‘Ab pachta rahi hoon ki maine shaadi kyun ki itni jaldi’: Govinda’s wife Sunita Ahuja on losing her second child; common causes of preterm labour

Reflecting on the experience and how losing a child made her feel, she said, “Mera toh haalat kharab ho gaya tha (I was in a really bad state). She was born and she was three months (old). Premature thi, 8 mahine mein paida ho gayi thi (She was premature, born at 8 months) because I was travelling too much with Govinda. Mujhe nahi pata tha… pehla delivery toh aaram se ho gaya, mujhe laga doosra bhi aise hi ho jayega toh mujhe nahi pata tha ki weight nahi uthana hai, toh iske chocolates utha utha ke main Singapore airport mein (I didn’t know… my first delivery was smooth, so I thought the second would be the same. I didn’t know I shouldn’t lift heavy things, so I kept lifting her chocolates at the Singapore airport). Bombay I came toh water bag burst 7.5-8 mahine mein. Then she was born. I became pagal (crazy) at that time.”

Sharing how she recovered from this incident, she spoke about eventually making herself strong. “Uss time bhi (At that time) I was very young. She (Tina) was born, I was 19. Kitna choti thi main, I swear, maine toh college bhi nahi dekha hai. Ab pachta rahi hu ki maine shaadi kyu kiya itna jaldi (I was so young, I swear, I didn’t even get to experience college. Now I regret getting married so early).”

This sheds light on the importance of understanding maternal health and the factors that can influence it. Preterm labour, or labour that begins before the 37th week of pregnancy, is a significant concern for expecting mothers. While there are multiple causes, from medical complications to lifestyle factors, managing stress and making informed health decisions can help reduce risks.

Most common causes of preterm labour, and how they can be identified early 

Dr Vinutha G, senior consultant, Obstetrics and Gynaecology and women health expert at Athreya Hospitals, says, “Infections, such as intrauterine infections and bacterial vaginosis, trigger inflammatory responses that weaken the foetal membranes, as noted by the American Journal of Obstetrics and Gynecology. Cervical insufficiency, characterised by inadequate cervical closure, can lead to premature dilation under the growing foetus’s pressure. Placental disorders, including abruption or previa, may initiate early contractions or labour. Uterine overdistension, due to multiple pregnancies or excess amniotic fluid, adds strain to the uterus, while lifestyle factors like smoking, substance abuse, and inadequate prenatal care further heighten the risk.”

Early detection of preterm labour is vital for effective intervention, Dr Vinutha notes. Cervical length screening through transvaginal ultrasound helps assess cervical shortening, a key predictor of preterm birth. “Similarly, the foetal fibronectin test identifies the presence of a specific protein in vaginal secretions, signaling the likelihood of preterm labour. Maternal symptoms such as persistent back pain, pelvic pressure, or unusual vaginal discharge warrant immediate medical attention. A meta-analysis published in The Lancet underscores the importance of timely intervention, with the administration of tocolytics and corticosteroids significantly improving neonatal outcomes.”

Early detection of preterm labour is vital for effective intervention (Source: Freepik)

Practical tips for maintaining maternal health during pregnancy

Dr Vinutha suggests the following:

Nutrition: Focus on a balanced diet rich in lean proteins, whole grains, omega-3 fatty acids, and iron. Adequate intake of folic acid and calcium is critical for foetal development. Limit processed foods and ensure sufficient hydration.

Physical Activity: Engage in moderate exercise like walking or swimming. Avoid high-impact activities that strain the abdomen. Follow pregnancy-specific strength training guidelines to enhance core stability.

Time Management: Prioritize rest by delegating household or professional responsibilities. Schedule regular breaks to reduce physical strain during work.

Avoid Harmful Exposures: Refrain from heavy lifting, prolonged standing, or exposure to environmental toxins.

Prenatal Care: Regularly monitor maternal and fetal health through prenatal visits. Discuss individualised risk factors like preeclampsia, gestational diabetes, or infections.

Workplace Adjustments: Request modified duties or flexible schedules to accommodate pregnancy-related needs.

DISCLAIMER: This article is based on information from the public domain and/or the experts we spoke to. Always consult your health practitioner before starting any routine.

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