Every pregnant woman dreams of easy and painless birth. Nature itself has created a woman's body for the bearing and birth of a child. During pregnancy, changes occur in the woman's body that prepare her for the normal course of labor. The cervix becomes soft and supple, and its elongation increases. The glands of the vaginal walls begin to produce a large amount of mucous secretion, and their extensibility increases. All described changes facilitate the exit and advancement of the fetus along the generic pathways.
Causes of ruptures during labor
Gaps during delivery are due to the following reasons:
- Clinically narrow pelvis (large fetus, narrow pelvis);
- poor extensibility of the birth canal;
- high crotch;
- misconduct of a woman in childbirth;
- edema of the perineum with weakness of labor;
- impetuous childbirth.
Classification of gaps
Gaps are divided into internal and external. Internal ruptures during childbirth include: damage to the cervix and vagina. The rupture of the cervix during childbirth happens when the head of a large fetus erupts during rapid delivery. Vaginal tears occur when the shoulders of the fetus pass through the birth canal. To external ruptures during childbirth also refers to the rupture of the perineum.
The rupture of the pubic articulation during childbirth is a more unpleasant complication that occurs with a clinically narrow pelvis. His prevention is the timely evaluation by a doctor-gynecologist of a possible risk and the resolution of the issue of operative delivery.
Diagnose internal ruptures during the inspection of the birth canal after the removal of the placenta.
How to avoid gaps during childbirth?
First of all it is necessary to say that 50% of the successful outcome of labor depends on the positive attitude of the woman, support of her husband. When women's clinics are created, schools of conscious parenthood, in which the future mother is taught the correct behavior in the delivery room, breathing techniques and gymnastics, which facilitates the birth of a baby. Pilates and yoga during pregnancy is an excellent prevention of ruptures during childbirth. A big role is played by the support of someone close (husband, mother, sister) in the delivery room, which can soothe a woman in labor during painful bouts, make a relaxing massage, and help in performing exercises that reduce pain.
To avoid rupture of the perineum during childbirth, a procedure such as perineotomy or episiotomy is performed depending on the direction of the incision. This is done in order to speed up wound healing, since linear wounds heal better than torn ones.
It should be noted that many women during pregnancy gain an excessive amount of kilograms (more than 11), which in turn increases the weight of the fetus and complicates childbirth, threatens with gaps. Allowed an increase of not more than 1 kg for 1 obstetric month (4 weeks).
Treatment of ruptures
Treatment of ruptures after delivery is the correct comparison of tissues and their suturing. Internal rips are sutured
Care of seams is very simple and consists in treatment with alcohol solution of diamond green twice after hygienic treatment of the perineum.
In conclusion, I want to say that a woman can facilitate the process of childbirth and save her whole crotch, if pregnancy will be active. Gymnastics for pregnant women, walking before bed, weight gain not more than 11 kg, support for loved ones and a positive attitude will help to give birth painlessly and without breaks.