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If the cervix is fully opened and your feeling of straining has come, the second stage of labor has begun. After this, you have entered a more productive period as you can push your baby out by adding your own efforts to strong contractions. This stage usually takes between half an hour and an hour. They last between -90 seconds, but they are opened (usually 2-5 minutes) and give less pain. The second stage is characterized by an intense strain. will warn you when you need to push too hard.
Now you can emotionally relax because you can push. You can also hear excitement and enthusiasm. When the second stage is prolonged, it is not usually the desire of women to see the baby, but to end the torture; this is a natural and temporary response and certainly does not indicate the degree of maternal love. What you can do at this stage:
• Take a twisting position, which depends on your doctor's preference, but is best a half-crouching posture, because it helps the baby to come in gravity and increases your buckling power.
• Use all your strength. The more effective you push and the more energy you spend, the faster your baby can't travel through the birth canal. Nevertheless, spend your energy in a controlled manner, try to follow your doctor's instructions instead of pushing them unevenly.
• Because you give weight to the entire perineum, your breech can be emptied, trying to prevent it can prevent progress.
• Do what is natural, push it when you need it, unless otherwise stated. When the contraction subsides, take a few deep breaths, then take another breath and hold. When the contraction becomes the most severe, push with all your strength until you are no longer able to hold your breath. Instead of holding your breath and trying to push through the entire contraction, push each time you need to hold your breath for a long time and leave your baby deprived of oxygen. .
• Loosen your entire body, including your legs and perineum, as you push.
• Stop pushing when you are told (this may be necessary to prevent the baby from being born too fast) and exhale or breathe.
• With the help of staff between contractions, your doctor may recommend that you do not strain during one or two contractions to regain your strength.
• Don't despair if the baby's head appears and disappears. Birth is a process that goes back two steps and one step back.
• Keeping comfort and support
• Recall what you have learned about preparation for delivery, push and breathe, or tell the doctor what he says.
• Help your partner relax between contractions.
• Support your back, hold your hand, wipe your sweat if necessary.
• Tell him about his progress and inform him when the baby's head appears.
Now it is time to come to the most important stage of birth. The doctor and your partner can see the swelling created by the head. When the baby's head begins to appear, the doctor will ask you not to be pushed anymore, because if the head comes out suddenly, tears may occur on the way of birth. Usually at first births or babies, an incision is made under the vagina entrance to the breech to prevent tears. Since this incision is made under the control of a doctor, it is then sutured with an operation called episotomy and does not cause any problems.
When the baby's head stretches the vagina, you may get hurt, but this will take a short time and a slight numbness will take place after birth. The baby then turns his head to the side to see one of the mother's legs. His eyes, mouth, nose are cleaned. If necessary, the liquid remaining in the baby's upper airways is sucked off with a tube and cleaned.
The baby's cord is clamped and in the meantime it can be shown to you. Your baby may look like a little bruised and probably crying.
N What awaits you while you wait for your baby ” from the book.