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Card 6
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Third stage labour
Although, for convenience, health professionals divide labour into three stages, it is more useful to see labour as one continuous process with each preceding phase affecting what follows. The third stage of labour is the phase from the time when your baby fully emerges until the placenta is delivered.
It is also the time when your baby adapts to life outside the womb.
There are two ways in which your placenta can be delivered. These are either a natural (physiological) third stage or a managed third stage.
A natural third stage means that no drugs are used to deliver the placenta. Instead it relies on the natural contraction of the uterus, stimulated by the surge of the hormone oxytocin at birth. This is the hormone that causes your uterus to contract and expel your placenta. A natural third stage does not increase the likelihood of severe bleeding if the labour has been normal and without epidural analgesia until then.
After your baby is born, the umbilical cord will be left intact. It is long enough so that you can hold your baby comfortably and begin the process of getting to know each other. As your baby adapts to life outside the womb the flow of blood from the placenta to your baby via the umbilical cord will decrease, as the role it has had during pregnancy comes to completion. The cord will only be cut and clamped when it has stopped pulsating. After a while you will begin to feel your uterus contract. At some stage you will feel your placenta in your vagina and push it out with a few small contractions. This stage can take anything from ten minutes to over an hour.
Uchinchi bosqich mehnat

Garchi qulaylik uchun sog'liqni saqlash sohasi mutaxassislari mehnatni uch bosqichga bo'lishgan bo'lsalar ham, mehnatni keyingi har bir keyingi bosqichga ta'sir etadigan bitta doimiy jarayon sifatida ko'rish foydalidir. Tug'ilishning uchinchi bosqichi - chaqalog'ingiz to'liq paydo bo'lgan paytdan boshlab platsenta tug'ilguniga qadar bo'lgan bosqich.

Bu sizning chaqalog'ingiz bachadondan tashqaridagi hayotga moslashadigan vaqt.

Sizning yo'ldoshingizni etkazib berishning ikki yo'li mavjud. Bular tabiiy (fiziologik) uchinchi bosqich yoki boshqariladigan uchinchi bosqichdir.

Tabiiy uchinchi bosqich, platsentani etkazib berish uchun hech qanday dori ishlatilmasligini anglatadi. Buning o'rniga u tug'ilish paytida oksitotsin gormoni ko'tarilishi bilan rag'batlantiriladigan bachadonning tabiiy qisqarishiga bog'liq. Bu sizning bachadoningizning qisqarishiga va platsentani chiqarib yuborishiga sabab bo'lgan gormon. Tabiiy uchinchi bosqich og'ir qon ketish ehtimolini oshirmaydi, agar tug'ilish shu vaqtgacha normal bo'lsa va epidural analjezisiz bo'lsa.

Farzandingiz tug'ilgandan so'ng, kindik ichak buzilmaydi. Bu etarlicha uzoq, shunda siz bolangizni bemalol tutishingiz va bir-biringizni bilish jarayonini boshlashingiz mumkin. Farzandingiz bachadondan tashqaridagi hayotga moslashganda, platsentadan bolangizga kindik ichak orqali qon oqishi kamayadi, chunki homiladorlik paytida tutgan o'rni tugaydi. Shnur pulsatsiyalanishni to'xtatgandan keyingina kesiladi va qisiladi. Biroz vaqt o'tgach, siz bachadonning qisqarishini his qila boshlaysiz. Qaysidir bosqichda siz platsentangizni qiningizda sezasiz va uni bir necha kichik qisqarishlar bilan itarib yuborasiz. Ushbu bosqich o'n daqiqadan bir soatgacha davom etishi mumkin.