How to reveal the uterus before childbirth. Pessary and ball opening the cervical

The beginning of childbirth is the appearance of regular battles, under the action of which the cervical disclosure begins. Also this process contributes to the pressure and weight of the fruit bubble. The gradual expansion continues for 8-14 hours and ends with an amplification of accumulating waters and full disclosure. Then the expulsion of the fetus occurs.

How to open the cervix

Women's uterus is a hollow organ consisting of muscle tissue. Around the mouth is the ring from the muscles - the cervix. For all pregnancy, it is closed. The entrance to it is protected by a mucous plug, which is a barrier to penetrate infections. The cervical neck is rather dense, has a view of a cylinder 3 cm wide and about the same length. The center passes the cervical canal. After 32-34 weeks of pregnancy, the cervical opening is gradually occurring, softening it.

With an internal examination, the uremary zev skips the fingertips. The fruit begins to fall into a small pelvis, thereby creating a certain pressure on the neck, which contributes to its further disclosure. By 36-38 weeks, the cervix is \u200b\u200bcompletely smoothed. It begins an extension from the inner domestic point, which at the primordin has a funnel form with the base facing upwards. Gradually moving forward, the fruit stretches the outdoor zev. In repeated women, the opening of the cervix occurs easier, and the internal and outer ZEV expand almost simultaneously.

With each fight under the action of hormones, the cervix on the finger is first disclosed, then two. At the time of delivery, the complete extension is 10 centimeters in diameter. With such a degree of disclosure, the head and the torso of the baby will be able to go through the generic paths.

In total, three phases are distinguished in the first period of birth:

• The latent phase begins with regular battles with a frequency of one or two in ten minutes. At this time, shortening and smoothing the cervix takes place. The duration of this phase is an average of 4-6 hours. Contractions during this period are usually low-oned;
• The active phase is characterized by an increase in generic activity. The intensity of the bouts that become more frequent, strong and painful are growing. The cervical disclosure with 2 fingers increases to about 8 centimeters. The duration of this period is from 4 to 6 hours;
• The transition phase begins when the cervix has almost completely revealed, and the intensity of the bouts is more often once every seven minutes. After that, some weakening of generic activity comes. The duration of the phase is from 20 minutes to 1-2 hours, repeatedly can be absent.

Also, during the active phase, it usually occurs the amplification of the amusement waters by increasing the intrauterine pressure. The volume of fluid is approximately 150-200 ml. Normally, the accumulating waters must be transparent and light. If, when the cervix is \u200b\u200bdisclosed, 6-8 centimeters of water did not move spontaneously, then usually an obstetrician produces amniotomy - an opening of a fetal bubble.

If the cervix does not open

During the entire first generic period, constant control over the state of the feminine and the fetus is carried out. We are following the flow of generic activity, the lack of complications, the well-being of a pregnant woman (pulse frequency, arterial pressure, sealing from sex tract, temperature), disclosure of the cervix.

For the timely diagnosis of intrauterine hypoxia during battles and prevents the possible death of the fetus, constant cardiomonitorial control is carried out. The most often used indirect cardiotocography, where the heart rate frequency is measured using ultrasound.

The fact that the generic paths of women are prepared, testifies to the disclosure of the cervix on the finger and more. This is determined by the manual method, which is called an internal examination. It is carried out in sterile gloves, and the entrance to the vagina is treated with a disinfectant solution. The midwife can thus determine the degree of the readiness of the neck, the condition of the accumulating waters, the position of the child and the height of the head of the head.

If the cervix does not reveal, and the woman approached the date of delivery, then in this case they make stimulation. It is also carried out usually after 40 weeks of pregnancy, since the placenta ages and cannot fully fulfill its functions. Artificial preparation of the sewage is carried out in two ways: drug and non-drug.

The first method is used only in hospital conditions, while the disclosure of the cervix is \u200b\u200bcarried out using medicines:

• Introduction to the cervical channel of laminaria sticks for the entire length. Under the influence of moisture, after 4-5 hours, the sticks begin to swell, thereby expanding the hole. In addition, laminaries are distinguished by endogenous prostaglandins, which accelerate the ripening of the cervix, thereby preparing it for childbirth;
• The use of artificial prostaglandin in the form of candles or gel. This allows you to achieve the desired result in a few hours;
• Also, the opening of the cervix accelerates after piercing the fruit bubble. As a result, the head of the fetus is descended, thereby reinforcing pressure on the canal.

The non-drug method can be applied independently, but at the same time be extremely careful:

In some cases, a preliminary hospitalization of a woman in the hospital is necessary to prepare for the upcoming birth. Doctors will hold an in-depth laboratory, clinical and instrumental examination to select the timing and methods of the delivery.

Video from YouTube on the subject of Articles:

The main body in the body of a woman, without which it would be impossible to bear and give birth to the baby, is the uterus. The uterus is a hollow muscular organ. It distinguishes 3 main parts: bottom, body and cervical. As can be seen, the neck of the uterus is an integral part of the main organ during pregnancy, respectively, directly from its state will also depend on the normal flow of the processes of nulling and natural genera. How? Let's figure it out.

Neck of the uterus during pregnancy

The cervix is \u200b\u200ba tube connecting the uterus and vagina, the ends of which end with holes (the inner zev - opens in the uterus, outdoor - in the vagina), and inside the cervical canal passes inside. Normally, throughout almost the entire period of pregnancy, it must have a dense consistency with a closed "tightly" cervical channel, which allows you to keep the fruit in the uterus cavity, as well as protect it from the penetration of infections from the vagina.

informationOnly a few weeks before the date of the alleged childbirth, the neck begins to undergo changes, which will allow the baby to freely move along the generic paths of a woman and be unhindered to light.

Sometimes these changes may begin before the term. Disclosure of the cervix during pregnancy is a bad diagnostic sign, threatening the loss of a child or premature childbirth. The causes of such a state often become:

• Burdened obstetric history (abortions, miscarriages in the early and later timing);
• The injuries of the cervix (operations, childbirth are large fruit, breaks in previous births);
• Cervical erosion;
• Hormonal disorders (progesterone failure).

The softening and opening of the cervix must occur immediately before childbirth!

Disclosure

In the process of progression of pregnancy in the cervix, there is a partial substitution of muscle tissue on the coupling. "Young" collagen fibers that have increased flexibility and extension, than similar out of pregnancy. Some of them are absorbed, forming a basic substance that leads to an increase in the hydrophilicity of the fabric. It is clinically manifested by the rupture and shortening of the cervix and the gaping of the cervical canal.

Preparation of the cervix to childbirth begins approximately 32-34 weeks of pregnancy. It begins to soften along the periphery, but the plot of dense fabric in the course of the cervical canal is still preserved. At first-night women, with a vaginal examination, the outer zev can pass the fingertips, the repeated channel becomes passing to the inner mouth for 1 finger. Already by 36-38 weeks, the cervix is \u200b\u200balmost completely softened. The fruit begins to fall into a small pelvis, he creates a certain pressure on the neck, which helps its further disclosure.

The cervical disclosure begins with the inner mouth. The primary canal acquires the shape of a truncated cone with the base facing the top. The fruit, gradually moving forward, stretches and outdoor zev. In repeated women, the disclosure of the cervix occurs easier and faster, due to the fact that the outer zev by the end of the pregnancy is most often open for 1 finger. They have the disclosure of the outdoor and inner sewage occurs almost simultaneously.

Immediately before the start of the genus of the cervix, both from the primordin, and in repeated women are sharply shortened (smoothed), is depleted, the channel is passing by 2 fingers and more. Gradually occurs the full opening of the neck to 10-12 cm, which allows you to go through the generic path of the fetus head and his body.

Possible problems

Starting from 37-38 weeks of pregnancy, the dominant of pregnancy is replaced by the dominant of childbirth, and the uterus from the fruit plate turns into an expelling organ. Some pregnant women are very afraid of the date of the occurrence of childbirth, building the psychological barrier to the formation of the most necessary dominant. Against the background of nervous overvoltage and the lack of due psychoprophylactic preparation for childbirth, a woman braking the development of the necessary hormones. The cervix remains unchanged, and the preparation for childbirth is delayed.

For complete and normal disclosure, the development of regular generic activities is necessary. If the weakness of generic battles is developing, the opening process of the neck also stops. It does not rarely happen in many ways (the uterus is completely transmitted and, as a result, a decrease in its contractile ability) or a small nodium (the sluggish or flat fetic bubble does not allow properly affect the neck).

Women whose age stepped over a 35-year-old frontier, risk to face this problem. In their case, the cause may be rigidity (reduction of elasticity) tissues.

rememberThe general condition of the body of a woman before childbirth plays an important role. Her extragenital endocrine diseases (diabetes mellitus, hypothyroidism, obesity) often leads to the development of complications during childbirth.

Stimulation of the preparation of the cervix to childbirth

Often, in front of the date of the alleged childbirth after visiting the doctor, a woman can find out that her cervix "not mature" and there is a need for artificial preparation for childbirth. This issue is especially relevant after 40 weeks of pregnancy, since at these terms of the placenta depletes its functionality, which leads to hypoxia of the fetus.

The stimulation of this process can be carried out in two methods: drug and non-drugs.

Medication method Allows you to achieve the desired result using medicines and only in the hospital.

• Introduction to the cervical channel of laminaria chopsticks. Laminarium sticks (seaweed) are placed in the cervical canal for its entire length. Under the influence of moisture, approximately 4-5 hours, they begin to swell, mechanically opening the channel. Also laminarias are distinguished by endogenous prostaglandins necessary for ripening cervix. The gradual mechanical and biochemical effects of laminaria sticks leads to emergency and careful preparation of cervix;
• Introduction to the cervical channel of synthetic prostaglandin In the form of candles or gel. Allows for several hours to reach the desired effect;
• In the hospital conditions are held amniotomy (Piercing an oily bubble). After this procedure, the front water is deployed, the fetal head is lowered, the pressure on the neck increases, and the disclosure begins to occur faster.

Non-media method It can be used at home, but it should be extremely careful and take into account all "for" and "against".

• Cleaning enema. Its use annoys the rear wall of the uterus, causing its cut. It was also noticed that after this procedure, the mucosa of the mucosa occurs, and the opening of the cervix begins. But it is possible to make it only to those women who have had an estimated date of childbirth or passed;
• Sex. Natural labor stimulator. First, it causes a cut in the muscles of the uterus, reinforcing blood flow to it. Secondly, the sperm contains prostaglandins, a "hormone of childbirth". Contraindication: Deposited (high likelihood of infection);
• Physical exercise. Long walks, cleaning in the house, lift the stairs to the upper floors. Contraindicated with, hypertension, the prelation of the placenta.

Now you know how when and why the cervix preparation takes place towards childbirth. You know the reasons why this may not happen and how to fix it. Owning information, you can correct or prevent possible problems. Do not forget one thing: it is better to do it consistent with your doctor!

Usually as childbirth approaches, the neck of the uterus, preparing for childbirth, becomes softer and reveals, even before the woman begins to feel the fight. The opening of the cervix, as a rule, is measured in the fingers (if an obstetricer, a gynecologist or nurse can place 1, 2 or 3 fingers, then this is considered a complete disclosure and means that the woman is ready for childbirth) or in centimeters (disclosure of 10 centimeters is considered Full opening of the cervix). The cervix from primary women is revealed slowly, but there are several ways to speed up this process. Want to give birth faster? Then follow the tips in this article.

Steps

Natural stimulation of disclosure

Walk as much as possible. Light exercises stimulate the cuts of the uterus, which puts pressure on the neck of the uterus, thereby contributing to its disclosure. Walking also helps the child to descend on the generic paths, which again increases the pressure on the neck of the uterus and contributes to a more quick delivery.

• If you have moved the water, the doctor or an obstetress will ask you to stop walking. Be sure to immediately inform the medical staff that the separation of the accumulating waters was felt.

1. Empty the bladder. The full bladder prevents the cuts of the uterus, which leads to a smaller pressure on the cervix and longer birth. Go to the toilet more often to avoid slowing down this process.

   Sit on the phytball. Often, when childly useful is a gymnastic ball, but it should be slightly lowered and soft enough. When you sit on the ball and on your crusts, the pelvic muscles relax - it contributes to a faster opening of the cervix. The most convenient and effective posture on the ball is sitting with widespread legs, while you need to keep your back with a support on the bed or wall.

   Stimulation of nipples. When stimulating the nipples (manually or with the help of breastsos), the body produces a hormone oxytocin, which contributes to a faster opening of the cervix.

   Sex. In sex, the body also produces oxytocin. In addition, the chemicals contained in sperm - prostaglandins - also contribute to the expansion of the cervix. And this means that for some women sexual intercourse can be the most efficient (and pleasant!) Way to reveal the cervix for childbirth. It should be remembered that this method is contraindicated, if there is a possibility of genital infections from a partner.

2. Relax. The tension in the muscles can slow down the childbirth, without giving the child to move along the generic paths and preventing the opening of the cervix. Try to keep calm.

   • If you find it difficult to relax, try to take a warm shower, listen to a pleasant relaxing music or ask someone to make you a massage.

The opening of the cervix testifies to the willingness of the body of the woman to the beginning of the generic activity. There are many ways to accelerate this process. They are divided into drug and non-drugs, respectively, apply independently or in a hospital. The stimulation of the opening of the cervix must be carried out with regard to certain rules, otherwise you can provoke the development of dangerous complications or losing a child.

What is the "Mentherapy" before childbirth? How to accelerate generic activities with physical exertion? With what medication methods are the complete disclosure of the cervix?

Stages of the cutting of the cervix before childbirth

There are situations in which this process begins before the deadline. Too early revelation of the cervix is \u200b\u200bdangerous child loss or premature childbirth. To the emergence of such a phenomenon can lead:

• violation of the hormonal background;
• a history of cases of artificial or spontaneous pathological interruption of pregnancy;
• eastic and cervical insufficiency;
• surgical interventions before the conception of the child;
• previous births burdened with complications;
• inflammatory processes in the urinary system.

The disclosure of the cervix begins with the outer mouth (more in the article :). At first-night women, the cervical canal has the shape of a truncated cone, the wide part of which is located at the top. In already giving birth patients, the opening of the outer point occurs much faster (for one finger). To expand the fetus from the uterus, the disclosure of its neck must be 10 cm, that is, 5 fingers. Information on the processes that occur before the start of the dyg, during the battles, is specified in the table.

Stage of disclosure	Features	The level of disclosure, see
Initial (latent) period	Short-term low-rise contractions. Paints are absent.	< 4
Active phase	Most often, the rupture of the fruit bubble occurs. During this stage, it is not recommended to lie or sit - this position of the body can provoke the weakening of the bruses and lead to the urgent neracking during the delivery. To facilitate the state and continue stimulating the cervix, it is better to stand or walk.	4-8
Slow	Fight activity decreases. As a rule, this stage is pronounced only at primordin women.	10
Full opening of the cervix and the beginning of childbirth	From the beginning of this stage, the future mother should be in the maternity hospital.

How long does this process last depends on whether the woman is primary or repeated. In the first case, the complete opening of the cervix takes place for 8-10 hours.

In the period already giving birth, the period until the moment when the cervix revealed on 5 fingers, in most situations it takes no more than 6-7 hours.

Related symptoms

This article tells about typical ways to solve your questions, but every case is unique! If you want to learn from me how to solve exactly your problem - ask your question. It's fast and free!

Your question:

Your question is sent to the expert. Remember this page in social networks to keep track of the expert answers in the comments:

At this stage of preparing for the beginning of a generic activity, a woman may not feel any changes in the body at all. In some cases, the ripening period of the cervix is \u200b\u200baccompanied by:

• periodic irregular fights - do not cause any painful feeling of any painful sensations, characterized by a weakly heated pain syndrome;
• pains of a pulling nature at the bottom of the abdomen, lumbar and sacral regions;
• the discharge of a mucous membrane of the vagina (in some cases there may be insignificant bloody inclusions).

The listed symptoms are normal and indicate that the female organism is preparing for generic activities. However, if these signs appeared in a pregnant woman earlier than a 37-week period, in which the fruit is considered to be donated, it is recommended to urgently consult with the attending physician.

Non-media methods for opening the cervix

There are several non-drug methods that contribute to the stimulation of the expulsion of the fetus from the uterus (especially relevant after 40 weeks of pregnancy). You can speed up this step in preparing the female organism with the help of motor activity, yoga and meditative practitioners. Help prepare the body of a woman to generate activity can also so-called "Mentherapy" - sexual intercourse with a spouse.

Physical exercises

Open the cervix helps various physical exertion. Particularly effective when stimulating childbirth are considered:

• squats;
• long walking;
• lift up the stairs;
• barbs - promotes not only the reduction of abdominal muscles and back, but also to eliminate the edema of the lower extremities;
• squatting for a long time (the exercise is applied in cases of high fetal location in late gestation);
• swinging forward-back on phytball or swing.

When performing exercises, 2 important points must be taken into account:

• movements need to be done carefully and smoothly;
• you must avoid twisting and jumps.

It is also possible to stimulate the generic activity at home using cleaning, cleaning windows, manual washing (more in the article :). Active dances also contribute to the opening of the cervix.

Yoga and meditation

Effectively reveals the cervix yoga, which is based on spiritual, psychological and physical practitioners. In order for the stimulation of labor activity more successfully, during the execution of Asan, it is necessary to comply with certain rules:

1. Movements must be smooth.
2. During the exercises, it is recommended to listen to relaxing gentle music. The best option will be the sounds of nature: noise of rain, water, birds singing.
3. You need to carefully concentrate attention on each element of yoga. Aromatic sticks or oils will help to achieve it.

To perform asians correctly, you must first examine video or audioormals. Shavasana is considered one of the most effective poses in yoga, which contributes to the stimulation of generic activity. The acceleration of the opening of the cervix also helps meditation. For the greatest effect, it is necessary for at least 30 minutes. During the sessions of these spiritual and wellness practices, the maximum relaxation of all parts of the body and exemption from thoughts occurs. After classes, it is recommended to drink tea, herbal decoction or infusion on raspberry leaves (we recommend reading :).

Stimulation of sex

It has been proven that "Mentherapy" stimulates generic activities, so before childbirth, many doctors recommend that future mothers have sex. The relationship between the sexual act with the acceleration of the delivery is explained by the fact that the special substance contained in the male sperm favorably affects the elasticity of the cervix, resulting in its rapid and painless disclosure.

When using "Mentherapy", you need to consider a number of rules:

• it is possible to have sex only with a good female well-being (we recommend reading :);
• movements must be as cautious as possible;
• it is forbidden to squeeze the belly;
• you should choose the most secure postures (for example, on the side);
• during intimate proximity, special attention should be paid to the cautious massage of the nipples;
• with the feeling of the slightest discomfort, it is necessary to stop sexual intercourse immediately.

Medical stimulation

Most women give birth to 38-40 weeks. If this did not happen, and after the 40th week, the uterus is still not ready for generic activity, apply forced stimulation. A few decades ago, before the disclosure with the help of drugs was widespread, the doctors tried manually (with finger) to reveal the cervix. In modern medicine there are more advanced ways that accelerate generic activities. Information on drug-induction methods is listed in the table.

Group of medicines	Form release	Mode of application	Note
Prostaglandins	Gel, suppositories	Preparations are introduced intravaginally several times a day. If after 24 hours the contractions did not begin, the medicine is used again, but not more than 3 times a day.	in some cases, an intravenous method of administration of the medication is applied; the medicine can slow down the onset of the active phase of labor.
Hormone of generic activity (oxytocin) (more in the article :)	Injection	The drug is injected drip or with a catheter. If, with this method of administration, the hormone action will be ineffective, it is made of oxytocin solution through the abdominal cavity in the uterus wall.	overdose by the drug can lead to the development of fetus hypoxia and hyperstimulation of bouts; hormone is not used with the wrong position of the child, the prelation of the placenta, the presence of scars in the uterus or narrow pelvis.
Anti-Tray Medicines (Mithpristone, Mifgyne, Miroparkon) (We recommend reading :)	Pills	200 mg of medication is assumed orally, after 24 hours - re-receiving the same dose of the drug.	an overdose of drug can lead to the development of oxygen starvation in the fetus; medicines are accepted only under the control of the doctor.

Entering the catheter-cylinder Foley

For induction of labor in some cases, a Foley catheter is applied. This device consists of a tube and a small canister. There are several types of appliances, but the most common is a two-way catheter. The principle of operation of this device lies in the fact that the tone filled with liquid increases the tone and motorcy of the future mother's uterus, squeezing and driving it. It is forbidden to independently install the Foley catheter, only a qualified doctor can make it.

How to reveal the cervix at home?

In addition to the above-listed non-drug methods of stimulation of generic activity, it is possible to stimulate this process using:

• decoration or tea from raspberry leaves;
• consumption of castor oil;
• cleansing the body with theft or consumption of products with a laxative effect;
• massage of ear-sinks and maffers;
• cegel exercises;
• daily reception of 1 capsule of oily oils evening;
• consumption of fatty fish grades;
• taking a warm bath.

The listed methods of stimulation of generic activity should be necessarily agreed with the attending physician. Otherwise, you can provoke the development of serious complications up to the loss of the child.

The uterus is the most important body in the female organism, which is responsible for the hatching and birth of a child. In essence, it is a muscular organ containing for the fetus. Represented by three parts - bottom, body, cervical. The neck is part of the uterus, which is responsible for both the occurrence of childbirth, so that they do not come. At first it contributes to the retention of the fetus, prevents lowering and birth before the deadline. Then there is an opening of the cervix before childbirth, which helps to promote the generic channel. This determines whether there will be a birth to leak normally, or pathologically. The uterus should be mature.

Each woman is important to know and understand the reasons, signs and mechanism of the separation of the uterus, which will give the opportunity to distinguish the pathological process from natural. Possessing at least minimal knowledge, a woman can take action in a timely manner. Women also depends on a lot of actions - if you promptly inform your doctor about suspicions, point out the pathological signs, you can ensure measures to prevent many pathologies. At later dates, you can take an active participation in the preparatory process.

The reasons

Traditionally, there is a division of all possible reasons for natural and pathological. The normal course of pregnancy is accompanied by a closed state of the uterus, which contributes to reliable retention of the fetus, provides full-fledged development, and protection of impacts. Later, the channel is completely freed and provides the release of the fetus. The reason for this is changes in the neck, leading to a partial replacement of muscle tissue onto the coupling. Also actively formed fibers from collagen, thanks to which the passage becomes softer and elastic, as a result of the tissue acquire a greater ability to stretch.

The reason for the disclosure becomes a decrease in the length and other parameters of the neck, as a result of which the structure becomes loose, the lumen is formed. Preparation is the advance process, the beginning of which falls for 33 weeks. The uterus becomes more loose and soft, there is a decrease in the position of the fetus. On the inside there is a constant pressure on the uterus, it begins to be gradually disclosed.

But there are many reasons that contribute to the pathological process. If the disclosure occurs earlier than the prescribed time, the risk of premature births appears, in which the baby is absolutely not mature.

How to prepare a cervix for disclosure?

In everyday practice, experts are increasingly facing the immaturity of the uterus. Therefore, preparatory activities are needed. This issue is especially important for 40 weeks, when childbirth must begin, and the placenta gradually dies. Risk of hypoxia increases sharply. With this turn, the events are resorted to artificial stimulation.

In many ways, the success of preparing for disclosure depends on the woman itself. It must maintain a high level of activity, be sure to engage in physical exercises. The load must be dosed. There are many programs for pregnant women who contribute to both physical and psychological preparation for childbirth. Exercise, specially designed complexes, stimulate the activity of the muscles of the uterus, receptors.

The effectiveness of physical exertion is due to the fact that the uterus is a muscular authority, which also requires training. It is necessary to practice breathing exercises, stomach breathing, work out relaxation and meditative techniques that make it possible to relax, concentrate attention. With the help of exercises, you can learn to control the relaxation of some muscles and relaxation of others. Also apply special means that contribute to disclosure, such as candles, tablets. Their action is directed to the softening of tissues, the formation of connective tissue mess.

Prepare the uterus for childbirth can also be a drug or non-drug method. In the first case, the introduction of drugs in various ways. Most often local agents are used, the action of which is based on irritation and stimulation of receptors. For example, special medicines are used, resort to the use of a stimulating catheter, laminaria sticks.

Symptoms

As soon as the disclosure process was launched, it can pass absolutely unnoticed. Often women get into the maternity hospital, already having a disclosure of 1-2 cm. It happens so unnoticed that the woman does not even suspect about it. This is a sign of physiological maturity. It is rarely observed, tingling, a feeling of gravity.

The sign that the most accurate and reliably indicates the presence of disclosure of the mucosa is released.

Dangerous symptom may be the destruction of the oily water, which indicates the need for urgent hospitalization, delivery to the hospital. If the childbirth does not begin in 6-8 hours, it is necessary to stimulate the disclosure, since the long-lasting stay of the fetus without spicywater water is fraught with serious consequences, both for the baby and for the mother. Perhaps infection, hypoxia, fatal outcome.

If the disclosure is pathological, and occurs long before delivery, the symptoms can also not be noticed. Therefore, it is important to directly apply to the doctor so that he can identify possible pathology and prevent it.

The initial stages are absolutely invisible. Only if the mucous plug has moved - this is considered an indicator that exactly as possible indicating the disclosure.

How long does the cervical disclosure last?

Determined by the fact that the woman gives birth for the first time or reuse. The primary disclosure can be achieved after 8-10 hours. Re-calling this process is reduced to 6-7 hours.

Periods and phases of cervical opening

Three periods are known. The initial stage is latent. Fights begin. They are usually irregular, not strong. Fights are not painful, and no significant sensations occur. Often, women who do not lie in the maternity hospital tolerate this period on their feet, engaged in their usual affairs and not noticing battles. The latent period can last from several hours to several days.

At this time, it is impossible to listen to sensations. It is also not recommended to expect fasteners. It is necessary to try not to notice them, but at the same time it is better to be under the supervision of medical personnel. At this time you need to try to relax as much as possible. You can do meditation, performing breathing exercises, listen to soothing music, or just sleep. It is not necessary to spend in vain to spend the forces, you need to try to save them and increase, because they still need a lot. There is no need for medication. But the doctor can take action if the risk of complications arises. Most often resort to artificial stimulation of childbirth.

The second period received the name of the phase of active disclosure, is accompanied by the swiftness of the process. It is characterized by an increase in the intensity of bouts and the reduction of the interval between them. It is at this stage that the accumulating waters should be poured and the bubble burst. The disclosure is 4-8 cm.

Gradually, and sometimes rapidly and quickly, the third stage comes, and the uterus is revealed to the fullest. Nearby should be a doctor who will control.

Feelings when opening the cervix

Changes start approximately from 38-40 weeks. The aging of the placenta is observed, accompanied by the release of hormones, which stimulate the neck to disclosure. In the body there are significant transformation, but no new sensations are tested. Sometimes there may be pain, a pressure sense indicating lowering. Sometimes women feel a hormonal failure, which manifests itself in the form of sharp drops of mood, irritability, anxiety, or vice versa, euphoria. But these sensations are very quickly passing.

Later, after the fruit is sufficiently lowered, there may be painful sensations at the bottom of the abdomen, false contractions, which are a prepar hypertonus of the uterus. During this period, the uterus begins to cut intotensively, is gradually revealed. The first - latent disclosure period usually passes without pain. In the second, active period, pain arise.

Pain

The disclosure is divided into 2 phases: latent and active. Typically, the latent phase occurs painlessly, while the second - active already passes with a feeling of pain. In fact, pain is this natural, but now far from every woman can suffer it, so doctors are forced to resort to anesthesia. Usually, intensive pain occurs when disclosure over 5 cm.

Discharge

First leaving the plug. Yellow mucous allocations are also possible. At the end of the active phase is poured by oily water. If the neck is revealed by about 8-10 cm, it is timely powerful. If the disclosure is approximately 7 cm - the expulse is early. When opening a cervix for 10 cm and more and the absence of vulneted water, it is necessary to carry out amniotomy, the input of which is pierced the wall of the bubble.

Nausea

Nausea is rarely observed: as a reaction to a hormonal shift. With the disclosure of the neck nausea rarely occurs. Sometimes it can be observed as a reaction to pain, or as a side effect on the effects of drugs.

Blood

When opening blood does not happen. The appearance of blood indicates the pathological process, the rupture of the perineum, other damage, bleeding.

Opening of the cervix without pain and bouts

Painlessness is observed on the latent phase. When the disclosure goes to the next stage, painful sensations arise. Pathological disclosure usually passes painlessly, so there is a timely inspection timely. The cervix can be revealed and without battles, especially in the latent period.

Overborn cervical disclosure

Duration is determined by whether a primary woman is repeated. There are no originarious such experience, the body is only adapted to the new and unknown conditions for it. Changing activities and new conditions cause additional stress in the body, like any other new and unexpected activity. The body spends some of the resources for adapting to new conditions. Muscular system and connective tissue is not trained, nerve impulses are more intensively entering the uterus, stimulating its contractile activity. This somewhat increases sensitivity and soreness.

Psychological readiness and self-regulation are at a lower level than repeatedly. In addition, the lack of experience affects what actions to do. Therefore, you need to relax as much as possible and follow the recommendations of the doctor. The primible is tightened to 8-10 hours.

Cerval disclosure in repeatedly

Those who have already gave birth earlier, the uterus is more prepared, stretched, activated. In addition, muscle memory is saved, which reproduces the fetal pushing process similar to the previous experience. The contractile activity is better regulated by nerve impulses, since the reflex arc is already laid and there is an experience that the nervous system can rely on the production of reflexes. The process becomes more resolved and automatically connected with the simultaneous connection of the organism self-regulation mechanisms. The muscles of the uterus and the pelvic region are also more prepared, developed and activated. Therefore, repeatedly for complete disclosure requires approximately 6-7 hours, on the latent phase accounts for 5-6 hours, and the active phase lasts only 1-2 hours. The process is less painful, including thanks to physical and psychological readiness for the upcoming pain.

Premature disclosure of the uterus in the early periods

It often happens that the uterus does not cope with its functions, and can be revealed prematurely. This is fraught with premature childbirth and miscarriages. Such pathology was named Endimiciously cervical insufficient, in which the functional activity of the neck and the cage of the uterus is broken. The locking function is not performed, as a result of which the neck softened and shortening, losing the ability to maintain the fetus. Most often, such a phenomenon is observed in 2-3 trimester. If on the 20-30 week of the neck is shortened to 25 mm, we are talking about the insolvency of the cervix.

In this case, you need to take measures to preserve pregnancy. Usually carry out activities aimed at prolongation of pregnancy. This is an expectant tactic that makes it possible to wait for the maturity of the fetus and the possibility of his habitat outside the uterus. The traditional and non-traditional therapy is used.

Cervical disclosure for 30, 40 week of pregnancy

The closer childhood, the greater the likelihood that the fruit is ripe. Accordingly, even premature births carry a smaller danger. The cervix must be gradually disclosed. The ideal option, when childbirth comes immediately after disclosure, but in practice it often happens that the neck is revealed, and the birth does not come yet. Many women do not even know about disclosure, hitting the maternity hospital. At the same time, the majority of childbirth ends safely. The degree of how much the uterus was disclosed when hit in the hospital, does not affect the process of childbirth. It is important that it has revealed during childbirth. Usually, the disclosure occurs at a rate of 1 cm per hour, in repeated disclosure speed above. Usually the neck becomes soft, and ready for childbirth already at 37 weeks, and the uterus starts to prepare for it since 30-32 weeks.

The degree of disclosure of the cervix

The initial stage passes painlessly, with the fights. The second stage - the degree of disclosure is about 6-8 cm. It lasts 4-5 hours, ends with a gradual transition to the third stage, during which a complete rapid disclosure occurs. This stage symbolizes the beginning of childbirth. Accordingly, there are 3 degrees of disclosure - the initial (1-4 cm), the average (4-8 cm), the full disclosure (8-10). Sometimes disclosure is required up to 12 cm.

Opening of the cervix on the floor of the finger, 1, 2, 3, 4 fingers

Indicators of 10 cm are considered normal for labor, which corresponds to 5 fingers. If the uterus is closed, there is no lumen, with palpation, the doctor can not push the finger inland. The disclosure on the floor of the finger means the possibility of passing half of the finger of an obstetrician, 1, 2, 3, 4 fingers - respectively, the space for passing 1,2,3,4 fingers appears. In the event that she misses, at least one finger, the uterus can be considered mature.

Full cervical disclosure

Full disclosure is the third phase that ensures the unhindered yield of the child. The disclosure from 10 cm can be considered complete. Sometimes breaks occur, which requires the imposition of seams. If there is a threat, make a urgent caesarean section.

Consequences and complications

The disclosure can be complicated by weak fights, in which the neck is practically uncalled, remains on the prenatal stage. This often happens with multi-way and multipleness. If the uterus is completely occurs, its breaks are possible, a decrease in tone and contractile activity. It also leads to the weakening of the generic activity, the risk of hypoxia of the fetus.

How do they determine and check the disclosure of the cervix?

Since the disclosure is asymptomatic, a study is required. Basically explore the Palpation method - the obstetricer proves his finger. The disclosure is determined by the number of fingers that can freely go through the neck. This method is outdated, but it is still applied and today in almost all institutions. The measurement in centimeters is more accurate. Usually, if 1 finger passes freely, it speaks of disclosure by 2-3 centimeters, respectively, 2 fingers equate to 3-4 cm. On complete disclosure they say when the uterus is revealed to 4 fingers or 8 cm. Full disclosure is set to visually: smoothing neck, thin edges and free passage of 5 fingers.

To estimate disclosure, a bishop scale is applied, gynecological examination, during which measurements are made. Then the obtained data is represented as a graph on which the generic process is visualized. The chart got the name of the Partogram of Childbies. It clearly demonstrates changes, a sharp rise indicates the effectiveness of childbirth.

Cervical disclosure on ultrasound

Disclosure may noticeably on ultrasound. You need to visit scheduled inspections, which will give the opportunity to identify pathology and take the necessary measures.

Stimulation of the cutting of the cervix

This implies the use of various methods that speed up the disclosure process. Medical and non-drug methods are distinguished.

How to speed up the disclosure of the cervix at home?

Promotes a high level of physical activity. Food must contain a large number of fresh vegetables and fruits. It is necessary to take decoction of raspberry leaves or tea with the addition of raspberry leaves. It is important to stimulate the nipples, massaging the uha uh, maiden. Sex contributes to the opening of the neck, since it is a natural stimulator. In addition, cum contains a large number of prostaglandins, which are also strong stimulants.

Exercises are important. A huge contribution makes squats. Classes with special balls, gymnastic accessories have a positive impact. Respiratory exercises are very important, which not only stimulate the uterus, improve blood circulation, but also launch a number of biochemical transformations. Changes hormonal background and nervous mental state. At the same time, stressful areas are relaxed, and relaxed come into tone. There comes the correct regulation of the contractual activity of the muscles, including the uterine. Breathing, especially stomach, stimulates the production of foremeaddines and nerve impulses, which directly affect the activity of the uterus. Also train and strengthens the smooth muscles.

Important meditation, relaxing practices, stay in silence, concentration of attention and internal contemplation. These are the main techniques of Hatha yoga, which allow control over their own body, consciously regulate their feelings and sensations. Respiratory and relaxation practices remove excessive stress, stress. As a result, muscle tension is removed, painful feelings go. Mental attitude plays a crucial role. Many women are afraid of pain and consciously or unconsciously inhibit the process of childbirth. Breathing and relaxation make it possible to get rid of internal blocks, block fear and reduce the threshold of pain sensitivity.

Also show aromatherapy sessions, a warm bath with essential oils, color therapy, water treatments, music therapy, sound-vibration therapy.

Methods for opening the cervix

There are conservative methods under which pharmaceutical funds are used to stimulate. Radical methods can be applied in emergency cases: amniotomy, cut cut. There are not medication tools: laminaria sticks, special catheters, gels and oils, candles. Well act exercise, sex, meditation, respiratory techniques, local candles.

Foley catheter and cylinder for cervical disclosure

Special catheter, which is represented in the form of a tube with a cylinder. Introduced into the neck for 24 hours. The balloon is gradually filled with air, it expands the walls of the uterus. It has many drawbacks.

It can be described as a catheter containing a balloon. It is filling it with air. Inserted for a day, while the gradual disclosure occurs, due to the extension of the wall of the neck. The likelihood of infection is significantly increasing.

Gel for the opening of the cervix

A special gel is introduced into the cervical canal, which contains prostaglandins. Hormonal stimulation occurs, the effect can be achieved after 2-3 hours.

Physical exercises

Of the exercise are effective squats. Twisting and jumping are contraindicated. At the same time, during the practice, you need to strive for maximum relaxation, control your breathing. It is necessary to perform static exercises that train the power of will and endurance. It is better to do exercises in a relaxing atmosphere, under relaxing music. There are many video tutorials for pregnant women, where all exercises are shown clearly, selected in the optimal sequence, smoothly go one to another. In such video tutorials, static and dynamic complexes, breathing exercises and meditative practices are effectively combined.

An optimal option is considered to occupation of yoga, pranayama (breathing exercises and internal contemplation), qigong, meditation, swimming, aquaeerobics. It is possible to sign up for special preparatory courses for pregnant women, where physical and psychological preparation of future mothers are being conducted, training undergo under the control of experienced specialists who may choose an individual tempo, exercise mode. Special gymnastic balls, phytballs apply. At home you can train even with the help of a conventional staircase, carrying out frequent lifts and descents.

Exercise will be more effective if you start training in the early deadlines. And even better - long before the occurrence of pregnancy. Trained muscles are the key to the rapid and successful disclosure of the uterus, since it is also essentially muscle. But if the preparation was not started during the planning of pregnancy, nothing terrible. It is better to start later than not to do physical exercises. They benefit, even if you start regular practice in the last weeks.

Fitball for opening the cervix

In modern clinics, it has long been recommended to accept not traditional position on the horizontal plane, but the vertical. It is also recommended to sitting. But the surface should not be solid. The perfect version of the phytball is a large inflatable ball that is used in sports, gymnastics. If you sit on it and perform special exercises, you can relax intense areas and strain those areas that will be in the tone. Feet better breed apart. The activation of nervous and hormonal activity occurs, the uterus is stronger stimulated. On the preparatory courses, you can pass special training with exercises and positions on phytball.

Squats for cervical opening

Squats stimulate the neck, both using the activation of nervous activity and mechanically. You need to perform conventional squats, or squatting according to a special scheme. Time gradually increases. First you need to perform for 10 seconds. Then bring the time to 1 minute to each stage. At the first stage, slowly quarreled. The duration of squats should be 10 seconds, that is, we must completely drop in 10 seconds. Then we sit in such a position for another 10 seconds, we begin to relax as much as possible. Then climb partially. It is necessary to stop in such a position so that the hips are parallel to the floor. In such a position, we are 10 seconds, then slowly, for 10 subsequent seconds we go down. Resting, relaxes later for another 10 seconds. We start a slow rise within 10 seconds. Then resting 10 seconds and begin to squint again. After you managed to perform 10 such squats in one approach, go to the next step - the duration of each stage increases to 20 seconds, then up to 30, 40, 50 seconds and one minute. After sitting down 10 times at a slow pace, it is necessary to sit down in a fast pace. The speed should reach 50 squats per minute. If it does not work, it is better not to crumble completely, you can only partially go down. Gradually, you need to increase the depth of squats.

Meditation for cervical disclosure

Effective is the Pose Shavasana used in yoga. You need to lie down on the back, legs and hands a little dilute to the sides. Eyes covered. You can include relaxing music, aromalamp. Nature sounds are well suited, especially the noise of the sea wave, the sounds of rain, waterfall. Singing birds, animal sounds, instrumental music. We must try to relax as much as possible, nothing to think about. Muscles should be relaxed consciously by directing attention to them. At first I slip attention on my feet. We feel how the muscles of the legs are relaxed, become soft, heavy. Relaxing covers the tips of the fingers, is understood on the shin, by the thigh. The knee cup is descended. Relaxing the siza region, crotch, uterus. Both legs are relaxed, the pelvic area is relaxed, gradually relaxation covers the belly, back, the loin relaxes, muscles along the spine. Breasts relaxes, hands. Relaxing hands rises from fingertips, slides in a brush, elbows, forearm, relaxed elbow, shoulder, clavicle.

Once again, pass throughout the body, feel relaxation in each site. Special attention should be paid to the face: Feel like the forehead, nose, eyes, ears, cheeks relaxes. The chin is relaxed, the lower jaw is relaxed and can be slightly ajar. Eyes closed. You are stationary and relaxed, the whole body is heavy. There are no thoughts in my head. There is only silence. If thoughts come, they need to be released, do not detain. Such meditation should last at least 30 minutes. There is no restrictions for the maximum. Ideally, you need to bring up to three hours. After that you need to lie down, do not rush to get up. You can drink tea, herbal decoction. Ideal suitable tea from raspberry leaves.

For meditation, there are also video tutorials and audio materials in which all the nuances are described in detail and meditation is given. The slow, calm voice of a specialist smoothly manages your attention, directing it to the right areas, reminding the need to relax and lack of thoughts. Voice accompanies not all meditation: it is effectively combined with moments of silence, picked up a special background and musical accompaniment. Rhythm is enhanced, it subsides, which creates the desired tonality.

Preparations for opening the cervix

Apply various drugs. Oxytocin, intramuscular introduction of the sinestrol, candles with prostaglandin, has proven itself well. Also introduced enclost intravenously. The use of synthetic prostaglandin is allowed. Only a doctor can determine the dosage and multiplicity of administration, since it is strictly individual, determined by the results of the partograph.

Pills

Apply a worldmillon. It stimulates the contractile activity of myometrium. It is accepted by 1 tablet at interval per day, under the strict control of the doctor.

Oxytocin-MEZ is often used to stimulate the disclosure of the uterus, similarity excitation. This is a solution for intramuscular and intravenous administration.

The disclosure can be promoted by but-shp, which is a spasmolytic drug, relaxes the muscles and makes them more elastic. It is assigned to 1-2 tablets 2-3 times a day or in the form of injections.

Papaverin can be used both in the form of injections and in the form of tablets. The dosage depends on the rate of disclosure and state of the uterus, and are determined solely after palpation and gynecological inspection. It helps to reduce pressure and relax the smooth muscles.

Caulofillum 30 is a homeopathic remedy that is used to stimulate childbirth. It is much easier to give birth to him, the pain threshold is reduced. A means of Indian origin, which has long been used in Indian medicine. Significantly reduces the risk of cesarean section, the need for oxytocin disappears. Eliminates trembling, fatigue and thirst, gives strength.

Castor oil when taking inside promotes rapid disclosure. In the early periods has abortive properties.

Many women after discharge from the maternity hospital say that they did too many injections. And no one knows which drugs are applied for this. In order not to be unnecessary fears, it is better to figure it out.

First of all, drugs are injected for anesthesia. These are narcotic drugs that are introduced in various ways. Most often - intramuscularly, intravenously. Epidural anesthesia also applies (injection in the back). It is the safest view of anesthesia, because it does not affect the contractile activity, nor on the fetus, the drug does not fall into the blood. Other species are usually used only if the baby remains 2-3 hours before the birth, this eliminates the risk of hypoxia.

When generic weakness, preparations are used for stimulation. For the injection often accept amniotomy - puncture of the fruit bubble. Depending on the situation, symptomatic means are used - to reduce edema, pressure, palpitations, to stimulate the fetus.

If the fights are long and painful, but unproductive, the woman is weakening. She is introduced a drug for sleeping, which allows you to quickly restore forces. Such a dream lasts 2 hours. After it, the generic activity is enhanced.

Freques are often used to prevent or stop bleeding. In the case of surgical intervention, a plurality of injections are also used. Pricks make both the postpartum rest.

Dropper is used to stimulate disclosure. Its base is saline or glucose, which ensure the maintenance and feeding of the body. If necessary, drugs add preparations of various actions.

Candles for the opening of the cervix before childbirth

Used for intravaginal administration with a high content of synthetic prostaglandin. Their effectiveness is high: the result is achieved in 2-3 hours.

Laminaria sticks for cervical disclosure before childbirth

Present wands made from marine laminaria. Algae at dried form, small size, is inserted into the neck. Gradually drinks moisture and expands, the cervix also expands. So many sticks are inserted as fully filling.

Manual cervical disclosure

It implies an artificial disclosure by introducing and expanding the finger during the gynecological inspection.

Pessary and ball opening the cervical

It is used to prevent early disclosure and pregnancy. Pessary is present in the form of a plastic device, provides support for organs. It is formed from several rings connecting with each other. Provides reliable support, even an outpatient can be performed. Duration - a few minutes. For the introduction, the ring is lubricated with gel and introduced into the vagina. After the procedure, sex is contraindicated. Every 2-3 weeks need to control the condition of the vaginal microflora, and carry out ultrasonography.

For mechanical disclosure and stimulation of the uterus, a special plastic ball is introduced into the neck and leave for a day.

Raspberry sheet for cervical disclosure

Raspberry leaves very effectively reveal the cervix. You can apply in tea or as a decoction.

Ceroping cervix

Full name - Method of Rogin-Zanchenko. This is an external measurement method that allows us to estimate the degree of disclosure of the outer point. At the height of the fight measure the distance from the sword-shaped process to the bottom of the uterus, in centimeters. The obtained indicators are subtracted from 10 cm, the height indicators receive. The method is approximate.

How to prevent the cutting of the cervix during pregnancy?

Apply prolongation tools: bedding. Emotional peace, drugs, especially sedatives. Treatment is necessarily aimed at developing a surfactant in light fetus, which speeds up their maturation. Surgical treatment methods are also possible, in particular, the imposition of seams on the cervix, or the use of a special obstetric pessary.

Ring on the cervix from the disclosure

In order to prevent premature disclosure, a special plastic ring is introduced into the uterus. It reduces the load. Introduction You can make an outpatient, on an empty bladder. So that the uterus is not reduced, an antispasmodic can be enjoyed before the procedure. The ring is lubricated by glycerin and introduced into the vagina. Then unfold in the right direction. Everything you need will do a doctor. The patient will only need to be on the reception for bacteriological research every 2-3 weeks. Also impossible to have sex. Opening of the cervix before childbirth It goes naturally, since the ring is pre-deleted.