Threat of forward canopies. Front canopies
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Before canopies, for the appointment of the All-World Organization for the Protection of Health, the canopies are called, which became from the period of 22 to 37 gestational ages, or at 154 - 259 days of gestation, as a rule, the lines on the first day of the rest. However, in Russia, the canopies are respected beforehand, which were taken in the period from 28 to 37 days of gestation, or at 196 - 259 days of gestation. Canopies by the term from 22 to 27 days inclusive in Russia have been seen in a special category, which is considered a life abortion, but not before the canopies. The most different terms of the front canopies summed up the difference in statistical data between the countries of Europe and Russia. The people of the child at the term 37 tyzhnіv vagіtnostі inclusive do not respect before the hour. In such a rank, if the woman had curtains from 37 to 42 days, then the stench is vvazhayutsya terms, to be started at once.
At the cans of the Kolishnyo SRSR, the RAGS is in front of the canopies, the 28 - 37 Tizhni VagiTi is in front of the gangs, the reinforcement of all, the yaki arose with the living of the Masoye tіla more than 1000 g. more 34 Tse means that the women will give a witness about the people or the death of the child. If a child was born with a body weight of 500 - 999 g, then only in the registry office in that case, if she lived for more than 7 days (168 years after the birth of the people).
At a glance, the survival of all premature babies that came to the world in the wake of the front canopies, they are divided into three categories of fallow land:
1.
Children who were born with a low body weight from 1500 to 2500 r. These children of the best live, build up their one-year-olds up to 2.5 - 3 years, and, starting from the third year of life, grow and develop steadily until age;
2.
Children who were born with a very low body weight from 1000 to 1500 r. These children do not come out of existence, about half of them die, and in those who are left behind, damage to the work of various organs and systems can develop;
3.
Children who were born with extremely low body weight from 500 to 1000 years. However, children who lived, were born with such a low body mass, as a rule, are not absolutely healthy, the shards in them practically constantly develop damage to the central nervous system, organs of the herbal tract, dichal, herbal and secostatic systems.
In this rank, the front curtains are not safe, we are before, for a child, as if not yet ready before they are born, the shards in it are not responsible for the necessary functions of the internal organs. The high mortality rate of premature babies is conditioned by the low weight of the body and the immaturity of the internal organs, as it is not possible to ensure the inability to move in the mother's womb. However, for a woman, the front curtains are not safe, but the frequency is more complicated after them, richly lined with the curtains hourly.
The frequency of frontal slopes in Russia is about 7%, in the USA - 7.5%, in France - 5%, in Australia and Scotland - 7%, in Norway - 8% thinly. In this rank, the frequency of frontal canopies does not exceed 10% in different regions. In countries with a low level of life and an unsatisfactory quality of medical services, the frequency of transfers can be as low as 25%.
Fallow in the mechanism of the development of the front canopies, they are subdivided into mimicry and induction. Mimovilni canopies are blamed without victoria special benefits, buildings to provoke a birth act Induction of front curtains is specially provoked by special medicines. Such induction canopies are also called piznіm abortion, filling or piece canopies. Call them out for social indications (deprivation of batkiv rights, vaginess, which has come in the wake of zgvaltuvannya, vіdbuvannya punishment at the places of release of will, the death of a person under the hour of guilt of a child), with the presence of a fetal fetal health threat.
Front canopies - terms
In the present hour, in Russia and the greater part of the krai kolishny SRSR, the whole collection of the front canopies is divided into three options, according to the term of vagity, in which it was interrupted:1. Early front canopies (insist on the terms from 22 to 27 tyzhniv inclusive);
2. Middle front canopies (insist on terms from 28 to 33 days inclusive);
3. Pіznі peredchasnі canopies (they insist on the terms vіd 34 to 37 vagіtnostі).
The given data is seen in front of the slopes, it is seen on the basis of the fact that the doctor-gynecologist is guilty in the designation of the term of vagity for a successful and minimally traumatic birth for the woman and the fetus.
The early days of the hour in Russia are often brought before the late abortion and are protected from the most important statistical categories. Most often (approximately 55% of cases) the front canopies are used in terms of 34 - 37 tyzhnіv vagnostі. Front canopies at line 28 - 33 days are fixed in 35% of cases, and in lines 22 - 27 years - in 5 - 7%.
In light medical practice, there is a birth of living newborns, who can live no less than 500 g. Mama vnaslіdok, the socket of the medical knowledge of the technology, is allowed to allow Viddzhavati, the people are not wounded by the 22nd Tizhnya VagiTi with Massoye TIL not more than 500 g, omnipotent organized hunting is healthy recommendati recently. important not less than 0.5 kg.
However, for vikhodzhuvannya nemovlyat, yakі were born with a mass of 500 to 1000 g, it is necessary to have special qualifications of a neonatologist, yakі far from zavzhd є in the most famous canopy foundations of the krai SND. Therefore, in the majority of vipadkivs near the krains of the SND, they don’t go out, as they were born no earlier than 28 years old, with a body weight of at least 1000 g, the shards allow you to work medically, which is in the sloping bunkins, and qualification-natology. Only at the specialized central perinatal centers, the remaining fates turned out to be necessary, and the doctors passed through the second training, which allows the birth of newborns from 22 to 27 days of pregnancy with a body weight of 500 to 1000 rubles.
Front canopies double
Rich vagity (twins, triplets, etc.) often, lower, ends in front of the canopy, the shards of the fetus overtighten the empty uterus, provocatively, by the same token, the development of fast-moving activity with distant vygnannym does not. At the principle, mentally normal, the people are twins, starting from 35 tyzhniv vagity. In other words, in case of high-volume vaginess, canopies are taken in front of them, which were taken from 22 to 35 days. The front curtains for twins are not safe, the lower ones are for the unmovable, the shards of the skin mass from them are already small. However, with the front canopies, which happened from 28 to 35 vagity, as a rule, both premature babies should not go out.The threat of front curtains
Even more often doctors-gynecologists use the term "threat of the front curtains", which is the indication of the stage of the pathological process. Depending on the term of the vaccinity, the doctors underline the front canopies at the advanced clinical stage:- Threatening front curtains (threat of front curtains);
- The front canopies, which are repaired;
- The front canopies that have begun.
The threat of frontal canopies is manifested by severe pains, to pull, in the lower part of the abdomen or across. When looking around at the gynecologist, there is an increase in the tone and wakefulness of the uterus. Like a vagit woman, she felt severe pain in her stomach, like a strong one on a dotik, next to go to the obstetric hospital. gently sloping booth, vіdlіlennya pathology ї vagіtnostі) for otrimannya lіkuvannya, sprаmirovanâ on zapobіgannya in front of canopies
Risk of front curtains
The risk of frontal depressions is in women who suffer from infectious diseases of the state sphere, istmic-cervical insufficiency, severe diseases of the internal organs, chronic stress, or live in unhappy minds. It can be said that a high risk of frontal slopes is created due to hormonal imbalance in the body of a woman, infections of the organs of the body, or disruption of the blood glottis system.That is why the front canopies develop when the woman’s vagity flows on the aphids of whatever factors, which are unfriendly to the physical and mental state of the woman. If these officials blame the life of a woman, then the risks of the front canopies are significantly moving. And if unfriendly factors arise from the life of a woman, the risk of frontal canopies changes to a minimum value. Tse means that this risk is kerovanim, it can be changed, zastosovuychi methods of rejoicing, building minimization, or more include influx of a negative factor.
To increase the risk, to avoid the development of the front canopies, such factors:
- Stressful situations, yakі drank a vaginal woman from nіy chi robots;
- Nevlashtovanist of special life (nezamіzhnya woman, scandals with a man, readiness to separation soon);
- Low social rіven;
- Nezadovilni pobutovі mind, with some living vagitna zhіnka;
- Heavy physical work;
- Unsatisfactory, unsatisfactory eating with a low amount of vitamins;
- Junius age of the vagit girl (less than 18 years old);
- Mature or summer age of a female woman (over 35 years of age);
- Whether there is an episode of a rise in body temperature;
- Severe chronic illness, which occurs in a vaginal woman (hypertonic disease, diabetes mellitus, heart disease, thyroid disease, etc.);
- Zagostrennya chi gostre cob of be-any kind of infections;
- Severe anemia (hemoglobin concentration less than 90 g/l);
- Vzhivannya narcotic speeches chi kurinnya pіd hour vagіtnostі;
- Robot on shkidlivy virobnitstvah;
- Severe perebіg whether it be a viral infection, including GRVI;
- Іstmic-cervical insufficiency;
- Malformations of the development of the uterus;
- Overstretching of the uterus with a rich, rich vagity or a great fetus;
- Surgical intervention with injuries transferred by a woman during pregnancy;
- Pathology of nirok;
- Predlyazhennya or placental discharge;
- intrauterine infection of the fetus;
- Anomalies in the development of the fetus;
- Bleeding during the hour of vaginess;
- Hemolytic disease of the fetus with Rh-conflict vaginess;
- Frontal opening of fruit tunics (PRPO).
Changes become visible to the risk factors of the front slopes, so that the stench will increase the recurrence of pregnancy, but not the causes of this pathology.
Anterior canopies in terms of 22 - 27 tyzhnіv vagity most often occur with isthmic-cervical insufficiency, intrauterine infection of the fetus or PRPO. Vrahovyuchi risiki front canopy in terms of 22 - 27 days, the stench is most likely to be seen in women, as if wine does not perish vagіtnіst. In women, vagitnyh, front canopies, as a rule, are used in terms like 33 to 37 tyzhniv.
Nin obstetricians have revealed such a pattern: the last term of the front canopies, then there are more reasons and possible risks in the building to provoke them.
Causes of the front curtains (what calls the front curtains)
The whole set of reasons for the front curtains is taken to be subdivided into great groups:1. Obstetric and gynecological factors;
2. Extragenital pathology.
Obstetric and gynecological factors include various diseases and damage to the functions of state organs, as well as an increase in flow vaginess. Before the factors of extragenital pathology, the frontal slopes are considered to be whether the disease of various organs and systems is blamed on the state, as they are negatively signified on the excess of vaginess.
Before the obstetric and gynecological causes of the frontal slopes, the following factors are included:
- Іstmіko-cervical insufficiency, yak є obstruction of the m'yazovy ball of the uterus in the area of \u200b\u200bthe cervix, after which the plaid does not shrink in the uterus;
- Whether it be infectious disease of state organs. The infectious-inflammatory process provokes the disruption of the normal functions of the uterine mucosa, as a result of which the organ loses its function. The most common cause of the front curtains in case of static infections is the loss of elasticity by the uterus, as it cannot be stretched, to accommodate the plaid, which is getting bigger and bigger. If the uterus is no longer able to expand, the front canopies are raised;
- Overstretching of the uterus with rich vaginess (twins, triplets, etc.), rich in fertility or just a great fetus. In times of uninterrupted reason for the early slopes, the uterus reaches the maximum possible reconciliation before the end of the term of pregnancy. The uterus, which has become a great arch, "sees a signal" that it is possible to rozpochinat tribal activity;
- Malformations of the development of the uterus (for example, yogurt, sidlopodibna uterus is thin);
- Anterior removal of the placenta;
- Front opening of fruit tunics;
- placenta previa;
- Antiphospholipid syndrome;
- The presence of vagueness, dead vaginesses, or anterior slopes in the past;
- Presence of abortions in minuloma;
- Minimum interval (less than two years) between two advanced vacancies;
- The great parity of the slopes (quarters, five and more of the slopes);
- Anomalies in the development of the fetus;
- intrauterine infection in the fetus;
- Hemolytic disease of the fetus with Rh-conflict vaginess;
- Bleeding or the threat of a weekday, which was meant more early terms vagity;
- Vagіtnіst, scho has come in the wake of the adoption of additional reproductive technologies (for example, ECO, ІСІ then);
- Severe gestosis. In such a situation, the vagility threatens the woman’s future life, and the doctors call out the piece front canopies in order to save the woman’s life.
- Endocrinopathy - disruption of the work of the internal secretion (for example, thyroid glands, supramental glands, ovaries, hypophysis, etc.);
- Gostrі Іnfektsiyno-zapalnі zahvoryuvannya be-yakіh organіv, for example, angina, pyelonephritis, influenza;
- Be-yakі zahvoryuvannya nirk;
- Illness of the cardiovascular system (hypertonic ailment, heart failure, arrhythmia, rheumatism);
- Blood diabetes;
- Illness of suglobiv;
- Surgical operations, vikonanі pіd vagіtnosti. The most unsafe - operational insertion on the organs of the cerebrospinal emptying of the small pelvis;
- Vіk zhіnki. The risk of the front curtains is especially great for the young (younger than 17 years old) and the older (over 35 years old) vіtsі. In young girls, there are signs of incompetence of unpreparedness and immaturity of the reproductive system, and in women of an older age, with severe chronic illnesses.
Regardless of the specific factor, frontal canopies can be lifted by the activation of one of three offensive mechanisms:
1.
Strengthened the production of biologically active speeches for the ignition process;
2.
Establishment of microthrombosis in the vessels of the placenta after increased blood clotting, which should lead to death of that attack;
3.
An increase in the number and activity of oxytocin receptors in the mucosa of the uterus, which provokes the release of calcium pumps in clitinous membranes. As a result, myometrium counts include calcium ions, and the concentration of these substances is increased, which determines the birth activity.
Anterior canopies - symptoms (signs)
The symptoms of the anterior slopes are similar to those of the normal slopes. The most characteristic signs of the front canopies are:- Tight, transverse pain-like, localized in the lower part of the abdomen and across;
- Vіdchuttya vice і rozpirannya in statevyh bodies;
- Call for a bowel movement.
As soon as the first opening of the fruit hulls, the woman has rare sightings of the state paths. If the navcoloplidnoy rіdina flowed richly, then the woman's belly volume changes, which is even more memorable.
Zgidno with clinical stages, front canopies can be menacing and start. Threatening canopies are characterized only by pain sensations in the lower part of the abdomen and across the stretchy character. The intensity of the pain is the same, it will get stronger and change. Lives under the pressure of that firmness. As soon as the canopies begin, then the pains become more transcendental in nature and step by step they are strengthened.
The correlation between the appearance of symptoms and the real risk of frontal canopies is advancing:
- Painful transverse pain in the lower part of the abdomen and regular contraction of the uterus - the risk of the anterior slopes is too high;
- Pulling belly at the lower part of the abdomen and across - the rizik is too high;
- Bleeding from pikhvi - high rizik;
- Rіdkі vіdіlennya z pіhvі - rizik middle;
- Raptova change in the activity of the fetus (sharp upheaval, active ruhi i, navpaki, povne pripinenny vorushin thinly) - rizik middle.
Likuvannya front curtains
At this time, a celebration of the front canopies is carried out, the main meta of which is a kind of treatment for the cupping of the generic activity and the continuation of the pregnancy, which is more.If there is a threat of frontal canopies, the woman will be hospitalized until the pathology of the vaginal canopy is admitted to the hospital box. If it has not started yet, then tocolic drug and non-drug therapy is carried out. And if the canopies have already begun and the sounds of them are no longer possible, then the woman should be translated at the canopy of the vіddіlennya and ahead of the neonatologist about the appearance of a premature baby.
Not medicinal treatment Threats of frontal curtains to be carried out by way of security of women of state, physical and emotional peace, as well as bed rest. Moreover, they lie in a bed next to a knife lifted by the knife. For the availability of high-quality equipment and qualified physiotherapists, physiotherapy methods, such as magnesium electrophoresis, holcoreflexotherapy and electroanalgesia, are required.
Medicamentous treatment of the frontal slopes, including the advancing aspects:
- Tokolіz - relaxation of the uterus and the dentition of the birth cycle;
- Sedative and symptomatic therapy - calm the woman, relieve tension and stress;
- Prevention of respiratory distress syndrome (RDS) in the fetus, so the canopy will usually be up to 34 days of pregnancy.
Hexoprenalin (Ginipral) with a method of damaging the front of the cob canopy is administered intravenously, and then given in the form of tablets. Internally, Ginipral is administered in high doses, and after reaching the effect of the woman, switch to taking the drug in tablets with a low subdose of dosing.
Fenoterol and Salbutamol are vicorated only for emergency use of the anterior canopies. Introduced intravenously at the level of glucose. After the adoption of ancestral activity with Fenoterol or Salbutamol, it is necessary for women to switch to tableting the Ginipral form, as they are taken at the prescribed dosage.
To enhance the effectiveness of Fenoterol, Salbutamol and Ginipral for the use of an ear of the anterior canopies, they can be beaten together with Verapamil or Nifedipine (calcium channel blockers). Moreover, Verapamil or nifedipine is taken for the first half of the year before the intravenous administration of adrenomimetics. Calcium channel blockers vicorist only at the stage of adoption threaten the frontal curtains, and when switching to the initial therapy with Ginipralu tablets, it is recommended.
Magnesium sulfate (magnesium) for the use of front curtains is administered internally in the form of 25% difference. However, the effectiveness of magnesia is lower than that of adrenomimetics. To that magnesia for conducting tocolizu vicorista is less likely in that case, as adrenomimetics are contraindicated or inaccessible for any reason.
Sedative therapy in a complex treatment of the frontal curtains is necessary for the recovery of psychological and emotional stress in a vaginal woman. At the present time, as the most effective drug that relieves stress and feels a little anxiety during frontal canopies, Oxazepam or Diazepam is used. If necessary, administer antispasmodic drugs - No-shpu, Papaverine or Drotaverine. To change the production of prostaglandins, which can trigger the mechanism of the frontal folds, vicorist indomethacin in the form of rectal suppositories, which is injected into the posterior passage of the day in the evening from 14 to 32 of the day of pregnancy.
Prevention of fetal respiratory distress syndrome (RDS). As a threat to the frontal slopes in terms of 25 - 34 tyzhnі vagity, then for the prevention of RDS, glucocorticoids are administered, which are necessary for the accelerated maturation of surfactant in the legenia. If a child is born without a surfactant, which has a curvature of the leg, someone will develop a collapse of the alveoli, which cannot open when inhaled. The result of RDS may be the death of the newborn. Glucocorticoids lead to an accelerated synthesis of surfactant, which is why very preterm infants cannot be born without RDS. In this hour, for the prevention of RDS, Dexamethasone and Betamethasone are to be administered intravenously, once a day, for two days. For consumption, glucocorticoid can be administered again after 7 days.
Prevention of frontal canopies
The best prophylaxis of the early stages is preparation to pregnancy, as it includes the diagnosis and treatment of infectious diseases and the achievement of a stable controlled overshoot of obvious chronic pathology. Pіslya nastannya vagіtnostі profіlaktika peredchasnih pologіv polyagaє in regular sposterezhennі for її perebіgom, svoєchasnomu lіkuvannі uskladnen abo zahvoryuvan scho viyavlyayutsya, i gospіtalіzatsії to statsіonaru in "kritichnі termіni" (4 - 12 tizhnіv, 18 - 22 tizhnі i dnі in SSMSC yshli b menstruatsії ), if the rizik is naive. At the hospital, prophylactic therapy is carried out, saving vaginess is directed.Vagіtnіst after the front canopies
Vagіtnіst after the front canopies it is necessary to plan ahead of time, passing before this final moment in detail the obstezhennia of all the internal organs, and not just the state. Obov'yazkovo it is necessary to build blood for the concentration of hormones in the thyroid gland, a deficiency of any building to provoke repeated transmission of canopies. In addition, it is recommended to perform an ultrasound examination of the organs of the empty stomach, clean the heart and the building of blood for the determination of the concentration of hormones and indicators of the immune system. If the woman has some important diseases of the internal organs (for example, cerebrodiabetes, hypertensive ailment, pancreatitis thinly), then before the pregnancy, you should take a course of treatment, which will allow you to control the overflow of pathology. In addition, it is recommended to create the most comfortable, psychological and emotional mind for the future winemaking of a child. Retelnee guarding for the excess of vagity and its own exuberance, as a rule, to bring the fetus to normal viticulture after the previous folds. Vagіtnіst after the front curtains is quite normal and fast.Canopies after the front canopies
The canopies after the front canopies sound normally. As soon as the cause of the frontal slopes has been usuned, then the woman’s vagity will set in as a whole normally and with a high level of ymovirnosti to bring to the end and grow up at full term, healthy infirmity. Rizik development is more complicated with canopies after the front canopies are not higher than the average.How to call out the front curtains
In order to cure the front curtains, vicorist such medicinal preparations:- Dinoprostone;
- Dinoprostium;
- Mifepristone + Misoprostol;
- Oxytocin.
Front curtains - test
Ninі іsnuіє test-system vyznachennya on the cob of front canopies, which is called Aktim Partus. Danish baseline test for the presence of insulin-like growth factor-1 (CIPFR) in cervical mucus, which is secreted by the fetal membranes great number for a few days before the future canopies. The test in the home minds of the work is not possible, but only in modifications for qualified medical personnel. Unfortunately, the accuracy and sensitivity of this test on the front canopy is not high enough, it is absolutely impossible to rely on this result.Today, there is a test for the anterior opening of the husks (PRPO), which can also be tested for the diagnosis of anterior canopies. The test for PRPO can be tested at home, and the result can be accurate. If the test for PROM is positive, then the woman has a high risk of frontal slopes, and she may not be hospitalized at the flat beds.
Front curtains: resuscitation, recovery and rehabilitation
premature baby - video
Before zastosuvannyam, you should consult with a faculty member.
In these articles:
Starting from 38 days of pregnancy, the fetus in the womb is fully mature, all organs of the system are ready for independent work. The very same period from the 38th to the 42nd day is the ideal hour for the appearance of a child in the world. However, in some valleys, the canopies are lifted earlier in the singing hour. Why are the canopies unsafe before the hour, how the stench repents and how it is necessary to come in and live in order to save the healthy child and mother?
What canopies are respected in front of them?
Anterior canopies - chain canopies that came in the period from 22 to 37 days of pregnancy. The number of such curtains in the whole world becomes close to 6-9%. At the same time, the canopies were divided according to the term of vacancy, the scales are great difference between the child, who came into the world on the 29th of December and was born on the 34th of the vacancy. Tim for an hour, in both vipads, the canopies will be taken in front of them.
- the front curtains on the 22nd - 28th of December are classified as even earlier, so the weight of the child in this period is from 500 to 1 kg;
- early prechasny canopies come at the period of 29 - 33 tizhnі. The mass of the new people to become close to 2000;
- front canopies by the term from 34 to 37 September. As a rule, at this interval, a child is born from the mass of the body around 2500.
According to the statistics, most of the front slopes (up to 60%) fall on 34 - 37 days of vacancy, on the term up to 30 days it is significantly lower. Until 1993, in our country, curtains were taken in front of them, which began no earlier than 29 years of pregnancy, and resuscitation children were accepted only to quiet new people, whose vaga reached 1000 rubles. However, later in the Russian Federation, new criteria were introduced, recommended by the WHO. Now I will provide intensive medical assistance to goiters and slap all those who are not born, if they were born on a term of 22 December and may have a weight of the body not lower than 500 g. how the stench lived for over 7 days (168 years). Well, if you died for a long time, then you can also talk about a fleeting reversal of vaginess (a good weekend).
Causes of frontal canopies
There are a number of factors that call out the front canopies. The reasons that lead to innocence of pregnancy are divided into two groups.
1. Healthy future mami
Here one can see endocrine disease, which leads to the destruction of the functions of the ovaries, thyroid slough, supramental slough, hypophysis, subduct slough. These illnesses can cause a decrease in hormones, which can be attributed to the guilt of pregnancy. Also, for a normal increase in pregnancy, it is even more important for a physically healthy future mother. If a woman suffers from a heart disease, if there are problems with her liver, then the body begins to take vagity as a risk for life. And as a result, the threat of the front canopies is blamed.
Another reason for the innocence of vagity is the anatomical changes in the organs of the people of children. Underdevelopment of the uterus (infantilism), anomalies in the development of the uterus (one-horned, with a septum, yogurt), as well as various chubby processes, scars after a caesarean rupture, injuries after an hour of piecemeal abortions - everything can provoke the front curtains. Of particular importance is maє іstmіko-cervical insufficiency (ІЦН) - pathological changes in the cervix, when there is no, in the world the development of vagity, in the case of zdatnіst utrimuvati plaid in the empty uterus. ІЦН is rarely congenital, most often it develops in the aftermath of ruptures and injuries of the cervix of the uterus under the hour of piece abortions or complicated slopes. In some cases, ICI is formed with hormonal disorders in the body of a woman, for example, in the development of human hormones in the blood.
The presence of infections in the body of a woman also plays an important role. There is a need for infection of the sechostatic system: inflammation of the uterus, appendages, ovaries, bacterial vaginitis. A great threat to become addictive infections, yakі to vaginost nіyak not vyyavlyalis: mycoplasmosis, chlamydia, urethroplasmosis, trichomoniasis, herpes, staphylococcal, streptococcal and cytomegalovirus infections. In addition, the occurrence of other hospitals or chronic illnesses, such as viral hepatitis, tonsillitis, caries, often leads to serious complications. Headache in that the infection can penetrate into the amniotic membranes, cym viklikati intrauterine infection of the fetus.
2. Vagination overrun
To provoke the front canopies can act as an aggravation of vaginess:
- important preeclampsia that threatens the life of the mother and child;
- placental insufficiency, which is characterized by impaired delivery of vital speech and sourness to the fetus;
- vіdsharuvannya or before the old placenta;
- incorrect position of the fetus (pelvic, transverse, oblique);
- overstretching of the walls of the uterus in case of richness or richness;
- placenta previa;
- Rhesus conflict;
- vіk zhіnki.
Often the cause of pregnancy loss is abnormal development of the fetus (mutations, genetic disease, wadi). Also, a provocative factor is filthy food, important physical work, stress, bad sounds (alcoholism, drug addiction, smoking).
Features of the front canopies in different terms of vagity
Front canopies on the arch of early terms (22 - 29 days) are often caused by isthmic-cervical insufficiency, infections in the fruit tunic and anterior torsion rainy waters. Canopies on terms up to 30 tyzhniv are the most safe and most important marks for children. Such children are born with a critically low weight (less than 1000 g) and often do not live. The stench can not die independently, the shards of the legend on such a term do not rise enough. Unfortunately, there are many serious health problems (cerebral palsy, deafness, blindness).
On this day, there are reports about the little ones, which were born on early terms (Tuesday 22-23), which survived after resuscitation visits. The further prognosis for such children is extremely unfavorable. As a rule, the condition is severely disabled with severe lesions of the central nervous system.
Early thresholds for a term close to 30 days can provoke different factors: insomnia of the fetus and mother for the Rh factor or blood group, as well as other pathologies of pregnancy. The gang of such new people is kolivaetsya from 1000 to 2000 r. Irrespective of those whose organs are not fully mature and work in a very unstable way, for the help of daily medical treatment, doctors are able to achieve good results. Most of the children who were born by the term 28-34 years, have been given to lead a full life.
Canopies on 34-37 days can be affected by hormonal imbalance, placental insufficiency, stress, trauma, or chronic diseases of the heart, diseases, diseases. For children who were born on this term, the most favorable prognosis. It’s about 1800-2500 r., before that, the little ones are already ready to live in the posture of the mother’s womb, but for the mind of a special watch.
Stages of front canopies
We see a few stages of the slopes: threatening, that such an active ancestral activity begins. Such a podіl dopomagaє vyznachiti, chi can pokat i tim themselves to avoid the early appearance of not coming into the world. For this, the first signs of the front canopies are not to blame for the posture of respect of the fahivtsiv.
With intimidating front canopies, they are afraid of nothing, pulling across the abdomen, which are accompanied by a tight uterus. The woman herself can see an insignificant contraction of the uterus, her baby begins to actively collapse. In addition, there may be insignificant bloody visions of ancestral paths. Having revealed the first signs of the front canopies, the future of the mother is guilty of the term turning to the doctor!
The canopies that start are characterized by severe, transient pains in the abdomen, exhalation of the mucus plug, or the presence of sacral visions. So they can pidtikati or wiggle navkoloplіdnі water. With further treatment, the cervix of the uterus is 1-2 cm open, and it is observed to be short. In such a rank, all the signs are characteristic of the cob of natural flat activity.
At the canopy, the symptoms are more pronounced: the stems become regular and strong, the uterine cervix curves by 2-4 cm and more. The rupture of the fruit membranes is observed, after which the overlying part of the fetus moves to the small pelvis.
Wider and more comfortable
Mimovilne reversal of vaginess is often accompanied by various complications. The canopy activity can also be anomalous: supermundane, which leads to the steep slopes, and also the canopy activity is weak or discoordinated. In cases of placental insufficiency, or in case of early old placenta, fetal hypoxia of a different degree of severity may occur. Such canopies of obov'yazkovo should be carried out under cardiomonitor control (CTG).
The front canopies are often folded at the sight of the opening of the thick shells, which leads to an early swaying of the waters. Navkoloprodni vodi protect plіd from various infections, injuries, moreover, play the most important role in the exchange of speech. It is important for him to reveal the fruit shells at the same time. With the appearance of visionary visions, it is necessary to turn to the doctor from the pikhvi. It is important to make a diagnosis similarly complicated, the cervix of the uterus is opened in full examination, it is practically impossible to determine the integrity of the mihur at a visual examination. In this case, special tests can be carried out to determine the water treatment. Also, to make a diagnosis, ultrasound and analysis of vaginal vision should be performed.
With an early opening of the membranes and the presence of active half-way activity on a term of less than 34 days, the woman is subjected to a strict control of the doctors. Aje schogodini, carried out in the mother's womb, promotes the life of innocence. The future mother is now obliged to carry out a series of analyses, and undergo special therapy, which stimulates the maturation of the disease in the fetus. With the first symptoms of inflammation of the navcoloplidnyh membranes, stimulation of the folds is carried out, otherwise, not only the life of the child, but the parent itself is affected.
How to vanish the early canopies?
As if the canopies had already begun to move - the zupinity of them is unlikely to go into it. That is why the women, who have seen the threat of front curtains, are placed at the hospital. Doctors establish the cause of innocence of pregnancy, determine the absence of guilt, conduct low tests for possible infections. For future mothers, physical and emotional calm is even more important, which is often prescribed for drugs with a sedative effect (valerian tincture or dog nettle). Also, spasmolytic diseases can stagnate, as they may cause a relaxing effect on the uterus (Baralgin, No-shpa).
Of course, the therapy is directed to sickness, as it is the cause of early fallout. So, in case of isthmic-cervical insufficiency, sutures can be applied to the neck, prote in a larger term (after 20 days) the obstetric pessary - a special ring, which is worn on the cervix, sounds. With fetal hypoxia, caused by placental insufficiency, special preparations and vitamins are prescribed, and if infection is detected, a course of antibiotics is prescribed.
Very importantly, to the point of vagity, think over it, as if you had humbled yourself in front of the canopies. And here prevention is needed and proper preparation. Nasampered, before conception, we should carry out an obstezhennya to the body, and if any damage is revealed, take a new course of healing. The woman is guilty of taking care of her meals, of unicating emotional shocks, of being at the gynecologist’s and taking the necessary analyses. Even if there is a risk of early canopies, then at the hour of critical terms (2-3, 4-12 and 18-22 days) hospitalization of the canopy bed is recommended. If the mother's future is healthy, and the vagity is passing without pathologies, it is small, that the front canopies will begin in her.
Core video information
Regardless of the current medical situation, save the life of a premature baby with a total weight of 500 g, the diagnosis of a threat to the frontal slopes instills fear in the skin of the woman. Why threaten such a camp of future breeds, what is the chance to get ahead of this option, and what you need to know about front canopies - the main topic of this article.
Vіdpovіdno to the international classification, before the hour is called birth between 22 and 38 gestational age. More than a few years ago, such a diagnosis was voiced only after the 28th of September, the shards until the 1st hour at the woman fixed the week and the little one died, even if it was impossible to vomit yoga.
The old classification recognized the front canopies from 28 to 37 tyzhniv (the vaga of krihti became more than 1 kg). As if a child appeared in the world of shvidshe, її vaga gained 0.5-1.5 kg and won lived or lived more than 7 deb, such a habit was also protected, as before the birth. At the reshti vipadkiv, a free weekend was formed.
Now the current possession allows the removal of critically ill babies from the vagary of 500 g and more. To this end, special boxes are won, as they play the role of the mother's organism. But far from all medical installations can have the necessary possession of such faces. That vikhodzhuvannya of a premature baby is not cheap on the right, you can’t wait to vryatuvat a newly born baby weighing less than 1 kg.
Fallow according to the gestational term, the threat of frontal canopies (code 060 microbial 10) is:
- early sloping process - starts at 22-27 gestational age; plіd important vіd 0.5 to 1 kg;
- early front canopies - 28-33 days, the baby's vaga approached up to 2 kg;
- full front curtains - gestational term 34-37 tyzhniv; the child is already sufficiently formed for a normal life, her weight is close to 2.5 kg.
The threat of frontal canopies and tyzhnі vagіtnostі
If you want to develop some of the fears of women about the front canopies, you can bring optimistic statistics of birth to in other terms gestation. Three of all slopes on the front end fall less than 9%. And the fact that 8 breeds over 100 could not bring the baby to the end of pregnancy cannot but inspire hope.
On the third day of the hourly slopes, 7% are due between the 22nd and 28th of the month. Such little ones, obviously, are very important to go out and far from all go out. But the operative work of neonatologists and the presence of a specialized possession gives a chance to betray the newborn.
Nearly 30% of small children are born between 27 and 33 December. The stench rejoices in high vigilance and quickly shakes up their one-year-olds, who were born at once. Ale stinks are not yet completely dead, that will require expensive litigation.
Over 60% of early pregnancy occurs after the 34th gestational age. Newly born little ones look like babies behind the vaga, but their body is fully practicing the posture of the mother's womb. The survival of such children is approaching 100%.
Threat of front curtains - causes
I create unfriendly minds for a distant wine-making of the fruit, and then we threaten the front canopies, rich factors. Sometimes it’s due to unknown reasons, and sometimes it’s possible to accurately install that factor that provokes.
Let's take a look at the causes of pathological interruption of vaginess in medicine:
- Endocrine disease. Є kіlka chronic damage, building to provoke before the hour of birth. Tse imbalance of female hormones, diabetes, hypo-or hyperthyroidism.
- Non-violent infections in a woman (for example, chlamydia, gonorrhea, ureaplasmosis, herpes) often become the culprit of post-planned ills. І navіt yakshcho the woman's station was far from stabilizing, there is a risk of infection of the fetus and molding in the new water.
- Gynecological ailments at the hour of gestation. Erosion of the cervix, vulvovaginitis, endometriosis, adenomatosis, salpingitis and other pathologies make up the mind for frontal slopes and an unfavorable result for the woman.
- Infections (for example, hostria GRVI, viral hepatosis, carious teeth) are a common source of unsafe infection, which disrupts the normal excess of vaginess.
- Progesterone deficiency. Lack of progesterone (women's hormone) causes innocence of pregnancy. The situation can be corrected by regular reception of Utrozhestan in case of a threat of frontal curtains.
- Abnormal uterus. Congenital vadi, neoplasm, adhesions and physical deformity of the uterus, caused by operative insertion, most often provoking a contraction of the uterus, as well as insufficiency of the cervical canal. Zhіncі rіdko vdaєtsya denunciate the baby navit until 17 tizhnіv, oskolki under the heaviness of the fetus, the cervix of the womb is curving and vibrating every day.
- Non-infectious somatic disease (for example, heart pathology, deficiency of vitamins and amino acids, deficiency of nirok, liver, etc.). The stench calls out to the body and destroys the excess of vaginess.
- Abnormal development of the fetus. Breakdowns on the genetic level and all the powers of the wadis often end in a weekend in the first trimester. In a few fluctuations, the organism will succumb to an incompetent fetus and in the last terms, and the canopies will start in the woman. Most often, there is a threat of frontal canopies in the term between 22 and 28 December.
- Complicated gestation. Bagatoplіdna vagіtnіst, vagіtnіst, preeclampsia, incorrect position of the fetus and others, which obtyazhuyut vagіtnіst, can create a threat to the front curtains.
- The behavior of the vaginal woman is wrong. Vzhivannya alcohol, smoking, heavy burden, stress, sleeplessness - parts of provocateurs threatening early fall.
Important! Be it an injury in the stomach, it can become a cause of a threat to the front curtains. Therefore, a woman can be especially protective, so as not to allow falls, hitting those other physical splashes on her life.
The first signs of a threat to the front canopies
Clinical manifestations of threats to the frontal canopy of the shoulder are similar to the symptoms of the weekend. If you suddenly turn to an obstetrician-gynecologist, then the result is favorable. Most often, the woman is sent to the hospital for savings. Predict, skilki happen to lie because of the threat of frontal canopies, it’s important to unravel. Traplyayetsya, scho will become stabilized and the woman will be discharged, but it will be so, that she will be left in the clinic to the fullest.
Even though the first signs are ignored, it turns out to be navkoloplіdnі water and the woman's canopies begin. In this situation, the people of the little one are left with less money, and they need to give it to you to help the little one.
In order to save a planned birth, follow the precautions for such symptoms of a threat to the front curtains:
- Threatening front curtains can be recognized by the ice-like pain below the navel, the heaviness or shortness of the mother, the change in the rukhovoї activity of the fetus, wondrous visions (mucus from the blood). The return to the doctor and the follow-up of yoga recommendations allow the end of the pathological process. When opening the cervix, or diagnosing isthmic-cervical incompetence of the woman, the ring is established in case of a threat to the front curtains.
- The front canopies that are being repaired. Symptomatic picture is clearly yaskravisha. The woman notices a strong bulge across, from the bottom of the abdomen there are feather-like ailments. Possibility of exhalation of the mucus plug, pouring water, development of bleeding. The uterus, as a rule, rozm'akshuetsya and vzhe vіdkrita. Even if the front curtains are not safe, they assign their own rejoicing, there is a chance to set the curtains for the next hour.
- The first gentle process, which has begun. As soon as the process is gentle, do not make a noise. I nіyakі pricks in case of a threat of frontal curtains, it is not possible to save the early child of the baby. The woman is experiencing all the symptoms and mild ones: a strong bіl, pass, attempts.
The threat of front curtains: what to work?
With the appearance of the least symptoms, threatening the front curtains, women should turn to the doctor. In time, help can help the life of a child. Even if you remember some of the last few days spent in the womb, can become virishal.
Independently virushat to the canopy booth is not safe. If shaking at a high price, it could ruin the camp, it would be better for the arrival of help to help. It is also important that the woman was brought to the hospital, as she specializes in premature babies. If you do not overcome the threat, the child will have every chance to survive.
After a drink in a swede, you can take it calmly - a tablet of valerian or a tincture of dog's nettle. Do not start and two pіgulki Nosh-pa. Before the arrival of the doctors, it’s better to have a rest at the recumbent position and try not to worry.
After contacting the obstetrician-gynecologist, it is important to follow up on the necessary recommendations and accept the recognized preparations in case of a threat of frontal curtains. Whether lightness on the side of a woman can end in another child.
Particularly important is the encouragement of the relatives, that atmosphere in the family. It has long been brought to light that stress, moral violence at home, ungrounded experiences play a role in the development of a threat to front curtains. That is why it is necessary to step up to your psychological level and, as such, it is necessary - ask for help from a specialist.
Likuvannya threaten the front curtains
Therapy of the threat of early birth is directed to the adoption of that cob of ancestral activity. The woman must be hospitalized and still spend an hour more, come in, save, prescribe medical treatment. As a rule, it develops from urticaria when there is a threat of anterior curtains for lowering uterine tone, sedatives and phlegmatic drugs.
- Medical treatment of the transfer of tocolizu in women. The purpose is to suffocate the short-lived activity of the uterus, which allows for a certain hour to induce labor activity. Magnesium is introduced internally in front of the woman in case of a threat to the front curtains. Vaughn loosely relaxes the smooth muscles of the body of the uterus, relieves soreness, swells pathological essences. It is shown such a likuvannya only at the cob stages of the development of a threat.
- Also vicorist beta-adrenergic agonists, yakі also pereshkodzhayut before hour canopies. With great success, zastosovuyut for usunennia threaten the front curtains of Ginipral, Fenoterol, Salbutamol.
- To help the rest, calcium channel blockers are prescribed. Їx is taken 30-40 minutes before the intravenous administration of adrenomimetics. The most effective blocker is nifedipine when there is a threat of frontal curtains. Vіn zastosovuєtsya less at the most critical period of conserving vagity, and after stabilization I will become skasovuєtsya. And Ginipral from intravenous administration is transferred to oral intake and is taken until 36-38 gestational days.
Important! Molding threatens the anterior canopies between 25 and 34 on the day of transferring the introduction of glucocorticoids, as it helps the fetal dyhal system to be more formed. In order to completely open the alveoli of the leg in a premature baby, Dexamethasone is stopped when there is a threat of anterior curtains.
- Dodatkovo carried out sedative therapy to stabilize the psychoemotional background of the vaginal woman. Permissible drugs in case of pregnancy are Oxazepam and Diazepam.
- In order to diagnose a strim of prostaglandin growth, which indicates fetal rejection, a course of Indomethacin was carried out in the presence of rectal suppositories from 14 to 32 days of pregnancy.
- Okrema respect is attached to the causes of such a pathology. Also, as the threat of frontal curtains was provoked by infection, antibiotic therapy was carried out. The use of antibiotics is also relevant when entering waters up to 33rd gestational day. Tse allows you to protect the child from the penetration of infection. After 34 days, when the waters emerge, the canopies do not rattle.
- If a woman has an isthmic-cervical incompetence of the cervical canal of the uterus, the term is up to 28 days to apply stitches under mild anesthesia. Tse allows you to prevent the opening of the neck and the fall of the fetus. On the last gestational term, on our own, the Golgi ring is attached.
Important! The woman’s vaginess is safe, the threat of the front canopies is small and small, but it’s still there. It is important for him to know the first signs of such a pathology.
How to get ahead of the front canopies
In the aftermath of the planned slopes, the woman’s life is not insured; Just to reduce the risk of such a result of pregnancy, it helps to prepare your body well before conception, and the correct behavior is already after the present pregnancy.
What you need to work:
- Go through the complex obstezhennya. At this stage, it is necessary to detect and develop chronic ailments, to use abnormal features of the uterus, to pronounce state infections.
- Hourly see I'll have a consultation that article on obl_k. It is important to discuss health problems with the gynecologist, give the results of the obstezhennia at the planning stage.
- Avoid contact with sick people during pregnancy.
- Change or turn off the superworldly physical ambition, and also isolate yourself from stressful situations.
- Pass absolutely all analyzes according to the schedule of vagity.
- Watch out for your self-confidence and in case of suspicion, consult a doctor.
Dotrimanny tsikh clumsy rules allow you to reduce the chances of blaming the threat of front curtains on any terms.
As if you didn’t want to inspect the moment of hospitalization, remember that you are risking not only your good health, but also the life of your still unpopular baby. Do not ignore unsafe symptoms and do not hesitate to seek help. Doctors destroy all kinds of them, in order to save your vaginess. And you are left with less than a careless dorimuvatisya їх appointments.
Video "What is the reason for the development of the threat of the front curtains"
The skin of the future mother, resting at the miraculous camp, is worried about the health of that life of her future baby. The woman at the back of her mind gives her installation to speak to herself, follow all the orders of the gynecologist, which is gleeful, and bring the pregnancy to the appropriate term. Unfortunately, regardless of prevention, the right way of life and until the end of the recommendations are fluctuating, if the pregnancy ends earlier than the term. For example, sometimes they trapleyatsya, that the canopies are raised on the 34th day.
What are the front curtains?
Before the hour, the people of the child are respected until 37 days. If the mindfulness of the mind can be considered full-term. The first child in the majority of vipadkіv people is fully deranged and healthy. Children who were born before 37 days of age (lower threshold - 28) with a weight of 1000 to 2500 kg are considered premature. Dates until 1993. Following the All-Russian Organization for the Protection of Health, a new lower limit for prematurity of children has been adopted, as an aid to resuscitation - 500 gr. And as such a child lives for a long time after appearing in the world, such canopies are called before hours. Fetal weight can be extremely low.
The front canopies on the 34th pregnancy are not so scary, like, for example, on the 28th. Call the child to this term already may be close to 2200 gr, її reach 43-45 cm. So, until this hour, the child accepts those positions, in which case he will protrude with a sloping channel. The mother's organism is getting ready for the future slopes, they say Ale, without respect for the building, it would be enough for the people, in fact, 34 tizhnі is an insufficient term for the general people.
Causes of frontal canopies
The canopies on the 34th day can be caused by different reasons. There is a lot of stench in what to lie in the form of a healthy future mother, sovnishnіh factors, way of life, as well as in the form of genetic changes in the organism of the fetus. The main reasons for the forward slopes are as follows:
- Infections and pathologies of the cervix and uterus in general.
- Richness. Often such a vagіtnіst rozrodzhuyut before the installed term.
- Bagatovodya.
- Endocrine disruption.
- Illness of organs and systems of the mother's body - heart-vascular, duct-intestinal and others.
- Developmental defects in the fetus, including genetic disease.
- Colds and ignition processes at the hour of vaginess.
- Shkіdlі zvichki - chicken, alcohol, drugs.
- Accommodation in
- Tyazhkі mind the robots.
- Psychological experience, stress.
- Injuries, obsession with an hour of vaginess.
Signs of front canopies
On this term (34 days) the organism of the vagina begins to get ready to fall. They are "hibni" or, as they are called, "training" essences. Vagitna may be unacceptable, cause pain in the area across, creases, pelvis. And also in the stomach. Even if the symptoms do not cause any particular unhandiness and do not have a constant and growing character, you can especially not be turbulent.
Well, it is to blame for the weak pain in the stomach, which does not pass the trivial hour and does not know additional drugs, otherwise the unstable short-lived ruhi in the mother becomes regular, varto turns to the doctor. If you don't get rid of the symptoms, then the canopies of the term 34 tyzhn can become.
Likuvannya at the threat of front curtains
Admittedly, the woman of vinyl has a threat of front curtains: future mother turbulence. Do not panic early in the morning. The threat is not obov'yazkovo can turn into canopies. On the basis of which term it is possible to carry out a successful exaltation and save the vaginess. It is necessary for us to provide the girl with peace and, obviously, I will help you to help the girl. To save vagity, there will be obov'yazkova hospitalization. Before the arrival of doctors, you can drink the simplest calms - dog nettle, valerian. I simple antispasmodic. For example, "No-shpu" ("Drotaverin"). After hospitalization, as it is possible to save the pregnancy, the doctor can recognize the necessary preparations. The most common targets for relieving the tone of the uterus, sedative medications.
And just like the front canopies at 34-35 tyzhniv, they already started, as much as possible, so they can’t be fooled. Tim is bigger, as it looked like navkoloplіdnі vody. So, in this term, child, although it has not grown up to standard parameters, is still life-changing. Most of the time, you will not need resuscitation. In the extreme case, in order to prepare the lungs of the little ones to independent diarrhea, a hormonal drug will be prescribed. Here we will already talk about the day of the individual pidkhid.
Features of the management of the front canopies
Most of the front canopies on terms approaching natural ones can be passed without special excesses. Ale vіdminnistyu є fast hour of the process itself. In front of the canopies, it is most common to go through the richly swedish for the zvichayn. If there is a serious pathology or an emergency situation, then carry out cesarean rosetin. The rest of the hour for pain relief is epidural or spinal anesthesia. Rіdshe і for special indications - deep anesthesia. For the management of natural perebіgu slopes, anesthesia is also used, or it is essential for sedation. So the necessary constant monitoring will become a mother and a child.
History of front canopies for children
The front canopies on the 34th date for the child may have fewer traces, lower on the early terms. At this stage, there are enough excuses to start living fully. Most of the time, the child, narrated in this term, already has a system of dihannia, as well as an organ of etching. The problem is blamed only on a small carriage. If it’s not critical, then the child is in a canopy booth right behind her mother. In case of problems with the baby, the baby can be transferred to the pathology department of the newborn. So, as if for some other brightly pronounced signs of health, that baby’s development. Zagalom on terms after 34 days, with full supervision and eating, to finish the development of full-term children.
The legacy of the front canopies for the mother
For the breeders of the front, the canopies on the 34th day are not particularly troublesome. The stench is practically not disturbed by the extraordinary process at any time. With early canopies, the number of openings changes: both internal and external. Alone, on what varto turn respect, why cause frontal curtains. Z'yasuvavshi and with the year of their sleep, zapobіgayut analogous rizikam at the onset of vagity. Suddenly, it is necessary to give special respect to the very term on which the threat was raised, or the front canopies of the previous time.
Prevention of frontal canopies
Take good care of your health and your better health is better than the back. Aje zagalnovіdomo, better zabіgti be-yakim zgubnim naslіkam, nizh reap the sum of fruits. Bazhano plan vagіtnіst zazdalegіd. At the beginning of the hour, it is necessary to look out for shkidlivyh zvichok, strong vanity, psychological experiences. Obov'yazkovo needs to go through the outside of the body, like an organism with a tan, and the reproductive system. And it’s worth it not only the future mother, but the father. As a kind of boules, they were chronically ill, or problems of genetic disease, a general medical consultation is necessary. Also, when planning for the first hour of pregnancy, it is necessary to avoid contact with contagious ailments, to take care of all the prescriptions of doctors, to undergo planned obstezhennia.
Obviously, not a skin tone that situation can be overcome. And yet, there are impersonal possibilities, if the canopies on the 34th day can be forgotten. Abo work so that the stench of the minimum shkody gave a healthy mother and child. For whom it is necessary to take care of oneself, not to need medical help, and to be put in danger until the health of the future child.
The problem of front curtains is widened in obstetric practice. What can cause such a result of vagity, go in for prevention and how canopies are respected before the hour, it’s easy to look at these statistics.
What is called the front canopy?
Under the front canopies, it was accepted to understand the process of birth, which starts earlier than 38 years - the term, if the baby is important for the delivery and we will re-form. The All-World Organization for the Protection of Health (WHO) has established the terms of the front canopy, and itself from 28 to 38 of the day for the duration of pregnancy.
However, new technologies do not stand on the spot and modern gently sloping budinki of the resident vikhodzhuvati malyukiv, who were born on the 22nd day of the vagary in 550. , ale, not less than less, the practice of weaning such babies as a whole is successful, and preterm babies can easily milk their one-year-old babies up to 2.5-3 years old.
But if the skin of the canopy booth is not equipped with the necessary equipment for the orderly life of such children, then in Russia it is possible to understand the canopies from the full 28th day of the gestational period. Prote, in the regions of Russia, there are actively developing areas of perinatal centers, which can provide all the necessary advanced equipment and qualifications of medical personnel, to give the opportunity to get babies out of the car to the pivkilo.
Svіtova practice naming the process of patrimonial activity before the curtains, which began with the term z 22 days of intrauterine development of the fetus.
How often do the front curtains trap?
It’s a great pity, since the birth of a premature baby, not one future mother is insured. Indicators in the United States for statistical data become close to 7% in the total number of births on the river, in France the figure is three times less: close to 5%.
Statistics show that in Russia the indicators of frontal canopies are quite low. According to the data, introduced in the WHO supplementary measures in 2016, the rate of early birth in Russia is about 8%. With the numbers above, half of the children are people on the terms 33-38 tyzhniv. As a rule, all life-important organ systems are already more or less separated and such little ones grow up quietly, who were born in lines, with lesser dimensions and the appearance of a harmat on the skinny curve (lanugo), such a decline by itself.
Nearly 5% of children are born on the 22nd-27th of December, earlier this process was called an abortion, but modern medicine, due to the obviousness of the superfluous possession of the building, is supposed to produce such serious children. Reshta falls on the canopies in terms of the 30th day and the 32nd day of gestation, the numbers of new people are especially watchful, but the viviance is richer in them, lower in small five-hundred-gram babies.
Who is smarter to the risk of being born earlier than the appointed term?
To the factors that increase the risk of the front slopes, bring in the impersonal zodiac splashes. It is not possible to reliably name the reason that called out the ancestral activity earlier for the required moment. It’s not just one single factor, but the group itself that causes such a sumptuous result.
The lady of the goiter is to protect herself and the future baby. Often, it’s more shocking at work, tragedy in family, sickness, or the death of a loved one beats out the emotional jealousy of the future mother, and the body reacts to the shock of the prenatal labor activity.
The mother's way of life directly contributes to the positive result of pregnancy. Unfavorable socially-pobutovі um, nestacha їzhі and zdatnі zdatnі zdatnі zbіshiti rizik razvitku ossladnen chi threaten front curtains. These women, like living in tyutyun, alcohol and narcotic preparations and under the hour of pregnancy, rarely bring their children to a proper term.
The child of the mother, who smokes, is suffering from severe hypoxia (non-sourness), is in permanent intoxication from the decay products of ethyl alcohol and narcotic speeches. It is just before the appearance of such a little person in the world - the least of all the summaries of the legacy of such a way of life of the father.
Chronic illness in the anamnesis (especially gynecological) in a woman can directly and indirectly intervene by protracting the pregnancy and її result. Often the reason for the development of the flat activity earlier than the term is the development of the internal organs. For example, the underdevelopment of the uterus (baby uterus) chi її irregular shape. Weak cervix (isthmic-cervical insufficiency) is not able to relieve a permanently severe pregnancy and birth in an empty organ, and, most of all, the very reason for the birth of children with a very low vagary in early terms of fetal gestation.
The current gradual maturity of a baby in the womb can lie in the age category of a woman. In a group, the risk is changed like a young woman up to 18 years of age, so are women who are very popular, for some time they have passed the sign of 45 years.
One of the factors in the birth of a premature baby can be infectious-inflammatory processes and state infections in the mother's body. Injuries of the abdomen with vagity on any terms often end with sufficient or inductive canopies to a proper term.
Women from rich vagity Premature babies are most commonly seen due to overstretching of the uterus. Prote, let the parish have tsej svіt dviyni and trіynі deshcho іnshі. Mentally normal vvazhayutsya canopies double and triple z povny 35 tizhnіm intrauterine development. Even as early they can be called, as if the stench was consumed in the period from 22 to 35 years of pregnancy.
Women, yakі mаut dosvіd predchasnіh pologіv аbо abortion, espіcially with persіy vagіtnostі, аlso enter rіzku group. It was mindful of the body's reaction to the new vaginess, as the rest ended earlier for the term. Infrequently, but to add a wide-ranging cause of early birth of the fetus from the womb is a Rhesus conflict. Catch if the mother's Rh factor is negative, and the fetus's Rh factor is opposite, i.e. Є positive. For such a situation, the mother's organism can take the child for an alien object and use all her strength to help herself.
Even though you still have chronic illnesses or other peculiarities, tell the doctor about them, who guards you, such information can ruin your life and the life of your future child, because. doctors will be ready before the force majeure situation. It’s even more important to prolong the last period of winemaking for a baby to finish healthy way life, say goodbye to the shkіdlivimi fallows, and before the planning of the children, it’s better to take care of your health and treat all ailments.
Signs of front canopies
The front canopies, which are being repaired, otherwise the threat is manifested by a number of characteristic manifestations and changes in the life of a woman. It is important at the same time to recognize them and live the necessary entrances for the successful completion of ancestral activity.
Women who have grown up can recognize the signs of the front canopies for the first days, go up to the normal term, or go up to the threat of vaccination on the first days.
But the process of early birth is brutal, as if it is a threat to seeing the symptoms described below, otherwise the process of ignoring a little person is only going to start. But if the child has already begun, the cervix is open and there are periodic essences, it is no longer enough to accept the baby and to help vryatuvati your life.
Later, the obvious symptoms of the cob gently sloping earlier for the meaning of the term є:
Bleeding from the article ways;
Whether it’s clear vaginal visions, they, most of all, show up at different times when the waters flow through and open the walls of the amniotic bear;
Tension kam'yany alive, spasmodic contractions of the muscles, which are accompanied by pain syndrome;
Pull pain in the area across the lower part of the abdomen;
Feel like a strong vice on the crotch;
Vision of mucus mucosal clots of transparent or yellowish color with possible blood streaks;
Inconspicuous activity of the fetus in the appearance of pinnacle or, navpaki, suspected calm.
It is important for any symptom described above to seek medical help. As a rule, the front canopies can be lost during the hourly visits. Similar symptoms may appear to aggravate pain across the can be in case of suspected contagion of nirok, zocrema, acute pyelonephritis, or acute acute form of the disease, and acute pain in the abdominal cavity may be due to improper eating, appendicitis and rosea.
The threat of the birth of a premature baby is that її exultation
As it has already been said before, the threat of the frontal curtains can be overcome, and in times of the processes of the penultimate act, you can begin, for the necessary medical assistance, promptly apply them, allowing the women to inform the child and the people in the proper term.
Under the term "threat of frontal canopies" obstetrician-gynecologists understand the processes in the body of a vaginal woman, which activate the cob of ancestral activity in an inappropriate term. With the praise of this diagnosis, the future mother takes away the same glee in the minds of the hospital and rests under the supervision of physicians. Sound, start threatening to be accompanied by pains in the pelvic cavity, visions of different intensity and color, hypertonicity of the uterus.
The jubilation is carried out stationary, the women hope to be calm. Nasampered, drugs are introduced that reduce the uterine tension and bring you to an extreme calmness. As an additional benefit, sedative calming preparations can be recognized and for the normalization of women and the inclusion of the possibility of new stress shocks. At the time of development of the amnion, a course of antibiotics is prescribed, which protects the baby from infection and allows the child to be carried to a safe term. Thus, antibiotic therapy is prescribed if the mother's body exhibits ignition processes.
As the reason for the threat of the early appearance of a baby in the world was istmiko-cervical insufficiency, then after the adoption is not safe, the activation of the sloping viability under macular anesthesia is sutured on the cervix, which does not allow the cervix to burst under the fetal vein. On the 28th day and the great terms on the cervix, a special ring of Golgi is established, as if it were contracting, as if it were known after reaching the 38th day of pregnancy.
How to administer a course of glucocorticoids, which will reduce the risk of development of respiratory distress syndrome (RDS) in a newborn, which can cause death. Such a preparation prepares the lungs of a baby, and in times of people earlier the term wines can grow their first breath without threatening life.
If the vagity is not taken away, it stimulates the early canopies?
There are such situations, if doctors do not jump in any way save vaginess and prevent early birth. So shy away from vipadkas, if it’s impossible to drink wine away through the threat of the life of the parents. For example, in case of severe bleeding, gestosis, acute chronic diseases, it is thin.
Moreover, the front canopies can be inducted (viklikanі piece by piece shlyakhom) at the vapadki, like a child died in the womb and left it unsafe for the mother, like a woman who was condemned by that term corrective colony as if she was married in her father's rights, otherwise she was in time for a life abortion, and also in some other ways.
Vedennya front canopies
Undoubtedly, the early delivery of the child leads to a special novice in the form of a doctor and can be accompanied by constant control camp women are ready for operational activities.
Most often, all processes of early fetal expulsion proceed more strіmko and untransferred. As a rule, at primordial This process takes no more than 6 years, but it can be repeated in 2-4 years. Strimki canopies of unsafe risk of injury of the newborn during the hour of passage through the birth paths. Small rosemaries of the body and the softness of the bone tissue of the child do not protect it from the oppressive pressure of the walls uterus and pikhvi, scho to cause fractures, hemorrhages and multiple hematomas. Shvidkіsne rozrodzhennya woolly placentas and clear up bleeding, at least for some reason a threat to the life of the mother is real. The critical moment for a child is the period of withdrawal.
Vrahovyuchi all the nuances of such a process, the obstetrician-gynecologist is guilty of being informed and sufficiently competent, not only to delicately carry out the entire process, but also to minimize the negative consequences both for the newborn and for the parent itself.
Prevention of frontal canopies
To reduce the growth rate strіmkih slopes earlier, lie down the term female woman is guilty of dorimuvatisya deyakyh rules, even though she herself has been set up to herself and her unpopular child to lay down a safe passage of that completed pregnancy.
✔ Even at the stage of planning the pregnancy, the next step is to go outside medically, so as to allow damage to the robot to be detected internal the organization will give you an hour to prepare your organism to such an important and important mission, like winemaking that people of a new life.
✔ In case of confirmation of uterine vagity, varto yakomoga earlier at the territorial woman's consultation, after the intrauterine development of the baby, to be able to qualify the fahivtsi. It is not necessary to allow development of other pathologies in different anomalies at the earliest possible terms for prompt arrival.
✔ In case of self-vaccination, protect yourself in important physical practices, conflict and stressful situations, unify the infusion of toxic speeches and carefully shift, especially on slimy surfaces.
✔ It is not uncommon, without special necessity, to show up in places of mass crowding of people, especially during epidemics of viral illnesses, to avoid contact with infectious people and creatures.
✔ As far as possible, do not connect with the air and canopies on robots for no apparent reason, because revtom, like physical, so i rozumov , can be negatively marked on your health.
✔ It is important to look after the camp of your health and take care of all the signals of your body, even if you are sent to the doctor for suspected symptoms, to help you avoid the development of negative consequences, among which there is a new risk of development of the front canopies.