What to do with attempts and contractions at the same time. What is childbirth. What is the difference between contractions and pushing

Motherhood is the happiness of any woman. During pregnancy, every expectant mother prepares for the fact that she will see her beloved child. And first of all, she needs to prepare for the birth itself. Pushing is an integral part of childbirth. How to recognize whether attempts or contractions have come, and what to do so that it does not hurt more - about all this below.

Attempts are understood as the second phase of childbirth, immediately before the very fact of the birth of the baby. In the first period, the cervix opens, opening the way for the baby, after which the actual birth process begins, designed to help the newborn leave the womb. They come after the period of contractions becomes very short and strong.

Sometimes this period is also called banishing, as it helps to expel the baby from his shelter, although most mothers do not like this name, because they have been waiting for their baby to appear for many months.

Did you know? Only one in twenty women gives birth on a day that was chosen by the doctors. Babies usually appear one to two weeks after their due date. But first-borns are most often born 4 days after day X has struck.

So, let's try to figure out what it is all about, attempts during childbirth, and how they happen. Attempt- contraction of all the muscles of the abdomen and the diaphragm, the septum that separates the chest and abdominal parts of the body. Thanks to it, internal pressure rises, which allows the baby to move forward. It occurs because the fetus irritates the nerve receptors of the uterus, vagina, and pelvic muscles. That is why they appear involuntarily, but the woman in labor can control them.

Frequency of labor

The entire period lasts approximately one to two hours. In primiparous women, it is longer, about 1-2 hours, in those who have already given birth, it is less - sometimes 10 minutes, and up to 1 hour. It all depends on the characteristics of the organism. The duration of one of them is about 10 or 15 seconds.

Find out more about the approximate date of delivery, when to give birth, when the stomach drops, why the plug has come off, and also about labor induction

How to recognize

It is possible to understand that it was attempts that have come, according to several signs:

the expectant mother's water broke;
the woman wants to go to the toilet. A sign that the head of the fetus is pressing on the rectum;
there is an active work of all muscles, especially the abdomen;
there is a desire to push with every contraction.

Usually the first two signs are the most true and accurate, the rest may appear or disappear, depending on the woman and the work of the body.

Important! If the child did not go through the birth canal, and the woman in labor began to push too early, this can lead to rapid exhaustion, weakness of attempts in the future, impaired uterine circulation, and even a lack of oxygen for the newborn. If the cervix does not open, it can lead to muscle tears.

But before a woman decides to push, it is imperative to call a doctor. He will be able to determine whether the baby has already moved to the pelvic floor, from where the birth process takes place. Usually the desire to push arises arbitrarily and in different ways. To curb premature attempts to give birth, doctors recommend a specific breathing technique that calms the body.

Differences between pushing and contractions

So, it is very important in the whole process of childbirth to learn to distinguish between contractions and attempts. Contractions- this is a frequent and regular contraction of the muscles of the uterus, and as soon as they become constant and frequent, this indicates the beginning of the first stage of childbirth. The main task is to open the cervix so that the newborn can pass through it.

Attempts also occur reflexively and come after contractions. Their task is to push the baby out.

One of the differences between contractions and pushing is the duration. The first can last up to 12 hours if the woman in labor does not have any pathologies and she is healthy. The second pass within two hours. For those who give birth again, the period of contractions is reduced to a maximum of 8 hours. Also, contractions are uncontrollable, but a woman can influence attempts to give birth.

The process of childbirth is perhaps the most difficult test in a woman's life. But no matter how difficult it may be, there are some tips that will help the expectant mother alleviate this condition, cope with nerves and calm down.

Listen to the doctor. He will be the first to determine whether everything is fine or should wait. Follow his instructions, and then the baby will be born on time and without complications.
Use proper breathing technique. It will allow you to relax when necessary, or to gather all the strength during the attempt to give birth.
To stop the impulse, you need to relax the whole body as much as possible. The breaths should be short and frequent, the so-called dog breathing.

Important! The first thing a woman should learn to do during pregnancy is to relax. Completely, keeping calm throughout the body, and always confidently. This will not only help in the process of childbirth, but also allow the body to control the process of attempts.

Proper pushing also depends on when mom pushes. The best time to do this is at the peak of momentum, allowing you to put the most effort into the process.
It is imperative to observe even and smooth breathing. If you exhale sharply, the child can be pulled back into the vagina.
Screaming is a bad idea. It only wastes the strength of the body. It is better to be silent or grunt, but keep all your strength and concentration.
As you inhale before pushing, imagine the ball you are swallowing. Feel it within yourself and direct it from the abdomen to the point of pain. This will allow you to maintain concentration and focus forces.

Proper breathing

There is a special breathing technique during attempts, which ensures the success of childbirth in general. First, a full deep breath is taken. It must be delayed, while straining all the muscles of the abdomen. Gradually, efforts are directed down from the abdomen, which helps the child to pass through the birth canal. This is followed by a smooth measured exhalation. During a full attempt, such breathing is carried out about three times.

Did you know? Some really strange and amazing things happen to a baby during childbirth. During the passage through the birth canal, the bones of the skull move, which is why many babies appear with such a slightly alien head. The umbilical cord in the process pumps blood from the body so that it is smaller than after childbirth. And the heart beats at a frequency of 150-160 beats per minute.

Complications

One of the complications that can be inflicted on a child is a traumatic brain injury. It occurs when the mother breathes incorrectly. With a sharp exhalation, the child may be pulled back, and thus he may be injured. Untimely attempts can also deprive the fetus of oxygen. If mommy pushes too early, she can cause a variety of injuries to the bones and muscles.

If a woman starts pushing before the cervix has dilated, this leads to uterine ruptures, which complicates the whole process of childbirth. If the baby moves through the birth canal too quickly, it can also injure the muscles of the uterus.

The process of childbirth is really very complicated and requires a lot of strength, patience and confidence from the woman in labor. Attempts are an integral part of them. Sometimes they are difficult, but there are sure ways to alleviate the condition of the expectant mother. Confidence, calmness and proper breathing are the key to success and health of the child.

In the entire birth process, attempts occupy the smallest part, only a couple of hours or even a couple of tens of minutes. But they are considered the most important and cannot be dispensed with during childbirth. The duration of the push depends on many factors. For example, the size of the child, the physiological characteristics of your body and the number of births before.

What is childbirth

Attempts during childbirth begin only when the cervix is fully opened and ready to release the baby into the world. In general, this is the main task of attempts: to help the baby be born and push him out of the womb.

When an attempt begins in a woman, the abdominal muscles and diaphragm contract. Due to this, a strong abdominal pressure is created inside, which helps the mother to push the baby out. Attempts usually begin when the frequency of contractions becomes very large, and the contractions themselves are very long and painful.

When does labor force begin

As statistics show, in women who give birth for the first time, attempts during childbirth can last about two hours. If the childbirth is the second, then their duration is almost halved, and with the third childbirth and further, attempts during childbirth can take only fifteen minutes.

It can also be added that the first attempts during childbirth begin regardless of the desire of the woman and this is due to the fact that the child with its weight begins to put a lot of pressure on the cervix while making rotational-translational movements in order to get through the birth canal. But attempts differ from contractions in that a woman with great difficulty, but can control them. After all, this is the main goal of childbirth, so that mother and child jointly make every effort for his birth.

Of course, most women who have already given birth say that they were looking forward to pushing, because this meant that only a few hours, or even minutes, were left before meeting with their baby.

They also describe pushing during childbirth as a feeling similar to a bowel movement. At the same time, there is an irresistible desire to somehow empty the intestines and start pushing. You should not restrain this desire, but unless obstetricians forbid it. Indeed, sometimes the first attempts begin even before the cervix is \u200b\u200bfully opened. It is in this way that a woman can best cope with the role prepared for herself and give birth to a healthy child.

How to control pushing during childbirth

When the contractions are just beginning, the woman is quite capable of alleviating her condition on her own. To do this, she takes the most comfortable postures and breathes correctly. She cannot control her contractions, because the opening of the cervix does not occur according to her desire. But when the period of attempts comes, then the mother can show her skills as much as possible and become an active participant in the birth process. It is very important to feel the attempts during childbirth, and therefore, doctors do not allow pain relief during contractions.

Moreover, when a woman begins to push, she does not pay attention to the pain from contractions at all, as she is completely focused on pushing properly.

When a child goes through the birth canal, the organs that are nearby are squeezed and therefore there are cases that during childbirth there is an uncontrolled cleansing of the bladder and intestines. But do not pay attention to it, because it's all natural. It is better to focus all your attention on helping the child and listen carefully to the doctors.

The more correctly you push, the easier it will be for the baby to be born. But at the same time, it is worth remembering that too fast a birth is also undesirable, as it will be a lot of stress for the baby. Therefore, when doctors ask you to stop pushing, you need to listen to them and restrain the attempt for a while.

The birth of a child is considered one of the most significant events. The process of labor is divided into several stages, each of which the woman in labor is working desperately.

The final stage of this process is attempts - the moment when the child passes through the birth canal. This is the most responsible and important part of childbirth, both for the woman in labor and for the child himself.

Attempts - what is it?

Everyone knows that labor activity begins with the discharge of water and contractions. This period is characterized by a duration of several hours. The body of the woman in labor prepares for childbirth, and the uterus slowly begins to open. When dilatation of the cervix has reached its peak, the child begins to move along the birth canal, trying to be born. This period and called pushing.

During them, the woman in labor is trying with all her might to push the child to the exit. Attempts are characterized by contraction of the muscles of the abdomen and uterus. They are involuntary, but the woman in labor is able to control them.

Pain during contractions and attempts is completely different. Therefore, even the firstborn will not be difficult to recognize the beginning of this period. Feelings during contractions are similar to menstrual pain, but much stronger.

When the cervix opens completely, and the contractions change into attempts, the sensations take on a different character. The woman in labor begins to feel how the pelvic muscles diverge.

In addition, the passage of the child through the birth canal resembles intestinal discomfort. It will be extremely difficult not to notice him. The beginning of attempts is characterized by the opening of the cervix at 10 cm. Doctors monitor this moment. With proper disclosure, they tell the woman in labor that it is necessary to push.

During contractions, the only thing a woman in labor can do is to endure and wait. Attempts are distinguished by the active activity of a woman. It depends on her efforts how quickly the process of childbirth comes to an end. The mother has two options - push harder or hold it back. It all depends on the recommendations given by doctors. Therefore, during childbirth, it is very important to listen to everything they say.

Helps a lot with this correct breathing. First of all, the fact that the child receives a sufficient amount of oxygen.

In addition, the principles of proper breathing help women in labor to distract themselves from pain and seamlessly control the process of childbirth.

Before the start of the attempt, the woman in labor must have time to exhale. As soon as the muscles begin to contract, you need to take the deepest possible breath and hold your breath. At this moment, the woman strains her abdominal muscles with all her might and tries to push the child out. It is very important to exhale gradually. Otherwise, the diaphragm involved in the attempts may put pressure on the child, which threatens to cause injury.

After the baby's head has appeared in the perineum, the last efforts are made, and he is fully born. But that is not all. The woman in labor must push again to give birth to the afterbirth. After that, labor activity is considered completed.

How long do they last?

The duration of the push can be different. It depends on the strength of the woman in labor, labor activity and other factors influencing this process. In women going through childbirth for the first time, attempts can last up to two hours. In individual cases, the process stretches over a longer period of time.

In multiparous, the period of attempts can range from ten minutes to an hour. There can be a huge number of reasons that affect the speed of attempts.

In especially difficult cases, obstetricians help a woman give birth faster, slightly slitting the crotch.

It is believed that the most severe pain that a woman has to experience is the pain at the birth of a child. This judgment causes a lot of fears in women who are pregnant for the first time. So they are storming the forums where experienced moms share their personal opinions on what labor pain is like and how to ease it.

Pain during attempts is individual. No one can guarantee that a woman in labor will feel the same as others. For some women, contractions cause the greatest discomfort, and attempts are completely painless compared to them. No one can predict what will happen in a particular case.

Despite the different manifestation of pain, every woman notes that the beginning of attempts is characterized by a strong desire to go to the toilet. It is at this moment that the process of the birth of a child begins.

With each attempt, the desire, similar to the urge to defecate, intensifies. But doctors from time to time urge to restrain attempts. It is very difficult, but necessary. Otherwise, there is a risk of harming the child and getting perineal tears.

What are weak pushes?

The final stage of labor can be delayed for some reason. If observed weak efforts lasting for a long time, the obstetrician-gynecologist decides to help the child be born. Weak attempts involve the use of tools with which the fetus is helped to get out of the perineum.

There can be several reasons for weak attempts:

Full intestines and bladder of a woman in labor;
Wrong behavior of the woman in labor;
Women who have an inguinal or umbilical hernia, formed during the period of being in position;
Weak abdominal muscles;
Inconsistency in the size of the fetus in relation to the pelvis of the woman in labor;
Lack of strength in a woman, exhausted by a long and difficult birth;
Injuries of the musculoskeletal system;

Today we will talk about what attempts and contractions are. How to distinguish them? Do they cause pain? In addition, we will pay attention to breathing techniques during various periods of labor, which will help girls who are in the delivery room for the first time.

The first pregnancy for every woman is an exciting event. Everyone, without exception, is trying to prepare as much as possible for the upcoming stay in the hospital. Expectant mothers are interested in questions: what are attempts, contractions, what you need to take with you, what complications can arise during childbirth, and so on. But now there is a large amount of information that can prepare a woman - these are special books, manuals and videos. In addition, doctors recommend that pregnant women attend courses for expectant mothers, which are held at schools for pregnant women, without fail. There they will help you overcome the fear of the upcoming birth, teach you how to breathe properly during childbirth, help you choose the right diet, and the courses end with child care. There, experienced specialists will show you how to hold the baby, wash, swaddle, and so on.

How to distinguish contractions from attempts?

Let's start by considering the most common question: contractions and attempts, how to distinguish them? Here the process of childbirth is approaching, then the expectant mother begins to think about how she will pass the test prepared for her by nature. What are contractions - for the expectant mother is more or less clear, but with attempts not always. What are pushes?

If you don’t delve too deeply into medical terminology, then the whole period of childbirth can be divided into the following periods:

contractions;
attempts;
postpartum period.

Now let's delve a little into the terminology to try to explain the difference between the first two concepts. Contractions are signs of cervical dilation, which is necessary for the baby to be born. But with attempts there is an "expulsion" of the crumbs from the uterus. Based on this, the expectant mother will not only feel painful changes in her body, but she herself will understand the difference in her behavior during these periods.

Breathing during contractions

If attempts began, and the doctor said to restrain them, then breathing “like a dog” will help. This must be done frequently and superficially. During contractions, you can behave in a way that is easier for you (lie down, walk, and so on).

What sensations does a woman experience during attempts?

We figured out the question of what is attempts during childbirth. This is the process that helps "expel" the fetus from the uterine cavity. Now let's talk a little about how a woman feels at this moment.

How to understand that attempts have begun? The feeling at this moment is as if you want to empty your intestines. At this stage, the water must definitely break. What is the reason for this feeling? The pushing period is characterized by the fact that the baby's head begins to move along the birth canal and presses on the rectum. Attempts are a signal that it is necessary to give birth. At this moment, women act instinctively, because nature has taken care to turn off the consciousness of a woman. Of course, the doctor controls all the movements of the woman in labor. During the period of attempts, the muscles of the press and diaphragm begin to work actively.

The duration of the pushing period depends on how many births the woman has had. As a rule, in a primiparous woman, the child is in her arms two hours after the water breaks. If the attempts last longer than this time, then this is a clear signal that something is going wrong.

Pain during contractions, as well as attempts

Now we will try to deal with the question of what hurts more: contractions or attempts? This question interests many women who are about to become a mother for the first time. We will immediately give the answer - contractions.

What are contractions and contractions? What happens to the female body at this moment? The pain that women experience during childbirth is associated only with the active work of the muscles. Contractions are more painful as the muscles are actively working to open the cervix. During attempts, as a rule, there is no pain.

Do not be afraid that you will not understand when the attempts begin. Do not forget: childbirth is a natural physiological process, women act instinctively. You yourself will understand everything, and an experienced doctor will help you.

Importance of pushing during childbirth

What is it we figured out, but why are they needed? Attempts are understood as spontaneous contraction of the muscles of the press and diaphragm, which leads to the pushing of the fetus out. In medical circles, this process is also commonly referred to as "fetal expulsion."

The doctor must tell you that during contractions you must save your strength. Rest in between. No matter how paradoxical it may sound, a woman can even sleep between contractions. This is necessary, because during the period of attempts you will have to work hard. As mentioned earlier, the time of attempts is different for everyone. They can last from thirty minutes to five hours. It all depends on the readiness of the woman, the number of births. But the average duration is only two hours.

We draw your attention to the fact that proper breathing will help reduce the load on the body, relax and eliminate pain. For these purposes, experts have developed a technique that should be learned in advance (bring it to automatism).

Proper breathing while pushing

It is very important to learn how to breathe properly during childbirth. How to behave during fights, we have described below. Now let's move on to the breathing technique during attempts.

It is very important to breathe often and deeply. Make sure you breathe into your belly through your mouth. Hold your breath a little and exhale calmly, but quickly. Please note that if you exhale sharply, this can push the baby back along the birth canal.
Under no circumstances should you breathe heavily. Now let's answer why. During such breathing, the muscles of the perineum tense up, a woman can simply suffocate the child.
It's not worth shouting. After all, there is no reason for that. In addition, screaming during an attempt stops the child, so this attempt is no longer as effective. Instead of screaming, focus on your breathing, because calmness and confidence will help you cuddle the baby to your chest faster.
Listen to the medical staff. Obstetricians try to alleviate your condition, suggest when and how to act. Coordinated work will help to give birth to a baby in two or three attempts.

Actions of women

During attempts, completely trust the obstetrician. He should tell you how to behave correctly so that the birth goes without complications and as quickly as possible. One push lasts an average of a minute, so don't waste it. At the very beginning, take a deep breath and push. Make sure that the air is pressed against the uterus, and not into the head. In the latter case, it will not do without ruptures of blood vessels on the face and eyes.

Don't worry if you can't get enough air in, exhale and take in some more. As a rule, for one attempt you can get air up to three times. When the baby's head appears, the obstetrician gives the command to stop pushing. If it is not possible to maintain calm breathing, then you can apply the “dog-like” breathing technique.

If you breathe correctly and listen to the medical staff, then the birth occurs quickly enough. If the doctor sees that you already have no strength at all, then he will give you time to rest.

How to push properly?

At courses for pregnant women, expectant mothers must be told about breathing techniques and behavior in the delivery room. In addition, attention is paid to the correct technique of attempts.

There is nothing special about this. You will feel a strong urge to have a bowel movement. Pushing is the same as on the toilet with constipation. The muscles of the press and diaphragm are involved in this process.

During attempts, you need to take a deep breath, raise your head so that you look at your navel. Wrap your arms around your knees and pull them towards you. Hold your breath and push. Please note that there are about three attempts per contraction.

Lack of attempts

Although childbirth is a physiological process, many women may not feel the period of attempts at all. It should be noted right away that the absence of attempts is not a violation. They simply don't exist. This is all due to the physiological characteristics of some women.

Although this is not a deviation, the absence of attempts to significantly complicate the process of childbirth. In such situations, a woman has to completely rely on an obstetrician-gynecologist, which is not always easy. On the other hand, you will not be distracted by any sensations, your task is to listen carefully and follow all the requirements of your doctor. But in fact, it's not as easy as it seems at first glance. But such is nature, attempts are not for everyone.

Final push

We have already said before how long the attempts last, but we did not say a word about the final attempt. After the birth of the baby, the placenta should also be born (in other words, the placenta). You will feel another urge, but less strong. One more little effort and the process is complete.

Do not be afraid of the description of attempts, in fact they are not so scary. Try to emotionally adjust yourself to the fact that an attempt is a tool that helps the baby to be born. Make the best use of this powerful and efficient tool.

Important points in breathing technique

Courses for pregnant women actively work out the correct breathing technique. Do this as often as possible, not only in class, but also at home on your own. If you feel dizzy, and your condition will be like fainting, then you should resort to the following points:

take a deep breath and hold your breath;
join two palms and breathe into them.

These are symptoms of hyperventilation, nothing to worry about. But, training should be postponed. Practicing the technique, you often have to breathe through your mouth, resulting in dry mouth. In this case, touch the tip of the tongue to the sky or simply rinse your mouth with water.

During childbirth, the baby has a much harder time than you. Don't forget about it. Arbitrary breathing can greatly delay the process of childbirth. Concentrate your attention on proper breathing, do not be distracted by extraneous matters.

The birth of a child is a great joy for the whole family, but the pain during childbirth, which accompanies both contractions and attempts, remains only for one person - his mother.

The nature of pain and the processes that led to its occurrence are very different in different periods of childbirth.

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Determining what attempts are during childbirth, they can be characterized as muscle contractions, leading to an increase in intra-abdominal pressure. Due to contractions, the pressure inside the uterus increases. The combination of both processes helps the child to go through the birth canal.

Attempts are a reflex act that starts after irritation of the receptors of the vagina, uterine neck and pelvic floor muscles by the presenting part of the fetus. Although they begin involuntarily, the woman in labor is able to control their course.

How long do primiparas last?

If we compare how long attempts last for nulliparous and women who already have children, it can be noted that their duration practically does not change depending on the number of births, remaining within 10-15 seconds. The difference is only in the duration of the period of exile. If in primiparous it is from 30 minutes to a couple of hours, then in multiparous - from ten minutes to an hour.

You need to listen carefully to your doctor.

A lot depends on how correctly the breathing is set during attempts. There is a certain technique, which includes several stages that should be followed, and then the period of exile will pass much faster and softer:

When attempts begin, you need to take a deep breath on a full chest, as if swallowing air. Hold the breath while tensing the abdominals, but keeping the buttocks, thighs and face completely relaxed. Gently press down, gradually increasing the tension of the abdominal muscles, gently pushing the fetus along the birth canal.
After a feeling of lack of oxygen appears, you need to slowly exhale smoothly.
Further, without resting and relaxing, you should inhale and push again.

During one attempt, this cycle must be repeated three times.

It is forbidden to exhale with a jerk during an attempt! If this is done, then the intra-abdominal pressure drops very quickly, with the same speed the baby's head returns back, increasing the risk of traumatic brain injury.

It is also important to know how to breathe properly with attempts while the obstetrician removes the baby's head. At the same time, the doctor asks to stop pushing. In order to interrupt or weaken the attempt, you need to breathe like a dog.

It is unacceptable to push on one breath throughout the entire attempt; this will lead to rapid fatigue of the woman in labor and oxygen starvation of the fetus. You need to do this, as already described above, three times. If for some reason the woman in labor does not feel an effort, then she must notify the midwife about this so that she can guide her.

When do they start?

The most responsible period of childbirth is the second, called the period of exile. It is during it that attempts are observed, with the help of which a woman, as it were, “expels” the child from herself. Hence the name of the period.

Second stage of labor

How to understand that attempts have begun and the second period has already begun, primiparous women are told in the classroom at the antenatal clinic. And you can feel it by the appearance of contractions of the muscles of the diaphragm and abdominals. With their appearance, the woman in labor will understand how contractions differ from attempts.

A woman is not able to influence contractions, but she can intensify or delay her efforts at her own will.

How long does it take for a baby to be born?

To the question of how many attempts a child is born, you can get a variety of answers. Some women in labor are more lucky, and they get by with one attempt, others cannot even remember their number, so many hours of childbirth were exhausting.

How to push properly?

It is very important, when attempts begin, to know how to push properly. When the obstetrician asks to do this, you should take a deep breath and, holding on to the arms of the chair, pull them towards you. At the same time, direct the effort to push the fetus down. Also common is the method of directing the force vector during attempts to the point of maximum pain, overcoming internal resistance.

You should know not only how to push correctly during attempts, but also how not to do this. In particular, it is forbidden to direct the force vector upwards. This will not only not accelerate the expulsion of the child, but will also lead to an increase in intracranial pressure in the woman in labor.

Childbirth can be divided into three periods:

contractions.
Attempt.

Contractions are needed in order for the cervix to open, and attempts are needed to expel the child from its cavity. Both those and others are very painful, although the nature and intensity of pain in both cases is different.

Here is the difference between contractions and pushing:

contractions begin suddenly, are accompanied by severe localized pain and are absolutely not controlled by the woman in labor;
soreness during attempts does not have such a pronounced localization, it is spilled over the entire abdomen, in addition, muscle contraction during them can be controlled by the mind of the woman in labor.

When asked what is more painful than contractions or attempts during childbirth, it is safe to give the palm to contractions. The transition from one to another is marked not only by a change in the nature of pain, but also by other obvious characteristics:

waste water;
the appearance of a desire to empty due to the pressure exerted by the head of the child on the rectum of the woman in labor;
activation of the muscles of the diaphragm and abdominals;
partial shutdown of the woman's consciousness during an attempt and the transfer of his work to an instinctive level, although a woman can restore control over what is happening at any time of her own free will.

The duration of the period of exile and, accordingly, the number of contractions depends on the number of births a woman has - the more, the shorter. But how long the attempts last does not depend on this, this indicator remains relatively stable, and, - from 10 to 15 seconds.

As a general rule, the second period should not exceed two hours in duration. If during this time the child was not born, then something is wrong, and the situation must be urgently corrected.

The border between the second and third periods of childbirth is the birth of a child. Then the woman has up to a quarter of an hour to rest, when she is given a newborn, and then the attempts return. Only their task is already different - also expulsion, but already of the placenta, which during this time period has time to move from the uterus to the vagina. These attempts are less pronounced, such tension of the abdominal muscles and diaphragm, as in the expulsion of the child, is no longer required. Normally, after slight straining, the placenta is released, which includes the membranes of the fetus and the placenta. This completes the birth process.

Conclusion

For women who already have their own children, the questions of what is more painful than contractions or attempts and how to distinguish between these two conditions are not relevant. They have already felt everything and know that the body itself will suggest tactics, and if something does not work, the main thing is that at that moment an experienced obstetrician is nearby, who can be trusted with the most valuable thing - a new life that has not yet been born.
Pregnant women who have yet to experience the joy of motherhood for the first time in their lives, as well as talk with more experienced relatives or friends.

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