It's basically no problem to be premature for a few weeks. Pregnancy and childbirth are the life course that most of us girls will experience, and many things will actually happen during pregnancy. You can learn more. Let's take a look at a few weeks premature. It's basically no problem.
It's basically no problem to be premature for a few weeks. 1 or above is related to the sound development of fetal heart and lung, but has little to do with the number of weeks of pregnancy. The survival of premature infants after birth is not determined by the number of weeks of pregnancy, but generally related to whether the fetal cardiopulmonary function is healthy, whether the body's running ability is too strong, and whether the whole system can operate normally. Clinically, when the fetus develops beyond 37 weeks, it can be considered as full-term. Therefore, for pregnant women, attention should be paid to doing a good job in pregnancy examination throughout pregnancy. When there are signs of premature delivery, we should try our best to protect the fetus and try our best to let the fetus develop to full term before giving birth, so that the probability of successful survival and development of the fetus will be higher.
Symptoms of premature delivery
Premature delivery means that there are signs of premature delivery before the 37th week of pregnancy. Symptoms of premature delivery include vaginal bleeding, abdominal pain, periodic uterine contractions, increased vaginal discharge or changes in characteristics. If pregnant women have symptoms of premature delivery or feel amniotic fluid flowing out, they should go to the hospital immediately. Do you need to be hospitalized immediately because of premature delivery? If the doctor determines that the mother has symptoms of premature delivery, she will usually have some prenatal examinations, including:
(1) fetal heart monitoring, monitoring maternal uterine contraction and baby's heart rate.
(2) Check whether the amniotic fluid is broken.
(3) Check whether the urine of lying-in women is infected, and cultivate cervical and vaginal secretions.
(4) Fetal fibronectin examination.
If the mother is not cut off from water, the doctor will do a vaginal examination to see if the cervix is thinned and opened. Abdominal ultrasound is also often used to check the amniotic fluid volume to determine the growth, gestational age and fetal position of the baby. According to the situation of the parturient, vaginal ultrasound can also be performed to understand the length of the cervix and observe whether there are early manifestations of cervical thinning. If all the tests are normal, after several hours of monitoring, it is found that you and your baby are in good condition, there is no water break, and the cervix is still closed and not thinned, then everything is normal.
When does premature delivery usually occur? Premature delivery may occur before 34 weeks of pregnancy or between 34 weeks and 37 weeks of pregnancy. Premature delivery occurs at different times, and doctors usually take different methods. If I have symptoms of premature delivery, do I need a caesarean section?
If the symptoms of premature birth occur before 34 weeks of pregnancy, if the pregnant woman is less than 34 weeks pregnant and has some symptoms of premature birth, but there is no rupture of the fetal membrane, the baby's heartbeat is good, and there is no intrauterine infection or other problems (such as signs of severe preeclampsia or placental abruption), then doctors will generally try to let the pregnant woman give birth later. First of all, doctors usually prescribe intravenous antibiotics to prevent the infection of hemolytic streptococcus B.
In most cases, doctors will prescribe some drugs that can inhibit uterine contraction (usually extending the delivery time by 2 days to 1 week). At the same time, doctors will also use corticosteroids to promote the development of infants' lungs, intestines and brain. If the hospital is relatively small and there is no neonatal intensive care unit for premature infants, doctors usually recommend transferring to a well-equipped large hospital. If the delivery process continues, it is beneficial to monitor the mother and baby throughout the delivery process.
If the symptoms of premature delivery occur between 34 and 37 weeks of pregnancy, if the pregnant woman has no water supply before 37 weeks of pregnancy, but there is no uterine contraction, the doctor can wait for the pregnant woman to give birth naturally (which may occur within a few hours, or it may take 1 week), induce labor, or try to postpone the delivery time. In either case, doctors will use antibiotics to prevent group B hemolytic streptococcus and other infections.
At this time, the doctor may make the mother wait longer, give the baby more time, and then let the baby be born, so that the baby will grow more mature, but it will also increase the chance of the mother being infected. If the mother is infected, it is also very dangerous for the baby. If the mother has symptoms of infection or the baby has obvious difficulties, the doctor will immediately let the mother give birth, usually by caesarean section.
Generally speaking, if the mother has symptoms of premature delivery after 34 weeks of pregnancy, the doctor will give birth according to the mother's advice. Babies born at 34-37 weeks can usually survive healthily. After a baby is born, it usually needs to stay in the neonatal ward for a period of time. After all, it's still too early. Babies may have some health problems, but they will eventually be as healthy as full-term babies.
It's basically okay to be premature for a few weeks. What are the prevention and health care of premature birth?
There are also many aspects. Premature delivery is very harmful to the baby's health, and such a baby is also in poor health. At the same time, premature children are in poor health, and adults' bodies are also hurt. Therefore, when a woman is pregnant, she must take some preventive measures to prevent premature delivery and harm herself and her baby.
What are the specific prevention and health care of premature delivery? Let's introduce it in detail below, so that women can know what to do when they are pregnant, and how to do it can avoid such a thing, which is also conducive to the healthy growth of the fetus.
Prevention and health care of premature delivery;
In order to prevent the related diseases of premature infants or have a good prognosis, it is the main goal to avoid the occurrence of premature infants and delay delivery.
Seven guidelines for avoiding premature birth
1. High-risk pregnant women with medical diseases, elderly pregnant women or girls, underweight, malnutrition and unsanitary, abnormal placenta, etc. The frequency of prenatal examination should be increased, and close observation should be made during pregnancy. Drug intervention should be given as soon as possible if premature delivery is found.
2. WHO teaches pregnant women to avoid contact with drugs, tobacco and alcohol.
3. Patients diagnosed with cervical atresia receive cervical cerclage.
4. If any abnormality of uterine body that may cause premature delivery is found before pregnancy, it should be corrected in advance. If it is found after pregnancy, it is necessary to closely observe the growth of the fetus and the occurrence of premonitions.
5, pregnant women should maintain a balanced diet and adequate sleep, as well as the intake of fruits and vegetables, drink plenty of water, do not urinate, keep the perineum dry and hygienic, and avoid common vaginitis and urinary tract infection in pregnant women. Obstetricians should pay attention to the infection status of pregnant women and give treatment as soon as possible. Pregnant women should take medicine according to the doctor's advice during the treatment, so as not to affect the treatment because of drug resistance.
6. Other diseases before pregnancy should be treated first. Whether to continue medication during pregnancy should be discussed with the doctor and the condition should be kept stable.
7. In recent years, due to the treatment of infertility, giving ovulation drugs, stimulating the discharge of several follicles at the same time, or implanting several fertilized eggs to achieve a higher pregnancy rate, these have increased the incidence of twins and triplets, even reaching more than quadruplets. These pregnancies may be multiple premature births, and coupled with factors such as abnormal uterus or late pregnancy of infertile patients, infertility treatment has increased many premature births.
Through the above introduction, we have a good understanding of the prevention and health care of premature delivery. Can women follow the above methods when they are pregnant? However, it should be noted that it is very important for women to adjust their emotions when they are pregnant. Don't get too excited, especially when they are going to have a baby.
It's basically okay to be premature for a few weeks. Three reasons for premature delivery
Generally speaking, doctors can basically find out the cause of premature delivery according to the description and symptoms of expectant mothers, but some expectant mothers can't find any reason during pregnancy, especially those who are pregnant for the first time.
A small number of premature births are deliberately decided by doctors according to the reasons of expectant mothers and babies. For example, when the expectant mother suffers from a serious or worsening disease, such as pre-eclampsia, or the fetus stops growing in the womb, the doctor may decide to give birth prematurely or have a caesarean section.
Most premature births occur naturally. When pregnant women's amniotic fluid breaks early, or the cervix is large without uterine contraction (called cervical incompetence), it may lead to natural premature delivery. Expectant mothers with twins or multiple births are more likely to give birth prematurely.
Premature birth risk
Placental cause
Early separation of placenta previa and placenta
Too much or too little amniotic fluid, multiple pregnancy
Fetal malformation, stillbirth, abnormal fetal position
Premature rupture of membranes, chorioamnionitis
The fetus has congenital disease or infection.
Mother-to-be's own reasons
People with a history of premature birth.
Uterine diseases, incomplete atresia of uterus or cervix, vaginal bleeding after pregnancy 12 weeks.
Expectant mothers have acute infection and fever, premature rupture of membranes, cervical infection, vaginal infection, sexually transmitted diseases and other infections, hypertension, diabetes, coagulation dysfunction and so on.
Excessive mental stress, caused by work and life, will also lead to the production of related hormones, stimulate the chain reaction of other hormones, trigger uterine contraction, and lead to premature delivery.
In vaginal bleeding, placental separation may lead to uterine bleeding. Bleeding causes the release of several proteins in the blood, thus stimulating uterine contraction.
Pregnancy in abnormal pregnancy, such as multiple births.
Bad living habits, such as smoking, drinking, taking drugs, etc.
Improper sexual life (excessive frequency or intensity, etc.). ).
Other reasons, such as unpredictable external reasons such as strong external forces.
Premature labor signal
Lower abdominal pain
There is similar pain in the lower abdomen before menstruation, the uterus contracts regularly and the abdomen is stiff. More than six contractions per hour, that is, more than one contraction every 10 minute. Each contraction lasts at least 40 seconds. If the contraction is severe, it will cause abdominal pain. If not treated in time, the cervix will become thinner and expand, leading to premature delivery.
Lumbar and abdominal backache
Even if you lie down and rest, the persistent pain in your back, abdomen, back and waist can't be improved.
The abdomen is usually tight and as hard as a stone. Or have strong diarrhea, diarrhea or increased colic. These are all manifestations of uterine contraction. The labor pains changed from irregular and long-interval contractions to dense and regular contractions. The intensity of labor pain will become stronger and stronger, and no matter how you change your posture, the pain will not be eliminated.
Different secretions
Increased secretion, vaginal discharge with water sample or blood sample.
Seeing red: the mucus secretion appears bright red or brown bloodshot, which is caused by changes in the cervix before delivery.
Breaking water: the amniotic membrane is punctured and the amniotic fluid flows out involuntarily. Under normal circumstances, amniotic fluid is transparent. At this time, the expectant mother will feel that there is a sudden outflow of water from the vagina, which may be a large outflow or a small amount of intermittent outflow. Once the water is cut off, you need to go to the hospital for examination immediately.
Emergency measures for premature delivery
If there are signs of premature delivery, expectant mothers must see a doctor immediately, both in time and severity, so as to give obstetricians enough time to provide appropriate and rapid treatment, such as giving drugs to promote fetal lung maturity, thus reducing the risk of premature delivery.
Family members should stay calm first.
Expectant mothers can call an obstetrician for consultation, or call 120 or 999 emergency number to clearly describe their address and road signs.
Prepare labor bags or hospital necessities and keep the phone open.
Expectant mothers should avoid panic, dyspnea, lie on their backs, try to relax and wait for rescuers.
Effect of premature delivery on infants
Premature delivery is one of the important causes of neonatal death, especially for small premature infants.
In the case of premature birth, it is a severe test for mothers, premature babies and family members. Even if premature babies are born smoothly, they will face the challenge of survival.
Low birth weight (less than 1000-2500g). There is little subcutaneous fat, so the baby can't keep his body temperature, so he must observe it in the incubator.
The lungs are susceptible to infection and immature, so babies need respiratory AIDS, such as oxygen masks or respiratory maintenance systems, and the chances of infection increase.
It's hard to breastfeed, and you can't breastfeed or bottle yourself. Need intravenous infusion feeding, or use a stomach tube to feed the stored breast milk directly to the baby's stomach.
Complications of respiratory distress and cerebral hemorrhage, the most common premature delivery, will cause excessive brain pressure and brain damage, and even endanger the baby's life. Aim for mom's influence
A second pregnancy can easily happen again.
Psychological trauma. If the baby is lost because of premature birth, the expectant mother and her family will suffer serious psychological damage.
Prevention of premature delivery
Preventing premature delivery is an important link to reduce neonatal mortality and the key to family happiness.
prenatal examination
Expectant mothers should go to the hospital for prenatal examination on time and cooperate with each outpatient examination regularly.
On-time production inspection
Perinatal examination should be carried out on time according to the doctor's advice, so as to find problems and treat them as soon as possible.
Put an end to bad living habits
Quit smoking, drinking, and quitting smoking.
Avoid stress
Pregnant women should avoid excessive physical activity, especially carrying heavy objects. Relieve life pressure and mood.
Don't take medicine without permission.
Don't take all kinds of drugs without authorization, especially tonics or traditional Chinese medicine. No matter what illness, you should see a doctor and take medicine according to the doctor's prescription.
get more rest
Expectant mothers should have regular work and rest to avoid fatigue.
Avoid diarrhea
Don't eat and drink at will, lest diarrhea lead to premature delivery.
Intermediate sex
Sexual life should be moderate, especially in the third trimester. If you have any discomfort in your sexual life, you need to stop it immediately. If it is serious, you need to see a doctor.
Fetal death
If there are signs of premature delivery, you should be hospitalized or stay in bed according to the doctor's advice when necessary.