Labor

Normally, birth occurs at the 38-40th day of pregnancy. It happens between weeks. In 10% of pregnant women, labor may begin in earlier weeks of pregnancy. If a cesarean section is to be performed upon the patient's request or upon the doctor's guidance, or if a cesarean section is to be performed again on a pregnant woman who has previously given birth by cesarean section, the procedure is carried out in steps 38-39. It is planned within weeks. Pregnant women who are planned to have a cesarean section should not eat or drink anything after 24:00 the night before.

6 signs that show your birth is approaching:

  • Relief: As the baby moves towards the lower part of your abdomen (pelvis), the pressure on your diaphragm decreases and you become able to breathe more easily. However, this time, the need to go to the toilet may increase due to the increase in pressure on the bladder.
     
  • Engagement: The thick mucus layer that covers the cervix throughout pregnancy prevents the entry of bacteria into the uterus. As birth approaches, this mucus layer is removed due to the thinning and loosening of the cervix. This phenomenon may not be seen in all pregnant women; It is usually in the form of a bloody thick discharge and may be discharged minutes, hours or days before the start of labor.
     
  • Water breaking: In some pregnant women, the amniotic sac ruptures before labor. Usually a small amount of water flows out of the vagina. One in ten women may ejaculate a large amount of water. Since urinary incontinence is common, especially in the last stages of pregnancy, you should consult your doctor to determine whether the fluid is amniotic fluid or urine. Because if the membranes rupture early, the risk of developing intrauterine infection may increase.
     
  • Birth pains: Birth pains, which occur at irregular intervals in the last months of pregnancy, are felt in the lower abdomen and groin, and vary in severity. Short-term contractions that occur with hardening in the abdomen and decrease or disappear with a change of position are known as false labor pains. As birth approaches, false labor pains are replaced by real labor pains, which are more severe, starting from the lower back and spreading to the abdomen, accompanied by hardening in the abdomen, lasting longer (30-60 seconds), coming at regular intervals, and relieved by rest. It causes contractions that do not go away and gradually increase in frequency and intensity. It is recommended that you consult your doctor if you have contractions that occur every five minutes and last longer than 1 minute, or if water breaks.
     
  • Thinning of the cervix: In the last month of pregnancy, the cervix begins to thin. Your doctor can understand this situation through vaginal examination when you go for a check-up and expresses it as a percentage. The thinning of the cervix allows the cervix to dilate more easily. Short-term, low-intensity contractions, also called false labor pains, that you feel in the last two months of pregnancy, play a role in thinning.
     
  • Cervical enlargement: In the last months of pregnancy, the cervix begins to dilate. Your doctor will understand this situation through vaginal examination and express it in cm. In order for birth to occur, the cervix must be fully dilated (10 cm) and completely thinned (100%).
  • Some decrease in baby movements in the last stages of pregnancy is considered normal. However, if there is a significant decrease in baby movements (less than 10 per hour) or if the baby does not move at all, be sure to consult your doctor.

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