Depression affects more women

According to surveys of doctors and psychiatrists, one in five women are at risk of having an episode during their life. Hormonal factors are primarily responsible in this matter such as menstrual cycle changes, pregnancy, abortion, postpartum period, pre-menopause and menopause.

Depression is a subtle condition, still stigmatized and difficult to deal with a thousand edges in which no single trigger but several factors pushing suffer. According to epidemiological studies, depression can affect any age, including girls, there is a higher incidence after puberty until the end of menopause.

But most often occurs between 25 and 45 years. Some drugs, alcohol and drugs as certain diseases can also cause depression. Sometimes a bad emotional situation (loss of a relative, or a problem at work), can trigger depression or cause the patient can recover fully.

The core symptoms of depression are:

- Fall mood
- Loss of energy and interest
- Feeling physical or weakening
- Low concentration
- Appetite and disturbed sleep
- Fewer physical and mental functions
- You feel worthless or guilty.
- Increase or reduction since appetite or weight.
- Have thoughts about death or suicide.
- Have trouble concentrating, thinking, remembering, or making decisions.
- Unable to sleep, or sleep too much.

The experts recommend that people who have the disease and who have had previous episodes, they can do preventive treatments from the pharmacological point of view.

For people who have not suffered depression but feel they can get to having it is good to a shift in the organization of life, physical activity, communication, food and any formula approach to psychotherapy to himself to reach a balance.

Uterine contractions: are involuntary, are presented in 3 to 5 in 10 minutes on a regular basis during the progression of labor, lasting between 40 to 60 seconds and are accompanied by pain whose intensity is highly variable. The pain of contractions during labor is better tolerated by women who have good information and family support. During labor, the frequency, intensity and duration of contractions will be monitored clinically and / or by electronic monitoring.

Effacement and dilation: As a result of uterine contractions the cervix effaces (thins) and dilates (opens) to allow the fetal head descends gradually through the birth canal. Cervical dilatation defined the onset of labor when it is 3 cm or greater. When complete (10 cm) allows the passage of the fetus by the maternal pelvis. Cervical dilation is controlled by vaginal examination during labor progression in the opinion of professional acting.

Ovular membranes or bag of waters “are membranous structures that contain the fetus and amniotic fluid. Play the role of containment and protection of the fetus normally until they break spontaneously, occasionally artificially by the OB / to during labor. They are strained as a result of increased pressure to produce uterine contractions.

Rupture of membranes is not painful for the mother or the fetus and amniotic fluid can externalize in which the fetus is. The characteristics of this liquid in which the fetus “nothing” (color, smell, appearance) are important for the health team attends labor and birth which is always be supervised by it.

Fetus: In humans, the majority of pregnancies occur with a single fetus that is located longitudinally in relation to the body of the mother with her head to the maternal pelvis (cephalic presentation). This situation is most favorable obstetric the few maternal and fetal complications that occur.

During labor the baby is settling and making progress in its descent from the mother’s abdomen into the pelvis in order to occupy it gradually and go through the maternal genital outward, thereby fulfilling a normal mechanism of labor in cephalic presentation. The descent of the fetal head position and variety will be monitored during labor by health team acting

Fetal heart rate: Varies between 120-160 beats per minute and be checked periodically throughout the course of labor with stethoscope or electronic media. The control of fetal heart rate is of great importance because it allows us to monitor the fetal vitality.

A normal delivery is between 37 to 42 weeks of pregnancy, the due date (FPP) calculated for each pregnancy, which fixed the day met the 40 weeks of pregnancy, on average within normal limits of the end of pregnancy .

Once the labor using the controls described earlier, the same progress toward the period in which the fetus is expelled from the womb, this time lag in the delivery room again and have active phenomena that favor the exit of newly born,

Straining: It is the muscle strength that helps women to produce labor. We performed by contraction of the muscles of his abdomen and thorax. The straining must be preceded by a deep inspiration and strength must be maintained throughout the duration of uterine contraction.

The desire to push, by the mother is perceived as a sensation similar to a desire to “mobilize the bowel.” It appears in some situations early on (before full dilation) and must notify the acting team.

There is clear evidence that folic acid deficiency in pregnancy is related to the occurrence of neural tube defects in newborns.

These malformations are caused by incomplete closure of some regions of the neural tube and include anencephaly and spina bifida encefalocete (with effects ranging from death to paralysis more or less important or urinary incontinence).

They are probably due to the lack of folic exist, there is not enough DNA for normal development of the embryo, and consequently a defect in neural tube closure.

It has been shown that supplementation with folic acid before conception and during early pregnancy decreases the incidence of neural tube defects in newborns. Because of this, it is recommended that all women in a position to become pregnant should take the order of 400 micrograms / day of folic.