Pregnancy: dangerous signs. When to go to the doctor?
During pregnancy, a woman has a lot of unfamiliar sensations, her body often behaves unpredictably. What are the signs of pregnancy say about well-being, and which should be alerted? When to go to the doctor for an extraordinary reception, and when - immediately call an ambulance?
Frequent reasons for seeking medical attention
The most common reason for going to a doctor during pregnancy is abdominal pain, blood and watery discharge from the genital tract, severe vomiting, headache or dizziness, fever, no fetal movements, increased edema. Any of these symptoms require further evaluation and treatment.
With childbirth approach slight pulling pains in the lower abdomen are gradually replaced by regular pain sensations, which compress the entire uterus, covering the lower back and groin area. In the event of sharp pains, strong tension of the uterus with local pain, surrounding pain in the back, especially if such pains are accompanied by vomiting or bleeding, it is urgent to call an ambulance. In the presence of scar on uterus after cesarean section or other operations, the occurrence of any pain, including contractions, requires urgent consultation of a specialist.
When appearing blood discharge at any stage of pregnancy should immediately consult a doctor. On short notice this may be the first sign. threatened miscarriage or missed abortion. As pregnancy is prolonged, bleeding can report late miscarriage or beginning premature birth. When contacting the hospital, the doctor already in the emergency department will conduct an examination, an ultrasound scan and will be able to decide on the future tactics of pregnancy and prevent possible complications in time.
After 37-38 weeks, heavy bleeding is most often a sign of a very dangerous pregnancy complication - premature placental abruptionfraught with serious threat to life for mother and child. Most often, placental abruption occurs in women with low-lying or predlagayas placenta, so for long periods of pregnancy, such patients require antenatal hospitalization in the hospital. But sometimes detachment occurs with the normal location of the placenta on the background of complete health.
In any case, with such a formidable complication, a minimum amount of time must pass between the appearance of bleeding and examination by a doctor to determine further tactics. Therefore, after seeing a significant amount of blood on the laundry, you must immediately call the ambulance car to get to the nearest maternity hospital as quickly as possible.
Amniotic fluid outpouring
Upon detection watery discharge at any time, it is also necessary to consult with a doctor as soon as possible. This may be a sign of premature discharge of water. In full-term pregnancy, most often within 12 hours after the discharge of water, regular contractions begin. In the period from the amniotic fluid to the onset of labor, it is necessary to be under the supervision of a doctor: carry out an ultrasound, regularly assess the condition of the fetus based on cardiotocogram (CTG) and the quality of the flowing amniotic fluid, monitor body temperature, monitor the development of regular labor.
In the absence of labor within 12 hours, the doctor decides on the method of labor induction, since a prolonged anhydrous period is fraught with infection of the uterine cavity and other complications.
But behind watery secretions they can be masked and genital infections, colpitis and disturbances normal vaginal flora. In such cases, the doctor takes tests and necessarily prescribes treatment, as the infection can penetrate to the child.
A frequent complication of the second half of pregnancy is preeclampsia. It can manifest edema of varying degrees, increased blood pressure (BP), changes in urinalysis, biochemical and clinical blood tests. Increased blood pressure sometimes accompanied by headache, especially localized in the occipital region, dizziness, the appearance of "flies" before the eyes, nausea or vomiting. Any change in well-being, especially if the doctor previously revealed signs of preeclampsia, requires a control measurement of blood pressure.
Sometimes a sharp deterioration in the course of preeclampsia can lead to early delivery, as with increasing pressure, not only the heart, the kidneys and the brain of the mother suffer, but also the blood flow to the placenta and the baby is sharply reduced, due to which the baby may experience oxygen starvation. The task of the doctor is to detect in time a threat to the health of the mother or fetus and carry out the appropriate treatment or decide on the delivery tactics.
In the modern world, it is difficult to imagine a pregnant woman living in a completely sterile space and never in nine months faced with people who are ill. acute viral diseases. Especially as during the carrying of the infant immunity decreases and there is a high probability of infection. Not all drugs used before pregnancy are allowed during this period, so any manifestations of a viral infection require therapist consultation or Laura. When the temperature rises above 38 ° C or if the manifestations of the infection increase dramatically: severe coughing, weakness, chills, shortness of breath, an urgent need to contact a multidisciplinary hospital where they can prescribe adequate and safe therapy for the child.
During pregnancy, women regularly visit an obstetrician-gynecologist, pass the necessary tests, undergo important examinations (ultrasound, CTG) and consult with representatives of various specialties. But no doctor can monitor the state of the mother and child around the clock and every day. It is very important to give information about the dangerous signs that may arise at any time during pregnancy, so that a woman can turn to a professional in time and prevent possible trouble. One of the signs of pregnancy that only the expectant mother is able to feel is fetal movement.
With good health and adequate nutrition, the child moves at least 10 times a day. If the movement is not felt for four hours, if the child does not respond to habitual stimuli - eating, music, stroking the abdomen - you should immediately consult a doctor to listen to the fetal heartbeat, ultrasound or cardiac monitoring.
Active perturbations or the feeling of hiccups of the baby most often are not a sign of lack of oxygen. However, if the child feels the behavior is too different from the usual, you need to consult a doctor for further evaluation. The most informative and modern method of assessing the condition of the fetus is cardiomonitoring, which reflects on the paper the infant's heart rate.
In some maternity homes, for example, in the Perinatal Medical Center, a remote cardiomonitoring system has been successfully applied, which makes it possible to perform cardiotocography at home with sending the results via the Internet to a virtual office of the attending physician. This allows for daily assessment of the condition of the fetus in real time and does not require a woman in the hospital.
Pregnancy most often remains in the memories of women as one of the most beautiful and filled with a special meaning of periods of life. With proper supervision and a responsible attitude to their health, at least the following crucial stages follow: easy childbirth and the birth of a healthy baby.