स्वस्थ्य एवं संतुलित भारत के प्रयास में भागिदार बनें। अपने शरीर को एवं उसकी आवश्यकतओं को संतुलित दृष्टि से समझें। दाम्पत्य जीवन रुमानी बनाएं एवं यौन रोगों से बचें। अपने रुची का परिवार नियोजन विधि अपनाकर देश का साथ दें।
 
 

The BIRTHING PROCESS

 

The time leading up to the normal birthing process is generally 266 days (38 weeks) - from conception to birth. However, only about 5% of births occur on the actual due date.

The 4 Stages of Labor :

 

  
 
 

STAGE 1: Labor Onset to Full Cervix Dilation

Stage 1 consists of regular uterine contractions with cervix dilation. Full cervix dilation occurs at approximately 4 inches. The length of this stage varies from mother to mother. It depends on many factors including but not limited to previous pregnancies, the health and condition of the mother and fetus, patience of the doctor (or midwife) and willingness to induce labor, medications used at this stage, hospital versus home birth, etc.

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STAGE 2: Full Cervix Dilation to Delivery of Baby

Stage 2 generally takes from 15 to 50 minutes. During this time, uterine contractions strengthen and become more frequent. During this stage mother will feel the need to bear down and push. The baby goes through a series of passive movements - especially the head, which undergoes flexion, internal rotation, extension, external rotation, and crowning (the first sign of the baby's head).

STAGE 3: Delivery of Baby to Expulsion of Placenta

This stage consists of the period immediately following birth to the expulsion of the placenta - generally taking 5 to 10 minutes. Should the placenta not easily come out, tugging or pulling should not be performed. Gentle uterine massage may be utilized to assist in the release. The placenta should always be examined to be sure no parts remain within the uterus. This can become detrimental to the mother causing hemorrhage and/or death.

STAGE 4: Expulsion of Placenta to Afterbirth Recovery

During this stage, mother is monitored to be sure no uterine bleeding or other complications occur.

 

COMPLICATIONS DURING BIRTHING PROCESS

Insufficient Power

Sufficient power and coordinated contractions are essential for a smooth uncomplicated labor. When the power of the contractions are weak or the pattern of contractions disorganized, the mother is more likely to become exhausted. This can cause fetal distress resulting in fetal harm and/or c-section. The following are causes of insufficient power or improper contractions:

  1. disordered uterine action
  2. colicky uterus
  3. constriction ring - Bandl's ring
  4. rigid cervix
  5. edematous cervix
  6. annular detachment

 

Passage Obstruction

Passage way obstructions (pelvic, uterine, cervix, etc.) can complicate the birthing process. These include:

  1. tumors
  2. cysts
  3. fractures
  4. subluxations
  5. flat male-like pelvis (android)
  6. physiological changes (degenerative joint disease, tuberculosis, rickets, osteomalacia)

 

Baby Malpositions

Malpositioning of the fetus can lead to abnormal birth presentations. Some of the more common malpositioned birth presentations include:

 

Upside Down Presentation

This presentation occurs in approximately 13% of births and involves a presentation where the baby presents in an "upside down" or "sunny side up" position. If the baby does not turn to the proper position or turns late, the newborn will generally develop "cone head". This position also produces what is known as "back labor". This can be significantly reduced in women who receive regular chiropractic care during their pregnancy.

 

Breech Presentation

In a breech presentation, the feet or buttock present first as opposed to the head. This presentation occurs in about 1 out of every 40 births. Possible complications can be serious and include:

  1. intracranial bleeding
  2. neck dislocation
  3. shoulder dislocation
  4. hip dislocation
  5. clavicle fracture
  6. internal organ disruption
  7. genital edema
  8. premature placental rupture
  9. prolapsed cord
  10. uterine rupture

 

Face Presentation


Face presentation occurs approximately every 3,000 births. In this presentation, the baby presents face first with the neck in extension. Causes include a lax uterus, flat pelvis, multiple fetus, anencephaly, or neck spasms of the fetus. This is stressful on the cervical spine and usually results in a cervical subluxation in the newborn. Chiropractic care by a chiropractor trained in adjusting newborns is crucial for the continued proper growth of the spine.

 

Shoulder Presentation

The shoulder presentation occurs in every 200-300 births and involves a "shoulder first" delivery. The causes include:

  1. twin birth
  2. hydramnios - excess of amniotic fluid
  3. placenta praevia - part of the uterus presents before the fetus due to placental malposition
  4. multiparity - a women who has had 3 or more children
  5. sub-septae uterus
  6. unusual fetal shape
  7. undue mobility of the pelvis

 

Forceps Delivery

In the event there is fetal or mother distress, or the labor is not going as planned, forceps assistance may be used. As forceps can cause a number of problems, forceps should only be used in absolutely necessary situations. The following injuries can result from improper/inappropriate forceps use:

  1. skull fractures
  2. birth marks
  3. doctor-induced torticollis
  4. brachial plexus damage

 

Cesarean Section

Although c-sections were becoming very popular a short while back, experts now recommend avoiding this procedure unless the mother or fetus are in extreme distress. This is due to the invasiveness of the procedure and unnecessary stresses placed on the baby. The indications for cesareans are:

placenta praevia - part of the uterus presents before the fetus due to placental


1. malposition
2. fetal distress
3. maternal distress
4. failure for labor to progress

 

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