The Vaginal Birthing Process

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The Vaginal Birthing Process

One of the most commonly overlooked body functions of a woman is the birthing process. The mucous plug being released signals the beginning of the birth process. The mucous plug closes up the cervix to protect the fetus from organisms in the vagina. There may also be a slow leak or a gush of amniotic fluid. Irregular contractions of the uterus will begin and stimulation from the prostaglandin may initiate labor.

Labor is divided into four sections. The first stage begins when uterine contractions become regular. At this point, the stage proceeds to cervical dilation and effacement, thinning out of the cervix during labor. In order to deliver a baby, the cervix must be dilated to ten centimeters, or four inches, in diameter. Contractions increase in frequency and intensity until they become very strong, uncomfortable and exhausting. The first stage of labor lasts between and 4 hours. The average time of labor for a first pregnancy is 1 to 15 hours.

The second stage of labor begins with complete dilation and the entrance of the baby's head into the vagina. Contractions and the woman pushing forces the baby through the vagina until it is visible at the entrance. This is known as crowning. Pushing and intense contractions force the head through the vaginal opening. The baby then rotates to the side so the shoulders can be delivered. The rest of the baby is passed easily and the second stage is completed.

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The baby is then suctioned to remove mucus from the baby's mouth and nose. The lungs are then inflated by the cries of the newborn. With the baby's first few breaths, the infant's color changes from a bluish tint to a healthy pink. When the baby's condition is satisfactory, the umbilical cord is clamped, tied, and cut. All physicians evaluate the newborn's condition with the Apgar scoring system. The newborn is observed at one and five minutes following the delivery. Physicians observe the infant's heart rate, respiratory effort, muscle tone, reflexes, and color. A score of ten is considered the best. A score of seven to nine is considered adequate and no treatment is required. A score of four to six indicates that close observation and some intervention is necessary. A score below four requires immediate intervention and continuous evaluation.

The third stage of labor begins with the detachment of the placenta from the uterine wall. During this stage, the afterbirth (placenta and its membranes) is delivered and discarded. To accomplish this stage, a few more contractions are required. After the uterus has emptied, the muscles of the uterus continue to contract to close off open blood vessels and to control bleeding.

The fourth and final stage of the birthing process is known as the recovery stage. This is when the mother relaxes and finally meets her baby. The mother is examined several times over a period of weeks to be sure that an infection has not occurred and she is healing appropriately. The infant is also examined at one month to make sure the baby is growing properly and maintaining a healthy weight.

In some cases such as inadequate pelvic outlet, breech presentation (other than the head being delivered first), a large baby, ineffective labor or a development of serious problems, the baby may need to be removed surgically. This process is known as a Cesarean section. A Cesarean section, or C-Section, is a surgical procedure that involves cutting through the mother's abdomen and into the uterus to remove the baby and the afterbirth. About 10 percent of all deliveries are C-Section. After a C-Section is performed, if more pregnancies occur, more than likely the female will continue to have C-Sections.

Although the birthing process is the most overlooked body function of a woman, it is the most important for life. The woman giving birth endures a great deal of pain, but when all is through life prevails. The first stage consists of the mother dilating while the second stage is when the baby is then delivered. The infant is the evaluated with the Apgar scoring system. The third stage then proceeds with the afterbirth being delivered along with the placenta. While the fourth stage follows as the recovery process. After the last few check ups with the mother and the first few check ups with the baby, the mother and her newborn finally start their life together.

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