My third pregnancy and childbirth. What are the features of the course of the third pregnancy, what signs indicate the onset of labor and how do they go? 3 pregnancy when

A 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:

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.
Most likely, the baby will be born healthy and at term if the last two pregnancies also proceeded without complications.
If the first and second births were not natural. Most often, the third caesarean section is done ahead of schedule. Otherwise, there is a high probability of divergence of the seams.
There is a recommended time between births, it should be at least 2.5 and no more than 8 years.
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. In the early stages, 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 of medications 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 cause a large amount of blood to spill. Often there are gaps. Experienced professionals are familiar with such cases and will quickly take appropriate action.

Cesarean 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, proper nutrition and exercise will help restore them. You can use special creams and tightening clothes.

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, an experienced couple should already know how to properly avoid unwanted pregnancies. 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 is overweight, 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 mothers note that labor activity was noticeably 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. People around began to guess about the interesting situation only in the fifth month of pregnancy.
Many mothers were forced to be constantly at work. Taking maternity leave has become 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 ones. 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.

A woman, as a rule, being already financially secure and professionally held, manages to bear a child without undue fear and fuss. The third pregnancy makes it possible to listen to your feelings, understand them and take the necessary measures in case of any adverse symptoms. Often this pregnancy is planned, therefore, the woman prepares for this event in advance. The body becomes older, "wiser", and pregnancy proceeds along already known, beaten paths.

However, repeated pregnancy, childbirth and the postpartum period differ in some features, which we will talk about.

The course of the third pregnancy

The third pregnancy usually proceeds favorably, without the sharp toxicosis characteristic of the first pregnancies (this is a general trend, but the body of each woman, of course, is individual).

Chronic diseases during the third pregnancy

After 35 years, the first signs of chronic diseases appear, which can be an aggravating fact for the course of variability. The frequency of both genital (chronic salpingoophoritis, endomyometritis, uterine myoma, endometriosis) and extragenital pathology (chronic diseases of the respiratory system, urinary tract, cardiovascular system and endocrine systems) is increasing. In this case, the likelihood of developing late toxicosis of pregnancy and the progression of diseases such as pyelonephritis, hypertension, diabetes mellitus increases. All this requires examination and treatment. If the mother's age exceeds 35 years, and the father - 45 years, the likelihood of fetal malformations increases. To exclude this diagnosis, you can contact a genetic consultation.

In addition, during repeated pregnancies, a woman is more susceptible to the development and progression of conditions such as anemia and varicose veins, which is associated with an increase in physical activity on the body and the “wear and tear” of its reserve forces.

Varicose veins in the third pregnancy

In 70-90% of cases, the disease develops during pregnancy. The first signs of varicose veins are the appearance of a vascular network on the legs, swelling that increases in the evening. This is due to the fact that during pregnancy, the volume of circulating blood increases by 30-50%. The ability of venous vessels to withstand the increasing load is limited, blood flow in the lower extremities slows down. The situation is especially aggravated by the presence of overweight, endocrine diseases, hereditary predisposition, violation of the rheological properties of blood (increased coagulability). The walls of blood vessels “get tired” of tension and relax, stretching with characteristic bluish waves under the skin. The situation can progress, involving in the process the vessels not only of the legs, but also of the external genital and internal organs. For example, hemorrhoids are nothing more than overstretched walls of the venous vessels of the lower rectum, which increase sharply with increasing pressure in the abdominal cavity and small pelvis - for example, when straining. As a prevention of varicose veins, compression stockings are recommended, which help the veins cope with increased stress, an elevated position of the legs during sleep, special exercises and a diet aimed at preventing constipation. As a treatment - drugs that improve microcirculation and rheological properties of blood (i.e. drugs that thin the blood), strengthen the vascular wall, increase its tone.

The probability of progression of varicose veins is especially high in cases where the first signs of varicose veins appeared during previous pregnancies.

Anemia during pregnancy

Decrease in the amount of hemoglobin in red blood cells, erythrocytes. During repeated pregnancies, women are more likely to be at risk for the development of iron deficiency anemia, which is observed in every fourth woman. A low level of hemoglobin in the blood leads to oxygen deficiency of the placenta, and the reserves necessary for the development of the child are reduced. Conditions such as lethargy, weakness, dizziness, blurred vision, palpitations, shortness of breath, impaired memory and attention can also be due to anemia. Therefore, in this case, it is recommended to control the level of hemoglobin and iron content in the blood. Proper nutrition contributes to the prevention of this condition. All pregnant women, and especially multiparous women, are recommended to take iron-containing preparations for at least 4-6 weeks, 2-3 times during pregnancy.

Overstretching of the muscles of the anterior abdominal wall.

Physiologically, due to the overstretching of the anterior abdominal wall, the center of gravity shifts forward more than during previous pregnancies. In addition, the fetus during repeated pregnancies, as a rule, weighs more than during the previous one, and the woman feels more heaviness or even pain in the lower back and sacrum, in the lower abdomen than in the first pregnancy. As the uterus grows, the abdomen deviates more and more anteriorly, compensatory increasing the bend in the lumbar spine. In this case, we can recommend wearing a bandage, which, supporting the stomach from below, restores balance to some extent and reduces the load on the lumbosacral spine (when the expectant mother lies, she does not need a bandage).

The bandage should be worn lying down. To prevent weakness of the muscles of the anterior abdominal wall, it is recommended to perform special exercises, if there are no contraindications for this. We are talking, for example, about exercises that strengthen the oblique abdominal muscles - this is a kind of natural "bandage" that supports the growing uterus. The training of these muscles reduces the load on the lumbar spine, prevents the appearance of stretch marks on the anterior abdominal wall. Standing on the left leg and leaning on something, wind the right leg behind the left alternately in front and behind. Then change the supporting leg.

Insolvency of the pelvic floor muscles, weakness of the ligamentous apparatus due to stretching or rupture of the muscles and ligaments of the pelvic floor during previous births can manifest itself in the form of urine leakage during stress - laughter, coughing. Urinary incontinence during pregnancy is observed in multiparous women (approximately 13%) more often than in nulliparous women.

Low location of the placenta during the third pregnancy

One of the obstetric adverse situations is the low location of the placenta or its presentation, when the placenta completely or partially covers the internal os of the cervix - the exit from the uterus. The reason may be the "wear and tear" of the uterine mucosa by previous births or abortions. This condition is often manifested by bleeding already during pregnancy. However, as the uterus grows during pregnancy, the placenta can move, migrate, rising up, and bleeding stops. A woman should be very attentive to her feelings and the symptoms that appear.

Failure of the pelvic floor muscles. An increased load on the pelvic floor during pregnancy and especially in the second stage of labor can lead to prolapse of the vaginal walls, the appearance of hemorrhoids, urinary incontinence both during pregnancy and in the postpartum period, which occurs more often with repeated births. After childbirth, the ligamentous apparatus of the genital organs and muscles of the pelvic floor is stretched, the uterus is very mobile and easily displaced. The muscles of the pelvic floor are relaxed and unable to hold the uterus in a physiological position, which often leads to prolapse of the internal organs after childbirth.

Rhesus conflict in the third pregnancy

With each new pregnancy, the risk of developing an Rhesus conflict increases. After the first pregnancy, Rh antibodies appear in about 10% of women, after each subsequent pregnancy, in about the same number.

Rh-conflict is possible in women with Rh-negative blood with Rh-positive fetal blood. Fetal erythrocytes can enter the mother's blood from the 6-8th week of pregnancy. And if in previous pregnancies with a Rh-positive fetus even a small amount of Rh-positive erythrocytes entered the mother's bloodstream, then during a second pregnancy (especially if, in addition to childbirth, there were also abortions), the amount of antibodies in the mother's blood can reach a threshold value at which erythrocytes begin to break down fetus. As a result of the penetration of the blood of the fetus with positive Rh-erythrocytes into the mother's bloodstream, antibodies begin to be produced in her body - protective proteins, which, in turn, penetrate the placenta to the fetus. In his body, an “antigen-antibody” reaction occurs, which leads to the destruction of the fetal erythrocytes - hemolysis. This condition is called hemolytic disease of the fetus (HFD); outwardly, it manifests itself as jaundice.

GBP can lead to adverse health effects and even life of the fetus or newborn. In this case, the newborn (according to the indications, depending on the severity of his condition) undergoes an exchange transfusion of blood: in order to restore the destroyed red blood cells, the child is transfused with Rh-negative blood of the first group. In the absence of antibodies during previous and current pregnancies, a woman must, no later than 72 hours after childbirth, introduce an anti-Rh immunoglobulin that prevents the formation of new antibodies (it is better to do this during the first day). This is the prevention of the Rh conflict in subsequent pregnancies. It is recommended to monitor the state of the blood for anti-Rh antibodies and especially the change in their number. With an increase in the number of antibodies, there may be a need for early delivery.

Prolongation of pregnancy

It is known that each subsequent child is larger than the previous one. According to statistics, the second child is 20-30% larger than the first. It can be assumed that this is determined by several factors. One of them is psychological, that is, when carrying a second baby, the expectant mother is more calm, since she is no longer familiar with pregnancy and childbirth. Another reason may be that during the second pregnancy, the mother’s body is already trained to carry the baby, blood circulation in the uteroplacental and fetal-placental vessels provides a greater supply of nutrients to the fetus than during the first pregnancy. This fact creates the preconditions for a prolonged pregnancy, because due to the overstretching of the uterine wall, the receptors become less sensitive to hormones that, acting on the uterus, trigger its contraction, and the onset of labor is delayed. In this case, it is important to monitor the functional state of the fetus; for this, at the end of pregnancy, it is necessary to visit a doctor at least 1-2 times a week. When the first signs of overgestation appear (a decrease in the amount of amniotic fluid, a decrease in the motor activity of the fetus, etc.), the doctor will offer the woman hospitalization. In these situations, it is especially important to timely conduct such additional research methods as ultrasound, Doppler (study of blood flow in the vessels of the fetus, umbilical cord), CTG (registration of fetal heartbeats).

third birth

The third childbirth in general is faster, the period of lactation formation is easier, because. milk passages are already "open". Due to the good extensibility of perineal tissues during repeated births, birth injuries are significantly reduced, in particular, the number of perineal injuries is reduced. At the same time, complications such as rapid delivery, postpartum hemorrhage, exacerbation of various chronic diseases, etc. are possible with repeated births.

Quick delivery. For the third birth, the character is: easier opening of the uterine pharynx, a faster course of the birth process as a whole, i.e. transient (up to 4 hours) childbirth can catch a woman at work, on the street, in transport. Repeated births proceed faster than the first ones due to the faster opening of the cervix (uterine os).

Secondary weakness of labor activity. Of the features of the course of the third birth, attention is drawn to the high frequency of soda rhythm disturbances in the form of secondary weakness of labor activity (in this case, the labor process is active at first, and then its speed, instead of increasing, begins to decrease). This situation may require urgent prescription of medications. The second stage of labor can be complicated by secondary weakness of labor due to overstretching of the anterior abdominal wall, often due to the pronounced development of subcutaneous fat or with a large fetus.

There may be some complications in the third stage of labor, when the placenta separates. So, due to the reduced tone of the walls of the uterus, it may be difficult to separate the placenta, due to the presence of inflammatory processes in the wall of the uterus in the past, the placenta may be tightly attached or not completely separated. All of these conditions require manual examination of the uterus.

Postpartum period after 3rd pregnancy

Bleeding. In the postpartum period, the likelihood of bleeding increases due to a decrease in uterine contractility. For the same reason, there may be problems with the separation of the placenta in the third stage of labor. The better the uterus contracts, the lower the risk of pathological bleeding, in which the volume of blood loss exceeds 0.5% of the woman's body weight. After separation of the placenta, the richly vascularized inner surface of the uterus opens up and there is a real risk of rapid loss of large amounts of blood. When the muscles of the uterus contract, the vessels are compressed, contributing to the formation of blood clots that close them, as a result of which the bleeding decreases, and then stops completely. In case of impaired contractility, the uterus remains sluggish and the vessels continue to bleed profusely. It is because of the risk of bleeding in the early postpartum period that obstetricians pay the most attention to multiparous women.

The tendency to hypotension (lethargy) of the uterus persists in the future - in the late postpartum period, which can lead to a delay in the uterine cavity of postpartum discharge. Against this background, inflammatory processes of the inner lining of the uterus (endomyometritis) can develop. Therefore, multiparous mothers in the postpartum period are usually prescribed reducing agents, and a control ultrasound is performed before discharge.

The prevention of these unpleasant conditions, which may require physiotherapy, such as myostimulation (a physiotherapy procedure during which different muscle groups are affected, which contributes to their training), and even surgery, is perineal exercises - well-known Kegel exercises in various modifications. Any muscle without training will atrophy. And given the upcoming load, training these muscles is simply necessary. You can start classes after 16-18 weeks of pregnancy, actively continuing to perform them in the postpartum period.

Of course, the third birth is not an easy test. But knowledge of the features of repeated pregnancy and childbirth, as well as previous experience of bearing and giving birth to a baby, will allow a woman to confidently go through the process of childbirth and quickly recover in the postpartum period.

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 claim 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 statistics show, a mother of many children usually becomes at the age of 32-34 years. At this age, a woman can already experience a number of 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.
Overstretching of the abdominal muscles.
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 completely healthy. Most young women are easily diagnosed with one or more diseases, especially those related to the female reproductive system. Today, quite often you can find various inflammatory pathologies of the uterus and its appendages in women whose age is a little over 30 years old. The most common gynecological diseases are:

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

Any chronic diseases of the cardiovascular, respiratory, urinary or other body systems pose a rather serious threat to the pregnant woman and the fetus. To prevent the development of severe toxicosis during the third pregnancy or diseases such as pyelonephritis, arterial hypertension, diabetes, a comprehensive examination and, if necessary, treatment should be undergone. In addition, scientific studies have shown that the older the parents, the higher the risk of developing congenital malformations in the fetus. Therefore, genetic counseling is mandatory for age-related dads and moms, 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 of the lower extremities. The first symptoms of the disease are the appearance of spider veins on the legs and edema, which increases after the second half of the day. One of the main reasons for such phenomena is that during pregnancy, the volume of circulating blood increases up to 50%.

In addition, obesity, endocrine pathologies, bleeding disorders and some other pathological conditions can contribute to the occurrence of varicose veins in the legs. The following are recommended as preventive measures:

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

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 presentation, is considered one of the most serious problems that can cause a lot of trouble in the process of labor. 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 of 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%. Various factors can contribute to this. 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 a 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 in the normal period of gestation 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.
In the final stages of bearing a child, you can take a contrast 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 with essential oils are recommended. 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 previous experience of a woman is of no small importance in the successful passage of the third birth.

Fetal position

Quite often, obstetric problems arise due to the fact that the fetus does not want to take the 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, at the right moment, the baby turns head down and takes the correct position, which greatly facilitates the management of the third birth.

In some cases, the technique of obstetric rotation of the fetus is used for pathological types of presentation.

postpartum period

Many years of clinical experience has shown that one of the main problems after childbirth is a fairly high risk of bleeding, which is due to a decrease in uterine contractility. 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. Of great importance for mother and newborn is 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 your bladder and rectum regularly.
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 soreness during uterine contractions in the 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 the drug must be prescribed by your supervising physician.
When you feed your baby, you can put a heating pad with moderately hot water on your stomach, but only if there are no contraindications to its use. At the same time, pain sensations 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 of a comprehensive examination before and during pregnancy, as well as the elimination of all negative factors, significantly reduces the risk of complications and provides excellent chances to give birth to a healthy baby.