Features of the course of the third pregnancy. Third pregnancy: features of the course and childbirth 3 pregnancy when

In recent years, it has become very popular to have a large family. Until a few decades ago, couples could not afford to have more than two children. Parents feared that they would not be able to feed and raise the children. Currently, families with many children are given many privileges. That is why women without much concern consider such a situation as a third pregnancy. It is this state that will be discussed in the present article. You will find out what are the features of pregnancy, childbirth (third) and

Word to specialists

Doctors say that the third pregnancy is never like the previous ones. Even in the same representative of the weaker sex, these conditions are very different. Throughout the entire period, the baby develops in a completely different way, as it happened with his older brothers and sisters.

Doctors say that not only the third pregnancy has its own characteristics. Delivery can also occur differently than it was in past times. Gynecologists say that often the third pregnancy and childbirth are accompanied by various complications. To avoid them, you need to prepare in advance for such an event. Consider what features the third pregnancy has.

New position

Conception for the third time occurs in the same way as in previous cases. On certain days, which are called fertile days, sexual contact leads to conception. The only exceptions are cases of artificial insemination. It is worth saying that if the first two times a woman became pregnant as a result of IVF, then the third time this often happens in the natural cycle. This comes as a big surprise to the couple.

A woman may find out about her new position for the third time a little earlier than in the first two cases. In most cases, the fairer sex feels that she is pregnant. At the same time, tests for home use still show a negative result. Many argue that the third pregnancy is diagnosed much earlier. However, it is not. You can find out about the new position only after a delay in menstruation or with the help of a blood test for the presence of the pregnancy hormone.

Genetics and possible problems

The third pregnancy has such features that most often it occurs after thirty years. Some representatives of the weaker sex decide to give birth to heirs even after forty. At the same time, it is worth considering the fact that by this time the expectant mother already has certain diseases. Often these are problems with the thyroid gland, abnormalities in the functioning of the heart and circulatory system, as well as ovarian exhaustion. All this can lead to problems during the bearing of the baby.

Don't forget about genetics. In most cases, a third pregnancy always requires specialist advice. Remember that after the age of thirty, the risk of birth defects for a baby increases by about 20 percent. If you decide to have a third child at the age of 40 or later, then know that in such cases, about 40 out of 100 babies have deviations.

Condition of the cervix and cervical canal

Pregnancy with a third child can lead to some problems. During the first and second births, it shortens, and the cervix opens completely. Of course, in the postpartum period, all these processes are restored. However, fabrics tend to stretch over time.

During the third pregnancy, a woman may face such a problem as isthmic-cervical insufficiency. At the same time, it is almost impossible to determine the possibility of pathology in advance. That is why a future mother pregnant with a third baby needs to visit a gynecologist regularly and be especially attentive to herself. Isthmic-cervical insufficiency is premature shortening and this condition can be corrected. However, for this you need to turn to specialists in a timely manner.

Third pregnancy: belly

The appearance of the expectant mother, who wears the third baby in her heart, also has its own characteristics. For the first and second time, the tummy can be located quite high. Omission occurs only a few weeks before birth. This is due to the fact that the muscles hold the baby's head.

With the third pregnancy, the ligaments that hold the uterus are no longer so strong. As a result, premature prolapse of the abdomen occurs. This is not a pathology. Most likely, the birth will come on time. However, if you find additional unusual symptoms, you should consult a doctor.

Position of the placenta

When pregnant with a third baby, a woman may face such a problem as Often this happens because the mucous membrane of the genital organ in the bottom area has already thinned. The placenta is attached in the most favorable place for the development of the child.

Placenta previa or its close location to the pharynx can lead to bleeding or the threat of termination of pregnancy. At the same time, doctors often prescribe to a future mother. This will help to avoid many complications during childbirth.

Feelings of the expectant mother

If you are having a third pregnancy, the sensations may be completely different from the first two times. Many women who have more than two children say that each time they are less and less tormented by toxicosis. This condition is caused by harmful substances that are secreted by the fetal egg into the mother's blood. As a result, the fairer sex may feel nausea, discomfort, weakness, and so on. By the third pregnancy, a woman's body gradually adapts to this condition.

What can be said about the movements during the third pregnancy? Everything is very interesting here. Most women feel the kicks of the baby much earlier than the first time. All due to the fact that the representative of the weaker sex already knows how it should be. Doctors say that the movements of the baby during the third pregnancy can be felt as early as 16 weeks. However, there are women who claim that this happened much earlier.

Training bouts

The third pregnancy reviews has the following. Experts say that very often during the first pregnancy, expectant mothers confuse real contractions and training ones. As a rule, when expecting a third baby, this does not happen. Training contractions help the uterus prepare for. Usually, they begin to appear after. However, with each subsequent childbearing, this process is getting closer to the date of birth.

Training contractions during the third pregnancy are usually felt after the 32nd week of the baby's development. However, they do not have a certain regularity. Also, these sensations in most cases are painless. If additional symptoms join, then you should consult a doctor as soon as possible. The special control group should include mothers after caesarean.

Third birth - natural

Recently, more and more often, after a caesarean, gynecologists allow a woman to give birth on her own. A prerequisite for this is a break between the appearance of children for at least two years. Also, the morale of the expectant mother and the condition of the scar after the previous operation are always taken into account. It is worth noting that if the first and second births were by caesarean section, then you have very little chance of a natural process. When the operation was performed once, a woman may well feel all the delights of conventional childbirth.

In the case when the first two babies were born naturally, the third birth passes quickly. All due to the fact that the body of the expectant mother already knows about the basic requirements. Under the influence of certain hormones, the cervix opens very quickly. If there was an outpouring of amniotic fluid, then this process can occur in several contractions. That is why, at the first signs of labor activity, it is worth going to the maternity hospital as soon as possible. Your baby can be born very quickly.

Stimulation of labor activity

Some mothers, giving birth for the third time, may find that they need stimulation. This situation is explained by the fact that the contractility of the uterus is no longer the same as before. In this case, doctors conduct stimulation. A woman is given certain drugs, and after a few minutes, the strength of labor activity is restored.

It is worth noting that the refusal of the necessary stimulation can lead to rather disastrous consequences. Usually in this state, the fetus begins to suffer. Prolonged hypoxia causes irreversible changes in the baby's brain.

C-section

If this is your third pregnancy, you may have a caesarean section for the first time. The operation can be planned or emergency. If all your children were born in this way, then there are certain risks. The scar after a caesarean section becomes thinner with each subsequent pregnancy. This can lead to its premature rupture. This situation becomes dangerous not only for the child, but also for his mother.

Doctors strongly discourage women from planning a quarter child after their third caesarean section. Often, medical staff suggest tubal ligation during surgery. This will lead to lifelong contraception. However, not all representatives of the weaker sex decide on this procedure.

Features of the work of the mammary glands in the third birth

After the birth of a child, the mother begins to produce milk. This is facilitated by the hormone prolactin. In nulliparous women, milk begins to stand out approximately on the third day of a child's life. Before that, the baby is forced to eat colostrum or an adapted mixture, which is often given out in maternity hospitals.

In the case of the third birth, everything is somewhat different. In such women, colostrum may appear even during pregnancy. This usually happens after 35 weeks. Milk comes almost immediately after the baby is born. As soon as you put your baby to your breast for the first time, you will feel a surge of milk. It is worth saying that the mother of three children often has hyperlactation. This is the state when there is a lot of milk in the breast, and the child is not able to eat it all. In this case, doctors recommend purchasing a breast pump or pumping with your hands.

Recovery period and its features

After the third birth, a woman's body can recover a little longer than usual. That is why you need to monitor the discharge and, if necessary, consult a doctor for advice. It is worth noting that with each subsequent birth, the duration of lochia increases by about one week.

The muscles and skin of the abdomen also recover much longer. That is why a month after giving birth, you need to start light gymnastics. Remember that nothing is impossible. Any flabby muscles can be toned. However, this requires effort and patience.

Summarizing

You became aware of the features of the third pregnancy and the delivery process. In most cases, this time the expectant mother feels more relaxed. She already knows the basic nuances of childbirth and pregnancy. However, this does not mean that you need to refuse to consult a gynecologist. It is necessary to regularly visit a doctor and take all the tests. Take all the drugs prescribed for you and do not refuse the prescribed studies. I wish you success!

Question to the psychologist:

Good afternoon. I'm pregnant, I took a test and two strips and I don't know what to do. I am married, we have two children - 5.5 and 4 years old, literally as the second year I work, I came out of the decree. I have a wonderful husband, he is a very good father, but I'm not sure that we will be able to overpower the third child, financially and morally. Only the children have become more independent, they now require a lot of financial investments, these endless sections and developmental games.

And as I imagine, the reaction of the leadership! They barely survived the first pregnancy, and then the third one !!! I think mom will be shocked! To be honest, I always wanted three children! I'm probably more worried about how others will react.

I'm worried, and I think, maybe it's not necessary! How will a sister react who has not been able to get pregnant for more than 15 years. And literally last year after another IVF attempt, a miscarriage at 24 weeks. She still can not recover, and here I am with the third !!!

I'm afraid that I won't be able to either physically or mentally.

But to go to a ..., even writing is scary.

And I'm already old, I'm 36 years old! There are health problems!

Help me figure out what to do, child, this is a miracle, but somehow I didn’t plan it at all!

The psychologist Shenderova Elena Sergeevna answers the question.

Hello Alice! think about whether the price for fear of others is too high - before management, before mom, sister - why should a child pay for your fear with his life? First of all, it is your family, your husband, your children. And if it turned out that you are pregnant, then it did not happen by chance, perhaps unconsciously, you wanted it. Now we are faced with the fact that your dream can come true, you can give birth to a third child, but for this you need to take responsibility for this decision. Yes, it will be difficult financially, morally (since you will have to face your fear of being judged by others), but you will be able to see the smile of the child, his first tears, laughter, see how he will grow. Or you can give his life in order to hide from your fears, find a thousand excuses (not solutions!) And justify yourself and your step. Think - it will be impossible to return anything! What can you live with and what can you not: constantly justify yourself and your fear, running away from it, while constantly thinking and feeling that the soul that you abandoned is near? or to be close to the child, to be his mother, giving warmth and love, but coping with your fears? The choice is yours...

4.1923076923077 Rating 4.19 (26 votes)

It is worth recognizing that three children in a family today is an unjustified luxury. Permanent instability in all spheres of life does not allow many people to provide even one baby with everything necessary. Nevertheless, despite all the difficulties, some families manage to support and raise three or more children.

At the same time, another question remains quite relevant, concerning how safe the third pregnancy and childbirth is for a future mother of many children. An unequivocal answer here, most likely, will be inappropriate, since there are many nuances and features of their own. The only thing that can be said for sure is that women who already have two children have more experience and skills in terms of bearing and giving birth to a child, compared to first-time mothers.

According to the current legislation, with the advent of the third child, the family acquires the status of a large family, which gives the right to claim certain cash payments, benefits and other types of social assistance.

Features of the 3rd pregnancy

In most cases, a favorable course is characteristic of the 3rd pregnancy and childbirth. As statistics show, a mother of many children usually becomes at the age of 32-34 years. At this age, a woman can already experience a number of diseases that affect the course of pregnancy. In order to prevent serious complications during gestation and further childbirth, it is necessary to control and, if possible, eliminate the following pathological conditions:

1. Chronic diseases of internal organs.
2. Varicose veins on the legs.
3. anemic syndrome.
4. Overstretching of the abdominal muscles.
5. Misplacement of the placenta.
6. Pregnancy reversal.

In order for the third birth to end safely, you should take into account all the features of the course of pregnancy and choose the right tactics for their management.

Chronic pathologies

If you are already over thirty, then you are unlikely to call yourself completely healthy. Most young women are easily diagnosed with one or more diseases, especially those related to the female reproductive system. Today, quite often you can find various inflammatory pathologies of the uterus and its appendages in women whose age is a little over 30 years old. The most common gynecological diseases are:

• Adnexitis.
• Salpingitis.
• Endometriosis.
• Benign neoplasms of the uterus (myoma, fibroma).

Any chronic diseases of the cardiovascular, respiratory, urinary or other body systems pose a rather serious threat to the pregnant woman and the fetus. To prevent the development of severe toxicosis during the third pregnancy or diseases such as pyelonephritis, arterial hypertension, diabetes, a comprehensive examination and, if necessary, treatment should be undergone. In addition, scientific studies have shown that the older the parents, the higher the risk of developing congenital malformations in the fetus. Therefore, genetic counseling is mandatory for age-related dads and moms, which is not recommended to be neglected.

Varicose veins on the legs

It is noted that each subsequent pregnancy increases the risk of developing varicose veins of the lower extremities. The first symptoms of the disease are the appearance of spider veins on the legs and edema, which increases after the second half of the day. One of the main reasons for such phenomena is that during pregnancy, the volume of circulating blood increases up to 50%.

In addition, obesity, endocrine pathologies, bleeding disorders and some other pathological conditions can contribute to the occurrence of varicose veins in the legs. The following are recommended as preventive measures:

• Wear anti-varicose compression stockings.
• Try to lie down with your legs elevated.
• Do therapeutic exercises.
• Stick to a proper diet.

Varicose veins are quite successfully treated, if not delayed with a visit to a specialist doctor.

Stretching of the abdominal muscles

The third pregnancy cannot but affect the condition of the abdominal muscles. It is quite natural that the abdominal muscles will be even more overstretched. It should be noted that the fetus also leads to additional stretching, which, as a rule, becomes larger with each new pregnancy. Excessively stretched muscles of the anterior abdominal wall often provoke pain in the lumbar region and lower back. In such cases, it may be recommended to wear a bandage to support the abdomen and reduce the load on the spine.

As a rule, third births are normal if the pregnancy proceeded without complications.

Misplacement of the placenta

Low attachment of the placenta, which is also called presentation, is considered one of the most serious problems that can cause a lot of trouble in the process of labor. The thing is that in this case the placenta overlaps the cervix, preventing the birth of a child through the natural birth canal.

Placenta previa may be due to thinning of the uterine lining from previous deliveries or abortions. In addition, its incorrect location often leads to the development of uterine bleeding during pregnancy. At the same time, an increase in the uterus due to the growth of the fetus can change the position of the placenta and the problem with presentation will be solved by itself.

Prolongation of pregnancy

As clinical experience shows, the chances of having a large fetus in the third pregnancy increases by an average of 25%. Various factors can contribute to this. Among all doctors distinguish such:

• Psychological moment. Multiparous women do not experience the stress associated with bearing a child that mothers experience in anticipation of their first child.
• The body of an experienced woman in labor is more prepared for a new pregnancy, especially in terms of the flow of nutrients from the mother to the fetus.

A large fetus is one of the main causes of delayed pregnancy, the duration of which exceeds 42 weeks. Early signs indicating an increase in the normal period of gestation are a decrease in the volume of amniotic fluid or low fetal activity.

Management of 3 births

In the vast majority of cases, third births pass without any complications if the course of pregnancy was normal. Nevertheless, it is never possible to foresee everything, and sometimes some problems are possible. Features of the third birth:

• Contraction of the uterus.
• The speed of childbirth.
• The position of the fetus in the womb.
• Obstetric ruptures.

Delivery rate

As a rule, the third childbirth is characterized by speed and swiftness. This feature is due to the fact that there is a faster opening of the cervix. Usually labor activity does not exceed 4-5 hours. In such situations, the pregnant woman must be warned so that at the first manifestations of the approaching birth she will be taken to the nearest maternity hospital. There were cases that rapid labor activity led to the birth of a baby not in a medical institution. Unexpected contractions can take you by surprise, but if you are near a maternity facility, you should not worry or worry too much.

Uterus contraction

Each birth affects the condition of the uterus. Excessively stretching, it loses its tone, which leads to insufficient contraction in the process of the third birth. What measures can be taken to prevent the development of weakness of labor activity:

• Do exercises to strengthen your abs.
• Your diet should contain a sufficient amount of vegetable oils.
• Watch your body weight.
• If indicated, wear a bandage to support the abdomen.
• In the final stages of bearing a child, you can take a contrast shower, concentrating more on the abdomen.

obstetric lacerations

Many clinical studies show that the risk of perineal tears in third births is quite low, if they have not happened before. However, even if they did occur, there are some steps you can take to help prevent these kinds of complications.

As a prevention of obstetric ruptures, perineal massage sessions with essential oils are recommended. Also in late pregnancy, scars from previous cuts or ruptures can be treated with Contratubex gel. At the same time, if you decide to use traditional medicine recipes to prepare the perineum, then it is best to consult with your doctor first.

The previous experience of a woman is of no small importance in the successful passage of the third birth.

Fetal position

Quite often, obstetric problems arise due to the fact that the fetus does not want to take the correct position. Most experts believe that one of the main reasons for this is excessive stretching of the uterus and abdominal muscles.

It should be noted that it is not worth panicking ahead of time. As a rule, at the right moment, the baby turns head down and takes the correct position, which greatly facilitates the management of the third birth.

In some cases, the technique of obstetric rotation of the fetus is used for pathological types of presentation.

postpartum period

Many years of clinical experience has shown that one of the main problems after childbirth is a fairly high risk of bleeding, which is due to a decrease in uterine contractility. However, if the afterbirth period (exit of the placenta) has passed safely, bleeding may not develop. What measures are recommended to be taken to increase uterine contraction:

1. We put the baby to the breast immediately after birth. Of great importance for mother and newborn is the first feeding, the duration of which should be about two hours.
2. We feed the child every time he asks. When the baby suckles the breast, there is a better uterine contraction. If you want your uterus to recover faster, you need to feed as often as possible.
3. Empty your bladder and rectum regularly.
4. The postpartum diet of the mother should consist mainly of plant foods.
5. Drink enough water. About two liters per day is considered optimal.
6. If you are lying, it is better on your stomach.
7. Move more. Active movements contribute to the active contraction of the uterus.

Reduced uterine contractility is not the only problem that a woman may experience after childbirth. Some multiparous, in addition, note significant soreness during uterine contractions in the postpartum period. In addition, the pain can intensify in the process of feeding the baby. What can be recommended in such cases:

• 20-30 minutes before feeding, take a medicine that has a pronounced analgesic effect. Do not forget that the drug must be prescribed by your supervising physician.
• When you feed your baby, you can put a heating pad with moderately hot water on your stomach, but only if there are no contraindications to its use. At the same time, pain sensations are significantly reduced.


• It is recommended to feed the baby lying on its side. Bend your legs and pull closer to you. Your position will resemble the typical "fetal position". In addition, you can lie down like this every time the pain starts.
• A full bladder and rectum not only significantly slow down the process of uterine contraction, but can also provoke very painful sensations, so the toilet should be visited regularly.

Proper preparation for the 3rd birth, which consists of a comprehensive examination before and during pregnancy, as well as the elimination of all negative factors, significantly reduces the risk of complications and provides excellent chances to give birth to a healthy baby.

The third pregnancy now will not surprise anyone. As a rule, women consciously take this step, and they treat their situation differently than they did the first and second times. However, no matter how prepared a woman is, pregnancy with a third baby can bring its own surprises. We will talk about the features of the course of the third pregnancy.

Women who have built a career and are firmly on their feet, that is, are provided financially and housing, usually venture on a third child. They get real pleasure from pregnancy, and it proceeds very easily, without fuss and fears.

According to gynecologists, pregnancy with a third child allows a woman to feel her body, listen to it and, in case of any adverse symptoms, react quickly. Another interesting moment, when a woman is waiting for a baby, she already knows in advance what kind of childbirth she will have. Of course, with an accuracy of up to minutes, no one can paint a detailed plan of labor activity, but to understand the body and feel what it “speaks” about is quite possible.

According to statistics, a high percentage of women with 3 or more children claim that the body “remembers” everything that happens to it with each subsequent birth, and the next time it will react faster. For example, labor during the first pregnancy lasts from 8 hours or more, contractions are long and painful, the pregnancy itself can proceed in different ways, for example, with toxicosis in the 1st trimester. The second pregnancy is easier, childbirth lasts 6 hours, contractions are not so painful. Usually the third pregnancy and third birth proceed well. Contractions are short, disclosure occurs literally rapidly, like the birth itself - within 3 hours.

A third pregnancy can bring a woman both a pleasant trouble-free pregnancy and unforeseen surprises. It all depends on the age, individual characteristics of the body, the presence of chronic diseases of the pregnant woman, weight and other factors.

What are the features of normal and pathological third pregnancy

A pregnancy can be called successful if:

1. The age of a potential woman in labor is 26-27 years or from 30 to 35 years.
2. The interval between previous births is 3-5 years, but not more than 8 years.
3. Past pregnancies proceeded without complications, natural childbirth.
4. The woman does not have chronic diseases that can affect the normal course of pregnancy.
5. The first, second child, as well as the third pregnancy - from one man.

If all 5 listed signs converge, then you can be congratulated - expect a favorable third pregnancy.

Pathological pregnancy includes such factors:

1. If the woman's age is over 35 years.
2. During previous pregnancies, there were short or vice versa, long intervals.
3. Pregnancies were difficult, with complications.
4. A woman has chronic diseases (diabetes mellitus, heart disease, hypertension are especially dangerous).
5. Difficult labor or delivery by caesarean section.
6. Rhesus conflict during pregnancy.

Condition of a woman during her third pregnancy

I want every woman to have a calm pregnancy, and childbirth to be easy. But this does not always happen, so we will get acquainted with the possible deviations that can happen during the bearing of a third child.

Exacerbation of chronic diseases

Usually around the age of 35, people show signs of a chronic disease, and women are no exception. Sadly, this can lead to not very good consequences. The risks of exacerbation of chronic diseases can provoke the appearance of endometritis, endometriosis and uterine fibroids, as well as provoke diseases of the respiratory organs, urinary system, heart, blood vessels and malfunctions of the endocrine system. As a result, preeclampsia may develop - toxicosis in late pregnancy, as well as diseases dangerous for pregnant women such as pyelonephritis, diabetes mellitus and hypertension.

If the woman's age is more than 35 years, and the child's father is 45 and above, then the risk of congenital malformations of the fetus is high. To dispel all doubts, it is necessary to register on time and undergo an appropriate genetic examination. For example, it is very important to do a screening ultrasound. This examination helps to understand whether the fetus is developing correctly, as well as the compliance of the fetus with the gestational age. For any woman, ultrasound is a chance to see what her baby looks like, hear how his heart beats, how legs and arms move, and be calm that the fetus is developing correctly.

A pregnant woman should undergo a screening examination 3 times: at 12 weeks, at 22 weeks and in the period from 30 to 34 weeks of pregnancy. This examination is considered mandatory and planned. A woman can do a regular or unscheduled ultrasound on the recommendation of a doctor or at will, in the period from 26 to 38 weeks. If everything is going well, but there is no need to do frequent ultrasounds.

The third ultrasound during pregnancy is considered very important, since once at a period of 30-34 weeks, the doctor will be able to do a thorough examination of the fetus for deviations and malformations. In addition, the specialist pays attention to the amount of amniotic fluid (water) in order, if necessary, to prepare in advance for childbirth and exclude possible complications.

The examination procedure does not differ from previous ultrasounds, the doctor notes the position of the fetus in the uterus, measures the circumference of the abdomen and head, as well as the length of the femur. In addition, the thickness of the placenta is determined and in what place of the uterus it is located, how much it is changed and whether it corresponds to the terms of maturity. It is very important to determine the place of attachment of the placenta, since in the case of an unscheduled caesarean section, doctors will know how to properly conduct delivery tactics.

An unfavorable situation is when a woman has a low location of the placenta, when she partially or completely closes the cervix. The reasons may be thinning of the walls of the uterus (childbirth, abortion). Presentation can be accompanied by bleeding during pregnancy, so it is very important for a woman to listen to her body and symptoms.

It is very important to determine the ratio of the edge of the placenta (lower part) to the cervix on the third ultrasound. This is very important, because during the third pregnancy and childbirth, bleeding may occur. The "maturity" of the placenta, the place of its attachment, the condition, its detailed study and the size of the fetus help the doctor understand how the woman's birth canal is ready for the upcoming birth and determine in advance the risks that may affect normal delivery.

No matter what pregnancy a woman has in a row, the first, second or third, the expectant mother will want to take a photo of the crumbs as a keepsake. This can be done thanks to modern ultrasonic devices. The image will clearly show the baby's face and limbs. By the way, you can take not only a portrait photo of the fetus, but also go for a three-dimensional ultrasound. You don't have to worry about it being harmful. If you conduct an examination within acceptable limits (up to 10 times per pregnancy), then there is nothing to worry about, because ultrasound is a good chance to identify possible deviations and try to help the woman and the fetus, both during pregnancy and during childbirth.

Vein changes

With each subsequent pregnancy, a woman's body experiences a serious load. Varicose veins can appear after the second pregnancy, and the third pregnancy can be complicated.

Varicose veins occur in 70-90% of women, and this disease first appears during pregnancy. A characteristic sign of the first "bells" of the disease is swelling of the legs, vascular "nets and stars" on the legs. A woman is not able to change anything, since the volume of blood increases by 30 or even 50%. Venous vessels do not always withstand such a load.

The situation can be aggravated if a pregnant woman has endocrine diseases, increased blood clotting, and overweight. An important role is played by the hereditary factor.

The disease can proceed in different ways: from swelling of the legs and harmless "asterisks" and bluish stripes on the legs, to more serious manifestations, when the vessels of the internal and external genital organs are involved in the process. Take, for example, hemorrhoidal nodules - they appear due to the fact that pressure increases in the lower part of the pelvis (when straining), the walls of the vessels are overstretched and nodules appear.

To prevent this during the third pregnancy, it is necessary to remember about prevention. For example, special exercises will help to cope with the load - you need to lie on the bed and raise your legs up. It is also necessary to follow a diet so that constipation does not appear, and also wear special compression underwear.

Anemia during pregnancy

Repeated pregnancy can provoke the development of anemia, when the amount of hemoglobin in the blood decreases. If it is not enough, it means that the woman and the baby do not have enough oxygen. If a woman feels weakness, apathy, lethargy, she often feels dizzy, her heartbeat may be disturbed, shortness of breath may appear, memory deteriorates and vision is impaired, then the cause of the malaise lies in the lack of hemoglobin.

To prevent the development of anemia, prevention will help:

• proper balanced nutrition;
• taking vitamin complexes for pregnant women;
• control of hemoglobin level (blood test);
• taking iron-containing drugs (course 2-3 times during pregnancy).

Stretching of the abdominal muscles

With each subsequent pregnancy, the abdominal muscles are subjected to tremendous stress. It is possible that during the third pregnancy, the belly will be large, and the fetus will be large. The center of gravity shifts and the uterus, which increases every week, deviates. A woman may be disturbed by pain in the lower abdomen, pain in the lower back and back. To relieve the load and distribute the center of gravity, as well as to maintain the elasticity of the abdominal muscles, it is recommended to wear a special bandage. It should only be worn when the woman is walking. Put on an elastic belt in a prone position. At first, you need to be patient and wait until the muscles get used to a different, correct position.

A good prevention of overstretching of the abdominal muscles during the third pregnancy is prevention. Swimming and special gymnastics for pregnant women help to strengthen all muscles.

Due to previous births, the stretched muscles often cannot cope with the increased load and, as a result, do not hold urine when a woman laughs or coughs. This problem occurs in 13% of women who have given birth 3 or more times.

Prolongation of pregnancy

Obviously, with each pregnancy, the baby will be larger than the previous one. According to statistics, the second child is always larger than the first. Based on this, it is important to prevent the fetus from overbearing. Each subsequent pregnancy a woman bears more calmly, blood circulation is good, which means that the fetus receives more nutrients. Due to the stretched abdominal muscles, the receptors lose their sensitivity, and childbirth can be delayed.

During the 3rd pregnancy, it is very important to control your condition, to stick to the baby - if he has reduced physical activity, you need to see a doctor. In any case, with the onset of the 40th week, it is necessary to visit the gynecologist 2 times a week. It is important to undergo additional examinations, in addition to ultrasound, to examine the blood flow in the umbilical cord (Doppler) and the number of fetal heart rhythms (CTG).

You can check the readiness for childbirth and exclude overbearing on your own. This test is called "mammary". To perform it, you need to lie down or sit in a comfortable chair. Within a minute, you need to stimulate the nipples with one hand, and put the other on the stomach. If the body is already ready for childbirth, then you will feel how the uterus contracts (this is a contraction). At the 60th second, but no later than the 3rd minute, you should feel the first contraction, indicating that the body is ready for childbirth. The contraction "came" after 10 minutes - you are not yet ready for childbirth, although you are already at the 40th week. It is necessary to consult with a doctor, to be examined. In such cases, the woman is placed in a hospital under observation.

Rhesus conflict

The risk group includes women with a negative Rh, if the father of the child has a positive Rh. A conflict is possible only in a woman with a negative Rh, when the fetus is positive. Then the baby's red blood cells enter the mother's blood, starting from the 6th week of pregnancy. If with previous pregnancies a small amount of red blood cells entered the mother's blood, then with each subsequent pregnancy their number can reach the threshold.

Why is it dangerous? If foreign red blood cells enter the blood, the body will begin to produce antibodies. Such a reaction can lead to the development of hemolytic disease (the birth of a child with yellow skin, often called the "jaundice" of the newborn). It is very important to monitor the condition of the mother's red blood cells and donate blood for analysis every 2 weeks. If the number of antibodies increases to a critical level, then early delivery at a later date is possible in order to save the life of the child.

Hemolytic disease can lead to serious consequences, threatening the life and normal development of the fetus. If antibodies are not detected in the mother's blood, then immediately after childbirth (no later than 3 days), the woman is injected with anti-Rh serum, which will prevent the appearance of antibodies during the next pregnancy.

Features of childbirth of the third pregnancy

With each subsequent pregnancy, childbirth proceeds easier and faster. This is due to the fact that the body quickly prepares for the birth of a child. The pelvic muscles become elastic, and the opening of the birth canal occurs painlessly and quickly. Such easy labor activity is equally good for both the woman and the child, since the risk of birth injuries decreases with repeated births.

But it is worth noting that not everything can go perfectly. Due to stretched muscles, bleeding after childbirth may not stop for a long time, and for a woman this is a big risk of losing a lot of blood. It also happens that due to the weakening of labor activity (lack of attempts and false contractions), childbirth can be delayed. In this case, the woman is stimulated, since the complete absence of contractions means that the baby does not have enough oxygen. Do not be afraid and do not think about the difficulties, modern maternity hospitals are equipped with everything necessary to help the woman and the baby.

How to prepare for childbirth

Since women go to the third pregnancy consciously, then preparations for the upcoming third birth must be started in advance.

What to consider:

1. Do not be lazy to do exercises on the press. The stronger these muscles are, the better the gestation process will go. So 6 months before the planned conception, you can start preparing.
2. Watch your weight during pregnancy - do not allow a set of extra pounds.
3. Do Kegel exercises regularly starting at 15 weeks pregnant.
4. Wear a bandage to prevent stretching of the abdominal muscles. It is allowed to wear a bandage from the 20th week of pregnancy.
5. 3-5 weeks before giving birth, take a contrast shower - the muscles of the pelvic floor should be in good shape.
6. Listen to your body in the last weeks - often the cervix dilates painlessly and childbirth can happen at home, in the car or in the emergency room.

What you need to be ready for after childbirth

If childbirth can be easy and painless, then the recovery process may be delayed due to the fact that the uterus contracts longer. To prevent inflammation or bleeding, the doctor will prescribe injections that will help the uterus recover faster.

The main advantage of a woman who has given birth to a third child is that she will have milk immediately after childbirth (in primiparas after 3 days). There can be no talk of any postpartum depression - mom is in a great mood, because the birth of a baby is a great happiness!

And among the busy careers of stellar mothers, there are many who are not afraid to move into the category of parents with many children. Tatiana Lazareva, Valeria, Christina Orbakaite, Chulpan Khamatova, Anastasia Myskina- mothers who have stepped over the average family norm for children. It is no coincidence that a third child makes a family with many children, because if mothers doubt before his birth, then after many decide to give birth further.

When Victoria Beckham announced her third pregnancy, only a lazy secular journalist did not joke that the singer aimed to give birth to David's own football team. But during the third pregnancy Natalia Vodianova spiteful critics insisted that now the career of a supermodel would definitely end. But Natalia entered the podium three weeks after giving birth, and soon gave birth to a fourth. Maria Shukshina the third pregnancy gave two babies at once, although she decided on it at the age of 38. And in the summer of 2005, the twins Foma and Foka were born to her.

1. Planning

The third pregnancy is extremely rarely thoughtless and accidental. As a rule, this is a conscious step of a self-confident woman who really wants another child and feels the strength and love in herself to raise him. She perfectly understands what awaits her, what difficulties she will have to face and how to minimize troubles. The future mother of a third child is no longer so afraid of childbirth and she calmly accepts the changes that await her body.

Doctors note that such experienced mothers during pregnancy have much less neuroses, and practically no toxicosis. Apparently, calculation, calmness and experience are doing their job. Moreover, future mothers of many children are aware of and try to prevent all the risks that health is exposed to.

2. Risks

If we are talking about a young mother who has acquired numerous heirs under the age of 30, then there is no question of any special risks. Often, a third pregnancy occurs in women between 35 and 45 years of age. Today, from a social point of view, there is nothing reprehensible to give birth at that age.

By this time, most of us have already managed to achieve social status and a stable income. However, one should not lose sight of the potential possibility of chronic disease. Therefore, when planning such an event, do not be too lazy to undergo a medical examination and warn the doctor who will conduct the pregnancy. It would also be useful to go consultation with a geneticist and during the pregnancy itself, do screenings for the detection of pathologies.

3. The course of pregnancy

Doctors say that for most mothers, the third pregnancy is quite calm. This is due to the fact that women have already walked the path of these nine months more than once and know what to expect in each trimester. , and small "emergency situations" do not scare so much.

Keep in mind some specifics. Firstly, load on the venous system, to prevent the appearance of varicose veins and hemorrhoids. Abdominal and pelvic muscles need support, which will help ensure the correct bandage. There may be more indications for a caesarean section. Doctors often prescribe it only because the third child, as practice shows, is born larger than his older brothers and sisters.

4. Childbirth

If the third birth occurs in the "normal mode", then most likely they will be faster than the previous ones. This is due to the fact that the body already knows what is required of it and all the necessary stages go through a well-established scheme. The opening of the birth canal is faster and may even take the mother by surprise. So-called "False or training fights" are also likely to not be, so it’s better to come to the hospital in advance, or have everything you need ready, such an alarming mother’s suitcase.

Doctors allocate 5-6 hours for contractions, and attempts pass faster than the last two times. Moreover, mother, being an experienced person, already knows how to breathe and push. Due to the fact that the mother knows how to behave, and the birth canal is prepared, in the third birth Babies are much less likely to get birth trauma. and emerge more calmly.

5. Postpartum

Experts note that after the birth of the third and subsequent children, mothers are much less likely to suffer from postpartum depression. They already know the price of these vain experiences and know how to concentrate on the joy of motherhood. But if the psychological recovery happens quite quickly, then with the physical everything is not so simple. The uterus can contract much more slowly, and monitoring by specialists is necessary to prevent inflammatory processes.

But milk will come immediately and not on the third day, as often happens after the first and second births.

6. Instead of an afterword

The third pregnancy has one feature that is not related to either the physical or psychological side of this important process. Rather, it is a social aspect - my mother already has a large family. And this family needs attention and care. Especially if older children are not so mature and do not understand very well how busy mom is now. And in this situation, in everyday fuss, it is very important for a woman to learn to stop her unborn child.

It is very important to explain to relatives that now, more than ever, she needs care and rest. Do not be shy take some of your worries off and distribute them among households. Moreover, when a new member of your family appears, you will definitely not be up to them. After all, a new, even more interesting chapter filled with a triple portion of love will begin in your life.

Return