Blood selection during bouts. Why can there be bleeding during the fights and what to do? Normal mucus should be

The date: 03.11.2019

For the whole pregnancy, a woman had to face a change in the nature of vaginal discharge. Firstly, it strongly affects the hormonal background of a pregnant woman who is constantly changing over the term. Secondly, very often precisely during this period, thrush is exacerbated or for the first time, annifies curl discharges with a characteristic sour smell. Thirdly, it is likely that it was not without a threat of a breakdown, which indicate. And it is these allocations that future mothers are afraid of the most.

Now, at the end of the deadline, you can almost breathe calmly: the discharge of blood before childbirth in the overwhelming majority will mean their early start. But to completely relax is still too early: even the appearance of the baby may begin a premature detachment of the placenta.

Blood selection before childbirth - a sign of their start

One of the most reliable signs of beginning childbirth is, which is always accompanied by the discharge. The cork can move already in childbirth (then the woman does not notice this) or go out simultaneously with all the whole bunch, for example, during the taking of the soul, which can also be ignored.

But often the mucosa plug leaves parts, gradually, and at the same time a woman notices the mucous white-yellow mucous allocations that can contain streaks of blood - pinkish, brown or brown. This is a sure sign that the meeting with the most desired being was left very long. Since the beginning of the discharge of the mucosa, the mother should stop any actions that may entail infection in the womb (sexual relationship, bathing and bathing in standing water bodies).

Almost all women discussing on the forums of bloody discharges before childbirth, they confirm that during the day-two from the moment of the detection of small volumes of blood mucus on the linen they had a childbirth. At the same time, the obstetricians note that the darker blood, the less to walk with the pan. Note that before childbirth can go from a few hours to 2 weeks.

Other safe causes of bloody secretions before childbirth

The discharge of the mucosa is the most likely cause of the appearance of bloody discharges to labor, which is an absolute physiological norm. But there may be other safe reasons for the phenomenon that warp you.

Minor blood discharge from the vagina Pregnant woman can observe after examination on the gynecological chair, and it is not at all necessary immediately after receiving the doctor, and perhaps even within a few hours after that.

Similarly, after sexual intercourse, and quite normal - for two days after sex. The reason for the appearance of bloody secretions in both of these cases is the mechanical irritation of the cervix, which is already preparing for the beginning of its disclosure.

When to go to the hospital

We pay special attention to the fact that bloody sections before childbirth in all cases described above should not be abundant. Normally, these are scargoing traces or small splashes, more often brownish, but can be red. If bleeding began, then it is necessary to go to the hospital without delay, without losing a second! It is also necessary to seem to doctors, if after the beginning of the removal of the mucous membrane, the absorption of blood began to enhance or the baby changed its motor activity.

Blood selection before childbirth, observed 2 weeks before their intended start and earlier, also can not be left unheated: you will definitely notify your doctor about it.

Specially for Elena Kichak

Pregnancy is the best gift of nature.

Pregnancy, childbirth, motherhood is the greatest happiness that happens to the woman! Nothing to fear! Everything passes the way you will configure yourself, with what thoughts will come to everything. Pregnancy will be easy even with strongest toxicosis, edema and huge stomach, if you perceive it all as natural. In no case do not regret yourself. You need to love yourself, pamper, protect. In no case cannot be compiled on the tummy, which he interferes with it is hard with him. He must be praised, rejoice in him, with a moutigation to consider in the mirror. During pregnancy, there may be a felt disease, which were not bothered before: diseases of the cardiovascular system, respiratory and excretory. Observations show that the most difficult complications arise in the second half of pregnancy. It makes it from the very beginning of pregnancy to establish a special mode for women. Any strong mental excitations or physical stress can harmful to affect the health of the woman. It should take into account her husband, all her relatives and colleagues. Normally, pregnancy flows without bleeding out of the genital tract. Every bleeding during pregnancy and in childbirth is a complication and is a threat to the fetus and for the mother. Each woman who entered the clinic with complaints about bleeding should be carefully examined. The main task for the doctor is to determine the bleeding source (the pathology of the placenta or local changes).

Causes of bleeding during childbirth.

Local: Cervicitis, ectopia of the mucous membrane of the cervix, cervical cancer, injury and sex tract infections;

Pathology placenta: Premature detachment of a normally located placenta (this is a detachment of a normally located placenta until the birth of the fetus), the prelationship of the placenta and the prelation of blood vessels, the pathological attachment of the placenta.

Premature placent detachment (30%) is usually diagnosed based on a clinical picture, which includes: bleeding from sex tract, pain in the abdomen, voltage and soreness of the uterus. The light form of pathology can be diagnosed only when inspection of the placenta after its birth or with an ultrasound, at which the normal layout of the placenta and retroplated hematoma is detected. Ultrasound acquires particular importance in conservative treatment of premature placental detachants. The forecast largely depends on the timely diagnosis of these complications.

Etiology and risk factors with premature placental detachment.

1. A large number of birth in history; 2. Extract the wall of the uterus (multi-way, multipleness); 3. Preeclampsia and arterial hypertension; 4. Age (with age risk rises); 5. Direct abdomen injury (accident, physical abuse); 6. Smoking; 7. Drug addiction, especially cocainism; 8. Alcohol consumption; 9. Myoma of the uterus, especially the location of the node in the area of \u200b\u200bthe placental site; 10. Fast oral influence with multi-way; 11. Nervously - mental factors (fright, stress).

and. Bleeding from sex tract is observed in 80% of cases; b. Pain - frequent symptom, occurs due to the stretching of the serous membrane of the uterus. It appears suddenly, it is localized at the bottom of the abdomen and in the lower back, constant; in. The pain and stress of the uterus are more often observed in more severe cases; G. When forming a retroplated hematoma, the uterus increases. This can be revealed when re-measuring the circumference of the abdomen and the elevation of the bottom of the uterus; d. Signs of intrauterine hypoxia are often observed; e. Premature detachment of the placenta may cause premature birth.

Terms and methods of root separation with premature placental detachment.

1. With a easier premature detachment of the placenta, if the state of pregnant is stable, independent childbirth is allowed. In other cases, emergency delivery is required. 2. If the premature detachment of the placenta occurred in childbirth, the state of the feminine and the fetus satisfactory, the BCC is replenished and the childbirth flows normally, it is not required to accelerate their flow. 3. For relaxation and reducing the flow into the blood of thromboplastin produce amniotomy. 4. Preferably, the root separation through the natural generic paths. 5. Caesarean section is performed with intrauterine hypoxia of the fetus and the absence of conditions for rapid delivery through natural generic paths, with a severe detachment with a threat to the mother's life, with the immaturity of the cervix.

Complications with premature placental detachment.

1. Hemorgic shock. 2. DVS - syndrome. 3. Matter of the cruener with extensive hemorrhage into the wall of the uterus. 4. Ischemic necrosis of internal organs, acute renal failure. 5. As a result of hypoxia, congenital abnormalities in the fetus. Forecast: premature detachment refer to severe obstetric complications. Perinatal mortality reaches 30%.

Prelation of placenta (20%) - pathology in which the placenta is partially or completely located in the lower segment of the uterus (in the field of the internal uterine zoi, i.e. on the way of a born fetus) distinguish: complete preview of the placenta, partial presence of the placenta, edible and low-locked (ie . on 2 cm. higher internal sev).

Etiology and the risk factors for the prepayment of the placenta.

The etiology of the prelation of the placenta is unknown. Risk factors are divided into uterine and fruit. The uterine factors include atrophic and dystrophic processes in endometrials, accompanied by violation of implantation conditions. Sometimes the emergence of the prepayment of the placenta is due to the peculiarities of the fetal egg itself. Because of the later appearance of the proteolytic activity of the trophoblast, the fruit egg is lowered into the lower separations of the uterus, where nidiation occurs. Thus, the patched chorion grows in the area of \u200b\u200bthe inner session. Causes: 1. Chronic endometrite; 2. Pathological changes endometrial after operational interventions (abortions, diagnostic scraping of the uterus, caesarean cross-section, conservative momectomy, uterine perforation); 3. Myoma of the uterus; 4. Anomalies for the development of the uterus; 5. Infantilism; 6. A large number of births in history; 7. Smoking; 8. Petno - septic complications in the postpartum period; 9. Cardiovascular system diseases, kidneys, diabetes mellitus.

Diagnosis of the placenta prediction is based on clinical data. Challenges are characterized by complaints from the genital paths of scarlet bleeding, weakness, dizziness. The high standing of the preteight of the fetus is noted, the unstable position, often oblique or transverse position. Pelvic presence is often accompanied by a clinic of the threat of pregnancy interruption, hypotrophy of the fetus. In 95% of cases, the preview of the placenta can be diagnosed with ultrasound. Vaginal research is carried out only with the prepared operating room.

Timing and methods of roostening during the prelation of the placenta.

With strong bleeding, threatening the life of the mother, regardless of the period of pregnancy, there is an emergency delivery by caesarean section. In the absence of strong bleeding and under the term of pregnancy, 36 weeks and more after confirmation of the maturity of light fetus, it is carried out in a planning order. With partial prelation of the placenta and the mature neck of the uterus, childbirth is possible through the natural generic paths. If the light fetus is immature or a gestation period of less than 36 weeks and no bleeding is carried out, a conservative treatment is carried out. It is necessary to limit physical activity, abstaining from sex life and douching, maintaining hemoglobin.

Complications in the presence of the placenta. 1. Hemorrhagic shock; 2. Massive bleeding during pregnancy, during the delivery and in the postpartum period; 3. Placental insufficiency; 4. The increment of the placenta, especially in the scar area in the uterus, which can lead to blood loss and extirpation of the uterus.

Forecast: Maternal mortality in the preservation of the placenta is close to zero. Perinatal mortality does not exceed 10%. The main reason for the death of children is prematurity. When prepaying the placenta, the risk of congenital defects is high.

Prelation of Vessels - This is a condition when the segment of the vessels of the umbilical cords, going inside the embryonic shells, is located above the inner zev. The rupture of vessels causes bleeding from sex tract and intrauterine hypoxia. Performance is performed by alkalis - 2-3 drops of alkali solution are added to 1 ml of blood. Erythrocytes of the fetus are more resistant to hemolysis, so the mixture retains red. Erythrocytes of pregnant tribes are hemolyziry, and the mixture acquires a brown color.

Complications in the preservation of vessels.

Bleeding comes from the vessels of the fetus, therefore the fetal mortality exceeds 75%, mainly due to bloodstairs. Treatment: Emergency Caesarean section, if the fruit is viable.

Pathological attachment of the placenta or the increment of the placenta - It is a pathological attachment of the chorion naval to the wall of the uterus, turboring them into the myometrium or penetration through the thickness of the myometrium. Risk factors for the pathological attachment of the placenta in the increment of the placenta.

1. Operational interventions in the uterus in history; 2. Prelation of the placenta; 3. Smoking; 4. A large number of births in history; 5. Inflammatory processes in the uterus; 6. Pathology of the endocrine glands Treatment: scraping the uterus or hysterectomy.

Bleeding from cervix. 1. Conduct a cytological study of smear from the cervix; 2. To stop bleeding, an electrocoagulation or tamponade is used; 3. The uterus cervical separated from the channel is examined on bacteria and viruses.

Polyps Sheki uterus. 1. Bleeding is usually terminated independently; 2. The cause of bleeding is a polypa injury; 3. If bleeding does not stop, the polyp is removed and sent to histology.

Blooding out of the genital tract in the first period of birth Usually due to the disclosure of the cervix and are mucus painted with blood.

Outdoor genital injury or vagina - In history, there is usually an indication of injury.

Prevention and information for patients.

Primary prevention begins in women's consultation with the identification and treatment of extragnenitial diseases, disorders of the menstrual cycle, inflammation of the organs of the sexual system, the prevention of non-planned pregnancy and determination of risk groups for bleeding. Mandatory conduct of ultrasound at 9, 16-24, 32-36 weeks of pregnancy. Localization of the placenta is determined during each study, starting from 9 weeks of pregnancy. Diagnosis is set after the end of the placenta process within 14 weeks of pregnancy. It is necessary to prevent pregnant and her relatives about the danger of bleeding. It is necessary to constantly monitor blood pressure, carrying out the treatment of gestosis, removing the tone of the uterus, correction of hemostasis, eliminate physical exertion, sex life, ultrasound control every month to trace the migration of the placenta. With the appearance of bloody discharge, hospitalization in the hospital is recommended.

During the battery period, the woman should especially closely monitor changes in the body. The first trimester causes the greatest concern when there is a risk of miscarriage, and the last month. Isolation before childbirth is a physiological feature that testifies to the preparation of a female organism to the appearance of a kid.

But it is important to assess the nature of these discharge, as the color and smell can talk about the presence of complications. Keep the baby's health and avoid problems in the delivery process using timely detection.

Woman in the last month of pregnancy is important to know which allocations must be before childbirth. This will help to distinguish the physiologically flowing process of training the body from pathological conditions. Normally, an abundant mucus appears first, after the cork comes out and the water is poured. That is not all right, there are bleeding, curly white and greenish discharge with an unpleasant smell.

Pink discharges appear before childbirth, since the exhaust cork, which has previously closing the cervix, may contain a slight amount of blood. The mucus is slightly painted by it, but does not contain blood podasses. If the color becomes red, it speaks about the early detachment of the placenta or its prepay. Both are dangerous for a child, so immediate medical care is needed.

Brown, pink, brown selection before childbirth is not bleeding. They are mixed with mucus, insignificant and appear, as a rule, less than a day before the appearance of a child. At this time, you can begin preparation for departure to the hospital: to collect all the necessary things and documents, to warn close relatives.

If the selection before childbirth is white, similar to cottage cheese and have a sour smell, then, most likely, a fungal infection has spread to the vagina - thrush. The disease needs to be cured in an emergency, since it significantly complicates the generation process for the mother and can harm the child's health. Candidiasis in the feminine reduces the elasticity of the vagina and increases the risk of discontinuities.

Green and yellow discharges before childbirth also testify to infections (about trichomoniase, gonor, chlamydia) or inflammatory processes in the small pelvis organs. In any case, immediate medical care is required.

Mucus isolation

The mucus, released before childbirth, is thick, pulling, transparent or white with a small touch. You can take a small amount of mucus with two fingers, it will be well noticeable to its consistency (drig, viscosity).

Mussels before childbirth indicate the ripening of the cervix. They are most noticeable after awakening when a woman moves from a horizontal position to vertical. After some time, the selection is beginning to darken, become brown - this means that for the birth of a child there are several hours left.

The output of the mucous plug

During pregnancy, the lumen of the cervix is \u200b\u200bblocked by a mucous membrane that protects the fetus from infection. By the end of the wall of the walls become elastic, reveal. Under the influence of hormones, the cork softens and comes out. What time is it happening to predict it impossible: some women are two weeks before delivery, others in several hours.

If the mucous plug leaves all at once, externally resembles an egg protein or jellyfish. Often this process remains unnoticed because it occurs during the visit to the toilet or the reception of the soul. In addition, the cork may go gradually for one or two days, then it looks like ordinary transparent or white discharge before childbirth.

After removal of the mucosa, it is impossible to take a bath, you need to refrain from sex contacts, closely refers to intimate hygiene, more often change underwear. The uterus cavity during this period becomes open to infection.

Powering of an oily fluid

In contrast to the mucosa, the destruction of the octoperwater cannot be noticed. They are liquid, the volume of which ranges from 0.5 to 1.5 liters. Normally, it is transparent, it has a slightly sweet smell or nothing smells. Sometimes, together with the waters, the lubricant particles that protect the cover of the child in the uterine cavity are published. They look like white small flakes.

The process of the fattening of the oily water is also occurring differently. Sometimes the fluid is poured all at once, it often occurs after visiting the toilet or with a sharp change of body position. In other cases, it gradually leaks. The way that this will happen depends on the place of breaking the bubble - near the cervix or higher.

If the oily water has a yellowish or greenish color, muddy, this may indicate that:

the child is experiencing oxygen starvation;
there is a prelationship of the fetus;
the premature detachment of the placenta began.

Blood isolation, a change in the color of the octal fluid require immediate challenge the ambulance brigade. Attempts to get to the maternity hospital can make harm and complicate the situation even more.

When should I refer to the doctor?

Going to the reception to the akuster-gynecologist should be if the allocations that differ from the usual daily are started. The specialist will be able to accurately determine their character and say everything is in order. If the selection is white curls, yellow or green with an unpleasant smell, then visit the doctor must.

An infectious disease in late pregnancy is dangerous to the health of the child and negatively affects the process of childbirth. After moving the plug, the pathogenic microflora can easily penetrate the uterus.

Immediate challenge of ambulance brigade is necessary in the development of bleeding. Abundant allocation of bright scarlet blood is dangerous for the life of the mother and the child.

For the help of doctors it is worth contacting if the allocations are accompanied by a gravating pain at the bottom of the abdomen. Most likely, this is a sign of the beginning of the generic activity. Moreover, it can occur even before the fattening of the oily water.

A pregnant woman by the end of the term is worth knowing which allocations before childbirth are the norm. The physiological changes of such a plan by the end of the term consist of three stages: the separation of mucus (ripening of the cervix), the extinguishing of the tube and the accumulate waters. In all cases, you need to pay attention to the color, structure and smell of discharge.

Useful video: How to prepare for childbirth?

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Isolation before childbirth is a normal phenomenon. As a rule, they are of different species, each of which corresponds to its stage of pregnancy: mucous allocations, testing of the plug and expulsion. In some cases, this may be barely noticeable changes, but, as a rule, a woman understands that the moment of the appearance of her baby is already close. Depending on which discharge during pregnancy, you observe before childbirth, it is possible to determine how much time it remains before the start of the bout.

Approximately 2 weeks before the appointed term of the uterus begins to prepare for the delivery. The fact is that in normal condition is the elastic muscular organ, and the neck of the uterus is rather reminiscent of cartilage than muscle tissue. Therefore, in order to enable the child to appear on the light, shortly before the birth of the cervix begins to soften, while shrinking and thereby pushing the mucous tube.

By itself, the separated plug, which previously closed the cervix, is a lump of a slick of a small size. It can come out immediately or within a few days, have a yellowish or brown shade, as well as blood streaks. In addition, the testing of the plug before childbirth may be accompanied by abundant yellowish or pinkish secretions, as well as the mining pain at the bottom of the abdomen.

The separation of the mucous cork does not mean at all that the childbirth will be right now - the first contractions can begin only in two weeks. But for this period, you are forbidden to take a bath, visit the pool and lead sex life, because the entrance to the uterus remained open, and therefore there is a risk of infecting your baby.

If suddenly you noticed the scarlet blood impurities or an unpleasant smell, then you need to urgently inform your attending physician. Otherwise, liquid discharge and mucus before childbirth is not dangerous.

Departure of the oily water

If you could not notice the separation of the mucous membrane, because sometimes the selection is sufficiently scarce, then you are unlikely to pass the separation of the accumulating waters. The irrigination rate of water is from 500 ml to 1.5 liters of fluid. As a rule, it is transparent selection of odorless or with a slightly sweet pendant. You can also notice white flakes - these are lubricant particles that protect your baby inside the uterus.

In any case, the expulsion of water means the beginning of the birth process. And even if you still have no fights, you need to seek medical care, since your baby is ready for the emergence.

Selection before childbirth

Options before childbirth change their character in all pregnant women, this is due to the preparation of the cervix to the delivery.

The upcoming birth of a child is impossible without opening the neck of the uterus, and she is usually dense and rather similar to cartilage, of course, without changing, not becoming soft and elastic, it will not be able to open.

What are the selection before childbirth?

Ordinary mucous membranes
- Testing plug
- Pullen water

Blood
- White curls
- Yellow, greenish with an unpleasant smell

Mucous selection before childbirth

Ordinary mucous meals before childbirth are enhanced, and this suggests that the ripening of the neck began. Strengthening of discharges before childbirth is accompanied by the disheve of them in more after rest periods, for example, in the morning when lifting the bed, and then a whole day can be almost dry. The mucous brownish discharge in front of the birth says that it is left to wait a little bit, the birth is about to begin.

Dispatch mucosa tube

As the cervix ripening is ripening about 2 weeks - 1 day before delivery, the plug is separated, which closed the cervix. It can be separated by several days, and may come out immediately.

The plug has the appearance of a dense lump of mucus, a volume of 2-3 teaspoons, when it is discharged, there may be a suitable sensation at the bottom of the abdomen and an increase in the tone of the uterus.

Tube color - white, yellowish, brown, sometimes with strengths of blood.

The testing of the traffic jam does not mean the start of childbirth, however, after it moved more. You can not take a bath, live sex life and go to the pool - the cervical canal is now open. However, it is not yet for the fight in the maternity hospital. You can not rush, childbirth can not begin soon.

It must be said that not all women notice the testing of traffic jams, and sometimes she leaves only with the beginning of childbirth.

Estations of water

Abundant watery discharge before childbirth may mean that the water has moved away.

Waters depart differently, can be poured immediately to 2 glasses of liquid, and they can simply leak. To distinguish the leakage from the enhanced mucosa substance simply - you feel dampness at any tension, laughter, cough, sneezing, movements.

Water is normal transparent with flakes, can be greenish if the kid experiences hypoxia.

Waters always means the beginning of childbirth, even if there is no contractions. Now the baby is defenseless before infection, and you need to immediately go to the maternity hospital.

What allocations before childbirth should be alert and force to consult a doctor:

Blood selection before childbirth

When separating the traffic jam, some blood may be present in spots on the hygienic laying, but it is insignificant and simply staining the mucus, or is present in the form of a strey. The mucous pink seals before childbirth is not bleeding, but a complete norm.

But if blood appears, it can mean a premature detachment or placenta predatory. Dangerous situations threatening the baby.

If you are at home, and you have discovered deviations, it can talk about the bleeding, you must immediately report this to the doctor. Selection with blood can be intensified at any time, and grow into dangerous bleeding. If the blood is alley, do not go to the maternity hospital alone, call the ambulance.

Brown, brown, pinkish stains in front of childbirth in minor quantities and mixed with mucus are not bleeding and they say only about the fact that there are less days left, it is also time in the maternity hospital.

White allocations in front of childbirth, curved, with the sour smell of the norm are not and can be a signal of the thrush, which now needs just in emergency treatment, it is very important to inform your gynecologist about them and do not try to treat himself. Thick yellow or green discharge from the vagina before childbirth is also not the norm, and they talk about the presence of an infection that can be dangerous for you and baby, and is subject to compulsory treatment.

In the last days before childbirth, you can be both in the maternity hospital and at home. This largely depends on how pregnancy has passed, and from the planned method of the delivery. If you have a caesarean section, then you are surely now in the maternity hospital, as well as in the case of migration of pregnancy and the planned stimulation of childbirth.

Those or other pains experience all pregnant women before childbirth, it is not easy to cope with them, but in most cases this discomfort is natural and inevitable.

The testing of the traffic jam before childbirth is what everyone heard, but few represents what it is, while it does not happen.

What does a stopper look like in front of childbirth?

Site about the development of children

Selection before childbirth as harbingers of childbirth

Isolation before childbirth is a natural process that the pregnant woman should not scare. Allocations are different, it is worth determining the reason for their appearance and time to the beginning of the birth . Brown discharge before childbirth indicate the readiness of the cervix to childbirth. Usually appear minor portions, and the woman notices that she smears before childbirth.

Many women are selected before childbirth. They may arise suddenly and immediately disappear. Pregnancy is one of the most difficult stages in the life of any woman. Allocations in the last period of pregnancy are considered quite ordinary manifestation, they should not be feared. This process refers to the physiological norm and should be known about it.

What highlights can manifest? What can they testify about? Whether some kind of danger? Answers to these and not only questions can be found below.

Mussels before childbirth can begin from the 36th week. They confirm the readiness of the child to leave the Lono Mother. In the current situation, it is necessary to determine the color and nature of the selection on this basis to make any prediction.

Allocations are almost all representatives of the finest sex. Before the start of childbirth, the body passes the stage of complete hormonal perestroika. The activity of the whole organism increases markedly and this indicates speeds. The secreted secret is considered a normal state, the uterus will be able to disclose if necessary.

Entrance in the uterine area closes a special mucous membrane. Allocations must leave the space of the uterus, because it becomes soft and the degree of elasticity changes. Such a process lasts a few days, but the whole secret can go out 1 time.

What do the allocation indicate?

All that is distinguished from the vagina is a direct consequence of the processes occurring in the body. If white, yellow or pink seals are visible, it is not worth worrying. They may indicate the speedy occurrence of childbirth. Appeal to the doctor may not be required, since such processes begin in a few days before the birth.

Brown selection before childbirth signals that there are several hours left before childbirth. In this case, you need to immediately contact the doctor. If there are bleeding before childbirth, you can start worrying. The result of this process is the premature displacement of the placenta. Blood selection before childbirth should immediately localize the attending physician.

Help must be provided in a timely manner.

Anxious sign - excretory processes that started a few days before establishing an accurate diagnosis. Brown discharge before childbirth require immediate appeal to your doctor.

What can be allocated and what should I do?

In some cases, it is possible to meet a plenty of liquid secret. This process indicates the facilities of the accumulating waters. Doctors must do everything possible to be reinforced.

The problem is that a children's body needs in the oily waters. They provide reliable protection against incoming pathogenic infections and other negative factors. When a brown is detected, you can talk about fetal infection. If the water began to move away, it is better to immediately seek help to your doctor.

The accumulating water is difficult to recognize. They have a sweet odor and a watery structure. Volume, as a rule, does not exceed 1 cup. Ceching abbreviations can contribute to a one-time or multiple water bubble break.

The above cases should be diagnosed and adjusted if necessary. If there are no concerns, it suffices to comply with simple recommendations:

No tampon! They can contribute to the transfer of infection.
Compliance with personal hygiene. Sexual organs need to be processed several times a day. It is better to use baby soap or special intimate gel.
Bath and shared pool are contraindicated.
No sex life. The uterus cavity can be infected, so sex life stops.
You can not get rid of secretions with the help of a fringe.
Priority When choosing underwear is given to natural tissues.

If your pregnancy is nearing its completion, and a few weeks before the alleged period you observe the enhancing selection, you should not beat the alarm and rode in the maternity hospital.

Mucous discharge

If you notice before childbirth, that ordinary mucous membranes intensified, it means that your body began to prepare for the birth process. Especially intense allocations can be in the morning when you just get out of bed. If watery, transparent or white discharge before childbirth becomes brown - until the moment of birth, quite a bit of time left.

Test tube

Departure of the oily water

The influence of the oily waters can occur differently. In one case, the entire liquid can get out immediately, in the other there is such a phenomenon as the leakage. It all depends on where the bubble surrounding the fruit of the fruit occurred - near the entrance to the cervix or higher.

Anxiety before childbirth causes the selection of yellow and green. The accumulating water of this shade may indicate that your child lacks oxygen, about the preservation of the fetus or premature discontinuation of the placenta.

If you notice strong bleeding, the change in the color and smell of the oily water, then it is not necessary to independently get to the maternity hospital - immediately call quick help.

In any case, the expulsion of water means the beginning of the birth process. And even if you still have no fights, you need to seek medical care, since your baby is ready for the emergence.

Already quite soon your family is replenished by a miracle! Mom imagines itself, as, exhausted by childbirth, for the first time will take his own blood blood - and shivering runs through the body. Perhaps you are looking forward to when the first contractions begin. Or, on the contrary - with fear. How will everything be? How will it pass? Do not miss? When will it start? UPS ... And that's what else? Well, let's see what is so wet?

Dispatch mucosa tube

Mystery discharge suggests that. At the same time there may be small blood impurities, sometimes so insignificant that you will not even notice them. It happens, a woman feels like pain at the bottom of the belly - as before menstruation. Isolation of thick, drums, transparent or white, yellowish or slightly pink. The mucus can move everything at a time, but more often it is dosed - on a little bit, for 2-3 days.

The mucous plug closes the entrance to the cervix. Before childbirth, the neck is softened, the uterus begins to slightly shrink and pushes a plug. This means that the female organism is ready for childbirth - the uterus begins to open.

The discharge of the mucosa is the very first harbinger of childbirth. But this does not mean that the process itself has already begun. Before the start of childbirth, it can go away from several hours to several days. Therefore, do not take any decisions ahead of time. If you have moved the mucous plug - continue to do your affairs. These allocations are quite natural and do not pose any threat to you nor the child. But when the mucous allocations are browned, then, most likely, before the start of childbirth, several hours remained.

After moving the mucosa, do not take the bath and do not swim in the pool - the channel is open for infections, which is very dangerous.

But if it happened earlier than two weeks before the expected date of birth, immediately call an ambulance. Anxious signal is also starting bleeding (the teleachment of the mucosa is accompanied by bloody highlights of bright red color). This may mean premature displacement of the placenta or preview. This situation requires medical intervention.

Powering of spindle water

The accumulative water protect the baby from the effects of external factors, but they depart. Depending on where and how the fruit bubble burst, as well as how closely the child came to the exit, the water can rush the wave or leak the drop behind the drop. This can happen at any time, and even unexpectedly at night.

The accumulate waters depart before the start of childbirth or during the period of separation of the uterus. If this happened earlier, it is a premature power of water, which requires hospitalization of pregnant. Some doctors do not recommend waiting for more than a day after the fruit bubble burst - the danger of child infection is too large. In any case, take a bath or having sex after that can not be. Usually, after an influence of accumulating water, generic activity begins to develop.

Normally, amniotic liquid is colorless, has a characteristic sweet smell and may contain white mucus flakes (this is a protective mucus covering the baby). Greenish or brownish water suggests that for some reason, the oxygen starvation of the baby has come, and his Mekonia fell into them. This situation requires immediate conversion to the medical institution. If you are going to give birth by agreement - immediately call your doctor.

In another case, when the water was safely moved away and the amniotic fluid is normal and gather and rode in the hospital: it's very soon! And neither fluff you!

Specially for - Elena Kichak

In women of reproductive age, the neck of the uterus and the vagina is produced by the mucous secret, which performs protective functions. At the end of pregnancy, the character of the discharge changes, since the hormonal balance is changing: the production of progesterone is reduced, and estrogen and oxytocin - increases. The mucous allocations can become more dense, lose transparency, get yellowish or dairy, can be found in them small blood fragments. Often bloody secretions before childbirth afraid of future mothers: Is this an indispensable evidence of serious pathology?

Blood selection as a hazard signal

Unconditional danger represents blood presence in the discharge:

In the first trimester of pregnancy. On this period, the appearance of the discharges painted in brown or red - a sign of the threat of miscarriage. With on time, the fetus is initiated by adequate treatment.
In the second and early third semester of pregnancy. With a period of less than 36 weeks, blood in the discharge may be a symptom of the placenta prelation (when it is located at the bottom of the uterus, and overlaps the birth path of the child). Due to the damage to the uterine-placental vessels, with a supervision or premature disbursement of the placenta, bleeding occurs, sometimes very abundant. Such pathology is also dangerous for the mother, and for the fetus, and requires urgent medical intervention.
If the selection before childbirth contains aluminum blood in large quantities or large blood clots. From the point of view of medicine, this condition refers to the category of urgent. In this case, it is necessary to immediately call "ambulance" and go to the maternity hospital. Before the arrival of a medical career, a pregnant woman is desirable to move less, so as not to provoke bleeding.

Physiological causes of bloody discharges

In the prenatal period, the presence of bloody discharge of pathology is not considered, and in most cases it is a sign that the childbirth will begin very soon. However, everything is individually here. Women who are actively discussing the topic of childbirth, they write that they have some after they have noticed blood in the discharge, the fights arrived in a few hours, in others - in a week or two.

Blood allocations are often observed after the tearing of the generic plug or at the beginning of the opening of the cervix - due to the inevitable breaks of small capillaries. Obsters note the frequent relationship between the color of the selection and the time remaining before delivery: the darker the color of the selection, the sooner the woman will begin to give birth.

There may be a gynecological examination in any other causes of bloody discharges before childbirth that does not represent a danger or a child may be a gynecological examination or careless sexual contact. In both cases, the appearance in the discharge of blood traces is caused by mechanical irritation of the cervix, which in the prenatal period becomes loose, softened, and is easily injured. Blood smears in the discharge may not appear immediately, and a few hours after visiting the gynecologist or a couple of days after sex.

Should be remembered

Normal is considered when the amount of blood in the prenatal discharge is small. It can be scarce, weaving traces or splashes of small bunches of brown, brown, pinkish or red, or mucus can have a uniform weak pale pink or brownish color.

Nevertheless, if you found before childbirth, even those listed in the list of safe, bleeding - progress and consult your doctor. If necessary, he will send you to an ultrasound or appoint other unscheduled surveys.

However, sometimes the safety of mother and baby can only be provided with medical intervention.

In your body there may be changes that speakers that the responsible moment is approaching. Women feel them a few weeks before delivery - with varying degrees of intensity - either do not feel at all.

The duration of the difficult process of the appearance of the baby to the light can be very different. For first bodies, it averages 13 hours, for repeated - about eight. The beginning of childbirth among doctors is considered to consider the disclosure of the cervix with regularly repeated battles.

Over the past 50 years, the average duration of this process has been halved, sincein severe cases, the cesarean section is now done in a timely manner. Often spontaneous contractions begin at night when the body relaxes. Many kids prefer to look at this world for the first time in the dark. According to statistics, most childbirth occurs at night.

What exactly causes generic contractions is the question, the answer to which is not yet known. It is clear that the child himself plays an important role in this process. But which mechanisms give a decisive push while remains a mystery.

Recent studies make it possible to make the assumption that the fights begin under the influence of the protein substance produced by the child, the so-called Sp - A protein, which is responsible for the ripening of the lungs.

Counseling gynecologist. Usually, brecstone-hicks are difficult to distinguish between real generics. In the third trimester, false generic contractions become more intense and frequent, if you live an active life or you have dehydration. If they felt them, sit in a cool place, raise your feet, walk out something and relax. If the gaps between the fights increase, and their intensity decreases, it means that they are false. If they become more frequent and strong (especially if happened every 5 minutes), call your doctor. I always tell the patients that no one else, the ill child, did not describe his feelings as "spastic." As a rule, the intensity of generic battles, in which the child passes through the generic paths, describe like this: "I can not walk and say."

You saw it in countless multiple movies. Sudden awareness: the feminine needs to be urgently delivered to the hospital! A woman becomes a real Fouria, an extinguishing curse ("You made it with me!"). Bending in half from terrible pain, she stops moaning only in order to issue another portion of curses addressed to his unfortunate, covered by a panic husband, who suddenly forgets everything that he learned on the courses of Lamase, loses a bag prepared for a trip to the hospital, and inevitably sends The car is directly in a cork, where he eventually comes to take birth.

The truth is that most couples have plenty of time to understand that childbirth really began. Nobody knows exactly that she launches this mechanism, but they are approaching enough quickly. Here are some signs that prompt you that it is time to grab the bag and a guinea - and get into the car.

Birth begin - signs of childbirth

Most women give birth to their children before or later than the estimated period specified in the exchange card.

Moreover, the deviation is most often and in that, and in the other side does not exceed ten days. Ultimately, the estimated date of childbirth plays only the role of a certain reference point. A total of 3% to 5% of children appear for sure that day. If the doctor said that your baby will be on the light on December 31st, you can be sure: you will not give birth to New Year's Eve.

Liquid chair

All Wine hormonal changes caused by prostaglandins.

And this makes sense: your body begins to purify the intestines to release more space inside the body for a child.

Estimated childbirth date (PDR)

This is a day in which your child will be born with a statistical probability. Most gives birth somewhere between 37 and 42 weeks. Although many women do not give birth exactly to the estimated date, you must know it in order to be ready. What it is closer, the more attention needs to be given to their bodily sensations and possible signals of the beginning of childbirth. Turning the calendar sheet and seeing a month in which childbirth should occur, you will feel the excitement (and weak panic). Soon!

Fights - the first signs of giving birth

In 70-80% of cases, the beginning of the birth declares itself the appearance of real generic battles. They cannot be immediately distinguished from the training that you may have noticed for the first time a few more weeks ago. At these moments, the stomach hardens and the uterus is reduced within 30-45 seconds.

Pains caused by the fights at first are well tolerated: you can even walk a little if you want. As soon as a certain regularity is established in abbreviations, you will define all things without any prompts and will listen to what is happening in you inside.

With a gradual enhancement, the fights are recommended to perform breathing exercises that you were taught on training courses for childbirth. Try to breathe as deep as possible, breathe in the abdomen. Your child also has to do heavy work during labor. And oxygen to this for this very useful.

Brequeston Hicks fights (preparatory). These contractions of the muscles of the uterus begin in the early stages, although you can not notice them. You will feel the tension in the uterus. Such contractions are brief and painless. Sometimes there are several of them, they go on each other, but usually stop quickly. Closer to the brecstone-hicks fights help prepare the cervix to the process.

Immediately in the clinic!

Regardless of the occurrence of fights when the child's movements stop stopping the fruit bubble or vaginal bleeding, you must immediately go to the clinic.

Brequeston-hicks - "warming up" before the start of real battles. They can begin and end several times and often stop when you are active (for example, when you walk). Early generic contractions will be uneven intensity and frequency: some will be so strong that breathing will intercept, others will simply lend spasms. The intervals between them will be then 3-5, then 10-15 minutes. If you talked with a doctor for 15 minutes, discussing, childbirth began or not, and never interrupted, it is most likely false alarm.

Learn to recognize the fight

At the initial stage of childbirth, a duration of about 30 seconds can occur every 20 minutes.

The first contractions are similar to spasmodic menstrual pains (irradiating pain). The muscles of the uterus begin to shrink, so that the neck opened at all 10 cm.
Late fights like sensations resemble strong menstrual pains or achieve such an intensity that you cannot imagine and imagine.
When the contractions become very strong, and the rhythm of abbreviations - regular, it means it began to truly!

There are no compulsory standards when you can come to the hospital. But if the fights occur every 5 minutes within an hour and make you dying away from pain, no one will prevent your appearance in the maternity department. Make an action plan with a doctor with the time consideration of the road.

If you live near the maternity hospital, then wait for the rhythm of the fights 1 time in 5 minutes for an hour, and then call and inform your doctor that we are going.
If the maternity hospital is 45 minutes from you, then, most likely, you should leave even when the fights are less likely.

Discuss it in advance with your doctor, not to panic during childbirth. Remember that with the beginning of the active stage of the cervix, most women are revealed for 1-2 cm per hour. So count: 6-8 hours before the start of the dug. (But if at the last reception, the doctor was told you that the disclosure was 4 cm, it is better to come to the maternity hospital.)

Counseling gynecologist. I warn future parents, especially if it is the first pregnancy, which may be a few "false alarms". My wife is an obstetrician-gynecologist, and she forced me to bring it to the hospital 3-4 times, being pregnant every one of our three children! If she could not recognize for sure, then who can? I always say to the patients: better let them come and check them (if it is premature, they will simply let go home) than to give birth to the side of the road.

Time decides everything

How to count time and rhythm kits? There are two ways. Just choose one and stick to it, watching the development of events.

Method 1

Mark the moment of starting one contractions and its duration (for example, from 30 seconds to 1 minute).
Then mark when the fight is starting next. If it does not feel for 9 minutes, it means that the regularity of the fights is 10 minutes.
You can get confused if the fights occur more often. Always mark the time from the beginning of one fight before the start of another.
If the fight lasts a whole minute, and the next one starts after 3 minutes after the end of the previous one, it means that the contractions occur 1 time in 4 minutes. When their frequency increases, it is difficult to concentrate on counting. Ask someone from loved ones to calculate the fight for you.

Method 2.

Almost the same, but here you start counting time from the end of one fight until the end of the next one.

Opening and smoothing the cervix

Present your cervix in the form of a large plump bagel. Before childbirth, he begins to sink and stretch. Expansion (disclosure) and thinning (smoothing) can occur within a few weeks, one day or several hours. The standard framework and the nature of the process is not. With the approach of the date of birth, your doctor will make conclusions about the state of the cervix in this way: "Opening 2 cm, shortening 1 cm."

Outstanding belly

This happens when the fruit goes down to the entrance to a small pelvis and, as it were, "stuck" there, i.e. No longer moves inside. When struckstone-hicks fights, it is even more shifted to the lower pelvis area. Imagine that the child goes into a "launcher" position. This process begins at all women at different times, in some - only before the very kind. For many, the message about lowering the fetus is both good and bad news. To breathe and eat it becomes easier, but the pressure on the bladder and pelvic bundles makes running in the toilet more and more. Some future mothers even begins to seem that the child can just fall out, because he is so low now. During the inspection, your doctor will determine how low the baby is located in the pelvis or what is his "position".

Outstanding the belly occurs when a child seems to "fall", goes down to the entrance to a small pelvis. The head forward the baby moves to the pelvis, thereby preparing for traveling by generic paths. However, for women who have an abdominal omission takes place in a few days or weeks before childbirth, this symptom is a "false evidence", and some do not happen at all until the active stage of childbirth at all. Braciston Hicks fights are growing stronger, the child gradually moves lower in the pelvis, the pressure on the cervix increases, and it softens and skeins.

Running a fruit bubble

In 10-15% of cases of beginning childbirth, the premature rupture of the fruit bubble is pronounced, which occurs before the first contractions appear.

If the child's head is firmly installed in a small pelvis, then the loss of arrogant water will not be so large-scale.

You will learn about the rupture of the fruit bubble on the abundant release from the vagina of transparent, warm fluid.

The rupture of the fruit bubble does not cause any pain, because there are no nerve fibers in its shell. Sometimes the accumulate waters can have a green color: this means that the child has already allocated its first chair in them. Write down the breakdown time of the fruit bubble and the color of the exhaust fluid, report this to the midwife or to the maternity department of the clinic. Here you will receive instructions regarding your further action.

Very rarely, the rupture of the fetal bubble in its upper part occurs, and the oily water is departed only dropwise. Then they are easy to take for urine or vaginal discharge, especially with a slight weakness of the bladder. If you are suspected that the accumulate waters depart, immediately call the doctor or go to the maternity hospital. A short inspection will enter clarity into a situation.

As a rule, the rupture of the fruit bubble does not lead to dramatic consequences. Usually, the next 12-18 hours spontaneously compete, and childbirth occur naturally. In the absence of fasteners, their artificial stimulation of relevant medicines is produced to reduce the risk of infectious infection for the mother and the child.

Deposition of water

Sometimes a fruit bubble is called strange, in a biblical, sounding term "bike-fruit bag". When he bursts (a physician or his doctor sieves), it means: labor will occur within 24-48 hours. As a rule, the doctor decides not to risk and not wait more than 24 hours after opening the bubble, especially if the child is born on time, because There is a danger of infection.

If the water is departed

When the fruit bubble bursts, something like a small flood occurs, and it is impossible to predict when and where it will accurately happen. In the third trimester in the fetal bubble, soft and convenient "place of stay" of the baby, it is already located near the liter of an oily fluid. (Pour the liter of water to the floor - it can look like this.) But remember:

some women "leak" very small.
The liquid will continue to flow out of the fruit bubble, even after the waters are departed, because your body will continue to produce it.
Some women do not waste spontaneously, and to stimulate the generation process, the doctor conducts amniotomy, pushing the bag with a long plastic hook.
The liquid must be colorless. If it is dark (greenish, brownish, yellowish), it may mean that the baby was strained right in the uterus (such a primary chair is called Mekonia). This may be a sign of strong stress in the fetus. Call a doctor immediately.

Counseling gynecologist. Abundant vaginal allocations in the late period of pregnancy are absolutely normal. V 10-20% of women at this stage they are so significant that you have to wear gaskets all the time. The influx of blood to the vagina and the cervix in the third trimester increases, so vaginal secretion increases. You can immediately and do not understand whether it is released or moved water. If you feel "on a wet place", wait and go a bit. If the liquid continues to flow, call the doctor.

Signal bleeding - Symptom of the beginning of childbirth

Usually, throughout the pregnancy, the uremary zev remains a closed viscous mucus that protects the fetal bubble from inflammation. When shortering the cervix and the opening of the uterine zois, the so-called mucosa stops. This is also a sign of approaching childbirth. However, generic bouts do not have to come on the same day. Sometimes before the appearance of real contractions, a few more days or even weeks.

Closer to childbirth, the mucus can lose its viscosity and move in the form of a transparent liquid. In most cases, this is accompanied by a small, so-called signal, bleeding. It is much weaker than menstrual and completely harmless. And yet for loyalty, you should talk about it with a doctor or midwife - you must make sure that the bleeding is not caused by other reasons that could threaten you and your child. Very often a woman does not notice the separation of mucosa.

Small bleeding, or masses

May appear due to changes occurring in the cervix - it is preparing for disclosure. Reduction soften the cervix, the capillaries begin to bleed. Fights are enhanced and bleeding arises. Any pressure on the cervix can cause slight bleeding (due to exercises, sex, outsetting when the bladder muscles or the stress of the muscles). If you are not sure if such bleeding is normal, call the doctor.

Dispatch mucosa tube

The cervix softens and begins to open, while the mucous plug is released. Sometimes the mucus flows slowly or the plug can go out in the form of a noded thick flagella. Up to this point, the mucus fulfills the role of a protective barrier in the cervix and is constantly produced by the body, especially a lot of her closer to childbirth. She is not a sign of approaching childbirth, "Some women have a slime allocated several weeks to them," but this is definitely a sign that something begins to change.

Backache

Pain sensations may appear if the child is located face forward, and not towards your back. If the baby does not turn to the back, they can increase. Pain may arise and because of the pressure of his head to your spine at the beginning of the bout.

Cozy nest: not only for birds

In pregnant women, even before the start of birth, it often happens a strong desire to poison the cozy nest. A splash of the energy of "nesting", so much contrasting with the exhausting fatigue of the last trimester, forces future mothers to equip their habitat, turning it into a cute and clean "incubator". Another sign that you have started a "nesting" period, it is, with what speed you try to turn all things, with what kind of demands are referred to asking for homemade. "Nest" is usually expressed in:

painting, cleaning, placement of furniture in the nursery;
ejection of the trash;
streamlining things of one type (food in the buffet, books and photos on the shelves, tools in the garage);
general cleaning of the house or the completion of "repair projects";
buying and folding children's clothing;
baking, cooking and drinking it on the refrigerator;
packaging bags for a trip to the hospital.

An important reservation: some pregnant women "nestings" never happen, and if such impulses appear, then the future mother feels too sluggish to do something.

Symptoms of childbirth

False contractions are a pulling pain at the bottom of the abdomen, similar to pain during menstruation. If such contractions are not strong and not regular, it is not necessary to do anything specifically: this is still only the preparation of the uterus towards childbirth. The uterus is trying to try their strength before the upcoming important work, gathering and relaxing his muscles. At the same time, you can feel the tone of the uterus - sometimes she, as it were, going into a lounge, becomes more solid. Coming into a tone of the uterus can be without pain, as the closer childhood, the more and more sensitive and irritable it becomes. This is normal.

The third important harbinger of birth can be the separation of the mucosa. It is a mucous content that "lives" in the cervix, as if clogging the "house" kid. The mucosa stop can be separated in the form of thick and adhesive seals of transparent pinkish color.

A woman may not feel the harbingers of childbirth, although most often the preparatory fights Future Mom still feels.

Normal first bodies last about 10-15 hours. Subsequent labor usually proceeds somewhat faster than the first, but it does not always happen. I am an example of such an exception, since my second birth lasted 12 hours longer (20 hours) than the first (8 hours).

If a woman has moved the oily water, then you need to go right away to the clinic. The accumulating water protect the baby, and it should not be for a long time without them. Therefore, if you felt a heat transparent driver, call the doctor and are going to the maternity hospital.

Usually after the water has moved, the contractions begin (or they are sharply enhanced if you were in childbirth before). If the bouts did not start, most likely in the maternity hospital, you will try to cause generic activities (with the finished cervix), so as not to leave the baby for a long time without protection.

Usually, childbirth begins with bouts. Usually, the pain at the bottom of the abdomen and the losses in the lower back women often begin to feel about a couple of weeks before delivery. But how then understand that this is: preparatory struckstone-hick fights or the beginning of a generic activity?! Such a question and concerns almost always arise in women who face theoretically or almost with precursors of childbirth.

Distinguish the preparatory contractions from the start of childbirth is not difficult! When you begin to squeeze the stomach, be a little more attentive to yourself: Is this pain, as usual, perhaps, painful sensations are slightly delayed, or something else intuitively seems to you unusual?

If you feel that these painful sensations are regular (appear and disappear with small periodicity), it makes sense to start talking time, count the contractions and record them.

Suppose about 5 o'clock in the morning you decided that the stomach hurts a little differently or enough long. Follow the stopwatch (it is in the phone) and begin to count.

At 5 o'clock in the morning, pain appeared, the fight began, it lasted 50 seconds, then there were no pain for 30 minutes.

At 5:30, the abdomen begins to pull again, the pain lasts 30 seconds, then 10 minutes you do not bother you, etc.

When you see that the pain is repeated regularly, enhanced, the duration of kits increases, and the gap between them is reduced - congratulations, you have started a generic activity.