breaks during childbirth
When approaching the upcoming birth, they deserve more attention to women.Some are waiting impatiently for their occurrence, the other with a certain apprehension.But thoughts have some common features.In any case it will be a certain percentage of fear, let it sometimes turns out to be insignificant.But any woman tend to worry about their condition and the child.
particular character of such a fear at first birth - is largely due to the unknown.After all, a woman is only theoretically know that she will.But often, the theory and practice vary considerably.The birth process proceed in each case individually.Therefore, it is often very useful and important to know that women expect during labor.
Including can often avoid ruptures during childbirth, which is often a concern for women.Much will depend on the behavior during childbirth and appropriate training during pregnancy.
Why are there tears during childbirth
Causes of ruptures during childbirth may be different.But t
form, elasticity and sometimes the location of various vaginal and abdominal muscles will change during child-bearing.These changes are completely natural, considering the preparation of the body for the birth of a child, contributing to the promotion of his lungs through the birth canal.There is a certain weakening of the muscles that are involved in this process - if diverge aside to provide for the child desired path at birth.
woman can directly control the passage of the baby through the birth canal, providing for his help in birth.To do this, it is important to the ability to control the muscles and the need to prepare for such a process the muscles themselves.Accordingly, they are required high flexibility.Very often due to the elasticity of the genetic level - transmission capacity expansion and muscle recovery inherited.But such powers can and train.To do this, the complex of special training and exercises.In this case, significantly increases the likelihood of giving birth are not accompanied by tears.But gaps in certain circumstances may be inevitable, since retained a certain limit to any muscle tension.
probability of fractures at birth does not depend only on the elasticity, but also additional conditions:
Infection or inflammation of the genital and urinary tract, the presence of chronic diseases affecting women: vulvovaginitis, colpitis, thrush and other diseases.Their presence increases the risk of rupture during childbirth due to a decrease of healthy tissue elasticity.
a result of improper actions of the mothers.You must understand when and how to breathe, what action to take.It should listen carefully to the recommendations of midwives.Often, because of premature attempts discontinuities arise during childbirth: in childbirth there is time to be "peredyshat" without straining.
Rapid delivery.Normally, the child should come to light slowly, slowly.Such a process would be best for the child and a pregnant woman, preventing ruptures.But sometimes maybe the rapid flow of labor.In this case, they have to resort to artificial slowdown, telling women about appropriate behavior, especially important for the rules of relaxation and breathing.If not controlled phasing, childbirth can cause serious fractures.
swelling of the perineum during childbirth.When sluggish labor or protracted struggles, there is a risk of edema of the perineum, which entails the appearance of breaks.
Mistakes by medical personnel.In case of wrong actions midwife when removing the head and shoulder of the baby from the vagina, also increases the risk of fractures.
scars from stitches.If you have stitches from the previous birth or other operations, is also high probability of rupture.
«Sport crotch."Muscles many professional athletes are too overinflated, including muscles of the perineum and pelvis.As a result, their elongation at delivery is hampered, resulting in tearing.
late childbirth.The risk of rupture increases at first birth of women older than 35 years.
anatomical features.Including the "high crotch" - the distance between the entrance of the vagina and the anus still 7-9 cm.
Compare breaks and cuts in childbirth
Doctors tend to eliminate the gaps, given the complexity of the ideal matching ragged edges of tissues for the connection.The result may be festering in the seams, the development of certain complications, including uterine prolapse, their weak attachment and so forth. So when the critical moment when the doctor knows the appearance of breaks on various grounds, it performs an incision.Using different notch avoids undesirable effects - including improve and accelerate the healing of wounds appeared.It is much better and more accurately be able to connect it with the edge of the tissue section.
After birth, the doctor performs a careful inspection of the birth canal to detect cuts and breaks, with the assessment of severity is performed layer by layer suturing: silk threads that need to be removed after 4-7 days, can also be used catgut or Vicryl bioresorbable sutures, in whichparticipating doctors will no longer be required.Depending on the extent of the damages, use of anesthesia (internal, local) or the refuse from it (in particular, to break the uterine cervix, given the lack of nerve endings).
possible internal (occurring inside the vagina) or external (at the exit from it) breaks.Complications of external rupture is much more serious, with heavy bleeding and threat of death.But these risks can usually be excluded by following the instructions midwifery.
How to prevent ruptures during childbirth
This question should consider well before the onset of labor.It is hardly possible to completely eliminate the risk of fractures, but significantly reduce their probability is quite real.The most important factor is the awareness of women about normal labor, the willingness to listen and take into account the advice midwives.
important condition for getting the ability to properly relax and breathing - appropriate equipment should be trained in advance.So a woman can contribute to better conditions for themselves and the baby during childbirth, was held to a natural process without injury and artificial intervention.
doubtlessly bring and Gymnastics vaginal muscles - alternating voltage, followed by relaxation.Widely used Kegel exercises, which provide training of the muscles and the pelvis for childbirth, thus can significantly improve a sexual relationship.
Thus these exercises to strengthen the perineum can be performed anywhere, regardless of the time of day.Yet in some cases, possible contraindications for the use of such exercises during pregnancy: in particular, when threatened abortion.Therefore it is necessary to consult a gynecologist about the appropriate way to prepare for the upcoming birth, with the prevention of fractures.
risk categories include the presence of inflammatory and infectious diseases of the genital and urinary tract, so to be in the 36th week to pass some tests for more reassurance.Upon detection of the specific problems, need medical treatment to re-commissioning tests.But no need to worry in this respect - the doctor prescribes the appropriate drugs are safe for that period.
To prevent possible and a special massage of the vagina to strengthen its walls, with increased elasticity, obtaining skills of relaxation of the pelvic floor muscles when pressure on them - similar to the situation will be in the process of childbirth.However, when this is necessary to comply strictly with the massage technique, absolute sterility - it is virtually impossible to achieve this.Therefore, this practice, many doctors can not recommend.
rehabilitation period with rupture during childbirth
If you can not avoid gaps need to care for sutures, compliance with the rules of conduct to their healing.The rehabilitation period required disinfection of joints (using green fodder or potassium permanganate, hydrogen peroxide) - once a day, and often need to wash after each trip to the toilet.During this period it is important to wash - exclusively from the pubis to the anus.Careful drying joints.Some time after washing is necessary to lie down without laundry to dry naturally.It takes as often as possible to change the gaskets (at least every 2 hours) to keep the wound dry.
within 2-3 days after birth is not recommended to go to the toilet on a large (due to the risk of divergence of joints).Therefore it is necessary to follow a diet, including abandoning the fiber in your diet.When the urge to have a bowel movement need to see a midwife on duty to get glycerin rectal suppositories, stool softening.
also about a month (individually, the term can be 10 days) when stitching maternity breaks can not sit down (barely one buttock).Therefore, breast-feeding is required standing or lying down.
breaks during childbirth - must be considered
After birth, with tears retained a fairly high risk of infection and complications rather long period.Therefore it is necessary to observe the rules of hygiene, in view of these rules, attentive to his own well-being and the state of the joints.If they occur, even the slightest signs of suppuration, swelling or similar phenomena, the amplification of pain, spasms and discomfort at the site joints need to consult a gynecologist.