How to distinguish training fights from the real?
The question of how to distinguish training fights from true worries of all pregnant women, especially those who expect the appearance of the first child. Fear of missing a moment, not noticing the onset of labor is frightening and alarming. How to do this, we will explain in this material.
The main differences
Experienced midwives jokingly say that if a woman has doubts about the nature of contractions, it means that the birth did not start, because it is almost impossible to confuse real labor contractions with training ones. In every joke there is some truth, and in this case it is.
- Training fights start early, approximately from the 20th week of pregnancy. Some - before, some - later, someone does not have them at all. In the last month of pregnancy, training uterine hypertonus may become more pronounced, but it will remain false. This means that such contractions do not lead to the opening of the cervix, do not affect the time of the onset of labor, do not affect the condition of the baby.
- True contractions are a process of shortening the fibers of the cervix; it smoothes out, unfolds. Such contractions inevitably lead to the onset of labor. It is not possible to stop this process.
Between training and regular bouts there is a period of so-called preliminary bouts. They are a real training, preparation of the cervix for subsequent disclosure. This period normally starts a few days before delivery.
The task of training medicine fights is not obvious, it is believed that they help the uterus to prepare for the upcoming birth process. But some experts question this statement, because the organisms of women who have not experienced a single training bout during pregnancy are being prepared for childbirth. Nevertheless, false contractions or Braxton-Hicks contractions take place in many expectant mothers. They are characterized by inconstancy, spontaneity, short duration and relative painlessness.
The task of true contractions is to drive the fetus out when it comes time for a baby to be born. They accompany the opening of the cervix, put pressure on the fetal bladder, lead to its rupture and outpouring of the amniotic fluid, and gradually turn into full-fledged attempts. They are characterized by increasing intensity and frequency, increased pain, irreversibility.
Labor pains differ from precursors by the same basic qualities. They are constantly growing, becoming more frequent and longer, more painful. Do not confuse them will help the summary table below, which clearly and in detail show the difference between the contractions of the uterus of a different type.
How to understand the sensations?
If a woman feels tension in the lower abdomen, it becomes tough, like a stone, for a long time the bottom of the uterus begins to be easily felt, accompanying nagging pains appear, it is a struggle. The pains are of a pulling nature and are connected with the tension of the ligaments at the moment of tension of the smooth muscles of the uterus. Usually, women notice breaking and pulling pains at the time of tension of the uterus in the lower abdomen on the right and left, as well as in the lower back.
First of all, you need to assess the duration of pregnancy.If the birth is still far away, most likely it is a matter of training bouts. If the estimated date of delivery is not far off, you need to listen to yourself more closely.
Take a horizontal position of the body, it is best to lie on your side. Arm yourself with a stopwatch or watch and watch the bouts. If they are repeated at regular intervals, do not weaken, then childbirth begins with a high degree of probability.
You can distinguish real contractions from false ones using this table.
Sign, sensations | Training fights, harbingers | Birth pains |
Frequency | Irregular, can be single. Usually no more than 6-8 per hour. | Exceptionally regular, from the beginning of the tension to the relaxation, a certain equal time passes, between the episodes of increasing the tone - also equal time intervals. |
Increased pain and intensity | Do not get stronger, do not increase pain. Most often, the sensations are declining. | Consistently becoming stronger, longer, the pain increases. The gaps between the spasms become shorter. |
The duration of the fight | From a few seconds to a few minutes, non-permanent. | From 15-30 seconds at the beginning with a constant increase over time. |
Where does it hurt? | Abdomen, groin area, rarely - loin. | Almost everywhere. Covering pains, girdling from the back to the lower abdomen, from the lower abdomen up to the diaphragm, increasing with the length of the fight. |
Is it possible to alleviate the condition? | If you walk, sit, stand on all fours, take a shower or an antispasmodic pill, the sensations disappear. | The change of body position, antispasmodics, showers and other measures do not change the nature and frequency of episodes of tone. |
Allotment | They do not differ from the usual ones, they do not increase, decrease or change their character. | Strengthens, can be watery at an otkhozhdeniye or dribbles of an amniotic fluid, a slimy clot - a stopper can allocate. The appearance of pink and bloody discharge. |
Lie down and fall asleep | It may turn out, maybe not immediately, but it will definitely work out. | No matter how hard you try, a woman cannot fall asleep. |
Today, modern technologies and developments come to the aid of women. Every pregnant woman who has a smartphone on the Android platform has the opportunity to install a program in advance, the counter of contractions. The application will be able to independently determine the time of the transition of precursors or training fights to full-fledged, generic, which it will immediately notify its owner.
In addition, the application will independently maintain the statistics of your false contractions, and if necessary, you can show it to your doctor at the next reception. Determine the difference under the force even primipara woman. For multiparative women, the question of how these fights differ is usually not worth it. Feelings are bright, memorable, which in the next pregnancy will be very easy to remember and quickly recognize.
For surviving future dads and grandmothers, there is a remote broadcast function, they will be able to see the dynamics of the increase in contractions if they are far from the future mother. However, reviews show that sometimes the application warns of the moment for fees to the hospital too late, and as a result, birth starts at home. This is due to the individual characteristics of women who are not subject to any clever technique. Therefore, an attentive attitude to your own feelings will not be superfluous at all.
Usually, it takes about an hour or two for a woman to understand what kind of contractions the uterus has. As soon as it is possible to distinguish all the sensations, the time comes for conscious and calm actions. What they should be in each case, tell us more.
What to do?
The action plan depends on what type of contractions take place.
False
If the contractions were training, but they bother the woman, deliver discomfort, you need to take a comfortable body position. It is best to walk, take a walk, get some fresh air. Gait should be unhurried, measured.
If a woman spends much time on her feet, on the contrary, she should give herself the opportunity to relax and lie down. You can read or watch a movie, postponing all things. Usually, if a woman is distracted by something, the false contractions become weak, indistinguishable and disappear within an hour.
A very effective help is a knee-elbow position useful for future mothers. Take it and breathe as you were taught in the courses of future mothers. If such courses have not been attended, then you can simply take a series of calm, measured breaths and exhalations, then a small series of short superficial breaths and exhalations and again go on to deep and calm breathing.
Water procedures help to quickly get rid of the pulling sensation of hypertonus of the uterine muscles - a warm shower, swimming in the pool. Useful breathing exercises, yoga for pregnant women. With pronounced discomfort, a woman can insert a candle with papaverine into the rectum or drink the “No-shpy” pill, however, the use of medications, even such harmless ones as listed above, must be agreed with your doctor.
Some women with frequent training fights helps a glass of water or milk. You also need to go to the toilet and empty your bladder, its filling quite often provokes uterine hypertonus. Certainly, calm, lack of stress, physical activity will be helpful. No need to bend down, lift weights, squat.
And most importantly, do not need to escalate the situation, worry, nervous. When childbirth begins, it will quickly become clear. In the meantime, both the baby and the mother will be more beneficial if there is no cause for alarm.
The true
The action plan in case of true contractions depends on additional symptoms. If a mucus plug has departed, this is a normal phenomenon, which means that the cervix is dilated. It is necessary to continue to observe the bouts. If the water is gone, you can not wait, you should immediately call an ambulance and go to the hospital. Childbirths on the background of a dry period have their own characteristics and are not considered the norm, and therefore a woman, even with a small and incomplete discharge of water (leakage), needs to be in a hospital as soon as possible under the supervision of specialists.
If the waters have not moved, but true contractions have appeared, you can go to the hospital immediately, or you can wait until the contractions are repeated every 10-15 minutes. If a woman has given birth before, then it is better to go to the obstetric institution earlier, because the stage of disclosure of internal pharynx in multiparous occurs faster.
No need to panic and believe that with the advent of labor birth has already begun. Theoretically, they, of course, began, but the latent period can last up to 10 hours or even more, and therefore it is possible to be in time at the hospital. More careful need to be women who have a pathology of pregnancy, for example, high water or low water, improper presentation of the fetus.
It is best for them, as well as for multiparous, pregnant twins or triplets, to go to the maternity hospital in advance. Ideally, lie down a few days before the expected date of birth, as recommended by the doctor. In extreme cases, call an ambulance immediately when regular, increasing contractions are detected, without waiting for them to repeat once every 10 minutes.
If it is time to go to give birth, call the ambulance, in anticipation of the doctors once again check whether you have collected all the necessary documents, things. Dress and wait, not forgetting to control the frequency and duration of each contraction and the duration of the intervals between them. Breathe calmly, measuredly.
Do not take any medication, try not to drink liquid and do not eat anything.It is possible that surgery may be required in an emergency. By that time, the stomach should be empty.
About pain during labor
It is proved that panic fear of the upcoming births increases pain during labor. At the psychosomatic level, a woman who is terribly afraid of birth pain, and who has been thinking about her all 9 months, herself “switches on” the emergency mode in her own body. The contractions began, they became regular - an understanding comes that “it” began, and almost immediately the woman in labor begins to feel severe pain, screaming and moaning.
If you treat the pain of pain a little differently, many unpleasant painful sensations can be successfully avoided. Psychotherapists, psychologists and obstetricians are quite unanimous in the fact that there is no need to be afraid. There is no “emergency” situation, and childbirth - the process is quite natural. If a woman from the first bouts begins to imagine how the neck is revealed, freeing the way for a new little man, the pain will become more tolerable. This technique is widely used by Japanese obstetricians.
In addition, they recommend to the woman with each fight mentally to note that the baby has become one more minute closer to the mother and this world. Such a mood helps not only a woman to transfer childbirth in a more organized and easy way, but also for babies, since childbirth is stressful for them too. The less the mother panics, the less stress hormones will enter the baby’s blood, the calmer he will be in the first hours after birth.
Free and even breathing, deep breaths of the mother during the contractions will help the baby to get enough oxygen, and her calm and focused attitude to the ongoing process will give a little confidence to the baby. The world will meet him more good-naturedly and benevolently, if mother simply learns to relax, even during fights.
How to distinguish the real fights from false, look in the following video.