Preterm delivery at 33 weeks gestation
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- Premature birth for 33 weeks of pregnancy. Precursors of delivery at week 33. Consequences of premature birth
The birth of a child is an important, responsible and happy moment in the life of every woman. Most such manipulations occur on the 37-42 week line. During this period, the baby is already sufficiently developed and ready to enter a new life. At a birth of the child neonatologists necessarily estimate its condition. For this purpose, a certain scale is provided - Apgar. It involves a summary analysis of five criteria, each of which is estimated in points from zero to two inclusive. Normally, healthy children have from 8 to 10 points. The last digit sounds much less. However, not always everything happens as it would be desirable.
There are also cases when a woman begins labor in the 32-33-th week. It is about this state that will be discussed later. The article will tell you what precursors of childbirth are at the 33nd week of pregnancy. You will find out what you need to do in one way or another. Also find out what effect the appearance of crumbs may have on this timeframe.
Birth at 33 weeks gestation
The appearance of a child in 7-8 months is considered premature. Birth for 33 weeks of pregnancy can be threatening or begun. In the first situation, doctors make every effort to maintain pregnancy. To this end, the future mother is prescribed bed rest, as well as the use of certain medications. Among them, there are necessarily sedative (sedatives), drugs aimed at relaxing the muscles of the uterus. In addition, doctors can prescribe and additional compounds that improve blood supply and promote the flow of oxygen to the fetus.
If delivery for 33 weeks of pregnancy can not be stopped, then they are considered to have begun. In such cases, doctors choose the most convenient and safe tactics of delivery. This can be a natural process or a cesarean section. Everything depends on the condition of the fetus and the health of the future mother.
Causes of premature birth
Labor for 33 weeks of pregnancy can begin because of the influence of external factors, as well as due to internal pathological processes. Often, the social status and lifestyle of the future mother lead to the described situation. The reasons for the premature birth at 33 weeks of gestation are as follows:
- the use of alcohol and drugs, the use of certain drugs in the early and late periods;
- excessive physical activity, sexual contacts;
- hormonal abnormalities, diseases of reproductive organs;
- congenital defects of the uterus and its cervix;
- isthmico-cervical insufficiency or premature opening of the birth canal;
- pelvic infection and urethra, chronic heart and kidney disease;
- abnormal location of the placenta and its detachment;
- getting injuries and having tumors in the uterus.
In fact, there can be a lot of reasons for this unexpected process. In each case, their own factors act. It is worth noting that if there was a delivery at the time of 33 weeks, then it is necessary to find out their cause. This will help to choose further tactics of behavior with the newly mummy and her baby. Also, the elimination of detected factors will ensure that the situation does not recur in the future.
How does it begin?
Premature birth at 33 weeks of gestation rarely begins suddenly. Usually they have their harbingers. In such a situation, they speak of threatening premature birth. However, if a woman does not seek medical help on time, then the process is gaining momentum and we are already talking about the beginning of childbirth. Precursors of this condition may be the same symptoms as in a full-term pregnancy. Let us consider them in detail.
Departure of the amniotic fluid
Childbirth at the 33nd week of pregnancy can begin with a discharge of amniotic fluid. It is worth noting that often this factor is considered not very favorable. After all, finding a child in the mother's womb without water for more than six hours leads to unpleasant consequences. That's why often with premature outflow of water doctors choose the tactics of Caesarean section.
Departure of the amniotic fluid usually occurs abruptly. A woman simply feels the warm water flowing down her legs. It should be noted that sometimes this is preceded by physical activity. Also, premature rupture of the membranes can occur due to their infection. Particular attention should be given to what color the amniotic fluid has. A greenish shade indicates the suffering of the fetus. This only further exacerbates the situation. If the waters are clear and clean, then the chances of a favorable outcome of events are increased.
What are the signs of premature delivery at week 33? First of all, a woman feels pain. It can have different locations. Most often, unpleasant sensations spread in the area of the lower segment of the abdomen and lumbar region. However, there are exceptions. When the pain is periodic and cramping, it can be productive and unproductive contractions. In the first case, a woman, most likely, will give birth independently. In unproductive combat pain only exhausts the expectant mother, without bringing any result. In such situations, doctors can use medications to stimulate the opening of the cervical canal.
When a painful sensation seizes the entire abdomen, and a woman feels weak, it can be a detachment of the placenta. This is an extremely unpleasant situation, which often accompanies labor at the 33nd week of pregnancy. The doctors say that in this case any delay can cost the life of the mother and her baby. This is why the personnel of the maternity ward conduct an emergency cesarean section.
Abdominal abscess and the passage of the tube
The harbingers of the fact that labor will begin on the 32-33 week of pregnancy may be the separation of the mucous plug, which is often accompanied by the lower abdomen. Usually, this process takes place two weeks before the onset of labor. Therefore, if you notice the described signs, it is necessary to consult a doctor as soon as possible. There is a high probability that your pregnancy can be saved for a few more weeks.
Departure of the mucous plug can be one-time or gradual. So, the total amount of mucus is about two tablespoons. Abdominal abscess can be seen by your appearance. Also, the expectant mother will certainly pay attention to the fact that it made her breathe easier. The gynecologist will find out that the height of the bottom of the uterus has become smaller.
Discharge with blood
Premature delivery at week 33 is often accompanied by spotting. It is worth noting that they can be abundant or scarce. In the first case, it is a pathology. Often it can be a rupture of the uterus, detachment of a child's place or other unpleasant situations.
With poor bloody discharge, speech, most likely, is about damage to the mucous membrane of the uterus. It's not as scary as the situations described above. However, medical assistance to the parturient woman is also necessary.
Childbirth at week 33: consequences for mom
How dangerous is the situation for a woman? At this time the organism of the future mother has not yet prepared for the appearance of the baby. The birth of a child for the mother and all her organs is a surprise. In this case, the gang of the uterus can behave differently.
If the cervical canal opens as expected, then for the woman the birth will be the same as it would happen on time. In the case when the cervix is not yet ready (as often happens in the first birth), doctors are forced to carry out stimulation. However, this manipulation does not always give an effect either. Sometimes doctors are forced to perform surgical intervention. This leads to the fact that the newly mummy has a scar on the uterus and abdomen, and the recovery process takes a large amount of time.
Often complications of labor at the 33 week of pregnancy. The doctors' comments tell us about situations when there is a weakness in the labor activity or, on the contrary, a fast process.
Birth of twins at 33 weeks old
Often a multiple pregnancy ends earlier than usual. Almost never the future mother can not deliver her children up to 40 weeks. Doctors speak about an excellent result when the children appear in 36 weeks. A good outcome is also expected with a delivery of 34 weeks.
In case of multiple pregnancy, a woman after 30 weeks is given certain drugs that contribute to the rapid development of lungs in toddlers. That is why childbirth on the 33-34 week of pregnancy leads to the fact that the children can already breathe on their own. Nevertheless, their body is still very vulnerable and requires certain conditions.
Implications for preterm labor
What can end delivery at the 33-34 week of pregnancy for a child? At this stage of development, every day or even an hour spent in the womb is important for a baby. That's why doctors try so hard to keep a woman pregnant for even a few days.
If the future mother in time will turn to the maternity ward, the specialists will have time to give her certain preparations before giving birth. They will be aimed at supporting the independent work of the child's organs. The appearance of a baby in 6 months, like the birth at 33 weeks, the reviews are quite favorable. Approximately 90 percent of toddlers who appeared at this stage of development do not just survive, they can breathe on their own. Some babies still require intensive therapy. Many of them eat for a while through the probe.
Thermoregulation of premature babies is not yet established. Any hypothermia or overheating can lead to unpleasant consequences. That's why it's so important to help the baby in time. The doctors place the babies in special kuvezes. There for children all conditions are provided: the necessary temperature is maintained, there is an opportunity to receive food and necessary medicines. In the absence of congenital pathologies, children within 2-4 weeks may be next to their mother.
Often premature babies are deprived of natural nutrition. While the babies are under medical supervision, the mother gives birth to breast milk. To prevent this from happening, it is necessary to consult a breastfeeding consultant right after delivery. The expert will tell you when and how to express the milk properly, so that later it was possible to feed the baby yourself. After all, it is this food that will allow the crumbs to adapt more quickly to the environment.
Separately it is necessary to say about the premature birth of boys. If your son was born at the time of 33 weeks, then his testicles, most likely, have not yet descended into the scrotum. There is nothing horrifying about this. Do not panic. Usually, after a month or two after proper care, the reproductive organs of the baby take their usual position. However, there are exceptions. Be sure to contact your surgeon so that the doctor takes your situation under your own control. If necessary, after a while, surgical intervention may be necessary.
Home births: opinions of physicians
Many women recently prefer to give birth at home. Such representatives of the weaker sex believe that the native walls facilitate this process. Future mummies order individual midwives or do everything themselves.
Most experts are ardent opponents of such a scheme. They argue that the process of delivery should only take place in specialized institutions. If we talk about premature birth, then doctors and do call such an action infanticide. After all, not all kids at this stage of development can survive on their own. Many children need urgent medical help. Otherwise, the baby can simply die. And Mom needs an examination of a qualified doctor.
Conclusion of the article
You learned about how to give birth for 33 weeks of pregnancy. If you have the above-described harbingers and signs in the last trimester, then you should get to the doctor as soon as possible. Perhaps, there is still a chance to prolong your state and not to separate mother from the baby. Doctors will certainly do their best to keep the child's stay in the mother's womb for at least a few days.
If you are faced with the fact that premature birth has already begun, do not despair. Be sure to follow all the doctor's recommendations. Have patience, you will need it. Maybe you will not get the baby right away. When the baby is under medical supervision, it's even better. Think about the pleasant and try to keep the lactation for your baby. Health to you and the newborn!