In some cases, the fight begins before birth, occur sporadically and are accompanied by very slow opening or no dilation of the cervix. Such a condition is called pathological preliminary period and requires special monitoring of giving birth.

What is the pathological preliminary period

Pathology of uterine contractions can be divided into two periods - before birth and during birth. The appearance of abnormal contractions before birth Contractions before delivery - how to recognize false labor?   It called pathological preliminary period. During labor, uterine anomalies appear as the primary and secondary weakness of labor, fast and rapid delivery and coordination of labor violations.

The regulation of uterine activity is under the direct control of the cerebral cortex. For example, generic activity can begin, or, on the contrary, cease under the influence of stress. The cerebral cortex has an effect on the contractility of the uterus, and therefore the high stress emotional stress may lead to violations of the correct flow contractions, in particular the appearance of abnormal contractions before delivery.

All the anomalies of labor accompanied by disruption of the structure of the muscle fibers of the uterus, that lead to a breach in their metabolism, inhibition of tissue respiration and disturbance of protein metabolism. All this is a violation of the contractile ability of the uterus.

The pathological preliminary period occurs mainly in women with neurosis, endocrine and metabolic disorders that are characterized by emotional instability and are not configured to pregnancy and childbirth.

As shown

The manifestations of the pathological preliminary period - is the appearance before the birth of irregular very painful contractions, a woman who literally exhausting. These fights usually last more than six hours. Pain starts in the sacrum, are transferred to the lower abdomen, and then may be terminated. And after a while reappears.

These contractions can bring a woman to complete nervous exhaustion, because they do not give her to sleep and eat. The longer such unproductive contractions, the more increases the risk of fetal hypoxia (insufficient oxygen supply of the fetus at which the first to suffer his brain). Uncoordinated and irregular contraction of muscle fibers of the uterus does not lead to the disclosure of the cervix. Often at the same time a woman can detect lack of female sex hormones estrogen.

During the inspection of a woman gynecologist can detect an increased tone of the uterus, especially in its lower part. The heartbeat of the fetus at the same time often poorly tapped, indicating that hypoxia. Also revealed an increased tone of the pelvic floor and vaginal muscles spasm circular.

Complications

The most common complication of this anomaly of uterine activity is a premature discharge of amniotic fluid, amniotic fluid that is moving away, while the cervix is ​​not disclosed (normal amniotic fluid depart after a full disclosure of the cervix at 11-12 cm). This happens because of the intense but irregular contractions.

Premature discharge of a real threat of infection of the fetus, but at the same time a positive thing, because then reduced tone of the uterus and reduction take stronger and more regular.

What can help a woman

In order to lower the tone of the uterus and to restore its normal contractile activity, a woman prescribed painkillers (promedol), antispasmodics (drugs, relieves spasms of smooth muscle, such as Nospanum No-spa - lowers the tone of smooth muscles , Papaverine), soothes, relieves anxiety Anxiety - how to distinguish normal from disease?   and contributing to falling asleep means (seduksen). Painful contractions of the uterus are removed diskoordinirovannye such drugs as brikanil.

Be sure to also prescribed estrogen, which accelerate the process of cervical dilatation.

As a result of such treatment labors can be restored. If the dilatation of the cervix was then autopsied fetal bladder, and waiting for three hours regular contractions. If they do not come on their own, then held induction of labor.

If after the conducted conservative treatment of the cervix has not opened, the fetus is too large or is determined by the breech, it is usually performed cesarean section.

Galina Romanenko

Prenatal contractions may begin a few weeks before the birth and called training. The task of women - not to confuse them with true contractions, which can be a sign of preterm labor. This will teach the tricks of a woman in the antenatal clinic at the school preparation for childbirth.

Why am I having contractions before birth

The real battle - the first stage of labor, they say that the cervix is ​​beginning to open up in order to let the baby's head. The process is long: during the first labor pains last for 15-20 hours in repeated - 10-12.

But two - three weeks before labor begins to change gradually female hormones. First, increased blood levels of female sex hormones estrogen, which inhibit the action of progesterone. Female sex hormone progesterone Progesterone - norm and pathology   restrains contraction of muscles of the uterus, but by the end of pregnancy reduces its effect. It is a physiological mechanism that causes the muscles of the uterus begin to train, build up their strength before delivery.

There is this training by short-term irregular muscle contractions of the uterus is called false or training bout. If this is the false labor, they are not dangerous.

Symptoms of training bouts

Training or false contractions in most cases painless or slightly painful. But the main difference between false labor from true is their irregular development. For example, training bout may occur several times in a row, and then the next day. Alternatively, during the day, they may appear at intervals of half an hour, 10, 15 minutes and so on.

Can training bout go to the true

Yes, they can. After 37-38 weeks of pregnancy false contractions may develop more often, they gradually become longer and more regular, passing thus in real fights. To observe this change, it is better to record the duration of labor and the intervals between them.

If false labor went into the true, this does not mean that you should immediately go to the maternity hospital. Since the cervix is ​​only beginning to unfold in the reserve in nulliparous women at least 15, and in multiparous - 10 hours.

In the maternity ward should be sent only when the long fight began at intervals of five minutes. In addition, in the maternity ward should be sent when the water began to retreat - this means that the bag of waters broke. Prolonged rupture of membranes during childbirth - is always a threat of infection of the fetus, so a woman should be in the hospital.

In some cases, you should immediately call an ambulance

An ambulance should be called if the contractions started too early (before 37 weeks gestation), different frequency and morbidity. It is especially dangerous when at the same time the woman has spotting Spotting - it is important to rule out pathology   - It may be a sign of premature detachment of the placenta.

How to behave during false labor

From the general attitude, knowledge of the situation of women and peace depends on her health and the health of the unborn child. If a woman attended school preparation for childbirth, she knows what false contractions are different from true. So do not be nervous, you just need to relax and calm down.

Nervous tension can adversely affect the child's condition as at the time under the influence of the stress hormone How to beat stress? Create an oasis   adrenaline going spasm of blood vessels, including the blood vessels of the placenta and the baby does not receive oxygen and nutrients, which affects the state of his brain. Additionally, the spasm of blood vessels can lead to high blood pressure Blood pressure - dangerous if his swing? That it is dangerous even for the woman herself.

If false contractions cause discomfort or anxiety, they can try to shoot - these contractions may withdraw from a walk in the fresh air, breathing in the smell of valerian root, or if you just slowly drink a glass of lukewarm water.

But obstetricians do not recommend in this case to use the heat, such as a warm bath. The fact is that if the fight actually sweat, the heat will not hurt them, but if it is associated with any complications of pregnancy, especially if interested rich placenta blood vessels, the use of heat may cause severe bleeding.

Every pregnant woman should know what false training bout differ from true. It also needs to know when to start after the fights can stay at home and when to rush to the hospital.

Galina Romanenko