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Commencement of Labour (Real labour) What are the signs for the onset of real labour At first, you may feel Braxton-Hicks
contractions. When real labour begins, these contractions get considerably
intense. As their frequency increases, they become more painful and can
not be relieved by a change in position. The pain first begins in the lower
back and then spreads to the lower abdomen and legs. This may be accompanied
by diarrhoea. Contractions are now taking place at regular intervals, and
should be timed. You may also have a pinkish or blood streaked discharge
from the vagina. In 15% of cases, it has been seen that the water bag breaks
(also known as rupturing of membranes) before labour begins. When this
happens, water (actually amniotic fluid) may either gush out or just trickle.
If you begin experiencing these symptoms, call your doctor and rush to
the hospital.
What are Braxton-Hicks contractions This is a method by which the pregnant
uterus does a practice run prior to actual labour. The uterus is warming
up in preparation for the grand finale - the arrival of your baby. They
begin around the 20th week of pregnancy. You will feel a tightening of
your uterus that is usually painless, but can be uncomfortable. The contraction
begins at the top and slowly spreads downwards. They can last from 30 seconds
to over 2 minutes. As you come closer to the time of delivery, these contractions
may become more frequent and intense, bordering on painful. You may even
mistake them for actual labour contractions. Braxton-Hicks contractions
can trigger early effacement (thinning of cervix) and dilatation.
How should I deal with Braxton-Hicks contractions As your due date draws nearer, your
Braxton-Hicks contractions will become more intense, painful and frequent.
Lying down and relaxing or walking around can help relieve the discomfort
of these contractions. Changing your position may stop the contractions
completely.
What is a "bloody show" Another sign of the commencement
of labour is that your vaginal discharge will thicken and increase and
you might find a blob of mucous escape from your cervix (looking like pink
vaginal discharge). As the cervix begins to thin and open, the mucous plug
that seals the opening of the uterus, slides out through the vagina, a
couple of weeks before the onset of labour. You may notice a blood-tinged
mucous discharge known as "bloody show."
Does a "bloody show" indicate commencement of labour This just indicates that your cervix
is effacing and dilating in preparation for the onset of labour, which
could still be two or three weeks away. In subsequent pregnancies, this
happens just as labour begins. If this is followed by contractions, then
do not hesitate to go to the hospital, because it could indicate the commencement
of labour. On the other hand, if your discharge becomes bright red or you
just start bleeding even a little, contact your doctor at once, as it could
be an indication of premature separation of the placenta (placenta praevia),
and requires prompt attention.
Am I leaking urine or have my membranes ruptured Just smell the wet spot on your underwear.
If it smells sweet, it must be amniotic fluid. This stops once you stand
up, as the baby's head moves into position and acts like a stop cork. However,
if the spot smells like ammonia, you have most probably urinated. A constant
trickle or a sudden gush from the vagina usually indicates that "your waters
have broken" or that your membranes have spontaneously ruptured. By "waters",
one means the amniotic fluid surrounding the foetus during pregnancy.
This is a sign that labour should commence within the next twenty four
hours.
What if my membranes rupture in public This is highly unlikely as in 75%
cases, membranes are known to rupture only after labour progresses. And
once the water breaks, the flow is only heavy if you are in a sleeping
position. So even if it does occur, you are hardly likely to be lying down
in public. When you are standing or walking, a little amniotic fluid
might trickle out at the most, because the foetal head blocks the opening
of the uterus. And since contractions haven't yet started, there is no
force trying to push the fluid out. If you are still worried about
rupturing your membranes ruptured in public, wear a panty-liner for the
last couple of weeks.
My water bag has broken but I have no contractions The first contractions normally start
within 12-24 hours after the water breaks. However, in 1 out of 10 cases,
labour has to be induced, because once the membranes have ruptured, the
risk of infection to the mother and child increases. So you must report
this to your doctor, and in the meantime, keep the vaginal area clean and
use a sanitary towel (not a tampon). Don't have a bath or indulge in sexual
intercourse. And of course, resist from carrying out your own internal
examination. However, if you think you can feel something in your vagina,
make sure that you get immediate medical attention, as it could be a prolapsed
umbilical cord.
Some people say diarrhoea indicates commencement of labour This is true. Just before the onset of labour, some women experience loose motions. So if you have diarrhoea, get your hospital kit ready, because it could indicate commencement of labour. To add your views on this article or read others comments Click Here
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