What should I do I am pregnant with my 3rd child. My third pregnancy and delivery

13.04.2019

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. It is planned, undergoing therapy 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 It has more strength and health to endure, give birth and care for the baby. Pregnancy at an older age is associated with increased risk miscarriage, placenta previa, 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;
gap between last birth– 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;
C-section in history;
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?

This article talks about typical ways to solve your questions, but each case is unique! If you want to know from me how to solve exactly your problem - ask your question. It's fast and free!

Despite the experience of previous pregnancies, determine an interesting position on early dates a woman may not always, especially if her age is over 30 years old. Difficulties arise for the following reasons:

crashes 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";
hormonal imbalances can lead to false results pregnancy test.

The symptoms for which experienced mom may suspect pregnancy: change taste sensations(pulls for sweet, salty), an unusual reaction to smells, an increase in the mammary glands. A reliable way to learn about " interesting position" on early stages - 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 muscles pelvic floor 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 permanent medical control). 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

Absolutely healthy women after 30 years is practically non-existent. 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, they can become aggravated cardiovascular diseases, pathology gastrointestinal tract. 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

On later dates there are problems with the back and lower back: pain, heaviness, unpleasant pulling sensations. With each pregnancy, the risk of developing varicose veins in the legs increases. This is facilitated excess weight, endocrine pathologies, bleeding disorders. For prevention, doctors recommend wearing anti-varicose tights, therapeutic gymnastics. Keep your feet in horizontal position and avoid eating foods that lead to blood clotting.

Low location of the placenta

low presentation placenta causes problems during gestation (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 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 the mother is with negative Rh factor blood carries a fetus with a positive indicator. Rh antibodies are formed from the 8th week of pregnancy - the time when the the immune system fetus. The conflict is dangerous for the child, leads him to oxygen starvation, intoxication by 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, intake in sufficient quantities nutrients to the baby. WITH big baby a woman can walk, give birth at 42 weeks and later. Indirect signs of this are a decrease in the level 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 notice any of these symptoms, you should immediately go to the hospital to rapid delivery didn't take my 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 others difficult situations caesarean section is shown. 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 increases postpartum hemorrhage. 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 avoid pain in postpartum period should take painkillers, feed the baby in comfortable position(lying on the side). It is important to walk a little, even if the stomach and perineum hurt. Moderate physical activity useful in the postpartum period and after caesarean section.

While preparing for this significant day, I read a lot of 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. learned breathing exercises, poses 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 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 - it started slight bleeding. 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. Pinched at 26 weeks sciatic nerve, sore perineum, back, coccyx, leg in the thigh, left side. At 36 weeks, the child sank and everything started to hurt again, now a pubis has also been added, right leg and lower abdomen. 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, everything was handed over to 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 bothered me 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. Yes and disclosure going better upright. 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 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, said 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.

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

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

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

Features of the 3rd pregnancy

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

Chronic diseases of internal organs.
Varicose veins on the legs.
anemic syndrome.
Muscle overstretching abdominals.
Misplacement of the placenta.
Pregnancy reversal.

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

Chronic pathologies

If you are already over thirty, then you are unlikely to call yourself absolutely healthy. Most young women are easily diagnosed with one or more diseases, especially those related to the female reproductive system. Today, all around you can find various inflammatory pathology uterus and its appendages in women whose age is slightly over 30 years. The most common gynecological diseases are:

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

Enough serious threat for the pregnant woman and the fetus represent any chronic diseases cardiovascular, respiratory, urinary or other body systems. To prevent development in the third pregnancy severe toxicosis or diseases such as pyelonephritis, arterial hypertension, diabetes, you should undergo a comprehensive examination and, if necessary, treatment. Besides, Scientific research proved that what older parents the higher the risk of developing birth defects at the fetus. Therefore, in without fail age dads and moms are assigned a genetic consultation, which is not recommended to be neglected.

Varicose veins on the legs

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

In addition, obesity, endocrine pathologies, bleeding disorders and some others pathological conditions can contribute to the development of varicose veins in the legs. As preventive measures recommend the following:

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

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

Stretching of the abdominal muscles

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

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

Misplacement of the placenta

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

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

Prolongation of pregnancy

As clinical experience shows, the chances of having a large fetus in the third pregnancy increases by an average of 25%. This can be promoted various factors. Among all doctors distinguish such:

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

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

Management of 3 births

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

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

Delivery rate

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

Uterus contraction

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

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

obstetric lacerations

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

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

The woman's previous experience has important in the successful passage of the third birth.

Fetal position

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

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

In some cases, the technique is used obstetrical rotation fetus at pathological types presentation.

postpartum period

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

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

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

20-30 minutes before feeding, take a medicine that has a pronounced analgesic effect. Do not forget that medicinal product must be prescribed by your supervising physician.
When you feed your baby, you can put a heating pad on your stomach with moderate hot water, but only if there are no contraindications to its use. Wherein pain are significantly reduced.
It is recommended to feed the baby lying on its side. Bend your legs and pull closer to you. Your position will resemble the typical "fetal position". In addition, you can lie down like this every time the pain starts.
A full bladder and rectum not only significantly slow down the process of uterine contraction, but can also provoke very painful sensations, so the toilet should be visited regularly.

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

Content:

Honor and praise to those couples who decided to go for a third child. The trend towards large families in modern conditions life is drastically reduced. However, even now, some families do not stop at two children. On the one hand, a woman is already gaining experience in the process of giving birth to previous children. On the other hand, each time is associated with a certain amount of risk, because the third birth can go completely wrong.

What features are they characterized by? Are there any specific tips and recommendations on how to properly prepare for this responsible process once again?

In order for the birth of the third child to pass without any complications, they need special training, which affects both the physical and psychological aspects.

Physical training

It is advisable to plan a third child, and both spouses pass before conception. If the first babies were born and grow up healthy, this does not mean at all that the next baby is not in danger. Be mindful of your age, which is this case does not work for you.
By the third birth, most women gain excess weight, which subsequently leads to weakness of the muscles of the press and uterus, which negatively affects delivery. Therefore, the figure must be brought back to normal, and throughout the pregnancy, eat wisely and moderately.
It is necessary to provide the body enough calcium. You need to drink special preparations with its content. The first two pregnancies likely resulted in weakened bones, which would increase the risk of birth injuries.
To avoid relaxing the muscles of the vagina, perform special exercises.
Eat right: you need to eat a little, but extremely healthy foods.
Lead active image life, are constantly on the move, swim, take daily walks.

Psychological preparation

Start your third birth with clean slate. Forget the negative feelings after the previous ones. Believe that this time everything will be less painful and without any complications. If the impressions and sensations acquired earlier leave much to be desired, do not drag them with your baggage.
Get more rest, relax, pamper yourself during pregnancy.
Prepare the first children for the arrival of the third family member.
Shift some of your worries to your husband.

Financial aspect

If after the first two children there are some things or furniture for the newborn, use them. You can save a lot on this.
2 weeks before the appointed time, collect all the documents necessary in the maternity hospital, as well as packages with things that may come in handy there.
It is better to prepare clothes for the baby in advance. So you will be absolutely calm that you have everything collected and after giving birth you will not need to run around the shops in search of this or that thing.

Usually, the third birth begins according to the following scheme:

weight is reduced;
the stomach drops;
breathing is easier;
the motor activity of the fetus is reduced;
there is a "nesting syndrome";
the navel protrudes;
pay special attention to such signs of childbirth during the third pregnancy as false contractions, which can be almost imperceptible and begin as little as 3-4 days before the baby is born;
uncomfortable, painful sensations appear in the lumbosacral region.

As you can see, the harbingers of the third birth are not much different from the signs of the approaching delivery of the rest of the children in a row. However, here it must be borne in mind that the point is not in the symptoms themselves, but in the timing when they appear. For example, in the third birth, they can begin as early as 3-4 days before the birth of the crumbs, while in other cases this happens 10-14 days before. And they will be already less painful and not so painful.

Stages

Be sure to study in advance the information on how the third birth goes, in order to know how and at what stage to behave correctly.

attempts

At this stage, complications may arise that are better foreseen and assumed in order to avoid them altogether or at least take appropriate measures in a timely manner. Features are in the following points:

The muscles of the uterus and the press in a woman giving birth for the third time are maximally stretched. As a result, their ability to rapid reduction noticeably decreases.
All this leads to the fact that after intense contractions, when the cervix opens up to 5 cm (approximately), secondary weakness of labor often occurs.
It is characterized by a sharp decrease in the intensity of contractions, a weakening of attempts, and sometimes labor can stop altogether.
Rarely do such third births end on their own. Most often, doctors decide to take a tired body with medication or caesarean.

Something as stubborn as statistics states that similar cases(weakness of labor) account for about 35% of the total number of third births. A sufficiently high percentage in order to reflect and take appropriate measures. To protect yourself from such a complication, it is recommended that you regularly perform Kegel exercises throughout your pregnancy, as well as eat well, sleep and rest.

Separation of the placenta

Many women argue about whether the third birth is easier or harder: for someone they pass quickly and almost imperceptibly, someone suffers almost the same as during the first. However, everyone points out that final stage delivery - separation of the placenta - is quite difficult and painful. The reasons for this may be different:

the muscles of the uterus after previous births are stretched and are not able to contract well;
pathologies: fibroids, polyps, scars, etc.;
if doctors have diagnosed an incomplete separation of the uterus, they conduct its manual revision;
weakness of uterine contraction can lead to intense, fairly prolonged bleeding, since blood clots form slowly during the third birth, the vessels do not overlap, the blood cannot stop;
normally, a woman should not lose more than 0.5% of her blood, and during the third birth it is quite possible, which often leads to anemia, a sharp drop in pressure.

Given the complications of pushing and separation of the placenta, it is difficult to say whether the third birth is easier than the previous ones. They just have their own characteristics, which you need to know about and warn them in time.

What do doctors think? The general opinion of doctors about the third birth is generally unambiguous. If the mother is under 35 years old and she does not have serious problems with health, they are much easier and simpler than the previous ones. The body, having a unique memory, is ready for the upcoming stress, which it has already experienced twice. And the woman herself is psychologically more ready for this, which greatly facilitates the process of delivery.

Other features

If a woman has information, she should not have a question whether the third birth is different from the previous ones: of course, they have their own characteristics. In particular, they include such points as:

according to statistics, they are less likely to lead to injuries, since the muscles of the vagina are stretched well enough for the baby's head to pass through the birth canal easily and freely;
if previous births ended in ruptures, in 50% of cases, scars during the third birth diverge again;
third pregnancy and childbirth usually take place in more than adulthood: this is good because the woman is already morally mature for raising a child, but not very good, because the body has time to wear out by this time, and the birth of a baby, as you know, is very much affected by the health of the mother;
after 30 years during pregnancy, uterine fibroids are very often exacerbated, diabetes, heart and kidney problems, so you have to constantly be under the most close observation doctor for all 9 months.

These are the features of the third birth, which a woman should be aware of in advance in order to have time to prepare for them and not worry if the process is something different from previous births.

Recovery period

For female beauty and health, it is very important how long it lasts after the third birth: the time period of this period is longer than in previous visits. This is explained by the fact that tissues lose their elasticity with age and can no longer regenerate as quickly as before. And lochia ( postpartum discharge) can be annoying for as long as 2 months, and with breaks they heal for a long time, and stretch marks on the chest look terrible, and excess weight does not want to go away.

From all this it is easy to fall into postpartum depression which, however, a woman can avoid if she sets herself up in the right way. You just need to help the body during this period to recover as quickly as possible:

Do various physical exercises.
See a doctor regularly.
Rest, eat and sleep enough.
Don't be nervous and don't worry.
Regularly perform breast massage to avoid stretch marks, learn the basics of proper feeding.

If you decide on a third birth, be sure to study the nuances of their course. Each case is purely individual, there are no general postulates. Yet more thorough medical checkup, high-quality preparation and assistance to your own body in recovery period help to smooth out all the roughness and avoid possible complications.

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 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 it's too much high price for fear of others - before management, before mother, 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...

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