Are you looking for advice on late pregnancy? You’ve come to the right place! If you are pregnant, the due date has already arrived, but nothing has happened yet, don’t worry: it can happen and there is no reason to panic.
We talk about pregnancy at the end when it lasts between 38 and 42 weeks: it is the time the child needs to train. Late pregnancy is the one that occurs after the 42nd week. If labour does not show itself to start after the 41st week plus 3-4 days, then proceed with an induced birth.
Until that moment, it is good to keep the fetus and the good continuation of the pregnancy monitored – let’s see how with some advice. Meanwhile, here is a video with things not to do during pregnancy :
Pregnancy beyond term: what are the risks?
If to some women it happens even that the labour starts before the established term, for others it can arrive that date without anything happened yet. A few days late it does not create particular problems and one must not be an alarmist, but it is also true that – the more one goes on with time – the greater the possibility of incurring complications of various kinds, which could make the induction of childbirth necessary.
The first risk is that of senescence of the placenta which, after the fortieth week of pregnancy, can reduce its ability to transport oxygen to the fetus, with possible consequences for the child. Also, the amniotic fluid tends to decrease after that date and the baby, in an increasingly narrow space, could compress the umbilical cord with the consequence of reducing the blood supply. The decrease of amniotic fluid could also lead to the accumulation of meconium in the child’s lungs, an intestinal release generally expelled by the fluid exchange, with consequent suffering for the fetus.
The same continuous growth of the child could then make his shoulders too large for the maternal pelvis, causing traumatic injuries at the time of the spill. Even the mother is at risk of perineal lesions, and moreover, in most cases, she will be forced to undergo an operative birth, resorting to the use of the old or cesarean section. The same increase in anxiety that comes from over-term pregnancy is certainly not good for either the mother or the fetus!
Furthermore, the risks of infant mortality for a child who is born with an over-term pregnancy are 5 times higher than those of a child born with a full-term pregnancy (we are still talking about an average of 6 children out of 3,000pregnancies) … Do not get upset, however: all these problems do not start exactly on the 42nd week! They increase as time passes from that date.
Useful tips: first of all, date the pregnancy beyond the end
The first advice on what to do in the event of overdue pregnancy is to ensure the dating of the pregnancy itself as accurately as possible. Usually, the presumed date of conception is taken as a reference, which takes place two weeks after the last menstruation, and it is the reason why it is considered as over-term pregnancy that goes from 280 days onwards.
To be able to date it correctly, however, care must be taken: the child is conceived during ovulation, ie around the fourteenth day of the cycle. If the cycle is not so regular (as in most cases), the date of conception could be moved a few days before or after.
This is the reason why it is difficult to accurately calculate the date of delivery: certainly knowing when the last cycle took place is important, but the most precise indications are only on the ultrasound of the first trimester, in the so-called ” dating ultrasound”, which takes place between the tenth and twelfth week.
Proceed with the necessary tests to keep everything under control
If the child is late in coming, it will be necessary to keep him under control, in order to prevent all the risks of the suffering of the fetus that we have listed above. There are some tests, therefore, that it will be good to do from the 40th week of pregnancy onwards.
This is nothing alarming: it is just a way to be able to control your and your baby’s well-being with a certain frequency, so as to schedule an eventual induction of childbirth. If there are no previously identified risk factors and the pregnancy is progressing well, a cardiotocographic monitoring can be carried out between the 38th and 40th week, useful for monitoring the activity of the child’s heart, and an ultrasound, in order to evaluate the movements of the fetus (called MAV) and AFI, or the amount of amniotic fluid (which must be between 5 and 20 centimeters).
If the outcome of both these tests does not reveal any particular problem, the doctor will give you an appointment after 3-4 days to repeat the checks. If the pregnancy over the term continues to extend beyond the 42nd week, hospitalization will be recommended to induce childbirth.
Additional tips for getting the most out of your pregnancy
The first advice in case of over-term pregnancy may seem trivial, but it is not: do not be alarmed! Keeping yourself calm and optimistic will be of great help: relaxation is essential to remove all the tensions that stiffen the area of the cervix and prevent it from dilating! So don’t lose the positivity: the body and the mind are less separated than you think. Try instead to talk to your child, to imagine how it will hold him in his arms … these positive fantasies will put oxytocin in circulation, which will help labour!
No physical effort is needed: the old grandmother ‘s remedy to walk back and forth to give birth first it serves no purpose, if not to tire you. Instead, keep your energy for the moment and rest as much as possible!
It may not seem like the time, but sexual activity can help you: many women are afraid of having sex when they are pregnant, but those rhythmic movements lull the child and put endorphins in circulation, which the fetus likes a lot! Furthermore, sex stimulates the production of oxytocin which, as we have said, helps contractions.
There are also natural, homoeopathic, phytotherapeutic or aromatherapy remedies and to acupuncture which, however, it is always good to have recourse under the control of competent people, avoiding the do-it-yourself. One of the oldest remedies to induce childbirth in a natural way is castor oil: taking a teaspoon stimulates the digestive tract, helping start labour. Always follow the advice of your doctor and you will not regret it!