AboutKidsHealth

 

 

Stages of premature labourSStages of premature labourStages of premature labourEnglishNeonatologyPrenatal;PrematureNANANAPrenatal Adult (19+)NA2009-10-31T04:00:00ZAndrew James, MBChB, FRACP, FRCPC10.000000000000051.0000000000000747.000000000000Flat ContentHealth A-Z<p>Learn about the three stages of labour. With premature babies, including twins and other multiples, the risks are greater during all three stages.</p><p>In general, the more immature the unborn baby, the greater the risks from labour and delivery. Roughly speaking, if premature labour can be delayed until the 34th week of pregnancy or later, delivery will proceed in a similar fashion as a normal delivery. </p><h2>Key points</h2> <ul><li>Premature delivery may need to take place in a hospital equipped with an NICU, with neonatal specialists available.</li> <li>There are three stages of labour starting with contractions, then the actual delivery of the baby, and finally the delivery of the placenta.</li> <li>There are a number of precautions that should be taken when a women carrying a multiple pregnancy goes into premature labour.</li></ul>
Étapes de l’accouchement prématuréÉÉtapes de l’accouchement prématuréStages of premature labourFrenchNeonatologyPrenatal;PrematureNANANAPrenatal Adult (19+)NA2009-10-31T04:00:00ZAndrew James, MBChB, FRACP, FRCPC10.000000000000051.0000000000000747.000000000000Flat ContentHealth A-Z<p>Renseignez-vous au sujet des trois étapes de l’accouchement. Lorsqu’il est question de bébés prématurés, y compris les jumeaux, les trois étapes comportent des risques plus élevés.</p><p>En général, plus l’enfant conçu est prématuré, plus les risques associés à l’accouchement sont élevés. Grosso modo, si l’accouchement prématuré peut être reporté au moins jusqu’à la 34e semaine de grossesse, il se déroulera de la même façon qu’un accouchement normal. </p><h2>À retenir</h2> <ul><li>Les accouchements prématurés doivent parfois avoir lieu dans un hôpital offrant une unité néonatale de soins intensifs (UNSI) où des spécialistes en néonatalogie sont présents.</li> <li>Le travail se divise en trois étapes en commençant par les contractions, puis l’accouchement du bébé et finalement l’expulsion du placenta.</li> <li>Avec les grossesses multiples, certaines précautions doivent être prises lorsqu’une femme entre en travail de manière prématurée.</li></ul>

 

 

Stages of premature labour1760.00000000000Stages of premature labourStages of premature labourSEnglishNeonatologyPrenatal;PrematureNANANAPrenatal Adult (19+)NA2009-10-31T04:00:00ZAndrew James, MBChB, FRACP, FRCPC10.000000000000051.0000000000000747.000000000000Flat ContentHealth A-Z<p>Learn about the three stages of labour. With premature babies, including twins and other multiples, the risks are greater during all three stages.</p><p>In general, the more immature the unborn baby, the greater the risks from labour and delivery. Roughly speaking, if premature labour can be delayed until the 34th week of pregnancy or later, delivery will proceed in a similar fashion as a normal delivery. </p><h2>Key points</h2> <ul><li>Premature delivery may need to take place in a hospital equipped with an NICU, with neonatal specialists available.</li> <li>There are three stages of labour starting with contractions, then the actual delivery of the baby, and finally the delivery of the placenta.</li> <li>There are a number of precautions that should be taken when a women carrying a multiple pregnancy goes into premature labour.</li></ul><p>The delivery may need to take place in a hospital equiped with an NICU, where specialists will be on hand to monitor the labour and delivery, as well as the baby after the birth. During labour and delivery, the baby’s heart rate and the contractions of the uterus will be monitored. </p> <p>The first stage of labour lasts from the time when contractions start until the time that the cervix is fully open or dilated. Contractions act to dilate the cervix wide enough to let the baby through. The contractions become stronger, longer, more frequent, and better coordinated. Then, for the next few hours, the contractions are strong and regular, occurring every two to three minutes. The baby’s head descends more and more into the pelvis. The cervix widens to 10 cm, which is the diameter of the baby’s head at its narrowest angle of presentation. If a labour is premature, given the smaller size of the baby, the cervix may only be dilated to 6 cm before the baby begins to emerge. </p> <p>The second stage of labour is when the baby is actually delivered. In stage two, there are strong and regular contractions, occurring every one to three minutes. Each contraction helps to move the baby’s head farther down into the pelvis, along the birth canal. The baby’s head emerges at the end of stage two. The doctor or midwife gently guides the baby’s head through the birth canal, followed by one shoulder and then the other. The rest of the body follows easily. The baby may need assistance once born and may also need to be put on a ventilator to help with breathing. </p> <p>The third stage of labour is the delivery of the placenta. The placenta usually comes out with a few painless contractions. In this stage, the blood vessels that were supplying the baby in the womb rapidly close down, and the womb becomes small and compact. </p> <h2>Delivery of twins and multiple babies</h2> <p>Twins and multiple babies are associated with a higher risk of childbirth complications, as well as premature birth. About half of all twins deliver at 36 weeks or less. Half of triplets deliver before 32 weeks. </p> <p>Many mothers of twins and multiple babies go into premature labour spontaneously. Others may need to have premature labour induced because of fetal growth restriction or high blood pressure in the mother. Placental abruption, where the placenta pulls away from the walls of the uterus may necessitate premature delivery. </p> <p>When a woman carrying a multiple pregnancy goes into premature labour in ideal conditions, a number of precautions should be taken. </p> <ul> <li>The labour should be carried out at a hospital under the care of an obstetrician. </li> <li>A trained obstetric nurse or midwife should remain with the mother throughout labour. </li> <li>The babies should be monitored throughout labour. </li> <li>An anaesthesiologist should be immediately available in case a caesarean section is needed. </li> <li>Each baby requires its own healthcare provider who is skilled in the resuscitation and care of newborn infants. </li></ul> <p>The first twin bears the brunt of dilating the cervix and birth canal. If the twin is in the normal head-down position, there is usually no problem with its delivery. If, on the other hand, the first twin is breech, there may be major problems with vaginal delivery, and a caesarean section may be required. </p> <p>The second twin usually comes out within 15 minutes after the first. If the first twin was born vaginally and the second twin is positioned head-down, it can usually be born vaginally. Sometimes the doctor may need to turn the baby within the womb, to make its position more favourable for birth. A caesarean section may be required in some cases. </p> <p>In very rare cases where the first twin was born prematurely, contractions can stop altogether and the second twin may be born days or weeks later. </p> <p>In the case of triplets, the first baby to be born usually comes out vaginally, without complications. The next two babies, however, may need complex obstetrical manoeuvres or caesarean section to be delivered safely. Many obstetricians recommend caesarean section for delivery of all triplets. When the mother is carrying four or more babies, a caesarean section is recommended. </p>https://assets.aboutkidshealth.ca/AKHAssets/stages_of_premature_labour.jpgStages of premature labourFalse

Thank you to our sponsors

AboutKidsHealth is proud to partner with the following sponsors as they support our mission to improve the health and wellbeing of children in Canada and around the world by making accessible health care information available via the internet.