In some cases, the fight begins before birth, occur sporadically and are accompanied by very slow opening or no dilation of the cervix.Such a condition is called pathological preliminary period and requires special monitoring of giving birth.
What is the pathological preliminary period
Pathology of uterine contractions can be divided into two periods - before birth and during birth.The appearance of abnormal contractions before birth contractions before delivery - how to recognize false labor? called pathological preliminary period.During labor, uterine anomalies appear as the primary and secondary weakness of labor, fast and rapid delivery and coordination of labor violations.
regulation of uterine activity is under the direct control of the cerebral cortex.So, labors can begin, or, conversely, to cease under the influence of stress.The cerebral cortex has an impact on uterine contractility, thus higher stress and emotional stress may lead to a disturbance of the regular flow of lab
all anomalies of labor accompanied by disruption of the structure of the muscle fibers of the uterus, that lead to a breach in their metabolism, inhibition of tissue respiration and disturbance of protein metabolism.All this is a violation of the contractile ability of the uterus.
pathological preliminary period occurs mainly in women with neurosis, endocrine and metabolic disorders that are characterized by emotional instability and are not configured to pregnancy and childbirth.
manifestations pathological preliminary period - is the appearance before the birth of irregular very painful contractions, a woman who literally exhausting.These fights usually last more than six hours.Pain starts in the sacrum, are transferred to the lower abdomen, and then may be terminated.And after a while reappears.
These contractions can bring a woman to complete nervous exhaustion, because they do not give her to sleep and eat.The longer such unproductive contractions, the more increases the risk of fetal hypoxia fetal hypoxia - the consequences of lack of oxygen in the body (insufficient oxygen supply of the fetus at which the first to suffer his brain).Uncoordinated and irregular contraction of muscle fibers of the uterus does not lead to the disclosure of the cervix.Often at the same time a woman can detect lack of female sex hormones estrogen.
During examination female gynecologist can detect an increased tone of the uterus, especially in its lower part.The heartbeat of the fetus while often badly bugged, indicating that hypoxia.Also revealed an increased tone of the pelvic floor and vaginal muscles spasm circular.
Complications The most common complication of this anomaly of uterine activity is a premature discharge of amniotic fluid, amniotic fluid that is moving away, while the cervix is not disclosed (normal amniotic fluid depart after a full disclosure of cervical11-12 cm).This happens because of the intense but irregular contractions.
premature discharge of a real threat of infection of the fetus, but at the same time a positive thing, because then reduced tone of the uterus and reduction take stronger and more regular.
What can help a woman
to lower the tone of the uterus and to restore its normal contractile activity, a woman prescribed painkillers (promedol), antispasmodics (drugs, relieves spasms of smooth muscle, such as Nospanum Nospanum - lowers the tone of smooth muscles , papaverine), soothes, relieves anxiety anxiety - how to distinguish normal from disease? and promote falling asleep means (seduksen).Painful contractions of the uterus are removed diskoordinirovannye such drugs as brikanil.
sure to be appointed as estrogen, which accelerate the process of cervical dilatation.
As a result of such treatment labors can be restored.If the dilatation of the cervix was then autopsied fetal bladder, and waiting for three hours regular contractions.If they do not come on their own, then held induction of labor.
If conservative treatment conducted after the cervix has not opened, the fetus is too large or is determined by the breech, it is usually performed cesarean section.