Estimated delivery date has passed, but there is no welcome sign, the excitement increases, but ... 70 75% post-term pregnancy - it's just a statement of wrong timing. This is usually due to an error in the calculations (the beginning of fertilization is usually a mistake because of the incorrect date of the last menstrual period). In fact, to use ultrasound for estimating gestational age, pregnancy perenashivanie frequency decreases from 10% (as was believed for a long time) and 2%. However, prolonged pregnancy is possible, especially in the case of the first birth. If delivery is not going to 42 weeks, usually called generations various methods of stimulation. When prolonged pregnancy, there are two versions of events and decisions made by the doctor.
Firstly, you should doubt the correctness of the date of delivery. In this case, if during pregnancy corresponded to a period designated by the magnitude of the uterus and uterine fundus height (highest point of the uterus), the date of the first movements of the fetus of a pregnant, the doctor listen to the date of the first heart beats of the fetus, then you can be sure the right stage of pregnancy. Previously performed ultrasonographic examination or pregnancy test based on measured concentrations of hCG (horioticheskogo gonadotropin) in the blood of pregnant women, can further confirm the correct date indicated.
Second, the physician must check the normal course of further development of the fetus. Often, the fetus is growing and developing properly in the tenth month of pregnancy (though this can cause difficulties during childbirth, as the baby will have a major difficulty with the passage through the genitals). Sometimes, however, the environment inside the uterus before the ideal, begins to deteriorate. Aging baby seat does not provide the appropriate amount of nutrients and oxygen, and the production of amniotic fluid decreases. Dangerous decrease in the amount of amniotic fluid in the uterus. Under these conditions, the further development of the fetus in the uterus becomes difficult.
Prolonged children are usually thin, dry, scaly, wrinkled skin, no tribal layer coating on the skin is generally a full-term newborn. They have longer nails and hair, eyes open and be more active. Newborns who stayed longer in a hostile environment, yellowish skin and are more exposed to danger during childbirth.
Often, post-term fetus is born by Caesarean section; children who stayed in the womb for more than 40 weeks have a large head circumference and / or they may have hypoxia. During labor they can draw original cal. These children also require special monitoring in the neonatal unit. The rest of the children born in 42 weeks in the normal course of pregnancy, chronic diseases are not exposed to a greater degree than children born at term.
After 41 weeks of pregnancy, if during the survey noted that the cervix is ripe (soft), many doctors prefer to encourage childbirth. Induction of labor or caesarean section will also be applied (irrespective of the maturity of the cervix), when there will come complications such as hypertension (chronic or caused by pregnancy), diabetes mellitus, green amniotic fluid caused by the release of the first-born of feces, inhibition of fetal growth or other threatening child situation. If the cervix is not ripe, it is possible to accelerate the process of induction of labor before the introduction of the appropriate medicine. In this situation, conducted tests to ensure fetal well-being. You can repeat this test 1-2 times a week before the birth.
In some cases, doctors prefer to wait 42 weeks or more conducting constant monitoring of the state of health of mother and fetus. If there are any observed adverse events associated with the children's place, or a very small amount of amniotic fluid, or receipt of any other signals about the threat of the mother or the child, the doctor will take effect immediately. The situation will prompt whether to encourage childbirth or better to resort to caesarean section.
If you are expecting their first child, there is no hurry. When the battle will be repeated every 10 minutes or more is collected in a hospital.
If you do not have the first child, cervix is much faster, and as soon as the contractions become regular and rhythmic, to hurry to the hospital. When discharge of amniotic fluid urgent call "emergency" or go to the hospital without waiting for the contractions.
Before leaving, try to take a shower and do not forget to sanitary napkins. Plan ahead: if you bring up a taxi or you will take someone from their home, do not get behind the wheel itself, even if you feel great.
Thank you in advance to collect all necessary, but even if you forget something, your loved ones will bring you all of the missing.
Do not forget washable slippers and documents: insurance policy, passport card exchange.
At the front desk you will be offered to change clothes and check the documents, then the midwife will examine how the cervix opens, whether to start labor.
You will examine the skin for infectious diseases, weigh, measure the height and external dimensions of the pelvis, measure the temperature and inspect the throat.
In the absence of any deviations you will put in compartment for healthy women.
Do not forget to remove the jewelry house, wash the face with makeup and nail polish. This is not only a requirement of hygiene, your nails and lips will help determine your physical condition at the time of delivery.
In the prenatal ward physician familiar with your card exchange, ask how pregnancy proceeds. The doctor will make an external examination to determine the position of the fetus, will hear the fetal heartbeat and hold a vaginal examination to determine the extent of disclosure of the uterus.
Your doctor will tell you about the alleged during childbirth, will introduce a birth plan, tell me how to behave.
If you do not understand something or for any reason, the doctor highlighted, not all questions, please contact the doctor and midwife and ask all your questions. Express your wishes, to clarify the necessity of certain treatments.
In the normal course of childbirth doctor repeats external examination every 3 hours, and the vaginal examination - every 6 hours.
Do not attach much importance to such unpleasant moments, but very warm welcome. You have to emotionally and psychologically to obey the main task - to give birth to a healthy baby and to ensure maximum safety for your health.
Try to talk with your doctor to be too wordy, do not get involved in disputes and bickering, be polite with staff.
At the same time all the fundamental wishes have to specify in advance, and during childbirth midwife all the recommendations necessary to try to perform well.
We recommend to check out: it is necessary to take to the hospital
Contents:
Some laws
First signs
The human body is a complex system - especially for women. After all, the main function for the continuation of the human race rests on it. Female body is adapted to the conception, nurturing, child birth, his feeding milk. Cyclical processes (ovulation, menstruation) in the body accompany a woman throughout her reproductive years zhizni.Priznaki monthly known to all women, thanks to them, they will learn about the approach of menstruation.
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Some laws
Most girls first menstruation and, respectively, the symptoms appear between the ages of 11-14 years. In connection with the processes of acceleration (ie, early puberty), marked the onset of menses and 9, and even in 8 years. Now it is a variant of the norm. Previously, our grandmothers and great-grandmothers month came in 14-16 years.
First periods may be irregular, i.e. the cycle is only established, then, over time, become regular. Sometimes the menstrual cycle can be resolved after the first pregnancy and childbirth. The gap between periods may vary from 24 to 35 days, depending on the individual. Give or take a few days. Stay periods may due to hypothermia, infection, stress, physical activity, illness, abortion and, of course, because of the pregnancy, during breastfeeding. The hormone prolactin, catching during breastfeeding, inhibits ovulation (egg maturation).
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First signs
Signs of the approaching first menstruation in girls may appear long before the first bleeding - menarche. These changes are taking place under the influence of female hormones. Grow breasts, there are hairs in the armpits and pubic figure girl gradually finds the female form, that is, narrow shoulders, wide hips.
The appearance of menstruation in girls indicates the possibility of pregnancy. But this does not mean that the body is ready to girls without harm to health fully make pregnancy. And do not give rise into early sexual relations.
The onset of menstruation in girls should signal that in life there are new rules to be followed during menstruation all girls, women:
Avoid overwork.
Heavy exercise is unacceptable.
Avoid hypothermia and overheating.
Avoid intimate relationships.
Hygiene genital time to change the pads.
Do not take the bathroom to the contaminated water does not penetrate into the vagina.
Good hygiene applied in the genital organs specially designated for that purpose, they are now sold in a large assortment in pharmacies and specialized stores. For example, "Epigenes-sex", "Laktatsid-Femina", "Saforel" etc. Suitable and conventional baby soaps. Mom girl to prepare her for this inevitable event, to teach personal hygiene, to explain what are the first signs of menstruation, what advice can not be neglected.
The body of each person is different, and the beginning of menstruation may indicate a variety of symptoms.
Common warning signs of approaching menstruation usually are nagging pains in the abdomen and lower back: they may be insignificant in some strong and others. Also, a woman may experience muscle aches, headaches, swelling and breast tenderness. It may slightly increase the abdomen, swelling appear. To reduce swelling (edema occurs with a delay in the body fluids), the salt should be restricted in the food. If the diet does not help, your doctor will prescribe diuretics.
Very often, especially adolescent girls, there are changes in the skin in the period before the onset of menstruation pimples. This is due to the influence of hormones skin releases more secret, more easily contaminated, clogged pores, inflammation occurs. In order to facilitate the skin should stick to a diet, eat less sweet, fatty, salty, spicy. Use means for skin care for acne.
Another sign may be a slight increase in body temperature to 0, 5-1 ° C. The temperature rises after ovulation and through the work of female sex hormones progesterone, estrogen. Progesterone affect thermoregulation system in the body.
Many women before menstruation feel a sense of anxiety, irritation, tearfulness differ. During this period, you can apply a soothing teas, tinctures based balm, willow-herb, peony, valerian.
If signs of approaching menstruation prevent lead a normal life, should seek medical advice. The specialist will prescribe medications to help ease the condition. It may be money, reduce pain, hormonal, anti-stress drugs.
Some women tolerate premenstrual syndrome (PMS) without much pain, and mood changes.
Signs of impending menstruation can occur a few days before it, and may for 1-2 weeks. They disappear with the beginning of menstruation, or 1-2 days after the onset of bleeding.
All of the features characteristic changes during the menstrual cycle, is entirely dependent on the endocrine glands that produce hormones in the blood. A woman can affect the relief of symptoms through diet, subject to certain conditions, that this period was most comfortable for her.
