quantity comes out is lying down, because standing baby’s head blocks the exit of the cervix.
It is normal for the pouch to rupture during labor. It is very important that you observe the color of the liquid that you have expelled, as it will inform us about the baby’s health.
If the tone is strawy and somewhat bloody, there is no reason to be alarmed, because you have probably also expelled the mucous plug.
If it is colorless or whitish, the fetus is almost certainly fine, but it is advisable to explore it to rule out a cord prolapse.
But if the tone is brown, greenish or blackish, there is very likely to be fetal distress, so you should see a doctor right away.
But it is advisable to inform the doctor as soon as possible.
After birth, the uterus continues contracting to detach and expel the placenta.
These are contractions that are hardly felt but produce the placenta detachment. The doctor will help by gently pulling on the already cut cord and pressing on the abdomen.
After carefully reviewing the birth canal, placenta and membranes, they will proceed to sew the episiotomy.
Meanwhile, neonatologists will be conducting the first health examination on your child and will clean and shelter you.
When the dilation is over, you are ready to go to the delivery room.
There you will be laid on a stretcher specially designed to facilitate childbirth. With each push the baby will walk the small path that away from the outside world.
Bid only when your midwife tells you, because if you do it at an inappropriate time, you can complicate the delivery process.
This phase of childbirth is usually very brief, usually the child comes out in two or three pushings, but can last up to an hour if it is the first time.
Although the monitors indicate that the contractions are very strong, the perception that almost all mothers have is that they are less painful.
If the doctor thinks that tears will occur, you will have an episiotomy (the famous spots). First the head will come, then one shoulder and then the other.
Once both shoulders are expelled, the rest of the baby’s body will slide off easily.
If you have decided to have labor with epidural anesthesia, the indications of the medical team are essential at this time as the contractions do not feel so intense.
Be prepared to spend several hours dilating, especially if it is your first child. Centimeter by centimeter will open the way that will pass the baby.
If the bag has not ruptured spontaneously, they will do so in the maternity when the dilation has reached approximately 5 cm.
It is a completely painless procedure. As the dilation progresses it will be necessary to put into practice the breathing and relaxation exercises learned in the preparatory classes, these exercises relieve the discomfort caused by the contractions.
When the dilation is ending, the contractions are more intense and followed. It is the moment of the next step: the expulsive phase.
It is a cut made in the perineum to increase the diameter of the birth canal and prevent the child’s head from tearing the tissues.
The cut is done taking advantage of a contraction (so you do not know) but you will notice that you will notice a small puncture, a local anesthetic to make it less annoying.
Supporters of episiotomy argue its use because they believe that if this cut were not done, the vagina, adjacent muscles or anal area could be torn, and joining in an irregular tear is much harder than doing it in a clean cut.
Its detractors find it unnecessary to intervene in a natural process and claim that many of the incisions made are larger than the tear that would produce the baby’s head.
In any case, it will be the gynecologist who decides the least risky action.