STAGES OF LABOR

Childbirth is the most eagerly awaited by the expectant mother, a fun time but on the other hand is the most exciting and eagerly awaited. It is better to expectant mothers know the process or stages of childbirth is like, so expectant mothers can prepare everything well in order to face this delivery process. The delivery process is divided into four stages, what is it?
KALA I (Opening Stage)

In partu (parturition starts) is characterized by mucus mixed with blood, because the cervix / neck of the uterus begins to open and flat. Blood from the rupture of capillary blood vessels around the cervical canal because of the shift when the cervix is ​​flat and open.
At this time divided into two phases, namely:
Ø Latent Phase: where the opening of the cervix was slow, until the opening of 3 cm
Ø The active phase: which is divided into 3 subfase namely acceleration, steady and deceleration

First stage is the longest stage, lasting 12-14 hours for a first pregnancy and 6-10 hours for the next pregnancy. At this stage, the cervix will be open because of the thin and regular uterine contractions to push the baby into the birth canal.

At each contraction of the uterus, the baby will be increasingly pushed to the bottom, causing the opening of the birth canal. The first stage of labor is called complete when opening the birth canal to be 10 cm, which means the opening of the perfect and the baby is ready out of the womb.

This transition period to be the most difficult period for the mother.Toward the end of the first stage, the opening of the birth canal is almost perfect. Contractions that occur will be more frequent and stronger.
You may experience extreme pain, most women who had experienced a feeling this is the most severe.

You'll feel heartburn coming of a great and feels like there is a huge pressure downward, as if to defecate. Toward the end of the first stage, the more frequent and stronger contractions, and when opening the birth canal was 10 cm means the baby is born and ready to enter the second stage of labor.

KALA II (stage Baby expenses) On the expenditure when the fetus, heartburn coordinated, stronger, faster and longer, about 2-3 minutes. Fetal head down into the pelvic space so there was pressure on the pelvic floor muscles that cause a sense of straining reflektoris.
You feel like going to defecate, with an open anus. At Waku straining, head of the fetus begins to look, vulva (the outside of the vagina) to open and perineum (area between the anus, vagina) stretch. So with or without mengajan straining (if you can afford very relaxed) will be born the head followed by the whole body will feel janin.Ibu strong pressure on the perineum.
Bersifa elastic perineal area, but if the doctor / midwife estimate needs to be done cutting in the perineum (episiotomy), this action will be performed in order to prevent tearing the perineum due to pressure forced baby

KALA III (stage removal of placenta)
Begins after the baby is born, and the placenta will come out by itself. The process of delivering the placenta lasts between 5-30 minutes. Removal of placenta is accompanied by extravasation of about 100-200 cc. With the contraction of the uterus, the placenta will detach. After that the doctor / midwife will check whether the placenta had separated from the uterine wall.
Afterwards, the doctor / midwife to clean everything including giving episiotomy stitches when an action is performed

KALA IV (phase control)
This stage is used to monitor the danger of bleeding. Supervision is carried out approximately two-hour dive. In this stage the mother is still bleeding from the vagina, but not much, which is derived from existing blood vessels in the lining of the uterus where the placenta detachment, and after a few days you will spend a little fluid blood called lokia derived from the remnants of the network. In some circumstances, the expenditure of blood after the birth to be a lot.
This is due to several factors such as weak contractions or not contract the muscles of the uterus. Therefore it is necessary for supervision so that if the more severe bleeding, can be taken as soon as possible

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