Labor Signs
Medical Author:
Jane K Witman, MD
Medical Editor:
Melissa Conrad Stöppler, MD, Chief Medical Editor
Melissa Conrad Stöppler, MD, Chief Medical EditorMelissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Labor Signs OverviewThe onset of labor is the most anticipated event of pregnancy. Many pregnant women fear they will miss the early signs of labor and be unprepared for the delivery of their child. Fortunately, the body provides several clues that the onset of labor is approaching. There are also signs of pre-labor that indicate that the body is preparing for delivery in the weeks to come. Since a normal gestation is 40 weeks, signs of pre-labor may be apparent at 38 or 39 weeks' gestation. In most cases, labor begins between 37 and 42 weeks after the last menstrual period. Of course, labor may also begin prematurely in some cases. Although gestational age can predict to a certain extent when the signs of labor and pre-labor will develop, there is no proven way to predict precisely when labor will begin. Labor Signs CausesNo one knows exactly how labor starts. Some researchers think hormonal changes in the fetus cause the placenta to produce increased levels of a substance known as corticotropin-releasing hormone. This changes the balance of the mother's hormones, which have kept the uterus in a relaxed state. Once the process is triggered, the cervix begins to soften and thin. In most cases, contractions signaling labor begin. Viewer Comments & ReviewsLabor Signs - PainThe eMedicineHealth physician editors ask:How much pain did you experience with your labor signs? Labor Signs - At 35 To 39 WeeksThe eMedicineHealth physician editors ask:What were your labor signs? |
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Vaginal Birth After Cesarean Delivery »
Vaginal Birth After Cesarean Delivery Introduction
In 1916, one doctor, EB Cragin, advised the New York Association of Obstetricians and Gynecologists, "Once a cesarean, always a cesarean." For the next 60 years, most obstetricians advised their patients accordingly. This was believed to be the safest management for women who had previously had a cesarean delivery.
Cesarean delivery, also known as cesarean section, is major abdominal surgery involving two incisions (cuts): One is an incision through the skin and abdominal wall and the second is an incision opening the uterus to deliver the baby. While at times necessary, especially in emergencies or for the safety of the mother or the baby, cesarean childbirth is not a procedure to be undertaken lightly by the doctor or the expectant mother. Many women who have had cesarean deliveries wish to deliver their next baby vaginally if possible. Vaginal childbirth occurs when the baby is delivered...
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