As practice shows, not every pregnancy that lasts longer than usual time, is really post-term.
Modern medicine indicates the approximate time frame in which to be born baby - 38-40 th week of pregnancy. If labor does not come up to the 42nd week on the agenda appears topicprolonged pregnancy. However, the competent doctor would not immediately intimidate a young mom and demand immediate stimulation.
The fact is that, despite the modern diagnostic tools to establish the exact date is not possible. After about a week the doctor determines when conception occurred, to determine the exact date can not yet no test.
Gestational age is calculated from date of last menstruation, uterine size, fetal weight and so on. This shows that only one fact irregular periods can significantly change the picture.
Also, recent studies have shown that the duration of the pregnancy affects the menstrual cycle. That is, if the gap between the monthly amounts you usually whiter than 28 days, then the normal gestation may be large.
Prolonged pregnancy There are two types: true and false (prolonged). With true-term pregnancy, besides increasing the duration of pregnancy up to two weeks (before 42 weeks), there are some physiological changes in the body of the baby. For example, post-term baby is born mostly thin, dry skin, sometimes yellowish or greenish tint (if it stayed a long time in a hostile environment), with strongly regrown hair and nails.
On its condition and appearance affects grown old placenta, which developed its own time and can no longer provide adequate food and baby carriage him oxygen and other necessary substances.
If the 42 th week the baby is born perfectly healthy, it is a falseprolonged pregnancy. This baby is completely healthy, feel great, and the delay in delivery is likely caused by a wrong calculation of terms.
However, errors in the calculations is not the only cause ofprolonged pregnancy both true and false.
Often prolonged pregnancy can occur if the early stages of pregnancy develops with some delay. Then the kid just have a little more to stay in a familiar environment, to get everything you need for birth.
There are also more disturbing reason. These include infectious diseases, which suffered a woman during pregnancy. Some vitamin deficiencies, endocrine diseases, disorders of lipid metabolism are also risk factors perenashivanie. Gynecological diseases, abortion, underdeveloped genitals and systems often lead to such phenomena.
Great influence on the delivery date has and emotional state of women. The fact that the activities of the placenta is regulated by the nervous system and women if a young mother feels unprepared for childbirth, the long-awaited moment may be delayed. Also dangerous psychological trauma, stress, nervous tension during pregnancy.
Sometimes the culprit delay is itself a kid, it has its own nervous system, which may also affect the date of birth. A considerable number ofprolonged pregnancy due to hereditary predisposition. That is, if among your blood relatives this has happened, it can happen to you.
However, the advance should not be afraid. Now there are many tests that are conducted by a doctor, if labor does not occur in time. These studies allow us to understand whether you need to resort to immediate induction of labor because the trueprolonged pregnancy or should wait for a natural outcome, as the kid obviously healthy, but not yet ready to be born.
First of all, it clarifies the stages of pregnancy using ultrasound and other studies, undertake analyzes, which should show how viable the placenta is not worsened if the composition of the amniotic fluid, as the baby develops.
When trueprolonged pregnancy there are factors such as the reduction in the amount of amniotic fluid, lack of preparation for the birth of the uterus, thickening of the skull bones and other obvious changes in a child. The fruit in this case may be too large, and the mother's weight does not increase, and even decreases, change the mobility and activity of the fetal heart, and many other factors.
So, as you can see, when the trueprolonged pregnancy not difficult to notice the changes. In these cases, the doctor may insist on artificial stimulation.
However, it often happens that the doctors simply reinsured and start to prepare the woman for stimulation without much research. If you suspect something like that, try to check with a doctor on the basis of what he has put such a diagnosis.
Ifprolonged pregnancy is supported by research, do not argue with the doctor. After all, if the baby will continue to remain in the womb, it may be detrimental to his health. First of all, he will suffer from lack of oxygen.
May be affected and the mother herself. Prolonged child larger and heavier, and the passage through the birth canal in this case is associated with the risk of injury or even impossible. Labor can be sluggish, there may be other complications. Therefore, it may be a question of removing the fetus by cesarean section.
If the tests show that the baby is developing normally, changes in the amniotic fluid is not, and my mother feels good enough, do not stimulate the birth to 42 th week, and after this period they usually begin naturally.
In conclusion, let us specify that the majority ofprolonged pregnancy (About 70%) is false, doctors are not gods. But if the terms are already out and you can not fully trust their feelings (and in such a situation, a rare woman capable of such), trust specialist.
If he assures you that you can pozhdat, calm down and wait, do not forget to talk to the kid and tell him how you expect him and rejoice with the imminent appearance. If the diagnosis "prolonged pregnancy"Preliminary tests confirmed, again, do not worry, gather strength and get ready for a clear implementation instructions of the doctor. And believe that everything goes well for you and your baby.
Alexander Panyutin
Women's magazine JustLady