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?

Pregnancy is one of the most exciting and anxious phase in a woman s life. There is definitely an information overload from all sources i.e. family, friends, medical team, books, Internet, etc., that is dumped on the mother-to-be. The idea is to prepare her for the delivery. What needs to be borne in mind though is that each delivery is unique and there are no two women who have had the exact same experience.

However, it is good for the mother to know what to expect so that she is mentally prepared and not totally caught unawares when the actual scenes unfold. The following are the sequence of events that she should be aware of and watch out for:

With the due date nearing, she should keep a watch for the water breaking. This is passing of fluid surrounding the baby and is usually colorless and odorless. However, if it is green or brown, it is an indication that something might be wrong. Immediate medical help should be sought in that case.
Along with water breaking, contractions is the next thing to watch out for. This is due to the tightening and releasing of the uterus, indicating that the baby has begun to descend down towards the cervix. If these last for up to a minute, occur every five minutes, and persist for up to an hour, it is a clear indication that it is delivery time and you must head to the hospital.
Two sensations very prominent during delivery are pain and pressure. The pressure is from the baby passing down the birth canal. As the cervix and the vaginal canal expand to allow passage of the baby, there would be a great deal of pain and pressure. It is not just the mother, even the baby exerts significant pressure to come out of the womb during labor.
The process of the baby getting out of the womb is what is medically termed as labor and has three distinct stages to it:
The first stage has two parts to it i.e. an initial, gradual phase that may last for a few hours and a later, quicker phase. The rate of progress of delivery is steady.
The second stage usually lasts for about two hours, during which the cervix is minimally dilated and pushing begins. This stage lasts until the baby is out of the womb.
The third and the last stage is where the placenta is extracted and the umbilical cord is cut.
Some common problems you may expect include injury or tearing of the vagina or cervix, need for episiotomy, vomiting, passing of motion, anesthetic complications, etc. However, what would remain etched in the mother s memory would be the first sight of the baby.

The Top Things To Know About Delivering A Child!

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?

According to a report by WHO, every hour about five women die in India during childbirth. Giving birth is one of the most challenging bodily functions that a woman has to perform in their life.

When it comes to the mode of delivery, there are a number of delivery options:

Normal or Vaginal Birth
C-Section or also known as Cesarean
Water Birth
Vacuum Extraction
Of the few mentioned above the most common delivery options are natural birth and C-section. The mode of delivery will be decided only after factoring in the woman s health condition, ability to endure pain etc.

Also, when it comes to deliveries, there is a lot of half-baked information floating around. The internet is one of the biggest contributor in this regard. Here are some of the most common myths -

Myths on Normal Delivery:

Myth 1: It s More Superior
Many women consider or think that being able to bring a life into the world without the aid of any painkillers or any other external interventions gives them a sense of empowerment.

Myth 2: It is Riskier
There is no definite statistic to prove that a natural birth is more risky than other delivery options.

Myth 3: A Process that comes naturally to a Woman
Another commonly held fallacy about normal delivery is that a woman s body knows exactly how to respond to a normal delivery. The common reason given is that women have been undergoing natural childbirth process since time immemorial without external interventions or assistance. Not only is a normal delivery fraught with misconceptions but so is a C-section surgery.

Myths on C-Section:

Myth 1: A C-Section is more convenient compared to a vaginal Birth
A C-Section is an invasive surgery method that comes with its own set of risks like any surgery. Doctors generally advise women to opt for a natural birth if possible.

Myth 2: You cannot undergo too many C-Sections
There is no limitation on the number of C-sections you can have in your lifetime. However, the risks of complications increase with every subsequent C-section.

It is advised that you plan the delivery option based on your health condition weeks before your due date. In some cases, C-section surgery is resorted to during the course of a vaginal birth when complications arise. 

Consult your doctor if you have queries regarding your choice.

Myths On Normal Delivery And C-Section Debunked!

Many people across the world spend a considerable amount of time contemplating on which type of delivery is the most preferable. In earlier times, normal delivery was the only option but these days, there is an increase in the number of caesarean or C-sections. Today, 30% of children of children around the world have been born through the C-section. Since it is up to the woman to select which type of delivery she would prefer, it is imperative to comprehend the advantages as well as risks of both the options.

Advantages of vaginal delivery to the mother
From a psychological point of view, women who opt for normal delivery are believed to have a relatively positive birthing experience. Women who go through normal delivery often feel that it is empowering to be actively involved in the procedure of giving birth to their babies. Such mothers have a much shorter span of recovery time compared with those opting for C-sections. This procedure also lets the mother as well as the baby to come in contact with each other, which in turn speeds up the process of bonding.

Pros of normal delivery for the baby
It has been found that babies who are born via vaginal delivery are less prone to developing any kind of complications related to health. They can be fed, sooner and develop fewer allergies and respiratory issues. However, very few babies born through vaginal delivery can experience any injury while being born, though this is an extremely rare condition.

Benefits of Caesarean section for the mother
There are numerous women who opt for the C-section so that there is no need to go through extended hours of labour. Today, with the advancement in medical science, mothers are able to plan the birth of their child, and it allows more control over the birthing process along with more predictability. Women who go for a C-section do not suffer from any damage to the pelvic floor, which often leads to incontinence in the course of time.

Advantages of a C-section delivery for the child
In most cases, when there are twin babies, or a single baby is too large, opting for a C- section can prove to be the most viable option. Plus, if the mother is a carrier of certain diseases like HIV, then a C-section reduces the chances of passing it to the baby.

Thus, both the options have their own set of pros and cons, and it is best to speak with a qualified gynaecologist before deciding on anything.

C-Section Vs Normal Delivery - Which Is Better For You?

Giving birth is a life-changing event for every mother and it leaves an everlasting impression in your life. Every delivery is unique and you can just gain from the experience of others, but don t expect it to be the same. 
You will experience many changes in your body and will learn to take care of yourself and your growing baby as soon as you find out that you are pregnant. Pain is a part of labour that every woman has to undergo. It is the fear of labour pain that make many pregnant women opt for c-section. However there is no denying the fact that c-section is a major surgery and requires several days to recover.

Keep in mind the following tips to go in for a normal delivery:

Try to get prenatal education, which guides you about labour, birth and natural labour pain management techniques, such as breathing, self-hypnosis, relaxation and other coping mechanisms. You should check with your hospital too as most of them offer an evening or weekend course.
Pick a gynaecologist who has a history in delivering babies naturally.
Keep yourself physically active by doing mild exercises throughout pregnancy.
You should keep a calm environment in your labour room.
Don t gain too much weight as women who aren't overweight do not have much difficulty in delivering babies vaginally.
Opt for fewer rather as more tests, treatments and interventions during your pregnancy tend to interfere with normal birth. Whenever tests or procedures are recommended, you should ask about the need of undergoing such tests.
Continue with your walks as it helps in relieving the pain.
Go in for a water therapy. A shower, bathtub, birthing pool and hot compresses are other tools for easing pain and helping you relax. Spend as much time as possible in water.
Use various positions such as sitting on the toilet, kneeling, and squatting to ease vaginal delivery.
Massage/back rubs equally help in easing the pain.
You can also go in for Effleurage which is a light massage of the abdomen to ease your vaginal delivery.
Apply warm or cold compresses.
Avoid hearing negative stories about labour.
Eat a healthy balanced diet as the health and development of your baby depends on your nutrition.
Stay away from stress and anxiety. Read good books about parenting and be in the company of good lively people.
Use relaxation/breathing techniques to keep yourself calm.
Guided meditation and prayers undoubtedly will reinforce your faith in yourself to deliver a baby vaginally.
Have adequate sleep. Avoid drinking tea or coffee two hours before going to bed in order to have uninterrupted sleep.
Following these tips religiously can definitely increase your chances of having a normal delivery.

Normal Delivery - 18 Things You Must Always Remember!

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