A baby’s skin is becoming thicker layer of fat increases, it literally grows every day. Baby is actively moving and the mother clearly feels all the movements, but as long as they do not cause much discomfort. Can occur the first training Braxton-Higgs, but they are not dangerous and painless. A woman’s body changes more and more, belly is already clearly visible, the body weight increased significantly. Now it becomes more difficult to find a comfortable posture for rest and sleep, but overall the condition is pretty good.
Changes in the body at 23 weeks (specify how many months is 23 weeks)
The 23rd week of pregnancy is the second trimester, obstetrics sixth month, the third week or the fifth calendar month, the second half of pregnancy. At this time there is a blossoming woman, she looks great despite the weight gain and rounded tummy. Set that the process of programmed cell death slowed, but the process of their growth accelerated due to the actions of hormones, rapid hair growth, they become lush and thick, they are much less fall out, your nails grow well. The skin may change and become more value sensitive to the sun. Under their influence the skin of the face and body can form dark spots. Became brighter strip of skin from the pubis to the navel, the areola area of the nipple, there may be spots on the hands.
Due to the growth fibroids may cause nausea if excessive eating – this happens because squeezed the intestines and biliary tract. Is to rest more often, eat smaller portions, limit annoying that increase flatulence and constipation products. The uterus should be compressed and also the kidneys, leading to problems with the flow of urine, to discharge periodically throughout the day should take the knee-elbow position, which will improve circulation in the area of internal organs.
The growing uterus can cause heartburn, so you should choose a remedy to alleviate this painful feeling. Taking medication without the consent of the doctor to practice is not necessary, it can harm you and the fetus. Also the uterus is gradually running out and light, therefore it is necessary to learn slowly and deeply to breathe, to spend more time outdoors. Uterus presses on the bladder, causing more frequent trips to the toilet, so try not to eat at night a lot of liquid, so as not to disturb the sleep of going to the toilet. Ha by the action of hormones washes to occur and some fluid retention with the formation of edema – can become a close ring, a watch strap. Small fluid retention is not dangerous, but if the swelling is strong – you should immediately see a doctor, reduce your salt intake in the diet and control the amount of fluid you drink. Can deteriorate dental health because of increased costs of calcium for the needs of the fetus, should visit the dentist and properly care for the oral cavity. No less important is personal hygiene and proper skin care, it can become sensitive because of the action of hormones and in the abdomen due to its expansion.
The development of the fetus at the twenty-third week: weight: size and gender
In this period the fetus weighs about 500-550 g and achieved growth in see 28-29 In this period of rapidly growing brain of the fetus, its weight increased from the moment of conception more than ten times, and now it actively increases the weight of the brain is now up to 30 For its normal development it is now important regular flow through the placenta oxygen and nutrients. It is now essential to regularly walk and move, to eliminate disease and stress, leading to the development of fetal hypoxia. Now the child is already relatively formed, although the organs and systems are not yet ready for independent living. If delivery for some reason will occur in this period, the child will go out very difficult, so you need to keep away from all the trouble.
By this time almost fully formed digestive organs – esophagus, stomach and intestines are working, pancreas and liver release enzymes. The baby can swallow amniotic fluid, forming the first portions of the meconium. Simultaneously, the child trains the lungs, which can lead to the development of hiccups. It is felt by the mother as mild rhythmic shaking belly coaching the diaphragm of the fetus. In addition to digestive enzymes, the pancreas produces insulin for the assimilation of the fruit of glucose.
Baby’s skin is still wrinkled and red, but gradually fades, accumulates subcutaneous fat. The work included the spleen, which controls the development and destruction of spent red blood cells. Formed and clearly visible on ultrasound, the genitals of the child, and it is possible to determine the sex of the fetus is a girl or a boy. The boy distinctly revealed scrotum, still without testicles, the girl formed the ovaries with the eggs. The limbs of the child are well developed, the legs are considerably longer and more handles, the fingers formed nails. The baby’s entire body and his face covered with lanugo (vellus hairs). The child is formed, the periods of sleep and wakefulness, the scientists assume that children in the womb have dreams, as they are identified REM sleep. The baby sleeps a lot, waking up every hour or two for a little while to warm up. Mom already clearly distinguishes his movements, and some movements can cause even mild discomfort, if you legs baby rests on mom in the ribs.
Fetal movement is already quite coordinated, she can suck a finger, to touch itself and the uterine wall, grasping the umbilical cord. While the child looks very skinny with a large head and folds on the skin, baby has increasingly fetal position bent and pressed to the body and legs. His senses are already working – eyes open, ears hear sounds, the tongue discerns the taste of amniotic fluid. In this period there is a debugging and improvement of all its systems, strong growth and weight gain, the baby prepares for its birth.
The feeling of the future mother
Usually women in this period feel good, discomfort from the body occurs at least, with all of the senses focus only on communicating with the baby. The midsection has increased significantly and distinctly sticks out, my mother feels fetal movements, which gives her joy. She feels somersaults, kicks and moves, and sometimes even fetal hiccups. Now the child several times a day can change the position in the uterus and lie down as head up or down. Sometimes from the sharp kicks of the baby may experience discomfort under the ribs or sides of the abdomen. May also experience discomfort due to the tension of the uterine ligaments that are pulling in nature and are held after the adoption of a comfortable position of the body. The uterus when it is relaxed and soft.
You may experience pain in the pubic symphysis, fusion of pelvic bones, which gradually diverge, to widen the outlet of the pelvis for the baby. This may change the gait. You may also experience heaviness and pain in the legs, especially the tendency to varicose veins. This is due to the increased weight of the body and swelling can be habitual close shoes, washes easy to form flat feet. You can combat this with the help of convenient footwear and special insoles in shoes for pregnant women. Due to violations of the outflow of venous blood in the abdomen can result in unpleasant disease – varicose veins of the legs and the genital area, as well as hemorrhoids. The latter may also occur due to constipation, accompanied by pain in the rectal area, bleeding and prolapse. To treat hemorrhoids necessary with the participation of the proctologist, do not self medicate.
The condition of the uterus in 23 midwifery week
Belly this week already big enough, but still doesn’t hinder you to put your shoes on and get dressed. However, during sleep it is much felt, as you long have to find a comfortable position. On my stomach and on my back is already uncomfortable and need to use pads for the legs and waist.
The uterus has now risen by about 4 cm above the navel, and the bottom of her womb is now at a distance of about 23 cm. the Uterus is entering a period of active preparation for childbirth, trained by false contractions of Braxton-Higgs. This irregular short duration contractions of the uterus, when it becomes denser. There is no pain, discomfort and discharge, contractions are irregular and weak. If there is pain, contractions intensify or become more frequent, it should immediately call an ambulance.
Ultrasonography (USG) — norm
In the period of 22-24 weeks of pregnancy are often prescribed second screening ultrasound of the fetus. In this period it is important to assess key indicators of ultrasound:
- height and weight of the fetus,
- compliance with term of pregnancy,
- fetal heart rate and the blood flow in the placenta and umbilical cord,
- the position of the fetus in the uterus,
- the condition of the walls of the uterus and placenta,
- the number and nature of amniotic fluid,
- key indicators of the fruit (the circumference of head and chest, the size of the large bones),
- the sex of the child, if the parents so wish.
In this period it is possible to conduct both conventional and 3D-ultrasound in which the baby can be seen in three dimensions and in real time. This allows us to consider the facial features, fingers, and for the doctor this is an excellent opportunity to assess the correctness of the structure of the internal organs.
According to ultrasound assessment of fetal growth, may be noticed certain deviations in the course of pregnancy and timely treatment. Especially closely assess placental location and distance from its edge to the internal OS of the uterus. Low placentation will require further dynamic follow-up ultrasound for her position.
In the second trimester of pregnancy, many women note increased vaginal discharge that washes a little confusing. This is a normal phenomenon, due to the influence of estrogen on vaginal mucosa and increased production of secrets to protect the fetus from infection. At the same time allocation should be uniform, transparent, or whitish, with virtually no smell or impurities, should not leak drops or constantly wet underwear (this may be amniotic fluid). In this case the allocation must not cause irritation or itching in the perineum and genitals.
If the discharge is liquid and rich, sweet smell – you should consult a doctor, it could be amniotic fluid, leaking due to violations of the integrity of membranes. This condition is dangerous infection of the fetus and the early labor earlier period. No less dangerous and will be brown or bloody discharge that could indicate cervical pathology or placental abruption, preterm birth is the beginning.
In the presence of infection selection can also change your character – are considered pathological selection of white, cheesy or crackvideo character (can indicate macnica) or gray, greenish, yellowish, with an unpleasant fishy or other smell. The discharge might be accompanied by perineal irritation, redness and itching. In these cases, you must consult a doctor to do a swab from the vaginal flora and treatment of those drugs that are approved for use in pregnant women. The presence of infection while carrying a baby can lead to infection of fetal membranes or threatened premature birth.
What tests to pass
In addition to ultrasound in the second trimester of pregnancy need to pass a few important tests. To reflect the health status of women and pregnancy. In the period of 23 weeks can be assigned:
- General blood analysis with particular attention to levels of hemoglobin,
- the General analysis of urine,
- a blood test for glucose,
- coagulation (definition of coagulability of blood),
- a blood level of HCG and progesterone (if needed), the blood level of other hormone.
When kidney problems or edema may further be assigned daily urinalysis with the detection of its density, protein and total drunk and allocated liquid. If there are changes in the analyses, women assigned to additional consultations of doctors-specialists and the necessary treatment, until the stationary.
At each visit the doctor will measure a woman’s weight, abdominal circumference and the fundal height of the uterus, pressure and heart rate.
Cold and flu
Any colds and infections, in particular influenza, are dangerous in this stage of pregnancy. Although the immune system of the fetus about protecting it from viruses and microbes, however, fever, runny nose and a cough can lead to increased tone of the uterus, premature labour and abnormal effects on the developing fetus and its nervous system. In addition, intake of medicines during pregnancy may also affect the fetus, so at the slightest sign of sickness required bed rest and call a doctor.
Diet and weight mom
In this period many women are already feeling a substantial increase in body weight, which averages 5-8 kg, slender women, up to 10 kg. It can lead to foot fatigue, back pain and discomfort. Therefore, this period should be quite attentive to their nutrition. Should abandon salty and spicy, spicy food – they retain fluid and give the swelling and weight gain.
You need to eat fractionally, small portions, preferring the dairy and plant products, eating a lot of protein. Food should be varied, rich in vitamins and minerals, a daily diet should include greens, fruits and vegetables that will help in the regulation of the chair. No less attention should be paid to intake beneficial fruit drinks, juices, mineral water, banned soda and highly sugary drinks.
Sex at 23 weeks
Sexual relations in this stage of pregnancy bring pleasure and joy, to abandon them, if there are no contraindications, it is not necessary. At this time, many women report increased libido and sensuality, and the fact of pregnancy paints the relationship in a new color. When the hygiene, care and proper selection of postures of sexual relations can continue in full. Should abandon rough sex, deep penetration and awkward postures. Sex can be forbidden when carrying twins, when there is a history of preterm delivery, cervical insufficiency, low placentation or placenta previa. However, it should be remembered that a change of partner during pregnancy is highly undesirable in pregnancy the microflora of the vagina are especially sensitive and can cause infection and inflammation.