What causes labor pain during 7th month of pregnancy?
Patient: Hi, my wife is 7 months pregnant, she got preterm labour pain from 26 week, my gynac suggested to take duvidilan retard. She is taking full rest. I just want to know can this medicine lead us to 9 months to deliver baby? Or there is a risk of delivering a baby before it get mature. pls help. Doctor: Hello, Thank you for your query. Duvadilan retard (isoxsuprine) relaxes the uterine smooth muscle, thus preventing Labour. If your wife takes adequate rest and medications there is a very good chance that she will complete the term and deliver a full term baby. Is her cervical length normal?(more than 3 cms). If less than 2.5cms, chances of preterm Labour is higher. This can be treated by cervical encirclage followed by bed rest. Monitor the baby movements. Have your wife practice some relaxing techniques like meditation, breathing exercises to calm her mind. False contractions (Braxton - hicks) will be present now and can happen at any time. This is usually felt as a tightening of the uterus and may be associated with some discomfort but not pain. It is irregular and can be triggered by emotions, hunger, full stomach or baby movements. If the contractions are regular and become more frequent with period like pain, contact her obstetrician right away. In this time, try not to panic and practice calming breathing exercises along with your wife. If it occurs after 37weeks, baby will be mature enough to survive on its own, provided there are no other complications. If this occurs before 37 weeks, steroid injections to speed up the lung maturation process may be necessary. If before 35 weeks, attempts to delay Labour will be made. If that doesn't work out, your baby may need close monitoring in an intensive care till he is stable.This is just so that you may be prepared. In most cases, we are looking at the first outcome. There is a risk of preterm Labour. However, if monitored closely, with rest and medications, this can be minimized. Being prepared for any event is necessary. Keep the doctor's, hospital's Labour room numbers handy along with a few people who will be able to assist you during that time. Pack a weeks worth of clothes for yourself, wife and baby. Plan for someone to travel back and forth between hospital and home or someone to stay with your wife while you do so. Hope this helps. Please let me know if there is anything else I can help you with. Wish you all good health and I pray for a safe confinement.