8.10. Planning meeting. Late for my usual 5 minutes, I sneak back to my place. Catching the reproachful look of the head doctor on myself, I smile at her sweetly. But, looking at the doctors on duty, the smile leaves my face, happy in anticipation of the upcoming vacation. Tousled hair a la "I fell from the hayloft", a nervous tic at the responsible duty officer, different slippers on the feet of the second, meaningfully say that duty was awful. Having made my way to my room, I quietly ask a colleague sitting next to me, "What's in the delivery room?" To which I get a short but succinct answer "W..pa !!!". The mood spoils, but not entirely. It's still the penultimate day! The last watch! We will give birth to all! We will operate! And then: “Ole! Ole, ole, ole !!! " No, no, Siberian obstetricians do not earn money for a World Cup ticket, just a very joyful cry.
8.30. I go up to the delivery room as on the scaffold (for I know everything after the planning meeting). 7 women in childbirth. SEVEN! For a modest second-level maternity hospital, this is quite a lot, given that I am alone in the delivery room. The second doctor won't be out of the busy postpartum ward until lunchtime. And the third is on vacation. Summer is generally a hot season both literally and figuratively! Everyone wants to go on vacation in the summer! Well, at least for a little bit, at least for two weeks, three is already happiness, and four is practically a jackpot.
I am distracted however. I begin to rush between the delivery rooms. Fortunately, experienced midwives are on duty today. Bison! Sharks of their craft! Every maternity doctor knows that an experienced midwife is like a second hand. You just opened your mouth to say the appointment, but she has already done. Although all the midwives of the maternity ward are masters of their craft. Deputies to the State Duma would be elected as we are midwives in the maternity ward.
9.00. Gives birth to a third-born (obstetricians, as, probably, all have their own slang: primiparous - "firstborn", multiparous - "repetition", partner childbirth - "partners", a woman with a scar on the uterus after KS - "scar". grenadier, height 180, weight 110 kg. The child is large at 4500-5000. She gave birth to the same, but all the same exciting, anything can happen. It’s about pushing. She swears in a fight. ! "In response:" Doctor, do not swear! It's easier for me! Milkmaid, I did not finish academies! " Like a mother! Weighed - 4800, height 58 cm, neonatologist generously puts 9-9b on APGAR. Afterbirth gave birth. Introduced pabal. Everything is fine! No hypotonia. Exhaled. The beginning seems to be quite good. I went to write a story.
10.00. A 16-year-old first-born is on the way (you won't be surprised anymore). Gives birth at night. It can be seen that it hurts. Crying softly, whining like a little puppy, fist in mouth in a fight, apparently so as not to scream. Eh, honey !! Sorry for you! To anesthetize with an epidural, but in the diagnosis of "Dermatitis", the whole back is in a small pustular rash, Anrem refused. What can you do, you can't do that. Katyusha, you shout! Maybe it will be easier! We often shout! Looks with eyes full of tears "The mother said that if I scream, the doctors will swear." Here, after all, what a mother, in childhood I suppose she scared with babies, now she was obstetricians! Shout honey, shout, I won't swear. Attempts. The child moves slowly. The pelvis is narrow. You can't rush. After another effort, exhausted, “That's it! I won't push! I can not!" “Hello! Who will be? " Let him go out himself !! Or will you get it out somehow! " “Uh, honey, this won't work. Come on one more time! At one, two, three: come on, Katyusha, come on, Everyone. Also a boy. No asphyxiation. Things are good.
10.30 - 14.00. Childbirth, childbirth, childbirth again, how different they are: childbirth with weakness of labor (praise for oxytocin), with discoordination (epidural anesthesia is all ours), with hypotonic bleeding (coped with uterotonics), deep rupture of the vagina (thanks, brothers anesthesiologists, for anesthesia) ... Phew, it’s a little worn out. One warms the soul, soon on vacation! They have already taken out the suitcase, bought a new swimsuit: Ole, ole! Stop. Early.
14.40. Let's go to the operation. An ambulance brought a pregnant woman with two scars from previous COPs, with contractions from 2.00 at night! Eat, why were you sitting at home, dear ?! Waited for the uterus to break ?! Guilty "Husband from work at night!" Oh women, women. Recklessness? Stupidity? Ignorance? During the operation, the scar is sharply thinned, spreading under the scalpel. The fetal bladder shines through. Kapets! Just a little more and ... Thank God! We got the child. The uterus was sutured. They tied up the pipes (well, at least she showed prudence here). She exhaled again.
16.00. The watch began. Go for lunch or what? But no. Foster. They brought a woman with an accident. Covered in blood. The term is 27 weeks. Started. Watch, you're the last. Damn, I'm running.
The face and surname are familiar. "Did you lie with us?" “Yes, a month ago they brought me in with bleeding. I have placenta previa! You took me to the edge! " "That was not enough yet." Face, clothes in blood. Somewhat inhibited. There is already an examination by a neurosurgeon (multidisciplinary hospital). Diagnosis: SHM. After consulting an obstetrician, hospitalization in o / neurosurgery. "Are there any complaints?" "My head hurts!" “And the belly? Is there bloody discharge from the genital tract? " "No! The stomach does not hurt. The airbags went off. " "Now fine! And where is so much blood? " “She broke her lip.” “Okay, let's see. The uterus is in normal tone, painless on palpation. Cito ultrasound. Okay, the ultrasound doctor is late at work. There is no placental abruption. The fetal heartbeat is normal, the movement is active. I calmly examine it vaginally. The neck is formed, the pharynx is closed. Discharge of leucorrhoea. I am writing in conclusion: At the time of examination, there is no data for acute obstetric pathology. I'm sending to neurotrauma. The soul is still restless. Still, placenta previa (retrospectively the next day, re-examination of the obstetrician and ultrasound, everything is normal). Uff.
17.00 Again the receptionist. 4 childbirth with harbingers. The term is full-term. Examining. Contractions are rare, after 20 minutes. During a vaginal examination, the cervix is almost smoothed, the edges are soft pliable, the opening is 3 cm. Make out in the delivery room. In response, "Doctor, can I come back later ?!" "You mean later?" “Well, in three hours, I need to spud the potatoes. Only 5 ares left. ”“ Uh, how much is there? ” "Ten". On the street 30 degrees, 4 births, mature cervix. “What a potato! You are crazy?" "Doctor! I will have time, I live nearby. After giving birth, I will have no time! My husband is on a business trip, there are no assistants. " Has rushed off. I'm uneasy again! She will give birth there among her potatoes! Why did you let go? Arrived exactly three hours later. The opening is complete! From the waiting room on a gurney to the delivery room! They gave birth in 5 minutes. "Did you manage to spill the potatoes?" Laughs "I did everything, I still had time to wash!" Truly, there are women in Russian villages.
18.00. Bypass in the postpartum ward. Okay, I'm on duty with the boss. She fights off the pathology department plus resuscitation patients. Did I even eat today?
20.00. A call to the city maternity hospital: "I would have a doctor on duty!" The tone is icy. Hello! The doctor on duty is such and such, with whom do I have the honor? " "I am Susanna's mother" (Susanna, a 28-year-old firstborn, was admitted in the afternoon with harbingers and an immature cervix. In the delivery room under supervision. Regular contractions began only an hour ago). "I am listening to you attentively" "Is anyone going to study my daughter at all?" To myself: "Have sailed" "And in your opinion, no one is doing it?" "Of course not! She's been suffering for 24 hours! " Well, we often hear this song. I make my voice extremely friendly. “You see, so they say and so, I acted without an active generic ...” In response, “You don’t fool me. I gave birth 28 years ago, and I remember very well what contractions are! Why isn't she giving birth? Have you fixed everything there for her? " Fathers, why "fix something" there? We haven't given her a single injection yet (to ourselves). Out loud: “Yes, everything is going fine. Do not worry! We do not offend your girl! We will do everything right. ”“ Keep in mind, I have my own person in the regional health service, if anything, I’m all of you there. ” Yes, we already understood that everyone will be shot or on a rack. Where is my Valerian?
21.00. Partner childbirth. Again. Husband immediately from the doorway. "We are for unnatural childbirth!" (He just said so) “We don't need to open the fetal bladder. I will cross the umbilical cord myself. We will take the placenta with us. ”“ Oh, Lord, please. ”Well, at least without shamanic tambourines and sprinkling of holy water in the corners (there were some).
Multiparous. Active phase of labor, 6 cm. They will not give birth for a long time. Uh, I wonder if I still have time to buy a pareo to match the swimsuit? Early, Tanya, early.
By the way, I'll go and see Suzanne. Again with the phone. Looks like my mother is in correspondence. I would like to take away all the phones at the entrance to the emergency room. So they say and so, a secure object, with a phone nizyayaya. I looked, thank God, the process is going on - 5 cm, but the bubble is flat. I need an amniotomy so as not to tighten. She explained for a long time why. She said she would sign an amniotomy consent after calling my mother. E-mine! 28 years old and we are all calling mom. Hold on, Tanya, hold on. We shared half of the night with the chief. So at least a little bit will be able to sleep.
23.00. Partners gave birth. Thank God, everything is as they wanted, everything is natural! True, the daddy grabbed the umbilical cord, he himself controlled the termination of the pulsation. The neonatologist could not stand it, shouted - let go. “Don't forget to give us the placenta! Otherwise, we know you, let them wear all sorts of masks! " Yeah, I’ll go straight to the office, lie down on the sofa and place your placenta on my face with a SLAP. (Ugh!) I took out the prepared package from the Magnet ahead of time. I wanted to be sneering, they say, somehow disrespectful to the tree of life. Shut up, Tanya, shut up.
Suzanne requested an epidural. And if mom is against it? “I will sign the consent! I'm an adult. " Well, okay, you can see that I'm tired, it hurts.
23.45. Call to city. Shout "Ale, this is Suzanne's mom" "What happened?" “Why did you poke her back? What if her legs fail? "
Yes, ekarny babay! I'm already losing my patience. “Your daughter is 28 years old! She asked herself, signed an informed consent! Besides, there were testimonies ”. The scream turns into a screech: “I know your testimony! And do not try to Caesarean. You just want to cut everyone. Keep in mind, I have my own man in ... ”Yes, yes, I remember, quartered, burned at the stake. Ole, ole, ole !!! Vacation, come.
00.00. I didn't have time to make a record in history, a call from pathology. Started! We slept during the day, woke up at night. I go to the second floor. Silence, darkness, only in the lookout light. What do you have, Galina Stepanovna? Galina Stepanovna is a midwife, big and beautiful like the Titanic.
The second childbirth, full-term, is already in the chair, smiling. "Yes, Galina Stepanovna raised you in vain!" (hmm, who else would go to bed) It hurts a little. " But Galina Stepanovna is still from the old guard of midwives, she will not call a doctor for every bunch. I look, Fathers, 9 cm, the head is low, well fetal whole. I say, get up on the sly, and quickly pack your things for the maternity ward. " "Doctor, it's too early, let's take about two hours, I need to finish the report" "What REPORT?" “Doctor, I'm the chief accountant at the firm! The quarterly report is on. I have a little left! " “Walking to the maternity ward, I already had one that almost gave birth in potatoes.” Okay, okay, let's run! Doctor, can I have a laptop in the postpartum ward? "
01.00. The chief accountant has given birth long ago. My feet are buzzing. There is sand in the eyes. Midwives: "Let's go drink some coffee!" “Let's go. Girls, do you have bacon? " They laugh, they know that I love lard "There is - they say - and lard, and mustard, and black bread." Mmm. Fuck the diet!
2.00. Suzanne gave birth. Surprisingly, she was pushing well, already without hysterics. Thank you Lord! Eyes stick together.
4.30. Phone call. Damn, it doesn't seem to be my half. The boss is on the wire. " Term term, outpouring of water, pelvic, large fetus, first birth. The operating room is ready. " I'm coming! Damn, why didn't I become a physical therapist?
7.00 I still managed to sleep. 2 hours. Ole! Ole, ole! We could only hold out for a day now! (with)
8.10. Planning meeting. Judging by the smiles of those present, our appearance with the boss is no better than the previous shift. Well, okay, but no excesses.
15.00. The day was almost calm. A couple of births and an operation. I'm going out onto the porch! I breathe deeply. One thought in my head: SLEEP! Damn, what kind of sleep? Tomorrow the plane is at 11.00. The sea is waiting! The suitcase is not packed! Ole! Ole, ole, ole!
List of things in the hospital and in the hospital based on personal experience.
The first is what comes in handy in the delivery room... In my maternity hospital, it was strictly forbidden to take anything other than a mobile phone and a camera. However, I managed to shove a bottle of water and a chocolate bar into the same bag, which I was incredibly happy about both in the delivery room and the next morning. We all woke up early, thirsty and thirsty, as well as to eat, so the stash saved me a lot. The nurse came only after 3 hours. And the relatives with the things began to be allowed in generally only after 12.
In the delivery room
Necessarily we take to the delivery room and drag in by any means:
1. Phone and charger. (Charging is also useful if you manage to inform all your relatives about the event before the arrival of your husbands, and even before the birth, not to the level of the phone's battery). The phone is understandable - in general, you never know what a critical situation.
2. Water. And during contractions, which can last for long hours, and after - you will be thirsty to drink, and at night, for example, you will not find water anywhere, and, most likely, you will not be able to get up for some time after giving birth.
3. Camera. After giving birth, literally 15 minutes will pass before you wake up and begin to admire and be touched by the most beautiful baby on this planet. Don't waste a moment - ask a nurse or even a cleaning lady to take a picture of you with your baby, take pictures of the first minutes of his or her life. These will be amazing footage that you will regret if you miss it. The kid will never be like that) And in general - it is better to immediately capture the child, if they suddenly take it away, they may confuse it. As crazy as it sounds, even now such situations are not uncommon. The tags, as I remember, flew off the pens just like that.
4. Postpartum pads and underwear. They will not be needed in the delivery room, but after that, as I said, it is not known when things will be handed over to you, even if they are in your wardrobe, a nurse who can bring them to you will not appear immediately, if, for example, you were not placed immediately in the ward or gave birth at night. In this case, in the morning you will find yourself in a pool of blood, because what was given to you will not be enough for the night. I gave birth in the best maternity hospital in the city, in which there is always not enough space, and everyone who gave birth in the evening and at night was taken to large delivery rooms for 6 people, where we waited for the morning (we slept without hind legs). They were placed in the wards only about 4 the next day. And from the night until 9 in the morning, all the girls were tormented, using towels and bathrobes - in the morning, no one came into the ward, that is, rozal.
5. Food. I mean - dry cookies, not sandwiches, of course). Chocolate is also not the best option, because it is better not to use it for a nursing mother. But we all woke up at 6 in the morning, and by 9 we just went crazy with hunger. I then swallowed two portions of the maternity hospital's tasteless inedible porridge.
Be sure to find out in advance what is issued in your maternity hospital (by phone at the reception) during childbirth. I collected a bag with clothes for the newborn and diapers, but they did not even look at it, because in our maternity hospital everything was given out - from a shirt for a mother to clothes, diapers, blankets and diapers for a baby. Apart from clean slippers, I was told not to take anything with me for childbirth and they gave everything back to my husband.
In the ward. Mom's bed, box - baby crib
And now, what to take to the hospital.
First of all, by the eighth month in advance, prepare three packages at home and write in large letters - "To the delivery room", "To the maternity hospital", "To be discharged." When you go to give birth may not be up to that. Yes, and husbands - such reminders are simply required. I collected the packages for the delivery room and the maternity hospital, as well as for the baby for discharge, but I forgot about myself. And when I asked my husband (smart and talented) to bring me clothes for discharge, moreover accurately described on the phone, I received things that I had not remembered about the existence in my closet for many years. And put on cosmetics - after all, they will take pictures of you when you are discharged, you will want to look your best in the first photos with your baby! It is also better to collect cosmetics yourself.
Sonny, Richard!
The maternity hospital will need two packages - the child and you. What should a newborn baby take to the maternity hospital?
To kid:
diapers for newborns
Clothing:
undershirts and pants
bodice
in my opinion, it is more convenient to replace this with jumpsuits that have buttons on both legs and up to the throat. Undershirts will come out, the pants have elastic, and the bodysuits, if they are not on a smell, but are put on over the head, can injure the baby's fragile neck, and even cause him to cry.
socks (if you give birth in the cold season - woolen socks that are worn by the baby under overalls, etc., on bare feet)
caps
Diapers, blanket, if not issued. (they brought us 14 diapers a day for two in the ward, towels and something else, and I was incredibly happy about that, because it was not possible at all to wash something, dry it somewhere. He threw the dirty stuff into the tank.
Medicines:
bepanten
baby cream
powder, if needed, (I smeared the folds with it, but did not use it under the butt)
baby soap
brilliant green
cotton buds
wet wipes
That's how we drove home) The photo was taken in the car on the phone, Richard is only 18 hours old.
On discharge:
envelope
beautiful suit
ribbon
car seat - if you are driving in a car, the car seat must be purchased by the time of discharge!
To myself:
First of all, documents are mandatory, which you must always carry with you in the last stages:
generic certificate
passport
exchange card with the results of all analyzes. If she is not there you can be taken to the infectious maternity hospital!
compulsory health insurance policy. (It's good if there are also photocopies)
referral from the antenatal clinic, if you are going to a certain maternity hospital, and not where the ambulance will take you. Without it, the ambulance will go to the hospital of your choice only thousand for 5-6 rubles. But if you are driving yourself, you are obliged to take you with contractions in any maternity hospital where you knock, even if there are no places.
Optional:
I was also asked for a pension - it was not
if required, a certificate from the TB dispensary. If giving birth with dad - he needs a certificate. In general, you must have made a mark in advance in the exchange card according to the certificate from the TB dispensary (which they themselves must order, and not drive you)
if childbirth is contracted, then this is the same contract
Washable rubber slippers
4-bed ward, 2 more beds on the right were not included in the frame
Into the ward:
Nettle (in bags, from a pharmacy. Nasty, but the bleeding that you will have for several days, reduces significantly and contributes to their rapid cessation)
clothes that are comfortable for feeding. Do not take shirts - you do not go back at night. And the T-shirts will get wet all the time from the milk flowing overnight.
robe. We were given - it was convenient, changed every day.
linen, disposable panties with a mesh can come in handy, do not mind throwing
socks
if there are problems with veins - elastic bandages or anti-varicose stockings, especially if a planned cesarean section is to be performed. Many with bandages and give birth
postpartum bandage - optional
postpartum pads, plus the cheapest from the pharmacy (with a simple top layer, not a mesh)
cotton pads for breasts (special)
personal care products: shampoo, soap, comb, toothbrush and paste, moisturizer
toilet paper
a pair of towels
cup, spoon
tea, a supply of provisions (there must be refrigerators on the floor). Sometimes they cook fantastic food - for example, a vinaigrette for dinner. so you risk going to bed hungry. I prepared in advance at home a bag of vacuum-packed cheese, all sorts of dryers, Maria cookies (which you will still hate)), bread, bananas. If there is no one to cook from among caring relatives - make steam cutlets and mashed potatoes in advance, let your husband bring you later, you will be glad.
Entertainment. The first days the child sleeps a lot, and sometimes he does not want to sleep off at all. They brought me a computer to the hospital (I must inform the whole world about the event and accept congratulations), and magazines about motherhood, and even knitting - I managed to knit a huge funny hat with a pompom for a future photo shoot.
bepanten (remind) from cracked nipples
chocolates - thank the staff
money
A maternity hospital is a medical institution where a pregnant woman can receive qualified medical care from the moment of conception to childbirth, including the process of childbirth itself and the early postpartum period. For a newborn baby, the maternity hospital is the first medical institution where they will be helped not only to be born, but also to adapt to life in the environment.
The rules in the maternity hospital are very different from the rules of other medical institutions, because an infection is especially terrible for a sterile baby's body. Therefore, every maternity hospital has a strict regime that must not be violated.
Delivery room
The delivery room is the main place in the maternity hospital where the baby is born. From the moment of the establishment of regular labor activity, the woman in labor is transferred to the delivery room, where she stays with the medical staff, and, if desired, with a partner (husband, mother, sister).
Modern delivery rooms are made in warm colors and equipped with all the necessary equipment. The most important attribute of every delivery room is the Rachmaninov chair-bed, on which a child is often born. The well-equipped delivery room also has a bed, a gymnastic wall, a fitball, a dedicated chair for vertical labor, a heated changing table and a newborn resuscitation kit in the delivery room.
How do women give birth in a maternity hospital?
Currently, the active behavior of women in the first stage of labor is practiced. A woman in labor can freely move around the delivery room, perform exercises on a gymnastic wall and an inflatable ball, which helps to reduce pain, quickly open the cervix and lower the fetal head. The woman herself can choose where and how she wants to give birth. Currently, childbirth is practiced while sitting on a special chair, childbirth in the knee-elbow position.
Caring for a child in a maternity hospital begins from the moment he is born. The condition of the newborn is assessed on the Apgar scale at 1 and 5 minutes after birth, the maximum score is 10 points. It consists of 5 criteria, each of which is evaluated from 0 to 2 points: heart rate, skin color, respiration, muscle tone and reflex excitability.
The primary toilet of the newborn in the delivery room begins to be carried out as soon as the head has erupted. The neonatologist removes mucus from the baby's oral cavity using suction, then the baby is placed on the mother's stomach and applied to the breast, if the child does not need additional medical care. Early attachment of a newborn baby to the breast is very important, as it helps to establish close contact between mother and baby, the skin and intestines are colonized by protective microflora, and also stimulates the production of oxytocin in the woman in labor, which helps the uterus to contract.
Then the child is taken to the changing table, where they wipe the generic lubricant from his skin, carry out the prevention of conjunctivitis, weigh, measure, dress and tie a bracelet on the handle, which indicates the number of the birth history, surname, name, patronymic of the mother, day and time of birth.
Many pregnant women are interested in how to dress a child in a maternity hospital? There is one peculiarity: the newborn's thermoregulation center is not yet mature and, under the influence of the room temperature, the child may become hypothermic, so the baby needs to be dressed a little warmer than the mother is wearing, especially in the early days.
Vaccinations for children in the maternity hospital are done by a children's nurse after examination by a neonatologist, the absence of contraindications and the signing of special documents by the mother.
Maternity hospital care
After childbirth, the doctor on duty in the maternity hospital examines the woman in labor, checks the condition of the sutures, the size of the uterus, as well as the condition of the mammary glands. Examination in the maternity hospital is carried out in special examination rooms under sterile conditions 
after a woman has performed hygienic procedures.
Recently, there is a lot of information about childbirth outside the hospital (at home, in the pool), and there are couples who decide on such risky actions. It must be remembered that the process of childbirth cannot be predicted, and there is always a risk of a situation when the life of a woman and a child depends on qualified medical care provided on time, so you should not endanger yourself and your child.
Most modern women begin to prepare for childbirth in advance and, in particular, choose a maternity hospital in advance. Obviously, this gives them peace of mind and confidence that the birth will go well (see "").
Despite the fact that maternity hospitals may differ from each other, the principles of their arrangement are the same:
- admission department;
- maternity ward;
- postpartum department;
- children's department;
- department of pathology.
Some maternity hospitals additionally have an observational department, where women with infectious and inflammatory diseases are admitted, as well as unexamined ones (without exchange cards, which contain information about the state of health of the pregnant woman and the child).
How does the admissions office work?
Any maternity hospital begins with the admission department. Here, the woman must give the documents prepared in advance:
- passport;
- exchange card;
- medical insurance policy;
- birth certificate (allowing a woman to choose a maternity hospital herself).
In the admission department, the expectant mother is examined:
- measure the pressure;
- listen to the fetal heartbeat;
- determine how soon labor will begin.
If the contractions are strong and repeated at short intervals, they are sent to the delivery room. If the contractions are just beginning, then in the prenatal ward. When admitted to the maternity hospital, they also carry out sanitization, which includes an enema (see "") and shaving the suprapubic zone (this can be done at home by yourself).
How is the maternity ward arranged?
The maternity ward consists of:
- prenatal ward;
- delivery room.
Prenatal ward
In the prenatal ward, there can be two to six women in labor at the same time, and in the delivery room there are usually two or three maternity chairs.
In the prenatal ward, a woman stays during contractions until the cervix opens to the desired width, so she is periodically examined by a doctor.
Here, they control the pressure, monitor the fetal heartbeat and the condition of the woman herself - perhaps someone will need stimulation of labor, anesthesia or other medical assistance.
Delivery room
When the cervix is fully dilated, the woman in labor is transferred to the delivery room, where, after pushing, a child is born. The newborn is laid out on the mother's stomach, where it lies until the umbilical cord pulsates. Then it is cut off and the child is examined by a pediatrician, assessing his condition on the Apgar scale. After the birth of the child, the placenta is born, after which the condition of the woman's birth canal is examined and, if necessary, postpartum ruptures are sutured.
Modern maternity hospitals have a box system - during contractions and childbirth, a woman is in a separate box.
Each maternity hospital has an anesthesiology and resuscitation department and intensive care wards, where women are admitted in serious condition (preeclampsia, high blood pressure, etc.) and after a cesarean section.
How is the postpartum department organized?
Two hours after giving birth, the woman is transferred to the postpartum ward, and the child is transferred to the children's department. Depending on the selected maternity hospital, both joint and separate stay of the mother with the child after childbirth is possible (when the child is brought only at the time of feeding).
The postpartum wards of modern maternity hospitals provide for the joint stay of the mother and child. This is convenient because the young mother will be helped here to establish breastfeeding and caring for the baby (see "").
Usually there are 3-4 mothers with children in such wards. When giving birth under a contract, the mother can be in a separate ward alone with the child. Here, every day, doctors examine the postpartum woman and the child, prescribe tests and ultrasound and, if all goes well, they are discharged home on the third or fourth day.
What is the children's department for?
Despite the fact that recently there has been a practice of joint stay of the mother and the child, children's departments are necessary in cases where childbirth was difficult and the mother cannot take care of the child on her own. For this reason, children born by Caesarean section are also located there. In many maternity hospitals there is also children's intensive care, where premature babies, children with pathologies or after difficult childbirth are nursed.
Why do you need a pathology department?
Almost every maternity hospital has a pathology department, where pregnant women are placed to monitor their condition and provide timely assistance:
- with the threat of premature birth;
- fetoplacental insufficiency;
- inflammatory kidney disease;
- severe gestosis;
- other complications.
Women are also here in preparation for a planned caesarean section.
The "holy of holies" of any maternity hospital and the place where our babies are usually born is the delivery room. Those who are just about to give birth, undoubtedly, want to know - what is it, how it works and what happens in the delivery room?
The delivery room can be general or individual, but, one way or another, the main piece of furniture in it is the delivery table, or, to be precise, Rakhmanov's bed. In appearance, this is an ordinary gynecological chair, only larger in size. If necessary, the table can be easily transformed into a bed, and you can stretch (not stretch!) Your legs. Another distinctive feature of this simple device is special handles, popularly called "reins".
When is it time to move to the delivery room
But let's go back to the prenatal ward for a while and see what happens there. After the cervix opens 10 cm, the woman in labor is transferred to the delivery room, or birth room. Subjectively, full disclosure can be determined by the attempts that have begun. Attempts are felt as an irresistible desire to empty the intestines, many women say so: "I want to go to the toilet in a big way." Sometimes there is no such obvious desire, but you suddenly notice that during the fight, your breath is held by itself, and you tighten your abdominal muscles. This happens reflexively, since the baby's head has dropped very low and presses on the nerve endings.
And here - ATTENTION !!! - you must definitely call a doctor and do your best to restrain attempts. This must be done for one simple reason: sometimes attempts begin before the cervix is fully opened. Therefore, in order to keep the cervix intact and safe, we breathe like a dog during the fight, that is, often, superficially, you can stick out your tongue. If that doesn't work, add the "on all fours" pose. In this case, the head should be lower than the place where we usually sit. This is achieved very simply - we kneel and lower our head to the level of our palms. The baby rolls back to the bottom of the uterus, and the pressure on the cervix decreases.
“Surely you have painted yourself a picturesque picture: a woman with a big belly is on all fours with her fifth point up and breathes frequently, sticking her tongue out ... Jokes aside!
After the doctor examines you and confirms that "everything is ready" - that is, the cervix is fully opened, you can begin to push. But you need to do it wisely.
- First, do not rush to climb onto the delivery table - carry out 2-3 contractions while standing. This will allow the baby's head to find a comfortable position to get out more easily.
- Secondly, if you did everything correctly at the fights, by the time the attempts began you should have a "second wind": the contractions become rare, after 7-10, or even 15-20 minutes; the mood improves - "there is a little left!", it is not clear from where new forces appear. This happens because the baby's head is pushed through the open cervix into the birth canal, and the uterus needs time to contract.
As soon as the uterus copes with this task, the contractions will resume. And they will be joined by attempts. Your time has come!
Labor is the most important job
Unlike contractions, a woman can influence both the strength and the length of the push. Typically, the tugging period lasts from 25 minutes to 2 hours, with an average of 35-40 minutes. So, when you find yourself on the delivery table, do not forget about pens- the midwife will show you where they are. You need to grasp them with your hands.
As soon as the fight begins, we sequentially perform the following actions:
- You need to breathe in "deeply", as much air as possible, and hold your breath.
- Raising your head and pressing your chin to your chest is necessary in order for the push to be effective, that is, the muscles of the abdomen are strained, and not the neck and face.
- Imagine that the air that we have inhaled is directed downward and pushes the baby out. And in the meantime, SMOOTHLY, WITHOUT JURKING, we strain the abdominal muscles and build up the strength of this tension. Your whole body seems to envelop your tummy, and all the muscles work to help the baby get out into the light. And the hands (you hold onto the handles with them) and legs (they are fixed in the holders) work to create a reaction force. Hard? I'll try it easier: imagine that you are sailing on a boat, and the handles that you hold on to are oars.
- When you feel that you no longer have the strength to hold your breath, exhale VERY smoothly and relax the abdominal muscles. And everything is new.
During the fight, you need to do all these actions 2-3 times. Moreover, the last attempt should be the strongest. The kid with each attempt will move closer and closer to the exit, but at first, he will "roll back". Therefore, all our actions are smooth, but strong. After all, the baby is literally trapped in a cramped birth canal!
"It is very difficult to describe how to push in words. Better to see once than hear a hundred times. In our case, it is better to try once than read a hundred times. Therefore, do not be lazy, attend a lesson at school on preparing for childbirth. Such trainings exist in almost all schools. Believe me, you will not regret it, and the acquired skills will benefit both you and your baby.
And now the long-awaited moment comes: the head of the child appears. ALL ATTENTION TO THE MIDWIFE !!! She is your commander for the rest of your labor. And she will command you the following: "Do not push!". This is a signal to restrain the push. Sometimes it is enough to just relax, but sometimes the urge to push is so strong that you have to remember about breathing "like a dog." The baby's head should be born out of pushing - this will keep the perineum from tearing.
At this time, the kid makes a “turn with a deflection” inside you, and first the head appears, then one shoulder, another ... The last efforts, and literally everything else slips out.
"Here he is, such a long-awaited, wet, wrinkled, and such a beautiful, most beloved baby in the world!
The baby is placed on mother's warm belly. The midwife (and sometimes, if the father participates in childbirth, this honorable mission is entrusted to him), after the cessation of the pulsation, he cuts the umbilical cord.
Congratulations! You did it!
Third stage of labor, birth of the placenta
But that's not all - the shortest and easiest period of childbirth is ahead, the third. Some time after the birth of your son or daughter (usually 20-30 minutes), the uterus will contract so much that the afterbirth can separate from it - after all, it is no longer needed. You will be asked to push - and the uterus will be completely free. A doctor will then examine you.
In the meantime, the baby is examined by a pediatrician, he undergoes initial treatment, and then, if all goes well, the baby is applied to the breast. Enjoy these minutes of getting to know your baby. Praise the kid, because he worked too! Precious drops of colostrum will serve the baby as a reward for hard work, and will provide reliable protection - this is the first immunity.
"It is very desirable that after giving birth, mother and baby are not separated. After all, the baby is for the first time in a new, such a huge and unfamiliar world! Only a mother can provide her little man with a sense of security, peace and safety. And only a mother can make this first meeting joyful!
Loading ...