THE STAGES WAITING FOR YOU IN THE DELIVERY ROOM

You have been to your doctor many times over the course of 9 months, tests have been done, maybe you even had to contact the emergency room, and eventually the time of birth approached. You made plans for birth, prepared your birthday bag in advance. Soon after you go to the hospital with the onset of pain, the pregnancy period (or the operating room for cesarean section) will end, and the postpartum period will begin. Well; What awaits you in the hospital, delivery room or operating room, and in the hospitalization service?
If you suspect that birth has begun, you should contact the hospital immediately. Here, the stages and the environment you will encounter will be explained step by step from the moment you apply to the hospital to your home. Especially prospective mothers who give birth their first time are very curious and try to learn by listening to their acquaintances who have given birth before.
First application and hospitalization to the hospital:
When you apply to the hospital, your doctor will first examine you and determine whether the birth really started. The onset of childbirth is understood only by vaginal examination, not by ultrasound. If there is any openness in the cervix, water or bleeding with a vaginal examination and it is decided accordingly that the birth begins, the patient is directed to the delivery room. If the birth has not started, there is no opening in the cervix, no water, no bleeding, and there is no abnormality in the baby's ultrasound and NST examination, the mother is directed back home. It is recommended to come back to the hospital when the pains increase or water comes. Of course, in this case, it is also important how many weeks you conceive and this is determined before bedtime. Ultrasound is done to find out how many weeks you are pregnant, and sometimes the reports and analyzes of the ultrasounds you entered earlier are also checked. Therefore, take them with you when you go to birth. According to these calculations, if it is decided that the baby's delivery time is early, the patient is not sent to the delivery room. He is sent to a separate service for drug treatment to stop the pains. If the time of delivery is appropriate, or if it is early, the delivery is too advanced and it seems impossible to stop, the patient is referred to the delivery room.
Caesarean section:
If there is a situation that requires cesarean section, then the patient is taken to the rooms in the service for preoperative preparations and examinations. Here, after the preparations for the surgery are completed, they are taken to the operating room at the operating time and cesarean section is performed. After the cesarean, the patient is taken to the room in the ward. In the service, the patient is followed for 1-2 days and breastfeeds her baby. Information on breastfeeding and baby care is provided. If a problem has not developed, mother and baby are discharged within 1-2 days. It is recommended that they come for control 1 week later and the mother is prescribed for use at home.
Winder room:
The patient, who is referred to the maternity room, is taken to the rooms called the pain room (tram room). Before being taken to this room, the patient is dressed in a hospital gown for delivery. In addition, enema is provided to empty the patient's intestines, making birth easier and cleaner. The patient, whose birth begins in this room, suffers until the cervix is ​​fully opened. In the pain room, the patient is vaginally examined at 1-2 hour intervals and the cervical opening and thinning are followed. If the patient's own pain is insufficient, artificial pain (induction) is given with serum. NST is taken with probes that are connected to the patient's stomach at certain intervals. If necessary, it is evaluated again by ultrasound. With NST, it is evaluated whether the baby's heartbeat is normal and whether the mother's pains (contraction) are sufficient. If the mother's stomach is full in case of an operation that may be required at any moment, it may bring some risks. For this reason, no solid-liquid food or drink is given to the mother in the pain room until delivery ends. Baby's heart sounds can sometimes be listened to by hand doppler instead of NST.
Delivery room and normal birth:
The patient, whose cervix thinning and opening is 9-10 cm full, is taken to the delivery room for delivery. However, in some hospitals, the bed in the throat room is adjusted and becomes a birth table, where birth is made. Meanwhile, the baby's hair is close enough to be seen from the outside. The mother lies here on the birth table, putting her legs up, just like in a gynecological examination. Coverings are covered. The area near the outside of the vagina is cleaned with an antiseptic solution. In order for the baby's head to come closer to the hatch, the mother is told to breathe and strain when the pain comes. Meanwhile, when the baby's head approaches, the doctor or midwife makes an incision (episiotomy) if necessary. Before making this incision, he numbs it with local anesthesia, the mother does not feel the incision. After the incision, the doctor removes the baby's head, after which his shoulders, abdomen and legs come out. The baby, which hangs on the leg and hangs in the air, is now fully born. The mother sees the baby in this order. The skin color of the newborn baby is not like other babies, it is normal that it is a little purplish. There is a slippery substance called verniks on the baby's skin. Meanwhile, an assistant nurse cuts the umbilical cord of the baby and takes it for cleaning and dressing.
Separation of the baby's placenta and stitching episiotomy:
After the baby is born, the baby's wife, the placenta, is separated. It is usually expected for 5-10 minutes. Meanwhile, the mother rests at the birth table and takes her serum and medication. After waiting for 5-10 minutes, the baby's spouse is separated and taken. Meanwhile, the mother does not feel any pain. If a birth incision has been made, after the baby's partner leaves, this incision is sutured. It is performed with local anesthesia often and the mother does not feel pain. Rarely, if there is a large tear, the suturing is done under general anesthesia. In rare cases when the baby's spouse is not separated, the mother is given anesthesia and the baby's spouse is taken by intervention.
Then, the expectant mother is taken from the delivery room to the normal patient room. Here, the version and its medicines continue. Bleeding is followed. The mother is informed about breastfeeding the baby. If the baby does not have a problem, it will be with his mother. Sometimes, when there is a problem, the baby may be in an incubator or intensive care unit separate from his mother. The mother rests in her room and breastfeeds her baby, if she has a normal birth, she can stand up and do simple work. After normal delivery, the mother is usually followed up for 1 day in the ward. If a problem has not developed, he is discharged at the end of this period. The mother is prescribed medications for home use. After 1 week, both mother and baby come for control.


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