The holiday is approaching ... Every day before the start of the most mysterious moment in the life of every woman - the birth of a baby, the expectant mother constantly listens to her feelings, looks with impatience and with little fear when the time comes "h". One of the signs of its beginning may be the flow of water.
In this situation, the main principle that needs to be guided is calmness and once again tranquility! Armed with it, there will not be wasted forces that, believe me, will be very necessary in order to make the most important - to give life to a new little man.
Non-standard start: the waters are gone, but there are no fights
To begin with, this is the beginning of the birth process is not quite standard. Ideally, first of all, there are fights, after strengthening of which, at a certain stage of labor, a bladder bursts, water flows out and births take place. But the discrepancy with the ideal is not a cause for concern, for this process is unique for every woman in labor. According to statistics, with the divergence of the waters, labor begins at every tenth woman in labor.
A little bit about physiology
The uterine cavity during pregnancy is filled with amniotic fluid - a specific amniotic fluid that provides sterile conditions for the fetus to exist. In our situation, a fetal amniotic bladder ruptures before the first contractions of the uterus begin.
The cause of the rupture can be a sharp change in the position of the body, including in a dream, muscle tension, as well as inflammatory diseases of the cervix and vagina. After this occurs an uncontrolled outflow of fluid, which can manifest as a strong stream or as a virtually unnoticeable leakage of amniotic fluid before birth.
Injection Diagnostics
In the latter case, the child's head descends into the birth canal, becomes a kind of stopper and delays the normal outflow of amniotic fluid, which eventually can be precipitated in droplets for a long time. These weak symptoms of leakage, usually of the anterior amniotic fluid, may not cause any suspicion.
Therefore, if suddenly a pregnant woman has any doubts about the increase in the volume of discharge, you need to seek advice from a gynecologist who leads the pregnancy. He will conduct an examination and prescribe a non-invasive test for determining amniotic fluid, capable of distinguishing amniotic fluid from urine or vaginal discharge. Such express tests are sold in pharmacies and can be either in the form of special diagnostic pads or in the form of test strips similar to tests for determining pregnancy.
The procedure for determining the leakage of amniotic fluid is very important, since it determines the choice of tactics of labor. With a positive result of amniotest in the case of a full-term pregnancy without signs of the onset of labor, stimulation of labor will be necessary, and in the case of a premature pregnancy, a complex of measures will be necessary to prevent infection of the fetus and preserve the pregnancy. Opinions of doctors about whether it is dangerous to leak amniotic fluid without timely response to this phenomenon are unambiguous: it is very dangerous, it can turn into sepsis and death.
Without panic: attention to details
So, as soon as the waters leave, without panic, we pay attention to such important details as the time of their departure, the amount, color, viscosity, presence of impurities, odor, behavior of the baby and the number of his movements for a certain time. This information is very important for the doctor who will take delivery.
Variant of the norm - water of transparent color with an admixture of white flakes (an original grease), having a sweetish smell. Moody discharge of other colors may indicate hypoxia or other dangers for the baby, and in some cases for the mother in labor, for example, with embolism by the amniotic fluid.
It should also be noted that there is a direct dependence: the longer the "anhydrous" period lasts, the higher the probability of complication of labor, because in such a situation the risk of infection of the fetus becomes higher. It is for all these reasons that the next stage of our actions is to take all the things prepared in the maternity ward and immediately go there ourselves or call an ambulance.
We measure the risks
In most cases, the bouts after the withdrawal of water should begin within 12 hours, in some situations - in the next 12 hours. According to the same world statistics, in 95% of women after the withdrawal of water begins an independent process of labor for 48 hours, since rupture of the fetal membrane "triggers" the mechanism of lung maturation in the fetus and causes childbirth.
But our domestic physicians in the situation when the waters have moved away and there are no fights, consider it inadmissible to wait for so long, because the risk of undevelopment of the lungs in a baby that can be "advanced" artificially is not commensurate with the high risk of infection of the child, and sometimes, . The danger also consists in the fact that the absence of amniotic fluid, reducing the size of the uterus, can lead to the displacement of its walls relative to the placenta, there is the risk of its detachment. The optimal, from a medical point of view, for obstetrics is a period of no more than 4 hours after the waters have left, and the fights have not begun.
To give birth will help stimulation
Depending on the willingness of the maternity to the delivery, the degree of cervical dilatation, the doctor makes a decision about the artificial triggering of labor or stimulation, individually selected her method. In this situation, the following methods of stimulation of labor can be used:
- methods affecting the cervix - the use of prostaglandin hormones by introducing gels and suppositories into the vagina or cervical canal;
- methods affecting the contractile activity of the uterus - intravenous administration of the hormone oxytocin.
Stimulation is not carried out if the fetus is not positioned correctly; the cardiomonitor shows the child's poor state of health; a woman with a narrow pelvis or health problems, etc. In the situation where the methods of stimulation can not be used, obstetric care will be performed using a caesarean section operation.
So, please trust completely the medicine guru. A little more time, and you will meet with your long-awaited crumbs ...