Danger, risks and chances of childbirth at 30 weeks of pregnancy

Probability of premature birth

Childbirth at 30 weeks of pregnancy is considered premature. In earlier times, if a baby was born before the 28th week, it was considered a miscarriage, but modern technologies make it possible to nurse babies born from the 22nd week weighing 0.5 kg if they survive and do not die within 7 days .

Caring for such newborns is a rather complex process. It requires expensive, state-of-the-art equipment that is only available in first-class hospitals. One way or another, doctors are obliged to fight for the baby’s life. However, this requires special preparations. They are available in specialized clinics and maternity hospitals.

When premature birth occurs at 30 weeks of pregnancy, babies weigh 1-2 kg. The type of treatment and the likelihood of fetal survival depend on the condition of the mother. A woman who is afraid of giving birth prematurely should know that about 7% of children are born earlier than planned. Of these, birth at 30 weeks of pregnancy occurs in 30% of cases.

In modern clinics, doctors know how to care for such babies and save the lives of more than half. Most are born on time, so if there are no prerequisites, there is no need to worry again. Otherwise, the main thing is to immediately consult a doctor.

State maternity hospitals and perinatal centers

A large number of government institutions are changing: they are abandoning the soviet style of childbirth, taking care of the living conditions of patients, updating equipment and conducting free classes, courses and lectures for future parents, which aim to prepare the couple for childbirth and understand all the important aspects of responsible parenthood.

For example, city maternity hospital No. 1 in Kiev has opened a basic training course for future parents, in which the doctors themselves give lectures, and psychologists from Odessa maternity hospital No. 7 talk to expectant mothers and fathers about the role of a man, family and doctor in a favorable pregnancy and raise a lot of questions. other exciting topics.

It is also important for each mother that the hospital takes care of the condition of the newborn baby, so the latest equipment and compliance with mandatory manipulations after childbirth are advantages in choosing a maternity hospital. In particular, Lviv Maternity Hospital No. 1 introduced partner childbirth, skin-to-skin contact, eye-to-eye contact, maintaining a “temperature chain” and early latching of the baby to the breast. In principle, such services are provided at the request of parents in most maternity hospitals in large cities. Much depends on the doctor’s position, so mothers with experience are advised to choose a doctor in advance.

Infections

Why does childbirth occur at 30-31 weeks of pregnancy? The reason for this may be diseases and infections that appeared in the body in the early stages. The uterine cavity is an extremely sensitive environment that reacts sharply to any irritation.

If the muscles cannot stretch, this will prevent the baby from developing. It is compressed by the walls of the uterus, which is why it comes out earlier. Therefore, it is important to undergo tests that can detect the presence of infections even before fertilization. If any are found, they are treated. As a last resort, this is done in the early stages to prevent childbirth at 29-30 weeks of pregnancy.

Mom’s well-being and her correct behavior

Mothers already feel a significant burden at this stage. The belly has already grown enough, the woman’s organs are cramped. Mommy becomes slower and more tired, which is typical especially in the absence of physical fitness. Some women's gait begins to resemble a duck's gait. During this period, you can and should do special gymnastics for pregnant women, first of all, to maintain correct posture with an actively moving center of gravity. Metabolism is more active, as a result, mothers often feel hot even in cool weather. Sweating increases significantly, but you can take it calmly - this is a natural reaction of the body. At this time, constipation cannot be ruled out for the same reasons; if symptoms occur, a mild laxative of natural origin is prescribed. For example, dill greens.

At this stage, pregnant women often suffer from anemia - a condition that may not be treated, but it is necessary to increase the consumption of iron-containing foods and vitamins. Due to ongoing changes in the uterus - it rises quite high - red oblong spots may appear in the abdominal area. This is mainly typical for women with poor physical fitness and weak peripheral vessels as a result. A woman may experience heart problems, especially if she is overweight and has internal fat. The ongoing processes in the uterus and its preparation for childbirth involve a change in position, as a result the heart can “lie” on its side, which causes difficulty breathing and shortness of breath.

Insufficiency of the cervix (cervical insufficiency)

Another reason is pathologies that occur in the cervix. It does not have enough strength to hold the constantly growing fetus, so it opens, which is why labor occurs at 30 weeks of pregnancy.

This is not a congenital disease. It appears due to miscarriages and abortions, during which the uterine cavity is scraped out. Any artificial intervention using expanding instruments is harmful. Another cause of the disease may be too much male hormones produced in the adrenal glands.

Recommendations for mom

Do you remember how it all began, when you first found out that your family was expecting a new addition? You were overcome with fear. Fear of the unknown: how will everything go, how will work work, how to do repairs, etc. Now, in the third trimester, the expectant mother is again enveloped in panic. Now this panic is associated with the unknown before childbirth: how will everything go, will I cope, and what should I do? Let's look at the most popular fears and try to neutralize them. So:

• Fear of enduring pain during childbirth. First of all, you must be confident in your own abilities. Everything in our world appears in exactly the same way. Millions of women have gone through this and feel great. But there is one more fact - our great-great-grandmothers used to give birth in the field, without leaving the work process, without requiring any outside help or medical intervention. Nowadays, medicine is so advanced that you can numb contractions with an epidural, and if you don't want to use this method, there are plenty of others. For example, antispasmodic therapy. Many women sometimes cannot say at the first stage of labor that they feel comfortable enough only because they are obviously determined that it must be difficult for them. In fact, each of us is individual, and each pregnancy and childbirth proceeds individually. You should also not listen to the opinions of friends for whom everything was not entirely smooth. This is their personal experience, everything will be different for you.
• Fear of episiotomy. In fact, there is nothing terrible hidden under this incomprehensible word. It is performed according to the indications of the midwife and your attending physician for large volumes of the fetal head or to prevent spontaneous ruptures in the perineal area. A small incision made surgically heals much faster and better than spontaneous ruptures. And then, it is performed in the second stage of labor, that is, when the pain from pushing is so noticeable that the woman does not feel the episiotomy.

• Fear of involuntary bowel movement. This fear is not present in all pregnant women, but it occurs quite often. In fact, during pushing, this phenomenon actually occurs. But childbirth is a natural process, like any moments associated with it. So under no circumstances should you be shy or afraid of such things. In addition, during the first stage of labor, doctors prepare the woman and cleanse the intestines, so after this the likelihood of defecation is minimal.
• Fear of caesarean section. There are very few indications for surgery. And most often it is prescribed by the doctor who is managing your pregnancy, that is, in advance. Carrying out a cesarean section already during labor is possible only in emergency cases, which will be announced to you or your partner. You must trust your doctor and midwife, as all their actions are completely aimed at preserving the health of you and your baby.

To properly tune in and prepare psychologically for this process, sign up with your husband for special courses. They will help you learn how to breathe, relax, and respond to pain correctly.

Other reasons

In some women, the uterus is simply insufficiently or incorrectly developed (infantilism, bicornus, saddleback). Some people are harmed by endocrine diseases (thyroid pathologies, diabetes mellitus). Do not write off the harmful effects of cigarettes, drugs and alcohol, stress at work and irregular work and rest hours.

If premature birth has occurred in the past, it is likely to occur again. So there are indeed many reasons. If a woman notices some of these signs in herself, this is not yet a cause for alarm, but it would not be a bad idea to consult with a specialist.

Then the doctor will be able to monitor the pregnant woman’s condition and prevent undesirable developments of the situation. He will be able to promptly identify the precursors of childbirth at the 30th week of pregnancy, provide assistance that will retain the fetus in the womb, ensure its health and vitality, and stop the baby from being born prematurely.

However, this is only possible if the cervix is ​​not yet dilated. In this case, everything has to be done extremely carefully to ensure the baby’s salvation.

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What should those who have a limited budget do? Do not negotiate with anyone and call an ambulance when contractions begin. In this case, you will not have to pay the doctor and staff (unless you have such a desire). It’s difficult to talk about the quality of the services provided; you can meet a wonderful doctor and conditions, but you can regret it later. Many mothers report that they were neglected, mistreated and abused. But on the other hand, unfortunately, it is difficult to demand high service from free medicine (with its meager salaries), corrupted by “gratitudes”.

There is also another option - to agree on the spot with the doctor about proper care in exchange for a fee. But this also does not guarantee you the promised service, because in government institutions, after the doctor has put your money in his pocket, you can only rely on his integrity, because the money “in hand” will not be officially recorded anywhere. If you are already “thankful,” then you will also have to pay the staff who cares for you.

Harbingers of premature birth

How can you tell if a woman is about to give birth at 30 weeks of pregnancy? Reviews from mothers who went through them indicate that they felt pain in the lower back and lower abdomen. The tone of the walls increases and the stomach hardens. The uterus remains closed and endures contractions and contractions.

After this, shortening and opening occurs, amniotic fluid flows out. In general, the symptoms are identical to those during a normal baby birth, with the exception of some complications associated with hemorrhage and placental abruption. They proceed much faster than under standard conditions.

How it starts: signs and symptoms

The fact that a pregnant woman is developing premature birth of twins is indicated by the following symptoms:

• tension and contraction of the uterus;
• nagging pain in the lumbar region or abdomen;
• high physical activity of children;
• a feeling of squeezing in the thighs, pelvis or groin;
• stomach upset;
• discharge of ichor from the genital tract;
• rupture of amniotic fluid.

If any of these symptoms occur more than 4 times per hour, you should immediately call an ambulance.

Procedure

If signs appear indicating a threat of premature birth, you should call an ambulance. Trying to get to the maternity hospital on your own would not be the best idea. Due to the additional load on the body and movements, labor will only speed up, which is not at all desirable if the required equipment and medications are not nearby.

It is important to go to a maternity hospital where they know how to deal with the premature birth of a baby. Then the heir will not only be born safely, but will also be surrounded by the care of qualified specialists.

After calling an ambulance, a woman should drink motherwort or valerian to calm down, and 2 No-shpa tablets as an antispasmodic. Next, you should lie down quietly and wait for the doctors to arrive. You can promise yourself and your baby that everything will go well. The most important thing is not to lose composure, because unnecessary nerves only aggravate the situation.

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Another important aspect that can influence the choice of a public maternity hospital is free assistance and counseling for expectant mothers at different stages of pregnancy. It’s convenient that many maternity hospitals have their own official websites, where you can go online or read one of the educational articles on an exciting topic. It is also worth emphasizing that pregnancy management in government institutions is absolutely free, unlike private clinics. The procedure is simple: you register with the maternity hospital for free (you have no right to demand any payment, even if you are not applying at your place of residence) and go to see doctors in regular clinics. All contributions that are charitable are voluntary and can be refused. For example, as Tatyana Sapko, a lecturer and author of courses for mothers, notes, it is precisely because women do not know their rights and do not defend them that they have to pay for registration, which should be absolutely free. After all, they are afraid that their refusal to pay certain fees may negatively affect the attitude of staff . You should know that all services should be provided to you free of charge, except for tests if you decide to take them in private laboratories.

The situation with the cost of childbirth in government institutions is mysterious. Although medicine in Ukraine is free, and expectant mothers should be provided with comfortable conditions and proper supervision absolutely free of charge, it is no secret that it is possible to give birth freely and safely only with great luck. Charitable contributions (some are fixed through accounting, but most are “in hand”), the requirement of “gratitude” to the doctor, midwife, nurses and half of the staff who were at least somehow involved in your childbirth, payment for staying in the institution, paid tests - this everything is available in all state maternity hospitals.

Reviews of state maternity hospitals 112.ua

It is clear that after reading such reviews, couples begin to think about the advantages of private maternity hospitals and clinics, not even to mention giving birth with an emergency team on duty, which is despised in absentia for its rudeness and negligence. But you shouldn’t rush to draw conclusions, especially when you don’t know all the details of the specific case described in the review. Often, the problem is not in the maternity hospital itself, but in some individual workers who do not care about the reputation of the institution and only care about their earnings. Unfortunately, it is. Experienced mothers advise communicating with the staff and coming for consultations so that you can immediately understand whether you feel that you will be safe around these people. Often, future parents buy staff loyalty. Let us not remind you that this only aggravates the global problem of our “free”.

Reviews of state maternity hospitals 112.ua

Perinatal centers are wide-ranging clinics where consultations, treatment and rehabilitation of pregnant women, women in labor, and newborns are provided, that is, such clinics deal with all problems of family planning. Their advantage over ordinary state maternity hospitals is that such centers have more modern equipment. Over the past 10 years, many such centers have opened in Ukraine, in particular in Kyiv, Kharkov, Dnepr, Zaporozhye, Rivne, Khmelnitsky, Zhitomir, Poltava and Kropyvnytskyi.

It’s also not worth talking about transparency in service in such centers. After all, although perinatal centers can boast of new equipment, reading reviews of young mothers, we can conclude that the collection of money there occurs at the same level as ordinary state maternity hospitals. For example, the Perinatal Center of Kiev (former state maternity hospital No. 7) has repeatedly appeared in negative reviews from dissatisfied women in labor. It was reported that in order to take out an exchange card, you must pay a “charitable contribution” in the amount of 3000-3500 thousand UAH. For those who agreed on childbirth with a doctor (it is no secret that the attitude of state maternity hospital staff towards expectant mothers does not always, but often depends on this), from 20 to 35 thousand UAH were added to the cost of the contribution. In case of pathological childbirth or in anticipation of twins, this amount increases by 10-20%.

Reviews about Perinatal centers 112.ua

For many expectant parents, an alternative to giving birth “in the dark” is the so-called arranged birth. This is when you look for a doctor and a maternity hospital in advance where you want to give birth. According to Tatyana Sapko, lecturer and author of courses for mothers, it is better to choose contracted childbirth - pay and feel safe with a doctor you trust.

Of course, such a service is paid, because no doctor will go to work for free on his day off if you suddenly go into labor. The price for such an “agreement” usually includes the loyal attitude of the staff (doctors “share”) and depends on the professionalism of the doctor himself and the maternity hospital. According to reviews from the parents themselves, in Kyiv, arranged childbirth will cost from 500 to 1,500 dollars, if we are talking about state institutions. For example, you can give birth to the best doctor in Kyiv City Maternity Hospital No. 1, according to reviews, by paying $1,500.

The prices are considerable, although even if you pay, you still risk running into a doctor who will tell you that he cannot be present at the birth, and therefore transfers the woman in labor to another specialist.

Doctors' work

After arriving at the maternity hospital, the expectant mother is examined, it is determined whether premature labor has really begun, and the condition of the cervix is ​​examined. Prescribed drugs that reduce uterine tension. As a rule, this is “Genipral” or “Patrusiten”. For faster action, the drugs are administered using a syringe into a vein.

When the condition has stabilized, tablets are used until the 37th week, which is considered the normal period for childbirth. The woman takes sedatives to normalize her psycho-emotional background. Stress can push the body to prematurely reject the baby.

Having experienced this once, the expectant mother can hardly calm down, so it is often difficult to cope without special means. The doctor determines the cause of the incident. If an infection, leakage or loss of amniotic fluid is detected, the pregnant woman takes antibiotics to protect the child from the threat.

If the reason is the underdevelopment of the uterus, complications are combated with the help of a Golgi ring that tightens the cervix. Dexamethasone is also prescribed, which increases the viability of the fetus and strengthens its respiratory organs.

In cases where the continuation of pregnancy threatens the life of the fetus or mother, labor is not stopped, but, on the contrary, stimulated.

Entitled payments

After the birth of the baby, provide a package of documents at your place of work or in the department with

Social protection. Payments will be credited to you either on your salary card, or a bank account will be opened (payment amounts are indicated as of November 1, 2019):

• For pregnancy and childbirth - paid one-time after the birth of a child in the amount of 100% of sick leave. For payment, the amount of average daily earnings for the last 6 months before the start of the vacation is taken and multiplied by the number of days indicated on the sick leave. It is calculated individually: the higher the salary, the larger the amount. But there is also a minimum and maximum payment limit. The minimum benefit amount for each month is 50% of the BMP. From November 1, 2019, this is almost 116 rubles.
• One-time payment in connection with the birth of a child, for the first - 10 BPM (2320 rubles), for the second and subsequent children - 14 BPM (3248 RUB).
• Benefit for a woman who registered within 12 weeks - 1 BPM (231.83 rubles).
• Child care until the age of 3. Monthly. Read more in the article - Children's benefits.

Consequences

What does childbirth bring with you at 30 weeks of pregnancy? The consequences are negligible for the woman. Perineal rupture is unlikely due to the small size of the fetus. Otherwise, everything proceeds as with a normal resolution of the burden.

Delay in the maternity hospital occurs only due to the condition of the child. The mother is sent for examination to establish the causes of the incident. Treatment is prescribed to eliminate the factors that influenced this outcome.

At the birth of the next child, the woman is constantly monitored by a doctor, especially during the period when the previous first-born was born, as well as on the 14-21st days (the fertilized egg is attached), from the 4th to the 12th week, when the placenta is formed, with 18th to 22nd week, when the uterus is growing rapidly, and on the days when menstruation is expected to occur.

It is much more difficult to survive the early birth of a baby. He will most likely be sent to the intensive care unit. Mothers and relatives, as well as a team of doctors, spend a lot of effort on nursing a child, but it is quite possible.

With proper care, the flexible body of children is able to overcome all complications and take the path of proper development, recovering in such a way that an early birth will not affect a person’s future life in any way.

Pregnancy insurance

Having weighed all the comments and reviews, future parents begin to think about solving the problem of unreliability and high cost of childbirth, both in public and private maternity hospitals. One option is insurance.

The advantages of insurance are that the expectant mother will not have to stand in queues, undergo paid tests, she will be assigned to a specific medical institution, where she will be issued an exchange card. Also usually the policy program includes general medical insurance, prenatal examination (diagnosis of developmental disorders of the fetal nervous system, ultrasound, etc.), emergency hospitalization at the onset of labor.

The disadvantages are that insurance usually provides a standard list of consultations and examinations, so if the doctor prescribes additional tests or studies, you will have to pay extra (in some cases, additional services may be covered by the policy in agreement with the insurance company), as well as a limited choice of institutions where you can be examined according to your policy/program.

Weight gain at 30 weeks

From week 30 the main weight gain begins. In total, women should gain about 10 kg during pregnancy in order not to suffer from excess weight afterward. However, everything is individual, some pregnant women gain up to 20 kg and successfully lose weight afterwards. Moreover, starting from this period, weight gain decreases. Recommended nutrition depends on the activity of the pregnant woman. If it is reduced, it is recommended to consume small portions of moderately high-calorie foods without dieting.

Weight gain depends on the BMI index, the ratio of weight and height before pregnancy. There are statistical averages that depend on these parameters. For example, a pregnant woman who is 164 cm tall and weighs 60 kg should gain about 8 kg before pregnancy, but these figures are still very approximate. It can be recommended to reduce the consumption of flour or high-calorie foods, but only slightly, so as not to dramatically change the child’s diet.