Patient's question:
At 36 weeks pregnant, I experience some painless contractions daily. I have a double uterus, double vagina, and double cervix, with the pregnancy on the right side. Currently, the baby is in breech position with the umbilical cord wrapped around the neck once. There are no other symptoms, and I haven't experienced any physical discomfort myself. Could you please advise on the appropriate time for a cesarean section?Doctor's answer:
Painless contractions are a common phenomenon in the late stages of pregnancy. You need to have adequate rest to increase uterine contractions. However, if you are under stress or have engaged in strenuous physical activity, the uterus may be stimulated by internal pressure, causing the excreted progesterone to lose its effect, and the uterus will begin to contract again. Although these contractions are very strong and tight, as long as they are not frequent, there is absolutely no risk of premature labor. Before 37 weeks of pregnancy, if labor occurs, it may be considered premature, and after the baby is born, they may need to stay in an incubator for a period of time. Additionally, the risk of neonatal hardening syndrome and respiratory distress syndrome will significantly decrease. Therefore, it is recommended that you consider a cesarean section after 38 weeks of pregnancy. The patient faces the impact of cesarean section.