Sometimes perenashivanie pregnancy, unplanned opening of membranes, or pregnancy-induced hypertension, preeclampsia, fetal growth cessation and so on. N. A need induction of labor.
In this case it is possible to first try to start their own delivery and only if you will fail or do not have time to use these techniques, you should resort to artificial methods of inducing medication delivery.
After consulting with the doctor, you can try the following methods of stimulation:
Acupressure
Pressing the thumb or finger on certain points sometimes causes or intensifies fight. One of these points (splenic 6) located on the inner four fingers above the ankle. You click on the tibia at a different angle. It is a painful point. Try to press three times for 10-15 seconds with an interval of several seconds.
Practice finding point can be your partner or non-pregnant girlfriend.
It is also possible to soften the cervix and stimulate contractions stimulation of certain acupuncture points with electric pulses. Used terms: splenic 6 located above the inner ankle, and hepatic 3, located on the upper side of the foot (the exact position shall be determined by the doctor).
Stimulation of bowel
With the reduction of bowel movements and increases the production of prostaglandins, which causes the softening of the cervix.
The contractions can cause the enema, creating sufficient uterine activity of the intestine. Enema with a large amount of liquid more efficient (but more troublesome) than a small volume, calculated on the home application.
Castor oil is a powerful contraction of the intestine and used with some success for many years to artificially induce labor. Contractions may occur shortly after administration, and a few hours later. Castor oil can cause painful intestinal cramps and worsen hemorrhoids. It is sometimes used in combination with an enema. Your doctor should you choose a method of stimulation.
Stimulation of the clitoris
Sexual arousal, especially orgasm, causes uterine contractions, released during this prostaglandins affect the cervix. Manual or oral stimulation of the clitoris, even without orgasm can also be effective for the onset of labor. Manual or oral-genital stimulation can be carried out until the fetal bladder intact and if these methods suit you and your partner. If the fetal bladder was discovered, it is only possible stimulation of the clitoris, as nothing should enter the vagina. Ingress of air into the vagina is dangerous and should not take place. If you choose these methods, try to make them give you maximum pleasure.
Nipple stimulation
Nipple stimulation helps to soften the cervix and causes contractions. In some cases it is advisable to carry out nipple stimulation several times a day. But you should always contact your doctor or midwife. Sometimes, nipple stimulation is too long (more than 60 seconds) or too strong (painful) cramping and the child can not tolerate them. To protect against these potential problems, you should first perform the nipple stimulation in a clinical setting with electronic fetal monitoring. This is how well-being of the fetus being tested (the test for the stress of labor). Then, if all goes well, you can go home and continue the nipple stimulation.
Another way to protect yourself from being too long and heavy labor - note the time the contractions induced by stimulation of the nipples. If contractions are painful and last longer than one minute, reduce stimulation (both breasts to one, with continuous up short-term).
For stimulation of lightly tap or pat one nipple with your fingertips or a towel, or squeeze his fingers. Start with one nipple. A few minutes later you are likely to feel the contraction of the uterus. If not, stimulate both nipples. Since the fight can be stopped immediately after the cessation of stimulation, you will have to continue to exercise for hours, if you are going to soon begin delivery. If your goal is - to soften the cervix and you are not in a hurry to start labor right now (for example, artificial induction of delivery scheduled in a few days), you can stimulate or lightly massage the breast with warm wet towel for an hour three times a day.
Sometimes it is used to stimulate the breast, which is applied for 10-20 minutes on each breast.
If your close friend has a three-twelve-baby, you can try nipple stimulation, putting the baby to her breast. To conduct this procedure should be very careful. A child should not sleep and not be too hungry; sleepy baby sucking will not be hungry and upset. The right time - when the baby woke up and ate it, and you just want to suck the breast yet. "Feed" for 10 minutes each breast may be sufficient. Sit on the oilcloth, because they can move water. In this case, to avoid infection and to observe the rules of hygiene.
To stimulate the onset of labor in clinical use various methods: separation of fetal membranes, artificial opening membranes, prostaglandin gel oxytocin intravenously and others.
The choice of method depends on the state of the cervix and taken to the clinic approaches to the problem. If you go to artificial induction of labor, ask what method will be applied in order to know what to expect.
Department of fetal membrane
Relatively conservative treatment, but rarely leads to success. Your doctor may try it, if the cervix is sufficiently softened and revealed that it was the finger of the doctor.
Artificial membranes showdown
Rarely leads to success if the cervix is thick (immature), non-smoothed and directed back. Artificial membranes sometimes autopsy carried out before the injection of oxytocin or together with it, if the position of the cervix "favors" of this procedure, that is, it is ripe, directed forward, and partially offset by disclosed.
Prostaglandin gel
Less invasive and more effective than artificial opening membranes, when the position of the cervix "is not favorable."
An injection of oxytocin
It is the most common way of artificially inducing labor. Since the probability of success is low, if the cervix is not smoothed and directed backwards, becoming more popular method is combined with the use of prostaglandin gel followed by an injection of oxytocin. In this method, the gel once applied to the cavity and around the cervix for a day or two, to make injections of oxytocin.