Almost every pregnant woman perceives the last trimester of pregnancy as a kind of finish line. However, the 27th week of expectation of the baby is very important, because despite the fact that the baby is already formed, the chance of premature birth increases. In the last trimester, the load on the body increases, as it begins to slowly prepare for the appearance of the baby.
Delivery at 27 weeks of gestation. Is the child in danger? We will talk about the causes and consequences below. Childbirth reviews at 27 weeks of gestation will also be provided.
What is preterm birth
Such is called delivery, which occurred during the period from the 27th to the 38th week of pregnancy. Until recently, such births were considered to be a miscarriage in the late term, as there was no technology to support the baby. Today, there is the possibility of nursing a child starting with a weight of 500 g, if after childbirth he lived for 7 days. If you suspect a premature birth, it is important to get to the hospital that has special equipment to save the lives of babies weighing less than 1 kg.
Kinds
Extraterm delivery can be classified as follows:
- Very early preterm birth at 27 weeks of gestation with a baby weight of 500 to 1000 g.
- Early preterm birth for a period of 28-33 weeks, while the weight of the fetus is from 1000 to 2000.
- Preterm birth at 34-37 weeks, the weight of the baby is about 2500 g.
Early delivery is also classified by degree of difficulty. The birth of a baby at different times requires an individually selected treatment program for both the woman in childbirth and the child.
Some statistics
Despite the large number of fears and worries that gynecologists can give to a pregnant woman, the statistics of preterm birth at 27 weeks of pregnancy is only 6-8% out of 100. These are only 6-8 women out of 100 who do not finish the pregnancy. The rest give birth quite safely.
Most women have absolutely nothing to worry about. However, if there is suspicion of an early delivery, then you should still listen to specialists and go to the hospital for conservation.
Fetal development
At the 27th week of pregnancy, the fetus is a fully formed baby, which is distinguished from the newborn by its size and very weak vitality outside the womb of the mother. The skin of the baby is pink and wrinkled, the head is large. At this time, the immune system develops, and the child can partially resist infections. The muscle mass of the fetus is strengthened, this is noticeable by the increased shocks inside the uterus.
Causes
The following circumstances may be the reason for early birth at the 27th week of pregnancy:
- Inflammatory processes and infectious diseases that often accompany each other. This is due to the fact that any inflammation prevents the uterus from stretching normally, adjusting to the baby, and she is trying to push the fetus out. Infectious diseases can delay the development of the baby and contribute to early childbirth or miscarriage.
- Pathology of the cervix when it is too weak to support the gradually increasing weight of the child. The disease can develop after numerous miscarriages, abortions and is rarely a birth defect.
- Premature birth at the 27th week of twin pregnancy is also possible, as uterine overstretching occurs.
- Polyhydramnios is another reason.
- Diseases of the endocrine system, such as diabetes mellitus, disorders of the thyroid gland.
- Smoking and drinking during gestation.
- Active sexual life in late pregnancy in the presence of pathology of the cervix.
- An amniotic bubble rupture caused by a fall or a blow.
- Placenta previa directly above the internal pharynx of the uterus.
- Low water.
- Immunological conflicts with a mismatch in the Rh factor of the blood.
- Severe forms of gestosis.
- Malnutrition of the mother.
- Pregnant age before 18 or after 35 years.
- Chronic lack of sleep.
- Somatic infections such as SARS.
- The presence of a history of abnormalities and malformations of the uterus.
- Surgery on the cervix or its cavity.
- In vitro fertilization.
- Cervical tears from previous births.
- Chromosomal abnormalities of the fetus.
In addition, the chances increase if a woman has a history of premature birth.
Symptoms
Signs of preterm birth at 27 weeks of gestation are as follows:
- pain in the lower abdomen and lumbar spine;
- increased tone of the uterus, as a result of which it becomes hard to the touch;
- cramping pains;
- rhythmic increase in uterine tone just before childbirth;
- shortening and opening of the cervix;
- nausea and diarrhea;
- severe pain during urination;
- discharge of the mucous plug;
- spotting from the vagina;
- blood secretion, which is accompanied by detachment of the placenta;
- swelling or swelling of the face and hands.
According to the symptoms, preterm delivery differs little from the usual and often passes without complications. After the onset of labor, it is impossible to stop it, so you need to go to the hospital in order to have a chance to save a premature baby.
Threat Treatment
If you suspect the possibility of childbirth at 26-27 weeks of pregnancy, therapy is prescribed that can stop this process. If the first symptoms of impending labor are detected, any woman will want to immediately go to the hospital. However, this cannot be done independently; it is necessary to call an ambulance, which will take you to the destination in a lying position. After calling an ambulance, you need to calm down, since stress also affects labor. It is allowed to drink 2 tablets "No-Shpy" to relax the muscles of the uterus.
The following measures are prescribed as a treatment for the threat of premature birth:
- Intravenous administration of drugs that reduce the tone of the uterus, such as Patrusiten, Genipral.
- After stabilization, intravenous drugs are replaced by oral ones, and their intake is maintained until the 37th week, when pregnancy can be considered full-term.
- Taking light sedatives that normalize the mental state of a woman.
- In the presence of infectious diseases, treatment is prescribed in the form of antibiotics that destroy the pathogenic microflora.
- A woman is shown bed rest and lifting of any weights is strictly prohibited.
- With pathology of the cervix, when it is shortened, a medical suture can be placed on it, which will prevent early disclosure. It is applied under local anesthesia and removed immediately before childbirth.
- In some cases, a ring can be put on the cervix, which acts as a suture.
- Taking the drug "Dexamethasone", which helps to open the lungs in children.
However, not in all cases, doctors help to remove the threat of premature birth. There are times when a situation threatens the life of a mother or a child, stimulation of early delivery is even necessary here. This can be with early discharge of amniotic fluid or severe forms of gestosis.
Effects
From the side of the mother’s well-being, there are practically no unpleasant results from such a delivery. In subsequent pregnancies, such a woman is recommended to monitor her health much more in order to avoid a recurrence of the situation, regularly undergo all examinations and take tests.
However, for a baby, the consequences of giving birth at 27 weeks of gestation can be quite complex. The fact is that premature babies have a critically low weight, so the further maintenance of the child occurs in a special couveuse. After birth, at a period of 27 weeks, the baby still does not know how to eat and breathe on its own, so food and air enter through special tubes. Also, premature babies are injected with drugs that help open the lungs.
It should be noted that if the birth took place in a hospital where there is no specialized equipment for premature babies, then the child will be transferred to another medical institution. Moreover, if his condition is serious, then the mother will not be able to be near, feed and change diapers. It should also be noted that all ongoing procedures are quite expensive in material terms for young parents.
Forecast
In childbirth at 27-28 weeks of gestation, the prognosis is considered favorable if the child has lived 7 or more days after birth. The baby will continue to develop and by the age of about 1 year will fully recover. It will not differ in development from full-term children.
The prognosis may be unfavorable if the baby was born with severe or life-incompatible pathologies. In the first case, doctors will struggle for his life with all his might, while the second case ends in death.
Obstetrician advice
You can not protect yourself from preterm birth at 27 weeks of gestation at 100%, but you can try to minimize the risks. For this, doctors recommend adhering to such rules:
- At the stage of pregnancy planning, a woman should undergo a full range of examinations of the whole organism in order to identify pathologies that can interfere with normal gestation, and cure them in a timely manner.
- During pregnancy, timely register with the antenatal clinic, honestly answer doctors' questions about their condition and well-being. In addition, the doctor conducting the pregnancy should be aware of all chronic diseases that may affect the course of gestation.
- Avoid contact with contagious patients during pregnancy planning and expectation.
- Minimize physical activity and avoid lifting weights.
- Try to avoid stressful situations and even with an unfavorable prognosis do not succumb to panic.
- At the planning stage of the child, give up bad habits, such as drinking alcohol and smoking.
- Regularly undergo examinations prescribed by your doctor.
- Closely monitor your condition.
At the slightest suspicion of premature birth at the 27th week of pregnancy, it is important to go to the hospital for preservation, since only there you can be monitored around the clock by medical personnel.
Indications
In some cases, early delivery is necessary:
- Diseases of organs that threaten the health and life of a woman.
- Severe forms of gestosis.
- Intrahepatic holistasis of pregnant women, which is characterized by impaired liver function and bile flow.
- Deterioration of the fetus.
- Malformations incompatible with life.
- Frozen pregnancy.
Preterm birth is caused by drugs such as Mifepristone in combination with Oxytocin and Dinoprost. They are injected into the vagina, into the cervix and inside the fetal bladder in large doses.
Reviews of childbirth at 27 weeks of gestation
Many women say that thanks to modern medicine, their premature baby was able to recover. In this case, mothers are advised not to focus on the negative, follow all the doctor's recommendations and believe in the best. After all, the baby feels her mother’s emotions and feels that she believes in him and is waiting for him.