The baby does not start after the due date, pregnant mothers should pay attention to these things

time:2022-12-09 author:Common phenomenon
The baby does not start after the due date, pregnant mothers should pay attention to these things

After pregnancy, many mothers count the days every day to see how many days they will be able to meet the baby. But most of the time, the baby is not born on the due date, but a few days earlier or "repeat". It’s fine a few days in advance. Once the “repeat”, mothers are worried, is there any problem with the child? Why haven't you come out yet? This kind of "repeat" phenomenon is also divided into circumstances. If you are born within 42 weeks, it generally does not have much impact, but if there is no sign of starting after 42 weeks, this is medically called expired pregnancy, and you should go to the hospital immediately. examine. The reason why the child "repeats in grades" is that the due date is calculated incorrectly, or it may be related to some high-risk factors, such as primipara, a history of expired pregnancy, and maternal obesity. So pregnant mothers should be careful.

How is the due date calculated?

If the menstrual cycle is regular, the due date can be calculated. The 280th day from the first day of the last menstrual period is the due date. The calculation method is: subtract 3 or add 9 to the month of the last menstrual period, add 7 to the number of days, and the calculated date is the expected date of delivery. For example: the last menstrual period on July 29, 2022, the expected date of delivery is July-March = April, 29th + 7th = 31st + 5th (the reminder is the second month), April plus January is In May, the due date is May 5, 2023. If you have irregular menstruation or can't remember your last menstrual period, you can go to the hospital for an ultrasound and ask your doctor to help you calculate your due date. The normal situation is to give birth at 40 weeks of pregnancy, and it is normal to give birth two weeks earlier or two weeks later. If you have not given birth at 42 weeks, it is considered an expired pregnancy, and you should seek medical attention in time.

What are the possible consequences of a post-term pregnancy?

1. The fetus is overweight. For pregnant mothers, it will increase the risk of dystocia, because it is more difficult for the fetus to be born naturally. For babies, complications such as neonatal asphyxia, clavicle fractures, brachial plexus injury, head hematoma, and meconium aspiration may occur. 2. Placental dysfunction. The number of weeks of pregnancy is reached, and the placenta should have successfully retired, but because the fetus is still in the womb, the placenta has to provide nutrients and oxygen to the child. At this time, the function of the placenta is not as good as before, and reluctance to maintain it may lead to nutritional deficiencies in the child. hypoxia.

What if I haven't given birth yet?

After 40 weeks of pregnancy, if there is no delivery, go to the hospital for color Doppler ultrasound and fetal heart rate monitoring to check the size of the fetus, whether it is in the basin, whether the amniotic fluid is normal, and blood pressure. If the test is normal, you can follow up in an outpatient clinic. At home, pay attention to whether there is vaginal bleeding or fluid, whether there is abdominal pain, etc. You should also pay attention to counting fetal movements. Choose a relatively fixed one hour each in the morning, noon and evening, and count the fetal movements while lying in bed or in a quiet state. Calculate the number of fetal movements 3 times a day, add the 3 times, and multiply by 4, which is the number of fetal movements of the baby in 12 hours. If the fetal movement is ≥30 times per 12 hours or ≥4 times per hour, it is normal. If the fetal movement is ≤3 times per hour for 2 consecutive days, it is regarded as abnormal, and you should seek medical attention in time. Prenatal check-ups every 3 days, fetal heart rate monitoring should be performed at each check-up, and intrauterine conditions of the fetus should be determined by color Doppler ultrasound if necessary. In life, pregnant mothers should be careful not to be overworked, and be ready to go to the hospital to give birth at any time. Prepare your ID card before giving birth, and prepare your maternity kit so that you can go to the hospital at any time. Overdue pregnancy may take the means of cesarean section, there must be corresponding psychological preparation. If you have not delivered by 41 weeks, your doctor will recommend hospitalization. Assess the status of the fetus: including assessment of umbilical cord blood flow, amniotic fluid volume, fetal heart rate monitoring, fetal movement count, etc. Abnormal fetal blood flow and reduced amniotic fluid will lead to fetal hypoxia and affect fetal safety. Abnormalities require measures to terminate the pregnancy. Assess the status of the mother: Assess cervical ripening. If the pregnant mother's cervical maturity reaches the standard, it means that she can give birth naturally, and generally will not wait for more than 41 weeks + 6 days. If the cervix is ​​not ripe enough, the doctor will use various methods to promote cervical ripening to help labor. If the condition of the pregnant mother or the fetus does not allow natural delivery, such as an emergency situation of fetal ischemia and hypoxia, the doctor will decisively adopt the method of cesarean section to deliver the baby to avoid serious harm to the baby. After the baby is born, the family should take good care of the mother, try to give the mother more rest, and avoid too many visits. Now that the epidemic is serious, it is safer for the baby and the mother to reduce the number of visits. After giving birth, pay attention to the discharge of lochia. If there is a lot of lochia, be sure to explain the situation to the doctor. After being discharged from the hospital, if the mother has no complications, she will return to the obstetrics for a follow-up consultation after 42 days to assess the mother's physical recovery, and the baby should also undergo a health checkup. In order to avoid an expired pregnancy, regular obstetric examinations must be carried out in the third trimester. Pregnant mothers must go to the hospital for an obstetric examination in time when they are 40 weeks pregnant. They can choose to induce labor at around 41 weeks to avoid expired pregnancy. Expired pregnancy is harmful to both the fetus and the pregnant mother, so be sure to seek medical help in a timely manner.
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