Common tests during pregnancy and childbirth. Continued

Category: Advice on all occasions | 10 ноября 2015, 12:19

4. Test the mobility of the fetus. Is carried out at a late stage of pregnancy, early stages of labor.

For what it is. This is a simple exercise to verify the status of the fetus sometimes is offered to pregnant women, included in the risk group. The test is based on the belief that an active child is a healthy. You need to calculate how much time the child will stolknetsya within a few minutes. This is best done after dinner when you are relaxed. Make daily entries. Note when you felt the first push and for what period of time the child pushed you ten times. Tell your doctor if every day your child is pushed weaker and weaker, if increasing the time span for shocks of ten, if a child exhibits too much activity or not moving for twelve hours.

Whether You need this test? The counting of fetal movements helps you to feel the child in the womb and to ensure that the activity is normal. But since all children behave differently, change their activity can be normal. Then this test will become unnecessary cause for undue concern. Remember that this test is very approximate. The need for intervention can only be determined after more detailed checking. A sample table for counting of fetal movements: the date; start time; time 10 movements, total time.

5. The test is abnormal contractions.

For what it is. The objective of this test is to verify the tolerability of the child labour. During the contractions stimulate the baby's heartbeat is determined using ultrasound. Stimulation is artificially produced contractions (pitocin) or naturally (nipple stimulation). Or soothing negative result means that the baby's heartbeat remains normal during contractions. Positive or alarming result means that there is a pathology of the heart during or after contractions, i.e. there is a risk of spent in long bouts. It's quite a long test (several hours). It is usually carried out in hospitals in the last weeks of pregnancy.

Whether You need this test? Usually this test is carried out pathologies discovered during the test, a pathological condition of the fetus. Midwives use the results of this test to decide whether the mother to wait for natural onset of labour or it is better to immediately do a C-section. Because the test is abnormal contractions can trigger childbirth, it is not carried out if undesirable premature birth (prematurity, placental abruption, premature opening of the amniotic bladder, multiple pregnancy). Women are more likely to prefer nipple stimulation to avoid artificial stimulation. In one study, it was discovered that if you put on both the Breasts with warm towel for 5 minutes or to stimulate one nipple for 10 minutes, the contractions start in 30 minutes at 76% of the tested pregnant women. In addition, it was discovered that nipple stimulation and injection of pitocin produce the same results. However, nipple stimulation is much easier, cheaper and faster. The woman herself can regularly stimulate your nipples by rubbing them with fingertips over the clothes within 2 minutes of every 5.minutes. In this test, a very large percentage of false results. Therefore, a positive result does not necessarily mean that the child should immediately get delivered by caesarean section. On the contrary, it means that should be more carefully check the baby's condition during labour and intervene only when you precisely define the signs of a pathological condition of the fetus.

6. Rentgenoprosracne and/or analysis on the appropriate size of the head of the fetus and the mother's pelvis. Conducted at the initial stages of childbirth or during the ditch.

For what it is. Use fluoroscopy to determine whether the size of the mother's pelvis and the head of the baby, that is, will the baby to safely pass through the pelvis during childbirth. The results were compared with tabular values. Pelvimetry is often made in case the baby comes out during childbirth if vaginal delivery is difficult because of breech presentation or if the mothers had experience of a difficult delivery due to a clinically narrow pelvis. A newer method is the analysis on the appropriate size of the pelvis and the head of the fetus — combines x-ray determination of the size of the pelvis and ultrasound determination of the size of the entire child, not just his head. This analysis is very useful to those who is going to give birth after a caesarean section, but has a previously diagnosed clinically narrow pelvis. Also it is done to determine the possibility of a normal birth with breech presentation.

Whether You need this test? Interoperbility is currently used much less frequently than before, as it is not considered to be fully safe and accurate method of analysis. There are results of studies suggesting a link between fetal irradiation by x-rays and childhood cancer. But since these results are not . exact proof, the question remains open. In addition to the risk associated with radiation, there is also the problem of accuracy^ analysis. Interoperabiltiy do when pregnant, lying still on his back. But birth is a dynamic process. Studies have shown that in various postures (e.g., squatting) the volume of the pelvis can be increased by 20%. In addition, it is necessary to consider not only the size of the pelvis, but also the behavior of the one who will pass through the pelvis. It would seem that if a narrow pelvis and a big baby, childbirth almost impossible. But during birth the baby frequently changes position, it is impossible to determine what angle it will take place the pelvic area. For comparison, you can give an example of when through the doorway trying to carry the table. If to measure the dimensions of the doorway and the table, we can conclude that to make the table impossible. However, if I try to turn the table this way and that, he would be able to squeeze through, especially if there is a possibility to change the size of the table and the doorway. According to recent research, this test is accurate in 90% of cases. But we should not lose confidence and to agree to a cesarean section based on the readings. At the time of birth and your pelvis, and the baby change size and shape. But this biological fact is ignored by the computer. Remember that a cesarean section is also associated with some degree of risk.

7. Unconfuse (initial stage of childbirth or labor). Conducted at the initial stages of childbirth or during childbirth.

For what it is. If you broke the bag of water and/or insufficient amount of amniotic fluid for the baby, the doctor can enter in the shell water fruit saline. Technique this procedure is similar to amniocentesis. Intrauterine amnioinfusion goal is to fill in the missing volume of amniotic fluid because of lack of water when the umbilical cord becomes more vulnerable and subjected to greater compression during contractions. This procedure is performed for various indications. For example, a pathological condition of the fetus during childbirth, premature opening of the amniotic SAC, the ingestion of meconium into the respiratory tract, oligohydramnios and delayed intrauterine growth, complicated by low amniotic fluid volume.

Whether You need this test? Amnioinfusion is an alternative to immediate caesarean section if the pathological condition of the fetus. Studies have shown that the application of amnioinfusion dramatically reduces the appearance of pathological conditions of the fetus and reduces the number of caesarean sections.


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