Rapid childbirth

Description:

Bystry and rapid childbirth first of all is connected with disturbances of sokratitelny function of a uterus in the course of childbirth which can have already initially long character (disclosure of a neck of uterus happens slow rates, the prelying part of a fruit a long time is pressed to an entrance to a small pelvis, and then begins to move ahead quickly in patrimonial ways).

The general duration of delivery in itself can not cause disorders — 10-12 hours last, but here the period of the birth of the child is rather shortened. It is also possible that all stages of childbirth will be sharply shortened. In such situation bystry childbirth lasts at primapara less than 6 hours, at multipara — about 4 hours; rapid childbirth is even shorter: 4 and 2 hours respectively.

Main reasons for rapid childbirth:

1.      Inborn pathology of muscle cells therefore their excitability sharply increases. It is necessary to notice that such pathology is considered inborn, therefore if in a family on the maternal line there was already rapid childbirth, then it is necessary to wait for repetition.

2      Too hyperexcitability of a nervous system. If the woman has no psychological readiness for the forthcoming childbirth, then there can be excessively strong patrimonial activity.

3.      If before pregnancy at the woman the increased production of hormones of a thyroid gland was observed, there were disbolism, then it can become the reason of bystry childbirth.

4.      Existence at the woman of gynecologic diseases, and also the previous pathological childbirth can also lead to the subsequent rapid childbirth.

5.      Also specialists allocate in group of "risk" of primapara women aged to 18 or 30 years are more senior. The matter is that up to 18 years some immaturity and unpreparedness of a nervous system to pregnancy and childbirth is observed. And after 30 years the woman has some inflammatory diseases of bodies of a small pelvis, or has chronic diseases or diseases of hemadens.

6.      Bystry childbirth is observed at the women having pregnancy pathology, heavy toxicosis at early stages of pregnancy or a gestosis, diseases of kidneys, etc.

7.      Use of rodostimuliruyushchy drugs exerts impact on the course of childbirth.

As there is rapid childbirth.

At bystry and rapid childbirth patrimonial activity begins very suddenly or at once or after weak patrimonial activity. At the same time strong contractions go one by one through short periods and quickly lead to full disclosure of a neck of uterus. During suddenly begun childbirth which is followed by continuous and intensive pains at the woman in labor a physical activity increases, pulse and breath becomes frequent, arterial pressure rises.

So rough attempts and prompt, as well as all patrimonial activity. The fruit is born during 1-2 attempts and the afterbirth is born a trace.

At the multigiving birth women rapid childbirth can end even in 5-10 minutes.

Such "surprises" quite often take the woman unawares during trips, outdoor recreation, etc. Therefore in all cases there is a probability of infection of a fruit at the time of delivery if medical care in time is not provided.

Complications during bystry childbirth

During rapid childbirth the favorable outcome both for mother, and for the child is not excluded. However most often rapid childbirth leads to complications at mother and the child.

Strong patrimonial activity poses in itself threat of placental detachment till the birth of the kid. It is caused by the fact that uterine muscles reside in a sokrashchatelny state therefore uteroplacental vessels are pressed, blood circulation between a uterus and a placenta is broken. In time the medical care which is not provided to the woman will lead to deplorable effects. During amotio intrauterine bleeding as a result of which the fruit can receive less oxygen begins. If the woman does not manage to stop bleeding, delete a uterus.

During rapid advance on patrimonial ways the head of a fruit does not manage to adapt to haunch bones of mother therefore the child can have an intracraneal hemorrhage or there comes death.

Also rapid childbirth can serve as the reason of ruptures of a neck of uterus, vagina and crotch. Bystry emptying of a uterus can lead to the fact that her muscles are badly reduced after the delivery that can cause puerperal bleeding.

Tactics of conducting rapid childbirth

If during receipt in a maternity home disclosure of a neck was 2-3 cm, and within two hours there was a full disclosure of a neck of uterus, then childbirth is conducted in a lateral decubitus.

At the same time the woman in labor is given the drugs which are relaxing muscles of a uterus and slowing down patrimonial activity.

If rapid childbirth is caused by use of medicines, then their introduction stops.

At strong patrimonial activity by doctors cardiomonitor observation of a condition of the kid is conducted.

After the delivery doctors carry out careful survey of patrimonial ways for detection of injuries and their timely treatment. If the woman has deep and strong gaps, then survey and recovery of patrimonial ways carry out under the general anesthesia.

Absolute indications for operational delivery are: premature amotio of normally located placenta, the bleeding caused by this state and also an acute hypoxia of a fruit.

It is a little about prevention

Identification of the contributing factors is important even during pregnancy. If the pregnant woman has any risk factors, especially if the second childbirth is coming, and the first were bystry, it is better to lay down in a hospital to the term of estimated childbirth. The women belonging to risk group on development of anomalies of patrimonial activity need to carry out preliminary preparation for childbirth (methods of auto-training, training in methods of a muscular relaxation and to control of a uterus muscles tone). The large role is played by a rational day regimen and a diet. During pregnancy it is desirable to attend school for pregnant women.

If there is a need the doctor can write out the drugs improving uteroplacental blood circulation, and the drugs relaxing uterus muscles.

Medicamentous therapy is carried out up to the childbirth by that to women who have a risk of development of pathological activity of a uterus.