The closer the period indicated by the obstetrician, the more worried the expectant mother. Still would! The day is approaching when all her self-control and self-control will be required, the day when the baby will be born. But childbirth does not always occur on the same day as the doctors announced. In order not to miss the beginning of the process, you need to know that there are precursors of childbirth. It is they who signal the pregnant woman to the last days before the appearance of the baby, that it is time to get ready for the hospital.
Signs of approaching labor
Every pregnant woman should know what changes in her - external and internal - should be paid special attention to. The harbingers of childbirth include:
- abdominal prolapse;
- change in posture;
- increased vaginal discharge;
- discharge of mucous plug;
- changes in the state of the cervix;
- sharp weight loss;
- decrease in fetal motor activity;
- increased urination;
- loosening of the chair;
- increased discomfort in the lower back and abdomen;
- the appearance of "training" (false) contractions.
This should also include a change in mood and general well-being.
Now let's analyze each harbinger separately.
And the tummy has already dropped ...
This means that childbirth is just around the corner! True, this is observed only in cases where the fetus is upside down. In the transverse position, as well as in those women whose baby's head is directed upward, this harbinger is not observed.
Most often, the belly drops at 37 weeks of gestation. Usually this is noticeable not only externally. It becomes a little easier for the expectant mother to breathe, she is less tormented by vomiting, if any were still observed. This is understandable: the fetus entered the pelvis with its head. Now the pressure on the lungs and stomach is minimal.
But it is worth making a reservation: abdominal prolapse 3 weeks before childbirth is observed more often in primiparous. But in multiparous, the head of the fetus can enter the small pelvis much later. It happens that for the 38th week already, this sign does not appear in a pregnant woman. There are even cases when this happens directly on the day of birth.
Important! Abdominal prolapse in pregnant women 1-3 weeks before delivery is considered the main harbinger of their approach. But if it is absent in multiparous, you do not need to worry.
By the way, even if the fetus has a transverse position, this is not a sentence. There are cases when the baby took the correct position just a few days before delivery.
Acts like a pava!
So the fruit went down. Consequently, the center of gravity of the pregnant woman has changed. Now, in order to move normally, a woman has to throw her head back a little. Well, not just pregnant, but some kind of Shamakhan queen!
The pelvic bones, of course, parted. And the distance between the hip joints has increased. It is now clear why pregnant women have to waddle, as it were, in the late stages, the people say "duck".
Of course, this sign is not so striking for an inexperienced person - it seems to him that all pregnant women waddle and put their belly forward on purpose. So that the seat on the bus was given up, for example. But a specialist can easily determine, even by the gait of a pregnant woman, how soon she will have to give birth.
Physiological discharge or leakage of amniotic fluid?
Often during pregnancy from 36 weeks, the expectant mother begins to observe that the amount of vaginal discharge has increased. This is a completely natural phenomenon. Although it will not be superfluous to check if this is not water. After all, leakage of amniotic fluid is fraught with premature resolution from pregnancy.
The main signs of this violation are as follows.
- The discharge is poured out when moving or changing the position of the body, that is, at the moment when the abdominal muscles are tense.
- With a significant rupture of the fetal bladder, the amniotic fluid (water) flows, the woman is not able to stop this flow, no matter how she squeezes the genital muscles.
- With microscopic ruptures, the expiration amniotic fluid can easily be confused with normal physiological secretions. Only a doctor can make an accurate diagnosis using a special smear or test.
You can distinguish between amniotic fluid and vaginal discharge:
- by external signs;
- using a diaper;
- using a special pharmacy test;
- taking a smear at the clinic.
First of all, a woman should pay attention to the external signs of the substance. The name itself speaks of the consistency of amniotic fluid. It is a liquid that resembles water. Vaginal discharge is thicker, similar to mucus.
For self-checking with a clean white diaper, after the hygienic procedure, place it under the crotch that has been wiped dry. After 20-25 minutes, check the pad for dryness and cleanliness. The appearance of spots on it during this period guarantees 80% leakage of amniotic fluid.
The pharmacy test looks like a regular sanitary napkin. It is attached to underwear for a period of about 12 hours. If the package is colored in aqua, it means that the amniotic fluid is leaking. All other types of secretions, including urine (and this happens in pregnant women in the last term, because the head of the fetus begins to press on the bladder), the color of the test will not change.
Important! If a pregnant woman suspects that amniotic fluid is leaking, she should immediately consult a doctor. To hope that everything will go away on its own is criminal negligence in this case.
The amniotic fluid "according to the rules" should be drained during childbirth. They kind of lubricate the baby's body, helping him to overcome the birth canal more easily. Therefore, often, if the doctor believes that it is time to start childbirth, and the bubble of water is still intact, it is artificially broken through. This stimulates the process.
Isolation of the mucous plug
Along with the outflow of amniotic fluid, rejection of the mucous plug is considered an important harbinger of the onset of labor. During pregnancy, she is in the cervix, as if "sealing" the entrance inside.
Important! Thanks to this feature, a woman who is in an "interesting position" does not need to worry that sperm will get to the baby during sex or water during a thorough washing with a strong stream.
Oddly enough, but such naive delusions still exist among young future mothers ...
The closer the due date, the softer the cork becomes. And the cervix changes its state. As a result, the cork may come off. This often happens while showering, urinating, or having a bowel movement. The woman may not even notice it. This happens especially often in primiparous.
If a woman is already expecting a second birth, then she is more attentive to everything that happens to her body. And she, most likely, will pay attention to the fact that something came out of the vagina.
It also happens that the cork is very soft. Then her rejection is physiologically imperceptible. But there will be traces of it on the linen or sheet.
It resembles a lump of jelly, consisting of a clot of cloudy mucus. Those who have been to the sea will certainly compare it to a jellyfish. The cork color varies from whitish with yellowness to beige. Sometimes it has pink or red streaks. The volume of the cork is usually from 1 to 2 tablespoons (if it has a gel-like consistency) or a piece with a diameter of 1.2 cm to 1.5 cm.
Sometimes the plug turns into a thick mucus that can drain completely unnoticed within a week. Since it may contain blood particles, this process is similar to "smearing" in the first or last days of menstruation.
The release of the traffic jam in the last days before childbirth in itself does not in the least harm either the child or the mother herself. He is simply a harbinger of the approaching birth. For most women, this process occurs during the period of prenatal contractions.
But it also happens that the plug goes away 1-2 weeks earlier than the birth itself begins. So do not panic when you notice that the plug has come out, but it is necessary to inform the doctor about this. After all, if her rejection is not an accident and not individual feature women, this symptom may well be a real harbinger.
Therefore, it is especially important to pay attention to the condition of the pregnant woman at this moment and a little later. Increased pulling pain in the lower back and lower abdomen, tension in the muscles of the uterus (entering tone), mild painful shocks - all these symptoms, coupled with a detached plug, may well signal that childbirth is about to begin.
Condition of the cervix before childbirth
As mentioned above, the cervix is \u200b\u200balso preparing for childbirth. Doctors say: "Maturing." The pregnant woman herself can neither feel nor see it. But doctors pay special attention to this process, considering it to be perhaps the most important indicator of the body's readiness for childbirth.
Cervical maturity is determined by 3 parameters:
- the degree of disclosure;
- length;
- the location of the relatively small pelvis.
Each parameter is assessed by the obstetrician on a two-point scale. These 3 numbers add up. And if the sum of 5 or 6 points is typed, then the cervix is \u200b\u200bcalled mature. That is, the woman is ready for childbirth.
Why do women "lose weight" before giving birth?
It is no secret that women in a position in the second half of pregnancy begin to gain weight rather actively. There is even a special scale by which it is determined whether a given process is proceeding correctly. Because an excessive increase, like too low, is a symptom indicating a deviation in the gestation process. And he is fraught with various complications, therefore, requires correction.
The worst thing is the weight loss of a pregnant woman. After all, the main reason for gaining kilograms is the growth of the baby in the womb. And if the woman's weight has decreased, it means that something is wrong with the baby.
However, immediately before childbirth, all women "lose weight" dramatically. And this is no longer considered a deviation. And all because in this case, weight loss is one of the harbingers of imminent birth. In fact, in the last prenatal days, swelling decreases, urination and stool increase. The body gets rid of all unnecessary things to some extent. Thanks to this, a woman may experience a weight loss from a pound to two and a half kg.
The kid started pushing less ... He got sick?
Mothers are already so accustomed to the fact that the fetus inside her is quite active, and absolutely regardless of what the woman is doing at that moment. The baby can start pushing even during the deep sleep of the mother. And if a woman is slender, and the fetus, on the contrary, is large enough (and this happens), then from its sharp jolts the mother may even sometimes sway.
And then suddenly this happens ... For a whole day, the baby inside does not show any signs! He seemed to be hiding and waiting for something ... What if he got sick? What if he feels bad? What if he ... died ??? I would not want to scare expectant mothers, but this happens.
Important! A frozen pregnancy is observed at any time. Therefore, if the baby does not show signs of life for a day or more, an urgent need to consult a doctor.
But if movements are observed, but much less often than before, then, most likely, the other day parents should expect the addition of the family.
Increased urination
Yes, running to the toilet every now and then is one of the most regular entertainment among pregnant women. And the longer the term, the more often the woman visits the “room of thoughtfulness”. How many jokes people have invented about this! But as it was in the old days, it has not changed now.
And this is understandable. The fruit presses on bladder, therefore, the urge to empty it periodically comes. And every day the baby presses on him harder and harder. And after his head entered the small pelvis and strengthened there (the stomach dropped), this pressure became most active.
Don't be intimidated by this. Just as you should not be upset because sometimes a pregnant woman can "slip" a little into her panties, especially if she laughs a lot or coughs. You just need to, assuming that this can happen at the most inopportune moment, leaving the house, put a thick pad, as with heavy periods. After childbirth, the process of urination usually returns to its previous level - it becomes the same as it was before pregnancy.
Loose stool is a harbinger of childbirth
Quite often (but by no means always!), In a few days or hours, women develop strange symptoms. The stool becomes thinner and more frequent. Some women become seriously worried about this, suspecting poisoning or some kind of intestinal infection.
Important! Diarrhea caused by poisoning or having an infectious cause, accompanied by pain in the intestines or stomach, vomiting, fever. The weakening of the stool without additional symptoms at 38-40 weeks of gestation is classified as physiological and is called a harbinger of childbirth.
But if the symptoms listed above are noted along with diarrhea, you cannot hesitate. Probably, these are not precursors of childbirth, but still disorders in the body that need to be stopped and treated. Poisoning and intestinal infections are dangerous for any person, the more dire consequences can be for the pregnant woman and the fetus. Medical qualified assistance provided on time will help you get out of the situation with the least losses.
"False" contractions before childbirth
Very often women call an ambulance and go to the hospital, and after a couple of hours (less often days) they return home. And in the same condition in which they left, that is, pregnant. Doctors qualify the reason for admission to the hospital as fake or training contractions.
The difference between precursor contractions and real ones is that the first ones are not accompanied by cervical dilatation. But this can only be determined by the doctor (a woman herself will not be able to calculate how "ripe" her neck is - this was mentioned above).
However, the expectant mother can also recognize which category of contractions began on another basis. This is their regularity and duration.
False contractions last a few seconds at irregular intervals. Their strength also fluctuates. After a stronger one, a weak one may come. Then after a while a stronger one will come. Sometimes it takes up to half an hour between them. These contractions may stop after 2-3 hours. But in the evening, false contractions may begin again according to the described scenario.
Generic real contractions each time become more painful and longer. The gap between them decreases with each new turn. This process does not stop after a couple of hours, as in training fights.
This process is usually 12 hours long for a firstborn. For re-pricing, it can be shorter - from 3 to 6 hours. However, these data are calculated approximately from averages. In fact, everything is very individual. There are also rapid labor in primiparous, in which contractions take only a few hours, and in a relapsing child, this process can take more than 18 hours.
Important! When real labor pains occur, you need to urgently call an ambulance or independently get to the clinic or maternity hospital. Delay at this time may be fraught with the fact that childbirth will occur at home or on the road.
Moral state of a pregnant woman
Naturally, the physiological process affects the mood of the expectant mother. Overall well-being also changes at 40 weeks. The desire to isolate herself from the hustle and bustle, to retire is often regarded as her embarrassment associated with the change appearance, the inability to move with the same ease. This is partly true.
But it so happens that at the 39th week of pregnancy, a woman was active, and nothing constrained her or embarrassed her, and then suddenly she became apathetic, just like a wall she fenced off from the world. Moreover, she became more whiny and even overly capricious. And as if hibernating ... Like a bear in winter! She is only interested in the toilet and the bed and the kitchen with a refrigerator.
Relatives should understand that all this is not a whim of a pregnant woman and not her desire to attract maximum attention to herself. This is a normal process. The body prepares for serious trials, makes a woman completely concentrate on her feelings and experiences.
Why start repairs when you are about to give birth?
This question is often asked by relatives of expectant mothers. No, well, in fact, what kind of fad is this? The closer things move to childbirth, the more ideas for rebuilding a home nest come to the minds of pregnant women. And then they themselves undertake to move furniture, re-glue the wallpaper, paint ...
In fact, this behavior is not at all a quirk of pregnant women. It is dictated by nature. Like the instinct of animals that clean their holes and nests before the appearance of offspring, a woman also needs to put her apartment in order before giving birth, to make it better, cleaner.
Do not interfere with pregnant women disassembling cabinets or washing the tiles in the bathroom and toilet. Such a pastime calms, adjusts to inner comfort. But to paint and move furniture is best not to allow - to take over the work. And for a while, while the house smells of paint, future mother it is recommended to move to another room, for example, to a future grandmother or a friend.
Conclusion
Here are the precursors of labor to help a woman understand how soon she should expect permission from pregnancy. But this is not at all the law for all women without exception.
If a pregnant woman does not notice any of the listed precursors in herself, then this in no way means that she has some problems and that something is going wrong. It must be remembered that each organism is very individual, and sensations can be so subjective that it will be difficult for a woman to classify them.
The most important thing that should not be forgotten by any woman is that self-activity in the course of pregnancy and especially childbirth can end very sadly and even tragically. Therefore it is easier once again turn to a specialist for advice, than then suffer all your life, blaming yourself for indiscretion and arrogance.
During the second pregnancy, most women feel much stronger and more confident. But it is important to know that since the birth of your first child, your body has undergone many changes: vitamin stress has occurred on the reproductive system, weight fluctuations, frequent back pains and others. In addition, the signs of childbirth in multiparous mothers are completely different.
So the second pregnancy can be very different from the first. Therefore, it will be very useful to prepare yourself for this difference and once again go through the "hard path". Fortunately, there are many steps you can take to make sure everything goes well and you will soon see your second baby smile.
How do you prepare yourself for the next baby?
Of course, your health remains an important issue. Again, there are a few pregnancy "rules" to remember. Namely:
- every day (up to 12-15 weeks of pregnancy) take 400 mcg of folic acid, which will help protect the child from problems with the nervous system and diseases of the spine;
- eat useful products (vegetables, fruits, fish, milk, cottage cheese, meat, nuts, cereals, whole grain breads) to make sure you and your baby are getting enough nutrients;
- limit your caffeine intake to 200 mg per day - that's two cups of green tea or 2 cups of instant coffee;
- do physical exercises every day, having previously coordinated them with your doctor; they will help you to be energetic and stay in good shape;
- take time to bond with your baby: stroke your tummy, listen classical music, talk to him.
Changes in the body
Of course, your second pregnancy will be slightly different from the first. Here are some examples:
- You will feel the movements of the fetus much faster, but these sensations will also be magical.
- The joints may hurt more. Talk to a healthcare professional about how you can relieve tension in your back and pelvis.
- If you did not experience nausea during your first pregnancy, then you can most likely avoid these unpleasant sensations and this time. Conversely, if you have suffered from vomiting, then you will not get away from them again.
- Problems such as varicose veins, hemorrhoids, or frequent urination may recur. But this time you will already know how to deal with them.
- Unfortunately, if you have suffered from diseases such as gestational diabetes, obstetric cholestasis or preeclampsia, then they may appear this time.
The main plus of a second pregnancy is your awareness and experience. That is, in the event of any illness, you will know what medications to take and how to behave so as not to harm the child. In any case, do not forget to consult your gynecologist.
Second pregnancy: first signs of labor
When your second pregnancy comes to an end, you, of course, will remember about It is absolutely natural, and besides it is very interesting to know if everything will be the same this time.
The signs of labor in a second pregnancy can be very different from those associated with your first experience. For example, you may feel that this time your belly sinks more slowly. However, contractions can be stronger, and the cervix will open faster.
If you haven't had a caesarean section, it will be easier for your baby to go through the birth canal. The fact is that the muscles of the pelvic floor and the walls of your vagina have already been tense before. The active period of labor (when the cervix opens from 4 to 10 cm, and the intervals between contractions are getting smaller) will last no more than 5 hours. This is less than the first time this stage occurs 8 hours. And the very process of giving birth will not take more than two hours this time.
Let's take a closer look at the signs of labor in a second pregnancy.
Lowering the abdomen
It should be noted that not all pregnant women feel this before the onset of labor. However, if this happens, you will feel much better: you will breathe easier, shortness of breath will go away and even heartburn will no longer bother you.
But sleep, unfortunately, will become a little worse: it will be difficult for you to find a comfortable sleeping position. Remember that in multiparous women, the belly sinks just a few days before labor begins.
How does the mucus plug come off?
In fact, the so-called may not go away at all, or it will do it directly 2 - 3 days before the actual onset of labor. Nevertheless, due to the fact that in women who are pregnant for the second time, the cervix opens much faster, they will begin to give birth within a few hours after the mucus plug has passed.
A mucous plug is a clear or brown, jelly-like clot that exits directly from the vagina. Sometimes it contains blood particles. It is important to remember that he does not always leave before childbirth: this can also happen during the birth of a baby. So a woman may not even understand that the plug has come out.
Acute abdominal pain
When you become a mom a second time, it will be easier for you to distinguish true contractions from training (Braxton Hicks), which occur only once during the day, without any frequency changes. They usually appear in the 26th week of pregnancy, but may occur later. Such a criterion as the intensity of contractions will help to recognize them.
You can be absolutely sure that you will start giving birth when contractions become regular and frequent, and the intervals between them are reduced.
Child behavior
There are also signs of childbirth during the second pregnancy - this is the condition and movements of the fetus. As a rule, a few days before birth, the baby's activity is significantly reduced, and he sends only some "lazy" signals to the mother.
And very soon this calm will be replaced by excessively fast movements of the child, informing the mother that her baby no longer wants to "sit in the stomach."
Weight loss
During pregnancy, of course, all women closely monitor their weight. But on the eve of the baby's birth, you may notice a real loss of several kilograms. Along with them, unpleasant edema can go away.
In addition, at future mother appetite may be impaired and digestive upset may occur. Do not be intimidated by aching pain in the lower back.
Diarrhea
This unpleasant symptom also sometimes worries a multiparous woman. In addition, she may notice a sharp disorder of normal stool: as a rule, expectant mothers often run to the toilet. And this means only one thing, that labor is about to begin.
In addition to severe diarrhea, nausea and vomiting may occur.
Rush of activity
Sometimes, before giving birth, it is not clear why a pregnant woman with a huge belly feels an extraordinary surge of vitality in herself. She begins to solve unfinished business at a fast pace: to conduct general cleaning, independently move furniture, prepare a children's room.
The expectant mother seems to be soaring with happiness! And there are really many reasons for this, because soon everything will begin.
Active period of labor
As a rule, contractions in most women begin with the discharge of water, that is, with a spontaneous rupture of the amniotic membranes.
Monitor your contraction rate. Initially, you may experience contractions after 10 to 15 minutes. But over time, this period will be reduced to 2 - 3 minutes.
Urination may occur more frequently due to increased fetal pressure on the bladder.
When the above signs of labor are noted in multiparous, the cervix undergoes structural and functional changes. If it opens up to 10 cm, it means that you are ready to give birth.
Midwife help
A nurse who will be with you all the time will be able to determine how the plug is coming off and how much your cervix has dilated. Your obstetrician will tell you what stage you are in: the first - the cervix will open 1 - 3 cm, the second - from 4 to 7 cm, the third - by 8 - 10 cm.
The specialist on duty will also be able to tell you where your baby is and where his head is. Water - all this you can and should discuss with your doctor.
Cesarean section
If your firstborn came by caesarean section, then this time you will have a chance to give birth on your own. The obstetrician-gynecologist will help to determine if you have recurring similar symptoms (for example, preeclampsia), which may become an indication for surgery.
As long as your pregnancy is going well, the specialist will set you up for a vaginal birth. According to statistics, three out of four women do not have a cesarean section for the second time.
Premature birth
If your baby was born prematurely during the first pregnancy, this does not mean that this time everything will go the same way. There are four out of five chances that the fetus will be full-term. However, changes can occur and they will be related to your condition.
Scientists have proven that early birth can be repeated if:
- the first time the baby was born between 20 and 31 weeks;
- you have given birth more than twice prematurely.
If the contractions in your second pregnancy do start early, you will already know what to do. The main thing is to get to the hospital on time.
Baby weight
There is an opinion that the second children are born much larger than the first. But this is not always the case. However, if your first child was born with a weight of 4.5 kg or more, then, most likely, this time you will have a hero.
To get information about the size and weight of your future baby, the gynecologist will constantly measure your belly, as well as prescribe an ultrasound scan. This procedure will help you get an accurate picture of the fetus.
Now we can conclude: the signs of childbirth during the second pregnancy, of course, can differ significantly from those that were during the first. But in most cases they are repeated. Therefore, you will already know what to prepare for. And your obstetrician will help to identify violations in time, prevent them and take care of the safety of the baby and mother. Therefore, do not be afraid to give birth a second time. After all, every woman wants to feel the joy of motherhood again and see the first smile of her baby.
The gynecologist warns the expectant mother about the approach of the most joyful event in her life, as well as about obvious signs preceding the onset of labor. The true symptoms are often preceded by characteristic precursors. These are signals from the body that indicate the approaching process of delivery. A woman expecting a baby should know and understand them. What should the expectant mother pay attention to and when to go to the hospital? What are the harbingers of childbirth in multiparous, and do they differ from the signals of the body of women expecting their first child? Consider in this article.
What is the reason for the appearance of precursors?
All processes associated with reproduction, including the process of conception, occur under the control of the central nervous system, and the process of childbirth itself begins at the command of the brain. The regulation of the processes associated with conception, pregnancy and childbirth is carried out with the obligatory participation of hormones.
After fertilization of the egg and throughout the entire period of gestation, the mother's body actively produces the female hormone progesterone, which helps suppress the contractile function of the uterus in order to avoid spontaneous childbirth (miscarriage).
When the fetus is fully ripe, its readiness to be born, a signal of readiness is sent to the brain of a pregnant woman. From this point on, the body begins to produce estriol (a secondary female sex hormone, which is a subspecies of estrogen). The action of this hormone is aimed at relaxing the cervix and bringing the uterine muscles into tone (ready to contract).
During this period, a pregnant woman may notice certain changes in mood and physiological state, which indicates the imminent start of the delivery process.
Harbingers of the approaching birth
In the third trimester, many women are interested in how long before the birth the precursors will make themselves felt. According to experts, everything is individual. The characteristic signals are observed two weeks before the onset of labor, sometimes literally two to three days, while the true symptoms of onset of labor immediately precede the onset of delivery.
Doctors identify a group of certain body signals that a woman should pay attention to. The harbingers of childbirth are:
- change in mental state;
- abdominal prolapse;
- weight loss;
- loss of appetite;
- training fights and others.
Let's consider each of them in more detail.
Change in the mental state of a woman
In medicine, this phenomenon is often referred to as "nesting syndrome". About two weeks before the birth, the mood of the expectant mother changes. Especially pronounced during this period maternal instinct forces the woman to make the last preparations for the appearance of the baby in the house, re-wash and iron the baby's things, do wet cleaning every day and other manipulations associated with the arrangement of a cozy nest.
The instability of the mental state of a pregnant woman can manifest itself in a sharp, unreasonable change in mood. Some women become whiny, sometimes irritable and apathetic, others cry from the joy of the approach of an important event, others remain calm and impartial. This behavior is due to internal processes preparing the body for childbirth.
Abdominal prolapse
As a rule, these are visual precursors of childbirth in primiparous women. For mothers who are not expecting their first baby, the prolapse often becomes noticeable immediately before the start of the process itself. The baby, just like his mother, is preparing to be born, so the fetus moves lower into the pelvic region. At the same time, the pressure on the stomach decreases, the woman experiences some relief in the epigastric region, and the symptoms of heartburn disappear. On the other hand, fetal pressure is now felt by the pelvic organs (intestines and bladder), as a result of which the urge to urinate and defecate becomes more frequent. In this regard, there are frequent precursors of childbirth at 40 weeks - it becomes more difficult for a pregnant woman to walk and sit, as the tone of the abdominal muscles decreases.
Decreased appetite and weight loss
With the immediate approach of childbirth, a pregnant woman may notice changes such as a decrease in body weight by an average of one to two kilograms, as well as the absence of the previous feeling of hunger. A fully formed fetus no longer requires a large amount of nutrients from the mother's body. In addition, the pressure on the pelvic organs, as well as the action of estrogens, helps to remove excess fluid from the body, which in turn leads to weight loss.
Feeling of contractions
Before delivery begins, the body of a pregnant woman tries to prepare, so long before childbirth, a woman may experience a feeling of contractions. Usually such sensations have nothing to do with childbirth itself, and contractions are of a training nature. This phenomenon has a more familiar name to the ear - "false contractions" and is associated more with a feeling of discomfort than with the pain characteristic of labor.
The first training contractions appear after 20 weeks of pregnancy and often go unnoticed. With an increase in the duration, the sensations of contractions may appear more often and more strongly, therefore, many primiparous women often mistake false contractions for the onset of labor, especially those that appear in the last weeks of pregnancy.
The main difference between false contractions and true ones lies in their irregular appearance and the absence of painful sensations. Usually, false contractions go away on their own after rest. Often, these feelings are associated with physical overwork.
If you are worried about untimely contractions that appear irregularly and are not accompanied by pain, then your body needs rest. Change from vigorous activity to rest and sleep. For some women, drinking water helps.
On the contrary, frequent and painful contractions are harbingers of labor at 40 weeks.
Changes in fetal activity
By the end of gestation, the expectant mother is already getting used to the active movements of the fetus, therefore, changes in the duration and frequency of the baby's movements indicate the approach of labor. Often women notice a decrease in fetal motor activity, while others, on the contrary, note hyperactivity. For some mothers, too passive behavior of the baby often causes anxiety. In some cases, an overly agitated state of the child indicates an insufficient supply of oxygen to the fetus (hypoxia).
Exiting the mucous plug
The approximate time period for the appearance of such a phenomenon is two weeks before the onset of labor, in some cases the mucus separation occurs a day before the onset of the labor process. The mucous plug is a clot of mucus in the cervical region that protects the fetus, preventing infection from entering the uterine cavity. Before the onset of labor, the cervix becomes softer, the walls of the organ open, and the mucus comes out. Usually, a pregnant woman notices a thick discharge of a transparent or yellowish tint on her underwear. Sometimes the mucous plug has a pinkish tinge with blood streaks. The separation of mucus can occur gradually in small clots, or completely in one large lump.
In rare cases, the discharge of the mucous plug occurs directly during childbirth.
Painful sensations in the lumbar region
Such a harbinger of childbirth is closely related to the phenomenon of fetal prolapse. This increases the pressure on the lower spine. Low back pain can be persistent or intermittent. The pain in the lower back is often similar to the pain experienced by a woman before her period.
As a rule, the appearance of back pain should not worry the expectant mother. However, in exceptional cases, such a phenomenon may indicate an incorrect presentation of the fetus.
Increased urge to urinate and defecate
Frequent urge to defecate is a feature common to all pregnant women. With the movement of the fetus into the pelvic area, not only the processes of urination, but also defecation become more frequent. In addition to fetal pressure, a similar precursor to childbirth is associated with the active production of the prostaglandin substance. Prostaglandin has a relaxing effect on the walls of the cervix. This increases the pressure on the intestines. Under the onslaught of the enlarged reproductive organs of a pregnant woman, the intestines are forced to get rid of the contents more often, which explains the frequent urge to defecate, and sometimes painful cramps in the abdomen. Often, the expectant mother takes such processes for a common indigestion. Usually such a harbinger appears a few days before the onset of labor.
Relaxation of the cervix
The symptom of the so-called "soft neck" is diagnosed exclusively when examined by a gynecologist. The woman herself is unlikely to be able to notice this process. Under the influence of prostaglandin (a hormone responsible for the contraction of the smooth muscles of the uterus), as well as estrogen, the walls of the cervix become softer. This process immediately precedes the onset of labor.
The listed signs are not inherent in every pregnant woman. Some harbingers of childbirth in primiparous go unnoticed. Therefore, you should not look for a complete set of all kinds of signals in your body. When the time comes, true signs childbirth will not keep you waiting.
Increasing the tone of the uterus
The appearance of the main precursors of labor - contractions - is often preceded by a feeling of "petrification" of the uterus. The musculature of the organ contracts and contributes to the gradual movement of the fetus along the birth canal. Such a sign is well defined by touch. If you put your hand to your stomach, you can feel that it becomes hard.
Discharge of amniotic fluid
This phenomenon warns a woman about the onset of labor and the need for hospitalization in a maternity hospital. The rupture of the amniotic fluid is accompanied by the discharge of a transparent liquid. The discharge of water can occur at a time or gradually in small volumes. A fast process indicates the onset of labor, therefore, the birth of a child can occur in the next day.
The discharge of water in small portions implies a short delay. In any case, the period of the child's anhydrous existence in the womb cannot exceed 12 hours from the moment the waters completely drain, since during this period the baby is not protected from infection.
The very process of rupture of the amniotic fluid and discharge of water is painless, but you should pay attention to the color and smell of the released water. Ideally, it is a clear, odorless liquid. But if you notice a cloudy, green or bloody tint or bad smell, urgently apply for medical help... In some cases, the unusual color of the waters may indicate fetal hypoxia (lack of oxygen).
As a rule, during pregnancy of 38 weeks (second birth), the precursors are just the discharge of amniotic fluid. This indicates the beginning of the process and the appearance of contractions.
In primiparous women, if indicated, the discharge of water is often accompanied by medical intervention (opening of the amniotic fluid).
Contractions - harbingers of childbirth
The most striking sign of the approaching birth of a baby, accompanied by painful sensations in the abdomen. If they have a regular intensifying character with a frequency of 15-20 minutes, it is time for a woman to go to the hospital. In some cases, such contractions can be harbingers of imminent birth in primiparous. Over time, pulling pains become stronger and more frequent, recurring every 3-4 minutes. This condition indicates the onset of labor.
But, as a rule, in primiparous women, this process proceeds more slowly, so you should not panic with the appearance of the first contractions. The expectant mother still has time to calmly pack up and get to the hospital.
When is it time to get ready for the hospital?
It is important for a pregnant woman who is going to become a mother for the first time not to miss the period of precursors of childbirth.
What should a primiparous woman first pay attention to? Watch for changes in your body and try not to miss:
- The appearance of the harbingers of childbirth. Signals noticed in time help a woman prepare herself mentally for the upcoming event, relax and gain strength.
- The appearance of true contractions, accompanied by pain, are the harbingers of childbirth. It is equally important to distinguish false sensations from real ones and seek medical help in a timely manner.
- Discharge of amniotic fluid. An attentive mother should understand that during pregnancy, especially at the end of gestation, fluid secretion is associated with the approach of labor.
- Leakage of water in conjunction with painful frequent contractions. This condition is fully consistent with the onset of labor, so a pregnant woman is subject to urgent hospitalization.
Signs of premature labor
The final maturation of the fetus is completed by 37 weeks of gestation. The obstetric term often differs from the real one. The self-calculated moment of delivery may differ from that established by the gynecologist. Therefore, it is important to listen to your body and notice new changes.
The appearance of true signs testifies to the immediate approach of the beginning of the process. Moreover, the premature occurrence of such precursors of childbirth as cork, true contractions and discharge of water, regardless of the gestational age, indicates the beginning of the process. The onset of the premature appearance of the baby may occur at a period of 28-36 weeks. The symptoms of premature birth are practically the same as those of a full-term pregnancy. As a rule, the following signs indicate the imminent approach of childbirth:
- feeling of heaviness in the lower abdomen;
- the uterus is in a state of increased tone;
- abdominal prolapse;
- increased pressure on the bones of the internal organs of the pelvis;
- the appearance of contractions.
Alarming signs of close childbirth are the reason for seeking medical help. You cannot hesitate at such moments, because the life of your baby is at stake.
Even if you did not notice all the forerunners of childbirth described, the true signs will always indicate to you that it is time to go to the hospital. And the signals will bring the body into a state of readiness for the upcoming joyful event.
A normal pregnancy can last from 37 to 42 weeks. A baby born during this period is considered full-term, and after the 37th week, the expectant mother can expect the onset of labor at any time. If you are expecting your first child, and you still have no experience how to recognize the signs of the onset of labor, this article will help you with this.
Many harbingers of childbirth can be observed in a woman two to three weeks before this crucial event. They are associated with a change in the hormonal background in a woman's body, which is rebuilt and prepared for childbirth. The hormone progesterone, which is responsible for the normal tone of the uterus and the supply of nutrients to the fetus, is replaced by estrogen, which is responsible for the elasticity of the vaginal walls and the patency of the woman's birth canal. As soon as the concentration of estrogen reaches its maximum, the woman begins to have contractions.
Harbingers of childbirth in primiparous
Rapid changes in the body of a pregnant woman cause her a feeling of general discomfort. Ripening of the cervix and its preparation for childbirth affects the nearby intestines. As a result, the woman may develop nausea or diarrhea. Moreover, if unpleasant symptoms accompanied by a headache and fever, an urgent need to consult a doctor in order to exclude the possibility of poisoning or other problems not associated with early birth, but rather dangerous for the fetus.
After being examined by a gynecologist in late pregnancy, a woman may observe small bleeding, literally a few drops of blood on her underwear. This is considered normal, but only in extremely small amounts. Any bleeding, especially in later stages, should be reported by the pregnant woman to her doctor.
A week or a few days before giving birth, most women experience rapid weight loss, up to 2 kg. A woman's appetite disappears, and just before giving birth, a woman may refuse to eat at all. At a scheduled appointment with her doctor, a pregnant woman checks her weight every time. And if the doctor notices a sharp decrease in weight, he warns the expectant mother that it is time for her to get ready for the hospital.
How long do the harbingers of childbirth last
If a woman has not given birth before, then changes in her body occur earlier than during repeated childbirth. Therefore, already a few weeks before giving birth, she has a lowering of the abdomen. The baby's head is pressed against the entrance to the small pelvis. In addition to visual signs of lowering the fetus, a woman feels constant aching pain in the lower back, often runs to the toilet, since the child presses more on the bladder, but it becomes noticeably easier for her to breathe, as the diaphragm is released.
Periodically, in the last weeks of pregnancy, a woman may feel agitation and strong contractions of the uterus. Once or twice a day, the uterus can become very hard, and remain in this state from several minutes to an hour. Don't worry, it's completely normal.
In addition to such periodic contractions, the uterus can be trained before childbirth using false contractions. Such contractions are very similar to real ones, so you will already have an idea of \u200b\u200bhow it happens during childbirth. But false contractions do not have a repetition rate, are not characterized by a reduction in the time between contractions and an increase in their intensity. If you feel a pulling pain in the lower abdomen, do not immediately panic. Just grab your watch and start measuring the time between contractions. If the time intervals are completely different, they do not decrease and the contractions do not intensify, take a warm bath or shower, and go to bed. With false contractions, you will fall asleep easily. But with real contractions, you turn around, turn around and still understand that it's time to go to the hospital. False contractions should not be frequent. If they torture you every day, see your doctor.
Another sign of imminent labor is the discharge of the mucous plug. It is a brownish clot of mucus that can come out completely at one time, or come out in parts over several days.
Harbingers of the second birth
If a woman gives birth not for the first time, then she may have the same signs as primiparous, but they all come much later, almost immediately before childbirth. A few days before childbirth, the abdomen sinks, there are almost no false contractions and the mucous plug leaves during the day before childbirth.
Harbingers of an imminent birth
A woman can find out about the onset of labor by the discharge of amniotic fluid or at the onset of labor. The discharge of amniotic fluid before the onset of active labor is quite dangerous for the child. Therefore, if this happened to you, you should put on a clean sanitary napkin and go to the hospital as soon as possible. The quick help of the obstetrician in this case is very important to prevent the risk of infection of the uterus and fetus with an infection from the external environment. If the waters have departed, doctors try to allow childbirth as soon as possible in order to protect the baby.
If the water began to leak before the 37th week of pregnancy, the woman should consult a doctor for examination and help. This can be life threatening for the child. But with qualified help, the problem is easily solvable.
And finally, let's talk about the most common sign of the oncoming birth, which visits all women without exception, and leaves a lot of unpleasant sensations in their memory - about contractions. A woman may at first ignore them. They appear as discomfort in the lower abdomen. Then they gradually increase, acquiring a certain periodicity. Doctors recommend that a woman record the time between contractions in order to accurately determine their progression. If you see that the contractions are not false, do not rush to go to the hospital. Slowly gather, you can take a shower, cook dinner, some doctors even advise the couple to have sex in order to stimulate labor and distract from pain.
But you still need to go to the maternity hospital so that the birth process takes place under the supervision of an obstetrician. When you arrive at the maternity hospital, the doctor will examine the vagina, check the dilatation of the cervix and tell you, approximately, in how many hours, or maybe even minutes, you will have the next phase of labor, when the baby begins to move along the birth canal.
That's all you need to know about starting labor. Your body will tell you the rest, because who else, if not you, can feel the moment when your long-awaited baby is ready to be born.
Women in anticipation of a child experience a variety of feelings. This is excitement and joy, lack of confidence in their abilities, the expectation of changes in the usual way of life. Towards the end of pregnancy, there is also a fear of missing out. important point the beginning of labor.
So that the state before childbirth does not turn into panic, the expectant mother needs to closely monitor her well-being. There are certain signs that indicate the imminent appearance of a long-awaited baby.
What are the harbingers of childbirth
Immediately after conception, the hormonal background of a woman begins to change. In large quantities, the body produces progesterone, a hormone that is responsible for maintaining pregnancy. And in the last stages, the placenta is aging, which significantly reduces the production of progesterone. Against the background of such changes, the body begins to produce another hormone - estrogen, the main function of which is to prepare the body of the expectant mother for childbirth.
When the level of these hormones reaches its maximum, the brain receives a certain signal that promotes the onset of labor. The change in hormones causes certain changes in the condition of the pregnant woman.
Before childbirth, certain symptoms appear, indicating the imminent appearance of the baby. These are the harbingers of the long-awaited birth. The above changes begin to occur in a woman's body at the 32nd week of pregnancy. A woman can feel the harbingers of childbirth starting from the 36th week.
Changes in the cervix
The state of the cervix before childbirth changes, it ripens. As a result of morphological changes, the connective tissue softens, which makes the neck soft, pliable and easily stretchable. There are three degrees of maturity of this organ:
- immature - the neck is long, dense, the external pharynx is either closed, or only the tip of the finger passes;
- not mature enough - the neck is slightly softened, shortened, the cervical canal passes one finger (in primiparous, up to the closed internal pharynx);
- mature - the neck is smoothed and shortened as much as possible, softened, centered, the cervical canal easily passes one finger.
The whole process of childbirth and their successful completion depends on the state of the cervix.
Fetal motor activity
Of course, a pregnant woman is concerned about the question: what is the state of the baby inside before giving birth? By the end of pregnancy, the fetus reaches its maturity: it gains the required weight (about three kilograms), the organs are formed and ready for extrauterine existence.
By this time, the uterus has already stopped growing, so the baby becomes cramped in it. This leads to the fact that the child inside moves less. At 34-36 weeks, the expectant mother notices that the baby has begun to roll over less, and from the 36th week she can feel that small movements are becoming less frequent, but they are very noticeable, and there are also painful sensations in the places of poking with hands or feet ...
The main harbingers of delivery
The condition of a woman before childbirth undergoes some psychological and physiological changes, indicating to the mother that she will soon see the long-awaited baby. In order not to miss anything important and not to harm herself and the baby, a woman should know the main signs of an imminent onset of labor.
Their main harbingers are as follows:
- Weight loss. Almost all pregnant women testify that the weight before the onset of labor stabilizes or decreases by 0.5-2 kilograms. This is due to a decrease in edema and the elimination of excess fluid from the body by the kidneys. This is how the body begins to adapt so that the tissues stretch better, become pliable and flexible. Thanks to the work of hormones designed to remove all unnecessary, intestinal cleansing occurs. Therefore, a woman may experience abdominal pain and frequent urge to empty.
- Loss of appetite. Simultaneously with leaving excess weight the pregnant woman's appetite decreases or completely disappears. This is a normal state before childbirth, you do not need to force yourself to eat through force.
- Abdominal prolapse. This is one of the main harbingers of childbirth. A child two to three weeks before an important event sneaks closer to the exit. As a result, the abdominal tone decreases, it becomes easier for a woman to breathe.
- Appearance This harbinger of childbirth is directly related to the previous one. The baby goes down the abdomen, so the pressure on this part of the body increases. It becomes difficult for the expectant mother to sit down, get up, she is tormented by pain and stretching in the lower back.
- Frequent urination. It is caused by increased kidney function and pressure in the bladder area.
- Restless sleep. The state of a woman before childbirth becomes anxious, sleep - restless. This is caused not only by emotional experiences, but also by the ongoing changes in the body. Due to the fact that the baby begins to move actively at night, the pressure on the bladder increases, which provokes the urge to urinate. This is what causes sleep disturbance in a pregnant woman.
- Diarrhea. Due to the prolapse of the abdomen, there is pressure on the intestines. The expectant mother notices the urge to defecate. Constipation gives way to diarrhea. It is she who is the harbinger of the approaching birth. Often, pregnant women confuse this harbinger with poisoning or an intestinal disorder.
- Change in pain. Throughout her pregnancy, a woman may experience slight back pain. Before childbirth, pain is observed in the pubic part. This is due to the softening of the bones, which is an important factor for normal labor.
Cork release
By the end of pregnancy, the cervix matures: it shortens, softens, the cervical canal opens slightly. There is thick mucus inside the cervical canal, the main function of which is to prevent harmful microorganisms from entering the uterus, which can cause infection of the fetus. This mucus is called a mucous plug.
As mentioned above, by the end of pregnancy, the body begins to produce estrogens, which affect the change in the general well-being of the expectant mother and her condition before childbirth. A few days before the onset of labor (three to ten), under the influence of hormones, the mucus is liquefied and expelled from the cervical canal.
The mucous plug looks like a small lump of transparent or yellowish color; streaks of blood can be observed in it. The mucous plug can come off in parts over several days. Pregnant women usually cannot independently determine the passage of the mucous plug.
Sometimes the expectant mother has doubts - the cork is moving away or amniotic fluid is leaking. The leakage of water will be constant, such a discharge is transparent in color (can be yellowish or greenish) and watery. The cork leaves in portions, the discharge is thicker and disappears after a few days.
If a pregnant woman doubts whether a cork is coming off or water is leaking, then you need not hesitate and contact the gynecology.
False contractions
These are training contractions that can disturb a woman several weeks before the due date of the expected birth. They are caused by the body's intense production of the hormone oxytocin. The role of false contractions is to prepare the myometrium for childbirth. Such contractions do not lead to the development of labor, they do not affect the general condition before childbirth. The signs of training contractions are as follows:
- they are not regular or intense;
- they differ from the real ones in relative painlessness and an interval of rest between contractions with an interval of thirty minutes;
- appear 4-6 times a day (mostly in the morning or evening), last no more than two hours.
A pregnant woman feels false contractions like a hardening of the abdomen in response to fetal movement or any physical exertion. Relaxation, warm baths and massage can help relieve tension.
The difference between false contractions and real ones
The main difference between false contractions and real labor contractions is the gradual increase in the latter, followed by a reduction in the interval between them. Labor pains are stronger, brighter, painful. If there is no regularity in training fights, then in real ones it is mandatory.
The main purpose of labor pains is to dilate the cervix, so no matter what a pregnant woman does, they will only get worse. False contractions can be weakened or the discomfort can be completely removed.
Water discharge
The most striking and alarming sign, indicating that a pregnant woman urgently needs to go to the hospital, is the outpouring of amniotic fluid. Such an event can occur concurrently with contractions. Normally, the waters should be clear and odorless. The presence of red discharge may indicate placental abruption. All the water may drain at once, but leakage is possible. In the latter case, it is worth putting on a pad and consulting a doctor.
Some women confuse water leakage with involuntary urination, which can occur intermittently during later pregnancy. The difference in these processes is the absence of urine odor in the waters and their transparent color. If the water is greenish, yellow or brown, you should consult a doctor as soon as possible.
The mood of the expectant mother
The emotional state before childbirth in pregnant women also changes. The mood can be joyful and cheerful, but suddenly sadness-sadness suddenly rolls over or everything starts to annoy. This is primarily due to the tiredness of a pregnant woman, long waiting times and natural excitement. The expectant mother is already impatient to give birth.
The endocrine processes occurring in the body affect this state of a woman before childbirth. An interesting fact is that a few weeks before giving birth, the expectant mother has a desire to tidy up the apartment and establish comfort in the house. Psychologists call this condition "nesting syndrome." A woman with enviable zeal begins to equip her "nest", create comfortable conditions for living with a baby: clean, wash, clean, hem, etc.
What is the state before the first birth
Primiparous women experience more excitement and anxiety about the upcoming event. They may not be aware of the precursors and not pay attention to the main symptoms of an impending birth. For women preparing to become a mother for the first time, harbingers may appear in three weeks, or in a day. The condition of a woman before childbirth depends on the body's reaction to the changes taking place. There are no specific dates and intervals here.
Primiparous women should remember that there may be several signs of approaching the onset of labor, it is not at all necessary that they all appear. Due to her inexperience, a pregnant woman may simply not notice them.
It is important to carefully monitor your condition before childbirth, pay attention to the slightest changes in time and report them to your gynecologist.
Harbingers of childbirth in multiparous
Mental condition before childbirth, women who have experienced childbirth are much more stable. Their body clearly reacts to the changes taking place, and the precursors appear brighter. This is because the uterus has changed and enlarged after the previous birth. The exception is women who had their first birth by caesarean section. This is due to the fact that the cervix does not stretch, since the baby does not pass through it.
Women who are already mothers, during a new pregnancy, pay attention to the severity of prenatal symptoms. They clearly monitor the physiological state before childbirth. Signs (in multiparous women) of the approach of labor and their severity have differences in the course of some processes:
- The cork has larger size.
- False contractions start earlier.
- The belly sinks for more late date.
- Abundant vaginal discharge is possible.
When to go to the hospital
So, what condition before childbirth requires immediate hospitalization? First of all, it should be said that all pregnant women in the last weeks of pregnancy should be ready for an emergency trip to the hospital. Therefore, it is necessary to collect in advance the "alarming suitcase", documents and carry out the necessary hygiene procedures (shave hair and remove varnish from nails).
Emergencies that require an immediate ambulance call are:
- outpouring of water (especially against the background of the absence of other signs of the onset of labor);
- the appearance of bloody discharge;
- pressure surge;
- the appearance of sharp pain in the lower abdomen;
- severe headache, flashing flies, blurred eyes;
- absence of fetal movements for six hours;
- the beginning of regular labor (two or three contractions in ten minutes).
What week is the birth expected
There is a concept that the baby should be born in the fortieth week of pregnancy. But only three percent of babies are born on a specified date. Usually a woman gives birth earlier or a little later than the due date.
It is considered normal if the pregnancy lasts 280-282 days. Premature is considered to be. Each additional week increases the chance of a baby being born healthy.
Full-term babies successfully adapt to new living conditions. Therefore, if there is a threat of termination of pregnancy, it is necessary to urgently go to the clinic and go to hospital.
There are cases when a woman "walks over" pregnancy, that is, gives birth after a specified period. In this case, the pregnancy is called post-term or prolonged. In the first case, the baby shows signs of postmaturity after birth. With prolonged pregnancy, such signs are absent in the newborn, the baby is born healthy.
It is not at all necessary that every pregnant woman will have all of the above symptoms before giving birth. Moreover, one should not wait for their simultaneous appearance. The intensity of the precursors and the state before childbirth depend on the body's response to the hormonal changes that occur and on the number of previous births.
