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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20 November, 2021

5 easy ways to reduce stress during pregnancy

No matter how happy you are about your pregnancy, stress during the pregnancy phase is unavoidable. Most of the time, it is because of the hormones that play around. But there are a lot of other factors that account to stress. Managing stress during pregnancy is an efficient way to enjoy your pregnancy period.  Knowing the changes and accepting them happening to your body will help you best during this phase. However, know more efficient ways to reduce stress during pregnancy.  Here are the 5 easy ways to reduce stress during pregnancy.  Eat well and sleep well must be a routine  Nothing can replace the best benefits of proper food and sound sleep. Ensure that you follow a balanced diet with all the necessary supplements that your body needs and take enough rest. A night of proper sleep will make your day brighter and keep you comparatively in a cheerful mood. Rest when you are tired. Do not overdo during pregnancy. A perfect routine for food and sleep will ease up your hormones.  Surround yourself with positive energy. Talk to your friends and family. Pregnancy can put you through a lot of thoughts. It will make you think about the least possible negativity. Well, these are the instincts of the mother to safeguard her child. So
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10 November, 2023

5 best ways to avoid premature labour

The average length of a human gestation is 280 days or 40 weeks. The gestation period is usually counted from the first day of woman’s last menstrual period. It’s good and healthier for babies not to be born before they’re due. If the labour starts before 37 weeks of pregnancy, then it is usually called as premature labour. In this case, the baby is not fully grown and is not entirely ready to come into the outside world.In premature labour, the mother is unable to carry her baby for the full 9-month term. There are a number of reasons behind the preterm labour, including traumas, accidents and unpredictable diseases. Although the reasons are not clear, here are the common and best advisable ways to avoid premature labour.Learn what you can do to prevent early labour!  See your health care provider early and regularly during your pregnancy. Prenatal care is designed over the years to minimise the risk and complications of pregnancy. A good health care provider can ensure and plan your pregnancy. Attend all prenatal appointments with your doctor and have all the screening tests to check your health and your baby’s health. Understand the common problems of the pregnancy and check the root causes in case of complications. Understanding the root causes will help you and
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25 October, 2021

Pelvic Pain

Pelvic Pain Pelvic pain is pain in the lower part of the abdomen and pelvis. It can stem from multiple causes. Pelvic pain arises from the conditions associated with reproductive, urinary or digestive systems, or from muscles and ligaments in the pelvis. Pelvic pain can be due to irritation of nerves in the pelvis. Chronic pelvic pain is constant or intermittent pelvic pain for six months or more. Pelvic pain may spread to lower back, buttocks or thighs. Pelvic pain can also be situational, such as while using the bathroom or have sex. Causes More than one condition can lead to Pelvic pain. Common causes of acute pelvic pain Ovarian cyst– it is fluid-filled bubble arising from an ovary and causes pelvic pain when it ruptures or becomes twisted Acute pelvic inflammatory disease– a bacterial infection of the reproductive organs, which often follows a chlamydia or gonorrhoea infection and needs immediate treatment with Antibiotics. Ectopic Pregnancy (or other pregnancy-related conditions) Miscarriage or intrauterine fetal death Menstrual cramps (dysmenorrhea) Mittelschmerz (ovulation pain) Appendicitis â€“ a painful swelling of the appendix which usually causes pain on the lower right-hand side of your abdomen Peritonitis– inflammation of the peritoneum; it causes sudden abdominal pain that gradually becomes more severe and requires emergency treatment Urinary tract infection – it will cause pain or a burning sensation while urination Kidney stones Constipation or
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