21 July, 2021

Pre- Term

Preterm labor is when the contractions starts before the 37th week of pregnancy. Along with contractions, cervical changes also starts. The cervical thinning begins, a process called effacement, and it starts to dilate so that the baby can enter the birth canal.

Who is at risk of preterm birth?
Factors that increase risks of delivering a baby early-

Factors related to previous history:

  • Being pregnant with multiple babies
  • Having babies close together
  • Repeated urinary tract infections, especially strep, urinary tract infections,
  • vaginal infections, and infections of the baby or placental tissues
  • Abnormal structure of the uterus
  • Previous history of preterm birth or abortion
  • History of having a short cervix
  • Use of fertility medications to conceive

Factors related to mother:

  • Experiencing health-related complications during pregnancy, like gestational diabetes. pregnancy induced hypertension
  • A weak cervix that cannot stay closed as the baby grows larger
     or previous pregnancy with short cervix
  • Abnormal structure of the uterus
  • Anaemia that is low haemoglobin

What are the signs and symptoms of preterm labor?
Symptoms of preterm labor are very similar to labor occurring at term. Every woman experiences them differently.

  • Five or more contractions in an hour. These feels like menstrual cramps, or they might be less painful.
  • Watery fluid leaking from vagina, as a gush or trickle of fluid – this may indicate your water has broken.
  • Dull, low backache felt below the waistline. It may be constant, or intermittent.
  • Intestinal upset, nausea, or diarrhoea
  • Pelvic pressure that may feel like baby is pushing down. The pressure may also feel like you need to have a bowel movement.
  • Vaginal spotting or bleeding.     

Contact your doctor immediately even in case of slight doubts about preterm labor. Don’t worry about a possible false alarm. In case of preterm labor, the sooner the treatment starts, the better chance there is for a good outcome.

Women who get pregnant within six months of their previous pregnancy are at an increased risk for delivering a baby prematurely. So, to reduce risk of preterm birth is tospace out your pregnancies at least 18 months apart. Using an effective contraceptive and spacing gives your body time to recover after pregnancy. Find out contraceptive that’s best for you with help of your Doctor. While mostly preterm birth can’t be attributed to a specific cause, certain chronic health conditions, like obesity, diabetes, and high blood pressure, can increase your risk. To reduce the risk achieve a healthy body mass index through exercise and a nutritious diet—both of which are important for maintaining your health during pregnancy.
Avoid Smoking and recreational drug use. So,start now to quit.Take help of healthcare provider to stop smoking or using recreational drugs.
A Uterine infection is a common cause for preterm and often the most obvious cause for early birth. So, any infection can compromise your immune system, increasing risk of health problems. And infections, like sexually transmitted infection (STI), can directly affect your baby. That’s why STIs are ruled out in early pregnancy. A preterm delivery may not always be preventable. But proper care can give better outcome.

What treatments are there for preterm labor?
If you are less than 34th week of pregnancy, you might have to stay at the hospital and take bed rest along with monitoring. You will need more frequent hospital visits if you are allowed to return home.
Depending on your condition and severity, you might receive one or more medications. These may be to stop or slow contractions, speed up the baby’s development, or to help you feel better. Commonly used medications for preterm labor include:  

Magnesium sulfate: This is given as injectable, initially in high dose followed by small continuous dose for 24-48hrs. This is usually used for pregnancies less than 32 weeks pregnant and at risk for early delivery within the next 24 hours. This helps reduce the frequency of contractions along with reducing the risk of cerebral palsy in babies born early.

Corticosteroids: These cross the maternal-placental blood barrier, and they are given to help speed the baby’s lung and brain development before birth. These are mostly used between 28-34weeks of pregnancy.Tocolytic medications: Tocolytics help to delay delivery upto 48 hours, so corticosteroids and magnesium sulfate have time to work. If your labor does not stop and delivery appears imminent, your baby will need care from specialists such as a neonatologist and a neonatal intensive care unit. So, these gives us sufficient tie to shift the mother to a centre where above facilities can be provided.


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30 January, 2018

Ways in which Dads-to-be can help out in Delivery Room

In the delivery room, it is up to the mother to do all the pushing. However, dad can play a major role in the birthing process too. Labor can be overwhelming for first-time mothers. If your partner is able to have a normal, vaginal delivery, you can ask the doctor about being present in the delivery room during birthing process. As a dad, your support and encouragement can go a long way in comforting the mother. Here are some ways in which dads-to-be can help out in the delivery room: Provide Distractions Labor has the tendency to be long and tedious. You may be spending hours doing nothing but waiting for your baby to arrive. You can take your wife’s mind off her discomfort by keeping her distracted. Music, conversations or even card games are a great way to keep her mind occupied. Speak out on her Behalf To do this, it is important you discuss her birth plan in advance. Understand how she feels about episiotomies or what her expectations of the doctor are. Don’t wait until your partner begins having her contractions to find out what kind of assistance she needs from you. Knowing her birth plan in advance makes it easier for you to articulate her needs when she is in pain,
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02 February, 2018

Reasons for periods to be late if Pregnancy test is Negative

More often than not, a missed period is an indicator of a woman’s pregnancy. However, that isn’t always correct. A woman may have a delayed or missed period but still, have a negative pregnancy test. There may be several reasons for that happening. Here are some of them: Low Hormone Levels During early pregnancy, the levels of the pregnancy hormone human chorionic gonadotropin (HCG) aren’t high enough for a home pregnancy test to detect. So if you’re trying to get pregnant, your negative test result on a home kit may not be correct and you might be pregnant. A woman’s cycle may keep varying and if she conceives later in the cycle, the hormone levels may be low at the time of her missed period. To rule out any complications, be sure to talk to your doctor if you miss your periods and continue to do so. Ectopic Pregnancy Although rare, an ectopic pregnancy can show up as negative on a home pregnancy test. Only about 3 percent or fewer cases of negative tests point towards an ectopic pregnancy. If you have these symptoms along with a negative result, see your doctor immediately: Severe pain in lower abdomen or on one side Dizziness or lightheadedness Bleeding or spotting Nausea and vomiting
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10 February, 2018

5 Home remedies for Gas during Pregnancy

Experiencing gas is common during pregnancy. The female body goes through several changes during pregnancy and gas is a result of certain normal body functions. The hormone progesterone, which is responsible for supporting your pregnancy, is also the reason behind that gassy feeling. It relaxes the muscles in your intestine and slows down the digestion process. This allows gas build up and causes bloating, burping, and flatulence. Certain foods and even your prenatal vitamins can cause you to feel gassy. The good news is, there are several things you can try at home to ease gas during pregnancy. Here are some of them: Drink Lots of Fluids Make sure you drink a lot of water every day to avoid gas during pregnancy. Aim for 10-12 glasses per day. You can also include other fluids such as juices. However, if you’re suffering from irritable bowel syndrome (IBS), make sure the juice you drink is low in gas and bloating-promoting sugars. Move Around In order to find relief from gas during pregnancy, make physical activity and exercise a part of your daily routine. Walk or exercise every day for at least 30 minutes. Not only does it help keep you physically and emotionally fit, it can also help prevent constipation and speed up digestion. Remember to talk
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