The time when a primipara feels fetal movement

It should take about two days for a first-time mother to feel fetal movement. Generally, there are several stages from labor to delivery, and the time it takes for the cervix to open is different in each period. It should normally be around 8 to 16 hours. Some people have a wider pelvis and a better cervix, so they will give birth smoothly in 4-8 hours. The specific time should be judged based on the individual's physical condition.

If you have felt frequent fetal movements over the past two days, it is very likely that the fetus is in intrauterine distress. Now that the fetal movements have disappeared, the most likely scenario is fetal death.

The entire process of delivery is from regular uterine contractions to the delivery of the fetus and placenta, which is referred to as the total delivery process. The labor process of a primipara is different from that of a multipara. Clinically, the labor process of a primipara is divided into three stages, namely three stages of labor.

The first stage of labor (cervical dilation) refers to the period from the onset of labor to the full dilation of the cervix. The cervix of a primipara is tighter and dilates more slowly, usually taking 11-15 hours. During this stage, the main symptoms for the mother are intermittent abdominal pain, which are regular uterine contractions. Relying on the force of uterine contractions, the cervix gradually dilates and the fetal head descends. As the saying goes, "Everything is difficult at the beginning." The stage when the cervix begins to open, that is, before the cervix dilates to 3 cm, is the slowest. It is clinically called the latent period and takes 8-16 hours. The active period refers to the dilation of the cervix from 4 cm to 10 cm, that is, the cervix is ​​fully dilated. During this stage, the dilation of the cervix is ​​significantly accelerated, generally lasting 4-8 hours.

During the first stage of labor, medical staff should carefully observe the mother's uterine contractions, fetal heart rate, blood pressure, and pulse. Regular rectal examinations are performed to understand the dilation of the cervix and the descent of the fetal head.

Mothers should try to eat high-calorie, easily digestible foods and drink enough water. Childbirth consumes a lot of physical energy, which is equivalent to heavy physical labor, so you must ensure that you have sufficient energy and physical strength.

The mother should not be nervous and can do deep breathing exercises during contractions. If family members are around, they can also assist with waist and abdominal massage.

Defecation and urination. Rectal examination after delivery showed that the cervix of a primipara was less than 4 cm dilated. She was given an enema with warm soapy water, which could not only remove feces and avoid contamination during delivery, but also stimulate uterine contraction through reflex and accelerate the progress of labor. During labor, you should urinate every 2-4 hours to prevent a full bladder from affecting uterine contractions and fetal head descent.

The second stage of labor (fetal delivery) refers to the period from full dilation of the cervix to delivery of the fetus. It takes 1-2 hours for a first-time mother to complete the delivery. This stage is the critical moment of delivery and requires close cooperation between the mother and medical staff.

The most prominent symptom of the second stage of labor is the feeling of defecation. As the fetal head presses on the pelvic floor tissue, the mother has a urge to defecate and involuntarily holds her breath and pushes downward. When contractions occur, the mother should hold the sides of the bed with both hands, hold her breath, push downwards, and take a rest during the intervals between contractions. A small amount of feces will be discharged when pushing, which is normal and the mother does not need to worry about it.

During the second stage of labor, medical staff should closely monitor the fetal heart rate, guide the mother to push, make preparations for delivery, and deal with problems in a timely manner.

The third stage of labor (placental delivery) refers to the period from fetal delivery to placental delivery. It takes about 5-15 minutes, but no more than 30 minutes. After the fetus is delivered, the mother will suddenly feel relieved, but the delivery is not over yet. She still needs to wait for the placenta to separate and be delivered. The doctor will check whether the placenta and fetal membranes are intact, and the condition of the vagina and perineum, and suture them as appropriate.

Once the mother understands the time and characteristics of the three stages of labor, she will actively cooperate with the doctor and strive for a smooth delivery.