What is a fall birth or a rash childbirth?A hasty birth is the term for a very fast-moving birth. Often colloquially this is also the term fall birth used. But falling birth is actually the very rare case in which the child actually falls to the ground at birth - regardless of how long the birth has lasted.
A birth is called a hasty birth if there are no more than two to three hours between the onset of labor and delivery (NCCWCH 2008, Sheiner et al 2004). About two out of every one of the women who contracted their labor naturally experience a hasty birth (NCCWCH 2008).
Sometimes women do not realize until the very end that their contractions have begun. It is thought that her womb (uterus) contracted painlessly, so that these women do not feel the contractions in the first phase of labor. If this happens to you, you might first notice that your baby is coming when the second phase of contractions begins. At this stage, you feel the urge to push your baby out, or you already notice how your baby's head is sinking (Rimmer 2014).
Other women experience strong and regular contractions right from the start during this brief period of labor. Normally, the intensity of contractions increases over several hours (McBride 2015).
What causes precipitate births?Nobody knows why some women experience such a short contract period while others are in labor for many hours or even days. Maybe it is hereditary. If your mother or sister has experienced rash births, it may well be the same with you. So far, however, studies on premature births have failed to prove that it is a matter of genes (Larmer 2010).
Sometimes there are premature births after other pregnancy issues. The complications associated with rash births are:
- chronic hypertension
- a baby that is too small according to the growth table (Sheiner et al 2004)
prostaglandin-induced labor sometimes also lead to a rash childbearing (Sheiner et al 2004).
Another risk factor is having your baby received fertility treatment (Sheiner et al 2004).
Can there be difficulties in a hasty birth?There are some complications that are more likely in a premature labor:
- premature placental release when the placenta separates from the uterus before your baby is born (Rimmer 2014).
- Bruises or cervical, vaginal or perineal tears (Rimmer 2014, Sheiner et al 2004).
- Severe bleeding (postpartum haemorrhage) because your uterus does not contract properly after birth (uterine atony) (NCCWCH 2014, Rimmer 2014, Sheiner et al 2004).
- Placental dysfunction, that is, the placenta remains in whole or in part in your uterus after your baby is born (Rimmer 2014, Sheiner et al 2004).
But there are many women who experience a hasty birth and have no problems. And of course, all the complications mentioned can also occur during a normal birth.
I already had a hasty birth, will this happen again with my next child?In fact, statistically, your chances of another premature birth increase if you've already had one (Rimmer 2014). That does not mean that it is an automatism. You may also have completely different contractions the second time around. And at least you already know what can happen and you can better prepare for it.
How can I prepare for another rash childbirth?If you have had a premature birth, your doctor will probably recommend that you go to hospital early for the next birth. Then you are in good hands in case of complications.
If you are worried about not making it to the hospital, you might want to prepare for a home birth so that your midwife can be called as soon as you realize your labor has started. For example, your midwife might deposit her equipment for a birth so that she can quickly get the essentials at hand.
If you do not want to stay home all the time at the end of your pregnancy, there's a risk that you'll be on the move when your labor starts. So it's a good idea to prepare your own little birth bag so that you always have a few things at hand, no matter where you are. You probably will not need it, but it can be a reassuring feeling when you are prepared for anything.
Your birth package could consist of the following:
- A few absorbent mats to give you a clean surface on which to give birth
- A clean towel to dry your baby
- Another towel or towel
- A diaper and baby clothes
- A waterproof pouch to pack the placenta
- A pair of napkins for a young mother and a clean panty
- A few comfortable clothes to change
And If you think that your birth partner may not be able to get you in time, it might be a good idea to have one or two friends or relatives on hand as a substitute.
Is it possible to have an initiated delivery to avoid another rash childbirth?If you're worried about another rushed birth where the midwife can not be with you in time, the thought of having a birth can be tempting.
However, initiation also means an increased risk of further intervention, such as assisted childbirth (Gülmezoglu et al 2012, NCCWCH 2008a). Therefore, your doctor may disagree with your childbirth to avoid premature delivery.
There's no evidence that an induction prevents the contractions from going fast. An induction does not help you to control the progression of labor (NCCWCH 2008).
Does a rash child hurt my baby?Most babies born suddenly are healthy and have no problems with their quick arrival (NCCWCH 2008). Sometimes, however, the intensity of contractions during a rushed birth can lead to difficulties for the baby. This may include:
Reduction in oxygenation during labor, because the contractions follow so rapidly one after the other
- Bleeding in the baby's skull caused by the rapid increase and decrease in pressure as the baby slides through the birth canal (Rimmer 2014)
- If the baby comes so fast that it falls on a hard surface (that would be a fall birth!), It can cause injury. This is very, very rare (Rimmer 2014). If you need to give birth to your baby outdoors or in a cool environment, it can quickly freeze (Rimmer 2014). Keep your baby close to the skin and cover his head and back with whatever is at hand. Skin contact is the best way to keep your baby warm after giving birth (Marín Gabriel et al 2010, Phillips 2013, Srivastava et al 2014), especially if you do not get immediate help.
Can a short period of contractions cause an emotional problem?
Quick labor can have a powerful effect on your feelings. You may be in a frenzy from the heavy adrenaline rush you experience at birth. Or depressed and traumatized because the birth was so fast (McBride 2010, Rimmer 2014). For some women, it may take some time for them to recover from their rapid birth. But it may also be that you are just happy to have survived everything so quickly, and you are brilliant!
Maybe it helps you to know that both are normal. Your midwife will talk to you after giving birth, she knows that these feelings are not unusual. It can also be liberating when you write down your birth story or make a voice recording (most cell phones can do that).Always remember that contractions are always unpredictable and not all women experience typical textbook labor that is slowly building up.The average duration of contractions is made up of a wide range of individual experiences, among them very slow and very fast births.
Read about breathing techniques that help you stay calm during labor and other drastic experiences.
Gülmezoglu AM, Crowther CA, Middleton P et al. 2012. Induction of labor for improving birth outcomes for women at or beyond term.
Cochrane Database of Systematic Reviews(6): CD004945 Larmer C. 2010. Will my pregnancy & labor be like my mother's? Practical parenting
Marín Gabriel M, Llana Martin I, López Escobar A, et al. 2010. Randomized controlled trial of early skin-to-skin contact: effects on the mother and the newborn. Acta Paediatr
99 (11): 1630-4 McBride J. 2015. Extreme birth story: at unbelievably almost labor. Today's parent
NCCWCH. 2008. Induction of labor.
National Collaborating Center for Women's and Children's Health, Clinical Guideline. London: RCOG Press. NCCWCH. 2014. Intrapartum care: care of healthy women and their babies during childbirth.
National Collaborating Center for Women's and Children's Health, Clinical Guideline, 190 Phillips R. 2013. The sacred hour: uninterrupted skin-to-skin contact immediately after birth. Newborn and Infant Nursing Reviews
13 (2): 67-72 Rimmer A. 2014. Prolonged pregnancy and disorders of uterine action. In: Marshall JE, Raynor MD. eds. Myles textbook for midwives. Edinburgh, Churchill Livingstone, 417-33, Sheine E, Levy A, Mazor M. 2004. Precipitate laboratory: higher rates of maternal complications.
Eur J Obstet Gynecol Reprod Biol 116 (1): 43-7 Srivastava S, Gupta A, Bhatnager A, et al. 2014. Effect of very early skin to skin contact on success at breastfeeding and early hypothermia in neonates.
Indian J Public Health 58 (1): 22-6 Show Sources Hide Sources