How to speed up the opening of the uterus in childbirth. How to speed up the opening of the cervix before childbirth at home: “male therapy” and special exercises. Does sex really help prepare your cervix for childbirth?

It's no secret that you need to prepare for childbirth. This preparation includes not only "raids" in stores with children's things and a psycho-emotional mood. You need to prepare for childbirth and in which your little one grows and develops for 9 months. In principle, nature itself made sure that all female organs “ripe” as much as possible before childbirth and did not fail at the right moment. However, not everything always goes according to plan.

Unprepared for childbirth uterus

The "house" of your bladder is an elongated organ, which consists of muscle and fibrous tissue - the uterus, which ends in the lower part of the neck. As soon as childbirth occurs (researchers, by the way, still cannot figure out why childbirth occurs at one time or another), the uterus begins to contract, that is. During the contractions (the first stage of labor - disclosure) should fully open and release the fetus. At this time, incredible events occur in the still pregnant body: the uterus, contracting, seems to “slide” from gestational sac, rising up, and the fetus itself lowers into the cervical canal. The full opening of the cervix is fixed when the baby’s head can “crawl” through it. As soon as this happened, the second stage of childbirth begins - exile and attempts, which end with the birth of the baby.

To be born, a child has to go through a very hard way, but the buzzer stops at nothing. For example, if the cervix does not let him in, he still climbs, so breaks are obtained, which are frequent companions of childbirth. It is easy to guess why this complication occurs - due to insufficient elasticity of the muscle tissue of the perineum. It is clear that there are other causes of ruptures during childbirth, but nevertheless, the elasticity of the uterus is a prerequisite for successful childbirth.

Interestingly, during pregnancy, the uterus prepares itself for the upcoming birth. In the last trimester of pregnancy, muscle tissue is very actively replaced by collagen fibers, which provide it with the ability to stretch. Doctors call this condition "maturity of the uterus and its cervix." Usually, the attending physician determines this “maturity”, at which the length of the cervix should be up to 2 cm, its “consistency” should be soft, one transverse finger should be passed beyond the area of \u200b\u200bthe internal pharynx (this is the result of a shortening of the cervix) and the cervix should be located in the center of the vagina.

Deviations from these norms (too long cervix, its dense consistency, closed cervical canal and external pharynx) indicate the immaturity of the cervix, that is, the body is not ready for childbirth and it needs “feeding”. Doctors call an immature neck "oak". You should not hope that the uterus, ready for childbirth, will ensure that you do not have ruptures, but it is precisely its “maturity” that will greatly reduce their likelihood. Therefore, you should not neglect the preparation.

How to prepare the uterus for childbirth?

There are many ways to prepare the cervix for childbirth, to help it mature in time. When diagnosed with an "immature" cervix, doctors prescribe medications and procedures that should stimulate the process of maturation of the cervix. You may even be prescribed the use of prostaglandins, which are injected into the cervical canal and contribute to the maturation of the cervix, or kelp suppositories will be injected into the uterus, which stimulates the production of collagen, which makes the tissues more elastic.

Sometimes the cervix does not ripen due to strong muscle tension, so in the last weeks of pregnancy, the doctor may prescribe antispasmodics (No-shpa, Papaverine) either intramuscularly or in the form of tablets or rectal suppositories.

Given the characteristics of a particular pregnant organism, the doctor may also prescribe cervical massage, or nipple stimulation, and possibly even acupuncture. However, these procedures must be carried out according to indications and under the supervision of medical staff.

There are also other ways to prepare the cervix for childbirth, simpler ones that can be carried out without prescriptions, but only if there are no contraindications. For example, a widely known and simple method is systematic. First, orgasm trains the muscles of the perineum and cervix. However, be extremely careful (especially when threatened), because the same orgasm is an excellent natural labor stimulant. Secondly, male sperm helps the uterus to mature (therefore, you need to have sex without a condom), because it contains a huge amount of the natural hormone prostaglandin, which contributes to the maturation of the cervix. Probably, it’s not even worth talking about the fact that the husband must be absolutely healthy so as not to infect you in such important point some kind of pain.

An excellent preparation for childbirth is a reception. Often it is prescribed in the form of capsules (1 capsule per day half an hour before meals, drinking big amount water) a month before the upcoming birth. Primrose oil contains a huge amount of fatty acids that provoke the production of prostaglandin. But do not take this medicine without your doctor's advice! A safer way to saturate the body with fatty acids is to eat fish and vegetable oil, for example.

Many women also resort to folk recipes, which also contribute to the maturation of the cervix. For example, they drink a decoction of dried raspberry leaves (100 ml of decoction before meals), (200 g before breakfast on an empty stomach), hawthorn tincture (pharmacy version in drops) or strawberry decoction (strawberry compote with leaves). However, even with these infusions, you need to be extremely careful. Be aware of possible allergic reactions, and not every woman needs stimulation of the maturation of the cervix, as the process occurs by itself without delay.

They prepare the whole body as a whole for childbirth and special exercises (train the muscles of the vagina). There are special courses for future parents, where they always do gymnastics with pregnant mothers or tell them what exercises to do. Squatting is very effective, but only with the normal position of the fundus of the uterus. You need to do it daily starting from the 35th week, first for 2 minutes, then the squat time can be gradually increased to 15 minutes. However, gymnastics for pregnant women also has contraindications, so do not make any decisions yourself.

And finally, remember that the course of childbirth largely depends on a positive attitude. Believe in yourself from the very first days of pregnancy, and then your body will cope with this difficult, but most pleasant task - it will easily give birth to a healthy and strong baby. Good luck to you!

Especially for- Tanya Kivezhdiy

Normally, throughout pregnancy, the cervix has a dense texture, a length of 3 to 5 cm, the cervical canal is closed and filled with a mucous plug, which performs the function of additional protection against infection. In multiparous women or in the presence of scarring of the cervix from previous births the canal can pass a finger to the internal os.

shortening of the cervix;
softening of the consistency;

All these sensations are normal and indicate that the woman's body is preparing for childbirth. However, if such symptoms appear before 37 weeks of pregnancy - the period when the pregnancy is considered full-term, it is urgent to inform the doctor about this.

Sometimes it happens that the term of childbirth is about to come, and the doctor at the next vaginal examination states that the cervix is “immature” and is not ready for childbirth. Hearing this news, most pregnant women begin to panic and tune in to a caesarean section. An immature cervix is far from a final verdict. modern medicine has an arsenal of means for artificial "ripening" of the cervix. Stimulation of cervical dilatation is a purely medical procedure, which is performed only in a hospital and for a number of indications:

the presence of pregnancy complications, in which the further course of pregnancy is dangerous for the woman and the fetus - fetoplacental insufficiency, decompensation of extragenital diseases of the mother, for example, diabetes, cardiac and renal pathology.

Mopping floors, climbing stairs, cleaning the house. There is no harm from such activities, but excessive physical activity is not recommended for women with preeclampsia, and.

Alexandra Pechkovskaya, obstetrician-gynecologist, specially for the site

Useful video

Pregnancy is a special time for any woman. Poor health, changes hormonal background, experiences - all this indicates that it is necessary to carefully prepare for future childbirth. In order for the birth to be successful, it is important not only to correctly psychologically tune in to a positive result, but also to prepare your body for the upcoming most important work in life. Let's find out how to soften the cervix before childbirth.

How to help?

Childbirth is considered normal when it occurs between 38 and 42 weeks of gestation. In this case, a full-term baby is born. Normally, about a month and a half before the birth of the baby, the cervix begins to change physiologically and prepares for disclosure. As a rule, a woman at the 38th week of pregnancy is examined by a gynecologist, where he determines how ready the cervix is for disclosure.

It is important that by the beginning of childbirth the uterus is elastic, this will ensure the correct birth of the baby without complications. By the time the baby is about to be born, the cervix should be mature. How correctly this process occurs in the body depends on the substances of prostaglandins. If a woman has a normal pregnancy, then these substances are produced in sufficient quantities on their own. But, often, today only some pregnant women can boast of excellent health. Therefore, it is important in advance of the onset of childbirth to help your body prepare for childbirth, in particular, soften the cervix.

What can be done at home?

One of the most popular, simple and enjoyable ways to soften the cervix before childbirth is to have regular sex without condoms. Semen contains prostaglandins that help the cervix to ripen properly during pregnancy. Moreover, experiencing an orgasm, the woman's body "trains" for the upcoming birth. We emphasize that it is possible and necessary to have sex, only on the condition that there are no problems with bearing the fetus. Since frequent sex and orgasm lead to the fact that labor will begin ahead of time. Therefore, it is better to consult a doctor in this case.

An important aspect in preparing the cervix for childbirth is proper nutrition. It is necessary, in the diet, to include various oils. For example, olive, linseed, sesame, sunflower. One of the great options is a freshly squeezed glass carrot juice with the addition of one teaspoon of any of the oils. This combination perfectly helps to improve the elasticity of the cervix. It is also important that the diet includes fish and dairy products that help correct work intestines. But red meat is better to replace white.

Another simple and affordable way to soften the cervix before childbirth is to drink tea from raspberry leaves. It is better to drink such tea from 37 weeks, as the drink can provoke premature birth.

Also, some women said that they used special oils for perineal massage, buying them at a pharmacy. But, without consulting a doctor, it is better not to do this yourself, so as not to cause harm.

Many people recommend taking evening primrose oil. This oil is rich in various trace elements that allow you to soften the cervix. But, at the same time, many gynecologists assure that taking such capsules without the supervision and prescription of a doctor is dangerous and not rational.

In cases where folk methods to soften the cervix before childbirth do not help, doctors prescribe special procedures. They are used under the supervision of specialists, since they provoke the onset of contractions almost immediately.

One of the widely used means is a special gel with prostaglandins. It is injected directly into the cervix, and literally into short time childbirth begins. Also in maternity hospitals, kelp is used. They are introduced into the cervix, where they increase, thus, the cervix softens - and soon the woman starts contractions.

In any case, if the cervix is not ready for childbirth, and the time to give birth is already “running out”, then the doctor will definitely select the ideal option for you. Remember that each organism is individual, and childbirth is a natural process, and everything is provided for by nature. Therefore, tune in to the positive, trust the specialists, and your birth will be successful!

With soft, thin tissue of the organ, labor activity is faster. An insufficiently mature state indicates unavailability, the process will be carried out with medical intervention. In most cases, with poor disclosure, a caesarean section is performed. An obstetrician-gynecologist recommends preparing the cervix for childbirth if at 39 weeks it is hard, long, rigid, tightly closed.

Authority readiness

The cervix plays an important role in the birth process. Throughout pregnancy, the organ is closed, protecting the baby from harmful external influences, infection. Closer to the onset of labor, the cervix changes its structure, sometimes opening a couple of centimeters 1 to 2 weeks before the start of the process.

Readiness shows how everything will pass, painlessly or the woman in labor will suffer for a long time. Therefore, the doctor advises doing gymnastics aimed at softening the neck after 36 weeks.

immature;
not mature enough
ready.

Prostaglandins are responsible for preparing for childbirth. Their insufficient number indicates the immaturity of the organ. During labor, a woman will experience severe pain. The neck needs to be softened. During the period of gestation, this cannot be done, premature disclosure will occur.

How many days does it take for the uterus to prepare for childbirth? The reproductive organ should be prepared immediately before the very beginning of the process. In a few days, harbingers appear. The cervix is smoothed out, thinner, together with the vagina forms a single channel for the passage of the baby.

The woman in labor is under the supervision of an obstetrician-gynecologist during the entire period of pregnancy. When the doctor sees during a vaginal examination that at a period of 37-38 weeks the birth canal is not ready for childbirth, he will prescribe the necessary procedures and medications.

What does it mean that the cervix is ready for childbirth:

the structure has changed;
the length has become shorter;
the cervical canal opens.

In order for the process of giving birth to a baby to pass without complications, the cervix must mature. The organ will look loose, short. A lumen will appear in the cervical canal.

Why preparation is necessary

The female body itself begins to prepare for labor. However, it happens at week 39 that there are no signs of opening the cervix. Other symptoms are also absent. There is a need for special training.

How to prepare the cervix for childbirth in the hospital:

correct the hormonal background of the woman in labor with estrogenic drugs;
use the introduction of prostaglandins;
carry out uterine massage;
introduce kelp.

Interventions:

gestation of the fetus;
it is necessary to bring the birth closer for medical reasons;
labor activity begins, the uterus is not ready for it.

Medical indications are preeclampsia, heart disease, fetal hypoxia. If you continue the pregnancy with late "toxicosis", there is a threat to the health of the mother. In a woman, the functioning of the kidneys, cerebral vessels worsens, and blood pressure rises.

With fetal hypoxia, insufficient oxygen is supplied to the placenta. This occurs as a result of pathologies occurring in the body. If hypoxia appeared at the end of the last trimester, you need to quickly prepare the cervix for disclosure and childbirth.

When labor begins and the pathways are not ready to open, the baby may be injured. Strong breaks often occur. If the birth process is delayed, a caesarean section is used.

How to relax the cervix before childbirth:

introduce antispasmodic drugs;
apply gel;
use kelp.

By softening, the cervix becomes short, elastic, which means that the birth canal is ready for childbirth. The organ will open quickly when the process begins. Nothing will prevent the successful appearance of the baby.

Preparation Methods

It is possible to prepare the neck for the birth process in several ways. The methods are applied with the permission of the doctor who leads the woman in labor from the beginning to the end of pregnancy, is responsible for the health of the baby, the mother.

How to accelerate the maturation of the cervix before childbirth:

conduct medical preparation;
make a massage;
apply acupuncture;
stimulate nipples;
use folk remedies.

Why is the cervix not ready for childbirth:

insufficiently elastic fabric;
tense muscles.

Methods for preparing the cervix are divided into medical, folk. The former include prostaglandins, kelp, examination, antispasmodics. The second group includes sex, herbs, physical activity.

Prostaglandins soften the body. Get them, irritating the uterus, massage manipulations. Sometimes a special gel is injected into the cervical canal. Laminaria are thin sticks of seaweed. Under their influence, the neck quickly matures, softens. Pain appears, false contractions begin.

Disclosure is accelerated after a doctor's examination. Sometimes antispasmodics, beta-blockers are used. Pills for preparing the cervix for childbirth and injections accelerate "ripening".

Sex before childbirth is mechanical stimulation. Male sperm contains a lot of prostaglandins that enter the body of a woman through intercourse. It is also important to get an orgasm, which provokes labor.

Decoctions help prepare the neck. For this purpose, use wild rose, strawberry leaf. Increase physical activity, do not stay in a passive position for a long time. Go up, down the stairs, do not use the elevator. Do the cleaning of the rooms on your haunches.

Immature neck

The term is used when labor begins and the organ is not ready. Readiness is checked during the inspection at each visit of the 3rd trimester. An immature cervix is considered abnormal. It should begin to change a couple of weeks before labor. If this does not happen, the process will be painful.

How to understand that the body is preparing for childbirth:

false contractions;
prolapse of the abdomen;
weight loss;
stool change;
lack of appetite;
the emotional state changes;
discomfort appears;
the mucus plug comes off.

The disadvantages of the immaturity of the reproductive organ are hardness, density, closing of the channel. Immaturity is a diagnosis. In this condition, the cervix will prevent the successful birth of a child. It is useless to stimulate the day before, the immature cervix should prepare for childbirth in advance. The effectiveness of contractions is insufficient, the woman in labor is exhausted, the birth process will last a day.

A long delivery is painful for the fetus, he suffers from a lack of oxygen, is injured. For a woman, the unpreparedness of the body threatens with breaks. The uterus contracts with insufficient disclosure.

You can find out that it is time to prepare for childbirth by the onset of contractions, the child is moving forward. The help of doctors is inevitable.

Contraindications of the clinical protocol for preparing the cervix for childbirth are an anatomically narrow pelvis, malposition of the fetus, breech presentation, anomaly in the development of the placenta. With this diagnosis, only caesarean section is used.

medical methods

The neck of the genital organ plays the role of holding the fetus after conception. It is compacted, maximally closed during this period. By the end of the term, its shape changes. The process begins a couple of weeks before labor.

When the time of birth comes, but the organ is not ready, medical methods are used. They speed up the process. Preparation is allowed to be carried out under the supervision of an obstetrician - gynecologist in a hospital. Injected drugs are able to provoke labor activity ahead of time. The gynecologist performs regular examinations, assesses the condition of the uterus.

The most common method of therapy is the creation of a hormonal background. For this, estrogen preparations are used. The most used include Sinestrol, Papaverine, Prostin, Prepidil.

Sinestrol enhances weak labor activity. If necessary, urgently stimulates it. The drug is administered as injections intramuscularly 2 times a day for 2 to 12 days. Papaverine is used in the form of suppositories, tablets, is actively absorbed, does not irritate the gastric mucosa. medicinal product is an excellent antispasmodic.

Prostaglandins are used intravenously if they are solutions and inside the cervical canal when gels are used. Prostin is administered endovaginally with a disposable syringe. It is recommended to be in the "lying" position for 30 minutes so that the drug does not leak out. The condition of the woman and the fetus is constantly monitored. Measured blood pressure, pulse, controlled breathing.

Prepidil is a clear gel. Before the introduction of the drug, the gynecologist examines the woman in labor, analyzes how the cervix begins to prepare for childbirth, assesses the degree of readiness. Next, the vital signs of the child, the contractile activity of the uterus are considered. After the examination, the gel is injected. Its repeated use is possible only after 6 hours.

The natural production of prostaglandins is promoted by massage of the cervix before childbirth. This saves the woman in labor from breaks, stretch marks. Physical massage effect can be carried out on the walls of the vagina, perineum.

Often use suppositories before childbirth from ruptures. In addition to direct prescription, the drug serves as a prophylaxis against infections. The action extends to the entire body as a whole. You can’t use them at your own discretion; you need to consult a gynecologist.

Often, a Foley catheter is used to induce labor. The device is a tube with a spray can. Introduced in the hospital. At home, use is strictly prohibited.

Folk methods

The most reliable source of prostaglandins is male sperm. If there are no contraindications to having sex on recent weeks gestation of the baby, participate in sexual intercourse without condoms. Among all the preparation methods, this one is the best.

Orgasm can trigger the onset of the birth process. By acting on the contraction of the uterus, it serves as an impetus for delivery. Use the described method only after consulting a doctor, as there is a contraindication - placenta previa. Having such a diagnosis, it is undesirable to have sex.

Traditional medicine advises the use of herbal infusions, syrups. Decoctions of wild rose, St. John's wort, hawthorn, sage, raspberry leaves help the expectant mother well. Treat your cooking with care. Many herbs are allergens that can cause an appropriate reaction.
Eat more oily fish. Drink fish oil. Eat raw vegetable oil.

Carry out gentle manipulations of the nipples for 5-10 minutes 2-3 times daily. This action promotes the release of oxytocin, which helps the uterus contract. Massage your perineum. The developed fabric will eliminate tears.

Use evening primrose oils, sold in capsules. The composition of the product contains fatty acids, they produce prostaglandins. Take daily from 34 weeks. First, 1 capsule, gradually increasing the dose.

Folk remedies help the disclosure of the reproductive organ. Labor activity is faster, without pain. However, before using any method, you should consult your doctor.

Kegel exercises

Preparing the cervix for childbirth at home also includes doing gymnastics. All movements should be aimed at increasing elasticity, stretching the muscle mass. Particularly effective are exercises for opening the cervix. The essence of the action lies in the tension of the muscles of the vagina.

List of classes:

sit on a chair. Tilt your body forward a little. Squeeze, squeeze muscle mass vagina. 10 - 12 actions repeat 2 - 3 times daily;
in the "lying" position, spread lower limbs to the side, bending at the knees. Tighten the muscle mass of the vagina, linger for 5 to 10 minutes. Alternate tension with rest. For the first time, 8 repetitions are enough. Gradually complicate the load up to 30 actions;
take a sitting position. Hold your breath. Stick out the external muscles of the vagina, gently pushing. Take a breath, tighten up. After a short rest, repeat the manipulation;
The most difficult is the lift exercise. Performed in a standing position. Tighten your intimate muscles, slowly building up the force of compression. Stop at each "floor". Having risen to the last, slowly descend.

If the neck is preparing for childbirth for a long time, Kegel exercises are performed before the onset of labor. The body begins to prepare for labor from the moment of conception.

Over the course of 9 months, the organs change to provide a woman with a natural birth. The cervix begins to change structure 4 to 6 weeks before delivery. Its maturation indicates the readiness for the birth of the baby. Preparing for the birth process is very important for a successful delivery.

Natural labor begins around the 38th week of pregnancy. and ends with the birth of the baby. In some cases, doctors have to stimulate labor. These may be medical indications that arose before the expected date of birth, or due to over 42 weeks of pregnancy. Sometimes labor starts spontaneously and does not go very well or even stops. If the contractions stop or they are simply not enough for the normal opening of the cervix, doctors talk about weak labor and resort to stimulating it.

So medicines are used in the event that twelve hours after the waters have broken, childbirth has not begun. Of course, stimulation is carried out only under the supervision of a qualified doctor and with the utmost care. At the same time, it is mandatory to find out if the woman has allergic reactions to any medications.

In order to act on the cervix, they can be used, both medicinal and non-medicated. medicines.

Signs that cervical dilation during pregnancy needs to be stimulated :

The presence of diabetes mellitus, preeclampsia or high blood pressure in a woman in labor;

Too early discharge of amniotic fluid, at the risk of infection;

A severely distended uterus, which is caused by polyhydramnios, is too large size fetus or twins;

The uterus does not open;

Contractions are weak or short, or absent at all;

Heart problems, the presence of Rhesus conflict;

Premature abruption of the placenta (as a threat to the life of the child);

In some cases, late toxicosis;

Deterioration of the condition of both mother and child.

The decision on stimulation is made by each doctor independently, focusing on the mother's condition and research data (ultrasound, blood and urine tests, etc.). The waiting period for childbirth can be extended for another one or even two weeks, while the woman is advised to go to the hospital in order to fully control her and, if necessary, resort to prompt resolution of childbirth.

Non-drug methods of stimulation include amniotomy, the so-called piercing of the fetal bladder. The main indication for this procedure is a dilatation of 2 cm, which then stopped. As a result of the puncture, there is an increase in labor activity. So amniotic fluid is poured out, which leads to a decrease in pressure.

The baby's head begins to press on the pelvic bones, and this contributes to the necessary opening of the neck. This method is quite painless and safe, it is not capable of harming the child, and there are no nerve endings in the fetal bladder.

In the event that the amniotomy does not lead to sufficient dilatation, doctors use medications to speed up this process.

* One of the medicinal methods of stimulation include the use of prostaglandins. These elements effectively prepare the cervix for subsequent dilation. This method is very good, since it has practically no side effects.

The specialist inserts a candle deep into the vagina, and the cervix begins to open faster. This is the beginning of labor activity. The drug affects only the mother's body and is unable to harm the child. It begins to act in half an hour, and until this time the free movement of the woman in labor around the room is allowed.

* Stimulation with oxytocin is another type of drug effect on the opening of the cervix. This drug can be introduced into the body using tablets or solution for intramuscular and subcutaneous injections, as well as for intravenous use.

Its side effects include increased pain during childbirth, so it is most often used in parallel with antispasmodics, and in addition, too active contractile activity of the uterus, which causes circulatory disorders and can harm the child.

With intravenous administration, a woman is forced to lie down, and this also negatively affects the opening of the cervix.

* Many expectant mothers manage to speed up labor by walking around the room. But it is worth remembering that each person is completely individual.

* There are several ways that a woman herself can use to prepare the cervix for labor. To do this, starting from the 37th week of pregnancy, she is recommended to include in her diet more salads seasoned with any vegetable oil.

* An excellent result is given by swimming and diving, as well as long walking.

* You can drink a decoction of raspberry leaves, massage the ear and little finger.

The expectant mother should carefully read the literature on childbirth and learn how to behave during labor. In addition, it is recommended to perform some physical exercises. This will reduce fear and learn to control your body. The ability to "listen" to your body is the best stimulation of labor. It is important to remember that pain is an integral part of childbirth and to control yourself when thinking about the baby.

Opening the cervix by 1 or 2 fingers before childbirth

Normal and timely labor never begins suddenly and violently. On the eve of childbirth, a woman experiences their precursors, and the uterus and her cervix prepare for the birth process. In particular, the cervix begins to "ripen" and expand, that is, it enters the stage of opening the uterine os. Childbirth is a complex and lengthy process and largely depends on the interaction of the uterus, cervix and the state of the hormonal background, which determines their successful completion.

The cervix is...

The lower part of the uterus is called its cervix, which looks like a narrow cylinder and connects the uterine cavity with the vagina. Directly in the neck, the vaginal part is distinguished - the visible part that protrudes into the vagina below its arches. And also there is supravaginal - the upper part, located above the arches. In the cervix passes the cervical (cervical) canal, the upper end of it is called the internal pharynx, respectively, the lower end is the outer one. During pregnancy, there is a mucous plug in the cervical canal, the function of which is to prevent the penetration of infection from the vagina into the uterine cavity.

The uterus is the female reproductive organ, the main purpose of which is the bearing of the fetus (fetal container). The uterus consists of 3 layers: the inner one is represented by the endometrium, the middle one is the muscular tissue and the outer one is the serous membrane. The main mass of the uterus is the muscular layer, which hypertrophies and grows during gestation. The myometrium of the uterus has a contractile function, due to which contractions occur, the cervix (uterine os) opens and the fetus is expelled from the uterine cavity during the birth act.

Periods of childbirth

The birth process lasts quite a long time, and normally in primiparous women in labor it is 10-12 hours, while in multiparous women it lasts about 6-8 hours. Childbirth itself includes three periods:

I period - the period of contractions (opening of the uterine os);
II period is called the period of attempts (the period of expulsion of the fetus);
III period - this is the period of separation and discharge of the child's place (afterbirth), therefore it is called the afterbirth period.

The longest stage of the birth act is the period of opening of the uterine os. It is caused by uterine contractions, during which the fetal bladder is formed, the fetal head moves along the pelvic ring and cervical opening is provided.

Contraction period

The first period of childbirth is the longest, and in primiparous women it is longer and takes 8-10 hours on average. In parturient women who give birth again, the period of contractions lasts 6 to 7 hours. The process of "opening" the uterine os consists of two phases: latent and active. The latent phase, on average, takes 5-6 hours from the entire period of contractions and proceeds either painlessly or with slight pain (read more about contractions during childbirth).

First, contractions arise and are established - no more than 2 in 10 minutes. Moreover, the duration of uterine contraction reaches 30 - 40 seconds, and relaxation of the uterus 80 - 120 seconds. Prolonged relaxation of the uterine muscles after each contraction ensures the transition of the cervical tissues into the structure of the lower uterine segment, as a result of which the length of the visible part of the cervix decreases (it shortens), and the lower uterine segment itself is stretched and lengthened.

As a result of the ongoing processes, the presenting part of the fetus (usually the head) is fixed at the entrance to the small pelvis, separating the amniotic fluid, as a result, anterior and posterior waters are formed. A fetal bladder is formed (contains anterior waters), which acts as a hydraulic wedge, wedged into the internal os, opening it.

In first-borns, the latent phase of disclosure is always longer than in women giving birth for the second time, which causes a longer total duration of labor. Completion of the latent phase is marked by complete or almost complete smoothing of the neck.

The active phase begins with 4 cm of cervical dilatation and lasts up to 8 cm. At the same time, contractions become more frequent and their number reaches 3–5 in 10 minutes, the periods of contraction and relaxation of the uterus equalize and amount to 60–90 seconds. The active phase lasts for primiparous and multiparous 3-4 hours. It is in the active phase that labor activity becomes intense, and the cervix opens quickly. The fetal head moves along the birth canal, the cervix has completely passed into the lower uterine segment (merged with it), by the end of the active phase, the opening of the uterine os is complete or almost complete (within 8–10 cm).

At the end of the active phase, the fetal bladder opens and the water is poured out. If the cervical opening has reached 8 - 10 cm and the water has departed - this is called a timely outflow of water, the discharge of water at the opening of up to 7 cm is called early, with 10 or more cm of opening of the pharynx, an amniotomy is indicated (the procedure for opening the fetal bladder), which is called a belated outflow of water.

Terminology

The opening of the cervix does not have any symptoms, only a doctor can determine it by conducting a vaginal examination.

To understand how the process of softening, shortening and smoothing the neck is progressing, one should decide on obstetric terms. In the recent past, obstetricians determined the opening of the uterine os in the fingers. Roughly speaking, how many fingers the uterine pharynx passes through, such is the discovery. On average, the width of the "obstetric finger" is 2 cm, but, as you know, everyone's fingers are different, so measuring the opening in cm is considered more accurate. So:

if the cervix is opened by 1 finger, then they say about the opening of 2 - 3 cm;
if the opening of the uterine os has reached 3–4 cm, this is equivalent to opening the cervix by 2 fingers, which, as a rule, is diagnosed already at the beginning of regular labor (at least 3 contractions in 10 minutes);
an almost complete opening is indicated by the opening of the neck by 8 cm or by 4 fingers;
full disclosure is fixed when the cervix is completely smoothed (the edges are thin) and passable for 5 fingers or 10 cm (the head falls to the pelvic floor, turning with an arrow-shaped seam in a straight size, there is an irresistible desire to push - it's time to go to the delivery room for the birth of a baby - the beginning of the second period childbirth).

How does the cervix mature?

The harbingers of childbirth that have appeared indicate the imminent onset of the birth act (from about 2 weeks to 2 hours):

the bottom of the uterus descends (for 2-3 weeks before the onset of contractions), which is explained by the pressing of the presenting part of the fetus to the small pelvis, a woman feels this sign by easing breathing;
the pressed head of the fetus presses on the pelvic organs (bladder, intestines), which leads to frequent urination and constipation;
increased excitability of the uterus (the uterus “hardens” when the fetus moves, the woman moves abruptly, or when the abdomen is stroked / pinched);
the appearance of false (training) contractions is possible - they are irregular and rare, pulling and short;
the cervix begins to "ripen" - softens, skips the tip of the finger, shortens and "centers".

The opening of the cervix before childbirth proceeds very slowly and gradually over a month, and intensifies on the last day - two on the eve of childbirth. In nulliparous women, the dilatation of the cervical canal is about 2 cm, while in multiparous women, the dilatation exceeds 2 cm.

To determine the maturity of the cervix, a scale developed by Bishop is used, which includes an assessment of the following criteria:

the consistency (density) of the neck: if it is dense, this is regarded as 0 points, if it is softened along the periphery, but the internal pharynx is dense - 1 point, soft both from the inside and outside - 2 points;
the length of the neck (the process of its shortening) - if it exceeds 2 cm - 0 points, the length reaches 1 - 2 cm - a score of 1 point, the neck is shortened and does not reach 1 cm in length - 2 points;
patency of the cervical canal: a closed external pharynx or skips the tip of a finger - a score of 0 points, the cervical canal is passable to a closed internal pharynx - this is estimated at 1 point, and if the canal passes one or 2 fingers through the internal pharynx - it is estimated at 2 points;
how the neck is located in relation to the wire axis of the pelvis: directed posteriorly - 0 points, displaced anteriorly - 1 point, located in the middle or "centered" - 2 points.

When summing the points, the maturity of the cervix is estimated. An immature neck is considered with a score of 0 - 2 points, 3 - 4 points is regarded as an insufficiently mature or ripening neck, and with 5 - 8 points they speak of a mature neck.

Vaginal examination

To determine the degree of readiness of the cervix and not only, the doctor conducts a mandatory vaginal examination (upon admission to maternity hospital and at 38 - 39 weeks at the reception in the antenatal clinic).

If a woman is already in the maternity ward, a vaginal examination to determine the process of opening the uterine os every 4 to 6 hours or according to emergency indications:

discharge of amniotic fluid;
carrying out a possible amniotomy (weakness of labor forces, polyhydramnios or a flat fetal bladder);
with the development of anomalies of generic forces (clinically narrow pelvis, excessive labor activity, discoordination);
before regional anesthesia (EDA, SMA) to determine the cause of painful contractions;
the occurrence of discharge with blood from the genital tract;
in the case of established regular labor activity (preliminary period that turned into contractions).

When conducting a vaginal examination, the obstetrician assesses the condition of the cervix: its degree of disclosure, smoothing, thickness and extensibility of the cervical edges, as well as the presence of scars on the soft tissues of the genital tract. In addition, the capacity of the pelvis is assessed, the presenting part of the fetus and its insertion are palpated (localization of the swept suture on the head and fontanelles), the advancement of the presenting part, the presence of bone deformities and exostoses. Be sure to evaluate the fetal bladder (integrity, functionality).

According to the subjective signs of disclosure and the data of the vaginal examination, a partogram of childbirth is compiled and maintained. Contractions are considered subjective signs of childbirth, in particular, the opening of the uterine os. Criteria for evaluating contractions include their duration and frequency, severity and uterine activity (the latter is determined instrumentally). Partogram of childbirth allows you to visually record the dynamics of the opening of the uterine os. A graph is drawn up, horizontally indicating the duration of labor in hours, and vertically opening the cervix in cm. Based on the partogram, one can distinguish between the latent and active phases of labor. The steep rise of the curve indicates the effectiveness of the birth act.

If the cervix dilates prematurely

The opening of the cervix during pregnancy, that is, long after childbirth, is called isthmic-cervical insufficiency. This pathology is characterized by the fact that both the cervix and the isthmus do not fulfill their main function in the process of gestation - obturator. In this case, the neck softens, shortens and smoothes, which does not allow the fetus to be kept in the fetus and leads to spontaneous abortion. Termination of pregnancy, as a rule, occurs in 2 - 3 trimesters. The failure of the cervix is evidenced by the fact of its shortening to 25 mm or less at 20-30 weeks of gestation.

Isthmic-cervical insufficiency is organic and functional. The organic form of the pathology develops as a result of various cervical injuries - artificial abortions (see the consequences of abortions), cervical ruptures during childbirth, surgical methods for treating cervical diseases. The functional form of the disease is due either to a hormonal imbalance or an increased load on the neck and isthmus during pregnancy (multiple pregnancies, excess water or a large fetus).

How to keep a pregnancy when dilating the cervix

But even with a cervical opening of 1 - 2 fingers in a period of 28 weeks or more, it is likely to keep the pregnancy, or at least prolong it until the birth of a completely viable fetus. In such cases are appointed:

bed rest;
emotional peace;
sedatives;
antispasmodics (magne-B6, no-shpa, papaverine);
tocolytics (ginipral, partusisten).

Be sure to carry out treatment aimed at the production of surfactant in the lungs of the fetus (glucocorticoids are prescribed). which speeds up their maturation.

In addition, treatment and prevention of further premature opening of the cervix is surgical - stitches are applied to the neck, which are removed at 37 weeks.

The cervix is immature - what then?

The opposite situation is possible, when the cervix is “not ready” for childbirth. That is, the hour X has come (the expected date of birth), and even several days or weeks have passed, but there are no structural changes in the cervix, it remains long, dense, rejected backwards or forwards, and the internal pharynx is impassable or passes the tip of the finger. How do doctors act in this case?

All methods of influencing the neck, leading to its maturation, are divided into drug and non-drug. Medical methods include the introduction into the vagina or into the cervix of special gels and suppositories with prostaglandins. Prostaglandins are hormones that accelerate the process of maturation of the cervix, increase the excitability of the uterus, and in childbirth, their intravenous administration is practiced in case of weakness of the birth forces. Local administration of prostaglandins does not have a systemic effect (no side effects) and contribute to the shortening and smoothing of the neck.

Of the non-drug methods of stimulating the opening of the cervix, the following are used:

Sticks - kelp

Sticks are made from dried kelp algae, which are highly hygroscopic (absorb water well). Such a number of sticks are introduced into the cervical canal so that they fill it tightly. As the sticks absorb liquid, they swell and stretch the cervix, causing it to dilate.

Foley catheter

The catheter for opening the cervix is represented by a flexible tube with a balloon fixed at one end. A catheter with a balloon at the end is inserted into the cervical canal by a doctor, the balloon is filled with air and left in the neck for 24 hours. Mechanical action on the neck stimulates its opening, as well as the production of prostaglandins. The method is very painful and increases the risk of infection of the birth canal.

Cleansing enema

Unfortunately, in some maternity hospitals they refused to conduct a cleansing enema for a woman who came to give birth, but in vain. The free intestine, as well as its peristalsis during defecation, increases the excitability of the uterus, increases its tone, and, consequently, accelerates the process of opening the cervix.

Question answer

How can you speed up the opening of the cervix at home?

prolonged walks in the fresh air increase the excitability of the uterus and the production of prostaglandins, and the presenting part of the baby is fixed at the entrance to the small pelvis, further stimulating the opening of the cervix;
follow bladder and intestines, avoid constipation and prolonged abstinence from urination;
eat more salads from fresh vegetables seasoned with vegetable oil;
take a decoction of raspberry leaves;
stimulate the nipples (when they are irritated, oxytocin is released, which causes uterine contractions).
Are there any specific neck opening exercises?

At home, walking up the stairs, swimming and diving, bending and turning the torso accelerates the maturation of the neck. It is also recommended to take a warm bath, massage the ear and little finger, breathing exercises and exercises to strengthen the perineal muscles, yoga classes. In maternity hospitals there are special gymnastic balls, the seat and jumps on which, during the period of contractions, accelerate the opening of the uterine os.

Does sex really help prepare the cervix for childbirth?

Yes, having sex in the last days and weeks of pregnancy (subject to the integrity of the fetal bladder and the presence of a mucous plug in the cervical canal) contributes to the maturation of the cervix. First, during orgasm, oxytocin is released, which stimulates uterine activity. And, secondly, the semen contains prostaglandins, which have a beneficial effect on the process of maturation of the cervix.

At what opening do attempts begin?

Pushing is a voluntary contraction of the abdominal muscles. The desire to push arises in a woman in labor already at 8 cm. But until the cervix opens completely (10 cm), and the head sinks to the bottom of the small pelvis (that is, it can be felt by a doctor by pressing on the labia) - you can’t push.

Obstetrician-gynecologist Anna Sozinova

Cervix: maturation and dilation

The cervix is a truly unique organ with an amazing structure, without which it would be impossible to endure and give birth to a child. Throughout pregnancy, the cervix plays the role of a guard, closing the entrance to the uterus and protecting the fetus from external influences and infections. In childbirth, in a short time, the cervix smoothes out, becomes thinner and, together with the vagina, forms a single birth canal. Within just a few days after childbirth, the cervix takes on its former appearance, again closing the entrance to the postpartum uterus.

Opening the cervix before childbirth

Normally, throughout pregnancy, the cervix has a dense texture, a length of 3 to 5 cm. The cervical canal is closed and filled with a mucous plug, which performs the function of additional protection against infection. In multiparous women or in the presence of cervical scars from previous births, the canal can pass a finger to the internal os.

From about 34-36 weeks of pregnancy, the cervix begins to ripen. The maturation process includes:

shortening of the cervix;
softening of the consistency;
centering the cervix along the axis of the birth canal;
gradual opening of the external and internal pharynx.

The closer the term of childbirth, the more pronounced the processes of maturation and opening of the cervix. Multiparous and women with a good generic dominant by the time of the onset of labor may already have a cervical dilatation of up to several centimeters in the absence of other signs of labor.

Symptoms and sensations when opening the cervix

In the process of maturation of the cervix, a pregnant woman may not feel this at all, feel good and not even know what changes are taking place in her body. Before the onset of labor, a pregnant woman can sometimes observe:

periodic irregular painless or painless contractions;
pulling pains in the lower abdomen, lower back, sacrum;
mucous discharge from the genital tract, sometimes with streaks of blood.

How is cervical dilation checked?

To find out what condition the cervix and birth canal are in, whether the cervix is ready for childbirth or, conversely, there is a threat of premature birth, it is necessary to periodically conduct an internal obstetric examination. This is a routine examination in the chair, when the obstetrician inserts the index and middle fingers into the woman's vagina and examines the cervix and birth canal. On examination, the doctor evaluates the length of the cervix, its softness, the degree of opening of the channel, the discharge from the genital tract, and also determines whether the fetal bladder is intact and what part of the fetus is present. In the same way, the dynamics of cervical dilatation during labor is assessed every two hours.

The second fairly reliable and objective method for measuring the length of the cervix and the degree of its disclosure outside childbirth is ultrasound diagnostics. This method is called ultrasonic cervicometry and is the "gold standard" for early diagnosis of the risk of preterm birth. The method is applicable at gestational ages from 22 to 37 weeks.

Stimulation of dilatation and preparation of the cervix for childbirth

Sometimes it happens that the term of childbirth is about to come, and the doctor at the next vaginal examination states that the cervix is “immature” and is not ready for childbirth. Hearing this news, most pregnant women begin to panic and tune in to a caesarean section. An immature cervix is far from a final verdict. Modern medicine has an arsenal of means for artificial "ripening" of the cervix. Stimulation of cervical dilatation is a purely medical procedure, which is performed only in a hospital and for a number of indications:

post-term pregnancy for a period of more than 42 weeks with signs of aging of the placenta and other signs of postmaturity;
the presence of complications of pregnancy, in which the further course of pregnancy is dangerous for the woman and the fetus - preeclampsia. fetoplacental insufficiency, decompensation of extragenital diseases of the mother, for example, diabetes mellitus, cardiac and renal pathology.

The following techniques can be used to ripen the cervix:

Kelp sticks are dried seaweed pressed into sticks. These sticks are introduced into the ajar cervix, where, in a humid environment, the algae swell and mechanically open it.
Balloon expansion of the cervix, when a special balloon is inserted into the cervical canal, which is gradually inflated with air or liquid.
The use of special preparations of prostaglandins, which accelerate the processes of maturation and opening of the cervix. These drugs may be in the form intravenous drips, vaginal gels, tablets or suppositories. The discovery of prostaglandins was a real breakthrough in medicine, making it possible in a huge number of cases to accelerate the onset of childbirth and avoid surgery.

All these techniques are used only in a hospital under the supervision of medical staff!

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

Very often, the obstetrician, stating the insufficient readiness of the body for childbirth, sends the woman to the hospital for special events. But in cases where the gestational age is not yet critical, and the woman and child are healthy, the doctor chooses expectant tactics: future mom goes home. There are many grandma's ways to speed up the ripening and opening of the cervix. To be honest, the effectiveness and safety of most of them is highly questionable. These include:

Mopping floors, climbing stairs, cleaning the house. There is no harm from such activities, but excessive physical activity is not recommended for women with preeclampsia, high blood pressure and heart disease.
Reception castor oil. Indeed, since ancient times, castor oil has been used by obstetricians to stimulate childbirth. In addition to the laxative effect, the drug stimulates the contraction of the uterus and promotes the opening of the cervix. However, these effects can already appear on a fairly mature neck with good birth readiness. Otherwise, except for diarrhea, there will be no other effect.
Cleansing enema. The scenario is similar to taking castor oil. However, there is a danger in the presence of a movable head of presentation not pressed against the pelvis and prolapse of the umbilical cord loops.
Taking various herbal remedies, for example, a decoction of raspberry leaves, suppositories with belladonna extract, etc. It is harmless, but there is no proven effectiveness either.
Sex. This is perhaps the only scientifically based folk way. Semen contains the same prostaglandins that are used in maternity hospitals. Therefore, regular sex life can really contribute to the opening of the cervix and the onset of childbirth. Just do not hesitate to ask your doctor if you have any contraindications to such methods of stimulation.

Perhaps the most important thing in childbirth is the birth dominance of the woman herself, her positive attitude, focus on working in a team with a doctor and a midwife. Believe in the best, trust your doctor and everything will work out!

There are methods that help at the end of pregnancy at home to accelerate the natural onset of childbirth. These methods are effective when the body is ready for childbirth. Having sex is the most common of these, especially in a pose on all fours. Semen contains prostaglandins - biologically active substances that act on the cervix, contributing to its maturation and preparation for childbirth. Generic activity very often develops precisely after intimacy.

Contraindications

However, there are contraindications to sex - a low location of the placenta or its presentation, the presence of an infection in a partner. It should also be remembered that too active sex and orgasm can cause premature detachment of the placenta, which leads to the death of the fetus in the absence of urgent surgical intervention. Sex should be abandoned if there is no confidence in the health of the partner, since even fairly harmless microbes, penetrating into the ajar neck, can provoke inflammation. This is all the more dangerous if the mucous plug has already departed.

Other methods to speed up labor

Physical activity - long walks, walking barefoot, swimming, sit-ups, even spring-cleaning in the house can also cause the onset of childbirth. However, you should not be too zealous or lifting weights, which is also fraught with placental abruption. Breast massage, especially the nipple area, promotes the release of oxytocin, a hormone that is a powerful stimulant of uterine contractions, which speeds up labor. To avoid injury, the nipples should be massaged very gently.

Cleansing the intestines with help helps to increase uterine contractions. Taking a small amount of laxative. After light dinner put an enema with salt (a tablespoon per liter of water) and drink 50 ml of castor oil, which can be eaten with lemon or a piece of black bread with salt. This remedy can take effect in as little as 30 minutes. Eating salads dressed with vegetable oil, eating beet and parsley dishes, as well as tea with lemon, honey or dark chocolate.

The opening of the cervix indicates the readiness of the woman's body for the onset of labor. There are many ways to speed up this process. They are divided into drug and non-drug, respectively, used independently or in a hospital. Stimulation of the opening of the cervix must be carried out taking into account certain rules, otherwise you can provoke the development of dangerous complications or lose a child.

What is "male therapy" before childbirth? How to speed up labor activity with the help of physical activity? What medical methods are used to achieve full dilatation of the cervix?

Stages of cervical dilatation before childbirth

There are situations in which this process begins ahead of schedule. Too early opening of the cervix is dangerous for the loss of a child or premature birth. This phenomenon can be caused by:

hormonal imbalance;
a history of cases of artificial or spontaneous pathological termination of pregnancy;
isthmic-cervical insufficiency;
surgical interventions before conceiving a child;
previous childbirth burdened with complications;
inflammatory processes in the genitourinary system.

The opening of the cervix begins with the external os (more in the article :). In primiparous women, the cervical canal has the shape of a truncated cone, the widest part of which is located at the top. In patients who have already given birth, the opening of the external os occurs much faster (by one finger). To expel the fetus from the uterus, the opening of her cervix should be 10 cm, that is, 5 fingers. Information about the processes that occur before the start of attempts, during contractions, is indicated in the table.

disclosure stage	Peculiarities	Opening level, cm
Initial (latent) period	Short-term mild contractions. Pain sensations are absent.
active phase	Most often, rupture of the fetal bladder occurs. During this stage, it is not recommended to lie or sit - this position of the body can provoke a weakening of contractions and lead to non-disclosure of the cervix during delivery. To alleviate the condition and continue to stimulate the cervix, it is better to stand or walk.	4-8
slowdown	The activity of contractions is reduced. As a rule, this stage is pronounced only in primiparous women.	10
Full dilation of the cervix and the onset of labor	From the beginning of this stage, the expectant mother should be in the maternity hospital.	10

How long this process takes depends on whether the woman is primiparous or multiparous. In the first case, the full opening of the cervix occurs in 8-10 hours.

In women who have already given birth, the period until the moment when the cervix opens to 5 fingers, in most situations, takes no more than 6-7 hours.

Associated symptoms

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

Basically, childbirth begins naturally, after about 37 weeks, and logically ends with the birth of the baby. But there are times when this does not happen or there are other medical indicators for the onset of labor.

Also, childbirth that began spontaneously may not proceed so well, and then stop altogether. Contractions may stop or be insufficient for further dilatation of the cervix. Doctors call such generic activity weak.

If 12 hours after the water breaks, labor does not begin, doctors advise using stimulation. Accordingly, it is carried out very carefully and only under the supervision of a doctor. Be sure to take into account whether a woman is allergic to any medications.

There are medicinal and, accordingly, non-medical methods of influencing the cervix. There are also several signs that stimulation is a must:

if a woman suffers from preeclampsia, diabetes mellitus or high blood pressure;
premature discharge of amniotic fluid (there is a risk of infection);
the uterus is too stretched (may be a consequence of polyhydramnios, twins or a large child);
the uterus does not open;
short and weak contractions, or their cessation altogether;
complications with the heart or Rh conflict can also serve as a reason for stimulation;
premature detachment of the placenta. This is very dangerous, as it can threaten the life of the child;
some have late toxicosis;
worsening condition of mother and baby.

Recommended stimulation of labor activity in cases where the child is postponed. Postterm pregnancy is considered to be a pregnancy that lasts more than 40 weeks. Each doctor must make his own decision: stimulate or wait. Moreover, the waiting period may be different. For some it's a week, for others it's two. In this case, it is best for a woman to be placed in a maternity hospital in order to fully control the process and, if necessary, promptly allow childbirth.

The decision to stimulate and how to speed up the eve of childbirth. takes the doctor. He must determine what is more dangerous: to continue waiting or to stimulate labor.

Non-drug method - puncture of the fetal bladder or amniotomy. This procedure is carried out if the disclosure occurred only by 2 cm and stopped. The result is an increase in labor activity. When the fetal bladder is pierced, amniotic fluid is poured out, as a result of which, the pressure decreases. The baby's head presses on the pelvic bones, which contributes to the further opening of the cervix. This method is considered quite safe and painless, since no harm is done to the child and the fetal bladder simply does not have nerve endings. If sufficient disclosure, after the use of amniotomy, does not occur, then further doctors use medications to accelerate the opening of the cervix.

One of the drug methods of stimulation is the use of prostaglandins. They help prepare the cervix for dilation. The method of using prostaglandins is good because side effects are minimal. The doctor inserts a candle deep into the vagina. Such actions are performed with only one purpose - to help the cervix open up faster. And this is already the beginning of childbirth. Candles are absolutely harmless and act only on the mother's body, without causing any harm to the baby. The action of the candles begins after 30 minutes, and before that you can safely move around the room and wait for the medicine to work.

Stimulation with oxytocin. This is another type of drug exposure, how to speed up the opening of the cervix before childbirth. Oxytocin can be in the form of tablets, in the form of a solution for subcutaneous and intramuscular injections, and especially intravenous administration. Side effects: increased pain during childbirth (therefore, it is used, for the most part, together with antispasmodics), too much contractile activity of the uterus, and, as a result, circulatory disorders and harm to the health of the child.

If oxytocin is taken by means of a dropper, then the woman is completely immobilized, which can also negatively affect the further opening of the cervix. For some expectant mothers, walking around the room can be a natural way to dilate the cervix. It is worth remembering that each person is individual.

There are several ways to prepare the uterus before childbirth:

eat more salads dressed with vegetable oil;
walking and swimming, especially diving, you need as much as possible. Walking barefoot works especially well;
ear and little finger massage;
use a decoction of raspberry leaves;
oddly enough, have more sex (especially in a pose on all fours);
drink tea with lemon, bitter chocolate and honey.

All of the above can only be used after 37 weeks. But before you do anything, you must always consult a doctor. You should make sure that there are no contraindications.

So, of course, many doctors use medications to resolve labor. At the same time, all psychologists say one thing: childbirth is the same stress for the child as for his mother. Therefore, no matter how difficult it may seem, a woman should think first of all about the baby. Usually, after stimulation, labor activity enters the active phase. Pain is an integral part of labor activity, but it is always necessary to control yourself and think not about yourself, but about a tiny little man who is even harder than her.

The expectant mother must definitely study the literature, which describes in detail how to behave during childbirth. Even a minimum of information received will help with contractions. You also need to do physical exercise. All this will lead to the fact that the fear of childbirth will decrease and, as a result, the woman will be able, for her part, to control and help resolve childbirth. The most important thing is to “listen” to your body - this is the best stimulation of labor before childbirth.

Everyone knows that the birth of a child is a long and painful process. However, it is still necessary to survive it, and therefore many women ask themselves: "Is it possible to speed up the process of childbirth?" After all, no one wants to suffer for too long and wait for a meeting with their baby. You have been worried and preparing for this event for a very long time. So let's try to figure out how you can speed up the process of childbirth and bring the long-awaited meeting with your baby closer.

Stimulation of labor activity

Childbirth is a complex and multifaceted process. For them to go well, you need to take into account a lot of nuances. Therefore, stimulation and acceleration of this process is best done under the supervision of a doctor, or at least after consulting with him. Based on this, stimulation is possible at home and in the maternity hospital.

Initially, you need to be sure that the baby is ready for the birth. To do this, you need to take into account the data of the last ultrasound and the gestational age. According to obstetricians, pregnancy lasts 40 weeks. Their months last for 28 days each, therefore, in terms of months, the woman is not in position for 9 months, but 10. However, the last month, that is, from the 36th to the 40th week, is quite suitable for childbirth. A full-term pregnancy is considered from the 38th week. Therefore, before being interested in how to speed up the process of childbirth, you need to know exactly how long the baby is in the womb.

Cervix before childbirth

The main indicator of readiness for the birth process is the opening of the cervix. The normal state of the cervix throughout pregnancy is characterized by its dense consistency, 3 to 5 cm long, closed and filled with a mucous plug canal. All this contributes to the successful bearing of the child.

But closer to childbirth, starting somewhere from the 34-36th week of pregnancy, the cervix begins to prepare for the delivery process. This process is called cervical ripening and includes:

shortening (up to 1 cm);
change in consistency (it becomes soft and loose);
change in location (movement to the center of the birth canal);
opening of the internal and external os.

All these points you need to know before you speed up the process of childbirth with the help of various methods.

Stages of cervical dilatation

The period of cervical dilation is divided into 3 stages, each of which has its own duration. However, it should be borne in mind that this is purely individual, and also depends on whether the woman is nulliparous or not.

The first stage is called latent (hidden) or slow. It lasts for 4-6 hours and opens the channel by 4 cm. During this stage, a woman may experience contractions every 6-7 minutes.

The second stage is called active or fast. During her period, contractions are observed every minute, the intensity of disclosure is 1 cm per hour. During this stage, the cervix opens up to 10 cm.

The third stage is the last. It indicates the beginning of childbirth. Contractions are replaced by attempts, during which the child passes through the birth canal.

Methods for stimulating the opening of the cervix

Since the process of opening the cervix is already accompanied by painful sensations, then, naturally, you want it to pass as soon as possible. So, how to speed up the process of opening the uterus before childbirth?

Castor oil. Taking this drug helps stimulate labor. In addition to having a laxative effect, it also stimulates uterine contractions and cervical dilatation. But with him you need to be extremely careful, in the early stages of opening the neck, he may not work.
Herbal remedies. The effectiveness of taking, for example, a decoction of raspberry leaves or suppositories with belladonna extract, has not been proven. But the good thing is that they are at least harmless.
Warm bath. Helps to relax muscles and relieve tone, which makes the neck soft. But this method is unacceptable in cases where the mucous plug and water have already departed.

Stimulation in a hospital setting

Very often, cervical dilatation stimulation is performed in a hospital setting. In such cases, various medications are used to promote the maturation of the cervix. An obstetrician-gynecologist is engaged in how to speed up the process of childbirth in a hospital, naturally, these tools and techniques are much more effective than speeding up at home. So what do doctors use?

Laminaria sticks. Dried seaweed in the form of sticks is introduced into the ajar neck, and under the action of moisture they increase in size and thereby open the uterus.
balloon expansion. A special balloon is inserted into the canal and the cervix is inflated with air or liquid.
Prostaglandins. Can be used as intravenous drips, vaginal gels, suppositories or tablets. They successfully accelerate the maturation of the cervix. By the way, these same prostaglandins are found in semen. That is why doctors recommend having sex to speed up labor.
Hormonal drugs. Not so fast. After the reception, childbirth can begin in 2 days.
Opening by hand. This operation is performed by a doctor in the event that the uterus contracts well, and the cervix does not open well.
Amniotomy. In the common people, this is called a puncture of the fetal bladder. Usually, contractions begin immediately after these manipulations.
Oxytocin. Enter intravenously in the form of a dropper. The hormone provokes contraction of the uterus, and therefore, labor.

Contraindications for stimulation

As with any rule, there are exceptions to stimulation. You should not even think about how to speed up the process of childbirth if:

a planned caesarean section was scheduled;
you have a narrow pelvis;
available from previous operations;
there is an incorrect presentation of the fetus;
diagnosed with placenta previa;
there is placental abruption;
have infectious diseases reproductive system;
you have diseases of the cardiovascular and genitourinary systems.

In all these cases, the process of childbirth should proceed under the supervision of a doctor, therefore, self-acceleration of childbirth is strictly prohibited. The life and health of the baby may depend on this.

Acceleration of childbirth at home

So, if your pregnancy proceeded without complications and your baby is absolutely healthy and ready to be born, then you can safely prepare him for this. You can speed up the process of childbirth at home by the following methods:

Hiking. They must be included in your daily routine and done daily. Physical activity And Fresh air will contribute to a faster start of the birth process. However, it should be borne in mind that it is better not to walk on your own for such a long time. Connect your husband, girlfriend or mother to this process.
Climbing stairs. This can also help to start labor faster. Just skip the elevator. In this way, you will train your muscles and respiratory apparatus, which will undoubtedly help you in the process of childbirth.
Swimming. Also applies to methods of stimulating labor. In addition, water will help you get rid of the pain in your back and lower back that has been growing in recent weeks.
Sex. It is better if it ends with an orgasm in a woman. This helps not only to be distracted and relieve tension, but also to speed up the moment of onset of childbirth. The partner's semen contains substances that soften the cervix and facilitate its opening. While orgasm helps the contraction of the uterine muscles. However, it should be noted that this method is unacceptable if the mucous plug has already departed. In this case, it is fraught with infection of the fetus.

These methods are safe, even the obstetrician-gynecologist himself can advise you on them.

39th week

Methods of stimulation of labor activity are recommended to be used starting from the 39th week. As we have already mentioned, the baby may be ready to be born even at 38 weeks, but if you don’t know exactly when the conception occurred, then wait another week before you start rushing the baby.

So, how to speed up the birth process at the 39th week? The above methods are also suitable for this period. However, there are a few more recommendations:

Massage of the nipples and breasts. This method promotes the production of oxytocin, which causes the uterus to contract. It will also be very useful for you when you put the baby to the chest after childbirth. So you will not only speed up the process of the onset of childbirth, but also prepare the breast for the start of feeding.
House cleaning. We combine the useful with the useful. Of course, everything should be within reason, you should not move cabinets or lift weights. It is enough just to move more in the cleaning process. For example, you can wash floors without a mop, moving on your haunches.
Fitball. If you have a large fitness ball at home, then you are incredibly lucky. Jumping on this device increases blood flow to the pelvic organs, including the uterus. This method is used even directly in maternity hospitals.

40th week

What to do if you have already washed all the floors in the apartment a hundred times, and you have sex with your husband more often than before pregnancy, and childbirth still does not begin? Then we try other methods, how to speed up the birth process at the 40th week. Here are some of them:

Laxative. Acceptance of permitted drugs has a stimulating effect on the walls of the intestines, and, accordingly, the uterus. Thus, you can not only speed up the onset of the birth process, but also prepare for it by emptying your intestines.
Easy gymnastics. Simple physical exercises saturate the body with oxygen and increase blood flow to the uterus. Squats will be especially effective. When performing them, we spread our legs to the sides, and we ourselves hold on to something with our hands. It is better to do the exercises in the presence of your husband or mother, as you may need help.
Kegel exercises. Their implementation is also necessary to prepare the muscles of the uterus and facilitate the process of childbirth. It is recommended to perform up to 100 times a day.

If, nevertheless, something went wrong, rest assured that the doctors will do everything possible for you and your child. When complications arise and all plans are broken, it is easy to lose control of yourself, but try not to panic. The doctor will be able to explain the situation, talk about possible consequences and ways out of it. Together you will decide what is best for you and your child.

Once mother and baby finally reach their due date after 40 long weeks, regular check-ups become more frequent.

If the actual date of delivery is moved a few days compared to the estimated one, this will not lead to problems, provided that everything is in order for both.

Through ultrasound, the doctor will periodically monitor the condition of the child and his life support. Only when the examination shows that the baby is too small, delaying the onset of labor is considered undesirable. In this case, the fastest artificial stimulation of labor is recommended. The same applies to a situation where the baby is very large and weighs more than 4500 g. And here an artificial birth is preferable, because otherwise the baby will continue to gain weight, and spontaneous labor can become extremely difficult.

More than 20% of births in France take place with the use of stimulant drugs (both for medical reasons and for personal reasons). In both cases, the woman receives drugs that speed up the process of labor, since childbirth can be protracted and more painful.

Indications for labor induction

Here are some of them.

When childbirth does not come at the appointed time (41st week of amenorrhea).
When the water has already departed, and there are no contractions within 24-48 hours.
When there are problems with the normal development of the fetus (intrauterine growth retardation).

A woman in labor can agree in advance on the date of delivery if she lives far from the hospital or she has already had a rapid delivery.

Conditions. Physicians do not often agree to an induced labor unless a woman has the conditions listed above.

The doctor may ask you some questions before making any decision.

It is desirable that these were not the first births and the opening of the cervix has already occurred.

Stimulation is not carried out until 39 weeks, as there is a danger of harming the health of the child.

In the absence of indications, do not insist on induction of labor - trust your doctor.

The lower the stress level, the more likely it is that you will not need labor induction.

Postterm pregnancy

The end of the 9th month (41st week of amenorrhea) is the end of pregnancy.
If by this time you do not have any harbingers of childbirth, you will be sent to the hospital. They will check the condition of the child. By this time, the placenta may cease to fully perform all its functions (nutrition and oxygenation of the blood).
The doctor will prescribe an ultrasound and CTG to check the heart rate, the amount of amniotic fluid and assess the biophysical state of the fetus on the Maning scale. If any abnormalities are detected, the doctor may decide to induce labor.
In any case, 3-5 days after the deadline that you have determined with your doctor, the birth will be induced artificially. The deadline for natural childbirth is 42 weeks of amenorrhea.

How is labor induction done?

When the decision has already been made, it is necessary to determine the degree of maturity of the cervix. To this end, the doctor will perform a vaginal examination and determine the degree according to the Bishop system (scale from 0 to 10). The result of 6-10 points indicates that the cervix is mature: it opens (to the width of 1-2 fingers), shortens (about 1 cm long), softens and its center falls in the middle of the vagina. A mature cervix will open quickly: childbirth will soon come.

If the cervix is immature, 3 cm long, in good shape and located in the back of the vagina, then it is not yet ready for disclosure - you will have to be patient.

If the neck is mature enough. You will be placed in the delivery room, under the system and the heart monitor, like any woman in labor. The only difference is that you will be given a contraction-inducing drug (oxytocin). Then the doctor pierced the fetal bladder. You must give birth during this day.

If the cervix is not mature enough. If you scored low on the Bishop system, you will need additional stimulation. This may take several days, so take a book or a player with you ... The obstetrician will insert a tampon soaked in hormones into the vagina. It should cause contractions with subsequent opening of the neck, shortening it, softening, smoothing and shifting forward. After a few hours of observation under the heart monitor, you will be able to return to the room. If after a day there are still no contractions, the doctor will examine you again to determine the degree of maturity of the cervix. With a sufficient degree of maturity, intravenous administration of labor-stimulating drugs and a puncture of the fetal bladder can be prescribed. If the cervix is not yet ripe, after six hours you will be given an application with a hormonal gel.

Be patient. If you've been sent to the ward waiting for contractions to start, take advantage of this to rest, shower, and walk around in peace. Maybe the birth will begin at night, and you will need strength. It is better to wait until the contractions begin on their own than to cause them artificially, and then, in case of failure, to do a caesarean section.

When labor is stimulated, the fetus is under constant monitoring.

Regular control

After the expected term of delivery, the doctor, first of all, will determine the volume of amniotic fluid. Its decrease can adversely affect the blood supply to the umbilical cord and oxygen supply to the child. Therefore, in this state of affairs, the induction of childbirth by artificial means becomes inevitable. With a normal amount of amniotic fluid, overcarrying the baby is not a problem.

If the ultrasound results say that everything is going well and there are no risks whatsoever. there is no need to remove the CTE The so-called oxytocin test is also an unnecessary measure. Recently, scientists have found that it does more harm than good, and is often the cause of induced labor.

If the pregnancy continues uncomplicated, the doctor should check the amount of amniotic fluid with ultrasound every three days. During these examinations, the child's heart sounds are also monitored.

After a week in excess of the calculated term of delivery, a CTG is additionally recorded. If the pregnant woman walks for more than seven days, the doctor discusses with her the possibility of inducing labor with the help of medications.

The absence of deviations in the volume of amniotic fluid and in the child's cardiac activity allows us to conclude that he is well supplied - under such conditions, further over-pregnancy is possible if the mother herself is not against it. But now it is advisable to monitor the child's condition, including CTG, every two days. No later than 12-14 days after the calculated date of delivery, however, the pregnancy must end, otherwise the risks to the baby may increase significantly.

Labor can't start, needs stimulation

Sometimes labor does not start on its own. If this has happened to you, your doctor may initiate (induce) labor with medication.

Situations in which labor induction is possible:

The child is overdue. The gestational age is approaching 42 weeks.
The waters broke (the fetal bladder burst), but the birth did not begin.
An infection has developed in the uterus.
The doctor fears for the child, because growth has stopped, the child is not active enough, there is little amniotic fluid.
You have health conditions such as high blood pressure or diabetes that could put your baby at risk.
The problem with the Rh factor is that your blood and the baby's blood are incompatible.

If you were hoping labor would start on its own and your doctor insists on stimulation, try to look at it positively. It may be more convenient to know when exactly the child will appear than to wait until nature takes its toll. You will be better prepared physically and mentally before going to the hospital.

Stimulation of childbirth. The doctor can induce labor in several ways, but the cervix must soften, thin, and dilate. If this does not happen, the doctor can take steps to start the process.

Medicines. Medicines may be used to soften and dilate the cervix. These agents also often induce labor so that other stimulants, such as oxytocin, are not needed. If cervical preparation is required, you may go to the hospital the day before the stimulation to allow the medications to take effect.

mechanical methods. One way is to insert a thin catheter filled with water through the cervix into the uterus. This irritates the uterus, and it begins to push the balloon through the cervix, softening and dilating it from 2 to 4 cm.

Rupture of the membranes. In this case, the amniotic sac enveloping the child is torn, and the fluid begins to flow out. Normally, this is a sign that the baby will be born very soon. One result of this rupture is an increase in uterine contractions.

One way to speed up labor is to artificially rupture the membranes. In this case, the doctor inserts a long and thin plastic hook through the neck and makes a small tear in the membranes. You will feel the same as during a normal examination, and a warm liquid will flow out. It is not dangerous for you or for the child.

Oxytocin - a way to stimulate labor

The usual way to induce labor is to use the drug oxytocin, a synthetic analogue of the hormone oxytocin. Normally, during pregnancy, the body produces a small amount of oxytocin. With active childbirth, its level increases.

Oxytocin is usually given intravenously after the cervix has thinned and dilated somewhat. A catheter is inserted into a vein in the arm, with the help of a special pump, small doses of medication are regularly injected into the bloodstream. These doses can be changed during stimulation to regulate the strength and frequency of contractions until they stabilize. If the dose is chosen correctly, you will feel contractions in about half an hour. Contractions may be more regular and stronger than with natural childbirth.

Oxytocin is one of the most commonly used agents. It can induce labor that might not start on its own, and it can also push contractions if they slow down during labor and the process does not go. The contractions of the uterus and the baby's heart rate are monitored to reduce the risk of complications.

If the stimulation is successful, you will feel the signs of an active, progressive labor, such as prolonged contractions that become stronger and more frequent, dilatation of the cervix and rupture of the amniotic sac - if it has not ruptured earlier.

The reasons for inducing labor must be serious. If your or your child's health is at risk, the doctor may decide on further intervention, a caesarean section. Stimulation may take several hours, especially during the first birth.

Oxytocin

It is a natural hormone produced by the hypothalamus, which is located in the neurohypophysis. Its function is to stimulate the muscles of the uterus at the time of childbirth. It also promotes the contraction of the mammary glands during lactation.
There is also synthetic oxytocin, it is administered intravenously when stimulating labor. Its use must be carried out under certain conditions and strict dosage control. Constant monitoring of the fetus allows you to see if the child is suffering when contractions begin or intensify.
Synthetic oxytocin is sometimes given immediately after delivery to shrink the uterus, expel the placenta, and reduce bleeding.

Artificial stimulation of labor

Artificial stimulation of labor (induction).

Most births begin with spontaneous contractions, and a healthy baby is born. However, during preventive examinations in the last weeks of pregnancy, it sometimes turns out that the life support of the child is already far from being at the optimal level. In this case, the doctor must, after weighing all the circumstances, decide whether the pregnancy should be maintained until the onset of spontaneous labor pains or whether it would be better for the mother and child if, with the help of medications, premature labor is induced artificially.

Whether early delivery is the best way out depends on

what week of pregnancy the woman is in. If complications appear shortly before the calculated date, then childbirth is induced by artificial means, even if there is a relatively small risk. All the organs of the child have already formed, and he can breathe on his own with his small lungs. If the danger to the baby arises for more early stage pregnancy, the doctor will try to delay the birth of the child as long as possible.

Reasons for artificial induction of labor

There are various reasons for inducing labor with medication.

The most common of them and far ahead in frequency of all others is oxygen starvation child, for example, due to placental insufficiency.
If preventive examinations, such as ultrasound, CTG or Doppler sonography, indicate a threat to the further successful development of the child, then premature birth gives him a great chance to be born healthy.
In some cases, the baby reaches a very large size even before the 38th week. If the observed developmental process suggests that the baby's weight will still increase significantly in the remaining two weeks, inducing premature birth with the consent of the expectant mother may be very appropriate. This solution reliably guarantees that the baby will be born healthy and without major complications.
With premature rupture of the fetal bladder and the absence of contractions, stimulating labor activity by medication helps to avoid the risk of infection of the child.
Twins themselves are often born ahead of schedule. In case of insufficient supply of one or both of them, labor is induced ahead of schedule.
If the child is ill and cannot be treated in the womb, premature delivery will serve to strengthen his health. First of all, this applies to children suffering from severe anemia.
Maternal conditions such as gestational hypertension or diabetes may also require early induction of labor.
If the expectant mother suffers greatly from various physical and mental disorders, it is possible to artificially induce premature birth when the child's maturation has ended, that is, after the 37th week of pregnancy. The reason for such a decision may be, for example, severe pain in the back, severe sleep disturbances or heavy physical exertion.

Labor is stimulated either by prostaglandins or by the administration of oxytocin.

Methods of artificial stimulation of labor

Which method of artificial labor induction the doctor chooses depends on the well-being of the fetus and the condition of the cervix. If a threat is already hanging over the child, and the uterine os is still closed, childbirth most often occurs by caesarean section.

Labor is stimulated by the introduction of oxytocin, provided that the uterine os is already quite soft and slightly ajar. This means that the uterus has prepared for the onset of contractions. The advantage of this method is that the stimulation does not last long, and you can calculate quite accurately how long the birth will take. With the beginning of the introduction of oxytocin, the child's heart contractions are constantly monitored using CTG; for this, a portable cardiotocograph is usually used.
In the case of an immature uterine os, prostaglandins are used to induce labor. The pregnant woman receives these medicines not in the form of injections. They are applied locally in the form of a gel, pessaries or tablets, which must be absorbed in the area of the cervix. Under the influence of prostaglandins, the cervix softens and begins to open. Contractions usually come in two to three hours. If there are no contractions, then after six hours the procedure is repeated.

With this method of stimulation, constant monitoring of the child through CTG is not required. It is quite enough to take a CTG every two hours, starting from the moment the contractions appear.

Stimulation with prostaglandins should always be carried out in a hospital, since it is rather difficult to predict when contractions will begin. When the cervix matures, the further process of childbirth can be supported by the administration of oxytocin. If, after two days, there are still no contractions, you should consider whether it is advisable to make another attempt or is it better to take a break. Sometimes in such a situation, a caesarean section may be required - primarily if it turns out that your child's health is at stake.

Labor induction with misoprostol. This drug was originally approved only for the treatment of tumors of the stomach. But for 20 years now, as in some countries it has been recommended for induction of labor, although, in fact, he has not received the appropriate approval.

Misoprostol has few side effects and has the advantage that it can be taken as a tablet. Before starting stimulation, the doctor should inform you in detail about the effect that this medicine has - be sure to ask again if something is not clear to you!

Alternative ways to induce labor

Artificial opening of the fetal bladder

When the fetal bladder opens and amniotic fluid begins to drain, their volume in the uterus decreases. As a result, contractions often occur, from which labor pains develop. But this method can be recommended only for multiparous women and only if the cervix is dilated.

Sexual intercourse

Regular intercourse at the end of pregnancy reduces the chances of you having to carry your baby too far. It is believed that sex has a dual effect: firstly, it promotes the production of the contraction hormone oxytocin, and secondly, semen contains prostaglandins, which also cause contractions. However, the amount of prostaglandins in a single ejaculation is very small - significantly less than the dose used for drug induction of labor.

Separation of the fetal egg

Even before the artificial induction of labor through medication was widespread, in the best possible way cause spontaneous contractions was considered to be the separation of the ovum in the lower pole. Such an operation can be performed only after the onset of the 40th week of pregnancy and provided that the cervix is already slightly open. In this case, the obstetrician penetrates into it with a finger. With rotating movements, he massages the internal uterine os and carefully separates the fetal membranes from the uterine wall. Application this method requires extreme caution, since manipulation, which is very painful in itself, can also cause bleeding. Therefore, you should think carefully before embarking on it at all.

Nipple stimulation

When the nipples are stimulated, the hormone oxytocin is released, which causes contractions. But the effect of the hormone is manifested only in the case of maturation of the uterine pharynx. Studies show that the effect is so insignificant that it is not worth resorting to this method at all.

Exercise stress

Excessive physical exertion, such as climbing stairs, leads to a more intense redistribution of blood supply (blood from the placenta rushes to the muscles) and in some cases provokes the onset of contractions. However, this method hardly deserves a recommendation. Leisurely movement, such as a short walk, is much more pleasant in the initial phase of labor. TO physical activity, requiring large energy costs, it is better not to resort - you need to save your strength for the upcoming birth.

Additional therapeutic measures

Some women enjoy additional treatments such as prenatal acupuncture or massage reflex zones. But, unfortunately, it cannot be said that this is a reliable way to cause contractions.

The use of herbs that stimulate contractions

Sometimes a decoction of cinnamon, ginger, and cloves is prepared and used to soak tampons. With an immature uterine pharynx, such actions lead to prolonged contractions of the uterus, which can result in oxygen starvation of the child. Therefore, we will not recommend this method. However, the herbs listed above can be used in the form of aromatic oils for an aroma lamp or mixed with almond oil, use for massage. If you apply this mixture to the abdominal wall and massage the uterus from the top end, it will help your baby to finally hit the road.

Stimulating bath

A contraction-stimulating bath can make you feel better. To do this, you need four drops of an essential oil, such as clove oil, cinnamon leaves or ginger root, add to 250 ml of cream, mix and pour into a filled bath. The water temperature should not exceed 37 °C.

Castor oil

Castor (castor) oil, which is used in industry in the manufacture of varnishes and dispersion paints, is also used in the production of cosmetics.

If you take this oil internally, it will cause intestinal upset, which in turn will lead to contractions. The contractions provoked in this way with an immature uterine pharynx do not bode well. They will not become the beginning of childbirth, but will manifest themselves only in prolonged contractions of the uterus, which negatively affect the oxygen supply to the fetus. Therefore, an attempt to stimulate labor in the absence of observation of the child through CTG can be very dangerous for him.

As undesirable side effects, nausea, diarrhea and intestinal cramps often occur.

Among other things, the taste of castor oil is so unpleasant that it is usually taken with wine or vodka, and on top of that, the child has to deal with the negative effects of alcohol.

Summing up, we can say that this method is unacceptable.

Start of labor with artificial stimulation

Doctors have several methods of inducing labor. What your doctor chooses depends on various reasons, such as the readiness of the cervix and the health of the baby.

Separation of the membranes

The doctor will examine the cervix and separate the amniotic sac from the walls of the uterus with a finger. For many women, water breaks after this and spasms begin. After the membrane is separated, prostaglandin is released and contractions begin. This method is only suitable for you if the cervix is open.

Cervical preparation

Before inducing labor, the doctor may use the so-called "Bishop Scale" to find out if the cervix is ready for delivery. The doctor will examine the cervix to see how much it has opened and flattened and whether the baby has sunk into the pelvis. Studies show that artificial labor is more effective if your cervix is dilated, so if your cervix is not ready for it, your doctor may use certain substances to speed up the process, such as prostaglandin E suppositories, prostaglandin gel, prostaglandin on a special device, or prostaglandin tablets. Some women who use these products go into labor within 24 hours without any further intervention. Other drugs that help open the cervix are kelp (kelp sticks that absorb water from the cervix, causing it to dilate) or a catheter bulb (which is inserted into the uterus and gradually dilates the cervix).

Puncture of the amniotic bladder

The doctor may use a gynecological tool, similar to a crochet hook, to make a small hole in the amniotic sac. (This is called an amniotomy.) The procedure mimics what sometimes happens on its own when the water breaks before labor begins. It can be uncomfortable if the cervix is less than an inch dilated, but other times it doesn't hurt at all. If contractions don't start 24 hours after your water breaks, your doctor will likely induce labor with pitocin or other agents to reduce the risk of infection.

Dropper with Pitocin

Pitocin is a synthetic form of oxytocin, the contraction-inducing hormone. Most pregnant women go into labor in part due to high level oxytocin in the blood; your doctor wants to simulate this process by using pitocin.

If labor is caused by this drug, you will be admitted to the hospital where a drip needle will be inserted into your arm. It usually takes about 30 minutes for Pitocin to start working, so your doctor will likely take your time and monitor your and your child's response to the drug. There is no guarantee that childbirth will be quick with Pitocin; contractions can be intense and each contraction can last 1 minute or longer. Many women said that breathing exercises help with such childbirth. Inducing labor is a long process, and if this is your first child, you may need several treatments. For example, recently the uterus is often prepared and only after that pitocin is administered. Ask your doctor what procedures will be done for you, and be prepared to wait patiently.

My obstetrician wants to induce labor. For what reason is this happening?

Labor induction

There are many reasons why it is necessary to stimulate the birth of a child before the due date. In some cases, a caesarean section is practiced. A priori, the child and mother can perfectly endure the birth and, if the obstetrician-gynecologist believes that the birth will take place naturally, stimulation is not required. But sometimes there are reasons to stimulate labor.

The fetus has stopped developing: it receives little nutrition. Examination reveals that the placenta is not fully functional and the uterus is no longer a healthy defense for the baby.
The term for childbirth has passed, the amount of amniotic fluid is reduced, the baby moves less.
The time has come, the fetal bladder is broken, the amniotic fluid is colored.
The expectant mother has diabetes and is treated with insulin. All prerequisites that when the term comes, the child will be too large.
The mother suffers from preeclampsia. Neither complete rest nor medication helps her, her life and / or the life of the child is in danger.
The child (Rh positive) is anemic because the mother (Rh negative) produces antibodies against red blood cells.
The obstetrician-gynecologist is afraid that the mother will enter the maternity hospital too late due to the distance of residence or too rapid previous births.