Childbirth at 27 weeks of gestation: signs of premature birth, the condition of the child, advice from obstetricians, reviews

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

Almost every pregnant woman perceives the last trimester of pregnancy as a kind of finish line. However, the 27th week of expecting a baby is very important, because despite the fact that the baby is already formed, the chance of preterm birth increases. In the last trimester, the load on the body increases, as it begins to slowly prepare for the arrival of the baby.

Delivery at 27 weeks pregnant. Is the child in danger? We will discuss the causes and consequences below. There will also be reviews of childbirth at 27 weeks of gestation.

What is preterm birth

These are called delivery, which occurred in the period from the 27th to the 38th week of pregnancy. Until recently, such childbirth was considered a miscarriage at a later date, since there were no technologies for supporting the baby. Today there is a possibility of nursinga child starting from a weight of 500 g, if after childbirth he lived for 7 days. If a preterm birth is suspected, it is important to go to a hospital that has special equipment to save the life of babies weighing less than 1 kg.

Views

Out-of-term delivery can be classified as follows:

• Very early preterm birth at 27 weeks gestation with baby weighing 500 to 1000g
• Early preterm birth at 28-33 weeks, fetal weight between 1000 and 2000
• Preterm birth at 34-37 weeks, baby weighs about 2500g

Early delivery is also classified according to the degree of difficulty. The birth of a baby at different times requires an individually tailored treatment program for both the woman in labor and the child.

Some statistics

Despite the large number of fears and worries that gynecologists can instill in a pregnant woman, the statistics of premature birth at 27 weeks of gestation is only 6-8% out of 100. These are just 6-8 women out of 100 who do not endure pregnancy. The rest give birth quite safely.

Most women have absolutely nothing to worry about. However, if there are suspicions of early delivery, then you should still listen to the experts and go to the hospital for preservation.

Fetal development

At the 27th week of pregnancy, the fetus is a fully formed baby, which differs from the newborn in size and veryweak vitality outside the mother's womb. The skin of the baby is pink and wrinkled, the head is large. At this time, the immune system develops, and the child can partially resist infections. The muscle mass of the fetus is strengthened, this is noticeable by the increased shocks inside the uterus.

Reasons

The following circumstances may be the reason for early birth at 27 weeks of gestation:

• Inflammatory processes and infectious diseases that often accompany each other. This is due to the fact that any inflammation prevents the uterus from stretching normally, adjusting to the child, and it tries to push the fetus out. Infectious diseases can delay a child's development and contribute to early labor or miscarriage.
• Pathology of the cervix, when it is too weak to withstand the gradually increasing weight of the child. The disease can develop after numerous miscarriages, abortions, and is extremely rarely a birth defect.
• Prematurity at 27 weeks of gestation with twins is also a possibility as the uterus is overstretched.
• Polyhydramnios is another reason.
• Diseases of the endocrine system, such as diabetes, thyroid disorders.
• Smoking and drinking while pregnant.
• Active sexual life in late pregnancy in the presence of cervical pathology.
• Rupture of the amniotic sac caused by a fall or impact.
• Placenta previa just above the internal osuterus.
• Original water.
• Immunological conflicts when the blood Rh factor does not match.
• Severe forms of preeclampsia.

• Maternal malnutrition.
• Pregnant age under 18 or over 35.
• Chronic lack of sleep.
• Somatic infections such as SARS.
• History of anomalies and malformations of the uterus.
• Surgical interventions on the cervix or its cavity.
• In vitro fertilization.
• Cervical tears from previous births.
• Chromosomal abnormalities of the fetus.

In addition, the chances increase if the woman has a history of preterm birth.

Symptoms

Signs of preterm labor at 27 weeks pregnant are:

• pain in the lower abdomen and lumbar spine;
• increasing the tone of the uterus, as a result of which it becomes hard to the touch;
• cramping pains;

• rhythmic increase in uterine tone just before childbirth;
• shortening and dilating the cervix;
• nausea and diarrhea;
• severe pain when urinating;
• discharge of the mucous plug;
• bloody vaginal discharge;
• bleeding that accompanies placental abruption;
• swelling or swelling of the face and hands.

Symptoms of preterm labor differ little from normal ones and often pass without complications. After the startlabor activity cannot be stopped, so you need to go to the hospital in order to have a chance to save a premature baby.

Treatment at risk

If you suspect the possibility of childbirth at 26-27 weeks of gestation, a therapy is prescribed that can stop this process. When the first symptoms of approaching labor activity are detected, any woman will want to immediately go to the hospital. However, you cannot do this on your own, you need to call an ambulance, which will take you to your destination in a supine position. After calling an ambulance, you need to calm down, as stress also affects labor. It is allowed to drink 2 No-Shpy tablets to relax the muscles of the uterus.

The following measures are prescribed as a treatment for threatened preterm birth:

• Intravenous administration of drugs that reduce the tone of the uterus, such as Patrusiten, Genipral.
• After stabilization of the condition, intravenous drugs are replaced by oral ones, while their intake is maintained until the 37th week, when the pregnancy can be considered full-term.

• Taking mild sedatives that normalize a woman's mental state.
• In the presence of infectious diseases, treatment is prescribed in the form of antibiotics that destroy pathogenic microflora.
• The woman is shown bed rest and it is strictly forbidden to lift any weights.
• In the pathology of the cervix, when it is shortened, it can bea medical suture was placed to prevent early opening. It is applied under local anesthesia and removed just before delivery.
• In some cases, a ring may be placed around the cervix to act as a suture.
• Taking the drug "Dexamethasone", which helps open the lungs in children.

However, not in all cases, doctors contribute to the removal of the threat of premature birth. There are cases when the situation threatens the life of the mother or child, and even stimulation of early delivery is necessary here. This may be with early rupture of amniotic fluid or severe forms of preeclampsia.

Consequences

There are practically no unpleasant results from such a delivery on the part of the mother's well-being. In subsequent pregnancies, such a woman is recommended to monitor her he alth much more in order to avoid a recurrence of the situation, regularly undergo all examinations and take tests.

However, for a baby, the consequences of giving birth at 27 weeks of gestation can be quite difficult. The fact is that premature babies have a critically low weight, so the further maintenance of the child takes place in a special incubator. After birth at 27 weeks, the baby is not yet able to eat and breathe on its own, so food and air enter through special tubes. Also, premature babies are given drugs that help open the lungs.

It should be noted that if the birth took place in a hospital where there is no specializedequipment for premature babies, then the child will be transferred to another medical institution. Moreover, if his condition is serious, then the mother will not be able to be around, feed and change diapers. It should also be noted that all ongoing procedures are quite costly in material terms for young parents.

Forecast

When giving birth at 27-28 weeks of gestation, the prognosis is considered favorable if the child has lived for 7 or more days after birth. The baby will continue to develop and by the age of about 1 year will fully recover. He will not develop differently from full-term babies.

The prognosis can be unfavorable if the baby was born with severe or life-incompatible pathologies. In the first case, doctors will fight for his life with all their might, while the second case ends in death.

Advice from obstetricians

You can't be 100% safe from preterm labor at 27 weeks gestation, but you can try to minimize the risks. To do this, doctors recommend following these rules:

• At the planning stage of pregnancy, a woman should undergo a full range of examinations of the whole body in order to identify pathologies that can interfere with normal bearing and cure them in a timely manner.
• During pregnancy, be registered in a antenatal clinic in a timely manner, honestly answer questions from doctors about your condition, well-being. In addition, the doctor leading the pregnancy should be aware of all chronic diseases that may affect the course of gestation.
• Avoidcontact with infectious patients during pregnancy planning and expectation of a child.
• Minimize physical activity and avoid heavy lifting.
• Try to avoid stressful situations and even if the prognosis is unfavorable, do not panic.

• At the planning stage of the baby, give up bad habits such as drinking alcohol and smoking.
• Regularly undergo examinations prescribed by your doctor.
• Carefully monitor your condition.

At the slightest suspicion of premature birth at 27 weeks of gestation, it is important to go to the hospital for preservation, since only there you can be under round-the-clock supervision of medical personnel.

Indications

In some cases, early delivery is necessary:

1. Diseases of organs that threaten the he alth and life of women.
2. Severe forms of preeclampsia.
3. Intrahepatic cholestasis of pregnant women, which is characterized by disruption of the liver and bile flow.
4. Fetal deterioration.
5. Defects incompatible with life.
6. Missed pregnancy.

Preterm labor is induced with drugs such as Mifepristone combined with Oxytocin and Dinoprost. They are injected into the vagina, into the cervix and into the amniotic sac in large doses.

Reviews of childbirth at 27 weeks pregnant

Many women note that thanks to modern medicine theirthe premature baby was able to recover. In this case, mothers are advised not to focus on the negative, follow all the doctor's recommendations and believe in the best. After all, the baby feels his mother's emotions and feels that she believes in him and is waiting for him.