Often, the future mother, who had the so-called obstetric term, that is, the date of delivery calculated by the doctor, is greeted in the hospital with these words: "If we do not give birth at the 41st week - we will stimulate!" Alas, the artificial stimulation of labor in our medicine occurs very often It seems that the diagnosis of a pregnant pregnancy threatens half of the kids, but let's see if it's really scary if the labor does not begin after the 41st week, what is the danger of a truly endured pregnancy? The fact is that when the baby is out of the hospital The placenta, which supplies the crumb with food, grows old, that is, it eventually becomes worse, since its circulatory system is not designed for a long life. suffer in its development: for example, have problems with the nervous system, and visually it will look like a little old man: skin without lubrication, dried, "bathing hands" - as from a long bath. That is why it is quite reasonable to ensure that the child is not moved.
Statistics show that among babies born after the 41st week of pregnancy, there are more crumbs that have suffered in the womb than among those who were born on the 38-41th week. However, statistics are, as they say, "the average temperature in the hospital." Quite often, at the 42nd or even 43rd week, charming and healthy babies appear without the slightest signs of endurance, however, most hospitals still consider for the rule: after the 41st week, it is necessary to force the delivery. "Allegedly, the" technically mature "child will not suffer from the stimulated childbirth, and the risk of overstrain should be avoided - to be reinsured.
Why does not it come out?
All this looks quite reasonable as long as we perceive pregnancy and childbirth as a conveyor production of the same type of parts. In reality, everything is much more complicated in the stimulation of labor, manual detachment of the placenta. The maturity of the fetus is not only its ability to breathe independently, suck and regulate the temperature of its body (as experts usually think). It is also an individual willingness to appear, which includes the maturity of the nervous system and other indicators that will help the baby to adapt in life outside the mother's tummy. Why is one baby born earlier, and another one later? Science, unfortunately, can not fully answer this question. There is definitely a heredity factor in this matter: the kid repeats the history of the birth of one of the ancestors.
For example, some large mothers say that, for example, a boy "sits" longer and gets a copy of his father, who was also born on week 42. The child's body requires a longer stay in the womb in order to strengthen something and complete it The second factor is the state of health of the mother, her psychological state, this factor can change the hereditary predisposition in one direction or the other.The third factor is the peculiarity of the course of pregnancy, for example, some mothers note that they gave birth faster if they led and an active lifestyle and eat right. Perhaps a crumb who led a healthy lifestyle with his mother, quickly prepared to come into this world than his brother, who was "lazy" in the tummy. Accordingly, by no means all pregnancies that last more than 41 weeks are invariably put at particular risk to the baby and mother. Competent obstetricians divide late births into 2 categories: prolonged pregnancy (a variant of the physiological norm, for example, in women with a long menstrual cycle of 30-35 days) and a truly pregnant pregnancy (when a birth defect occurs in the formation of a generic dominant). It is necessary to find out what is really going on with mom and baby.
Alas, this is practice
However, in modern medical practice, in this case too often the stimulation of labor is indiscriminately administered. Than it is fraught?
The hanging of the "threat of stimulation" traumatizes Mom and prevents her from living a full life. She constantly mentally urges the baby, thinks about medical interventions, that is, is in a state of stress.
Stimulation of births often leads to the further use of medical benefits, that is, births cease to be natural, which affects the condition of mother and baby. Quite often the benefits do not lead to the timely disclosure of the cervix, then you have to resort to an emergency cesarean section.
Stimulation of labor, manual detachment of the placenta usually begin with an amniotomy (autopsy of the fetal bladder), arguing that this way there is a chance to cause the birth process without resorting to droppers. Alas, if the baby was not going to be born, the mother's body was not prepared for childbirth. Therefore, amniotomy does not stimulate the onset of the birth process, but in most cases it ensures a strong stress in the mother (psychologically this is a very unpleasant procedure - when a hole is made in the bladder), leads to traumas of the baby's head (since it was removed by the "water pillow").
Stimulated births are much more stressful for mothers and crumbs, carry more risks to the health of both. Stimulation should be carried out exclusively in those cases when all of its negative consequences are justified. Not abstract "after the 41st week should be stimulated," but by the state of a particular mother and a particular baby.
Traditional Obstetrics
The famous obstetrician, scientist, researcher, natural birth pioneer Michel Auden very much likes to quote the eastern parable that even on the same tree every apple ripens in its time. In the same way, every child has his own term when he will be ready to be born. You should not rush things, it is better just to watch a specific pregnancy with the help of available medical devices and traditional methods of obstetrics.
First of all, it is worth studying in detail the family history, as far as possible. Information that the father or mother of the baby was born later than the obstetric period, you need to take into account.
It is necessary to closely monitor the movements of the crumbs. If they remain unchanged in frequency and intensity - this is a sign that everything is going well.
Ultrasound scanning. Amount of amniotic fluid is normal? This is a 100% guarantee that there is no true transferability.
Cardiotocography examines the state of health of the "latent" crumbs and monitors the contractility of the uterus.
Doppler examination allows you to judge the function of the placenta, the blood flow in the umbilical cord and assess the child's condition.
Hormonal research. For diagnosis, the content in the blood of estriol, placental lactogen and progesterone is determined. With true persistence, the content of these hormones is below normal. Also informative indicators of cortisol, hCG and alfa-fetoprotein. One can mention amnioscopy (a safe method of monitoring the condition of amniotic fluid: their color, quantity, presence in the waters of original grease).
Allow the baby to mature
How should the doctor respond to the information received? If there is no sign of impairment, you should not rush things. If there is a fear that the child is suffering, a caesarean section should be performed, and not crush the stress, which is quite high when stimulating labor.
Because of the stimulation of a significant part of the birth after the 41st week, it is extremely difficult to talk about what percentage of truly born pregnancies could have been if there had been no medical intervention. Doctors, by stimulating labor, find out that the baby is in order and write it to themselves as a credit for the prevention of a delayed pregnancy. In fact, it is difficult to assess the consequences of such an intervention. We can only say that interference in the generic process without necessity can not be considered a blessing. Therefore, if you have a threat to "endure", try to talk calmly with the doctor about why it considers it necessary to stimulate childbirth .If this is not because "it is accepted" and the doctor has objective reasons to believe that the baby is suffering, has meaning to agree. However, without grounds, it is better to wait and give the child the opportunity to prepare for the birth in the way he thinks fit.