{"id":274,"date":"2021-05-28T13:57:57","date_gmt":"2021-05-28T13:57:57","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/child\/?post_type=chapter&p=274"},"modified":"2024-07-11T18:39:42","modified_gmt":"2024-07-11T18:39:42","slug":"the-process-of-delivery-2","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/child\/chapter\/the-process-of-delivery-2\/","title":{"raw":"The Process of Delivery","rendered":"The Process of Delivery"},"content":{"raw":"

Vaginal Delivery<\/h2>\r\n[caption id=\"attachment_759\" align=\"alignleft\" width=\"499\"]\"Diagram Figure 1.<\/strong>\u00a0The stages of childbirth.[\/caption]\r\n\r\nThe first stage<\/strong> of labor is typically the longest. The First Stage\u00a0of labor begins with uterine contractions that may initially last about 30 seconds and be spaced 15 to 20 minutes apart. These increase in duration and frequency to more than a minute in length and about 3 to 4 minutes apart. Typically, doctors advise that they should be called when contractions are coming about every 5 minutes. Some women experience false labor or\u00a0Braxton-Hicks\u00a0contractions, especially with the first child. These may come and go. They tend to diminish when the mother begins walking around. Real labor pains tend to increase with walking.\r\n\r\nDuring this stage, the cervix or opening to the uterus dilates to 10 centimeters or just\u00a0under\u00a04 inches.\u00a0This may take around 12-16 hours for first children or about 6-9 hours for women who have previously given birth. It takes one woman in 9 over 24 hours to dilate completely. Labor may also begin with a discharge of blood or amniotic fluid. If the amniotic sack breaks, which happens for one out of eight pregnancies, labor will be induced if necessary to reduce the risk of infection.\r\n\r\nThe second stage<\/strong>\u00a0involves the passage of the baby through the birth canal. This stage takes about 10-40 minutes. Contractions usually come about every 2-3 minutes. The mother pushes and relaxes as directed by the medical staff. Normally the head is delivered first. The baby is then rotated so that one shoulder can come through and then the other shoulder. The rest of the baby quickly passes through. The baby's mouth and nose are suctioned out. The umbilical cord is clamped and cut.\r\n\r\nThe third stage\u00a0<\/strong>is relatively painless in comparison to the other stages. During this stage, the placenta or afterbirth is delivered. This typically occurs within 20 minutes after the delivery of the baby.\u00a0If tearing of the vagina occurred during birth, the tear may be stitched at this time.\r\n\r\nhttps:\/\/youtu.be\/jFdXx35VR-o\r\n\r\nVideo 1.\u00a0<\/strong>Norma Labour & Vavinal Birth\u00a0<\/em>animates the process of vaginal delivery.\r\n

Cesarean Delivery<\/h2>\r\nCesarean section<\/b>, also known as\u00a0C-section<\/b>, or\u00a0cesarean delivery<\/b>, is the use of\u00a0surgery\u00a0to\u00a0deliver babies.\u00a0<\/sup>A cesarean section is often necessary when a\u00a0vaginal delivery\u00a0would put the baby or mother at risk.<\/sup>\u00a0This may include\u00a0obstructed labor,\u00a0twin pregnancy,\u00a0high blood pressure\u00a0in the mother,\u00a0breech birth, or problems with the\u00a0placenta\u00a0or\u00a0umbilical cord.<\/sup><\/sup>\u00a0Cesarean delivery may be performed based upon the shape of the mother's\u00a0pelvis<\/a>\u00a0or history of a previous C-section.<\/sup><\/sup>\u00a0A trial of\u00a0vaginal birth after C-section\u00a0may be possible.\u00a0<\/sup>The\u00a0World Health Organization\u00a0recommends that cesarean section be performed only when medically necessary.<\/sup><\/sup>\u00a0Some C-sections are performed\u00a0without a medical reason, upon request\u00a0by someone, usually the mother.\r\n
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Watch it<\/h3>\r\nVideo 2.<\/strong> C-section<\/em> animates the process of Cesarean delivery.\r\n\r\nhttps:\/\/youtu.be\/xyN48VnRYUY\r\n\r\nVideo 3.\u00a0<\/strong>C-Section with the Mobius\u00ae Elastic Retractor is a medical demonstration depicting a real Cesarean delivery (graphic content).\r\n\r\nhttps:\/\/youtu.be\/4TGz7-9H2oo\r\n\r\n<\/div>","rendered":"

Vaginal Delivery<\/h2>\n
\"Diagram<\/p>\n

Figure 1.<\/strong>\u00a0The stages of childbirth.<\/p>\n<\/div>\n

The first stage<\/strong> of labor is typically the longest. The First Stage\u00a0of labor begins with uterine contractions that may initially last about 30 seconds and be spaced 15 to 20 minutes apart. These increase in duration and frequency to more than a minute in length and about 3 to 4 minutes apart. Typically, doctors advise that they should be called when contractions are coming about every 5 minutes. Some women experience false labor or\u00a0Braxton-Hicks\u00a0contractions, especially with the first child. These may come and go. They tend to diminish when the mother begins walking around. Real labor pains tend to increase with walking.<\/p>\n

During this stage, the cervix or opening to the uterus dilates to 10 centimeters or just\u00a0under\u00a04 inches.\u00a0This may take around 12-16 hours for first children or about 6-9 hours for women who have previously given birth. It takes one woman in 9 over 24 hours to dilate completely. Labor may also begin with a discharge of blood or amniotic fluid. If the amniotic sack breaks, which happens for one out of eight pregnancies, labor will be induced if necessary to reduce the risk of infection.<\/p>\n

The second stage<\/strong>\u00a0involves the passage of the baby through the birth canal. This stage takes about 10-40 minutes. Contractions usually come about every 2-3 minutes. The mother pushes and relaxes as directed by the medical staff. Normally the head is delivered first. The baby is then rotated so that one shoulder can come through and then the other shoulder. The rest of the baby quickly passes through. The baby’s mouth and nose are suctioned out. The umbilical cord is clamped and cut.<\/p>\n

The third stage\u00a0<\/strong>is relatively painless in comparison to the other stages. During this stage, the placenta or afterbirth is delivered. This typically occurs within 20 minutes after the delivery of the baby.\u00a0If tearing of the vagina occurred during birth, the tear may be stitched at this time.<\/p>\n