At Midwives Lelystad we understand that the journey to motherhood can sometimes take unexpected turns. One of those moments may be when you are faced with an unprogressive expulsion during labor. This may sound a bit technical or even a bit scary, but don't worry! In this article, we're going to take you step-by-step through what exactly it means, why it happens and, more importantly, what can be done about it.
Giving birth is a natural process in which each phase has its own time and rhythm. However, sometimes progress stagnates, especially during the expulsion phase, which can lead to concerns among expectant parents and caregivers. But with the right team and the right approach, this bump in the road to the birth of your baby can be overcome successfully and safely.
So, whether you're a mom-to-be, a partner preparing to be the best support person ever, or just interested in the beautiful process of giving birth, read on! We are going to tell you everything you need to know about non-progressive exorcism, so that you can go into this wonderful adventure well prepared and with confidence.
What is Non-Progressive Expulsion and whyit happens
In the world of maternity care, one of the most challenging moments an expectant mother can experience is the non-progressive phase of labor. This occurs when, despite full dilation, the delivery does not proceed because the baby does not drop further or because the expulsion phase takes longer than expected. The causes of this are diverse. It can be due to the position of the baby, such as a stargazer (where the baby looks up instead of down) or an unfavorable kink in the umbilical cord. The size of the child versus the mother's pelvis can also play a role in this, as can fatigue or exhaustion of the mother, which reduces the effectiveness of the contractions.
Factors contributing to non-progressive expulsion include, but are not limited to:
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- The baby's position – such as occipital or stargazer position.
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- The size of the mother's pelvis versus the size of the baby.
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- The strength of the contractions – too weak or not rhythmic.
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- Long working hours leading to fatigue and exhaustion.
Addressing non-progressive expulsion requires an individual plan, tailored to the needs of each unique situation. Our team of experienced midwives at Midwives Lelystad specialize in supporting women through this challenging phase using a range of strategies, from position changes of the mother to encouraging movement and the use of water during labour. In some cases, medical intervention may be necessary.
Strategy | Description |
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Position changes | Helps change the baby's position or relieve pressure on the mother. |
Movement and mobilization | Encourages movement to stimulate the progress of labor. |
Use of water | Water births or the use of a warm bath for relaxation and pain relief. |
Medical intervention | If necessary, a vacuum pump or a cesarean section (by the gynaecologist) |
At Midwives Lelystad we understand that every birth is unique. We are committed to providing personal care and support, tailored to the individual needs and wishes of each woman. Our goal is to work with you to achieve a birth where you feel safe, supported and informed.
Tips for recognizing signs of Non-Progressive Expulsion
Recognizing the signs of a Non-Progressive Expulsion (NVE) is crucial for every expectant mother and healthcare professional. One of the first signs is when, despite good contractions, labor does not lead to the expected progress. This may mean that dilation does not progress further, or that the baby does not descend further. It is important to notice this early in order to be able to make timely adjustments. Other signs may be that the mother is becoming exhausted, the experience of pain is increasing, or the baby's heart rate is showing signs of stress.
As an expectant mother, make sure that you are in direct contact with your midwife if you notice that the delivery is not progressing. Listen to your body and recognize the signals it gives you. Remember, every birth is unique and it is important to be aware of it changes in your specific situation. The table below provides a simple representation of possible steps that can be taken when identifying the signs of NVU:
Signal | Action |
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Insufficient progress despite strong contractions | Please contact your midwife |
Exhausted feeling & increased pain experience | Assess the need for pain relief or other support |
Changes in baby's heart rate | Immediate medical assessment |
Timely recognition and adequate response to these signals can positively influence the outcome of the birth. Always keep in touch with your midwife and feel free to share your concerns and questions. Together we strive for a safe and positive birth experience.
How to prepare for a possible Non-Progressive Exorcism
It is crucial to be well prepared for a possible complication such as a non-progressive exorcism, both mentally and practically. Mental preparation involves informing yourself about what it entails and what your possible options are. It can help to make birth plans flexible and open to changes depending on how the birth goes. Going through step by step with your partner or midwife what you find important can also give you a lot of peace of mind. Please keep in mind that unforeseen situations can always occur and that the well-being of mother and child always comes first.
On a practical level, there are also preparations you can make. Make sure you have a list of essential contact details, such as your midwife, the nearest hospital and a possible doula. Also prepare an 'emergency kit' in case you suddenly have to go to the hospital. This may include:
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- Personal stuff: think of toiletries, comfortable clothing, panties that can be thrown away and your favorite snacks.
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- Important papers: ID, insurance papers and your identity card birth plan.
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- Comfort items: such as your own pillow, a blanket, music or a list of relaxation exercises.
By thinking about this in advance and planning, you can react more calmly when the situation actually arises. The most important thing is to remember that you are not alone. Your midwife is there to guide you through this challenge, focused on a safe and healthy outcome for you and your baby.
Interaction with your midwife: Questions and expectations
If you are faced with a non-progressive expulsion during labor, it is important to maintain an open dialogue with your healthcare provider. Good preparation can make the difference. Here are some to ask that you can ask:
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- What are the possible causes of a non-progressive exorcism in my situation?
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- Which interventions are possible and what are their advantages and disadvantages?
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- At what point should we consider switching to a caesarean section?
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- How can we ensure the well-being of both me and my baby during this process?
In addition, it is essential to keep your... expectations to discuss and explore what is feasible within the given circumstances. It is important to remember that flexibility and openness to adjustments can contribute to a more positive birth experience, even if things don't go according to the original plan. Discuss:
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- Your ideal scenario and what is important to you during the birth.
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- The flexibility within your birth plan: what are your hard limits and what are you flexible about?
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- What support is available (think mental, emotional and physical support)?
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- How your partner or birth coach can be involved in the process.
Alternatives and interventions for non-progressive expulsion
In the case of an expulsion that is not progressing, i.e. when labor stagnates during the expulsion phase, it is essential to intervene in a timely manner. This can be stressful for both the mother and the child. Fortunately, there are several alternatives and interventions available to support this. Position change is a simple but effective method. Adjusting the posture can sometimes be just the change needed to promote expulsion. Other options include using hot water, for example by taking a birth bath, which can help relax and relieve pain, or applying breathing and relaxation techniques, which help the mother to concentrate and cope with the pain better.
If the above alternatives do not have the desired effect, more medical interventions may be necessary. A frequently used method is de vacuum extraction or forceps, where medical tools are used to assist the baby during birth. In some cases a cesarean section are necessary, especially if the well-being of the mother or child is at risk. It is important to know that these decisions are always made in consultation with the healthcare provider, to ensure the safety and health of both mother and child.
Intervention Type | Description | When Applied |
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Position change | Changing position to promote labor. | As a first step in stagnation. |
Hot water | Use of a birthing pool for relaxation. | When you need pain relief and relaxation. |
Vacuum extraction/forceps | Medical devices to assist the baby during birth. | When conventional methods fail. |
Cesarean section | Surgical procedure to allow the baby to be born. | In case of threat to the health of mother or child. |
Remember that every birth is unique and the approach must be tailored to the specific situation. Good communication with the midwifery team is crucial to ensure a safe and positive birth experience.
Conclusion
We hope that this article has given you insight into the steps that need to be taken if an exorcism is not progressing. As you have read, it is a situation that requires quick and professional action to ensure the health of both mother and baby. At Midwives Lelystad we think it is important that you know that you are not alone during the birth. If you ever find yourself in a situation where the exorcism is not progressing, we are here to provide you with the support and care you need.
If you have any questions after reading this article or would like more advice on this subject, please do not hesitate to contact us. Our team of experienced midwives is always willing to help you through a difficult moment during your birth. Remember that every birth is unique and the most important thing is the health and safety of you and your little one.
Thank you for reading! Don't forget to visit our website for more information and tips about pregnancy and childbirth. Let the birth of your child be an unforgettable and wonderful experience, with the warm and professional support of Midwives Lelystad.