The normal birth is the 1st, 2, 3 courses of childbirth generally. When the parturient woman is in second course of childbirth period, the uterine orifice sixth branch opens completely in a big way, the fetal membrane bursts, the amniotic fluid flows out, as a result of an embryo drop, oppresses the rectum, the parturient woman this time has the bowel movement feeling. In this kind of situation, the baby childbirth leaves in namely, initially parturient woman approximately 1-2 hours, but after parturient woman often several minute, more than 10 minutes. The rapid childbirth refers to this course of childbirth. Because the childbirth is excessively anxious, receives when is caught off guard, the disinfection lax or the pollution and so on, easy to cause the perineum tearing, the postpartum hemorrhage, the post-natal infection, the newborn room rest or falls down the flesh wound and so on, therefore, meantime should finish as soon as possible receives the preparation, guarantees the maternal infant health.
When discovered that the parturient woman has when is in labor the phenomenon, should let the parturient woman immediately horizontal. According to at that time the situation, rapidly prepared to receive the apparatus, like clean cloth class, antiseptic gauze block, scissors, pliers, disinfection solution mercurochrome, ethyl alcohol (or white liquor), tincture of iodine, soap, plastic sheeting Shan Hexian and so on.
Receiving cleaning both hands, then scratch the hand with the ethyl alcohol or the white liquor, stands right flank the parturient woman, covers the anus with the clean cloth class, in order to avoid pollutes, then takes the cloth with the right hand to cling meets the vagina edge, the thumb and other four figures resists separately meets the genitals. Shrinks when the palace, the left hand holds down embryo to cause it to humble oneself, and makes the parturient woman to do holds one’s breath under the movement effort to press, an acceleration embryo childbirth leaves. When the embryo occipital bone has revealed under the pubic arch, the left hand do not hold back again, but lets embryo Yang Shenmian leave, and makes the parturient woman not to make an effort again, should the yawn breathe out, reduces the perineum tearing, this time, may also make perineum lateral section several second rear tire to change one side, two shoulders entered the pelvis mouth, the receiving right hand still protected the perineum to be motionless, the left hand pressed embryo downward, before causing, the shoulder to reveal under the pubic arch, however the afternoon upward dike, enabled another shoulder to leave the vulva, the embryo body leaves along with it natural childbirth.
After the embryo childbirth leaves, after two disinfection pliers (cleaning with tincture of iodine, ethyl alcohol cleaning disinfection) grips umbilical cord any section to use among two pliers the umbilical cord the disinfection the scissors shear.
This time, but the clean newborn oronasal, again does breaks navel processing. In is apart from the embryo navel 1-2 centimeters place to make the ligation, then smudges with the tincture of iodine in the umbilical cord surface, (shear place should with tie place above the ligation with the disinfection scissors the umbilical cord shear binding to have certain distance, in order to avoid Watt), spreads 2.5% tinctures of iodine, finally uses the antiseptic gauze to wrap securely the umbilical cord, and drops the eye with 0.25% chloromycetin eye drops for the newborn.
Generally after embryo childbirth, the womb rises stiffens, the umbilical cord drops automatically, the vagina has the little blood to flow out, indicated that the placenta already stripped. This time the available hand gently under presses in the parturient woman abdomen fundus of uterus, another slightly toward the outside tows the umbilical cord, enables the placenta childbirth to leave. After the placenta childbirth leaves, should inspect it to be whether complete, the fetal membrane whether there is damage, does the perineum whether there is burst, whether there does the vagina bleed. Generally in 15-20 minute in placenta childbirths leaves. If the placenta long time childbirth does not leave, should bring to the attention
Outside post-natal should disinfect the genitals, if the soft birth canal has time the damage, should suture immediately. Should the newborn who falls down to the rapid childbirth whether there is inspect the flesh wound
If in the emergency case, the medical treatment facility lacks time, each kind of appliance may conform to simplicity, if the non-pliers clamp umbilical cord, may change to the solid line ligation; Not medical scissors, after available ordinary scissors disinfection uses, uses the soapy water clean cleanly after first, boils again strokes the disinfection, does not have when the ethyl alcohol with number of degree high white liquor immersion, if the time press, may burn the scissors cutting edge on the flame, in order to avoid causes tetanus and other bacterial infection.
Every not the rapid childbirth childbirth which or disinfects not thoroughly after the disinfection, post-natal should to the maternal infant with the antibiotic prevention infection, completes the newborn to disinfect the isolation operating point, injects tetanus antitoxin.
