24 week pregnancy is the most pleasant period of waiting for a baby, when discomfort is minimal, expectant mother looks beautiful and the baby is active. Now all know your position, and you enjoy your pregnancy, gradually gaining weight and gradually preparing for the imminent birth. Baby has grown up and became stronger, weighs more than 500 grams, and if the birth for some reason happens in this period will have a chance of nursing in the special conditions of incubators and intensive care.
What happens at 24 weeks pregnant
24 weeks of pregnancy is the first week of the sixth month midwifery, and the end of the fifth calendar month of pregnancy, the second trimester of pregnancy. In this period it is important to lead a healthy lifestyle and stick to routines, since this affects your health and overall well-being of the fetus. Due to the saturation of blood with oxygen mom is an active development of the nervous system and lung tissue. Gradually the body weight increases and need to rest more often, so as not to feel heavy legs and fatigue. To prevent changes in veins and swollen legs often lift on the platform, control of weight gain and the amount of fluid you drink.
Your belly has become noticeable bulge, by raising the bottom of the uterus becomes harder to breathe, you may experience digestive problems and discomfort, heartburn, constipation, cramps, swelling, etc. The uterus is actively preparing for the imminent childbirth, and may experience false contractions of Braxton-Higgs. They are not dangerous, painless, irregular, and gradually prepare the uterus for future real fights. If false labor contractions cause discomfort – it should lie down to rest and to listen carefully to the body. If contractions are regular, painful, or if they have bleeding from the vagina, immediately call the ambulance.
In this period gradually may adhere fatigue, so you need to often take breaks to rest. If possible, you need to sleep during the day. In this period changes the metabolism of glucose, it is actively spent on the needs of the child and the mother, so it is important to control the blood glucose level. If glucose is elevated in the blood and appear in urine – this may be a harbinger of diabetes pregnant women, should undergo an examination by an endocrinologist and adjust diet. Gestational diabetes increases the risk of complications at birth, may lead to overweight in a child, reducing the pressure and severe condition at birth.
Due to active growth of the child it becomes less space in the womb, the skin on your abdomen stretches, it may occur itching and flaking, dryness and stretch marks (striae). The skin of the abdomen can clearly show through the blood vessels. The uterus may compress the bladder and kidneys, resulting in frequent urination and may provoke inflammatory processes in the predisposition to them.
Due to the change of the center of gravity is changed and the load on the body that can manifest in pain in the back and waist, to help alleviate the condition can gymnastics and fitness classes, yoga, wearing a special bandage comfortable shoes without a heel. Also, due to the deficiency of calcium and magnesium can cause cramps in the legs, which can be very painful. To prevent them, requires frequent rest for the feet, cool foot bath, intake of calcium and magnesium, massage the calves and make the legs of the exalted position.
The development of the fetus at the twenty-fourth week: weight: size and gender
In the period of 24 weeks of pregnancy the baby grows up to 30 cm and is gaining about 600 grams. In the womb he was already a bit crowded, although it may still be quite active and move several times a day to change the position of the body, although flip-flops do not work. The fetus is active and his movements are becoming stronger and more confident. In the period of wakefulness the child makes itself felt active movements, his movements are clearly felt by mother and others – if you put your hands on the belly or watch it. The baby can hiccup or cough, it feels like rhythmic contractions in the stomach. The child develop rhythms of sleep and wakefulness, the majority of the time he sleeps and dreams, and in periods of wakefulness actively moving.
The organs and tissues of the child are improved, actively involved in the work of all organs and systems, even the baby makes breathing movements, filling the lungs with amniotic fluid and «exhale» them back. Has already formed the bronchial tree, and from that time the inner surface of the lungs will gradually be covered by a special film – surfactant, which will not give easy to dry from the inside and sticking on the exhale. This term has been gradually incorporated in the sebaceous and sweat glands that produce original grease.
Actively developing the brain – it creates gyrus, sulcus and cortical centers with neural connections. This gives you the opportunity to improve reflexes and senses. The child can now see and hear, to distinguish between tastes and touch. He is already showing the first emotion and need to communicate with the baby, as mom and dad. The child has acquired its own characteristic features, and now it will look almost like birth, only a bit of accumulated fat in the cheeks. Not less active it will accumulate brown fat in body cavities and under the skin, this fat gives a high level of thermal energy and helps in the first days of baby’s life to maintain its energy metabolism and body temperature. At the expense of its own growth hormone, the child is actively growing and gaining weight.
The feeling of the future mother
Now the condition of the expectant mother is great, she’s mostly concerned about the discomfort and she can enjoy his position. The mood now is very positive, joyful and all thoughts are pregnancy and fast birth. The stomach is actively growing, the hips widen, the Breasts are preparing for lactation and can now stand out the first portions of colostrum. But if not, don’t worry, on further lactation the presence or absence of colostrum in pregnancy does not affect. Now one may feel the emotional rise and burst of energy, almost no mood swings, and this leads to the fact that the woman actively goes shopping, works, raises a lot of repairs in the house that can lead to fatigue, the tone of the uterus and discomfort.
Now appearance improves women hair become thicker and acquire the luster, the skin becomes clean and smooth, pink cheeks. But can be and increased hair greasiness or excessive dryness, is to monitor the condition of the skin and hair, they usually suffer from deficiency of vitamins and minerals.
Now the movement became distinct and confident, as they felt the shocks, stretching, kicks and even pain, if the child rests in the uterine wall or under the ribs, perelavlivaet Vena cava or the sciatic nerve. Due to the increase of body weight and action of hormones may occur swelling of the face, extremities. This occurs due to water retention and consumption of salty, spicy or sugary foods, is to review your diet and control your fluid intake throughout the day. With this period is an active set of body weight – up to 500 g per week. You will need to bring loose clothes and comfortable shoes. You may experience sweating that is solved by frequent showering and use of liquid, refusing to wear synthetic clothes.
Of uncomfortable and unpleasant feelings may arise:
- impaired gait and mild morbidity due to relaxation of ligaments in the hips and slight divergence of the pubic symphysis,
- discomfort in the back and loins, pain in the sacrum and the pelvis,
- can occur hemorrhoids with pain in the rectal area and bleeding,
- pain in legs and swelling, especially in the evening, cramps in legs, heaviness in the legs.
Need often relax, pay special attention to regular physical activity, nutritious food and sleep.
The condition of the uterus for 24 midwifery week
There is an increase in the size of the uterus due to the active growth of the fetus, and the uterus now rises to 4-5 cm above the navel that is approximately 24 cm from the womb to the bottom of the uterus. Its walls are relaxed and soft, the uterus periodically conducts training movements (Braxton-Higgs). The region of the cervical canal connecting the uterus to the vagina, gradually filled with mucus, forming a tube, which will depart closer to childbirth. Increases the amount of amniotic fluid, the number reaches 400 ml, they are upgraded to 10 times per day, along with leaving the placenta to the baby essential nutrients and removing the products of metabolism.
At every doctors appointment the doctor will evaluate the condition of the uterus, to determine the fundal height and uterine tone, position of the fetus within her. The doctor will measure the circumference of the abdomen, which gradually increased.
Routine ultrasound in this pregnancy are not routinely offered, and if appointed by ultrasound, is typically indicated. It is dangerous and will not affect the status and development of the fetus. According to the data of ultrasound determined gestational age is calculated the estimated weight and fetal growth are determined by certain indicators that reflect the status and development of the fetus.
The doctor will carefully examine the internal organs of the fetus, the parts of his body and their level of development, no malformations and anomalies. Especially important is the study of structures of the brain, heart and kidney, and limb length. Also determines the state of the walls of the uterus and cervical area, position and thickness of the placenta, umbilical cord and uterine-placentary the blood flow velocity imaging.
In this period may determine the position of the fetus in the uterus, although it is not yet stable and placenta previa, a low placentation. Then the study will be administered often to monitor the condition of the placenta and fetus to spot problems in the development and threatening condition. When identifying on the ultrasound suspicion of the genetic abnormalities or malformations is assigned to genetic counseling and further studies. Much experience is not necessary – ultrasound also can be wrong.
In the second trimester of pregnancy, the discharge may be somewhat more abundant than previously, but they must be of a certain type and consistency. Normal discharge has a moderate volume, uniform consistency, transparent or whitish, almost odorless. Dangerous symptom will be the appearance of blood discharge on underwear – this can indicate placental abruption or early preterm birth. It should also consult with the doctor at occurrence of brown discharge on my underwear after an exam or sexual intercourse – this may be a problem with the cervix.
Pathological secretions are yellowish, greenish, grey discharge frothy, flaky, cheesy, hearty, and uniform, thick discharge with an unpleasant smell like rancid or fish, with mucus or pus. The discharge might be accompanied by irritation of genitals, severe itching and burning. This indicates the presence of infections – yeast, bacterial vaginosis or sexually transmitted infections. They must immediately identify and treat self-treatment or no treatment is unacceptable, it can lead to complications and lesions of the fetal membranes and the fetus.
If the discharge is liquid and rich, have a special sweet smell and are constantly wet underwear, you need to buy in a drugstore special strip test for leakage of amniotic fluid. It will be shown that such discharge or amniotic fluid. If in doubt, should consult a doctor.
Tests and examinations
To monitor the condition of the woman and fetus undertakes a number of special tests. If there are no other indications, in the period of 24 weeks is only a General analysis of blood determination of hemoglobin and urinalysis. These analyses, despite their simplicity, indicate the state of organs and body systems. In the urine to check the level of white blood cells and red blood cells, microbes and protein. Can optionally be assigned a blood test for glucose to detect diabetes risk. I need to test for tolerance to glucose load.
On the recommendation of a gynecologist or medical specialists conducted more tests – a blood clotting, hormone studies, blood chemistry or liver function tests. In the presence of unsatisfactory smear can be assigned to the test smear PCR for the presence of latent infections.
Cold and flu
This term is to protect yourself from colds and flu, they occur in pregnant women harder due to decrease of immunity, and can affect the development of the nervous system. Heavy vices they did not cause, but may be disorders of a functional nature in the form of neuroses, disorders of muscle tone and decrease in intelligence. Threat may be the presence of temperature and coughing that can provoke increase of a tone of a uterus and the threat of premature birth, placental abruption and bleeding.
In the presence of a cold forbidden Smolina – many drugs can cross the placenta and adversely affect the child. Therefore, all therapeutic measures should be discussed with your doctor.
Diet and weight mom
With the growth and development of the baby, the mother starts gaining weight. Normal weight gain at this time is 6-9 kg, to plump moms about 4-5 kg for thin – up to 10 kg. With this period of weight gain weekly will be about 300-500g, gain more than this amount can speak about the fluid retention or excessive diet.
You should carefully consider your diet and drinking regime, consult with your doctor about the consumption of liquids and the condition of the body, correct diet. Excess weight by the end of pregnancy can have significant complications during birth and then have to come back into shape.
Diet pregnant women should follow in this life the principles of a healthy diet, only organic foods, boiled, baked, stewed, steamed dishes, a sufficient amount of animal protein and vitamins and minerals. Should abandon smoked, fatty and fried foods, products that have not undergone the required heat treatment and fast food. It is necessary to limit in the diet sugar and sugar products, salty and spicy dishes, products made of white flour and pastries.
For prevention of anaemia it is necessary to enter in the food like red meat, liver, buckwheat, pomegranates and apples. Useful for assimilation of iron are foods rich in vitamin C. it is also helpful foods rich in iodine, magnesium and calcium. In the daily diet should be at least 400 grams of fruit and vegetables, dairy products, meat or fish. On the recommendation of a doctor the tendency to swelling and excess weight can be assigned to fasting days – kefir, buckwheat or Apple. To prevent constipation it is necessary consumption of fiber, or add to the nutrition of the bran.
Sex on the twenty-fourth week
In this period of intimacy can be a source of new sensations and positive emotions. If there are no contraindications sex will be a useful and enjoyable experience for both partners. However, you need to choose the most comfortable posture with regard to the rounded tummy. The fruit of intimacy does not adversely affect, and pleasure hormones produced during orgasm, lead to the activation of blood flow in the uterus and placenta. It is necessary to abandon the deep and hard penetration forms of sex, strictly to keep clean.
Contraindication for sexual intercourse in this period can be isthmic-cervical insufficiency, low placentation or placenta previa, increased tone of the uterus.