Expulsion phase

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The expulsion phase is the section of the birth process between the full opening of the cervix and the full birth of the child. It thus follows the opening phase .

Duration

In the case of a primiparous woman , the expulsion period should not last much longer than an hour, in the case of multiparous women a maximum of 30 minutes. If this period is exceeded, the obstetrician should rule out problems and deviations from the normal course of labor.

procedure

After the cervix is ​​fully opened, the child's head moves deeper into the pelvis. In this way he triggers the reflexive urge to press along in the woman giving birth. The power of the expulsion contractions is supported by the strength of the mother's abdominal muscles. The synchronized forces push the child further through the birth canal. If the head (or the preceding part of the child) is visible in the vulva for the first time in the contraction , one speaks of "cutting into" the child's head. If the head remains visible outside of the contraction in the vulva, this is called "cutting through". The vulva and anus then gape wide. After the head and shoulders have stretched the birth canal, the child's torso, pelvis and legs are usually born within a few seconds.

Further birth process

With the birth of the child, the expulsion period ends and begins the afterbirth .

Web links

  • Familienplanung.de - course of birth : the information portal of the Federal Center for Health Education (BZgA)