Начало родов. Когда ехать в роддом

Начиная с 38 недели беременность является доношенной, а значит с этой недели уже возможно появление вашего малыша на свет, что будет являться нормой. Давайте разберем когда же следует ехать в роддом.

Незадолго до родов:

  • головка малыша плотнее входит в тазовое кольцо, в связи с чем живот у беременной приопускается;
  • многим беременным становится легче дышать и находиться в положении сидя, проходит изжога;
  •  беременная все чаще испытывает ложные схватки, которые могут быть достаточно интенсивными и продолжительными;
  • уменьшается задержка жидкости в организме беременной и женщина может немного потерять в весе, пропадают отеки;
  • может участиться количество позывов к мочеиспусканию, появиться жидкий стул;
  • могут ощущаться боли в области поясницы, давление малыша внизу живота;
  • активность малыша может снижаться в связи с наличием небольшого пространства, мешающего малышу шевелиться.

Все вышеперечисленные признаки, оповещающие о приближении даты родов, свидетельствуют о том, что организм тренируется, готовясь к предстоящей родовой деятельности. Также указанные признаки нередко предшествуют появлению схваток и могут сохраняться даже при открытии шейки матки.

Схватки

Роды начинаются с не слишком интенсивных, но регулярных, повторяющихся схваток, интервал между которыми составляет, как правило, 10-15 минут, и длительность которых  составляет не менее минуты. Схватки по ощущениям напоминают волну, поскольку начинаются с низу живота и поднимаются к верху. Со временем болевые ощущения увеличиваются, а промежуток времени между схватками сокращается. Такие истинные схватки необходимо отличать от ложных, которые могут быть болезненными, однако прекращаются через определенное время и могут возобновляться спустя несколько дней.

Для определения вида схваток необходимо отследить 5-6  схваток. При этом обязательно нужно засечь время от начала первой схватки, ведь если по признакам схватки являются регулярными и повторяющимися, время от начала схваток должно быть сообщено вами при поступлении в роддом.

 Когда вы определили, что схватки являются регулярными и засекли время от их начала, необходимость сразу ехать в роддом отсутствует. Поскольку обычно у первородящих женщин роды длятся порядка 12-14 часов, то нахождение определенную часть времени первого периода родов — схваток  в спокойных домашних условиях создает комфортную психоэмоциональную среду, облегчает процесс схваток и способствует быстрому и легкому течению родов. Находиться дома в первом периоде родов на схватках можно до того, как время между схватками будет составлять 5- 6 минут (в среднем это около 6-8 часов от начала схваток) и в случае, если еще не отошли воды.  Как только промежуток между схватками  составит указанное время, нужно со всеми собранными вещами и документами отправляться в роддом. Данным правилом домашнего пребывания не следует руководствоваться при вторых и последующих родах , поскольку роды могут быть быстрыми или стремительными.

Околоплодные воды

Что касается отхода околоплодных вод, то, как правило, они это происходит когда промежуток между схватками составляет 5-6 минут. Необходимо также запомнить время отхода вод и сообщить его при поступлении в роддом. Околоплодные воды не имеют запаха, могут быть прозрачные, зеленоватые или желтоватые. Иногда воды изливаются раньше, в том числе до начала схваток. В таком случае необходимо сразу отправляться в роддом не дожидаясь начала схваток.

Если излитие околоплодных вод самостоятельно не происходит ввиду повышенной плотности плодного пузыря, то врач вскрывает его для ускорения родового процесса. Эта процедура для будущей мамы является совершенно безболезненной.

Отход околоплодных вод не стоит путать с выходом слизистой пробки, которая имеет резкий запах, может быть прозрачной или бурой с прожилками. Слизистая пробка отходит, как правило, за 1-4 дня до родов, но может и  за несколько недель до родов, либо в начале родовой деятельности. Отход пробки свидетельствует лишь о готовности организма к родам, поэтому какого-либо значения для определения отчета родовой деятельности он не имеет.

В случае если дата родов, которую определил ваш врач, наступила, но признаки начала родовой деятельности так и не появляются, стоит обратиться к врачу для прохождения необходимых обследований и определения дальнейших действий. Помните, что нормой для начала родов является период с 38 по 42 неделю беременности и в какую именно дату появиться на этом сроке решает ваш малыш.

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