The baby manoeuvres itself through the pelvis by rotating and slowly appearing from the birth canal. Most women become very focused and clearheaded. The contractions feel very different.
Delivery/the birth
Description
Starts when the cervix is fully dilated (10 cm) and may coincide with the
mother’s urge to bear down.
If the cervix is fully dilated and the head is not yet pressing on the
pelvic floor an urge to bear down will not yet be felt. A waiting period of up to two hours can be allowed for the head
to descend behind the pelvic bones. During this time the same principle applies as during the
transition period.
Once an urge to bear down is felt and bearing down efforts allowed, the
baby will be born within the next 30 to 45 minutes.
Mother becomes aware of a stretching or burning sensation in her perineum
when the baby’s head starts to appear from the birth canal.
The baby’s head is gradually pushed out of the birth canal.
The urge to bear down is due to pressure on the rectum and feels as
though you need to have a bowel movement.
Contractions are:
Strong
40-60 minutes long
2-5 minutes apart
Appropriate techniques to use:
Pushing
Mother's reaction:
More aware.
Usually feels an incredible urge to push and is encouraged that the
end is near.
Mother should do the following:
Relax her pelvic floor.
Adopt a more upright position - especially if progress is slow.
Keep her eyes open and concentrate on pushing hard when advised to
and stopping the urge to push when necessary.
Father/birth partner can do the following to help:
Support the head and shoulders when the partner bears down.
Encourage her.
Make sure her position is a good one.
Stand beside her shoulder in the delivery room coaching her pushing.
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