Vigilant control. Examinations and examinations during childbirth

12.10.2019 -

What is the difference maternity hospital from a regular hospital? Because it has a maternity ward. There is no such department in any medical institution, so girls who have not given birth cannot know how everything is tripled there. But it’s interesting, isn’t it? Then read our story (with pictures) below.

The maternity ward of older maternity hospitals usually has several prenatal wards and one or two general delivery rooms. In prenatal wards, designed for one or several people, a woman spends the first stage of labor - the period of contractions. After the period of pushing begins, the woman will have to move to the delivery room. It can also be large, and several births can take place simultaneously (usually no more than 2). Prenatal and delivery rooms are always equipped with a central supply of oxygen and nitrous oxide, have bactericidal lamps, a number of medications and instruments for childbirth, and cardiotocographs. In the delivery room, the II-III stages of labor take place: the pushing period, at the end of which the baby is born, and, after 20 minutes, succession period, during which the placenta and membranes are born.

General prenatal ward

General delivery room

In modern maternity hospitals, the maternity ward is designed differently. It consists of a number of individual maternity wards, each of which contains only one woman in labor.

There is an ordinary bed on which the expectant mother endures contractions, and right there there is a Rakhmanov bed on which pushing and the birth of the child take place. In advanced maternity hospitals, instead of the two above-mentioned beds, there is one transforming bed, which at the right moment, with the touch of a button, turns from a regular bed into a Rakhmanov bed and vice versa. In the individual box you can see all the equipment that allows you to monitor the condition of the mother and child during childbirth. Often such boxes are equipped with an individual bathroom (as opposed to a common delivery room, where the shower and toilet are also shared). Here you can also find such pleasant “little things” as a fitball, which is convenient for carrying contractions, a sink, a towel, and even, in exceptional cases, a swimming pool with a jacuzzi.

Individual birth block with two beds

Individual birth block with transformable bed If the birth box is large enough, then there may not be a separate room - a part of the area is separated, equipped with all the necessary functions: connected oxygen, a suction for mucus, a lamp for heating the newborn, and items for his care. Drugs and equipment for resuscitation care, as a rule, are located on a separate mobile table, which appears in the box with the pediatrician or resuscitator. If there is not enough space in the maternity ward, or the child is born by caesarean section, then he is taken for primary treatment to a special room for processing newborns.

Treatment of a newborn in the delivery room

After giving birth, the happy mother and baby (babies) remain on the same bed for 2-3 hours as before the push. It is possible that during these hours you will have to lie with ice on your stomach on a gurney in the corridor. In any case, insist that the child lie next to you! And you are not immediately transferred to the postpartum ward in order to exclude early postpartum complications.

The maternity ward has at least two operating rooms: a small one and a large one. Both are within walking distance: after all, during childbirth, minutes sometimes count. In a large operating room they perform C-section, and in the small case, stitches are placed after an episiotomy (incision of the perineum).

Large operating room

To the ward intensive care place women after operations and complicated childbirth. Here, not only doctors and nurses look after them around the clock, but also a lot of modern equipment. At any moment of the day or night, they can be provided with all the necessary assistance.

Intensive Care Unit

A few words about the doctors working in the maternity ward.

The work of the maternity ward is coordinated by the head, and after the end of the main working hours - by the responsible doctor on duty. In addition, here is always on duty nurses and midwives. That is, entering maternity ward, the expectant mother falls into the hands of several specialists. When concluding a contract, the doctor who is managing the pregnancy and will deliver the child must introduce his patient to the manager and the duty team.

At the time of childbirth, at least an obstetrician-gynecologist, a pediatrician, and a midwife are always with the expectant mother. Sometimes colleagues join the obstetrician-gynecologist; in addition, a pediatric resuscitator, laboratory assistant, and anesthesiologist may be called. Think about how to break up this close-knit team with someone close to you. A husband, for example, or a mother (friend, sister) can not only support you morally during childbirth, but also share the joy of the first moments of the life of your long-awaited baby.

I gave birth to a boy on May 4 this year. Large - 4300 g, a real hero, and my husband is not of a miniature build. And it was like this.

I went to the maternity hospital on April 25 with a suspicion of a post-term pregnancy; the doctors kept predicting childbirth, but there were no signs. Actually, on April 29, the tenth (!) month of my pregnancy had already begun, they endlessly checked me, listened, and asked: “Well, when will you finally give birth?” But the birth did not come and did not come, those who came with me were already discharged, and I still walk around with my stomach.

Yes, I forgot to say, in our maternity hospital they practice vertical birth(optional, of course) and childbirth on a chair in particular. What it is? This refers to a special chair (or obstetric chair) mounted at a height above the floor. There is a hole in the chair, the woman in labor sits on it, excuse the comparison, but like on a toilet, she pushes, the baby comes out into this hole, where the obstetricians receive him. Sitting on such a chair and giving birth is much easier than in the classic position lying on your back. But okay, I’ll continue about childbirth.

On May 3, the hospital director, having learned that I still had not given birth, gave an order, saying that’s it, contractions need to be induced artificially, post-term pregnancy is dangerous for both mother and child. Having called the best anesthesiologist and one experienced midwife from the city hospital, they came for me into the room, saying that’s it, let’s go give birth, we’ll induce labor artificially.

This is my first birth. I went with them to the delivery room, I was shaking all over with fear, there was not even a hint of contractions. Having exposed me from the waist down and laid me on the delivery table, they said, we will pierce the bladder, then the contractions will definitely begin. I’m shaking all over, I even started shaking my legs, like, “I’m afraid, I’m afraid.” Before I knew it, they pierced me (by the way, it didn’t hurt), and water started pouring out of me. This is where the end of the world began.

The stomach suddenly seized, the pain was hellish, as if a cauldron was boiling inside, everything was burning and it wanted to escape (I hope pregnant women for the first time are not reading these lines). It was about three o'clock in the afternoon. The doctors were surprised, they say, they didn’t even have to inject anything for the contractions, they just started the water, everything went by itself. The contractions are turning me inside out, it hurts a lot, I’m screaming, asking for painkillers, but this best anesthesiologist says that the child will suffer from him, you already have a post-term pregnancy, so be patient, if it’s really bad.

He, of course, is a man, he has no idea what contractions are. In those minutes (no, hours) I was a super feminist in my soul, I even cursed my husband (although I generally love him very much), they say, because of his one organ I am experiencing such torment... Well, okay. I’m lying there, screaming, and the warden is still checking the opening, it’s still not enough, he’s still talking. Around eight in the evening it got easier (a little), but by eleven it started to spiral... dear mother... I thought she was tearing me apart.

By three in the morning everything, the hospital manager says, the dilation is sufficient, you can give birth. I push, I push with all my might, I’m sweating in three streams. But it was not there. The baby will come to the exit, then go inside again, mom... it really hurts me. This went on for about an hour, they didn’t allow me to push too hard, they were afraid, the child was large, the ruptures could be large. The head of the hospital, exhausted himself, gives the following order: “That’s it, let’s put her on the chair, if not, then anesthesia and , but then you can already lose the child.”

Somehow they sat me down on this chair, the midwife and anesthesiologist pressed on the sides of the abdomen from the front, pushing the child through, received the baby from below, giving commands... after five minutes of pushing, the head suddenly appeared. Not a very sharp, but steady push - that’s it! He came out... Wow! How I ran 200 km.

Baby, weight - 4300 g, boy. While his umbilical cord was being cut, I was sitting on a chair and couldn’t catch my breath. About 20 minutes later the contractions were again, not strong, and the placenta came out. They laid me on the table again, examined me, it turns out there was only one small tear. Yes, dear, they said, if you had given birth lying on your back, you would have been torn to shreds, say thank you that we practice vertical childbirth.

It turns out that the classic horizontal birth on the back did not simply exist in the old days; they were invented in the 18th century. King Louis of France is some kind of number. It turns out that he loved to watch the births of his ladies-in-waiting, and to make it easier to see, he ordered them to be placed on their backs (hmm, you won’t envy the husbands of these ladies-in-waiting, I told my husband about this, he says, they probably wanted to break Louis’s face, but they couldn’t, naturally). From him came the fashion for childbirth flat on the back; it is very comfortable for obstetricians, but for the woman in labor it is the most painful position.

In the old days they gave birth standing, squatting, on all fours, on the same chair, and there were no gaps. Childbirth was a natural process, like going big, only a little harder. Now, I think, a monument should be erected to the one who began to revive vertical childbirth, albeit on a voluntary basis. They told me later that if she had given birth lying on her back, everything would have been torn apart, she would not have been able to sit for a month, the child was very large, and a cesarean - not a single cesarean would benefit the child, it was an operation. And animals (not a single one) in nature give birth flat on their backs. So vertical birth is the most natural, easiest and fastest.

Personal experience

Discussion

11/14/2007 23:35:07, Chamomile

09.29.2005 15:57:48, O1ik

From the story, one gets the impression that the author actually did not really prepare for childbirth. Or he’s not good at conveying events. For example, during contractions it is more painful for some to walk, and for others to lie down. Nothing is written about back massage during contractions, or about changing position. It just hurts that's all. After all, there are ways to cope with pain, but in this experiment they were not used. Further. Childbirth is vertical, but the situation is also non-standard: late date, big child. And the doctors and obstetricians pressed on my sides... So I don’t see any ease and convenience in this particular example.
It was easier for me to endure contractions by walking. I walked like this all the contractions. And the pushing on the table, on the back was quite tolerable, one might say it was a thrill, there was a feeling - I’m pushing and pushing, but nothing happens. Until the head hits, it's unpleasant feeling. And in the next attempt, my son was born.

I fully support vertical birth, I gave birth the first time on a chair, the second time vertically - the pain is faster and easier to bear and there are fewer bad consequences

I had experience with both horizontal and vertical ones. I can say for sure that vertical ones were torture for me. it was incredibly difficult and uncomfortable. there was no chair - an ordinary obstetric table, assembled like a chair by the back, which you had to hold on to. the memories are not the most joyful, which I can’t say about normal birth- I really got a buzz from them (if, of course, you can say that about childbirth :-)

09.28.2005 14:26:13, olga

Great! Congratulations! It's only a mistake with animals. Depends on what. Cows don't give birth. Cats and dogs still give birth. Another thing is that they don’t walk on 2 legs.

There you are folk recipe how to distract yourself from pain during childbirth: you need to take pictures.

Childbirth in the photo is no longer a curiosity these days. Any woman in labor can take a phone with a camera or a camera with her to the labor room and ask the nurses to photograph the birth process and the newborn, if, of course, the birth proceeds without complications, otherwise the nurses will not have time for photos. If a woman agrees to give birth with her husband, and the husband is not afraid of childbirth, he can also take a photo of the birth.

Photography of childbirth is not uncommon these days, but rather commonplace. In many ways, photographing childbirth has become possible thanks to the advent of photo cameras in cell phones, which obstetricians often do not prohibit taking with them into the delivery room. Many doctors even advocate Cell Phones and talking on the phone during labor, except, of course, during the pushing stage. The presence of a camera, a photo of the father at birth, a conversation with him or the mother on the phone during childbirth is a great distraction from the pain during labor.

The woman in labor tries to look presentable, and for this she is forced to breathe and behave correctly, and before the period of labor she needs to have time to take photos everywhere: on the threshold of the maternity hospital, on the ball in the delivery room, on the delivery chair, and a photo of how the midwife listens to the fetal heartbeat in childbirth is also valuable. If the father is present at the birth, for posterity a mother’s photo with him is simply necessary - the child will look at these photographs and be glad that mom and dad were with him from the first breath.

Of course, too intimate details of childbirth should not be filmed, not only because the spectacle is not for the faint of heart. The process of capturing moments like these can be nerve-wracking. expectant mother, and nerves and tension during childbirth will not lead to anything good. And what’s the point of taking photographs if you don’t show these photos to anyone?

Take pictures of your emotions and those of your future dad, in last time(for this particular pregnancy) take a photo of your belly, looking out the window (baby will probably be interested to see what the weather was like when he was born).

Don't forget to wash your hands before starting the most important part of childbirth - there are a lot of germs on your photo camera and phone that your baby doesn't need! Then you can safely touch your long-awaited one when he is born and the midwife places the baby on your stomach - this is an unforgettable moment that you will remember even without a photo camera.

When the baby’s feathers are “cleaned”, you can take a photo of him; in the first days of life, the baby changes very quickly: only he had an elongated, irregular shape head, swollen face, and after a couple of hours he was already a little rounder and prettier, although for the mother, her child has always been and will be the most beautiful in the world. Just do not use photo flash under any circumstances! Baby's eyes are very sensitive to light.

Good luck with your birth and don’t forget to take your camera with you!

Maternity ward in most Russian maternity hospitals:

Basically, in maternity hospitals, the equipment in the delivery room is not the best, but you can safely count on an imported transformable maternity chair.

Modern labor and delivery room:

Maternity chair:

You most likely will not be able to take a photo of the birth on such a maternity chair; an obstetrician-gynecologist looks at the woman in labor on it before and during childbirth.

And now, finally, we have reached the most frightening place for many. The birthing room can accommodate about three tables, which are equipped with special handrails that the woman can hold on to while pushing. Pushing is the final stage of contractions. When you feel like you need to go to the toilet in a big way, this will be a signal that it’s time for you to give birth. You should definitely inform your doctor or midwife about this point, instead of going to the toilet yourself and pushing there.

Watch and practice how to breathe correctly during the birth process:

During pushing, you will need to breathe correctly, the midwife will tell you about this. This will help your baby breathe, as it is consumed during stress. a large number of oxygen and your baby may experience lack of air. This process can be controlled, especially if you know in advance how important it is. This will also be taught to you at the school for expectant mothers.

Here you can watch a video on how to push correctly:

Watch the video training of the birth process:

And here you will learn about the second stage of labor and the immediate birth of the baby:

Modern methods of pain relief They are quite effective, so if you feel that the pain is becoming unbearable, you can ask for anesthesia using pre-agreed methods.
Experienced doctors and obstetricians will monitor the condition of the baby, its heartbeat, and the condition of the expectant mother. The main thing is to follow all the recommendations and requests of the medical staff, to become one team with them during this time.

When the baby appears, he should be immediately shown to the mother and placed on her stomach, if her condition allows. Then the umbilical cord is cut, the child is examined by a neonatologist who evaluates him Apgar status, the baby is washed, weighed, and his height is measured. If there are problems, the child is immediately provided with the necessary help.

And the young mother still faces the final part of childbirth - the passing of the placenta. Contractions still persist, although much more mild degree. During one of these contractions, the placenta, or, as it is also called, the baby's place, is born.

The table includes the latest achievements of modern medical technology, thereby providing maximum comfort for the patient and staff at all stages of the process (before childbirth, during labor and after childbirth). Three electric drives controlled by a hand-held remote control allow precise positioning of the woman in labor at any stage. Longitudinal tilt of the bed from -20° to +5°, tilt angle of the back section from 0° to 55°, panel height adjustment in the range from 670 to 870 mm. The width of the bed cushions is 660 mm, the size of the sliding table cushion is 520x600 mm.

The angle of inclination of the head section relative to the back section is adjusted using a gas spring in the range from 0° to 30°. The pillows are cast and made using seamless technology. The table runs on built-in batteries. It moves easily thanks to wheel supports with a diameter of 100 mm, which are equipped with a reliable central brake and fixation of the direction of movement.