What are the precautions for primiparas after spotting?

In the later stages of pregnancy, mothers must pay attention to changes in the lower body, especially seeing spotting, because seeing spotting means there is a high probability that the baby is about to be born. Therefore, mothers must make adequate preparations for delivery in the later stages to prevent accidents. Let’s take a look at what precautions first-time mothers should take after seeing spotting. I hope everyone can understand.

1. If you see spotting before the full-term pregnancy, go to the hospital in time to protect the fetus. If you see spotting before the full-term pregnancy, it is a sign of impending labor, and you should go to the hospital to give birth when you feel stomach pain.

2. If you see spotting in the late pregnancy, it means you are about to go into labor. You need to pay attention to the fetal movement. If you have regular contractions, once every 10 minutes, you can pack up and get ready to go to the hospital.

Engagement does not mean birth is imminent; it just means that part of the fetal head has entered the pelvic entrance. Generally, the uterus enters the pelvis at around 38 weeks of pregnancy for first-time mothers, while most mothers with a history of pregnancy have to wait until labor is about to begin to enter the pelvis. If the fetal head of a first-time mother does not enter the pelvis for a long time, the doctor will consider whether there is a problem of cephalopelvic disproportion.

After the fetal head enters the pelvis, the fundus of the uterus descends and the feeling of pressure in the upper abdomen disappears. The pregnant woman will feel relaxed, but may experience frequent urination, heaviness and discomfort in the lower body. These are normal reactions and there is no need to be nervous.

In addition, pregnant women often ask whether climbing stairs will help them give birth earlier. There is currently no evidence that climbing stairs is beneficial for the fetal head to enter the pelvis and the onset of labor.

Seeing blood: the baby will be born soon. In the later stages of pregnancy, the fetal membrane (the external sac surrounding the fetus) near the internal os of the cervix separates from the uterine wall, and the capillaries rupture and a small amount of bleeding occurs. The bleeding mixes with the mucus plug in the cervical canal and is discharged, which is called spotting.

Brown spotting is a reliable sign that labor is about to begin, and usually occurs about 24 to 48 hours before delivery.

If you just have spotting but no abdominal pain, you won't give birth soon, so don't be afraid. Of course, if your doctor has previously told you that you have a problem with placenta previa or vasa previa, that is, the placenta or larger blood vessels are located in the lower part of the uterus, or even cover the cervical opening, or the amount of bleeding is like menstruation and the color is bright red, you must go to the hospital immediately.