REQUIREMENTS WHEN DELIVERY TIME:

You should have your pack ready even one week before the stipulated time. It should have items like

Night dresses preferably maternity nighties which have an opening in the front
Change of clothes and slippers
Nursing brassieres and panties
Towels,pajamas,belt and sanitary pads
Toilet kit—paste,brush,soap,comb
Baby napkins
If you have other children make arrangements with someone to take care of them
You may have to go to the hospital in the night also. Make arrangement for that in your family. If your children are old enough to understand, try to tell them what is going to happen.
Keep the telephone numbers of the doctor, the hospital, husband, friends or even caretaker handy. You don’t have to go hunting for them during the last minute.
Plan how you are going to reach the hospital. If you do not have the facility, make arrangements to have an auto or car or a taxi that could be summoned with the shortest notice. If you have your own mode of transport, make sure that it has petrol.
Plan what should be done after you come back from the hospital. For example, your attendant may not be in a position to go to the shop. So get all essential items especially dry ones like pads, soaps, toiletries, groceries, baby napkins, dresses etc.
Since you may be bleeding or there may be flow of fluids keep sanitary napkins ready for yourself.
Be ready with comfortable dresses for you, the baby, winter clothes, a big towel or sheets to cover the baby, a rubber sheet to spread over the baby’s bed to prevent any soaking of the bed.
If the hospital is far away and this is not the first delivery, then reach the hospital well in advance.

Transfer of the zygote to the uterus & Pregnancy testing:

This is an intricate procedure. The growing zygote is taken in a tiny thin plastic tube along with a little of the medium and carefully introduced into the uterus through the cervix. The woman is made to lie back comfortably on the table and plastic is inserted through the vagina. Some recommend harmone injections to create the ideal environment for the zygote to grow. All depends on the woman’s health and the discretion of the specialist.

Despite successful fertilization of the ovum and its implantation in the uterus, sometimes complications may develop during later stages. Development is identified by microscopic examination. Treatment and preventive measures are taken to avoid expulsion of the zygote.

COLLECTION OF MATURE OVA , CULTURE OF THE GERM CELLS & GROWING THE FERTILIZED OVUM

Collection of mature ova is done by either laparoscopy under general anesthesia or by ultrasound. This requires vaginal ultrasound. A special device which is very small is inserted into vagina through the ovaries are scanned. The mature ova are collected by suction through a syringe into attest tube and handed over to the specialist for analysis. A special care must be taken when collecting it.

Eggs once collected are not stable and may degenerate fast. So usually it is collected and examined under microscope inside the operation theatre itself and the selected once are placed in preservative medium and in incubator. Temperature will be 37 degree Celsius in an incubator .As the same wise semen is collected by masturbation examined under microscope and persevered in medium. Both are brought for mixing for fertilization in incubator.

In standard test tube testing, the medium containing the sperms and the ova is tested in 18 hours after the germ cells are mixed. Examination at this point would indicate if fertilization has occurred successfully. At this time, some of the cells may divide even without fertilization. This kind of division of cells without fusion is called as parthenogenetic cleavage. Implantation of the unfertilized ovum into the uterus will not yield results. To avoid all this, testing for fertilization is essential. The nature of the zygote is tested before implantation of the zygote within the uterus.

TEST TO DEVELOPMENT OF THE TEST TUBE BABY

CHECKING THE ELIGIBLITY OF THE COUPLES

Before starting treatment, important investigations like sperm count, testing the hormone levels are done at different stages to confirm the possibility of successful conception in case of this treatment. The depth of the uterus is to be tested, because it is to be strong enough to sustain the pressure of pregnancy and whether it would aid the growth of the implanted Zygote. Some women may require tablets to facilitate ovulation. In addition how much this treatment would help the woman is also ascertained before giving tablets.

Inducing the production of Ova

Sometimes the fertilized ovum or the zygote fails to grow into a fetus. Instead, it gets degenerated. The main reason for this is the insufficient maturity of the ovum. It may possible to isolate one ovum for fertilization by sperm in a test tube. But it is impossible to predict whether it would grow into a baby within the womb. To prevent such a loss, doctors induce the production of many such mature ova by the ovaries by giving hormone tablets. For this, hormone treatment is given after studying the woman’s body nature; ovulation time etc, beginning a few days after the menstrual cycle. The pituitary gland may be temporarily commanded not to secrete the hormones meant for inducing the release of the ovum. This method is adopted to get more number of ova. Instead of tablets progesterone is administered to obtain mature ova.

Estimating the development OF THE egg

The time of ovulation should be accurately estimated and ova collected at that time. Otherwise it may not be possible to effect conception. Hormone testing is done repeatedly to confirm the time of ovulation. To collect mature ova, doctors employ four methods they are

Hormone testing

Ultrasound

Injection

Normal menstrual cycle

Height of the Uterus

As days go by, the doctor measures the height of the uterine bulge during every consultation. If growth is normal and as expected, with the correct height being reached, the week calculation for measuring the baby’s growth would be correct.

In the 12^th week, the uterus starts growing out of the pelvic bones. In 16^th week it raises between the naval and the pelvic bone. By the 22 to the 24^th week the raise is still the naval. By the 36^th week, the raise expands to the stomach and the lower portion of the diaphragm. This is the maximum it should reach. By then the circumference of the stomach reaches about 36 inches. On the penultimate 14^th day, it shrinks by one inch.

Increasing height of the uterus is a good guide for the doctor. Any abnormality in it like excess height or below normal height indicates something is wrong and that immediate examination is required.

Doctors use the term LMP for calculating the delivery date. This means Last Menstrual Period. The delivery date is calculated from this date. This is called EDT i.e. Estimated Date of Delivery.

EXERCISES TO REDUCE PAIN

Before you begin the exercises, you should be fully aware of the state of the muscles. Whichever state it is, whether tight or flabby, you should have the capacity to control it.

If you are able to identify the different types of the muscles, tightening them or relaxing them will not be problem.

Tremendous practice is needed to relax your whole body with every muscle tightening or contraction. You should practice doing this continuously during the last stages of pregnancy; only then will you be able to completely relax yourself during delivery,. This permits the uterine muscles to contract efficiently without any hassles and with less pain.

If you know to breathe in the correct way, the baby is likely to be easily pushed out. So concentrate on breathing exercises.

Complete breath refers to full expansion of the lung causing the diaphragm to descend to the maximum. When you are in a relaxed state, do this to have full supply of oxygen.

I. Breathe in as much as possible at one time.

II. Breath out fast forcefully with a hissing there is a feeling of heaviness sound or very slowly so as to relax the whole body.

III. Continue breathing with rhythm.

IV. Relax yourself completely. Immediately there is a feeling of heaviness and you will find it difficult to do any work.

V. Step by step, bend your elbow and bring it close to your face. Slowly take it back to its original position. You will find that the movement is slow and restrained.

Menstrual Cycle

The primordial follicles in the ovaries of the female mature to form mature ova every month which come to the outer surface of the ovaries. From this network, one ovum gets released. Cavities form around the released ovum. These are called corona radiate.

The released reaches the mouth of the uterine tube; the tube sucks the ovum in. the fine hair like cilia in the uterine tube, remove the cavities and send the egg to the uterus. Before that the egg stays in the tube for sometime waiting for the arrival of the sperm. Fusion with the sperm causes the egg to get fertilized. Otherwise, the egg degenerates. The maturation and degeneration of the egg is important.

Similarly the spermatogonia, the predecessors of the sperms, are formed in the testicles of the male; they grow into primary spermatocytes which mature into secondary spermatocytes. Later they develop a head, body and a tail, reach the vas deterrence get released in the vagina of the female during sexual intercourse. Their search for the mature ovum begins there. If fusion with the ovum takes place, consumption takes place.

PAIN REDUCED ARTIFICIALLY

Delayed than pain is induced artificially. Mostly it is essential for women above the age of 30 years. Pain is induced by rupturing the amniotic sac or by injecting the hormone oxytocin through intravenous drip. Mostly this is avoided, since it enhances uterine contractions and results in increased pain.

This is kind of exercise that prepares you for labor and to withstand birth-pangs.you may to go for at least two sittings with the physiotherapist to learn it .

The uterus contracts during delivery .this are a natural phenomenon. But during this process, there is excess fatigue and tiredness, oxygen depletion and failing ability to withstand more pain.

This is because, the hormone adrenalin responsible for fear, depression, and anxiety, neutralizes adrenalin responsible the effect of hormone axytocin.

The exercise helps you to overcome these effects.If you have the conviction, then telexing your mind is not difficult.Effort, dedication and practice are required for that. You need a brisk mind to control your body and the capacity to concentrate and focus your mind.