Swift delivery: causes, harbingers, consequences for mom and baby

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

Every mom is looking forward to the birth of her baby and is preparing in every possible way for this event. But is she ready for the surprises that may lie in wait in the delivery room? After all, no one can predict what the birth will be like and how well they will end. In addition to a caesarean section, there is a possibility that a woman will have a rapid birth, the causes and consequences of which we will consider in this article.

What is this

First you need to figure out why the body is trying to suddenly "push out" the child. Natural childbirth can be complicated by the fact that the contractile function is disturbed in the uterus. Initially, you need to prepare for the fact that the birth will be somewhat delayed:

1. The cervix will dilate much more slowly than usual.
2. The presenting part of the fetus, or rather the head or gluteal part, for a long time will be tightly pressed against the entrance to the small pelvis, which is not normal.
3. After a while, this part will begin to move very rapidly through the birth canal.

If we consider how long rapid childbirth lasts, then this period will be equated to generally accepted norms, but the process of the child's exit is significantly accelerated. But in some cases, the period of contractions is also reduced. In such cases, rapid labor in primiparas takes only six hours, and in multiparous women in general in four hours.

Why is this happening

From the previous paragraph, it is clear what processes occur in a woman's body, but now we need to figure out what affects this. So, the rapid childbirth causes are very diverse and each of them has a number of features. To understand all the existing reasons, we will consider them in as much detail as possible.

Genetic pathology of muscle cells

This is a congenital pathology in which muscle excitability increases dramatically. This means that it takes significantly less time for the muscles of the uterus to begin to contract than with natural childbirth. Such a pathology can occur on its own, but is more often inherited from mother to daughter. And even if someone in the female line once had a rapid or quick birth, this can happen again in several generations.

Increased excitability of the nervous system

Everyone knows that our thoughts and fears have a strong influence on the body. Especially increased emotionality in pregnant women. The closer the day of the baby's appearance, the morenervous expectant mother. It can be a fear of a meeting, of pain, of consequences, and many other fears. Many mothers are simply not psychologically ready for this process, and it is precisely this state of the woman in labor that can become the reason for the rapid development of labor activity. Is it possible to prepare for this? Yes, you can. For this, there are now many courses and trainings, where they will prepare not only mommy, but also her partner.

Disturbed metabolism

If even before pregnancy a woman suffered from diseases of the endocrine glands or her metabolism was disturbed, then this can cause rapid labor in both multiparous and primiparous women. This includes increased production of adrenal or thyroid hormones, as well as any other disorders in this area.

Gynecological diseases

Pregnancy is not insurance against all kinds of infections in the field of gynecology. Any inflammatory process can affect the course of childbirth. There are rapid births in multiparous people if the first child was born too quickly and the process was traumatic for the mother or baby. Do not neglect visiting the gynecologist during pregnancy in order to detect an infection or inflammation in time and get rid of it before the onset of labor. After all, this leads not only to a violation of this process, but also to various postpartum injuries.

Age

In young girls, rapid labor may begin due to the fact that their body is not yet ready for childbirthactivity, either physically or psychologically. Perhaps that is why he is trying to complete this process as soon as possible. But women who give birth for the first time after thirty years, usually already had any problems in the field of gynecology or other diseases that affect labor.

Mistakes

Some obstetricians make mistakes in prescribing birth-stimulating drugs and as a result, muscle contraction occurs much faster and labor becomes fast or rapid. And this can also be influenced by diseases of various organs of a woman, especially chronic ones.

How the process itself happens

So what kind of childbirth is considered rapid? Let's try to understand this issue. This is especially important for those who have started this process at home. At the first sign, a woman can report everything by calling an ambulance so that the paramedic can assess the seriousness of the situation.

It is almost impossible to predict the onset of labor with this type of childbirth, since everything starts very unexpectedly and develops rapidly. Moreover, if natural childbirth can be predicted on examination by a gynecologist, then here, even on a chair or through ultrasound, it is impossible to say about the timing of the onset. There is practically no interval between contractions and the uterus opens in a very short time.

During this, the pressure of the woman in labor strongly jumps, she goes into a state of strong excitement, motor activity increases, breathing and pulse sharplyis becoming more frequent. Attempts cannot be compared with natural ones. Since after one or two rapid attempts the child is born, and after him comes the afterbirth.

But not always rapid contractions indicate that the baby is about to appear. In some cases, even with strong contractions, the cervix remains completely closed - this is a discoordinated labor activity. In this case, the woman may even need urgent surgery.

If a woman already has several children, then with a quick birth, a child can be born within a few minutes after she feels the first contraction. It is not uncommon for a woman to find herself in such a situation while traveling in transport or walking on the street. Such cases are especially dangerous because there is a high risk of infection of the mother and child. That is why gynecologists recommend going to the hospital in advance so that you can always be under the supervision of doctors, or at least not go far from home, always have a mobile phone and an exchange card with you.

Complications

Rapid labor can begin and end safely for the mother and baby, but it is possible that rapid labor will have consequences for the child and his mother. For example, for a woman, this may result in placental abruption even before the baby is born. Why is this happening? Because the uterine muscles practically do not leave the state of contraction, and the blood circulation between the placenta and the uterus is also severely disturbed, they are clampedvessels.

In such a situation, a woman in labor needs immediate medical attention, and, as we already know, here the score goes not even for minutes, but for seconds. The lack of timely medical care can result in severe bleeding, which will entail even more serious consequences. Perhaps even more serious developments. When bleeding begins, blood can pool between the uterus and the part of the placenta that has sloughed off. Thus, the muscles of the uterus are saturated with blood, which accumulates in it, and cannot contract. In such cases, it is almost impossible to stop the bleeding. In most cases, such complications end with the fact that doctors are forced to simply remove the uterus. But that's about the mother. But the child with premature detachment of the placenta is threatened by hypoxia, which, translated into a more understandable language, means a lack of oxygen.

What is dangerous rapid delivery for a baby? For a child, rapid progress through the birth canal may also not end in the best way. After all, when it moves, the head must configure, or rather decrease. At this moment, the bones of the skull seem to fold to fit in the neck, and during rapid childbirth they do not have time to do this naturally and they are squeezed. In the best case, a deformation of the skull will occur, which in most cases ends in alignment. But it is also possible that a hemorrhage inside the skull will begin, and this already leads to paresis and paralysis, and in the worst case, to the death of the fetus.

At mother duringrapid advancement, various ruptures may appear not only in the cervix, but also in the vagina and even the perineum. All this can be sewn up, but the procedure is not the most pleasant, especially for a woman who has already undergone childbirth. There are cases of postpartum hemorrhage. This occurs due to the fact that the uterine muscles contract very poorly after this type of childbirth. As you can see, fast and rapid delivery has an effect on the fetus and on the woman in labor.

Tactics

Each obstetrician should be prepared for the fact that a woman enters the department, whose labor activity is developing very rapidly, but the cervix has opened only two or three centimeters. However, after a few hours, the cervix can fully open, and under such circumstances, the woman in labor should only be in the supine position on her side. If quick labor began naturally, then the task of specialists is to use drugs that will relax the muscles and slightly slow down the process. But if such a phenomenon was caused by the use of stimulants, then their administration should be stopped immediately.

The task of specialists during rapid labor is to constantly monitor the baby's heartbeat. Especially for this, a special sensor is attached to the mother's stomach, which shows all the changes that occur on the monitor. More modern devices can even determine the frequency of contractions of the uterine muscles. When the baby was born, the mother needs to be examined by a specialist who can determine the presencedamage in the birth canal. If serious tears or other injuries were found during the examination, then the woman in labor is given anesthesia and, under complete anesthesia, the damaged tissues are restored.

Every obstetrician should understand that natural childbirth in such conditions can harm both mother and child. But, at the same time, it is impossible to predict how difficult the birth will be. That is why there are certain indicators, in the presence of which, the doctor decides on surgical intervention. Among them: the previously mentioned placental abruption at a time when delivery has not yet been completed, the opening of bleeding, as well as fetal hypoxia. The latter is determined precisely thanks to the sensor that counts the heartbeats.

Prevention

Harbingers of rapid labor are practically absent, so it is quite difficult to prevent them. But if a woman gives birth not for the first time and the first baby was born during a quick birth, then the expectant mother should inform the leading doctor about this and go to the hospital in advance to be under the supervision of specialists. And also modern doctors recommend undergoing special trainings and courses where women are prepared for the appearance of a baby on a psychological level. This is an important factor, which we have already mentioned in the reasons for the development of violent labor activity. These classes are attended by people who teach mothers methods that can help relax muscles, as well as learn how to control the tone of the uterus. All this knowledge and skillsmake it easier to be in the delivery room.

If a woman is set up in advance for a positive outcome, then the whole process will go without complications. Particular attention should be paid to nutrition. Pregnant women are used to eating whatever they want, but it is undesirable to do so. It is good if the expectant mother enrolls in a special school for pregnant women. Here, girls are introduced to all the physiological processes that occur, prepare emotionally and teach the rules of behavior during labor. It is imperative that a psychologist works in such a school, to whom not only the expectant mother, but also the father can turn. Future parents are very connected emotionally, and therefore, even a lot depends on the mood of a man. After all, who, if not a husband, can calm a pregnant wife. Moreover, lately, more and more dads are present during childbirth and are trying in every possible way to support their wives.

There are also medical ways to prevent rapid labor. To this end, doctors can prescribe various antispasmodics, which are aimed at relaxing the muscles of the uterus, bringing them out of tone. They also come to the aid of drugs that improve blood circulation. But drug treatment can only be prescribed if there are indicators that can be identified on the basis of the tests performed.

Conclusion

So we found out which births are considered rapid and why this happens. Modern obstetricians have all the necessary equipment and medicines to carry out this process withminimal impact on mother and baby. Of course, the rapid birth of primiparous women and women who already have a child pass differently. But if you help a woman in labor in time, then serious problems can be avoided.