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?

Everyone has a different idea of what a mother and baby needs in the first few days after childbirth, but some essentials cannot be skipped out on. With that in mind, here are 10 childcare essential you may need right after the delivery. 

Nursing pillows: A baby may be small and seem light, but carrying them can put a strain on your arms. Since babies need to be fed very often in their first few weeks, a nursing pillow is a handy thing to have around. This allows you to comfortably support your baby while feeding them.
Breast pump: Though only a mother can produce breast milk, other people can feed this milk to the baby. A breast pump will allow you to express milk at a time convenient to you and store it in bottles to be fed to the baby as needed.
Bottles and nipples: A set of bottles and nipples are must haves for every baby. In their first few weeks, these bottles may be used to store mother s milk, but as the baby grows, these bottles can also be used to give the baby water.
Pacifiers: A baby who wants to constantly suck on the mother s nipples may be soothed with a pacifier. This can give the mother some time to rest.
Diapers: For over a year, diapers are a must for every baby. Most mothers choose disposable diapers for their convenience though others may choose cotton wash clothes as well. For the first few weeks, a baby tends to go through 10-12 diapers a day so stock up well.
Bedding: Whether you choose to share your bed with the infant or have him or her sleep in a crib, you will need at least two sets of crib sheets.
Baby bath tub: In their first few days, a baby needs to only be sponged down, but as they grow, regular baths become a necessity. A baby sized bathtub will make it easier to hold the baby while keeping them safe.
Sling: Carrying a baby in your arms all the time is not possible and hence it is a good idea to invest in a sling or front pack. This also keeps the baby close to your body and allows him or her to be soothed by your warmth and heartbeat.
Stroller: Once a child is three months old, he or she can be made to sit upright in a stroller. This gives the mother a little free time and puts less pressure on her back.
Car seat: A car seat if a must have for every baby. You could choose between rear facing car seats of convertible car seats.

10 Essentials You Need Right After Delivery

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

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?

6 pregnancy complications you need to know about

The biggest wish of a to be mother's mind is a smooth and safe pregnancy. One of the ways you can deliver your baby safely is by being aware of the complications that may arise during this period and taking precautionary measures to reduce your chances of developing them.

Here are the 6 pregnancy complications that you need to know about?

1. Preeclampsia

Preeclampsia is a condition that normally occurs after the 20th week and is characterized by high blood pressure, kidney abnormalities and the presence of protein in your urine. Most of the time, symptoms are mild, which can be easily resolved with proper care. But the condition can progress quickly, causing several of your organs to not function properly and even proving to be life-threatening.

2. Gestational diabetes

Gestational diabetes happens when hormonal changes during this period hamper your body's use of insulin. As a consequence, the insulin hormone is unable to normalize blood sugar levels, leading to abnormally high blood sugar levels. While the condition is not usually a cause of concern for the mother, it can pose several health problems for the baby, more specifically, the occurrence of macrosomia (a condition wherein the baby has an abnormal body weight).

3. Premature labor

You're said to suffer from premature labor or preterm labor if you experience regular contractions that lead to your cervix dilating and effacing before the 37th week. Preterm birth can prove dangerous for the baby, not to mention make it prone to several health problems. In order for it stay alive and be healthy, you child needs to reach its full maturity before birth.

4. Ectopic pregnancy

When the fetus develops outside the womb, more specifically in the fallopian tube, a condition known as ectopic pregnancy is said to occur. It is highly important to put a stop to this pregnancy complication as it the developing embryo might bring about the rupturing of the fallopian tube, and may result in internal bleeding.

5. Placenta previa

The condition of placenta previa sees your placenta occupying a very low position in the uterus, most commonly, adjacent to or over your cervix. If the placenta continues to be at this position during the whole course of the pregnancy, it can lead to bleeding as well as other complications.

6. Low amniotic fluid

It is the fluid-filled amniotic sac that supports and protects your baby in the womb. It is said that about 4% of pregnant women worldwide experience low amniotic fluid levels during their pregnancy. This condition is also known as oligohydramnios. When this happens, labor is usually induced as you come close to the end of your pregnancy.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Changes You Can Expect During the 2nd Trimester of Pregnancy

6 Pregnancy Complications You Need to Know About

Pregnancy is one of the most important period in a woman s life. This is a time when she should indulge in the best of everything when it comes to diet, rest and exercise, depending on the recommendations of the doctor. As the pregnancy progresses, there are many myths and facts that take over. These usually reach a crescendo by the time the pregnancy reaches the third trimester. Let us find out ways and tips, which you can use to care for your baby and yourself during the third trimester of your pregnancy.

Travel: This an often debated aspect that one has to consider, especially during the third trimester of one s pregnancy. While many people say that it is not appropriate to travel during the third trimester, this really depends on the state of your health during this time. If you are suffering from problems like blood clot formation, then you may want to avoid travel as this can lead to blood clots due to long hours spent sitting in a flight or a train. Travel during the third trimester must also be avoided so as to avoid undue exposure to infections when you use public restrooms. This should be avoided, especially if you have fallen prey to infections in the beginning of the pregnancy. Also, long travel by cars should be avoided. If you have to travel, then you must stop often to stretch your legs on a regular basis.
Movement of the Baby: One of the most important signs that shows you that your baby is thriving and is doing well is the movement of the fetus. This must be monitored and not ignored at all. It is important to keep in touch with your doctor regarding the number of movements that you should ideally feel during 24 hours. If you are not feeling anything close to that number, then you must have the same checked up by the doctor so that any complications may be unraveled on a timely basis.
Sleeping: How you sleep also affects the health of the baby. You need to avoid sleeping on your back during the third trimester, as this can lead to oxygen supply problems. The uterus tends to become heavy during this part of the pregnancy and it can come to rest on the feotus in case you sleep on your back. This lead to a reduction or lack of the blood and oxygen supply to the baby. You should ideally sleep on your side, with a pillow to keep your legs at a proper level and support your aching back as well. You should also try and sleep on your left side as this promotes better blood flow to the baby inside.

In Your Third Trimester? How Should You Take Care of Your Baby?

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