40 Weeks Pregnant

40 Weeks Pregnant
Expert Opinion :
If not delivered until the end of this week this week gave birth to a very high possibility of being . Pregnancy is a very small portion ( less than 5% ) for 40 weeks , although stuffed They do not create . They are often the first pregnancy .

Birth stages

After the start of expectant mothers when they reach the hospital are admitted to the delivery room . Before the first examination and openings are detected. Ultrasound is done to see recent changes . Approximate weight infant reaches the last saved. The baby's heart rate and uterine contractions in the moment to see the layout of the NST (non stress test ) is applied. Cesarean section does not appear to be a situation that requires examination of the mother periodically taken to a room to be renovated . State hospitals father of the candidate is not possible in most of the contractions of the uterus is pulled in the room and it is important to support mothers .

Cervical opening

About 20 minute intervals until delivery baby rests heartbeats , at intervals of 1 hour is controlled opening of the cervix . Birth cervical opening takes place when it reaches the 10 cm . Mothers with pregnancy especially in the first 1 cm increase in the opening of the cervix takes 1.5-2 hours ( when taken in the maternity ward of the cervix 4 cm of clearance determined mothers can take up to 12 hours of birth ) . So normal birth is a matter of patience . Contractions of the uterus from the vagina during the baby's head can be seen its mother is taken to the delivery table .

Mother and baby after birth

Strong enough straining of mothers with few contractions and the baby's head from the vagina interests first . The doctor before the baby 's mouth with the help of a cloth to delete . Then gently pull in the proper position the baby is born allows completely . And the delivery room with the sound of the baby begins to resonate . This week the baby is approximately 50 cm and 3700 grams is . Klemplenip the one hand, the umbilical cord is cut on the right , leaving the baby to the mother's abdomen provided the initial contact with the mother . Then dried baby , cleaned and heated clothes are dressed . Meanwhile, the doctor found the baby still in the womb of his wife ( the placenta ) is out . Tract and vagina of birth control in terms of possible rupture . Especially in the first pregnancy, the baby 's output to facilitate the drop-down episiotomy (born incision - babies being born the doctor's local anesthesia after the vaginal entrance and anus between the region ( perineum) the vagina toward the inside of his section 's ) will be repaired . Get your baby to bed later in the lap of the mother is given. And finally, for the first time new parents the opportunity to come eye to eye with the baby .

Forms of anesthesia can be administered at birth

local anesthesia

Applied during normal birth . All mothers feel uterine contractions , the doctor is straining under the control and supervision . The birth of the baby's head close to the episiotomy by a doctor at a time is applied to the area corresponding to the line . So after episiotomy opened and repaired again , you'll be feeling the pain of the mother . Episiotomy needs to be heard in the mothers (often mothers who have given birth before ) would also need local anesthesia .

epidurals

This method of anesthesia at the waist with a needle made ​​from a thin membrane around the spinal anesthetic is given. A catheter of this range during the same period ( drug delivery system can ) is placed. With this catheter, the additional dose of drug effects can be made to move closer . With this method, muscle aches diminishing mothers can continue to use . This does not feel labor pains but doctors at the appropriate time with the management ıkınıp can have the baby in the normal way . Uterine contractions become regular vaginal birth after the opening of the uterus or epidural anesthesia is done when it reaches 4 cm . When installed early contractions are irregular or stop contractions may cause . In addition, epidural anesthesia muscle strength , thereby straining the power can be reduced. As a result, prolongation of the output stage of the infant and may result in the need for vacuum operation .
Epidurals increasing the dose of the drug in the mother's inability to play the muscles used in providing birth by cesarean section .
By cesarean section 24 hours after the catheter has been applied to doğumdansonr normally withdrawn immediately after birth .
In patients with bleeding disorders , anticoagulation therapy areas ( blood-thinning drugs), in practice ( at the waist ) infection in patients , platelets ( clotting cells) in patients with impaired used this method of anesthesia .

spinal anesthesia

Anesthetic is given directly into the cerebrospinal fluid . Thus, eliminating the sensation of pain temporarily numb muscles are voluntary and employees . However, mothers touched their skin , that they continue to feel cold and hot . Mothers to match voluntary muscles straining chance that there will be no normal birth is not possible with this method of anesthesia .
In patients with bleeding disorders , anticoagulation therapy areas ( blood-thinning drugs), in practice ( at the waist ) infection in patients , platelets ( clotting cells) in patients with impaired used this method of anesthesia .

Combined spinal and epidural anesthesia

Recently, cesarean delivery is a method commonly applied in . Articulated by this method with an injection into the spinal cord and spinal cord membrane, as well as around the anesthetic is administered. apply this method to the surgeon the advantages of spinal anesthesia and epidural anesthesia ( 24 hours remaining lumbar catheter remaining in the mother's pain can be reduced by making the necessary additional medication ) is a method that combines the comfort of the patient .

General anesthesia

This type of anesthesia awareness of the mother and the sensation of pain temporarily removed completely . Respiratory muscles will not work for the expectant mother with the help of a tube that is placed into the respiratory tract by inhalation of respiratory equipment . Anesthetic agents are administered by the respiratory tract .

Spinal , epidural and combined spinal epidural anesthesia to general anesthesia What are the advantages ?

- The mother's consciousness during general anesthesia is not clear , but in other ways it is conscious of the mother can attend the birth mother . Moment of birth, the baby can hear the sound , you can see the baby and the baby can touch . Thus, as is normal at birth between mother and baby immediately after birth would have established the first vineyard .
- General anesthesia drugs given in the bloodstream and thus affect the baby through the umbilical cord . But the drugs into the bloodstream by other methods do not mix and do not affect the baby .
- General anesthesia and respiratory devices are connected to the mother he could not breathe , other methods can breathe itself in the mother is awake , breathing apparatus is required.

- General anesthesia mother feels pain when you wake up . However, to be made from intravenous or hip pain with painkillers reduction is attempted. In addition, mothers of spinal anesthesia until it begins to feel their feet (approximately 6-8 hours) almost does not feel any pain . After this stage, the intravenous and hip pain with analgesics is maintained. Epidural or spinal epidural anesthesia combined with lumbar catheter for 24 hours straight here in giving pain relief to hear the mother's pain is provided. So, spinal, epidural , combined spinal epidural anesthesia, postpartum mothers feel much less pain .