Which mom is not curious about meeting your baby? It seems that this desire is even greater at the end of pregnancy, so the rush for delivery to happen comes with everything. The problem is when the early delivery is forced by the mother and in the vast majority of times, by the doctor.
At 37 weeks is Childbirth Premature?
The delivery at 37 weeks theoretically would not be premature , however, it can bring as many risks as a delivery at 34, 35 weeks did you know? The problem is the count for mom. All doctors say that the 9th month starts from the 37th week of gestation, so in the woman’s head, at 37 weeks the baby will be fully formed and with sufficient capacity to be born well and with full lungs. But not quite…
As a mother of 3 trips, I always had this information: after 37 weeks of pregnancy, delivery can happen at any time . This sounds like a siren inside the head of an anxious and uncomfortable pregnant woman at the end of her pregnancy. Therefore, clarifying some points is beyond important! First of all, we must remember the pregnancy count. We will take into account that the start must be from the first day of the last menstruation. The LMP as doctors call it, is the first basis of counting the pregnancy .
The doctor will start the calculations based on it and then confirm with the ultrasound. The problem happens when the date of the last menstruation does not match the date of the pregnancy.
DPP Count Error Margin
Usually, a difference of up to 7 days is relevant to medical eyes , however, beyond this period, the difference can be considered by the difference in design and implantation. For example, a woman who menstruates on the 5th with a 28-day cycle should ovulate around the 19th of the month.
That day that falls around 14 days after the onset of menstrual bleeding. However, ovulation can happen around the 29th of the month causing delays in the bills and, consequently, reduces the gestational age by almost 2 weeks! So, the woman who thought she would be 37 weeks old, would actually be 35! These two weeks, which would totally make the difference at the time of delivery for the baby’s maturity.
Risks of Childbirth With 37 Weeks
Generally, the delivery with the highest incidence of problems for the baby is the elective cesarean delivery, since it would be a pre-scheduled date by the doctor to remove the baby from the uterus without knowing with complete certainty of lung maturity.
Ripening of the Lungs
This lung maturation is essential for a successful delivery , which would not cause any major problems for the baby outside the womb. The baby’s lung maturity can happen even before 37 weeks of pregnancy, but in other cases, the lung has not yet reached the ideal even at 39 weeks of gestation. Maturation depends on an enzyme secreted by the placenta which shows the degrees of old age. These degrees of the placenta can range from 0 to 3 and are perfectly normal.
As the placenta ages, it helps to mature the fetus’ lungs to prepare it for life outside the womb. Studies indicate that labor is started with the excess of this secretion from the placenta. The body can detect when the lung is fully formed and ready to receive oxygen breathed by itself.
Birth with Immature Lungs
When delivery takes place without any indication that the organ is ready to function, the baby is at risk of respiratory problems soon after birth due to little lung maturity. The baby may be born “tired” if you try too hard to breathe and in some cases, need help with oxygen and an oxygen balloon. Delivery at 37 weeks, even though it is considered the 9th month of pregnancy, does not guarantee this lung maturity.
Methods for Ripening the Lungs
There are ways to prevent such problems. When childbirth threatens to happen before the age of 9 months, the doctor may indicate that the mother uses a medication to accelerate this maturation.
The Celestone Soluspam , Celestone or simply plays the role of these hormones released by the placenta and this assists precipitated maturation . The woman should take about 3 doses, which can be increased as needed.
Examination For Verification
There is also an appropriate test to check the maturity of the baby’s lungs. The purpose of this is to check the quantity of lamellar bodies through the amniotic fluid. If the amount is more than 70%, then it means that the baby will be able to come into the world without any problems immediately after birth.
A quick and simple exam requested by the doctor, but which is not available in all medical centers in all cities. It costs around R $ 500 in specialized clinics. This type of examination is necessary when the pregnancy is at risk of being terminated very early, but it is also available for term pregnant women (over 37 weeks).
So friend, it is important to remember that the risk of having a 37-week delivery is not necessarily for the woman, but for the baby. The testimony of my obstetrician when I was in the last pregnancy, made me see the problem that several women get into when they are in a hurry to give birth.
Ideal Baby Birth Week
The ideal is to let the baby show when he wants to be born , or if you choose an elective cesarean section, try to leave the delivery for close to 39 and 40 weeks of gestation. Until then, your baby’s lung is more guaranteed to be more fit for birth.
When I was pregnant with Eduardo, the date of the last menstruation was almost 4 weeks apart for the actual fetal age. The pregnancy happened in the second half of January, when I menstruated in early December.
At 37 weeks of gestation counted by the DUM, the doctor, seeing a small pressure spike, decided to have a “necessary” delivery. In fact, I was scared because, as a doctor, he should know that he was not 37 weeks old, but almost 34 weeks old, that he would have a very premature birth.
As I was very apprehensive, I decided to have a second opinion, which the doctor advised me to wait a few more days. As a final result, I ran away from the “crazy” doctor with too much caution (the pressure was 13X9) and I had my baby with almost 41 weeks of actual pregnancy counted from the conception, the first ultrasound with an exceptional doctor.
I am sure that if there was a delivery at 37 weeks, Eduardo would be born with low lung maturity and problems like what happened with Joana. Moms, there is little care!
Taking advantage of the space, I would like to tell a novelty to our pregnant readers. Famivita and I, thinking about the nutritional needs and also difficulties of women during the gestational phase, developed a complete gestational multivitamin with all the vitamins and minerals important for fetal development with a differential of the other vitamins, the size of the capsule. As it is very difficult to swallow capsules and tablets during the period of nausea and nausea, which in some cases can extend throughout pregnancy, we produce the vitamin FamiGesta in small capsules that are easily swallowed, the size of an MM’s. You can purchase it here our online store.
My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.
Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.