Childbirth is usually the procedure that acts on the pregnancy book to help the birth safely vaginally, the crown is one of the most common forms of the fetus when supporting normal childbirth, the fetal position in the crown is the head bowed during labor , the entire crown of the fetus will be in front of the waist on the pelvis.
1. Intrained and contrainttrained
1.1 Laying support for the throne
All pregnant women go to childbirth, crowns, heads deep in the vagina and prepare to go out.
- The pregnancy is incapable of laying under the lower line.
- The crown hasn't made it yet.
2. Pre-birth preparation
- Laying kits and harmless towels.
- Cutting kits, stitching of the mesmenity layer.
- Towels, cotton, bandages, sterile gauze, sutures, sewing needles, sterile umbilical clamps.
- The drug oxytocin 10 units are available in the injection pump.
- Tools for sputum suction and infant resuscitation (suction machines, straws, balls and newborn masks).
woman in childbirth
- Erm, guide women how to breathe, how to push and relax in addition to pushing.
- Indentation of feces at the beginning of labor and urination when about to give birth. If there is a bladder bridge that cannot urinate on its own, then put the urine.
- Wash the external genital area with clean water.
- Extensive antiseptic of the genital area and inguinal, thighs.
- Spread 1 dysbial towel on the maternity belly to pick up babies.
Lie on your back on the laying table, raise the laying table to have a half-seated position, high head, hands on the two sides of the laying table, buttocks close to the edge of the table, two legs guarded on two anti-retention piles
3. Steps to support the normal birth of the crown
- Make sure to be aseptic when supporting calving.
- Instructions for maternity pushing when the cervical has opened and there is uterinecontraction , do not nong the cervical and vaginal, do not push the abdomen of the maternity.
- In the cervical, down and rotating do not interfere, just monitor the contraction of the uterus, the gestational heart, delete the opening of the cervical, the degree of insidularity, when the cervical opening of the head is low for the maternity push.
- The maximum push time in childbirth is 60 minutes, in humans it is 30 minutes. If this time is over, it is necessary to intervene to remove the pregnancy by other methods of asphyxiation.
- The operation of supporting childbirth must be gentle, do not pull the pregnancy, help the pregnancy book slowly, do not force the maternity, the midwife needs patience.
- During maternity pushing after each push, it is still necessary to monitor the pregnancy heart regularly.
3.2 Conditions for starting childbirth
- The cervical is open.
- The amniotic fluid has broken (if not broken, press the amniotic fluid).
- The pregnancy has reached and entered the vagina to make the amenity stretched, the anus loe wide
- Instructions for maternity are only pushed when there is a feeling of squeezing along with the appearance of a contraction of the uterus.
3.3 Childbirth operations
If the pregnancy book is occipital (The occipital area of the baby is on the side of the mother's protective joint)
- Help the head bow well: Gently press on the occipital area during each contraction of the uterus.
- If necessary, cut the peromendant layer at a position of 5 hours or 7 hours (depending on the forelimbs), at the time the peromendant floor stretches for easy control and reduces bleeding.
- When lowering the occipital under the protective joint: The maternity stops pushing, one hand holds the peri layer of the perusus, one hand pushes into the forehead area upwards, helping the head to back up, eyes, nose, mouth, chin will take turns to go out
Occipital book (occipital area of the baby on the same side of the pelvis, face up on the side of the defensive joint)
- The mother's pubic face should help the head bow by pressing the head from the bottom with the fingertips.
- When lowering the occipital of the pregnancy to the edge behind the, the head of the fetus gradually backs up to reveal the forehead, eyes, nose, chin.
- When the head is completely waiting for the head to turn itself toward which side will help the pregnancy turn completely to that side (left or right horizontal).
- Observe which side the head of the pregnancy tends to return to, help the occipital turn to that side (left-horizontal occipital or right-right-horizontal occipital), check the umbilical cord if wrapped, remove or cut if chopped can not be removed.
- Hands hug the fetal head on the sides of the pacific, pulling the fetus down along the umbilical cord shaft so that the shoulders in front of the front book. When the lower shore of the delta muscle is under the protective joint, one hand holds the head (the neck is between the slits of the thumb and pointing) the other hand holds the perishing layer, lifts the pregnancy upwards and gives the rear shoulder book. In this, it is easy to tear the perorthal layer, so it is necessary to keep the perortaal layer well and for the shoulders of the pregnancy to slowly.
Supporting body, subject and detail
When the shoulders are finished, remove the hand to hold the biological floor so that the fetal body is booked and when the body is out, grab the feet
3.4 Care for mothers and babies after birth
After the pregnancy book, assess the general condition of the newborn, if it is good to quickly dry the baby in order (wipe the eyes, face, head, chest, abdomen, hands, legs, buttocks …) Then place the child on the stomach in contact with the skin adjacent to the skin on the womb, the head is on the side between the udder, the chest applies to the mother's chest, hands to the sides. Use a clean, dry towel to cover your child's back. If it is cold, you can use a warm mother's shirt or a warm cotton towel to cover the outside for both mother and child. Pay attention to this stage if the child's condition is good and the umbilical cord has not been cut immediately.
Injections of oxytocin to the mother: After placing the baby on the womb, give the mother a hug, palpation of the uterus through the abdominal wall to make sure there is no more pregnancy in the uterus, proceed to inject 10đv oxytocin into the front of the maternity thigh.
Umbilical cord clamping: Wait until the umbilical cord stops beating to proceed to clamp and cut the umbilical cord, the first clamp is 2cm from the umbilical cord, the second clamp is 3cm from the first clip, cutting the umbilical cord close to the first with harmless scissors.
Controlled umbilical cord pulling (vegetable window stage)
- Place your hands on the abdomen under the evaluation of uterus contraction, if there is a good recovery take the next steps.
- One gripper and umbilical cord, keeping the umbilical cord stretched, the other hand placed on top of the protective joint holds and presses the uterus in an upward direction towards the sternum while the handle clamps the umbilical cord pulling with moderate force
- When the vegetable cake has reached the pussy, the hand holding the umbilical cord lowers to the weight of the vegetable cake pulling the vegetable film peeled off. If the vegetable film does not peel off, the two hands of the vegetable cake helper rotate in one direction so that the vegetable film will go out
- If pulling the umbilical cord for 30-40 seconds without the vegetable cake drops low, then stop pulling the umbilical cord anymore, at this time just hold the umbilical cord and wait until the uterus contracts back and continue to perform the original variety.
Rubbing the bottom of the uterus
- Rubbing the bottom of the uterus helps the uterus to recover better to limit post-birth bleeding.
- Once every 15 minutes rub the bottom of the uterus once in the first 2 hours.
Support mothers to breastfeed their babies early
- Early feeding helps to shrink the uterus, the child receives precious sources of colostrum, improves resistance.
- When the baby shows signs of demanding breastfeeding, breastfeeding early as soon as it is on the womb.
3.5 Handling some post-birth complications
- At the stage of the vegetable book, it is easy to cause blood ice, it is necessary to peel the artificial vegetables that control the uterus immediately.
- If the vaginal, vaginal, biological layer tears, it is necessary to stitch it after the vegetable book has been checked and checked the vegetable cake.
- If there is bleeding due to uterine sputum, it is necessary to focus on emergency by measures to stop bleeding and replenish the lost blood.
- If the child is asphyxiated need to cut the umbilical cord immediately after birth and resuff up the newborn actively.
How important the pregnancy is when supporting childbirth, the crown is the most common and favorable pregnancy book when supporting normal childbirth. Above are the steps to conduct a full birth support, hopefully the above knowledge helps women have more knowledge about the process of childbirth and post-birth attention.
Share99 International Health Hub offers a full maternity care program for women from the very beginning of pregnancy from the first months with a full range of pregnancy examinations, 3D ultrasounds, 4D routines and routine tests to ensure the mother is always healthy and the fetus develops comprehensively. Maternity will no longer be alone when entering labor because having a companion helps the process of childbirth always bring peace of mind and happiness.
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