The first birth is the hardest and longest. The second is easier and shorter. And the third and subsequent ones are even easier. Every next child is usually bigger. With every birth increases the likelihood of complications. How much all these reasoning correspond to reality? The opinions of women on these issues are commented by Roman Nikolaevich Getmanov, obstetrician-gynecologist of the 70th maternity hospital in Moscow. The father of ten children.
Is the first birth really longer and harder and why? Julia, 33 years: “The first and second births were stimulated, in the maternity hospital, for 20 and 12 hours, respectively. Heavy. Still others – at home, 6 hours, calm, though painful, without medical interventions. The fourth – at home, 8 hours, with difficulties – the head did not fall long. Fifth – at home, 5 hours, very soft childbirth. “
Elena, 40 years old: “During the first birth, due to various reinsurance reasons, I underwent anesthesia, so I cannot assess the lightness. Second births were quite tolerable without any anesthesia. Still others – nonsense in general, even though it was possible to give birth under a bush. Childbirth at 30, 36 and 38 years. “
Tatiana, 37 years old: “On average, all my deliveries were equally light. The latter were stimulated, but the doctors were too smart, but I didn’t think of giving up. The fastest were the third. I have four children, the youngest year. ” Galina, 55 years old: “On average, it is believed that subsequent birth is easier. But this is only an average. In fact, each birth is individual and there are a lot of features that can affect both speed and severity. I had the shortest fourth, and the longest – the fifth birth. Just eight. And by gravity all about the same. I gave birth to my last child at 42. ”
R.N .: – Indeed, the first birth, as a rule, more difficult and long. On average, they last 12 hours. Repeated labor is easier and shorter.
The birth center is located in the same place as the center responsible for breathing, movement, and heart activity – in the hypothalamus. In order for the hormones that regulate labor activity to work normally, some preparatory period is needed. In a primipara woman, the connection between the hypothalamus and the uterus is adjusted for a while.
After this adjustment has occurred, the woman begins a normal labor activity. In primiparous women, the preparatory period often precedes birth. When the uterus is reduced, but no labor activity yet. Generic activity is characterized by a clear rhythm when the body begins to expel the fetus.
There is a first stage of labor, when the opening of the uterus. In the first birth, he is usually longer and harder. During the second birth, it is easier and shorter, since the connection of the uterus with the hypothalamus is already “tuned”. Much faster from them and the second period of childbirth, when the head of the child falls into the plane of the pelvis. This happens faster because this path has already been passed one, two or more. All the bones and joints are ready for this. The same is also a painful period – in the first birth the head of the child falls longer, longer than the attempts. For multiparous Z-4 attempts and everything, and in the first birth attempts can last for hours.
How much such a pattern can depend on the interval between the genera?
Inna, 34 years old: “The first and third births were harder for me, the second and fourth were light. It seems to me that the birth is easy, if with the previous small time difference. Childbirth at 19, 21, 31 and 32 years. “
R.N .: – We can say that there is a memory of the body. The time that the body “remembers” childbirth, individually for each woman. But still, the longer the period after the first birth, the more the body forgets. You need to understand that more and age is added. If a woman gave birth to one child at the age of 18-20, and the other is closer to 40, then the resistance of the body is another. Unfortunately, our health does not get better with age. Many women note that repeated births are much calmer. What is the reason?
Svetlana: “The first birth lasted about 10 hours. The second – the blurred contractions a week before the birth, irregular and nasty, I was tormented to wait. Childbirth began waste waters, and from that moment until the appearance of his son an hour and a half passed. The third ones are absolutely classical: fights every 15 minutes, quite tolerable, and so almost until the attempts with large intervals went on. Total birth lasted 4 hours and 40 minutes. By pain, I think all about the same.
Olga, 32 years: “The next generation is better, because the mind is added. I believe that without knowledge of the birth can not go. You need to know what and how should happen. But even if the best doctor was found for the biggest money in the world, he still will not relax for you between contractions and don’t work for you on attempts. ” Many say that the third and subsequent labor begins suddenly. Or, on the contrary, some incomprehensible fights last several weeks. And it is not clear whether this is childbirth or not yet.
Svetlana: “Incomprehensible contractions, smeared for two weeks, are much more likely in childbirth, which is large by number. Already you get used to these “training” bouts, that you are not very sure when the birth begins. Although when you are really close to childbirth, you will often not be confused. ” Irina, 33 years old: “When I waited for the third, I went to the hospital three times, feeling that I was about to give birth. And each time the fights ended, although they were strong and regular. When I came for the fourth time, they left me. Although they said that this is the so-called precursors. Two hours later I gave birth. ”
R.N .: – The main enemy of a woman in labor is her head. Her emotions and fears. In the third and subsequent childbirth often stereotype works. A woman is afraid that she will give birth very quickly, before she gets to the maternity hospital.
About surprise – for twenty years I have never taken birth in a car. Just a woman who gives birth is not the first time, as soon as the uterine contraction begins, the generic dominant quickly forms. Begins a very active labor activity. Everything is already “set up”, so everything happens quickly. So here we can talk not about surprise, but about the speed of labor.
Another common opinion is that every next child weighs more than the previous one. Therefore, women whose first child was large, are afraid not to give birth on their own in the following genera.
Elizabeth, 30 years old: “I can’t agree with that. My first child was born with a weight of 4150 g. The second one was 3950 g, and the third one was 3500 g. So in my case, the tendency is the opposite. ”
R.N .: – There is no such statistics, it is rather a common myth. It happens quite differently. The weight of the child depends on a lot. There is an opinion that in subsequent births there is a greater likelihood of such complications as weakness of labor, poor uterine contraction, and bleeding. R.N .: – On the contrary, the weakness of labor activity today is most characteristic of women giving birth for the first time. Especially in age. They have a very reverent attitude and increased attention to their pregnancy. They are willing to pay any money, but often are not ready to work. And giving birth is hard work. A woman in labor loses as many calories as a loader unloading a wagon with potatoes. And for a thirty-year-old woman, the possibilities of energy expenditure are not the same as for a twenty-year-old. And psychologically, such women often have misconceptions about childbirth, which create prerequisites for weak labor activity. There are statistics that at the fourth childbirth hypotonic bleeding occurs more often. In multi-growth women, according to statistics, such bleedings are more likely to occur, since the uterus contracts worse. But today it is quite successfully treated. Overdistension of the uterus walls is not always the case in multiplying. Most often this happens in women with a severe gynecological history, for example, with various infections. Similarly, with the lowering of the uterus – it depends not so much on the number of births, as on the age of the woman.
I want to say to women – do not be afraid to give birth. Pregnancy and childbirth is a real miracle. A source
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