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?

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!

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

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!

Reasons for spotting during pregnancy and what you can do about it

Seeing spots of blood during pregnancy is usually a cause for concern. However, it is not uncommon. The light bleeding, which is known as spotting may occur for a number of reasons.

Bleeding during the first trimester

Spotting is most likely to happen during early pregnancy and the reasons could be many, such as:

- implantation bleeding occurs during the first month of pregnancy when the fertilised egg gets attached to the wall of the uterus.

- cervical polyps ( a tumour that form on the surface of the cervix) or yeast infection may also cause episodes of spotting.

- miscarriage may be another possible reason for spotting

- ectopic pregnancy is another cause. It is the condition in which the embryo plants itself in either of the fallopian tubes instead of the uterus.

- molar pregnancy is a rare condition associated with spotting during pregnancy. When this is the case, instead of your baby, an abnormal tissue grows inside the uterus. Sometimes it can be cancerous too.

Bleeding during the second or third trimesters

Spotting may also occur during late pregnancy and the possible reasons are listed below.

- problems related to placenta like placenta previa placental abruption can also result in spotting. These are serious conditions when the placenta either covers the cervix or it gets detached from the uterine wall respectively.

- uterine rupture is the rare and unfortunate event when a scar from a previous surgery (like the removal of fibroid or previous caesarean scar bursts open and the baby slips into the pregnant woman's abdomen.

- premature labour occurs when your body is too eager to deliver the baby, usually one month before the due date of delivery.

- vasa Previa is another rare condition when a baby who is still developing has his blood vessels entangled in the umbilical cord or placenta-crossing the cervix. It is extremely dangerous because the blood vessels may burst open thus causing the baby to bleed and lose oxygen.

Here's what you can do about spotting

It is strongly recommended that you should immediately see your doctor as soon as you detect any spotting during your pregnancy. Only a well-qualified medical expert can suggest the appropriate steps to be taken, depending on your individual reasons and symptoms related to spotting.

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

Reasons for Spotting During Pregnancy

C-section or Caesarean section is a surgery performed to deliver a baby. The baby is taken out from the abdomen through an incision in the abdominal wall. This surgery is performed when there is some sort of physical difficulty in natural childbirth through the vagina. Other reasons for performing a C-section are when the mother is carrying more than one baby, or the health of the baby is in danger. It could also be because of an undesirable fetal position, or when the mother is physically unable to push the baby out of the uterus. 


Procedure followed in C- Section
The procedure is most often done when the mother is in her senses and awake. However, epidural or spinal anaesthesia is provided to numb the body from chest to the feet, before the surgery is performed.


An incision is made on the lower abdomen, above the pubic area. A cut is made through the uterus and amniotic sac. The baby is pulled out from this opening. The umbilical cord is cut and cleaned. The fluids are cleaned from the baby s mouth and nose. The infant s breathing rate, heart rate and other vitals are kept under observation. 


Recovery from a C-section can take several weeks. The stitch wounds need to heal, including the recovery of pelvic muscles. It is important to walk around and do some very light exercises to boost the healing procedure. Doctors may prescribe painkillers in some cases and advice on effective post-operative care. Though the surgical procedure is quite safe now, with the use of highly advanced technology, there are risks that cannot be entirely ignored. 


Risks associated with C-section
Infections: Any surgery has some risk of infection associated to it. In the case of a C-section, an infection can occur around the site of incision that may rapidly spread in the uterine wall and other internal pelvic organs.
Haemorrhage: Blood refuses to clot and dangerously high quantity of blood is lost in the process. In such a case, it requires immediate transfusion and intensive care.
Injuries: The mother or the baby, both have a risk of getting injured during the surgery. Although these are rare, but the infant may suffer nicks and cuts while being manually pulled out from the womb. Other organs of the mother located near the pelvis may suffer minor or major wounds.


After the C-section, the mother and child will be retained in the hospital for 2 to 3 days, under intense care and constant monitoring. It is important to exercise and take the medications as advised by the physician to prevent any complication. 

C- Section - Understanding the Procedure and Risks

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

Consult for Preterm Labor - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES