When should pregnant women go to the hospital to give birth

For mothers who are pregnant with their first child might wonder about when they should go to the hospital or midwife to give birth? In the first pregnancy, if you experience contractions but the amniotic fluid has not yet come out, chances are you will be asked to go home or wait until it's time to approach delivery. The first labor phase, also referred to as the prodormal and latent phases, is usually a long process. This phase can take 1-2 days. In some cases, this phase can start and then stop. Mother must immediately go to the maternity hospital if it has entered the actual stage of childbirth, or experienced the following things.
  • Mother thinks that amniotic fluid has come out, either just seeping in little by little or more (ruptured membranes).
  • If you experience bleeding (more than spotting).
  • If the fetal movement is not as much as usual.
  • When contractions or cramps feel uncomfortable and come every five minutes in an hour. Basically, labor contractions feel strong, regular, and last about 45-90 seconds. A contraction is considered strong if the Mother is unable to speak while the contraction is in progress.
Apart from the above conditions, a condition that also requires you to immediately contact a doctor or midwife is if you think you will give birth to twins, premature babies, or other risky pregnancy conditions. Pregnant women will also need immediate help from a doctor or midwife if:
  • Heavy bleeding from the vagina occurs.
  • Rupture of membranes.
  • There is no fetal movement.
  • Your face and hands are swollen.
  • The quality of vision is decreased or blurred.
  • Severe headache.
  • Convulsions.
  • Severe abdominal pain.
  • Mother's weight suddenly increased (more than 1.8 kg a week).
Meanwhile, in the second or subsequent pregnancy the labor stage will usually last shorter than the first pregnancy. Therefore, Mother needs to come to the hospital or midwife early.

Signs of Childbirth

In fact no one knows what really started labor and when it is the exact time, but some hormonal and physical changes can indicate the initial stage of labor, namely:
  • Lightening, the baby's process down to the pelvis and settled in a position ready to come out. In this condition, you may feel like urinating frequently. Generally the baby's head first enters the pelvic door. However, the baby's feet or shoulders can also enter first.
  • Mucus comes out, which is when the cervix begins to open wider. Mucus that comes out of the vagina can be clear, pink, or mixed with a little blood. The stage of childbirth is likely to occur immediately after mucous discharge or it can also occur 1-2 weeks later.
  • Contractions or cramps. Distinguish between false contractions and actual contractions. False contractions will occur irregularly, while actual contractions occur regularly and feel more painful over time. You may feel cramps in your back or upper or lower abdomen. You also cannot feel the baby's movements during cramps. Real contractions push the baby's head down and open the cervix.
  • Amniotic fluid comes out, it can resemble a trickle of a leaky liquid or spurts out suddenly. If the amniotic fluid has come out, labor can occur within 24 hours. However, not all women experience rupture of the membranes naturally so doctors need to break the membranes in the hospital.
  • Thinning and opening of the cervix, due to effective uterine contractions. Progress in childbirth is measured by how wide the cervix has opened and thinned to allow the baby to pass through the vagina. The active labor phase itself starts when the cervix is ​​open. Meanwhile, the complete opening is when the cervix is ​​open 4 cm long or is called an opening 4. Meanwhile, the complete opening is when the cervix is ​​open 10 cm and the baby can get out soon.
If the mother has entered the stage of initial labor or has not yet reached the opening 4 or have not experienced a condition that requires immediately to the hospital, it is recommended to frequently consume food and drink lots of water or clear juice, especially without adding a lot of sugar. In addition, while waiting for the next stage of labor, pregnant women are also encouraged to take a warm bath and walk lightly, but do not get tired. It is also important to gather energy by resting while lying on your side so that your stomach is supported by a mattress.


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