Pregnancy is a difficult period for many women, associated with severe gestation, anxiety and excitement, and an unstable emotional state. In addition, doctors often frighten the expectant mother with the diagnoses made to her. In exchange cards, you can sometimes find such an abbreviation as OAA during pregnancy. What is it and how scary is it? You will find the answers to these questions in the article.
OAA during pregnancy: a transcript
The abbreviation "OAA" means "burdened obstetric history." Let's take a look at the shelves. An anamnesis is a medical history from its onset to a visit to a doctor. But pregnancy is not a disease, but a condition. Therefore, in this area, obstetric history is all that is interconnected with other pregnancies and their course. And what does the word “burdened” mean? Previously, there could be some risk factors that affect the bearing of the unborn baby and safe delivery.
What is the OAA?
We got a little acquainted with the concept of OAA during pregnancy. Decryption is known to us, but the essence is not yet clear. This term includes:
- abortions
- miscarriage;
- preterm birth;
- the birth of a child with various defects, malnutrition;
- stillbirth;
- early detachment of the placenta;
- abnormalities of the attachment of the placenta;
- birth trauma;
- adhesions, scars;
- narrow pelvis;
- fetal asphyxiation;
- the condition of other children after birth;
- congenital defects and complications in previous children;
- other complications.
These factors have a huge impact on the course of subsequent pregnancies and their outcome, therefore they should be taken into account by a doctor in order to reduce possible risks to the maximum.
There is a concept similar to OAA, OGA, which means "burdened gynecological history." It includes everything that is associated with a woman’s health in terms of gynecology: the course of menstrual cycles, failures in them, sexually transmitted diseases. The concept of RSA is closely interconnected with the OAA, therefore they are often called by the general words “burdened obstetric and gynecological history”.
It should be noted that the diagnosis of OAA during pregnancy (that is, we explained above) is put to so many women. So in Russia their number is approximately 80 percent. A high probability of a threat of abortion, unfortunately, is not uncommon.
How to minimize risks?
Since OAA is directly related to the pregnant woman’s state of health, it is first necessary to prepare for the new expectation of the child in advance. There is a special pregravid training for such women, which can be completed without OAA, but in this case it will be simpler.
OAA during pregnancy - what is it and how to minimize risks? With this diagnosis, a woman must undergo a series of examinations, as well as preventive measures:
- Screened for infections, and if they are found to be cured.
- Examine the hormonal background and adjust it, if necessary.
- Treatment of concomitant pregnancy diseases of various systems and many others.
Thanks to these methods, the risk of a possible involuntary abortion is significantly reduced and the health of the expectant mother is preserved.
In addition, if a woman knows that she has OAA, then it is important to register as early as possible, since lost time can affect the preservation of the child’s life and its proper development.
The doctor should be aware of everything related to the health of the pregnant woman. It happens that a woman previously terminated the pregnancy with a medication or there was a miscarriage for some reason. In this case, with a new pregnancy, these factors may still remain. Moreover, abortion causes uterine trauma. Therefore, the presence and influence of such factors on a new pregnancy cannot be ruled out.
Also, the presence of complications in previous pregnancies may be due to the fact that in the structure of the organs there were features that cannot be changed.
Action taken
Do you have OAA during pregnancy? How to treat? In this matter, you need to fully trust your doctor and clearly follow his instructions. Knowing that the pregnant woman had OAA in the past, the specialist should take the necessary measures to prevent possible complications. To do this, the following is done: a risk group is determined, individual measures are selected to accompany pregnancy. In some cases, for example, a woman needs to be hospitalized at certain times when there is the greatest likelihood of risks. In addition, women with OAA are most often hospitalized two weeks before the upcoming birth.
Unfortunately, many women do not inform their doctor that they had an abortion or a miscarriage. A specialist, not knowing about such phenomena, may underestimate the possible risks, and the consequences will be disastrous in the future. It’s best for the doctor to tell everything.
Cesarean section
For women expecting a second child, cesarean section during the first pregnancy is also a risk factor, since a scar remains after it. Moreover, a uterine rupture is possible , which can lead to the death of both the baby and his mother.
After operations on the uterus during subsequent birth, a cesarean section is indicated, because in this case, the passage of the child through the natural birth canal is risky. Throughout pregnancy, specialists fill out an exchange card, carefully study the anamnesis, medical history, and determine the presence of adverse heredity. All these information serve to decide on whether the birth will be natural or Caesarean.
Often, the second pregnancy can also end tragically, like the first: intrauterine death of the child for some reason. Medical personnel should identify possible pathological processes and take all measures to prevent a tragic outcome. In order to avoid possible dire consequences, it is necessary to plan a pregnancy in advance.
Child Health and OAA
Do you have OAA during pregnancy? What is it and how can it affect the health of the child? This diagnosis can have a significant impact on the health status of the baby. For example, the presence of infectious diseases of the genital tract, due to which this diagnosis was made, can lead to infection of the baby during childbirth. But if the doctor is a competent specialist, then this simply cannot happen.
It is also necessary to remember that hereditary factors can have a huge impact on bearing a child. A pregnant woman with diseases such as hypertension, diabetes, can pass them on to her daughter, for whom they will become a real problem at the time of waiting for her child.
The OAA itself is not hereditary. However, often hereditary diseases can occur precisely during the period of expectation of the child. Therefore, at the stage of pregnancy planning, you need to know well the detailed information about the health of relatives. It does not interfere with a genetic examination.
Emotional mood
Women with OAA during / during pregnancy are at risk of possible complications during the period of gestation and childbirth. But this is connected not only with physiology. Such women have a completely different attitude to a new pregnancy than women who have a favorable history.
Such pregnant women must necessarily attend a variety of preventive and therapeutic measures carried out in the antenatal clinic and hospital.
It must be remembered that OAA during pregnancy is not a sentence, but rather an indication to the doctor to choose the right route of pregnancy. No need to be scared if the abbreviation OAA is found in the card. It is possible that there will be no complications during pregnancy. But in the case of the doctor’s ignorance about the OAA, the occurrence of risks is most likely.
A few tips for pregnant women
Do you have OAA during pregnancy? What is it, you now know. And now you do not need to panic, it is better to listen to some tips. For the proper and full development of pregnancy, it is necessary to attend specialist consultations, fulfill all the recommendations and appointments prescribed by them, and lead a correct lifestyle. It is important not to miss the appointments with the doctor, as well as to tell him truthfully all the necessary information so that the unborn baby is born healthy.
A lot depends on the mother herself, therefore, it is necessary to make every effort so that pregnancy is easy and the upcoming birth is successful.