Consuelo Ruiz Vélez-Frías
WHAT IS LABOR?
phase is short, easy and safe play and the only one; if necessary, the woman can do all alone, although this is not desirable, not the physical but the psychological causes for delivery an emotion that it is appropriate to share with a loved one . The most noted of all, is the baby's father is good to share your birth. Delivery is the final stage, one in which the fruit is collected, is the result of a long wait, the moment you meet a great illusion.
Physically delivery is not just a job muscle. The longitudinal fibers of the uterus "pull" of the cervix upward toward the fundus. By contract, reduce its length, forcing it to shorten, to flatten and disappear, absorbed by the bottom of the uterus.
After a short break or so, the contractions are always directed upwards and grow larger gradually os, to which he contributes, too, the bag of waters, whose elasticity allows insinuation, getting into the hole, neck, small as it is. At each contraction, the uterus shrinks and flattens and the water can not shrink, which makes is to take pressure and expands the bag inserted into the hole, using hydraulic force, at once soft and powerful, the liquid in it.
MicrosoftInternetExplorer4
When the expansion reaches a diameter of between 8 and 10 inches, if the fetus is in its proper position, the first diameter to be submitted to output is the bioccipital (about 7 cm.) If women stands, the fetus into the vagina fall under its own weight, lubricated by the vernix caseosa , designed precisely to make it slip.
The vagina is extremely elastic tissue of the rectum is separated by a thin partition. The mother has the feeling of being too busy and right brain also persuade them. A delivery of the fetus, the uterus shrinks, the contractions cease and there is a period of rest, recovery forces as a preparation for childbirth, but she is very upset with this mass pushing against the recto / vaginal and brain decides to give the order to empty the rectum by the same procedure that is always empty, by the contraction of abdominal muscles, which pressure from outside to inside, forcing the fetus out. But it is in its way an unexpected obstacle: the back has already left side of the head, from crown to neck, but in front, the face is still inside the vagina. The frontal eminences have been standing against the maternal pubic bone. To make matters worse, perineum has decided to become soft birth canal and prevents the delivery of the fetus, standing, like a cap on the fetal head. What a problem! In the hospital they set up quickly with a good snip , but it is worth pausing to consider Why will behave in the perineum during childbirth in a manner so bizarre?
The human body is a perfect machine. Everything counts for something. Every organ, every part of the body, has a useful and concrete mission. Everyone knows that the perineum is the floor of the abdomen that plays an important role in contributing to its proper position to hold the abdominal organs. But why that intrusion into the birth as not to leave out the poor baby, trying to prevent or at least delay their arrival in this world?. vueltín I gave my imagination a lot to this problem and suddenly I found, miraculously, the solution:
Nature has predicted that the fetus is a great " choc "found suddenly in a world unknown and, in adverse times, and therefore has the mission entrusted to the perineum that the fetus comes out slowly, slowly, softly. Poor perineal! Risk their lives to avoid carrying a fetus with birth sharply. I was sad to see how the perineum grew pale, transparent, almost like a crystal and as fragile as if it were!
All the midwives in my day, we were taught to protect the perineum at the College of Midwives. In the maternal, of which then had several very good, I learned about other midwives. We discussed whether the maneuver was Olshausen better or worse than the classic of Bumm.
That the perineum is intact, as if the woman had not given birth, was a matter of professional pride for each and every one of us. Protecting the perineum with softness and love. We were retiring, little by little our hands, while the perineum is going back and wrinkled his forehead emerged behind the eyes, nose, mouth and chin of the fetus that came out NOT as if by magic, but by that the fetus could do, no one had taught him, those four moves : internal rotation, flexion and external rotation deflection, that all we had studied.
I do not know if my colleagues what happened to them myself, I was ecstatic and astonished to see how accurately and cleaning fetuses executed these movements as if it were the first and only time they were born, like they used to be born, to breathe, suck ! All knew how to do alone!
Consuelo Ruiz Vélez-Frías
Woman, mother, midwife , (died 2005); has left us a legacy of good knowledge.
