Aired (April 27, 2024): Hindi naging madali ang panganganak para sa ina na si Joyce Dela Cruz dahil inabot siya ng tatlong oras sa pagle-labor. Nang lumabas ang kanyang baby, hindi ito umiiyak at tila nagkulay ube! Ano nga ba ang mga dapat gawain para maiwasan ang prolonged labor o ang abnormal na tagal ng pagluluwal ng sanggol? Panoorin ang video.
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00:00The mother, Joyce, has been dreaming of having her own child for a long time.
00:10She has been pregnant for 12 years.
00:16I just stopped taking my pills and we don't have any control.
00:21If we can have a baby or not, that's the plan.
00:26If I don't take my pills for a long time, I will have a hard time again.
00:30It's like I'm going to change again in my pregnancy.
00:33That's why the husband doesn't have any happiness
00:36when he found out last January that he's pregnant.
00:42Along with taking his pills, he also has a lot of food cravings.
00:47I eat everything I want to eat.
00:50I usually look for vegetables, bakery breads, and cold water.
00:58Sometimes, I eat three to two and a half cups of rice.
01:04That's why her weight is almost increasing.
01:09When I was not pregnant, I weighed 49 kilos.
01:13When I turned 63 to 64, that's when I weighed the most.
01:21That's why she stopped taking her doctor's medicine.
01:25I stopped taking my medicine a month ago.
01:30That's why it's hard for me to go on a diet.
01:35A month later, the day they've been waiting for has arrived.
01:42But the problem is, Mommy Joyce spent three hours in labor.
01:48Because of the size of the baby, it's hard for me to urinate.
01:56It's hard for me to urinate.
02:04It's hard for Mommy because it's been a long time since she gave birth.
02:10Also, her head wasn't erected right away.
02:13That's why it's hard for the baby's head to come out.
02:18Baby Kendrix weighs 6.6 pounds.
02:21Her mother's weight is almost triple that of her.
02:24She's only 2.5 pounds.
02:32But she's more worried that she won't be able to hear her baby crying.
02:40I'm so tired.
02:45She also can't breathe.
02:51The reason why Baby Kendrix is now in labor is...
02:55Cover her back.
02:57Press her a little bit.
03:02What happened to Mommy Joyce is prolonged labor,
03:05or the abnormal duration of labor.
03:09It depends on the condition of the fetus.
03:14In the case of Mommy Joyce,
03:16I think she's now 8 cm. She's a direct-to-DR.
03:19It took her three hours to give birth.
03:23It took her more than an hour.
03:25That's when I expected the baby to come out.
03:28For the first-time mothers,
03:31we give them 10 to 12 hours.
03:33After 10 to 12 hours,
03:35it means that she's now in prolonged labor.
03:38For the second-time mothers,
03:41or the third or fourth-time mothers,
03:44they can also have prolonged labor.
03:46If their baby during the first pregnancy or first delivery
03:51is smaller than their second baby,
03:53or if there are malpresentations where the baby's position is different,
03:57they can have prolonged labor.
04:00Because of this, Baby Kendricks lost her oxygen.
04:04I was nervous.
04:06She wasn't active. She didn't cry right away.
04:11Did they manage to save Baby Kendricks?
04:20Watch out for that later.
04:25According to an expert,
04:27some of the reasons for prolonged labor
04:30is that a mother is not used to three Ps of obstetrics.
04:34These are power, passage, and passenger.
04:38This is what we evaluate.
04:40What is power?
04:41Power is the strength of the mother when she urinates,
04:44and the strength when she urinates,
04:46the hardening of her uterus.
04:49Because this is what pushes the baby down
04:52when she's in the active phase of labor,
04:54especially when she reaches the second stage.
04:57Then, we have the passageway.
04:59This is what we call the mother's clasp.
05:01We evaluate if this is tight or loose.
05:05If it's tight, the baby might not fit.
05:08It might not go down.
05:09Even if it's loose, if the baby is big,
05:12it might not go down.
05:14Then, our passenger is the baby.
05:17The progress of labor will depend on the size of the baby.
05:22If the power is normal, the passageway is also normal.
05:25If the baby is too big in the passageway,
05:28it won't go down.
05:29There will be prolonged labor, or eventually, failure of labor.
05:34If the power, passage, and passenger are not in good condition,
05:38there is a high possibility of prolonged labor.
05:41Because of this, the baby might have a fetal compromise.
05:46This happens if the baby lacks oxygen
05:50inside the mother's womb,
05:52or if the baby's oxygen supply is jeopardized during labor.
05:58If the fetal asphyxia doesn't recover during delivery,
06:01the baby might die.
06:03Or if the long-term sequelae of fetal asphyxia recover,
06:08you can see it when the baby grows up.
06:13Aside from the baby, the mother is also affected.
06:16There is a risk that the uterine rupture will occur.
06:26Meanwhile, because baby Kendrix is slowly developing colors,
06:30nurses and midwives tried to clean the baby's back.
06:37They also used suction on the nose and mouth
06:40to remove the fluids that might be trapped inside.
06:46After a minute,
06:53the baby regained consciousness and started crying.
07:08I feel better. All the pain is gone.
07:17According to experts,
07:19it's a sign that the baby is healthy if it cries immediately after delivery.
07:24If the baby cries immediately, it means that the baby is okay.
07:27Because if the baby doesn't cry immediately,
07:29it might lack oxygen, or it might not be stimulated properly.
07:35Our resident obstetrician-gynecologist, Doc Yu,
07:39has an advice to avoid prolonged labor.
07:43First, pay attention to the weight of the three pieces of obstetrics for the passenger.
07:51Why is the baby big? Because the mother is also big.
07:54Her caloric intake is more than what she needs.
07:57In a normal weight mother,
08:00they should gain 1.2 pounds per week, not more than that.
08:06Squats and yoga also help to strengthen the power and passage of the mother.
08:12There are appropriate exercises for each trimester,
08:16and yoga is okay from the first to the last trimester,
08:20because there is yoga for pregnant women.
08:23Simple walking and breathing exercises are also good
08:27to avoid prolonged labor.
08:31Exercise can help in conditioning the mother's muscles in the abdomen,
08:36because she needs good abdominal muscles
08:39so that when she pushes, the pressure is good,
08:46and the muscles that surround the pelvic area will also be relaxed,
08:52and this can help during labor.
08:55As for the video, it's been 6 months already.
09:01Even though baby Kendrix had a miscarriage,
09:04according to mommy Joyce, the baby is now healthy and active.
09:13We, as mommies, have no other desire but the safety of our children.
09:18To the expectant mothers out there,
09:20remember to always follow the advice of the doctors.
09:25Do's and don'ts when giving birth,
09:28don't do it for no reason,
09:30so that the baby and ourselves are not put in danger.
09:54For more information, visit www.FEMA.gov