definition

Sagging occurs in every woman before the birth of her child. They serve the preparation for the actual birth. Senknehen is thus a normal (physiological) process, which is important for a problem-free birth.
In contrast to the "real" labor, which induce labor, itching occurs 2-6 weeks before birth. They ensure that the baby "slips" from the mother's abdomen (abdomen) into the pelvis. If a woman has already given birth to several children, the contractions often occur later, as the child is already lower in the pelvis.

Typically, flatulence can be recognized by the fact that they occur several times a day at the end of the pregnancy. They are expressed by a slight pulling in the area of ​​the lower abdomen. Usually, Senkwehen are uncomfortable, but not so painful compared to real labor. Another important differentiation to real labor is that the contractions last only a short time (maximum one minute). In addition, there is an improvement as soon as the patient relaxes.
Although it can be annoying for the patients, it is still very important for the birth. During the Senkwehen it comes namely, that the muscles of the uterus (uterus) tighten again and again rhythmically (contract). This rhythmic tension of the musculature is very important at birth, so that the child can quickly slide out through the birth canal. During the contractions can lead to a minimal opening of the cervix. This also serves to prepare for the upcoming birth.

When do sinking occur?

It usually depends on how many children a woman has already given birth. Generally it is assumed that Senkwehen occur from the 36th week of pregnancy. They ensure that the child slips from the abdomen of the mother into the small pelvis.
Lowering blows are thus the optimal preparation for the birth and position the child, so that a simple birth is possible. From when Senkwehen occur, however, is sometimes very different. Some women already experience seizure 6 weeks before birth. Especially before the first birth subsidence started earlier. Often, the Senkwehen start later, when a woman was already one or more times pregnant, because the child is already deeper in the pelvis.
In general, contractions can occur 2-6 weeks before birth. However, it is difficult to predict or control when it started to sink. However, it is believed that contractions may be induced by stress or overwork. Therefore, it is important for a woman to avoid stress at the end of the pregnancy, as it may otherwise cause her to contract earlier.

How long does it take to sink?

Sagging usually occurs in the 36th week of pregnancy. The duration of the contractions is about 20-60 seconds. Often they are accompanied by a sudden onset of pain, while other women feel only a slight pull.
The duration of the contractions and the real labor, which initiate the final birth, hardly differs. It is therefore important that the expectant mother observes the distances in which the contractions occur. True labor that initiates childbirth occurs every minute and becomes more and more intense.
Blowing on the other hand occurs very irregularly throughout the day. The duration of Senkwehen can sometimes be shorter and sometimes a little longer. Relaxing baths or relaxing lying down, however, can reduce the intensity of the contractions.

Pain during prostration

Sagging usually occurs in the 36th week of pregnancy and are very important for a birth. They ensure that the child reaches the small basin from the abdomen of the mother. This facilitates childbirth because the child is already in the right position.
Nevertheless, sinking is associated with pain, which can be very unpleasant for the expectant mother. In general, the pain is low compared to those in real labor. Nevertheless, the woman can suffer greatly from the pain of prostration.
It is especially helpful if she tries to relax. A warm bath can help to relax the muscles and cramps. A hot water bottle can also help the expectant mother to relax and stop the pain.
In preparatory courses, pregnant women also learn special breathing exercises that can help alleviate the pain. Also fresh raspberry leaf tea can help relieve the pain of Senkwehen. Additional gentle massages also promote relaxation of the muscles.
In general, the pain of contractions differs from the pain during a real woe. The Senkwehen are there to transport the child in the right position. It is a slight, rhythmic tension (contraction) of the musculature of the uterus (uterus). This tension of the musculature then leads to pain during the sinking in the area of ​​the lower abdomen, the back and the thighs. In addition, it may happen that a feeling of pressure in the area of ​​the bladder occurs because the child now increasingly in the pelvis and thus restricts the bladder.
The intensity of the pain of Senkwehen is different for each woman. In the first child, the pain is usually more intense. Mothers who have already given birth to several children are often only marginally aware of the pain of prostration.
Since particularly painful Senkwehen are often indistinguishable from real contractions, it is important that the woman contacted a doctor or her midwife.

Nausea during prostration

During pregnancy, not only does the woman's body change. In the course of pregnancy, the unborn child must also be transferred from the abdomen (abdomen) of the mother into the pelvis so that birth without complications is possible. To make this possible, it comes from the 36th week of pregnancy to Senkwehen. These can be very uncomfortable for some women. Some women suffer from severe pain, others hardly feel anything.
In some expectant mothers it comes during the Senkwehen nausea, which can sometimes last longer. Rarely, the nausea can be a harbinger for the subsequent Senkwehen. Unfortunately, not much can be done to counter nausea during labor, as they are caused by the pressure on the gastrointestinal tract (gastrointestinal tract), which can not be avoided on labor.
Nevertheless, the woman can try to minimize nausea through breathing exercises. In addition, a relaxing bath can help to soothe the muscles and thus also reduce the nausea. Medication for nausea should be taken during pregnancy only in urgent cases and necessarily in consultation with a gynecologist.
In some women it comes after the sinking to an improvement in the nausea, as the child from the stomach (abdomen) slipped into the pelvis and thus the stomach (Gaster) is no longer restricted by the child. The nausea is usually better as soon as the child is in the right position in the pelvis.
In general, nausea and diarrhea are often a harbinger of the impending birth. If labor is more frequent and intense than usual, it may also be that it is not nausea in contractions, but real labor that indicates the impending birth.

Cardiotocography (CTG) in case of prostration

In case of uncertainties, whether contractions or real labor exist, a doctor should always be consulted.

The so-called cardiotocography (English: Cardiotocography, short CTG) serves to detect the heartbeat of the unborn child and to record the labor activity of the expectant mother.
The CTG can be used to distinguish contractions from real labor. This is especially important if the cervix has already opened slightly and a differentiation between real labor and Senkwehen is difficult. In addition, the frequency and length of the contractions can be detected by CTG.
Especially with women who have already had several children, it may be that the Senkwehen are hardly painful. To determine whether the expectant mother still has incipient sinking, the CTG helps. Nevertheless, the CTG is very different in different women sensitive.
Slender women experience more frequent and pronounced eruptions of CTD. This is because, due to the low body fat, the activities of the child and the abdominal circumference of the abdomen are much more noticeable.
In very strong women, on the other hand, the fatty tissue provides for a very limited signal perception, which is why slight prostrate labor is difficult to detect or even completely absent.

Lower blows in pelvic end position

Sagging is a normal (physiological) process that ensures the correct position of the baby in the pelvis before birth. On the basis of Senkwehen a woman can not differentiate, unfortunately, in which position the baby is.
In general, contractions occur when the pelvic endings and in the "normal" position of the child. However, if the child lies in pelvic end position, the Po slides in the direction of the pelvis instead of the head. Since children are usually born with their heads in front, breech placement can lead to complications of natural delivery.
Therefore, an attempt is made to turn the child from the 36th week of pregnancy in the correct position. This is done by certain pressure movements on the belly of the expectant mother, which should be performed only by specialized personnel (midwife).
On the one hand, the buzzing of the pelvic endings can help to move the child in the right direction. On the other hand, the Senkwehen can ensure that the child lowers so deep into the pelvis that a rotation is no longer possible.


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