A preterm labour is referred to a condition when the cervix opens up within 37 weeks of pregnancy. An ideal pregnancy lasts for a span of 40 weeks. If preterm labour is caused due to preterm contractions, the baby is born earlier. This results in serious health risks for the baby. At times it requires long intensive care for the baby to ensure no mental or physical damage happens in the long term.

What are the symptoms of pre-term labour?
While some women show evident signs of pre-term labour, some women present symptoms that are more subtle. Some unmistakable symptoms of pre-term labour include regular contractions, sense of tightness in the lower abdomen, vaginal discharge, diarrhoea, constant backache, bleeding from the vagina, watery discharge from the vagina, pain in the abdomen and abdominal cramps. One or more of these symptoms should be immediately reported to the doctor to negate the chances of any miscarriages or serious complications.

What are the risk factors?
While there are no proven risk factors of preterm labour, lots of factors have been tagged with a pre-term labour. Some of the notable ones include:

Little pre-natal care
Premature birth in previous pregnancies
Giving birth to more than one baby at a time. This is especially applicable while giving birth to a triplet.
A stressful event such as a personal loss or events related to extreme emotions
Bleeding from the vagina during pregnancy
Any infection of the genital tract
Any complications related to the placenta, uterus and cervix
Any birth defect related to the vagina
Chronic health conditions such as diabetes or high blood pressure
Putting on weight more than the recommended level
An excess of amniotic fluid
Consumption of illicit drugs or smoking at a heavy rate
The shorter length of the cervix than the normal one
What are the complications involved?
Pre-term labour cannot be stopped with any medical procedures. If pre-term labour is caused due to smoking or an infection, the same can be addressed. Any pre-term labour that eventually leads to giving birth can confront with complications such as low weight, problems related to the vision of the baby, behavioural problems and learning disabilities.

Diagnosis and tests:
A doctor will closely monitor the symptoms a woman is facing. In the case of regular contraction, a close look at the cervix helps a doctor to decide the condition of a patient. To be assured a doctor might recommend a full pelvic exam, ultrasound test, uterine monitoring, and maturity of amniocentesis. A test of the vaginal secretion further gives the doctor enough evidence about the possibility of a pre-term labour. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

Pre-Term Labour - Can There Be Complications?

It is not easy to deal with labor pains. According to scientists and doctors, labor pain is a very strong sensation that a woman experiences in her lifetime. Therefore, it is important to know some tips that will help you deal with the intense pain during labor. There are some practical tools, which will help you survive labor pains on both emotional and physical levels. 

You just need to implement these tools during your labor.

Focus on the current contraction: When you get a contraction, focus on it solely. Do not agonize on the contractions you had or do not feel scared thinking about the contractions that are yet to come. You just need to focus on the present contraction without thinking about anything else. Many women think about how long they have to push before they can meet the baby. The over thinking can worsen the pain. Therefore, you should be in the present moment.
Breathe: A great tip of resisting labor pains is breathing. Various kinds of breathing techniques have been invented for labor. You can try some of those breathing techniques during your labor. If you don t remember any particular breathing technique, you can also try everyday breathing during the contractions. Breathing lets your abdominal muscles relax and helps the baby descend faster.
Try to relax: Whenever you encounter pain or stress, you tense all the muscles of your body, especially your abdominal muscles. It is important to relax during your labor pain. Although it is difficult, you should try to relax instead of getting tensed. It will make your labor smooth.
Be in a comfortable place: You should be in a place where your labor must be comfortable for you. If you are not comfortable, you will be stressed and anxious, which in turn, will make it difficult for you. When you are in a comfortable place, you will be happier and your muscles will be more relaxed.
Don t worry: Instead of worrying about your entire labor experience, focus on the task at hand. When you don t worry, you can process the contractions without being stressed. As a result, your body will also get less tired and your baby will come out faster. You need to channel your energy into pushing the baby rather than worrying and stressing.
If you follow these simple tips, you will be able to survive labor pains and give birth to a healthy baby. Nature has given women all the tools so that they can give birth to a baby naturally. You just need to trust your body and empower yourself by keeping these tips in your mind.

Labor Pain - 5 Tips to Help You Survive

When the delivery of a baby has to happen through a surgical process rather than normal child birth, the procedure is known as a Caesarean Section or a C-section. There are many reasons why one many need to go through this surgical procedure including complications during pregnancy and childbirth. One can also plan for a C-section beforehand by talking it through with a doctor who will recommend the same in case there are any complications and risks at play during the pregnancy. Read on to know more about the procedure.

Reasons: There are many reasons why a doctor may want to go in for a C-section. If the labour is not progressing properly, then a C-section may be required in order to extract the baby. This procedure may also be used in case the baby is not getting proper amount of oxygen which can put it in distress and lead to changes in the heartbeat. Also, if the baby is in an abnormal position like a breech position, then a C-section may be required. This procedure is also used when a woman is carrying twins or triplets. Other health concerns like high blood pressure and genital herpes or even HIV can lead to this procedure. Any mechanical obstruction like fibroids in the birth canal can also cause the doctor to resort to a C-section, while a patient who has delivered via C-section earlier may also be asked to do the same again.

Risks and complications: One has to remember that a C-section takes longer to recover from than normal childbirth and delivery would. Also, it does pose a few risks and complications that may arise during and after the procedure.

Breathing issues: The babies who are born via C-section are more susceptible to a condition known transient tachypnea which is a breathing problem characterised by an abnormally fast rate of breathing in and out. Also, other respiratory distress syndromes may take over subsequently.
Surgical injuries: The doctor may accidentally nick the baby s skin during the surgical process which involves the use of sharp instruments for making the incision.
Inflammation risk: The uterus may undergo inflammation which may also lead to endometriosis as well as infections of the membrane which can cause fever and foul smelling vaginal discharge. The wound may also get infected.
Bleeding: While some amount of bleeding is normal, this procedure can also lead to excessive bleeding in which case immediate medical intervention may be required. Also, the patient may suffer from blood clots inside the veins of the pelvic organs. These clots may also travel to the lungs and cause further complications.

C-Section - Are There Risks Associated With it?

One of the most severe forms of pain is the pain that a woman experiences during the process of childbirth. On a scale of 1 to 10, with 10 being the most severe, it is believed to be 8 to 10. In the earlier days, a number of women would die during childbirth and survival was considered as a second lease of life. This belief has however, changed with the advancements in medical science. The delivery has now become an almost painless procedure.

How it works: The pelvis and the lower limbs receive nerve supply through the nerves coming out of the spinal cord. A strong anesthetic is injected into the lower back to numb the pelvis and down below. This ensures that the mother is comfortable and awake during the whole procedure and is able to see the child being delivered but has reduced pain in the lower half of the body.

What are its benefits?

The mother has a painless delivery and is conscious and able to see the process of delivery.
Significant relief from the painful experience of childbirth. The pain induces secretion of stress hormones in the mother, which adversely affects both the mother and the child.
Blood pressure is better controlled using this procedure.
Additional instruments can be used during the delivery if required without the need for additional anesthesia.
If required, the procedure can be converted to a cesarean section too, by adding an epidural catheter.
The duration of childbirth has been significantly decreased.
Suitable for patients who have preeclampsia and heart disease
It has some disadvantages too

There are minor complications, including:

This can develop after the painless delivery and the onset and intensity vary from one individual to another
Post-procedure headache
Pain at the site of injection
Difficulty during urination
The normal pushing effect by the woman is reduced due to the numbness and so vacuum may be used or delivery may have to be converted to a cesarean one.
In rare cases, there could also be a sudden drop in the blood pressure
Certain indications

In the following cases, the doctor would advise the mother to go for a painless delivery

Medical conditions like preeclampsia, high BP, or other heart conditions
Subsequent births after having had a cesarean section (VBAC   vaginal birth after cesarean)
People who have previously had prolonged or complicated labor, a painless delivery is easy on both the mother and the child
When it should be best avoided

In some cases, like the ones listed below, the painless delivery should be avoided

Women with bleeding disorders.
Women who are on blood thinners like aspirin, heparin, etc.
Women who have had prior low back surgeries
Women with neurological conditions
A detailed discussion with your gynecologist is the best way to identify, if this would work for you.

Painless Normal Delivery - Is it Possible?

4 Exercises That'll Help You During Labour

There are technical ways in which you can get your body all set for labour. Although you may not know how your labour will progress, you can ease the pain that you experience during childbirth to a significant extent by doing these four exercises:

1. Kegel exercises: These exercises target the muscles that provide support to your bladder, uterus, urethra and rectum. By strengthening the muscles of the pelvic floor, these exercises help in improving the flow of blood to your vaginal and rectal area. Kegel exercises involve contracting of the muscles of your pelvic floor as you would do if you had to prevent passing urine or stool. It is also known to reduce the duration of the pushing stage of childbirth, which is the second stage. You can do the exercises sitting or standing and in either of the two ways-

Slow Kegels: For this, contract the muscles of your pelvic floor and hold them for 3-10 seconds. Release and repeat the exercise for ten times.

Fast Kegels: To be able to do this, you need to contract and loosen up your pelvic muscles 25-50 times. Do the set for about 4 times with 5 seconds interval between each set.


2. Squatting: Practising squatting during your pregnancy can help in preparing your pelvic muscles for labour. While strengthening your thighs, it opens up your pelvis for an easy descent of the baby. So, here's what you should do:

1. Begin by standing behind a chair for support with your feet wide apart

2. While contracting your abdominal muscles, relax your shoulders and chest before lowering your tailbone towards the floor

3. While inhaling and exhaling deeply, push into your legs and go back into a standing position


3. Pelvic Tilt: This exercise helps in strengthening the muscles of your back, pelvis and thigh regions while improving posture. Ensuring your pelvic joints remain flexible, it eases the pain experienced during delivery. 

Here's how it's done:

1. Get down on both your hands and knees while keeping your head in a parallel position with your back

2. While arching your back, pull in your stomach

3. Hold this position for a few seconds before releasing

The exercise needs to be repeated 3-5 times - all the while maintaining a strong hold on your back and stomach.


4. Tailor pose: The tailor pose is designed to help relax your hip joints as well as open up the pelvis. It also helps in improving your body posture while easing the aches that occur in the lower part of your back. For this, you need to perform the following steps:

1. While keeping your back straight, sit comfortably on the floor

2. Placing the soles of both the feet together, press your knees gently towards the floor

3. Keep the position for 10-15 seconds
You can repeat the exercise for 5-10 times.





4 Exercises That'll Help You During Labour

Are you pregnant and planning on having a natural childbirth? There are several things to keep in mind when considering a natural childbirth. Natural birth involves no interventions and drugs and you need to prepare well for it. Here are some important tips you should follow, if you want to have a natural childbirth:

Choose a birth environment of your choice: You should choose a safe place for giving birth. Many women feel more secure at home and prefer it as the place for giving birth, while some choose a hospital.
Choose a care provider you trust: It is important for you to choose a trustworthy care provider, who will make you feel at ease and will pay respect to your wishes. In the case of giving birth in a hospital, you can opt for hiring a doula.
Prepare your body: It is important to prepare your body physically before natural childbirth. Pregnancy is quite exhausting and makes you want to refrain from activities, but you should walk for some time every day to keep fit. Keeping your body in good shape will help you with stamina during delivery.
Ice Game: You can play the ice game with your partner. It is a game designed to give you a glimpse of how to handle labor pain. This is more of an assessment, meant for giving you an idea about coping with pain of contractions. This method is also ideal for learning to deal with pain.
Educate yourself: It is important for you to read a lot about pregnancy. You should read from the Internet and also from books and stories related to natural childbirth.
Be positive: It is very important for you to maintain a positive state of mind, prior to your natural childbirth. You need to be determined and strong and reiterate to yourself that you are strong and will be able to cope with the process.
Coping strategies: Learn about various coping strategies. Keeping your jaw relaxed, horse lips, and low moaning are some strategies you can try.
Avoid cervical checks: Try avoiding cervical checks as much as possible, as they are not always a progressive measure. You do not have to be too much focused on dilation numbers.
Prepare your partner: Your partner also has to play an important role during your childbirth. You should make him learn all the major facts regarding natural childbirth and let him know about your expectations and hopes for labor.
Change positions during labor: You should try different positions during labor, and not think of being silly.
It is also important for you to get rid of preconceived ideas of natural childbirth from your mind. The process is different in different women, and you must embrace it.

Want Natural Delivery? 10 Things You Must Prepare for!

Don't wait any longer, manage your Premature Labor online with a Lybrate doctor today

Consult for Premature Labor - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES