Bubble puncture before childbirth: indications, technique, feedback

From giving birth to women, one can hear about such a concept as a puncture of the bladder before delivery without labor. This procedure is called amniotomy. Usually about 7-10% of parturient women face it. Many pregnant women, hearing about amniotomy, are frightened. Having no idea about the correctness and necessity of this procedure, women set themselves up negatively.

What happens if the bladder is bursting before labor?

In some cases, the birth begins with the outflow of water. And it can be complete or partial. According to statistics, this deviation can occur in 12% of all women. This process is called a premature discharge of amniotic fluid.

Women immediately notice this phenomenon, especially if it happens with a lot of water.

Amniotic fluid should be light or pink and not have an odor. If it is mixed with black, brown or green, it means that the waters of the newborn are in the waters. This suggests that the fetus had oxygen starvation, which requires rapid delivery. An admixture of yellow color can mean a presence of Rh-conflict, which also requires quick action.

When the water leaves at home, the mother is urgently needed to go to the hospital. In a hospital, a woman must accurately tell the time of their departure.

In the event that the body is completely ready for the birth of the child, the fights begin immediately or after a short time after the water has departed.

What is an amniotomy?

Amniotomy is an operation in which an amniotic fluid is opened. The fetus is protected by a special shell - the amnion, which is filled with amniotic fluid. He protects the child from blows and penetration of infection from the vagina.

If an autopsy or rupture occurs naturally, the uterus begins the process of fetal expulsion. As a result, fights develop and a child is born.

Operation on a puncture of a bubble before sorts without fights spend special Adaptation in the form of a hook at the time of its greatest severity, so as not to affect the soft tissues of the child's head.

Types of amniotomy

The puncture of the bladder before childbirth can be divided into several varieties, depending on the time of the operation:

• Prenatal. It is carried out before the occurrence of labor with the purpose of induction.
• Early. It is done if the opening of the cervix is up to 7 cm.
• Timely. If the neck is open to 8-10 cm.
• Belated. Can be carried out at the time of expulsion of the fetus. The procedure is used to prevent hypoxia in the fetus or bleeding in the parturient woman.

The process of passing through the births does not change at all and corresponds to the natural process. The condition of the fetus must be fixed using the KGT apparatus.

When is an amniotomy necessary?

There is a stimulation of childbirth by piercing the bladder in the case of situations where emergency delivery is needed. The procedure can be performed in the absence of bouts:

• Mature pregnancy. Usual pregnancy lasts 40 weeks, if its duration is longer, then the question of the necessity of obstetric care is raised. The placenta in this situation is aging and can not perform its functions. As a result, the child suffers, experiencing oxygen starvation.
• Gestosis. This disease is characterized by swelling, high blood pressure and the presence of protein in the urine. Gestosis negatively affects the health of the mother and fetus, so amniotomy is needed.
• Rhesus-conflict. This pregnancy is considered difficult, so this operation promotes the stimulation of labor.

If the birth activity has begun, then the operation is resorted to in the following cases:

• Weakness of labor. If the contractions do not increase, and their weakening occurs, the cervix slows the birth process, and, so that they do not stop, a blister is punctured. For the woman in labor, watch for 2 hours, if there is no positive dynamics, then a decision is made to resort to "Oxytocin".
• Polyhydramnios. The presence of a large number of amniotic fluid leads to the fact that the uterus can not naturally contract.
• High blood pressure. Diseases of the kidney and heart, gestosis contribute to high blood pressure, which negatively affects the process of childbirth and the condition of the fetus.
• Flat bladder. In this situation, the front waters are almost completely absent, which makes labor activity difficult, and its termination may occur.
• Low location of the placenta. This position of the placenta can lead to its detachment and bleeding.

In some cases, contraindications arise for this procedure.

Are there any contraindications?

Bubble puncture before childbirth helps to facilitate the process of the birth of a child, but in some cases, there are some limitations of the procedure. Amniotomy is not carried out if:

• A pregnant woman has herpes on the genitals in the acute stage;
• The placenta has a low location;
• The umbilical cord hinders surgery;
• Natural birth is not recommended;
• Finding the fetus in an oblique, transverse and pelvic presentation.

Prohibition of the procedure for heart disease of the mother, with the existence of scars on the cervix and other pathologies.

How is the bladder punctured?

Why and how do the bladder puncture before childbirth? Amniotomy is equivalent to surgical intervention, but the presence of an anesthesiologist and surgeon is not necessary. After a vaginal examination, the doctor performs an autopsy of the bladder. The procedure includes several stages:

• Before the operation, a woman takes "No-Shpu" or another antispasmodic. After exposure, the woman lies on the gynecological chair.
• Then the specialist, wearing gloves, inserts a tool into the vagina. The fetal bladder is hooked and stretched by the doctor before the rupture. After that the amniotic fluid begins to flow.
• After the end of manipulation, the woman is in horizontal position for 30 minutes. The fetal condition is controlled by the KGT apparatus.

The bubble must be opened in the absence of bouts, which leads to convenience and safety of the operation.

What does a woman feel when she has an amniotomy?

The puncture of the bladder before delivery is painful or not? Any woman is afraid of such a procedure because of the possible occurrence of pain. However, in this case, unpleasant sensations are not observed, because in the amniotic bladder there are no nerve endings.

A woman just needs to relax and accept a comfortable position. All that she can feel after a properly performed procedure is only the flow of amniotic fluid.

When the muscles are stressed, unpleasant sensations and negative consequences can occur in the form of injury to the walls of the vagina.

Obligatory conditions

What are the conditions for the puncture of the bladder before delivery? To avoid complications in the procedure, you must follow certain rules. To them it is possible to carry:

• Correct presentation of the fetus (headache);
• Pregnancy, whose term is not less than 38 weeks;
• Natural delivery and no restrictions to this;
• Preparedness of the birth canal;
• Pregnancy is one fruit.

Important is the readiness and maturity of the uterus. When performing the operation, it must correspond to 6 points on the Bishop scale.

Complications and consequences of amniotomy

With an error-free puncture of the bladder before birth, the whole process is safe. But there are a few exceptions, when after an amniotomy the birth can become more complicated. There are following consequences:

• Injury of the umbilical cord, if it is attached to the membrane, which can lead to blood loss;
• The child's condition worsens;
• Drop the loop of the umbilical cord or the limb of the fetus (handles, legs);
• Violation of the child's heartbeat;
• Rough labor activity;
• Secondary generic weakness.

There is a risk that the puncture of the fetal bladder will not lead to the desired result and the labor activity will not become active. Therefore, doctors resort to using drugs that cause contractions. In some situations, the woman is given a cesarean section because the prolonged stay of a child without water is fraught with negative consequences.

How long is the labor after the puncture of the bladder before delivery? The responses of women who have gone through this procedure are:

• In women who gave birth for the first time, the birth took place within 7-14 hours;
• In mating females this can take from 5-12 hours.

Any intervention, which can be attributed to the puncture of the bladder, sometimes leads to consequences that are not always positive. Amniotomy should be performed in compliance with all necessary conditions, which will reduce the risk of complications of a different nature. Therefore, if this procedure is necessary, women should not abandon the operation and other manipulations needed during childbirth.