- I am 25 years old, I am pregnant (first pregnancy and without abortions) and I work as a nurse at the Ambulance Service. I have 31 weeks and from 8 weeks I have problems with pregnancy: back pain and pelvis. I have been treated with No-spa, Scobutil, Gravibinon and Gynipral since 20 weeks, when I had a 3mm dilation. For a week I had severe pain, I was admitted, I received a response from my doctor to stay at least a month under treatment and rest, to get the baby in weight (1500g). Can the child be affected by the pain I have and the treatment I have had and why do I have problems with the weak uterus? Thank you!Answer:
At 31 weeks, the fetus is still small enough to be sure of its viability. Still the lungs are not fully mature and one of the big problems in the case of a premature birth would be this incomplete development of the lungs that can ensure their survival.
A pulmonary maturity check can be made by assessing the lecithin-sphingomyelin ratio; but it is too early to do so. The no-spa is an antispastic with action on the smooth muscles (therefore the uterine one), the Scobutil being an antispastic by parasympatholytic action; none of these drugs adversely affect the further development of the fetus.
Gynipral is a relaxant of uterine muscles, and Gravibinon is a hormone product based on progesterone (during pregnancy progesterone helps maintain and develop the placenta and conception product) - these two drugs are recommended under medical supervision due to the hypotension they can induce.
The treatment followed does not affect the subsequent evolution of the fetus as long as the indications of the obstetrician doctor monitoring the development of the pregnancy have been regularly observed. The main negative effect could be due to the sharp decrease in blood pressure values, which could lead to poorer oxygenation of the fetus (but the symptoms of a hypotension would have been felt in your first place).
The pains you feel, as they are the expression of uterine contractions, can also cause discomfort on the fetus, resulting in chronic suffering materialized by a poor development of the intrauterine fetus (which can be estimated ultrasound). What you can do to accomplish the task is to obey the doctor's instructions exactly, to try as much as possible to relax, not to undergo any stress; In an attempt to keep the uterine muscles as relaxed as possible until the end of the pregnancy period.
Good luck and health!
Dr. Ciprian Pop-Began
- Obstetrics and Gynecology -
Clinical Hospital of Obstetrics-Gynecology Prof. Dr. Panait Sarbu