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.
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)
While preparing for this significant day, I read many stories about childbirth on the site. I kept wondering how my third birth would go. The first birth was very painful, it took 13 hours, the afterbirth did not go away by itself, they did a manual separation under anesthesia. Daughter was born 2290 gr. 49.5 cm. The second birth was programmed - first they put the gel, then the bladder was opened. The birth went on for about 4.5 hours. The son was born 3450 gr. 56 cm
Let's start with the fact that I decided to prepare for childbirth in advance. I learned breathing exercises, postures during contractions. I read about the raspberry leaf on the Internet and decided to try it. In the pharmacy, as it turned out, it is not for sale. We have to wait until it grows in the country. I drank this miracle drink 2 weeks before giving birth and in my opinion it really helped. So I recommend. But more on that later.
First, a little about the pregnancy itself. I always wanted 4 children and my husband and I talked about this more than once. But we decided to postpone it for now. In 3-4 years to give birth, but for now you have to go to work. How long can you stay at home? It was a year ago. In June 2013 I finished breastfeeding. A month and a week later, the first period came. After the same period, the second. All this time we were protected, except for a couple of days before and after menstruation and during them. Previously, there was no need - the replacement was underway. And before the third in a few days, I did not want to. The husband was still surprised that they say you want to get pregnant. To which I laughed, - This is impossible, because in 4-5 days there are “red days” (as we call them).
But the red days did not come not after 5 days, not after a week. Tests were done every other day. And nothing. Thought she was sick. There are no signs of pregnancy. I made an appointment with a gynecologist, an appointment in 2 weeks, I decided to get checked out and put a spiral. A couple of days later I do a test - a barely noticeable second strip. I didn’t tell anyone, I thought, a hundred tests are cheap - defective, it was Monday. I went to the dentist for weeks, which almost became a fatal mistake. On Friday I did another test - clear 2 strips. I told my husband, he was surprised and very happy. We decided not to tell anyone for now. And then they start talking.
I had to go to the doctor a week earlier - a slight bleeding began. I think the anesthesia at the dentist had an effect. The gynecologist wrote out a referral to the hospital with a threat of miscarriage. While I was in the hospital, I did the first ultrasound. And then the confusion began with the timing of pregnancy. No one could put the exact date of birth. Menstruation should be 9 weeks, and ultrasound showed 5-6. In all subsequent ultrasound, the discrepancy was for a month. As a result, the doctor gave me the date of birth on July 7, and from menstruation it should be June 5. At a period of 32 weeks, she herself counted back from the first ultrasound 5.5 weeks, she remembered that conversation with her husband before menstruation. Counted back his shifts at work. I realized that we conceived it on October 30, ovulation was late. The DA came out on June 23rd. This is the second time. With the previous pregnancy, there were also discrepancies in terms due to late ovulation. Then I gave birth a week later than the due date, and now 2 weeks later.
In general, this pregnancy was more difficult than the others. At 26 weeks, the sciatic nerve was pinched, the perineum, back, coccyx, leg in the thigh, left side hurt. At 36 weeks, the child sank and everything started to hurt again, now the pubis, right leg and lower abdomen have also been added. After visiting the gynecologist, she went to the maternity hospital for preservation. The threat of premature birth. I lay there for 12 days, took a break from household chores, missed the kids. Came to see a gynecologist after being discharged. She looked at me, gave directions for tests, a whole bunch. You have to do everything again before giving birth. A week later, I passed everything in the antenatal clinic. And I decided to go to my doctor. The child is very low, strongly pressed on the perineum and in general everything hurt. At home with three children and a stomach, it was hard. So I myself asked for a referral.
On the same day, June 16, I went to surrender. In the maternity hospital, the doctor Mizonov V.A. looked at the armchair, said that it was still too early, in 3-4 days childbirth might begin. He prescribed no-shpu in injections to prepare for childbirth and to relieve the extra pain that had plagued me for the last month. No-shpa helped, I was even able to sleep normally for a few days. Every day on the round, the doctor said we wait until Monday the 23rd. And on Friday, after the round, I called for a chair, for some reason I decided to look before the weekend. On examination, he said that the disclosure was 1 cm and decided to hasten the process. Time is 11:40. He stirred it up for me there and sent it with the words “You will give birth today.” He prescribed CTG and a dropper with no-shpa after dinner. At about 13:30 I felt weak contractions. On CTG at 15:00, the contractions were regular and slightly more noticeable. I called my husband. We laughed with him that he was again on duty during the day when I gave birth. As always, for the 3rd time. During dinner at 17:15, everyone in the dining room is constantly talking about one thing. And to another question addressed to me, “When will you give birth? What does the doctor say? I said that tomorrow I will definitely hold the baby in my arms.
2 weeks before giving birth, I started drinking the "miracle drink" raspberry leaf. Thanks to this, the cervix was soft and elastic. Disclosure went faster and gave birth without breaks.
At 18:00, pinkish discharge began (from that moment on, I consider the onset of labor), contractions intensified. After half an hour, the cork began to leave, the discharge became bloody. At 19:00 (already another doctor Rakhmatuloeva N.I.) they looked at the chair, the opening was also 1 cm, contractions in 3-4 minutes. The doctor said to transfer to the birth unit. At 20:30 they did an enema. In the prenatal ward, I walked, listened to the radio with headphones. At 21:10 again on the chair - disclosure of 3 cm. We decided that it was too early to open the bubble, let's wait until 4 cm. They put me on CTG, contractions in 2-3 minutes. Mom and dad called, told the news that they would soon have another grandson. At 22:00 contractions every minute, she began to moan. The midwife asked me to lie down. But it was easier for me to walk and squat in contractions near the wall or holding on to the headboard. At 22:55 dilatation was 4-5 cm, the bladder was pierced. Crazy fights started. Again they persuaded me to lie down, but I knelt on the bed, it seemed to me easier. And the disclosure goes better in a vertical position. After half an hour of my screams, attempts began. The midwife at first said be patient, it's too early to push. But after looking at the disclosure, she took me to the delivery room at 23:30. She said - let's go there to push on the family. a chair will be faster and easier than on a bed.
I began to push and a whole delegation gathered around me. Doctor on duty Rakhmatuloeva, two midwives, a nurse and a pediatrician. My doctor Mizonov came. He was called in for an emergency c-section. Specially we did not agree on childbirth with him. It seemed to me that all of them just get in the way. If only everyone but the midwife Beruda Broneslavovna had disappeared somewhere. I tried to listen only to her, because everyone was shouting in unison. One said - push, the other - be patient, the third do not scream, breathe. As a result, the head appeared 1/3 on one of the attempts, the second attempt had to be endured, to gain strength. I felt that the tension was not strong and I could give birth now. She pushed well - she gave birth to a head, and then a body. On the clock 23:59. We even checked with the doctor over the phone for accuracy. I just cheered with joy. She waited for these births like no other, she prepared for them more than anyone else. My treasure was soon carried away without processing. We are waiting for the afterbirth to be born, but it does not depart in any way. There are no more fights. After 15 minutes, they brought a son, weighing 3060, 52 cm tall, and put him on his chest. He did not particularly want to take her, but the midwife forced him. The uterus did not shrink any more, and half an hour after the birth they called the anesthesiologist, they decided to manually clean it.
I woke up at 2:20 am on the delivery table. She couldn't come to her senses and understand what had happened. At first, it even seemed as if I had a dream about childbirth. I look at the phone a few missed. I called my husband, still drunk from anesthesia, told the good news. After 20 minutes, I was taken to the 3rd floor, where mothers and children are lying. The son then slept in the children's room. She finally recovered from anesthesia only at 3:30. I didn't want to sleep at all. I went to the hygiene room, put myself in order and put a normal gasket. I walked along the corridor, sat with the nurse, she showed me her son. Then I went to bed at 4:30. It turned out to sleep only a couple of hours, they brought my son to feed.
We were discharged on Tuesday with a weight of 2960. My parents met us, all my children: 2 daughters, a son and my precious husband.
Thanks to everyone who read this long story. Don't be afraid to give birth. Children are the greatest blessing from God.
The morning after birth.
Arthur is 2.5 weeks old.
Women who dream of a big family decide on the third birth. Experienced mothers have their own attitude to pregnancy. On the one hand, experience in the care and upbringing of children has been accumulated. On the other hand, there is an excitement that it will be more difficult to endure and give birth to a baby than in previous times. Are these fears justified, and what should be done to ensure that the third pregnancy is successful?
Features of the course of the third pregnancy
A third pregnancy is usually not a surprise for a woman. They plan it, undergo therapy for chronic diseases, get rid of bad habits. This is necessary to reduce the risks for the mother and fetus during gestation.
The intention to become pregnant should be reported to your gynecologist, who will determine the most appropriate time period.
What is the optimal age for 3 successful conception? In this, doctors are unanimous - under 35 years old. Until this period, the risk of genetic abnormalities in the fetus and pregnancy complications is reduced. The expectant mother has more strength and health to endure, give birth and care for the baby. Pregnancy at an older age is associated with an increased risk of miscarriage, placenta previa, and premature birth.
The third gestation is considered successful under the following conditions:
- age 26-35 years;
- the father of the children (first, second and third, subsequent) is the same man;
- the interval between the last births is 3-5 years;
- past pregnancies had no complications, delivery was natural;
- the absence of chronic pathologies in the expectant mother.
Pathological gestation is characterized by the following features:
- Rhesus conflict;
- mother's age - over 35 years;
- heavy first two pregnancies and childbirth;
- history of caesarean section;
- short (up to 2 years) or long (more than 8 years) interval between pregnancies.
How can a woman understand that she is pregnant with her third child?
Despite the experience of previous pregnancies, it is not always possible for a woman to determine an interesting position in the early stages, especially if she is over 30 years old. Difficulties arise for the following reasons:
- failures of the menstrual cycle do not allow you to determine the delay;
- late onset of toxicosis, its absence;
- anxiety and weakness can not always be associated with an "interesting situation" (more in the article:);
- Hormonal disruptions can lead to false pregnancy test results.
Symptoms by which an experienced mother may suspect pregnancy: a change in taste sensations (draws to sweet, salty), an unusual reaction to smells, an increase in the mammary glands. A reliable way to find out about an “interesting position” in the early stages is an ultrasound examination of the pelvic organs. It will allow you to determine the gestational age, the place of attachment of the fetal egg, the date of birth.
A woman pregnant with her third child is calm about her condition and knows what to expect from each stage of pregnancy. Experts note some nuances:
- less chance of toxicosis;
- rapid restructuring of the body;
- the mother can feel the first movements of the fetus at 15-16 weeks (primiparas usually notice tremors at 19-20 weeks);
- during childbirth, the cervix opens faster and less painfully, there may not be debilitating contractions;
- well-stretched pelvic floor muscles reduce the risk of birth injuries;
- shorter duration of labor - 6-7 hours;
- rapid establishment of lactation.
Problems of the third pregnancy
The third pregnancy and childbirth is characterized by a favorable course (subject to careful attitude to health and constant medical supervision). The expectant mother does not always have the opportunity to listen to herself, relax, sleep during the day. Caring for older children, work, family chores take almost all the time. However, it is important to take time for yourself and visit antenatal clinics regularly.
Chronic diseases and their exacerbation
There are practically no absolutely healthy women after 30 years. The course of pregnancy can be seriously affected by chronic pathologies of the genital area - uterine fibroids, endometriosis, salpingitis, adnexitis. In the process of gestation, cardiovascular diseases, pathologies of the gastrointestinal tract can worsen. Possible severe toxicosis, cystitis, pyelonephritis, increased blood pressure.
Iron-deficiency anemia
A lack of hemoglobin is more often observed with multiple pregnancies, short intervals between gestation processes (less than 3 years), poor diet, and living in environmentally unfavorable areas. There are mild anemia (hemoglobin volume - Hb 100-109 g / l), moderate (Hb - 80-99 g / l), severe (Hb below 80 g / l) degree. At the same time, the expectant mother may feel weakness, shortness of breath, heart palpitations, and fatigue. An unhealthy pallor appears, the skin becomes dry, and the hair becomes brittle.
Vein changes
In the later stages, problems with the back and lower back are noted: pain, heaviness, unpleasant pulling sensations. With each pregnancy, the risk of developing varicose veins in the legs increases. This is facilitated by excess weight, endocrine pathologies, impaired blood clotting. For prevention, doctors recommend wearing anti-varicose tights, therapeutic exercises. You should keep your legs in a horizontal position more often and avoid eating foods that lead to blood clots.
Low location of the placenta
Low placenta previa causes problems during pregnancy (uterine bleeding). During childbirth, the placenta overlaps the cervix, which is why the baby cannot be born naturally. The cause of presentation is the thinning of the uterine mucosa as a result of difficult previous gestations, abortions, and diagnostic curettage. Often this feature is diagnosed with cervicitis, endometritis, uterine myoma, polyps of the cervical canal in history. Low presentation often causes early birth and caesarean section.
Rhesus conflict and the likelihood of its occurrence
The likelihood of a Rh conflict is possible if a mother with a negative Rh blood factor carries a fetus with a positive indicator. Rh antibodies are formed from the 8th week of pregnancy - the time when the fetal immune system is activated. The conflict is dangerous for the child, leads him to oxygen starvation, intoxication with metabolic products.
Correction is required by the introduction of immunoglobulins (more details in the article:). However, even timely treatment does not always reduce the risk of pathologies and hemolytic disease in the fetus. If the antibody titer grows, early termination of pregnancy is possible, since there is a high risk of having a non-viable child. To avoid a Rh conflict during the third pregnancy, a mother with a negative Rh factor will be able to conceive from the same man from whom the first children were born.
Stretching of the abdominal muscles
With each new pregnancy, the fetus is getting larger, as a result of which the abdominal muscles are stretched more and more. Their overstrain provokes pain in the back and lower lumbar region. Wearing a bandage partially helps to solve the problem. It will support the stomach and reduce the load on the spinal column.
Overbearing of the fetus
During the third gestation, the risk of carrying a large fetus increases by 25%. The mother's body is more prepared for childbearing, the supply of sufficient nutrients to the baby. With a large baby, a woman can walk around, give birth at 42 weeks and later. Indirect signs of this are a decrease in the level of amniotic fluid, low activity of the baby in the womb.
Harbingers of childbirth during the third pregnancy
A mother who is giving birth for the third time has enough experience not to miss the harbingers of an imminent birth. May be observed:
- lowering of the abdomen;
- false contractions;
- increased urination;
- increase in the amount of clear discharge;
- pulling sensations in the back, groin.
Unlike the first and second births, when the described symptoms are observed 2 weeks before delivery, the harbingers of the third birth come later, sometimes 2-5 days before the important moment. If you find such signs, you should immediately go to the hospital so that the rapid birth does not take your mother by surprise.
Features of the course of childbirth
In the absence of pregnancy pathologies, the third birth goes well, it can begin at any time from 36-37 weeks (more in the article:). As a rule, the cervix opens quickly, active labor activity lasts 4-7 hours. The discharge of the cork, the outpouring of water can occur rapidly and unexpectedly. To eliminate the risk of having a baby outside the hospital walls, from 37 weeks it is better to go to the hospital. Problems in the third birth - the speed of the process, active uterine contractions, obstetric ruptures.
With exacerbation of chronic pathologies from the heart, blood vessels, musculoskeletal system, growth of fibroids, breech presentation, fetal hypoxia and other difficult situations, a caesarean section is indicated. The operation reduces the risk of birth complications in mother and baby.
The postpartum period in the third pregnancy
The contractility of the uterus after the third birth decreases, as a result of which the risk of postpartum hemorrhage increases. The following activities are designed to increase this function of the muscular organ:
- putting the baby to the breast immediately after birth;
- regular emptying of the bladder, no constipation;
- a diet rich in fiber and iron;
- proper drinking regimen;
- feeding the baby on demand;
- injections of drugs (as prescribed by a doctor).
To eliminate pain in the postpartum period, you should take painkillers, feed the baby in a comfortable position (lying on your side). It is important to walk a little, even if the stomach and perineum hurt. Moderate physical activity is beneficial in the postpartum period and after a caesarean section.
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:
- The age of a potential woman in labor is 26-27 years or from 30 to 35 years.
- The interval between previous births is 3-5 years, but not more than 8 years.
- Past pregnancies proceeded without complications, natural childbirth.
- The woman does not have chronic diseases that can affect the normal course of pregnancy.
- 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:
- If the woman's age is over 35 years.
- During previous pregnancies, there were short or vice versa, long intervals.
- Pregnancies were difficult, with complications.
- A woman has chronic diseases (diabetes mellitus, heart disease, hypertension are especially dangerous).
- Difficult labor or delivery by caesarean section.
- 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:
- 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.
- Watch your weight during pregnancy - do not allow a set of extra pounds.
- Do Kegel exercises regularly starting at 15 weeks pregnant.
- Wear a bandage to prevent stretching of the abdominal muscles. It is allowed to wear a bandage from the 20th week of pregnancy.
- 3-5 weeks before giving birth, take a contrast shower - the muscles of the pelvic floor should be in good shape.
- 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!