Pierce the bladder at 39 weeks. Bladder puncture before childbirth is a safe way to speed up the process.

From women giving birth, you can hear about such a concept as a puncture of the bladder before childbirth without contractions. This procedure is called an amniotomy. Usually about 7-10% of women in childbirth encounter it. Many pregnant women are frightened when they hear about an amniotomy. Having no idea about the correctness and necessity of this procedure, women set themselves up negatively.

What happens if the fetal bladder ruptures before contractions?

In some cases, childbirth begins with the outpouring of water. Moreover, it can be complete or partial. According to statistics, such a deviation can occur in 12% of all women. This process is called

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

The amniotic fluid should be light or pink and odorless. If black, brown or green color, then this means that there is a newborn's feces in the waters. This suggests that the fetus has experienced oxygen starvation, which requires a quick delivery. An admixture of yellow color can mean the presence of a Rh conflict, which also requires quick action.

When the water goes away at home, the woman in labor needs to urgently go to the hospital. In the hospital, a woman must accurately report the time of their departure.

If the body is completely ready for the birth of a child, contractions begin immediately or some time after the passage of water.

What is an amniotomy?

Amniotomy is an operation in which about fetal bladder... In utero, the fetus is protected by a special shell - amnion, which is filled amniotic fluid... It protects the baby from blows and infection from the vagina.

If an autopsy or rupture occurs naturally, then the uterus begins the process of excreting the fetus. As a result, contractions develop and a child is born.

The operation to puncture the bladder before childbirth without contractions is carried out with a special device in the form of a hook at the moment of its greatest severity, so as not to affect soft tissue baby's head.

Types of amniotomy

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

Prenatal. It is carried out before the onset of contractions for the purpose of labor arousal.
Early. 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 fetal hypoxia or bleeding in women in labor.

The process of childbirth does not change at all and corresponds to the natural one. The condition of the fetus must be recorded using the KGT apparatus.

When is an amniotomy necessary?

Labor is stimulated by piercing the bladder in case of situations where emergency delivery is needed. The procedure can be carried out in the absence of contractions:

Postterm pregnancy. A normal pregnancy lasts 40 weeks, if it is longer, then the question of the need for obstetric aid is raised. The placenta in this situation is aging and cannot perform its functions. As a result, the child suffers, experiencing oxygen starvation.
Gestosis. This disease is characterized by edema, high blood pressure, and the presence of protein in the urine. Gestosis negatively affects the health of the mother and fetus, therefore, an amniotomy is needed.
Rhesus conflict. Such a pregnancy is considered difficult, so this operation helps to stimulate labor.

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

If the contractions do not intensify, but they are weakened, the cervix slows down the process of childbirth, and so that they do not stop, the bladder is punctured. The woman in labor is monitored for 2 hours, if there is no positive dynamics, then a decision is made to resort to "Oxytocin".
Polyhydramnios. The presence of a large amount of amniotic fluid makes the uterus unable to contract naturally.
High blood pressure. Diseases of the kidneys and heart, gestosis contribute to an increase blood pressure, which negatively affects the process of childbirth and the condition of the fetus.
Flat fetal bladder. In this situation, the anterior 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?

Puncturing the bladder before childbirth helps to facilitate the process of giving birth, but in some cases there are some limitations of the procedure. An amniotomy is not performed if:

a pregnant woman has herpes on the genitals in an exacerbation stage;
the placenta is low;
the loops of the umbilical cord interfere with the operation;
natural childbirth is not recommended;
finding the fetus in an oblique, transverse and breech presentation.

The procedure for diseases of the mother's heart, with the existence of scars on the cervix and other pathologies is prohibited.

How is the bladder punctured?

Why and how is the bladder punctured before childbirth? Amniotomy equates to surgical intervention but the presence of an anesthesiologist and a surgeon is optional. After a vaginal examination, the doctor will open the bladder. The procedure includes several stages:

Before the operation, the woman takes No-Shpu or another antispasmodic. After exposure to the medication, the woman lies down on the gynecological chair.
Then the specialist, wearing gloves, inserts the instrument into the vagina. The amniotic sac is hooked and pulled by the doctor until it ruptures. After that, the amniotic fluid begins to pour out.
After the end of the manipulation, the woman is in a horizontal position for 30 minutes. The condition of the fetus is monitored by the KGT apparatus.

The bladder is necessarily opened in the absence of contractions, which leads to the convenience and safety of the operation.

What does a woman feel during an amniotomy?

Bladder puncture before childbirth - does it hurt or not? Any woman is afraid of such a procedure because of the possible pain. However, in this case, unpleasant sensations are not observed, because in amniotic fluid there are no nerve endings.

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

With muscle tension, unpleasant sensations and negative consequences can occur in the form of injury to the walls of the vagina.

Mandatory conditions

What are the conditions for a bladder puncture before childbirth? To avoid complications during the procedure, you must follow some rules. These include:

correct presentation of the fetus (head);
pregnancy, the duration of which is at least 38 weeks;
natural delivery and the absence of restrictions to this;
preparedness of the birth canal;
pregnancy with one fetus.

The importance lies in the readiness and maturity of the uterus. When carrying out the operation, it must correspond to 6 points on the Bishop scale.

Complications and consequences of amniotomy

With an error-free bladder puncture before childbirth, the whole process is safe. But there are a few exceptions where labor can be more difficult after an amniotomy. There are the following consequences:

trauma to the umbilical cord vessel, if it is attached to the sheath, which can lead to blood loss;
the child's condition worsens;
the loops of the umbilical cord or the limbs of the fetus (arms, legs) fall out;
violation of the child's heartbeat;
violent labor activity;
secondary birth weakness.

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

How long does labor last after a bladder puncture before childbirth? Reviews of women who have gone through this procedure are as follows:

for women who gave birth for the first time, childbirth took place within 7-14 hours;
in multiparous women, 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 the necessary conditions, which will reduce the risk of complications of various kinds. Therefore, if this procedure is necessary, women should not refuse surgery and other manipulations necessary during childbirth.

There is almost the end of pregnancy, the middle of the ninth month, there is a high probability of giving birth on it. In general, rarely any of the expectant mothers carries a baby for forty weeks. What if the long-awaited moment never arrives?

At the ninth month, the baby is absolutely formed and ready for a full-fledged independent life outside the tummy of his mother. His weight and height are now just the same as they will be at birth, namely about three and a half kilograms and a little fifty centimeters. He continues to feed using the placenta, however, the formed villi inside his intestines are responsible for the movement of food, and are ready to accept larger food.

Usually, ultrasound procedure at this time they are not prescribed, but it is clear that the child looks like a full-fledged baby. The eyes are focused at the distance of the mother's face during feeding, there is also volume and color vision, a reaction to movement.

Painful sensations

By the last month, the expectant mother is gaining up to sixteen kilograms, she should not gain any more, most likely, the weight will decline. Have
but now the probability of childbirth is high, the woman's body is ready and signals this. The placenta begins to dry out, you need to be in the fresh air more often to help the baby get the right amount of oxygen. The uterus is at the peak of the height above the navel, constant contractions are pursued, as a rule, at first they are false.
There is a pulling pain in the back and lower, the occurrence of diarrhea and vomiting, most likely all this indicates the possible approach of the birth of a child. Watch out, maybe a slimy plug will come out soon, it looks like a boring shade, in the form of a clot. Most likely, real contractions will begin in the next few hours, be prepared.

Second pregnancy

The physiological feature of women with childbirth experience is that the uterus has the most expanded volume, responds more actively to hormonal drugs. Based on this, some signals about the onset of childbirth are felt more tangibly, appear a little earlier. So, in some cases, it happens that a specific cork in a pregnant woman with a second child is larger, similar to the emerging fluids that occur at the end of the pregnancy.
False contractions in the second pregnancy begin earlier, but this is often explained by the fact that mom clearly identifies and controls them.

Sometimes they have symptoms the day before natural labor pains. Curiously, they often lower their tummy not one week before the birth of the baby, but almost shortly in front of them. Watch your well-being very seriously during the entire period of gestation, especially if the first birth is not coming, signals in the form of false contractions can well be determined as an action to gather in a maternity hospital with bags, expecting an actual birth. Repeated gestation, of course, will not be the same as the first, more often this period is easier for everyone, because many of the symptoms are familiar and you already know the options for behavior.
Moreover, the woman's body has already, one might say, been trained by the first child.

Childbirth at 39 weeks

At the moment, all the organs of the little baby are prepared for work outside the mother, while the weight is being added due to the subcutaneous fat. In addition, being in the womb, the child begins to grow hairs on the head and nails, many are sometimes surprised at how long they are after childbirth.
It is assumed that childbirth may well begin precisely at the thirty-ninth week of the term, it is very important that someone is with the pregnant woman. She often panics, unable to control her breathing, and this is now necessary first. It is recommended to stay on your feet, do not lie down, or sit down until the most severe contractions. Reaching the highest point of pain, do breathing exercise, take a deep breath, this will save energy before childbirth.

Those who give birth to their first child may confuse attempts with the desire to go to the toilet, they begin after the cervix is fully dilated. Ideally, at this stage, a woman should be in the hospital under the supervision of a doctor, at his command, push and relax the muscles.

The occurrence of discharge

The appearance of colostrum in every woman occurs differently at any time, in someone even in the first trimester, and someone just now noticed. One way or another, proper attention must be paid to hygiene and nipple sucking.
But this is not all the discharge that may occur in the last month. From the very first day of pregnancy, the cervix is protected by a layer of mucous plug. When labor approaches, it gradually begins to split and come out in the form of clots. This is a completely natural phenomenon, you do not need to panic if some bloody streaks are suddenly present. However, one should not expect that childbirth will begin to occur in the next day, this will be possible only after a few days. But after the cork comes out, the uterus becomes vulnerable to all infections, you need to be extremely careful in a given period of time, strong discharge in the form of spots will serve as a signal of childbirth after its release.
An almost transparent yellowish liquid in the last weeks, may indicate the beginning of the discharge of amniotic fluid. They do not always splash out at once, sometimes it lasts for several days.

Is it possible to accelerate the appearance of contractions

It is known that a full pregnancy lasts forty weeks, in rare cases, even with its onset, the baby does not rush into the world. It is necessary to consult a gynecologist, who, after a complete examination, will identify the cause of this delay. As a rule, in such cases, the future mother is placed in a hospital, where she is prepared for childbirth.
In general, there are many reasons why a child is delayed in the womb, one of which is the lack of necessary useful elements in a woman's body.
Overturning the fetus negatively affects it, and most often, upon reaching the last week, doctors prescribe a cesarean section. Either he performs the procedure of piercing the bladder of amniotic fluid, this is not dangerous, the main thing is to get enough sleep before that, since childbirth is an energetically expensive process.

Each expectant mother is looking forward to the appearance of her baby, because after many months she wants to quickly look at him and hug him to her chest. But, as you know, childbirth is not a source of pleasant sensations, and a woman will have to face a number of different difficulties. It happens that, for certain reasons, contractions do not start, and specialists have to provoke them with their own hands. One of the most simple ways to cause labor is a puncture of the amniotic fluid. There is absolutely no need to be afraid of this, since the procedure is carried out for the good and will not harm the baby.

Bladder puncture without contractions

Often the opening of the bladder in the fairer sex causes overwhelming excitement due to ignorance. First of all, you need to figure out in which situations it is impossible to do without this procedure. In any case, the woman in labor should understand that if the doctor has informed about the need for an amniotomy, then it is strongly discouraged to refuse.

Often it is necessary to pierce the bladder due to the threat to the baby's life. The most common indications for manipulation are gestosis and the threat of Rh-conflict. Also, the indications include the presence in a woman of serious violations in the functioning of the kidneys, hypertension and diabetes... Quite often, specialists are forced to induce childbirth in this way in case of fetal hypoxia and post-term pregnancy, the death of a baby in the womb.

There are also cases when the contractions are so weak and unproductive that the expectant mother simply cannot give birth on her own without an amniotomy. In such a situation, the opening of the cervix is inhibited, and the baby cannot be born. And the amniotic fluid, in turn, contains prostaglandins, which significantly enhance labor. Therefore, a decision is made to puncture the bladder. If the desired result was not achieved, then the woman is injected with special drugs that activate contractions.

Most of all, expectant mothers are worried about how this manipulation is carried out. As already mentioned, there is absolutely no need to be afraid of an amniotomy. First, the medical staff treats the woman's genitals with antiseptics, and also gives her an anesthetic pill. Next, the doctor gently expands the vagina and slowly introduces a special instrument, which is a kind of hook. The bladder is captured by it, after which the obstetrician gently pulls it towards himself until a rupture occurs. Then the woman in labor is monitored for half an hour and, with a positive outcome, the contractions begin.

Serious complications of a bladder puncture are rare. Such a procedure is carried out only if absolutely necessary, exclusively with the permission of the expectant mother herself. The specialist is obliged to inform about possible consequences, such as loss of umbilical cord loops, weak heartbeat of the baby, opening of bleeding, intrauterine infection (very rare), fetal hypoxia. And most importantly, from the moment of opening the bladder to the onset of labor, more than twelve hours should not pass. As you know, a child cannot long time is without water, as it threatens his life.

Is it painful to pierce the bladder before childbirth?

The rupture of the bladder is absolutely painless, since nerve endings are completely absent in the fruit membrane. Moreover, the manipulation in most cases lasts only a few minutes. But in fact, the woman's fear always turns out to be higher than the explanations of the obstetricians, and a spasm of the vaginal muscles occurs. At this time, the woman in labor should not move so that the specialist does not injure her from the inside.

If, during the manipulation, the expectant mother still manages to relax, then even the slightest discomfort will not arise. The only thing that can be felt is the leakage of fluid from the vaginal cavity. Therefore, it is really important to tune in in advance for an amniotomy and trust highly qualified specialists who definitely do not want to harm.

As already mentioned, the puncture of the bladder is carried out exclusively when necessary, and if a woman was informed about this, then in no case should she refuse to manipulate, as this threatens the life of the child.

During the normal course of labor, the water leaves on its own. But it happens that when the contractions have become stronger, attempts will soon come, and the water has not moved away. In such a situation, the obstetrician decides to fit into the process. Puncture of the bladder before childbirth is called amniotomy.

Concept and types

Inside the mother's body, the baby is protected by a shell - an amnion, filled with fluid. Thanks to him, the baby is protected from influences and bacteria from the outside external environment... With a puncture or a standard rupture, the uterus begins to push the fetus out. Contractions occur, and attempts appear. A puncture of the amniotic fluid without contractions is carried out in emergency cases... The operation takes place with the help of a hook, during the period of incomplete disclosure of the cervix. This is done so as not to hurt the baby's head. An autopsy before labor is divided into varieties.

Amniotomy types:

prenatal - before delivery, so that contractions appear;
early - the cervix is open by 7 cm;
timely - opening of the uterus by 10 cm;
belated - opening the bladder during childbirth. It is performed to prevent fetal hypoxia and bleeding in a woman.

About 10% of women in labor experience amniotomy. When a woman hears about the procedure, she is very frightened and sets herself up negatively. After all, mom has no idea that this is right and necessary. Thanks to contractions, the cervix opens, and the fetus moves to the birth canal. But the disclosure is due to the water bubble. There is an active contraction of the organ, the pressure inside the uterus rises. Water flows downward, causing the cervix to open.

Basically, the rupture of the membrane goes away when the uterus is fully opened. First, the first waters come out. The woman in labor does not feel anything, because there are no nerve endings in the bladder. There are women whose waters drain before labor. This is noticeable because a lot of liquid comes out. But the membrane can burst at the point of contact with the wall of the uterus. Here water flows out in a small amount, in the form of drops.

If the water is discharged at home, it is necessary to urgently go to the hospital. And remember the time when it happened in order to provide this information to the obstetrician. Attention should be paid to the smell and shade of the waters. Under normal circumstances, the liquid is clear and odorless. If the water does not leave, then it passes much longer. Accordingly, it is necessary to artificially pierce the bubble.

Indications and contraindications

Amniotic fluid plays an important role in standard delivery. There are a number of cases where amniotomy is recommended. After all, the procedure helps to stimulate childbirth.

Why specifically pierce the bladder before childbirth:

a dense shell that cannot rupture on its own;
weak labor, in which piercing accelerates the process of opening the uterus;
Rh-conflict gestation causes a difficult delivery, therefore an autopsy is required;
overmaturity - a puncture of the bladder before childbirth without contractions stimulates the onset of the first contractions of the uterus;
gestosis while waiting for the baby;
in case of insufficient contractions, opening the water bladder speeds up the birth process;
polyhydramnios;
the low location of the placenta leads to its detachment, which contributes to a lack of oxygen in the fetus;
the shell is flat when almost no liquid is present.

The latter condition includes the appearance of contractions that do not go into childbirth. The fetus suffers inside the womb, as it lacks oxygen, and the woman gets tired. After piercing the bladder, labor is facilitated, but there are certain restrictions on the procedure.

Contraindications:

the presence of herpes in the groin area;
the placenta is located at the bottom;
the procedure is interfered with by the loops of the umbilical cord;
standard delivery is not recommended;
presentation of the fetus;
the presence of heart disease in a woman in labor;
scars on the uterus.

If the listed contraindications are absent, then the procedure does not adversely affect the fetus and its condition. In 12% of women in labor, water flows out before childbirth. This phenomenon cannot be overlooked, since water comes out in a large volume. The liquid should not have any color or aroma.

When a greenish, brown color is present, the baby's feces are in the water. This indicates that the baby does not have enough oxygen, so it is urgent to give birth. When the body is ready for delivery, contractions begin immediately.

Puncture technique

An autopsy, although it is equivalent to surgery, is painless, since there are no nerve endings in the sheath. After opening the bubble, the expectant mother is offered to lie down for half an hour. The fetus is controlled using a CTG apparatus. Childbirth after a bladder puncture without contractions becomes rapid, the baby will be born soon.

How to pierce the bladder during childbirth:

before the procedure, the woman in labor takes a spasmolytic;
when the medication worked, the woman fits in for examination;
vaginal examination;
introduction of the instrument;
the surface is fixed with a hook;
tear the shell;
leakage of liquid.

How to pierce the bladder during childbirth? On examination, an opening is carried out with a certain tool - a metal hook. As soon as the bubble is pierced, the water flows out. You just need to relax the body, lie down comfortably.

Is it painful to pierce the bladder before childbirth? There is absolutely no pain. For the operation to be comfortable and safe, an amniotomy is required between contractions. Some women are concerned about whether it hurts or not to carry out this procedure. The woman in labor only feels how the water flows out. When the muscles tighten, discomfort occurs.

If the bladder is pierced before childbirth, the following rules are followed:

correct position of the child;
gestation period 38 weeks or more;
standard delivery is not contraindicated;
readiness of the birth canal;
singleton pregnancy;
the uterus is mature and ready for labor.

How long does the second labor last after a puncture of the fetal bladder? According to women in labor, the second labor lasts 2-3 hours faster than the first. The onset of labor occurs when contractions begin after the bladder is punctured.

Timing

How long does it take to give birth after a bladder puncture? Primiparous women claim that childbirth took 8-13 hours, multiparous women - 6-11 hours. The desired results do not always occur after obstetric intervention. To avoid complications after amniotomy, conditions must be met.

A woman should not arbitrarily refuse the procedure that is required in the process of labor. The time of delivery after a bladder puncture is different. But from puncture to delivery should not take more than 12 hours. If a child is without water for a long time, his life is in danger.

Three hours after opening, drug stimulation is applied. However, along with this, there may be consequences. When the puncture is done correctly, delivery is considered safe, but there are exceptions where labor is more difficult.

Complications:

trauma to the umbilical cord vessel;
the baby's position becomes worse;
prolapse of the limbs of the fetus;
poor heartbeat in the baby;
prompt delivery;
secondary birth weakness.

It happens that after a puncture there is no result, childbirth is inactive, then drugs that cause contractions are used. With a protracted childbirth, a cesarean section is performed, since the fetus cannot be without water for a long time.
Obstetricians say that a bladder puncture without contractions at 38 - 39 weeks is not needed, stimulation will not have an effect. This is an early period, so pregnancy can be reached. Bladder puncture without contractions at 40 - 41 weeks is carried out according to indications when the cervix has opened more than 6 cm.

Amniotomy is safe method acceleration of childbearing in a hospital setting. Not all women in labor know what it is, since they had a birth without a bladder puncture. The shell protects the child, therefore, it is opened only according to indications.

In utero, the baby is protected by a special shell - amnion, filled with amniotic fluid. They protect it from shock when moving, and the shell prevents the ascending penetration of infection from the vagina.

In childbirth, the baby's head is pressed against the cervix and a fetal bladder is formed, which, like a hydraulic wedge, gradually stretches the cervix and forms the birth canal. Only then does it break on its own. But there are situations when a bladder puncture is performed before childbirth without contractions.

This procedure is not prescribed at the request of the woman or the whim of the doctor. Successful amniotomy is possible when certain conditions are met:

the head of the fetus is presented;
full-term pregnancy at least 38 weeks with one fetus;
the estimated weight of the fetus is more than 3000 g;
signs of a mature cervix;
normal indicators of the size of the pelvis;
there are no contraindications for natural childbirth.

Types of amniotomy

The moment of the puncture determines the type of procedure:

Prenatal - carried out before the onset of contractions, its goal is labor arousal.
Early - before the disclosure of the neck by 6-7 cm, it is able to speed up this process.
Timely - performed with effective contractions, neck opening 8-10 cm.
Late - in modern conditions it is rarely carried out, it is performed at the time of the expulsion of the fetus. An amniotomy is needed to prevent bleeding in a woman in labor or hypoxia in a child.

How is labor going after a bladder puncture? The process of giving birth to a child in this case does not differ from the natural one. In any case, the condition of the fetus is monitored using the CTG apparatus.

Indications for a puncture of the bladder in childbirth

Bladder puncture stimulates or is performed during planned labor.

Labor induction with amniotomy is indicated in the following cases:

gestosis, when there are indications for urgent delivery;
premature placental abruption;
fetal death in utero;
prolongation of pregnancy;
heavy chronic diseases of cardio-vascular system, lungs, kidneys, in which delivery is shown from 38 weeks;
Rh-conflict between mother and child;
pathological preliminary period.

The latter condition is the occurrence of small contractions over several days, which do not develop into normal labor. This causes fetal suffering from a lack of oxygen and fatigue of the woman.

How long will labor start after the bladder is punctured? The onset of labor is expected no later than 12 hours later. Although at present, doctors do not have that much time waiting. Prolonged stay of a child in a waterless environment increases the risk of infection. Therefore, 3 hours after opening the amnion, if contractions have not begun, stimulation with medications is used.

With already developed labor, the puncture is performed according to the following indications:

The cervix opened 6-8 cm, and the water did not leave. Their further preservation is impractical, the bubble no longer fulfills its function.
Weakness of labor. Bladder puncture in most cases leads to its activation. After the amniotomy, they wait 2 hours, if there is no improvement, then they resort to oxytocin stimulation.
Polyhydramnios overstretches the uterus and prevents normal contractions from developing
With oligohydramnios, a flat fetal bladder is observed. It covers the baby's head and does not function during labor.
A low-attached placenta may begin to flake off after contractions develop. Opening the amnion will allow the head of the fetus to snuggle tightly against the lower segment of the uterus and contain detachment.
In multiple pregnancies, the bladder of the second child is punctured after 10-15 minutes from the appearance of the first.
High blood pressure decreases after the opening of the waters.

The technique of piercing the bladder in a woman in labor

30 minutes before the stimulation of labor by puncturing the bladder, the woman is injected with the antispasmodic Drotaverin.
Later, an examination is carried out on the obstetric chair, the doctor assesses the neck, the location of the head.
With a sliding movement of the fingers, a special branch is inserted into the vagina - a hook.
With its help, the shell clings during the contraction, and the gynecologist inserts a finger into the resulting hole. The tool is being removed.
Holding the head of the fetus through the abdomen with the other hand, the membranes are gently divorced and the anterior amniotic fluid is released.

They are collected in a tray, and their condition is visually assessed. Green waters with meconium flakes indicate intrauterine fetal hypoxia. This condition deserves additional attention. The pediatric service is warned in advance about the possible condition of the child.

If a large volume of water is drained at once, it can lead to the loss of the umbilical cord loops or small parts of the fetus's body.

After the procedure, the CTG apparatus is connected to the mother in labor for 30 minutes to assess the condition of the child.

Is it painful or not to puncture the bladder before giving birth? The membranes are not penetrated with nerve endings, so the procedure is absolutely painless.

At the same time, complications sometimes develop:

trauma to the umbilical cord vessel, if it was attached to the shell;
loss of the umbilical cord loops or parts of the fetal body (arms, legs);
deterioration of the fetus;
violent labor activity;
secondary birth weakness;
infection of the child.

How long does labor last after a bladder puncture? The duration depends on their parity or quantity:

In primiparas, the normal duration of labor is 7-14 hours.
Multiparous ones need less time - from 5 to 12.

Contraindications to a puncture of the bladder in a pregnant woman

Despite the simplicity of the procedure and the small number of complications of the manipulation, there are serious contraindications for its implementation. Most of of them coincides with contraindications for natural childbirth:

A herpetic rash on the perineum will lead to infection of the child.
Pelvic, leg, transverse or oblique presentation of the fetus, umbilical cord loops in the head region.
Complete placenta previa. In this case, childbirth is impossible - the placenta is attached over the internal pharynx and prevents the lower segment of the uterus from expanding.
Inconsistency of the scar on the body of the uterus after caesarean section or other surgical procedures.
Narrowing of the pelvis of 2-4 degrees, bone deformities, tumor processes in the small pelvis.
Fruit weight over 4500 g.
Severe scars causing deformation of the cervix or vagina.
Triplets, conjoined twins, breech presentation of the first child of twins.
High myopia.
Fetal growth retardation grade 3.
Acute fetal hypoxia.