In our lives, many mothers are very nervous during the due date, and some even suffer from prenatal depression. In fact, childbirth is not particularly scary, and the family is about to welcome a little life, which is also a very happy thing. When it is close to the due date 20 days, most mothers will choose to rest in bed. So what is the reaction of the stomach 20 days before the due date? The due date is not the exact date of delivery. The calculation formula for the due date is generally the month of the last menstrual period minus 3 and the date plus 7. If the last menstrual period is September 10, the expected date of delivery is June 17 of the following year. However, because ovulation may occur unexpectedly or the menstrual cycle may be long, the above formula is only a rough estimate and not a very precise calculation. So sometimes, when the due date comes, Maomao seems to still stay in the mother's belly, or he runs out before the due date. But as long as it is between 31 and 42 weeks of gestation, it should be considered within the normal range. If the due date arrives and there is no sign that the baby is about to come out, the pregnant woman should pay attention to the following: If changes in the placenta, too little amniotic fluid, or changes in the fetal heart rate are found during the perinatal care check, you should not wait any longer and should choose to terminate the pregnancy at this time under the doctor's arrangement. As long as the fetal lungs are mature and the baby is carefully cared for after delivery, do not delay the best time to terminate the pregnancy because of the saying that "one day in the womb is equal to one week after delivery". Otherwise, the fetus may be in danger due to ischemia and hypoxia in the womb. Of course, there are also some pregnant women whose due date is far from the actual pregnancy period. The doctor can choose the time to terminate the pregnancy based on the B-ultrasound results at the time. Intravenous drip of oxytocin can cause strong uterine contractions. It is important to avoid using large amounts at one time to prevent tonic uterine contractions, which can lead to fetal asphyxiation and death, and uterine rupture. Before use, cephalopelvic disproportion and malposition of the fetus must be excluded. It is not recommended for patients with high floating fetal head. Usage is as follows: Oxytocin 2.5 or 5 units was added to 500 ml of 5% glucose and dripped intravenously. Start with 10 to 15 drops per minute. If the uterine contractions do not increase, gradually increase the rate to no more than 40 drops per minute. During the infusion, close attention should be paid to uterine contractions, descent of the presenting part, and changes in fetal heart sounds. If the contractions are too strong or the fetal heart rate changes, the infusion should be slowed down or stopped. After the above treatment, uterine contractions usually become stronger, the cervix gradually opens, and the fetus is delivered smoothly. If ineffective, surgical delivery should be considered. Whether delivering the fetus vaginally or by cesarean section, care should be taken to prevent postpartum uterine atony bleeding. |
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