In this period already have come to the birth, if not earlier, because full-term pregnancy really has come to an end – this is the final week for delivery in time. But exactly at the expected date of delivery is not more than 5% of children, all the rest are born earlier or later period – and most often because when calculating the timing mistakes were made, for example due to late ovulation or if a woman is inaccurately stated the date of the last menstrual period. The children are ready to meet with you and the birth is about to begin. The kid very closely, he moves with difficulty and a harbinger of childbirth were brighter and stronger, before giving way to the birth pangs. In a good way!
Fetal development at 40 weeks: weight: size and gender
The child is fully ready to leave, he matured and gained the strength to extrauterine life, acquired individual facial features, like my mom and dad, gained weight and grew. Now fruit weight is about 3,500 to 3,700 in shops g and a height of about 54-55 cm, girls usually weigh and have a length less than boys. But a lot depends on the conditions of development, the mother’s physique and genetic characteristics, so the standards for full-term infants consider the weight from 2800 to 4000 g. All organs and systems of the fetus are fully prepared to extrauterine life and actively functioning except the lungs, which will begin its work together with a small circle of blood circulation as the birth and first breath of the baby. The child is placed head down for the most convenient way of birth, although it can be breech presentation, and tightly pressed arms and legs to the body that will facilitate childbirth.
The child is now plump cheeks, smooth skin of pale pink, his nose and ears tight, eyes open and close, had grown hairs on head, eyebrows and lashes are long and expressive. But the tuft of hair on the body completely disappeared, the ancestral grease remained only in places of natural folds.
The child because of the closeness of the uterus is not able to move actively, but moves still need to be tangible, not less than ten times in 12 hours is normal motor activity this week. Movement because of the closeness and physiological drought have become very clear and distinct, it is important to listen carefully in this period the movements of the crumbs – they can say a lot about his comfort. If the movements are extremely rare, or, on the contrary, active and very strong, this may indicate a strong discomfort of the baby and requires immediate consultation of doctors of the hospital. This may be a sign of fetal hypoxia and is an indication for emergency delivery.
Of course, at birth, the baby will be for you the most beautiful and loved, but many parents can scare the appearance of the baby. Head due to the passage through the birth canal can be stretched and deformed a bit, the body is covered with slime and the remnants of grease, the skin may be mottled or cyanotic, can be hairs through the body and long hair on his head. Due to the increased level of hormones can pripuhnut nipples on Breasts may be swollen genitals, eyes puffy, and the face can be even light bruises due to the passage of the birth canal. It all goes in the first days of life. Immediately after birth a baby will do to your Breasts, it is necessary for the gut flora and helpful to replenish energy reserves. After breastfeeding the baby wipe sterile diapers, will examine and will hold the first of his measurements – weight, height and circumferences. At birth, the baby will receive their first evaluation by the Apgar score, which gives you an idea of whether the baby in the help of doctors or you can leave it with my mom. The pen and the baby’s leg hang you birochki and surname, date and time of birth, weight and height,
Harbingers of birth and 40 weeks
In this period, labor should start any day now and the harbingers are felt stronger and more active. Although sometimes there are tendencies to perejivayu pregnancy, and having children later have the full forty weeks. I pervoverhovnyh in this period already occurred the lowering of the abdomen and the insertion of the fetal head into the pelvis, which became easier to breathe and to eat, lost the heartburn and discomfort, but has increased pressure on the pelvic bones and urinary bladder, the rectum, giving the frequent urination and constipation.
In addition, you may find disorders of the digestive system as nausea, and even vomiting, increased frequency of stool until diarrhea and weight loss due to toe swelling. This is also one of the harbingers of birth, a kind of cleansing of the body to facilitate the birth of a child. Usually such signs occur two to three days before the onset of labor. Thus there is a reduced appetite up to complete refusal of food, the weight no longer, and may even leave 1-2 kg.
The woman occurs a second wind with a burst of energy and desire to put everything in order, wash and clean up before leaving the hospital. It is important in our rush not to overdo it and not to overdo it, strength you will need in childbirth.
But the most obvious harbingers of birth will be discharge of mucous plug that may be detached clumps or gradually, due to the gradual cervical dilatation, and transfer of training in true labor, with discharge of amniotic fluid. Amniotic fluid may be varied before the beginning of fights or in the background to the onset of uterine contractions, usually since their divergence contractions become more intense and sensitive. Water is usually poured trickle on the feet or the flow of fluid transparent or whitish in color, but can be greenish or yellowish, if the fetus experiences hypoxia. And of course, onset of labor contractions are regular and painful uterine contractions occurring at regular intervals of time. They tend to become longer and stronger, and the time between contractions to rest is reduced. The difference from training is that they regular and do not vanish from the change position, relaxing or lying.
The delivery will take place in three stages, successive one after another. The longest will be the first stage of labor is contractions with cervical dilatation and preparing the birth canal for the passage through them of the baby. This period is the longest – it can take up to 10-18 hours, and again for giving birth to 10-12 hours. Later comes the stage of attempts since the full cervical dilatation to birth of the child. In this stage, the control of childbirth from midwives and the doctor to avoid complications and problems. Immediately after birth the baby is placed on the mother’s abdomen and the forward end of the pulsation of the umbilical cord, cut it, and there comes the third stage of labor — the birth of the placenta.
Baby inspected and evaluated by the Apgar, weighed and measured growth, inspect and attach a tag with the data.
As cause childbirth at 40 weeks
Sometimes there is a need to promote childbirth in this period to avoid any tendency to perejivayu. This is necessary when fetal hypoxia, when a large fetus or some other conditions. Usually for induction of labor your doctor may recommend a sex partner because seminal fluid acts on the cervix women as a means to prepare her for childbirth. You can recommend the woman foot or intensive physical activity. Receiving a warm bath, rich in fiber food or aromatherapy.
But if these solutions don’t work, doctors may resort to some radó-stimulating actions. It can be obstetric coli, introduced into the cervical region, the kelp, which stimulate the cervix, as well as maintenance of prostaglandins or oxytocin, the opening membranes. Type of stimulation will be determined by the doctor based on the indications for induction.
The feeling of the future mother
The main sensation will be the fatigue and discomfort of the harbingers of birth, which will clearly remind yourself. First of all, you will breathe easier and slightly lower weight, but the appetite may be poor, while concerned about the diarrhea and nausea and vomiting, due to preparing the body for childbirth. When you find it difficult to sleep, the stomach prevents the adoption of a comfortable position, sleepless and endless trips to the bathroom, because going swelling, and the head presses on the bladder. Due to the lowering of the fetal head in the pelvis also may increase and constipation, affect the General condition.
Now changing hormonal background, and with it the mood – an emotional lift because of the nesting syndrome may be replaced by a sharp tearfulness and fear of childbirth, irritability and fatigue. Huge belly prevents to walk, get dressed and do the usual things, changing the gait clumsy and makes. The skin on the belly may itch and itch that may occur or to intensify the stretch marks, the belly button sticks out. The most unpleasant will be the fetal movements, now they are not so frequent, but palpable and even painful. The fetus closely in the uterus, and only slightly he’s kicking or tossing and turning a bit. It is important to closely monitor the baby’s activity, and report everything to the doctor.
Now you have a possible different pain arising due to the fact that the belly dropped and the baby presses on the pelvic area of the bladder. This can pull or ache back, you may experience pain between the legs, in the sacrum or pelvic bones due to the weight of the fetus and pressure on these areas. When this ligament is weakened under the influence of hormones and this leads to discomfort. You may experience pain in the legs due to the change of the center of gravity of the body and rapid weight gain, and can also be pain in the thigh due to compression of a large uterus femoral nerve.
If you feel pain in abdomen, occur spotting or petrifies stomach, you experience discomfort, flies in the eyes, nausea, vomiting, the pressure rises immediately to the doctor, it may be signs of threats to pregnancy. It is important to immediately hospitalized at the hospital.
Main sensations arise at the beginning of fights is increasing painful uterine contractions that cause cervical dilatation. To ease the pain of childbirth in modern maternity hospitals used methods of anesthesia, but should not be abused – analgesia is prescribed according to individual indications for pregnant women.
Previously it was thought that an orgasm during sex during pregnancy can induce labor, but these data have not been confirmed, although in this period it is possible to begin maternity leave. Sex will not hurt you and baby if you want it, but you should choose a comfortable posture, and avoid deep penetration and sharp movements. It is also known stimulating effect on the labor activity of sexual contact and partner’s sperm. But still this question is to consult a doctor.
This week you need to carefully monitor the discharge from the vagina, as by their nature you can tell a lot about the last days of pregnancy. Normal for this week will be light mucus, which become viscous and stringy due to the hormonal changes and the gradual discharge of the mucous plug that was blocking the cervix from contact with the outside world. Also the selection can be brown or pink due to the admixture of blood from small capillaries during the preparation of the cervix.
If you find spotting or bleeding, you need to immediately call an ambulance and go to hospital. These secretions can be a sign of placental abruption, which is dangerous for the baby and the mother and requires immediate delivery. No less dangerous and will change the colour of the discharge to green, yellow, gray or white flakes like curd. It is a sign of thrush or genital infections before delivery is quite undesirable and may complicate childbirth, lead to a transition of the infection to the fetus. Such emissions require immediate treatment.
Spotting, requiring immediate departure to the hospital, will exhaust or leaking amniotic fluid. They can depart immediately flow in the legs or leak in small portions, which leads to wet clothes. If in doubt, water it a worth buy in a drugstore the test strip and to determine the presence of amniotic fluid in the secretions. Then immediately need to go to the hospital, delivery should occur in the next few hours.
The condition of the uterus at 40 midwifery week
Usually by this time the bottom of the uterus falls due to relaxation of the internal OS of the cervix and prepare it for childbirth. This leads to dense the pressing head to the exit from the pelvis. A woman may feel periodic uterine tone – training fights, which gradually will be replaced by true. True contractions – rhythmic uterine contractions, which lead to the fact that the opening of the cervix for the passage of the fetal head.
In this period, all routine ultrasound has long passed and additional research can be conducted only for special reasons and a doctor’s appointment. An ultrasound or Doppler studies are shown for the control condition or the exclusion of his suffering (hypoxia, abnormalities). Using ultrasound the doctor can assess the condition and structure of the placenta, the degree of its maturity and the presence of calcifications. It will talk about how well the placenta is doing its job. If the placenta is highly aged, it can not cope with its responsibilities, and the fetus will experience hypoxia. By ultrasound will be specified period and the estimated weight and the growing fetus, the condition of his internal organs.
Also looks and umbilical cord, its location and the length of any entanglement with it of the neck of the fetus. If identified at birth will be shown a special allowance with which a loop of umbilical cord removed from the neck of the fetus and do not provoke suffocation. According to the ultrasound data is evaluated and the uterus is the state of her walls and cervix ready for childbirth. Possible and conduct a 3D ultrasound but all the crumbs you cannot see, the dimensions are too large.
The symptoms and signs of drought and arthrogryposis
By ultrasound and physical examination of the abdomen can determine the amount of amniotic fluid and to determine the presence of the oligohydramnios, or arthrogryposis. This state of sudden excess or reduction of the amount of amniotic fluid than normal. Polyhydramnios is the excess amount of water by 40-50% or more, it is dangerous to the development of abnormalities of labor activity, the weakness in the labor force and discordancies, loss of fetal parts or umbilical cord.
Oligohydramnios before birth can be physiological, this is due to less free space in the uterus and prepare the fetus for birth. The amount of water decreases in order to reduce the probability of loss of the umbilical cord during labor and distension of the uterine wall with poor contractility. Accurate diagnosis of these conditions can be ascertained when conducting ultrasound and measurement of volume of water.
The common cold and ways to treat
This period is very undesirable development of SARS – if there is a temperature manifests a runny nose or start coughing, immediately consult a doctor to decide how to treat the common cold quickly and effectively, so it doesn’t reflect on the birth process and has not resulted in disease of the newborn. If the cold caught you almost at birth, to give birth to have in observation Department of the maternity hospital, where each labor has its own boxed delivery room and the ward to prevent the spread of infection. The baby at the time of your illness can isolate you from the children’s ward until you heal.
Diet and weight mom
The weight gain will stop, although the child is continuously growing, but you can not add a single gram, or even lose up to two pounds. On average, the weight gain may be by this date to 12-13 kg, although there are fluctuations depending on the physique and the initial weights from 8-9 to 17-18 kg or more. In this week appetite is reduced and you may not want to eat, and should go light on dairy and vegetable dishes, to drink fermented milk drinks and herbal tea.
Your nutrition in this period must be fractional, small portions and light, rich in fresh vegetables and fiber to prevent constipation. You should avoid spicy, fatty and fried foods, can occur vomiting and heartburn. Is to drink pure non-carbonated water, weak tea or natural juices.