Late pregnancy prenatal checks

Into the late pregnancy, pregnant mother has her fourth prenatal check should be done.

28 weeks of pregnancy, mother to fourth prenatal examination made should at this point. The antenatal checks other than a previous examination content, fetal position check should be added, including 3 content:

Presentation: relationship between fetal and maternal body long axis long shaft, called the two-axis parallel straight producing type, two perpendicular to the axis is called a transverse lie.

Fetal presentation: first to enter the fetal part of the pelvic inlet called fetal presentation, direct presentation with cephalic presentation and breech, transverse lie a shoulder presentation.

Fetal position: Fetal presenting part indicates the point and the relationship between maternal pelvis called a Fetal position, referred to as fetal position.

Under indicates that the maternal pelvis and left, right, front and rear, Wang and the relationship between different fetal position. By direct presentation see presentation, transverse position rare. Fetal presentation to cephalic presentation, breech rare. This is because the fetus top-heavy, uterine cavity under width on narrow reasons. Pillow fetal position to the left before, see.

In the fetal position, pillow front is normal fetal position, others are abnormal fetal position. Abnormal fetal position are important causes of dystocia.

Abnormal fetal position for maternal effects include: can lead to prolonged; soft birth canal injury prone; commonly required surgical delivery, increased bleeding and infection opportunities; prolonged soft tissue may be too long and ischemic edema, causes genital tract fistula.

Abnormal fetal position for fetal effects include: due to the prolonged labour and operative midwifery, fetal damage along with the chance of increased fetal distress is an important incentive of fetal and neonatal death.

Before 28 weeks of pregnancy, as amniotic relatively more fetal position is not fixed in most breech can automatically turn a head in the future. If in the 28-32 pregnancy week remain in the breech, and knee-chest can be used lying position, this method can help make the fetal buttocks exit pelvic, take the fetus change increase the chances of fetus to head of the center of gravity. Do the knee-chest Fowler\'s solution before urinating and release its waist belt, daily 2-3, 10-15 minutes at a time, after 1 week review.

Pregnant mother moxibustion therapy can also be used to correct breech. Moxibustion is a traditional Chinese medicine, civil widely circulated. Aromatic smell of Folium artemisiae argyi, combustible and fire a moderate, is the ideal application of moxibustion material. Chen Aiye also acupoint moxibustion bilateral to Yam (small toe-side lateral), daily 1-2, 10-15 minutes, 5 times for a courses. Moxibustion often feel fetal movement active. 1 week review of the fetal position after correcting the situation. If you meet the knee-chest Fowler\'s effects better.

Another easy way to correct the abnormal fetal position is drinking water treatment. Pregnant mother of adding sugar to drink cold boiled water for 3 days, each glass of 200 ml, drinking once an hour (total 2000 ml per day), correct the success rates of up to 70% of abnormal fetal position. This method is also treating oligohydramnios.

It is important to note that, regardless of the method to be adopted to correct abnormal fetal position, must be based on normal water sheep as a prerequisite. Therefore, correct before fetal position, using b-mode ultrasound monitoring of amniotic fluid is normal.

To 32 weeks of pregnancy, pregnant mother should at this point to go to the hospital to receive fifth antenatal checks. The antenatal to complete previous checks in addition to the regular items, should also pay attention to psychological and recommend abstinence sexual intercourse, precisely, that make protection on the psychological and physiological preparations to prevent preterm birth.

Called the 28-37 weeks of pregnancy termination between preterm birth. Delivery of the premature infant is less than 38 weeks of pregnancy. Also known as immature infants in preterm infants, their resistance is low, and low survival ability, prevalence, mortality is high. Mortality and birth weight inversely, that is, more light weight, higher mortality. Lethal factor mainly lung hypoplasia, leading to respiratory distress syndrome and intracranial hemorrhage. Therefore, the prevention of preterm birth is to protect the perinatal health. Most of the causes of miscarriage can also cause premature.

Common causes are:
Mother, abnormal development of acute and chronic infectious diseases, reproductive organs or tumors.

Fetus and placenta: double tyres, excessive and premature rupture of the amniotic fluid, placenta previa, premature separation of placenta, placental function is not the identity. Occasionally their pregnant mother abdomen was the impact on preterm birth.

With the gradual increase increment date of pregnancy and uterine, amniotic membranes are also increasing, tension has increased. If late sexual intercourse, the man of action than cool or overexertion, easily lead to premature rupture of membranes, preterm.

In this examination, the doctor will ask you to note of painless vaginal bleeding because of late pregnancy with painless vaginal bleeding are typical symptoms of placenta previa. When a normal pregnancy, placenta and attached to the front wall of the uterus, back wall or sidewall. If some or all of the placenta is attached to the lower uterine segment, or overwrite on the internal orifice of cervix, medically referred to as placenta praevia. This disease is one of the important cause of late pregnancy bleeding, is serious of perinatal maternal and fetal life-threatening complications.

In late pregnancy or childbirth (even occurring at 20 weeks of gestation), lower uterine segment gradually stretch, attached to a placenta following paragraph or internal orifice of cervix of the uterus cannot accordingly with stretch, so the front part of the placenta from the attachment separation, leading to placental blood sinus rupture and hemorrhage. Initial blood loss are often not much, but may occur repeatedly, often more than a blood loss, the bleeding usually occurs in unconscious. Sometimes pregnant mother woke up just find himself lying in a pool of blood. Even some pregnant mothers blood loss for the first time in many, which should be sent to the hospital immediately.

Cause of placenta previa include: abortion many times or poor uterine endometrium after endoscopic repair; endometrial inflammatory; multiple pregnancy, too dense, too often children. These three reasons can be the decidua angiogenesis is not completely, when the pregnant egg implants due to insufficient blood supply to the placenta induced by increasing the area of nutrition.