What is the danger of rapid childbirth in primiparous and multiparous?

What is the danger of rapid childbirth in primiparous and multiparous?

25.05.2022 0 By admin

Content:

When are we talking about rapid labor?
How to avoid postpartum consequences?

Rapid labor takes place at an accelerated pace – up to 4 hours for primiparous, and up to 2 hours for multiparous. Probably every woman dreams of them, but they are not so safe. The rapid birth of a baby is fraught with the development of complications. The respiratory system of the child is not yet ready and there is a risk of oxygen starvation. Rapid birth is also a risk of various injuries. There are also negative consequences for the mother. Let’s figure out what a rapid birth is and how they can be dangerous for mom and baby.

When are we talking about rapid labor?

Normally, the process of childbirth takes 10–12 hours. If delivery occurs in 6 hours or less, then it is considered fast. But when the baby is born in just 4 hours in primiparas, then we are talking about rapid childbirth. The latter are considered pathological, as they have huge risks for the health of a woman and a baby.

rapid delivery
If the first birth was rapid, then the next will be even faster.

In multiparous women, the birth process occurs at an accelerated pace. Quick births last only 4 hours, and rapid births take no more than 2 hours.

Causes

Pathology is always associated with a violation of uterine contraction. This happens for the following reasons:

  • hereditary predisposition;
  • excessive nervous excitability, a tendency to neurosis, emotional instability of the psyche, unpreparedness for childbirth;
  • metabolic disorders;
  • violation of the thyroid gland or adrenal glands;
  • toxicosis in early or late pregnancy;
  • rapid childbirth in history;
  • inflammation of the organs of the reproductive system;
  • kidney disease;
  • hypertension;
  • short cervix or its insufficiency;
  • physiological features, for example, a small weight of the fetus with a wide pelvis of the woman in labor.

Sometimes the rapid appearance of a baby into the world can be triggered by the action of medications, for example, with an overdose of stimulant drugs.

At risk are adolescent girls, nulliparous pregnant women over the age of 30, as well as women with a history of more than 2 births.

signs

With rapid delivery, everything happens pretty quickly. Normally, the cervix opens for a long time, the woman suffers from contractions, which gradually become more and more painful. Childbirth consists of 3 stages:

  1. Opening of the cervix. In time, it takes up to 2/3 of the entire maternity process, about 8–10 hours. It is worth talking about the beginning of this stage when contractions appear.
  2. Expulsion of the fetus from the uterus. This is the passage of the baby through the birth canal. It begins after the full disclosure of the cervix, ends with the birth of a baby. On average it takes 1-2 hours.
  3. Departure of the placenta. This is the shortest period, lasting up to 30 minutes. After childbirth, the uterus continues to contract, the placenta, the remains of the fetal bladder and umbilical cord come out.

With rapid delivery, all these periods occur one after another at an accelerated pace. You don’t have to endure the pain for a long time, but it is quite strong. Immediately after the outflow of amniotic fluid, contractions suddenly begin. They are intense, painful and frequent. Their strength increases in 20–30 minutes. after the start of the first stage of labor, the interval between them is no more than 4-5 minutes.

rapid labor in a woman
With rapid labor, the baby is born after the first or second attempt

Normally, during the first half hour of the birth process, contractions occur with a lull for 15-20 minutes. Gradually, within 1–1.5 hours, this interval is reduced.

The uterus is actively contracting, the cervix instantly opens, the woman feels pressure, there are attempts. At this point, nausea, vomiting, increased pressure, increased pulse rate may occur. The attempts are so strong that the woman cannot restrain them, even despite the instructions of the gynecologist. Sometimes she doesn’t even have to make an effort to have a baby. It may take only a few minutes for the baby to move through the birth canal. Without realizing it, a woman is already becoming a mother.

Effects

If we talk about the advantages and disadvantages of the rapid birth of a baby, then the latter are much more. There is only one advantage – less torment at the birth of a child. But postpartum complications become much stronger than the joy of an early birth. The risk of negative consequences with rapid delivery is very high, but their appearance depends on the physiology.

The accelerated birth of a baby into the world is a huge stress for him. The infant’s respiratory system is not yet ready for the first breath. An instant birth can even turn into a tragedy. There is a risk of oxygen starvation, which leads to brain dysfunction and even death of the baby.

When the baby gradually moves through the birth canal, the likelihood of injuries, both for himself and for the mother, decreases. The pelvic bones of the woman are moved apart so that the head, and then the shoulders and the whole body can pass without problems. Of course, this takes a lot of time. Rapid birth – the risk of damage to the skull and spine on hard pelvic bones. There is a high probability of injury to the collarbone, eversion of the shoulders, hemorrhage in the brain, liver, kidneys or adrenal glands.

Negative consequences for women:

  • internal and external breaks;
  • bleeding;
  • damage to the cervix;
  • divergence of the pelvic bones;
  • violation of the discharge of the placenta, the need for curettage of the uterine cavity.

Premature discharge of the placenta can result in uterine bleeding and death of the mother in labor. It can take months to recover from the resulting complications, so it is important to prevent the rapid course of the maternity process.

How to avoid postpartum consequences?

Rapid childbirth should take place under the close supervision of an obstetrician-gynecologist. Otherwise, the process may end in death. To avoid consequences, immediately after the onset of contractions or the outflow of amniotic fluid, you should immediately go to the hospital.

Doctors are taking methods to delay the development of labor. It is forbidden for the woman in labor to walk or get up, she must lie on the couch on her side, opposite to the position of the baby’s back.

newborn sucking breast
The hormone oxytocin, which is produced during breastfeeding, is important for normal uterine contractions after rapid labor.

A cleansing enema is not done, as it stimulates labor activity.

Medical staff can slow down the birth process with medication, and, accordingly, reduce the risk of complications. Drugs are used to reduce uterine contractions, normalize blood pressure and reduce pain. Means that improve placental circulation can be used. For severe pain, local anesthesia is performed – epidural anesthesia.

During childbirth, the condition of the woman and the baby is regularly monitored – the heart rate of the fetus is recorded, the pulse of the woman in labor is measured. Breathing exercises can be used to delay attempts, but deep breaths are prohibited. It is better for a woman to lie on her side or get on all fours. This position is the most favorable for the mother and child.

If it is impossible to prevent rapid labor, a caesarean section is performed.

Absolute indications for surgical delivery are fetal hypoxia, premature detachment of the placenta, a decrease in the heart rate of the infant, and uterine bleeding.

Immediately after the discharge of the placenta, the uterus and birth canal are examined. If there are tears, then stitches are applied. With incomplete discharge of the placenta, cleaning is performed. For better recovery of the uterus, drugs are introduced that stimulate its contraction. Also for the same purposes, frequent attachment of the baby to the breast is important.

After a rapid delivery, as a rule, recovery is longer. With a burdened maternity process, a woman can stay in the hospital for up to 5-7 days. If there are no complications, then the mother and baby are discharged for 3-4 days.

Video

See also: episiorrhaphy during childbirth

What is the danger of rapid childbirth in primiparous and multiparous?

25.05.2022 0 By admin

Content:

When are we talking about rapid labor?
How to avoid postpartum consequences?

Rapid labor takes place at an accelerated pace – up to 4 hours for primiparous, and up to 2 hours for multiparous. Probably every woman dreams of them, but they are not so safe. The rapid birth of a baby is fraught with the development of complications. The respiratory system of the child is not yet ready and there is a risk of oxygen starvation. Rapid birth is also a risk of various injuries. There are also negative consequences for the mother. Let’s figure out what a rapid birth is and how they can be dangerous for mom and baby.

When are we talking about rapid labor?

Normally, the process of childbirth takes 10–12 hours. If delivery occurs in 6 hours or less, then it is considered fast. But when the baby is born in just 4 hours in primiparas, then we are talking about rapid childbirth. The latter are considered pathological, as they have huge risks for the health of a woman and a baby.

rapid delivery
If the first birth was rapid, then the next will be even faster.

In multiparous women, the birth process occurs at an accelerated pace. Quick births last only 4 hours, and rapid births take no more than 2 hours.

Causes

Pathology is always associated with a violation of uterine contraction. This happens for the following reasons:

  • hereditary predisposition;
  • excessive nervous excitability, a tendency to neurosis, emotional instability of the psyche, unpreparedness for childbirth;
  • metabolic disorders;
  • violation of the thyroid gland or adrenal glands;
  • toxicosis in early or late pregnancy;
  • rapid childbirth in history;
  • inflammation of the organs of the reproductive system;
  • kidney disease;
  • hypertension;
  • short cervix or its insufficiency;
  • physiological features, for example, a small weight of the fetus with a wide pelvis of the woman in labor.

Sometimes the rapid appearance of a baby into the world can be triggered by the action of medications, for example, with an overdose of stimulant drugs.

At risk are adolescent girls, nulliparous pregnant women over the age of 30, as well as women with a history of more than 2 births.

signs

With rapid delivery, everything happens pretty quickly. Normally, the cervix opens for a long time, the woman suffers from contractions, which gradually become more and more painful. Childbirth consists of 3 stages:

  1. Opening of the cervix. In time, it takes up to 2/3 of the entire maternity process, about 8–10 hours. It is worth talking about the beginning of this stage when contractions appear.
  2. Expulsion of the fetus from the uterus. This is the passage of the baby through the birth canal. It begins after the full disclosure of the cervix, ends with the birth of a baby. On average it takes 1-2 hours.
  3. Departure of the placenta. This is the shortest period, lasting up to 30 minutes. After childbirth, the uterus continues to contract, the placenta, the remains of the fetal bladder and umbilical cord come out.

With rapid delivery, all these periods occur one after another at an accelerated pace. You don’t have to endure the pain for a long time, but it is quite strong. Immediately after the outflow of amniotic fluid, contractions suddenly begin. They are intense, painful and frequent. Their strength increases in 20–30 minutes. after the start of the first stage of labor, the interval between them is no more than 4-5 minutes.

rapid labor in a woman
With rapid labor, the baby is born after the first or second attempt

Normally, during the first half hour of the birth process, contractions occur with a lull for 15-20 minutes. Gradually, within 1–1.5 hours, this interval is reduced.

The uterus is actively contracting, the cervix instantly opens, the woman feels pressure, there are attempts. At this point, nausea, vomiting, increased pressure, increased pulse rate may occur. The attempts are so strong that the woman cannot restrain them, even despite the instructions of the gynecologist. Sometimes she doesn’t even have to make an effort to have a baby. It may take only a few minutes for the baby to move through the birth canal. Without realizing it, a woman is already becoming a mother.

Effects

If we talk about the advantages and disadvantages of the rapid birth of a baby, then the latter are much more. There is only one advantage – less torment at the birth of a child. But postpartum complications become much stronger than the joy of an early birth. The risk of negative consequences with rapid delivery is very high, but their appearance depends on the physiology.

The accelerated birth of a baby into the world is a huge stress for him. The infant’s respiratory system is not yet ready for the first breath. An instant birth can even turn into a tragedy. There is a risk of oxygen starvation, which leads to brain dysfunction and even death of the baby.

When the baby gradually moves through the birth canal, the likelihood of injuries, both for himself and for the mother, decreases. The pelvic bones of the woman are moved apart so that the head, and then the shoulders and the whole body can pass without problems. Of course, this takes a lot of time. Rapid birth – the risk of damage to the skull and spine on hard pelvic bones. There is a high probability of injury to the collarbone, eversion of the shoulders, hemorrhage in the brain, liver, kidneys or adrenal glands.

Negative consequences for women:

  • internal and external breaks;
  • bleeding;
  • damage to the cervix;
  • divergence of the pelvic bones;
  • violation of the discharge of the placenta, the need for curettage of the uterine cavity.

Premature discharge of the placenta can result in uterine bleeding and death of the mother in labor. It can take months to recover from the resulting complications, so it is important to prevent the rapid course of the maternity process.

How to avoid postpartum consequences?

Rapid childbirth should take place under the close supervision of an obstetrician-gynecologist. Otherwise, the process may end in death. To avoid consequences, immediately after the onset of contractions or the outflow of amniotic fluid, you should immediately go to the hospital.

Doctors are taking methods to delay the development of labor. It is forbidden for the woman in labor to walk or get up, she must lie on the couch on her side, opposite to the position of the baby’s back.

newborn sucking breast
The hormone oxytocin, which is produced during breastfeeding, is important for normal uterine contractions after rapid labor.

A cleansing enema is not done, as it stimulates labor activity.

Medical staff can slow down the birth process with medication, and, accordingly, reduce the risk of complications. Drugs are used to reduce uterine contractions, normalize blood pressure and reduce pain. Means that improve placental circulation can be used. For severe pain, local anesthesia is performed – epidural anesthesia.

During childbirth, the condition of the woman and the baby is regularly monitored – the heart rate of the fetus is recorded, the pulse of the woman in labor is measured. Breathing exercises can be used to delay attempts, but deep breaths are prohibited. It is better for a woman to lie on her side or get on all fours. This position is the most favorable for the mother and child.

If it is impossible to prevent rapid labor, a caesarean section is performed.

Absolute indications for surgical delivery are fetal hypoxia, premature detachment of the placenta, a decrease in the heart rate of the infant, and uterine bleeding.

Immediately after the discharge of the placenta, the uterus and birth canal are examined. If there are tears, then stitches are applied. With incomplete discharge of the placenta, cleaning is performed. For better recovery of the uterus, drugs are introduced that stimulate its contraction. Also for the same purposes, frequent attachment of the baby to the breast is important.

After a rapid delivery, as a rule, recovery is longer. With a burdened maternity process, a woman can stay in the hospital for up to 5-7 days. If there are no complications, then the mother and baby are discharged for 3-4 days.

Video

See also: episiorrhaphy during childbirth