Third pregnancy and baby. Third birth: features, stages, preparation, timing, recovery

Mother of many children... Now you will not surprise anyone with this. Many women take such a bold step for a variety of reasons. The third pregnancy is markedly different from the first and second. It has a lot of features.

The psychological state of the expectant mother

As practice shows, a woman during pregnancy with a third child feels calmer and more confident for many factors:

• By this time, she has a permanent job and a stable income. She is already confidently on her feet and knows exactly what she needs from life.
• There are no more surprises for her. She knows how the pregnancy will proceed and is ready for all possible changes in her body.
• She does not worry that she will not be able to cope with the baby, since she has quite a lot of experience behind her shoulders.
• With her third pregnancy, a woman does not have to worry about who will help her cope with business, since she already has at least two senior assistants.
• Most likely, by this time she is already legally married and is completely confident in her man.

In addition, at this time the woman is in a more respectable age category than carrying the first and second baby. Accordingly, she became wiser, more reasonable and calmer.

Chances of a normal pregnancy

The third pregnancy and the third childbirth is a great stress for the body of the expectant mother. There are certain chances for a normal pregnancy under the following conditions:

1. It is desirable that the woman was under 36 years old. According to experts, at this age, all the functions aimed at the rapid conception and full bearing of the baby are still actively operating in her body.
2. Most likely, the baby will be born healthy and at term if the last two pregnancies also proceeded without complications.
3. If the first and second births were not natural. Most often the third C-section done ahead of schedule. Otherwise, there is a high probability of divergence of the seams.
4. There is a recommended time between births, it should be at least 2.5 and no more than 8 years.
5. It is recommended that you first visit a doctor and pass the necessary tests to exclude the presence of a disease that may affect the course of pregnancy.

Unpleasant consequences for older women

As mentioned earlier, planning a third pregnancy is recommended for women whose age has not reached the border of 36 years. At an older age, there is a risk of the most dangerous complications. A woman may develop diseases that she previously did not suspect. Basically, a large load is on the respiratory organs, as well as on the urinary and endocrine systems.

Carrying a child at this age is a huge stress for the body. It will be quite difficult for him to cope with such a load, so toxicosis may be present throughout all 9 months. For the same reason, blood pressure and blood sugar levels may increase.

If a woman is over 36, and a man is over 45, then the risk of chronic diseases in a newborn baby increases.

Another unpleasant disease is varicose veins, which affects about 70 percent of women. The higher the age, the higher this probability.

A third pregnancy at 35 or more years old can be absolutely normal. To do this, it is recommended to find an experienced specialist who will carefully monitor all changes in the patient's body.

How to recognize pregnancy?

Medical experts assure that it is much more difficult to determine an interesting situation during a third pregnancy over the age of 30 for several reasons:

• At this age, there is often a change in the menstrual cycle. This is due to hormonal changes in the body. Therefore, it is rather problematic to accurately determine whether there is a delay.
• Because of these same changes, the chest can swell and the lower abdomen can hurt.
• Signs of a third pregnancy can vary markedly. For example, toxicosis overtakes much later. This can happen at 8-9 weeks. It is rare for anyone to experience taste changes, nervousness, or weakness.
• It is several times more difficult for specialists in mature patients to identify the presence of a fetus by the size of the uterus due to the individual characteristics of the organism.
• Due to hormonal changes, even the highest quality test can deceive, it often gives out two strips in the absence of pregnancy.

The only true method that will reveal the third pregnancy is ultrasound. On early dates such a diagnostic study will reveal whether there is a fetus, the number of fetal eggs and their position (uterine or ectopic).

Changes in the abdomen and mammary glands

During the third pregnancy, patients notice some changes in the abdomen and mammary glands. First of all, it concerns stretch marks. They appear in smaller numbers than during the past bearing of the baby. This is due to the fact that the skin is already accustomed to such stretching. The figure after childbirth also quickly returns to its original state. Surprisingly, as practice shows, expectant mothers gain weight much less.

Separately, it is worth talking about changing the position of the abdomen. Before the birth of the first and second baby, it can be quite high, and is released only at the 38th week of pregnancy. By the third pregnancy, the muscles noticeably weaken, they are no longer able to hold the baby's head. As a result, already in the second trimester, the stomach may begin to release. If this happens, then the doctor should give some recommendations about changing the habitual lifestyle.

Milk appears much faster in the mammary glands. At first, the chest swells and begins to hurt. Then the expectant mother may notice an active release of fluid already in the last stages of pregnancy. This is a significant plus, since a newborn baby does not have to eat mixtures.

Why does anemia occur?

With the third pregnancy after 30 years, a woman automatically falls into the risk group. According to statistics, almost every patient during the entire period of bearing a baby complains of circulatory disorders in the limbs. Medical experts identify several reasons why this happens.

• Due to excessive load on the body. The circulatory system begins to cope worse with basic functions, as a result, blood circulates poorly in the limbs.
• The onset of diabetes mellitus (most often after 24 weeks). Its main symptoms are mild tingling and anemia in the fingers.
• The level of hemoglobin dropped sharply.

As a rule, this symptom does not come alone. Along with it, there is also fatigue, constant drowsiness, dry mouth, slight dizziness and lethargy. The woman feels as if she is out of breath and has shortness of breath. These symptoms should be reported to your doctor. The first thing he will do is prescribe the necessary tests. According to their results, he will find out the reason why this happened. Next, the specialist will prescribe a course medicines and, if necessary, a special diet.

perturbations

The process of development of the baby during the third pregnancy is several times faster. This concerns movement in the first place. If at the first birth a young mother begins to feel her baby for a period of 18 to 22 weeks, then a more experienced pregnant woman may feel tremors already at 14-16 weeks.

What is it connected with? There is an opinion that the child really develops faster in the womb of his mother. The second version is more realistic. The fact is that a woman is already familiar with these pleasant sensations and can distinguish them from other phenomena (gas in the stomach, cramps, bloating).

In order to understand whether these are really long-awaited movements, you need to take the right posture. You should lie on your back or on your side. You can also turn on a light pleasant melody, many children react to such sounds while in the tummy. You can also lie down in the bath and pour cool water from the shower over yourself for a few seconds.

Do not worry if by the 17th week the movements have not appeared. The normal period is also from 18 to 22 weeks. Also, this phenomenon may depend on some factors. For example, thin girls feel the movements of their child earlier than curvy ladies. Calm mothers have more active children than those who are constantly under stress.

natural childbirth

Pregnancy and third births, fortunately, are much easier for many mothers. By this time, the body is already perfectly prepared and trained for the birth of a baby. According to statistics, rarely anyone makes it to the end of the term, contractions begin already at 36.5 - 39 weeks. Many women notice that they are already becoming less tangible.

Childbirth is also much faster and easier. Most of the women in labor cope with this task in less than five hours. Women already know in advance what awaits them, so they are better psychologically tuned, understand what obstetricians require of them and follow all their instructions. The body seems to be already tuned in to this process and knows itself what actions to do.

As for training bouts, they are also much weaker. Most expectant mothers do not even notice their presence.

There are also negative factors. When pregnant with a third child, not all of the patient's muscles are sufficiently elastic. They do not hold fluid well in the body, which can spill a large number of blood. Often there are gaps. Experienced professionals are familiar with such cases and will quickly take appropriate action.

C-section

If the first and second pregnancies ended in a caesarean section, this does not mean at all that the operation will have to be done a third time. According to the recommendations of the doctor, many patients give birth fully on their own. But in most cases, they fail to bear fruit until the end of the term. The fact is that by this time the seams become noticeably thinner. When the belly grows, at first they start to hurt. If appropriate measures are not taken in time, then they may even spread. Experts come to the decision that it is necessary to stimulate childbirth. They inject special drugs into the woman's body that cause the uterus to contract. The birth of the baby is carried out at 38-39 weeks of the third pregnancy. Is it possible to refuse artificial labor activity. Of course. But the consequences can be the most unpleasant.

In most cases, doctors do not take risks and perform another caesarean section. It also happens about two weeks ahead of schedule. After the third surgical intervention, gynecologists strongly recommend not to give birth again, so as not to risk your health.

The only way to find out how the birth will go after the third pregnancy is with an ultrasound.

Recovery after childbirth

In slender women after the third birth, the figure quickly returns to its original state. But it is worth talking separately about the category of women in labor who are over 35 years old. At this age, the skin becomes noticeably weaker. Therefore, the abdomen and chest often sag after childbirth. Special massages will help restore them, proper nutrition and exercise. Can be used special creams and stretch clothing.

If during the gestation of the fetus a woman has various diseases (diabetes mellitus, hypertension or anemia), then most likely they will disappear. This will happen only if she takes medicine, follows a diet and listens to all the recommendations of doctors. Otherwise, the disease may worsen noticeably.

The uterus after the third birth is reduced noticeably worse. Therefore, blood may continue to flow for more than one month. Usually, doctors prescribe special drugs that will help you recover faster. Rupture stitches also heal more slowly. Experts recommend treating them with an antiseptic (mainly brilliant green).

In order for the process of bearing a child to go smoothly, and childbirth to be easy and fast, you need to pay attention to a few tips selected by medical specialists.

• In rare cases, conception for the third time can happen by accident. By this time, the experienced couple should already know how to properly avoid unwanted pregnancy. If, nevertheless, parents are planning a baby, then they must first undergo a medical examination. Most likely, the specialist will prescribe a number of vitamins that will need to be drunk three months before fertilization for both partners.
• If a woman has excess weight, then it is recommended to lose weight first. Obese pregnant women are more likely to develop various diseases, such as diabetes mellitus. Do not lose weight abruptly, as this will cause a lot of stress for the body.
• You should take up a light sport and continue to do so during pregnancy. Yoga is perfect for this. Thanks to the exercises, all the muscles of the body will be tightened, this will greatly facilitate childbirth.

It is also necessary, when planning the birth of a new life, to find a qualified gynecologist, with whom the patient will be examined until the very birth.

Positive reviews

Fortunately, nowadays it is far from uncommon for ladies in adulthood to decide on a third pregnancy. Reviews about this quivering state from them are mainly the following:

• After two children, they already have everything they need for a new family member: a stroller, clothes, a crib. Accordingly, there will be no need to spend a lot of money.
• Most moms say generic activity went much easier and faster. Contractions, in comparison with the previous ones, were practically not noticeable.
• The prepared organism perceived the first months of pregnancy much easier. There was no painful toxicosis, nervousness and constant drowsiness.
• The belly began to grow much later. The people around him began to wonder interesting position only in the fifth month of pregnancy.
• Many mothers were forced to be constantly at work. Care in maternity leave was a great opportunity to take care of yourself and your beloved family.
• As a rule, spouses feel more confident, since most of them already have their own housing and a stable job before planning a third child.

99 percent of women thank the higher powers for the opportunity to give birth to another baby, despite all the possible difficulties.

Negative Feedback

Women also highlight the negative aspects of this condition. Basically, they come from those women who have small children at home. During pregnancy, there is less strength to do them and household chores, and there is also no way to pick them up, since you can’t carry heavy things. Many mothers worry about how older brothers and sisters will perceive a new family member, whether they will become jealous of him. Most of the negative reviews are left by those women who carried the baby after two surgical interventions, they claim that they were very worried about the previously applied stitches.

For many women and their partners, a third pregnancy is a shock. What to do in such a situation? Keep the baby or not? No one, even the most qualified specialist, can give an unambiguous answer to this question. Only a woman herself can determine the state of her body and understand whether she is able to bear a full-fledged baby. There were cases when doctors forbade giving birth, but women felt confident and successfully bore full-fledged children.

In any case, a child is a gift from God, and in no case should one refuse it.

Third births today are not uncommon. In most cases, this is a conscious choice of a woman who has repeatedly been familiar with this process. A woman who has some experience is much calmer about her pregnancy and the upcoming birth than those who are expecting their first child. However, both the third pregnancy and the third birth have their own characteristics, which are important to know about.

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How does the third, fourth and subsequent pregnancies proceed?

On the one side, the third pregnancy is usually expected, and therefore the woman is well acquainted with this condition and enjoys it. According to experts, this is the reason for the significantly lower number of gestosis in the first and second half of pregnancy.

On the other side, third and subsequent pregnancies are most often associated with a woman's age, which is approaching 40 years. As a rule, such women may have chronic foci of infection or cardiovascular diseases, which are highly likely to be activated during pregnancy. That is why a complete examination of the mother before the planned conception is one of the prerequisites.

Stretching of the muscles of the anterior abdominal wall and pelvic floor failure caused by previous pregnancies can lead to more intense pain in the lower back and even urinary incontinence, so regular gymnastics and wearing prenatal bandage- mandatory conditions for a pregnant woman.

Due to the depletion of the uterine mucosa, it happens that third births can be complicated due to low placental attachment. However, this is almost always found out during planned ultrasound during pregnancy, so the doctor takes this fact into account when choosing the tactics of childbirth. In difficult cases, when the placenta completely blocks the exit of the uterus, a caesarean section is used. Sometimes third births may begin later than planned, which is dangerous for fetal hypoxia due to aging of the placenta.

How the third birth goes - features of the process

The previous first and second births leave their "imprints" on the birth canal of a woman, so the third time this process may have its own characteristics.

1. As a rule, the third and fourth births last much less than the first and second ones, and also turn out to be less painful. This is due to the stretching of the pelvic floor muscles during previous births, so it takes less time and effort to open the cervix. A woman is not so tired, she recovers faster emotionally and physically. Third births are less likely to be accompanied by postpartum depression.

2. Due to the decrease in their elasticity, the muscles cannot contract effectively, which increases the risk of bleeding in third births.

3. As practice shows, third births are sometimes accompanied by uneven contractions - intense at the beginning of labor, they can decrease or even fade out subsequently Therefore, obstetrician-gynecologists often resort to stimulation of uterine contractions with oxytocin.

4. Due to the decrease in the ability of the muscles of the uterus to contract effectively, the course of the third stage of labor may also be disturbed. In such cases, the placenta does not move away on its own or does not exfoliate completely. 5. Another feature of the third and subsequent births is active work mammary glands. As a rule, a woman who has decided to become a mother for the third time always has enough colostrum for a child, and subsequently milk.

How to prepare for the third birth?

- Considering all the above risk factors, a woman even before a planned pregnancy should pay maximum attention to the muscles of the press. The stronger they are, the better will be the support of the uterus during the bearing of the child, and therefore the exercises for the press should be included in the set of preparatory measures six months before the planned conception.

Pregnant women should also keep track of your weight to avoid gaining extra pounds.

The third birth is a serious test for the muscles of the pelvic floor, so Kegel exercises will be most welcome. They should be performed regularly, starting from the 15th week of pregnancy.

A few weeks before childbirth, in order to keep the muscles of the pelvic floor in good shape, experts recommend taking cold and hot shower.

Considering that the third and subsequent births are characterized by a relatively short first period, a woman in the last weeks should listen to her feelings. It happens that the cervix opens so quickly that the third birth has to be taken directly in the emergency department of the maternity hospital.

What should I pay attention to in the postpartum period?

The low ability of the uterus to contract can also affect the course of the postpartum period. The third birth may be accompanied by slow involutive processes in the uterus, and given that lochia is an excellent breeding ground for many pathogenic microorganisms, a woman may experience inflammatory processes in the organ cavity.

To avoid this, you should strictly monitor hygiene and take drugs prescribed by your doctor that accelerate uterine contractions. Sometimes physiotherapy procedures are prescribed for the same purpose.

Third birth, how to prepare, video

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, to cope with the load will help special exercises- 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 bloodstream, 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 amount of antibodies increases to a critical level, then early delivery is possible. later dates to save a child's life.

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!

The birth of a child in most cases is a planned event. Approximately 70 percent of couples approach this process very responsibly. Primiparous women during the bearing of the baby may face various difficulties. However, if the representative of the weaker sex already has offspring, then everything changes. How is the third birth going? Reviews of mothers who gave birth about this event will be presented to your attention in the article. You will also learn about the opinion of doctors on this issue. It is worth saying that the third pregnancy, third childbirth and the postpartum period have their own characteristics.

Where it all begins: the process of fertilization

Childbirth) is practically no different from the previous ones at the very beginning. happens in the standard way. During the period of ovulation, sexual contact takes place, during which male cells enter the female body. When a gamete leaves the follicle, fusion or so-called fertilization occurs. As a result, a fertilized egg is formed. It descends into the reproductive organ through the fallopian tubes and is securely fixed there.

It is worth considering another method of fertilization. It happens that, for some indications, a couple needs the help of reproductologists. If the first two babies were born through in vitro fertilization, then the third pregnancy can occur on its own. There is still no explanation for this set of circumstances. However, the fact remains.

Happy news

A third pregnancy is rarely a surprise for a woman. In most cases, the representative of the weaker sex consciously takes this step. Often, good news about an interesting situation does not come as a surprise. In most cases, the expectant mother from the very first days feels that a new life is developing in her body.

Reviews indicate that many of the fairer sex long before receiving positive test pregnancy were sure of fertilization. Everything is explained by the fact that these sensations are already familiar to the expectant mother. She knows perfectly well what toxicosis and hormonal changes in the body are.

How is the third pregnancy going?

Before the third birth comes, the woman will have to carry her baby for many months. In most cases, this time is no different from the previous ones. The expectant mother will still have to visit the gynecologist regularly, take tests, be examined with ultrasound and go through many doctors. Only in some situations during the third pregnancy may additional examinations be indicated.

It is worth saying that third births usually occur after 30-35 years. During this period, the woman has already taken place as a mother. She knows perfectly well what will be best for her baby. That is why all purchases for the child are made with full confidence. Also, the age of the expectant mother plays a big role in the genetic issue. After the age of 30, the risk of having a baby with developmental disabilities increases. That is why the representatives of the weaker sex must undergo a thorough examination.

Features of the third pregnancy: the opinion of women and doctors

Feedback from women suggests that the third pregnancy becomes noticeable much earlier than the previous two. The tummy is rounded already at the very beginning of the second trimester, while for the first time it happened only in the third trimester.

Also, women testify that the third time the movements can be felt much earlier. There are representatives of the weaker sex who claim that they felt the baby's light tremors even before 12 weeks. However, doctors are skeptical of such claims. Gynecologists say that you can feel the movements of the baby in the third pregnancy from 15 weeks, while for the first time this happens only after 20 weeks.

Another feature of the course of the third pregnancy is isthmic-cervical insufficiency. This diagnosis is made in about 20 percent of expectant mothers. All due to the fact that the uterus and its neck are a muscle. Over time it starts to wear out. An important role in this is played by abortion and diagnostic curettage. Ismtic-cervical insufficiency is characterized by the fact that the neck begins to smooth out and open earlier than the due date. Often, women who want to become a mother for the third time have to suture this area and put a pessary. Doctors say that this condition can be controlled. However, it is necessary to consult a doctor with a problem as soon as possible.

Third birth - how are they?

The doctors' comments suggest that the process can be carried out in two well-known ways: this is a natural delivery or a caesarean section. The choice of technique directly depends on the state of health of the woman and the ways in which her previous babies were born. There may be several options for the course of childbirth. Consider them:

• natural childbirth. This mechanism for conducting the process is chosen when the first two babies of the woman in labor were born in this way. Also, representatives of the weaker sex with one caesarean section behind their shoulders have a chance for a similar outcome. However, it could be carried out for the first or second time.
• C-section. This delivery option is chosen when the first two babies were born that way. In this case, only a few doctors decide on natural childbirth. In this case, the condition of the scar and uterus should be ideal, which is very rare in the third pregnancy. Also, a caesarean section can be performed for the first time during the third birth. There may be good reasons for this, consisting in the state of the fetus and the expectant mother. It is worth noting that over the years various chronic diseases are acquired.

Be sure to talk to your doctor before your baby is born. Despite the fact that the expectant mother already knows what to expect, unforeseen situations may arise. Third birth - what are they? Ask your gynecologist about this. After such a conversation, a positive attitude is provided, you will know exactly what to prepare for.

Third birth - at what time?

Reviews of doctors say that the third time the baby may appear a little earlier. All due to the fact that the muscles of the pelvic floor are no longer so elastic. Over the previous two pregnancies, they have stretched. Often this leads to premature birth of a child. It is worth recalling that urgent births (which took place on time) are those that occurred in the period from 38 to 42 weeks. When the process or outflow of amniotic fluid occurs earlier, we are talking about a premature process.

In the same way, a woman giving birth for the third time may experience this. Often this is due to a strong stretching of the walls of the uterus or insufficient production of hormones. It should be noted that this process is aggravated in some pathologies. These include polyhydramnios, oligohydramnios, inflammation, the presence of scars on the uterus, and so on. In these cases, doctors resort to after the 41st week.

How does it start?

How does the third birth begin? Reviews of mothers giving birth indicate that the process starts quite unexpectedly. In most cases, the third pregnancy does not have obvious training contractions that inform the expectant mother of an imminent meeting with the baby. Also, the first two times, a clear harbinger was a prolapse of the abdomen, which occurs about a month before an important day. In the third birth, the baby can sink into the pelvis in just a few hours. Often a woman does not experience any harbingers.

How does the third birth start? Reviews of doctors suggest that the process may begin with contractions or outflow of amniotic fluid. Statistics say that the fetal bladder in the third baby is torn much less frequently than in the first two pregnancies. Sometimes a woman may simply not feel how the cervical canal opens and the fetus passes down. However, after the outflow of amniotic fluid, normal contractions begin, which the expectant mother will not confuse with anything.

Process duration

How long does the third birth last? Reviews of mothers who have given birth indicate that this process occurs quite quickly compared to the first two. This fact has a rather simple explanation.

The uterus, ligaments, cervical canal and cervix tend to remember everything that happens to them. So, if for the first time the fetus descended into the pelvis for a rather long time, the birth canal was prepared for about a day, and the uterus had unproductive contractions, everything is completely different in the third birth. Many women say that they barely have time to arrive before the attempts begin. The average duration of the third birth is from 2 to 5 hours. During this time, the woman manages to feel all the "charms" of the process, from the prolapse of the abdomen and ending with the birth of the placenta.

Pain intensity

Is it really a less painful third birth? Reviews of mothers who have given birth suggest that this statement is not true. The appearance of a child for the third time is much faster. Based on this, the duration of pain is reduced. However, this does not lead to contractions becoming painless.

If we are talking about a caesarean section, then in this case the process of having children for a woman is no different. In all three births, the expectant mother is under the influence of anesthetics. That is why she does not feel much pain during the operation. However, unpleasant sensations begin to gain strength as soon as the effect of anesthesia wears off.

postpartum period

What are the third birth reviews, you already know. It is worth saying that the recovery in this case takes a little longer. Women say that bleeding may not last 4 weeks, as it happened in previous times, but 6. This is the norm. However, a change in the nature of the discharge should alert every newly-made mother. Quite often, third births can lead to inflammation or retention of lochia.

Concerning breast milk, then the third time it comes much faster. If you had to wait for your food for about 3-4 days, then this time you can breastfeed your baby already on the delivery table at the first application.

Summarizing

You became aware of the reviews of those who gave birth to third births. Doctors say that no pregnancy can be repeated according to their feelings. Even in the same representative of the weaker sex, the process of delivery occurs every time in a new way. Third birth - what are they? Ask your gynecologist about this. However, the story is only a small part. Much in this process depends on the woman herself. Follow the doctor's recommendations and follow all prescriptions. Happy delivery and speedy recovery!

Women who dream of big family. 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 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. Future mom 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 took place naturally;
• 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 ultrasonography pelvic organs. It will allow you to determine the gestational age, the place of attachment gestational sac, 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

Hemoglobin deficiency is more common in multiple pregnancy, short intervals between gestation processes (less than 3 years), poor diet, living in ecologically 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 clotting.

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 large fruit. 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 early delivery. 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 important point. 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 Bladder, lack of constipation;
• a diet rich in fiber and iron;
• proper drinking regimen;
• feeding the baby on demand;
• injections of drugs (as prescribed by a doctor).

For exclusion pain V 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.