It is the 37th obstetric week. This time is marked by active preparation of the future mother to the birth of the baby. If childbirth happens at the 37th week of pregnancy, they will not be premature, the newborn child is considered to be full-term by medical standards. Today we will take a closer look at what happens to the fetus and what the woman feels at the final stage of carrying the baby.
Feeling pregnant at week 37
- It is characteristic for a woman in the thirty-seventh week of pregnancy to be in an impatient state of waiting for the onset of labor. The desire to give birth to the baby as soon as possible is reinforced by those around him who are constantly curious, when the baby will be born.
What may worry the future mother at this time:
- distinct tearing pains in the pelvic and perineal region,
- pain in the calf muscles and joints of the legs,
- numbness of the limbs, convulsions at night and daytime,
- intense pains in the coccyx, lower back, of long duration,
- perceptibly strong jolts of the child (although more rare in comparison with the previous weeks of pregnancy),
- pulling sensations in the lower abdomen, reminiscent of menstrual pain.
If a pregnant woman is worried about frequent aching pains in the abdomen, you should not waste time - you need to consult a gynecologist. Although the feeling that pulling the stomach, it is quite normal for the third trimester, it is worth once again to be safe.
The main precursors of childbirth at the 37th week
- "The belly went down - childbirth will not keep you waiting." This forerunner has been noticed by women for many centuries, and it has real grounds for assuming that the pregnancy is coming to an end. In the 37th week of pregnancy, the woman’s abdomen goes down, and the head of the baby moves to the pelvic region. Visually, the abdomen becomes lower, which becomes noticeable to both mom and others.
- Such unpleasant symptoms as heartburn and shortness of breath go away. The future mother who suffered from these ailments from the middle of the second trimester can finally breathe easy. But now the main weight of the female organ with the fetus falls on the bladder, so the desire to "go in a small way" can haunt a pregnant every half hour.
- The dilatation of the veins of the lower rectum is also one of the symptoms that are part of the precursors of labor. Since a child at 37 weeks old weighing more than 2 kg is pressing on the lower organs, an unpleasant disease, hemorrhoids, can manifest itself. He will deliver to the future mother not only inconvenience, but also pain during bowel movements. In case of occurrence of this disease it is useful to include in the diet foods with weakening properties - beets, prunes, as well as drink more fluids.
- Various painful sensations in the body can also foreshadow a speedy delivery. The most common precursor of the upcoming births are Braxton-Hicks contractions. They remind the woman of unpleasant, but tolerable pain during menstruation. These contractions are called otherwise "training", they prepare the uterus for the upcoming baby birth process.
- The contractions that occur during the day gradually become more like labor contractions during childbirth. Along with this increases the duration of pain. In connection with the weight gained during pregnancy, the pain can make itself felt in the spine, abdomen and perineum.
We offer to watch a video about the precursors of childbirth in primiparous and multiparous women:
Baby in the 37th week of pregnancy: height, weight, development
The 37th week of pregnancy is 9 obstetric month and 1 week. A child at this time is physically ready for birth and independent life outside the womb.
- In the last month of pregnancy, the baby gains weight daily up to 14 g per day. The development of the fetus at 37 weeks is almost complete.
- Amniotic fluid is becoming smaller, the child grows and it is already closely located in the uterus. The original lubricant remains a bit, the fluff on the skin completely disappears.
- In male babies, the testicles descend into the scrotum, in girls, the labia majora cover the small lips.
Fetal development, weight and height at week 37, as well as other indicators (in accordance with WHO standards) are shown in the table below.
(at this time)
The location of the baby in the womb at week 37
The position of the child for a period of 37 weeks is stable. The correct previa is considered the headache, and it is precisely this that is most common in children this week of pregnancy. The baby holds the legs and arms in the crossed position, and lies head down. Pelvic presentation is ascertained by gynecologists much less frequently. Due to the abnormal position of the fetus, in most maternity hospitals, a planned cesarean section is prescribed. But you should not panic before giving birth - the child can still turn to the desired position thanks to special exercises.
Changes in the baby at week 37
- The placenta starts the aging process, the baby receives less oxygen and nutrients every week.
- In the 37th week, the lungs of the infant are already sufficiently developed so that the baby can breathe in the event of birth. They are not yet included in the blood supply system, but at the time of delivery, a valve is opened in the heart for delivery of blood to the lungs.
- The hormone cortisone is produced, which indicates the full development of the fetal respiratory system. The child is imitating respiratory and swallowing movements with all its might, which can be seen on ultrasound.
- The organs of sight and hearing are fully matured. The digestive system organs are actively involved in the overall work of the child's body. The intestine makes the first peristaltic movements. Formed in a small amount of meconium - the original calories.
- The process starts in the brain - the development of coordination of movements. It will last for the first 12 months after the baby is born. A protective membrane is formed on the neurons, which smoothly transmits nerve impulses.
- Pastime crumbs during wakefulness accompanied by sucking movements of the thumb. So is preparing the baby for the coming breastfeeding.
- The head remains soft, the skull is not yet stiff, this will help the baby pass through the birth canal. Continued compaction of the ear and nasal cartilage. By the end of the week, the baby’s reproductive system will also complete its formation.
What examinations are expecting a pregnant woman at week 37?
In the third trimester, in the late stages of pregnancy, examinations of the expectant mother are carried out according to the principle - they diagnosed the problem, carried out its correction, checked the result of the treatment.
Urinalysis is an exception - a pregnant woman must pass it from the beginning of the pregnancy until the very birth. From 37 weeks urine analysis is prescribed for delivery about 1 time per week. The fact is that with the approach of labor, the load on the kidneys increases. There is also a risk that the uterus, having greatly increased in size, can squeeze the ureters. And this will lead to a dangerous infection for the mother and fetus.
Cardiotocography (CTG) assesses two parameters — the heart rate of the child and the state of the uterus tone in a pregnant woman. This study should be carried out at least once a week before delivery. Observing the baby's heartbeat, doctors will be able to notice and prevent complications in time. If CTG shows that the baby does not have enough oxygen, then the baby may not survive the natural delivery - this is a direct indication for a cesarean section.
At 37-38 weeks, the gynecologist may prescribe an ultrasound to the pregnant woman. The task of ultrasound at this time is to:
- to identify compliance with the size of the fetus obstetric terms,
- determine the degree of maturity of the placenta,
- estimate the amount of amniotic fluid.
In addition, ultrasound will allow to assess the muscle tone of the fetus, to study its motor and respiratory activity, because already from 32-33 weeks the baby begins to learn to “breathe” intrauterinely. As a nice bonus at the end of the study, the doctor will provide you with a photo of the child for the family archive. Even a simple 2D ultrasound will provide an opportunity to examine the features of the crumbs, and assume which of the parents he is more like.
Mom's nutrition: healthy tips for 37 weeks
Goes 37 obstetric week. In the diet of a pregnant woman during this period should not be the following categories of products: salted, fatty, smoked, fried and an abundance of sweet. Remember - the baby "draws" nutrients from mom's reserves, so it is important that its menu was varied and full.
Sample menu of the future mother at 37 weeks
What is important to know about nutrition at this time of pregnancy:
- Animal protein cannot be completely excluded from the menu. Every day in the menu of the future mother must be stewed / boiled / baked in the oven meat or fish. Otherwise, if there is a lack of protein, the woman herself and her infant sitting inside are threatened with a violation of protein metabolism.
- It is necessary to abandon the heavy dishes in favor of vegetable salads, seasoned with useful vegetable oil. As a snack, fresh fruit is perfect - bananas, pears, peaches, apples.
- There is a desirable and often small portions: such a fractional diet will keep weight under control and avoid digestive disorders. This is especially true when the late-growing uterus is pressing hard on the stomach and intestines.
Photos tummy on the 37th week of pregnancy:
What complications can occur in the 37th week of pregnancy?
A baby developing in the uterus takes a huge amount of nutrients and microelements from the mother's body. Their shortage affects, first of all, the condition of the skin, hair, teeth, nails and blood vessels. Doctors at this time recommend recourse to special vitamin complexes, but, unfortunately, they are not able to solve all the problems that arise in the future mother's body.
The baby grows, it becomes larger and heavier every day, and it squeezes the veins of the small pelvis of the mother more and more. The movement of blood in them becomes smaller, blood pressure in the legs increases and swelling appears. A pregnant woman has problems with her legs (it is impossible to “get into” shoes), then her arms, face and stomach swell. Even if the woman feels good, she has normal blood pressure and tests, with edema, measures should be taken. If you find a small edema, you need to consult a doctor to check the work of the kidneys.
Blood pressure increase
Hypertensive complications during pregnancy in the last stages of gestation occur quite often. It is very difficult to prevent pressure surges - they are caused mostly by pathologies or genetic causes. A woman in a position with problems with pressure should be attentive to herself. Banned stress, excessive load, walking under the scorching sun. And be sure to drink a cool liquid in small portions, but often - a large amount of water drunk at one time, can harm with a tendency to hypertension.
The appearance on the skin of small red dots in the third trimester is due to changes in hormonal levels. Typically, these "stars" disappear after the birth of the child, so worry about this defect is not very necessary. The main thing is to ensure that the red dots do not increase in size. Blood stasis, which occurs in dilated capillaries, can lead to inflammation of the vessel walls. For prevention in this case, the doctor prescribes a drug with the content of fractionated heparin.
Red stripes - striae may appear on the body of a pregnant woman at any month, but more often they occur just at the end of the term of carrying the child. It is impossible to predict their appearance even in multiparous moms. It all depends on the particular skin of a particular woman: the risk of stretching is higher, the less collagen the body produces. Minimize the number of stretch helps regular douche. In addition, cosmetic products to combat stretch marks will come to the rescue - they can and should be used, they do not pose any danger to the mother and child.
Doctors call this incomprehensible word a reversible increase in the lips, nose, and the size of the feet and palms of the hands. The problem of acromegaly is faced by not less than 10-15% of future mothers. The reasons for the appearance of such a strange phenomenon in pregnant women are not fully elucidated, but in any case you should not be scared: the appearance returns to normal in the first days after the birth of the child.
Hyperpigmentation is one of the consequences of the hormonal background of a woman that has changed during pregnancy. Melanin in the body begins to be produced in large quantities, and many on the eve of childbirth have pigment spots on various parts of the body. It is not necessary to fight this phenomenon, after birth all spots will disappear safely. But if you notice their active appearance on the skin, you must be careful not to provoke an even more active production of melanin. For this, pregnant women need to spend less time in the sun.
Active preparation for childbirth
Putting things in the hospital (video - the experience of the mother):
For the expectant mother it's time to go to the preparation courses for the process of childbirth. They are usually free of charge and are given in female consultations. With their help, a woman in position will master useful skills:
- basics of productive breathing during labor,
- pain reliever or "singing"
- self massage lumbar and more.
Exercise is simply necessary for women waiting for the baby. Only by going to practice, you can learn to train breathing, work out the muscle relaxation technique to make the upcoming birth process less painful. Here is a list of activities that can be practiced starting from the 3rd trimester of pregnancy:
Water aerobics and swimming
Classes in the water expand the respiratory capacity of women, improve stretching, regulate the cardiovascular system of the body. Water procedures are useful in that they prevent (sometimes even solve) possible problems with the spine of future mothers.
Yoga for pregnant women
A set of exercises specially selected for pregnant women develops flexibility, trains breathing, teaches to concentrate and strengthens the muscles of the pelvic floor, which have one of the most important values in the generic process.
The movements provided for in the general physical training courses strengthen the muscle groups involved in the labor process. Also, regular physical conditioning exercises increase the overall endurance of the body.
Music and art therapy can provide an opportunity for future mothers to express feelings that overwhelm them (hello, hormones!) And thus get rid of stress, fears and other negative feelings.
The development and condition of the child
The body of the fetus is already fully formed, and now it continues to strengthen and gain strength. This is what happens to the baby in the 37th week of pregnancy.
- Respiratory system . A child can easily breathe atmospheric air. Problems can occur only with intrauterine pneumonia or complications of childbirth.
- The cardiovascular system . In this period or immediately after birth, an oval window in the heart closes, which prepares the lungs for participation in gas exchange.
- Nervous system . Continues to evolve. Neurons are improved, primary reflexes are formed. The spinal cord, glial tissue, sensitive analyzers, part of the facial nerve involved in the sucking reflex, have already matured completely. The remaining components of the central nervous system will continue their formation after childbirth.
- Digestive system . The stomach produces enzymes to break down food, the intestinal walls are already covered with villi, which gives the gastrointestinal tract the ability to independently digest mother's milk. But nutrients are delivered to the baby through the umbilical cord and placenta before birth.
- Vision The kid is already able to focus his gaze on small distances, his vision is sensitive to contrast and brightness of shades.
Externally, the fetus looks the same as a newborn baby:
- face - acquired unique features
- the head is covered with hair, the length of which can reach 5 cm,
- the fluff and the original lubricant - almost completely disappeared from the body of the baby, covering only the deep folds,
- nails are branches and are already protruding beyond the fingers,
- the skin has acquired a delicate pink hue, a subcutaneous fat layer has formed.
Location and perturbations
Most babies at 37 weeks from conception occupy their final position. The fetus should already be located along the uterus and head down, which in medicine is characterized as a longitudinal position with head previa. The handles of the child are folded on the chest, and the legs are tucked up to the stomach. This position is the most successful for the generic process. Some babies are located across the uterus, pelvis down or lie obliquely. In this case, a woman is assigned a caesarean section, and already this week she is hospitalized and prepared for delivery.
The fetus has almost reached its maximum size, so it is very close to it inside the uterus. Здесь уже не осталось места для его маневров, поэтому мама ощущает меньше шевелений — ребенок затихает к родам. Теперь режим дня пузожителя больше похож на распорядок новорожденного — он много спит и мало активничает.
Состояние и ощущения матери
К этому сроку происходит много изменений в организме и ощущениях будущей мамы.
Матка опускается (а вместе с ней и живот), ослабляя давление на близлежащие органы. The excitability of the organ increases, as it prepares itself for active participation in the generic process. The cervix from this week softens and shortens for the safe passage of the baby.
The head of the child is already pressed to the bones of the pelvis, presses on them. Therefore, in the 37th week of pregnancy, it often pulls the abdomen and in the crotch area.
Due to the decrease in pressure on the diaphragm, stomach and intestines, the expectant mother becomes easier to breathe, the gastrointestinal tract function improves, nausea and heartburn disappears, appetite appears. (But before the very birth, the desire to eat may disappear). But the bladder due to the prolapse of the uterus is subjected to even greater pressure, and now the woman visits the toilet especially often. Sometimes, when sneezing, laughing, or coughing, involuntary urine leakage and gas discharge may occur.
In addition to the discomfort in the pelvic region, the mother feels pain in the sacral-lumbar spine, cramps in the legs. By this period, a woman gains about 16 kg. If the weight continues to increase and is much higher than this figure, prenatal hospitalization in the pathological department of pregnant women is recommended. But most often, by this time, a woman loses 1-1.5 kg due to the fact that the body intensively removes fluid to facilitate childbirth.
Harbingers of childbirth in the 37th week of pregnancy
Practically every woman on this period notices signs indicating that the “X hour” is approaching. The harbingers of childbirth at 37 weeks gestation include:
- training bouts
- regular nagging pain in the back or lower back
- excretion of colostrum from the mammary glands,
- lowering the abdomen
- discharge of water
- discharge of mucus plug
- episodes of diarrhea without fever and signs of poisoning.
Often a woman is worried that she may confuse training fights with real ones. If in doubt, it is recommended to be a little like: the false sensations will soon cease, and the real ones will become more frequent. If the contractions intensify (about five-seven in ten minutes) it's time to go to the hospital. Repeated women and with a fast childbirth in history can go to the hospital before.
Discharge: normal and problematic
Now you need to especially closely monitor the nature of vaginal discharge. The hormonal background of the woman from the progestin changes to estrogenic, which is reflected in the white hair. Normally, they should be:
- transparent or slightly white,
- homogeneous consistency
- in moderation
- without smell,
- mucous character.
Yellow, green, cheesy mucus indicates the development of the inflammatory process.
If the discharge in the 37th week of pregnancy has become thick, slimy, but the smell is normal and they do not cause discomfort in the vagina - this could be a traffic jam. It may also look like a thickened mucous clot with small streaks of blood.
Reception at the doctor
During the normal course of pregnancy at 37 weeks from conception, a woman does not undergo any special examinations. As before, she passes a general urine test.
In addition, the doctor measures the future woman in labor blood pressure, weight, abdominal circumference, palpation of the uterus to determine the height of the bottom and the position of the fetus.
An obstetrician-gynecologist will definitely check if there are any edemas in the lower and upper extremities. Often carried out a gynecological examination in the chair to assess the readiness of the cervix for childbirth. This may affect the length of hospitalization. If the pessary still stands, it is removed. (This can be done from the 37th obstetric week of pregnancy).
By this period should be ready room, bed, things for the baby. But the main thing - collected bag in the hospital and a package of documents with the exchange card.
Current nutrition and walking in the fresh air. Sex is allowed. Avoid crowding to prevent infection or injury.
Now is the time to recall all that was taught in the courses for preparing for childbirth: about proper breathing, about the right mood and motivation.
Remember that birth at 37 weeks gestation from conception can catch at any time. At this time, you should not go far from home. It is desirable that someone is always nearby.
Births at 37 weeks - is it time to go to the hospital?
Often, a mother for 37 weeks may experience anxiety and fear, as a rule, from a lack of information before the upcoming event. That is why every woman in the third trimester needs to understand at least in general terms what will happen to her body during childbirth.
It is necessary to go to the maternity hospital immediately if:
- poured amniotic fluid
- the mucus plug came off - a lump of mucus with streaks of dark blood,
- there were bright blood discharge,
- began regular bouts with an interval of 10-15 minutes between them.
What to do if your stomach and lower back hurt:
- if the loin hurts, the stomach kinks and there are pains like contractions, no need to panic. The first thing is to sit back and watch on the clock, after what time the contractions are repeated,
- At the first stage, tension and pain in the uterus occur every half hour and last no more than 15-20 seconds. But gradually the interval between contractions decreases, and their duration, on the contrary, increases. If contractions are irregular and after a while completely disappeared, it means that it was a false, “training” process. These contractions, unlike the generic ones, do not lead to the opening of the cervix,
- in the case when contractions increase and the interval between them has decreased to 15 minutes, painfully pulls the bottom for about 30 seconds without a break - it's time to go to the emergency department of the perinatal center.
Feedback moms: "Already tired of waiting"
I did an ultrasound at 32 weeks and said that the lalka had turned over and the head was very close to the exit and the neck was half open and put on preservation. I immediately have tears, snot, because burden of the first and I worry. It is now 39 weeks, I’m not sitting at home — I’m walking and driving, driving and cleaning, and our daughter isn’t going to go out too much. So do not worry!
And I really wanted to move on, give birth for 40 weeks. I thought the month of May would end and I would go to meet in June, but it was not there that I gave birth to 39. By the way, the cork came out in a week, and the stomach did not fall at all. I went down in the maternity hospital when the bubble burst, I heard the little girl screwed into the pelvis lower and lower, I heard the squeaks in my stomach, and then the bursting bubble! And I was born on May 31, I would wait until June!
Today, it is exactly 39 weeks on the ticker ... PDR on December 31 has been going for two weeks now, I'm already tired of waiting. The girls on the forum say that enjoy the last free days, but I already want to see my mani girl in the eyes Periodically pain in the stomach down, as in menstruation, and sometimes even more painful. Left leg goes numb. Over the past week, hypertonus has often come to visit us more than 5 times a day to appear, it’s already hard to breathe, and if I lie in bed I get up right away. Pain in the pelvis, over the bosom is a feeling that the bones of the pubis right now to break .. Swelling only on the hands, as the wieners have become, especially in the morning, it is difficult to move. Masik so actively exposes his ass that it hurts, but when he strokes lightly, he hides
We have 39 weeks and 2 days.
Belly dropped 2 days ago, baby getting ready for the birth! We look forward to daddy from snowy Europe, due to bad weather, arrival is delayed by 2 days, I hope we will reach Saturday.
Pain is not yet observed, sometimes turns the stomach, but barely audible. There are no training battles yet ... My appetite is good, especially I want sweets and sweets, but the doctor categorically forbade eating sweets, as our Maska is large, presumably 4 kg (all in parents), but sometimes I sin, I eat baked cookies ... with butter ... Puffiness is, but not big .. so I don't accept anything ... It's hard to sleep!
Top 10 tips for future mothers on this term
1. Build your mode so that it has a place for daytime sleep.
2. If possible, spend more time in the fresh air - it is necessary for both mother and baby. While walking, prefer to walk on foot, rather than sit on a bench. Do not sit in the same position for more than half an hour.
3. In the third trimester, choose land transport for long trips, especially if you have a second pregnancy and a subsequent one. The uterus on this period becomes easily excitable and flights from city to city can provoke the onset of labor.
4. Forget soda and strong coffee. Herbal infusions, green tea, fruit drinks and plain water are useful for you. Most of these drinks remarkably quench thirst.
5. Regularly do light massages and gymnastics of the legs. A simple set of exercises will improve blood circulation, prevent its stagnation in the veins and reduce swelling.
6. Follow a rational diet, try to gradually move to the correct healthy diet. Drink at least 2 liters of fluid per day.
7. Prefer comfortable shoes, moderately soft, not squeezing the foot and moderately wide. Do not forget about the stability - the extra trauma of the future mother to anything. The optimal choice: wedge shoes or heels 2.5-3 cm.
8. In sunny weather, be sure to wear a hat - women in the position are more sensitive to overheating and are especially prone to sun and heat strokes.
9. If at the 37th week you are faced with copious sweating, which happens due to hormonal changes, you need to take a shower as often as possible and wipe yourself with cool water. The use of antiperspirants, blocking the allocation of sweat, expectant mothers in this period is undesirable.
10. Try a lot and be happy to relax. Do not ignore the maternity leave due to you. Labor exploits before childbirth will do much more harm than good. The last trimester is given to the expectant mother in order to gain strength before the birth, and it is categorically impossible to neglect this fact.
Edema in the 37th week of pregnancy
During pregnancy normally a woman should add 10-12 kgIn practice, this is a fairly conventional indicator, since many women add 20 kilograms or more. Half of the added weight falls on water. Fluid accumulates in adipose tissue and connective tissue, therefore swelling 37 weeks of pregnancy are quite commonplace.
It is necessary to carefully monitor under what conditions and when edema occurs in a pregnant woman, because the process of water retention does not begin suddenly. After three months of pregnancy, many women note that the skin on the abdomen, arms, legs becomes loose and loses its elasticity, and in the evening the legs often swell, so that you have to wear larger shoes. A bad sign, if the swelling in the 37th week of pregnancy does not subside even by the morning, in this case it is necessary to inform the doctor about it. At each appointment, the doctor weighs the pregnant woman, with normal development of pregnancy, the weight increases smoothly and gradually. If the weight increases spasmodically, then this is the first signal of threatening edema.
With edema during pregnancy bearberry decoction will help to cope Brusniver, sometimes doctors prescribe Hofitol . You should not drink too much water, you need to move more, walk in the fresh air. But here excessive physical exertion, hot weather can provoke the appearance of physiological edema, with such edema it is easy to cope if you rest a little in the position on your left side. Physiological edema does not require treatment.
37 week of pregnancy: what happens?
The intrauterine development of the fetus continues, although the birth canal is ready for the process. What happens to the baby and mom? Watch the process.
The baby's skin tightens. It is smoothed out because fat cells accumulate under it. There is no longer a lanugo cannon, except that it remains on its back and shoulders. Original lubricant remains only between the folds on the body. Nails can be seen at your fingertips.
Changes affected and cartilage tissue. The nose and ears are hard, the auricles bend, because they have become denser and more elastic.
The skull is stiff, leaving two areas soft. These are the springs that allow the head to slip through the birth canal. The springs are soft, but then they close, and the skull nods.
The lungs are already formed, so that during childbirth the baby will take the first breath. Cortisone - a hormone for the development of the respiratory system - is produced in full, as well as surfactant - a substance that helps the lungs not stick together.
The adrenal glands produce adrenaline. He will need to save the nervous system from the stress of birth.
The nervous system will continue to develop after birth, but sucking and grasping reflexes are already working.
Villi appear in the gastrointestinal tract. They cover the mucosa in certain areas of the digestive system to absorb nutrients from food. The ventricle makes the first contractions in order to digest food in the future, and the first feces, meconium, appear in the intestines. He will be released a couple of hours after birth.
We are asked: 37 weeks of pregnancy - how many months? The answer is: the tenth. Carrying a baby takes 280 days. The fruit appears, ripens and prepares for birth. There are 28 days in the obstetric month or, if you count in weeks, 4 weeks. Thus, 37 weeks is the tenth obstetric month or the ninth calendar month (but there, anyway, a little more than nine is obtained). In order to give birth, the mother walks the full 9 obstetric months and proves another one - the tenth. The 37th week begins the last tenth obstetric month, so it is already possible to get ready to give birth.
How does mom feel at this time?
Because the child is big, he has little space and mom feels it. The stomach goes down - soon giving birth. Read in detail about all signs of advancing childbirth, you will need it.
When the tummy goes down, for the first time in 9 months you will breathe deeply. This is an incredible feeling, but do not expect it specifically.
Child's weight and height
37 - 38 weeks of pregnancy is the period at which the child is ready to be born, and in obstetric practice, birth at this time is full-term. The organs of the baby are formed and ready for independent functioning.
During this period, the child’s standard height reaches 48 cm, but it also reaches 50 cm. The child’s weight reaches 2.8 kg.
Pelvic presentation of the fetus at 37 weeks gestation
Moms are worried about pelvic presentation. What is it and why is it important?
Pelvic presentation of the fetus is the position of the fetus in the womb.
Why know how the baby is? If the fetus is turned legs down, then the mother herself will not give birth. The intervention of physicians occurs in 5% of cases.
The normal location of the baby is considered a head down.
Why does a child change position? Causes according to doctors:
- too narrow pelvis and other similar anatomical defects,
- low position of the placenta
- too big head baby
- problems associated with the tone of the uterus or its malformations,
- a large amount of amniotic fluid and as a result - high activity of the fetus,
- too small fetus size.
The location of the baby is also different, not necessarily legs down. The doctor will examine and say something from the following:
- partial arrangement - buttocks forward, while the legs are placed along the body up,
- incomplete location - legs bent at the knees, and the buttocks closest to the generic way,
- full location - legs in the area of the birth canal,
- knee position - the legs are still closer to the birth canal, but they are bent at the knees.
Pelvic presentation is a signal for the doctor to prescribe further procedures, to prepare for cesarean.
How to determine the pelvic presentation of the fetus:
- the doctor probes the child’s head through the belly,
- determines the baby's heartbeat, normally - above the navel on the tummy,
- method of vaginal determination,
- Ultrasound - the most accurate way to make a diagnosis by location.
If the pelvic presentation is determined at 37 weeks, then the birth will not pass on their own. Perhaps the doctor will decide to take this step if you have a wide pelvis or the size of the baby is not large. In other cases, in order to protect both you and the child, the specialist will take other measures.
What do you have to do?
Week 37 - this is not the time when radical measures are taken - to give birth soon. For the future: heartburn during pregnancy, diarrhea, nausea and will not be if you follow the golden rules. And vitamin and mineral reserves will protect you from pathologies:
- eat well, focusing on the usefulness of the product, and not on the volume of servings (read about folic acid),
- watch the weight and add safely
- do not neglect rest and sleep, without them the body can not be restored,
- improve the tone of the abdomen.
What does the gynecologist do?
If you are already in the third trimester, the doctor sends you to save. After testing, it will be clear if you need to go through a cesarean section or if you give birth yourself.
Do not be afraid of anything, but be careful. The outcome of the situation depends on the strength of mind and a positive attitude.
Stone belly is normal. In the article about 41 weeks of pregnancy, we wrote that the hardness of the abdomen is toning the uterus, which is preparing for the upcoming birth.
When the abdomen hardens, the uterus expands to the limit, and the baby is still growing. Mom feels Brexton-Higgs contractions, these are training or false contractions. The good news is that you will not feel discomfort or discomfort. Оградитесь от стрессовых забот и отдыхайте, в конце концов, скоро вы окунетесь с головой в новую жизнь, где нужна физическая выносливость.
Если живот каменеет регулярно, но вы при этом испытываете и легкие боли с тянущим характером, то скоро роды. Примите теплый душ, расслабьтесь. У вас еще есть время. Свяжитесь с врачом, чтобы он убедил вас, что волноваться не о чем.
Go to the hospital if the hardness of the abdomen is accompanied by back pain or in the abdomen itself. Reinsurance is not superfluous.
If the child is actively moving
At week 37, the child is actively moving. So much so that mom does not sleep or eat. But do not worry if the movements are strong. You have little space left in your stomach, but your child is cramped.
At this time, you should feel 10 perturbations in 12 hours.
The gynecologist will confirm that there is no deviation in the movements. Rest and tune.
If pulling the lower abdomen
What happens if, at 37 weeks of pregnancy, the lower abdomen pulls? When the stomach goes down, the whole weight goes down, hence the pain. If the pain is not sharp, not intense, then be sure - these are harbingers of childbirth.
Along with the pulling pain, the skin on the abdomen is stretched to the limit, which causes itching, and the navel is twisted. After childbirth, the symptoms will disappear and the body will return to normal again. Be patient, there is not much left.
Pulling pains indicate the discharge of mucus plug. Another signal of close births. The mucus plug protected the fetus from ingress of external substances and dirt, but now the baby is asking to be outside.
Diarrhea in the 37th week of pregnancy
Diarrhea does not occur without reason. The most common is an infection in the intestines. But a viral or infectious disease is accompanied by additional symptoms. Dysentery is not only diarrhea, but also headache, fever, nausea. Viruses, infections or parasites are diagnosed by a doctor.
Another reason - the banal poisoning of expired products. The liquid stool is accompanied in this case by fever, chills, headache, and muscle aches.
Diarrhea occurs with the use of medicinal preparations and vitamin complexes. Check the side effects of the medication to be sure.
If none of the above is your case, then diarrhea is a precursor to childbirth. A kind of diarrhea is a way to cleanse the mother's body before the birth of a child. So the upcoming event will be easier.
Only diarrhea from mild poisoning will go unnoticed. If the intestine is long and intensely reduced, and there are no harbingers of childbirth, then diarrhea will cause contractions when the body is not ready for childbirth.
Diarrhea is also dehydration, so the doctor must observe the situation.
Without clarifying the causes of loose stools, further treatment is erroneous.
First of all, the doctor will prescribe a diet for you, where fresh foods with a fixing effect predominate in the diet:
As for medicinal drugs, their appointment is controlled by a doctor.
It is useful to know: diarrhea - is overly rapid digestion of food with the same rapid disposal of its remnants. Food processing in the alimentary tract usually takes up to 72 hours to absorb nutrients and water, and if the product is stale, the body includes protective force — liquid stools with elevated temperature to kill germs.
Can I somehow prevent diarrhea? Yes you can. Check the shelf life of products, monitor the heat treatment of meat, dairy and fish products. Wash your hands before and after meals, especially in public places. Check the effect of prescribed drugs for side effects.
Discharge at 37 weeks gestation
Discharges are a way to understand what is happening to your body. Healthy discharge transparent. If they are white, then it is a thrush and a doctor treats it, so as not to infect a child with a fungus during childbirth.
At the 37th week of pregnancy, track the discharge. Excessive watery discharge at this time can be a leakage of water. Refrain from intimacy with your husband and go to the doctor.
You can see a lump of mucus coming out. This is a traffic jam. Sometimes it comes out in parts, then you will see white pieces of discharge. Color is different - cream, bloody, translucent. After getting out of the cork, be careful, you will soon give birth, therefore refrain from intimacy, do not take a hot bath or shower under running water - there is a high risk of infections.
It happens that the cork does not come out. Rather, it goes, but with the waters, so it is not visible.
The usual weight of mucus plug is 2 tablespoons.
The most undesirable - brown discharge. They can mean pathology with the placenta, so go to the doctor.
Color, character, consistency of discharge varies depending on a number of individual factors. Be careful. At this time, they indicate the course of further events.
Baby often hiccups
Hiccup is laid from the very conception, because it may appear even in the womb. It was at week 37 that moms complain about hiccups or what they interpret as hiccups.
What can you feel? Hardly noticeable pushes - rhythmic and short. But it can be spasms, tapping, incomprehensible twitching. Hiccup duration is from 5 to 30 minutes. Often, the mother does not feel anything, and the child hiccups.
There are three versions of the reasons for hiccups baby:
- Hiccups are caused by contraction of the diaphragm, which releases the vagus nerve clamping, if this happens.
- The second version - abundant swallowing of amniotic fluid. If the kid swallowed water, then his body hiccups displays too much. This usually happens if mom ate something sweet.
- The third case is hypoxia, but only if the hiccups are very long.
If the baby is hiccups, stand in the knee-elbow position. Sometimes it helps.
Sex in the 37th week of pregnancy
In the 37th week of pregnancy and in general in the third trimester, sex life for the spouses takes a back seat. Now more attention is focused on the harbingers of childbirth, the physiological discomfort of the mother. For her, sexual desire is reduced, because the size of the abdomen, swelling, increased pressure - all this creates inconveniences that are unlikely to be avoided during sexual intercourse.
In any case, you need to be careful with excessive exercise, pressure on the stomach and too deep penetration - this imposes great restrictions, leaving a meager set for fantasy. On the other hand, all this is temporary and will pass soon.
Optimal posture in this period - the position on the side, posture across and sitting - these are safe options.
Will the baby hurt your parents? Doctors say no. The child is protected by a thick wall of uterus muscles, an amniotic bladder and a mucus plug. But when the cork came out, you can not engage in sex.
If you are worried that the baby feels everything, then this is partly true, but he rather reacts to the mother's heartbeat and from that he moves more actively, and he also enjoys the hormone of pleasure - endorphin.
If fear overwhelms you, then opt for lighter forms of intimacy that do not imply penetration.
Do orgasms provoke preterm labor? If the pregnancy is normal and there are no harbingers of childbirth, then uterine contractions will not lead to the onset of labor. But just before childbirth it is sexual intercourse - this is the cause of labor. Sometimes the doctor himself pushes the patient to an intimacy with her husband to spur the process, but here it is individual. If it is still early, then nothing will happen.
When it is better to refuse sex:
- with the real threat of abortion,
- if mom used to have miscarriages,
- multiple pregnancy.
37 week of pregnancy: harbingers
There is a 37 week gestation, the harbingers of childbirth, then appear, then disappear, and so on for 3 - 4 days in a row. Feelings are changing on the eyes - from fatigue and cumbersome to supermenskogo tide forces to wash windows.
The human body is a wonderful machine with complete self-control. The main thing is not to disturb him. He will warn you about the upcoming event, and you watch and get ready.
The mucus plug has come off
In the section on Discharge at the 37th week of pregnancy, we talked about how a cork looks like and how it looks like it is moving away. Its purpose is to protect the cervix and when the cervix matures, the cork flies out. Discharges are usually different in color from white to pink with blood.
Cork comes out all differently: in parts, at the time of delivery, 2 weeks before delivery.
Primiparids hardly distinguish false contractions from real ones, although multipurpose ones have problems with it. These contractions are gradually intensified and cause growing anxiety. The pain will occur in the calves, thighs, lower back - everywhere at once or somewhere separately - this is individual. There are cases when contractions pass unnoticed.
Send the water
The amniotic bubble ruptures and fluid flows out. Do not worry, it does not hurt and is perceived as a gushing stream, although in some cases it drips a little bit - it depends on the specific location of the bubble rupture.
The water that escapes cannot be confused with anything - they will flow without your consent and warning. Urine can be controlled, water - no.
If the contractions do not start, and the water is already gone, use a sanitary pad (not a tampon), and go to the hospital. Be sure to tell your doctor about the characteristic color of water. Light and slightly watery - this is the norm. If the waters are greenish, then the baby has oxygen deprivation and the doctor needs to know this in order to induce childbirth, because it is impossible to pull.
If you have a term of 37 to 38 weeks gestation, when will the birth start? After withdrawal of amniotic fluid during the day. So get ready.
When the fetal bladder breaks, the contractions become strong. This is due to the pressure of the child right on the pharynx of the uterus - because the water pillow is no longer there.
The withdrawal of mucus plug, contractions and waste water - three signs of impending labor. If the precursors appeared earlier than the 37th week came, then you have a premature birth and you need to go to the hospital.
Harbingers of birth in figurines
If this is your first time, then it’s especially exciting - for now there’s nothing to be guided by.
What exactly does the birth process include? All tend to trigger a complex of physical, emotional and external circumstances, starting with the rising moon and ending with the arrival of the doctor from vacation. Yes, it also happens - the baby does not want to be born until the mother’s doctor returns to work.
Observations have shown that stress and anxiety delay childbirth, and a good location, on the contrary, accelerates the process. From an esoteric point of view, the baby will be born when family tension is resolved - he is like a welcome guest who will reconcile and cool everyone.
Physiologically, everything looks simple - the uterus reaches its maximum limits, and the baby is critically grown and ready for independent existence.
So, you have 37 weeks and the fight began. How to understand that they are real? The last months of pregnancy you will often feel contractions, but at the beginning it may be training (Braxton-Hicks). They are also called false. They happen so often that they get into the habit and the mother does not notice that everything is no longer for fun. By the way, false contractions also can grow, becoming more intense.
Note the following:
- contractions became logical,
- contractions appear several times during each hour,
- their duration lasts 30 - 60 seconds.
What does it mean? You have to give birth.
If the contractions are rare, not intense and frequent, then they are false. For primipara these sensations will be extremely annoying, but you must be more tolerant to the body - it is preparing to fight.
So, be ready from 37 weeks to what will happen soon. Your stomach will go down, there will be pulling light pains in the lower abdomen, a mucus plug will come out, contractions will begin and water will flow away. This will not happen in a flash, but the forerunners of that and the first signs for you to tune in and prepare - soon.
Harbingers of birth in multiparous
If the pregnancy is already 37 weeks old, the second birth will take place the same way as the first - with the same signs. In some cases, all signs appear faster, but this is not a trend, but individual features.
Remember what you felt the first time and listen to the body. Excitement should not be - only concentration and tranquility. Secondary mothers easier to relate to false contractions, so they may not notice how the real ones appear, so watch the body - it will tell you everything.
Additionally, note the nesting syndrome and a slight weight loss. In the second case, this is associated with a decrease in puffiness - the body seems to be easier to prepare. As for the nesting instinct, the recently sluggish and falling asleep mum has the energy to clean up, finish and go to give birth.
Birth in the 37th week of pregnancy
Birth at 36 - 37 weeks of pregnancy. If on the 37th, then it is normal, the child will be full-term. Childbirth begins at the moment when the uterus contracts with a certain regular interval. With contractions of the uterus muscles for 20 seconds, you will feel a dull pressure in the lower abdomen. Do not worry, you will not miss them - they will wake you up even with a very good sleep.
If you give birth for the first time, the frequency of contractions will increase slowly. Primiparous mothers can give birth for 12 hours. Repeated delivery is already less - from 6 hours. There are rapid delivery - 3 hours.
When contractions are repeated every 10 minutes and their duration is no less than one minute, you should be in the hospital by that time. At least go to the hospital. Take a shower before the trip, but it's undesirable to eat.
To give birth at 37 weeks is quite normal, if there are no pathologies. The baby is ready for childbirth, however, like the mother herself, if there were already precursors.
Week 37 is the time when any mom should get ready for childbirth. Most often, childbirth occurs at this time during a double or second pregnancy.
We talked about the most important and painful issues moms. If something is missed about 37 week, then ask us in the comments. Share the article on social networks if it was interesting and take care of yourself.
At 37 weeks gestation, mother's weight increases by at least 9.5 11 kg. Most of this weight is fetus, amniotic fluid, placenta, enlarged uterus and mammary glands:
- weight of the child is 3000 3500 grams
- the weight of amniotic fluid is about 1000 1500 grams (by the time of birth, their number decreases)
- weight of the placenta is about 350-500 grams
- the weight of the enlarged uterus and mammary glands is 1500 grams.
The remaining weight accounts for an increase in the volume of the circulating blood of the mother by about 50%, and, of course, for the body fat that you have managed to accumulate.
It is necessary to note the fact that before the birth women & lose weight. Part of the weight is lost due to changes in hormonal balance and elimination of fluid from the body.
Now you can experience quite serious discomfort, complaints during this week of pregnancy are varied and numerous, and this is not surprising in the last weeks of pregnancy, it is really difficult for you now.
The fetus at 37 weeks of gestation is fully prepared to be born and is just waiting in the wings. He is now the chief conductor of future events. As soon as his body is fully ready for birth, the birth process will begin. Your body is also preparing for this event.
A baby at 37 weeks gestation looks like a normal newborn. His body is almost free of vellus hair, and on his head a fair head of hair. Cheese lubricant remained only in the folds of the skin. Marigolds are long, reach the edge of the fingers and even go behind it, the baby can scratch itself. The navel has shifted to the center of the tummy, the boys have testicles in the scrotum. In girls, the labia majora cover the small lips.
The baby's skin is a beautiful light pink color. If your baby belongs to a black race, his skin is now also quite light, in any case, lighter than that of his parents, and his palms and feet are pink. Under the skin accumulated a fair amount of fat, it makes the baby plump. Especially a lot of fat is deposited in the face, the child needs round cheeks to successfully cope with the task of sucking the breast.
In the 37th week of pregnancy, the weight of the child often exceeds 3 kg, on average, babies are born weighing 3200-3500 grams, and most already have enough time to get what they need this week. In the 37th week of pregnancy, the weight of the fetus can be very different in both different women, and in the same in different pregnancies. As a rule, in the second birth the child is larger, and boys usually weigh more than girls. In some cases, the child is gaining 3800 4000 grams by the 37th week of pregnancy. A large fetus can cause difficult labor and even cesarean section.
The baby at 37 weeks of gestation leads approximately the same way of life as a newborn. His sleep takes up most of the time, and if he is awake, he is committed to sucking everything from his fingers and forearms to the umbilical cord. He reacts sensitively to everything that happens around his mother. Now his hearing, the organ of vision are fully matured, he hears and sees beautifully, his memory allows mother’s voice to remember and not only.
Musical addictions are also laid now. If the mother listens to a lot of music during pregnancy, the likelihood of giving birth to a gifted baby is high.
The movement of the fetus to the 37th week of pregnancy becomes even less. Sometimes you can even worry if everything is good when you don’t hear your child for an hour. The movements become less frequent before childbirth, this is due to the narrowness of the uterus and the weight of the baby. This should not scare you.
Abdominal changes occurring before childbirth are fairly well known and they can be quite noticeable, especially if this is the first pregnancy. This is primarily a lowering of the abdomen. Due to the fact that the baby’s head sinks into the mother’s small pelvis, the bottom of the uterus becomes lower and the abdomen seems smaller.If you have 37 weeks of gestation, your belly is lowered, this does not mean that you will soon give birth, usually in primiparous people, abdominal distension occurs 2 weeks before the expected birth and earlier, but during repeated births, lowering can occur only in childbirth.
Analyzes and surveys
The end of pregnancy means for you that you will be tortured again with tests. One joy, it is quite possible that you are already in the hospital waiting for childbirth and this means that you do not have to pass everything again.
In the 37th week of pregnancy, tests are crucial for planning your delivery.
In most maternity hospitals, all women who were hospitalized in advance are undergoing an ultrasound examination. Why is it needed?
At the 37th week of pregnancy, an ultrasound scan gives doctors a huge amount of necessary information. Even if your baby is lying in the uterus correctly, head down, extensor inserts are possible, which are a contraindication to natural childbirth. Timely identified abnormalities make it possible to successfully avoid possible complications and to give birth to you as carefully and sparingly as possible.
With the appearance of brownish secretions do not particularly need to worry, especially if such a liquid comes out periodically and mixed with mucous components. But with the obstetrician-gynecologist to discuss this issue is still necessary. At the 37-week gestational period, such discharge is usually a characteristic symptom of an impending delivery. Such secretions are characterized by a stopper from the cervical canal, which has already been described above.
It cannot be ruled out that a crumb can appear after such discharge in the coming days, especially this is likely when joining painful contractions with a traffic jam. But it also happens that after the cork mucus elapses, the patient has a successful pregnancy for another two or even three weeks. The main thing is that these secretions do not have a bad smell, which can only indicate an infection.
It is quite acceptable if a pregnant woman has a sweet-pink discharge on the ninth month. If they look like water, then, most likely, mommy began to leak amniotic fluid. And it can be colorless, and not necessarily pink. And this tint gives it a slightly bloody cervical canal, which is quite normal for patients preparing for motherhood for the first time.
Like the brownish discharge, such traces are considered to be harbingers of rapidly approaching labor. But it is necessary to monitor the volume of the amniotic fluid, if too much of it is allocated, then this is not the norm - it is necessary to make an unscheduled visit to an obstetrician-gynecologist who can determine the true origin of such secretions and eliminate dangerous conditions.
Such secretions are normally not present in pregnant women at any time.
This is clear evidence that in the female body, parallel to pregnancy, a serious inflammatory lesion of some reproductive organ develops. If the pathology affects the fallopian tubes or ovaries, then green secretions are a characteristic sign of such conditions.
This feature also requires medical intervention. After the necessary examination, the doctor will individually decide what further measures are necessary for the pregnant woman - to carry out treatment or wait for the delivery, restraining the disease.
Belly and womb
If a tummy lowering has not happened a week earlier, then it is quite possible that it will happen at 37 weeks, although it is possible that it was your stomach that decided to sink right before the birth itself. Each mummy this process occurs in due time. But even after lowering, it is not necessary to wait in panic for the onset of childbirth, it may well take another week or even two.
Better enjoy the opportunity to breathe freely, because the tum has shifted down and stopped squeezing the respiratory structures. Although another problem appears with relief of breathing - pains arise in the lower abdomen, radiating to the lumbar region. It’s just that now the fetus has sunk into the low-alert area, its pressure has increased, which is why there are pulling, aching and painful sensations. If they are constantly present in the lower back and abdomen, then this is a clear precursor of the upcoming delivery.
The navel is now looking down, the bladder is constantly under pressure, which makes mommy run to the toilet almost every 10 minutes. In this case, the uterus is already in a certain tone, it is tense.
Pregnant life is now becoming closely associated with painful sensations. Drawing and aching pains are the result of lowering the abdomen and indicate a rapid onset of labor. Pain in the legs and the sacrum, the spine and the back may increase. The weight increased, the uterus became larger, which cannot pass for the musculoskeletal system without a trace. A woman needs to rest more, go to bed more often, putting a blanket twisted in a roller under the lower limbs. Now it is imperative to wear a bandage that will help relieve the spine and back.
Have to suffer a little painful discomfort in the pubic, lumbar and pelvic region. Relaxin is actively produced, under the influence of which the pelvic bone structures begin to disperse, which also causes some soreness, and even the baby presses the head on the uterine bottom. There is nothing left before the birth, so you will have to accept the pain and wait.
The obstetrician-gynecologist weekly examines the future woman in labor, controls the changes occurring in the body, aimed at preparing it for labor. At each examination, the doctor listens to the fetal heartbeat, examines the neck for the beginning of the disclosure. Usually, even before the 37th week, the patient undergoes three planned ultrasound examinations. But sometimes the ultrasound is appointed and at this time. For what?
- Usually, the need for additional ultrasound examination arises when you need to clarify the location of the crumbs.
- Usually, by this time the baby is already head down, but if he hasn’t turned the right angle to the exit from the maternal body, surgical help may be needed during labor, i.e., a caesarean is prescribed.
- In addition, during an ultrasound diagnosis, the doctor assesses the amount of amniotic fluid, the location of the umbilical cord, placental maturity, etc.
Therefore, if the doctor says about the need for another ultrasound, do not be afraid. He just wants to insure and eliminate the wrong position of the baby and other unexpected surprises that during childbirth can lead to a problem.
What does a baby look like and what does it do?
At 37 weeks old, a child’s height reaches 48-50 cm, weight - 2.8-2.9 kg. The fetus occupies almost the entire space of the uterus, and now it does not turn over in the womb - it only moves its handles and occasionally pushes.
Appearance of the baby is made out - it looks like a newborn:
- facial features gain clarity
- individual prints and marigolds appear on the fingers,
- the lanugo disappears (a light down covering the body),
- nasal and ear cartilages harden,
- hair grows (from 0.5 to 4 cm),
- under the skin accumulates fat
- the navel is shifted to the middle of the abdomen,
- the formation of the genital lips in girls and the scrotum in boys is completed,
- integuments lighten, turn pink, become uniform in color.
During this period, the fetus sleeps a lot, and when it is awake, it behaves as in the first months after birth: it sucks fingers, cams or the umbilical cord. Hearing and vision are well developed: the child recognizes and distinguishes the parental voices, recognizes the intonation of speech and responds by moving to loud sounds and pleasant music. He reacts to the environment and feels his mother's mood - it is important to provide him with physiological comfort and a cozy psychological atmosphere.
How does a child's body develop?
The bones of the skull, unlike cartilage, remain soft, and the fontanelles are open. So nature ordered that it was easier for the baby to overcome the narrow birth canal - in the process the skull is slightly deformed. This is a kind of norm and does not affect the health of the newborn. It is noticed that children born on caesarean section have a perfectly even shape of the skull.
The fetus occupies a prenatal position: head to the pelvis. However, pelvic presentation (head up) can persist until delivery. While the body is preparing for them, there is a chance that the child will still be able to roll over in the womb - such cases are not uncommon. If this has not happened by the end of the term, the midwife will have to resort to a scalpel in order not to harm the baby and the mother.
At this time the child must take a permanent position.
The functional systems of the child’s body begin to actively prepare for childbirth:
- the liver deposits blood and accumulates iron for blood formation,
- a surfactant is accumulated in the lungs, contributing to their disclosure in the newborn,
- adrenal glands increase in size and begin to produce hormones necessary for proper breathing, activity and reaction to stress,
- the neurons are covered by a myelin sheath responsible for the coordination of movements,
- peristalsis is activated in recent weeks,
- The mucous membranes of the gastrointestinal tract are covered with villous epithelium, necessary for the absorption of nutrients from food.
In the womb, the child does not breathe in the traditional way, it only imitates this process, swallowing amniotic fluid, and prepares for the first breath. At the time of birth, the lungs of the newborn are straightened, and a heart valve opens, through which blood flows through the vessels into the lungs to saturate it with oxygen.
What sensations does mom experience?
The uterus this week of pregnancy reaches its maximum size. Its volume is now about 5 liters, weight - 1 kg. Because of such an impressive volume and the presentation of the fetus head down pressure on the bladder of the future mother increases, which is fraught with frequent urination.
A significant load on the spine can cause backache and shooting pain in the perineum. The expansion of the pelvis is accompanied by discomfort, tingling, aching pain in the lumbar region and groin.
The woman changes the shape of the navel - it increases, becomes flat or bulges out. Do not worry because of this, because after the birth of the child, everything will gradually return to normal.
The time when the baby is born is approaching, and the body begins to actively prepare for it. Ovaries in late pregnancy produce relaxin, which is responsible for the expansion of the birth canal. This hormone contributes to the stretching of muscles and ligaments, softening of cartilage and the normal opening of the cervix.
In the last weeks, the stomach is turning and pulling, but the tone is not a dangerous phenomenon. "Training" contractions can occur several times a day. To relieve stress, just relax, lie down in a comfortable position or take a warm bath.
Relieve a hot shower when it is easier for the stomach to become stone.
If the increased tone is accompanied by harbingers of childbirth, you need to inform your doctor.
How to recognize signs of close birth?
Gynecologists refer to the forerunners of impending labor as the following signs:
- Breast swelling and colostrum release - the body prepares for lactation.
- Lowering the abdomen, due to the fact that the head of the child moves to the cervix, it is now easier for the mother to breathe, and heartburn occurs, but urges to the toilet are becoming more frequent.
- Exit cork in the form of a lump of mucus, accompanied by drawing pains in the lower back and lower abdomen: in primiparous people occurs a few days before giving birth, in retractors it can happen directly in front of them.
- Stool thinning indicates that the body is cleared,
- Weight is reduced due to the fact that excess fluid leaves the body along with edema,
- A surge of energy, or the so-called "nesting effect", in which a pregnant woman, feeling a sudden surge of strength, is taken for household chores and cleaning.
Harbingers warn of impending labor, but should not be afraid. The body prepares gradually, and from the moment of the first appearance of signs to the birth of a baby, it can take from 3 days to 2 weeks. Experienced women in labor know about it and behave calmly, while primiparas begin to worry, moreover, completely in vain.
In women with different backgrounds, precursors appear more intense than during the first birth.
You need to carefully monitor the discharge. Normally, they should be milky. If you notice a yellowish, brown or pink-yellow discharge in the form of viscous mucus in your body, you should know that the cork comes off. During pregnancy, she covered the cervix, protecting the organ and fetus from microorganisms and bacteria, with the approach of childbirth the need for it disappears.
Possible problems: how to identify violations in time?
Attention should be paid to discharges that differ from the norm: an earthy shade indicates infections, and blood indicates a premature detachment of the placenta. Infection threatens serious complications, and detachment of the placenta, accompanied by sharp pain, is fraught with blood loss for the mother and oxygen starvation for the baby. Both conditions require immediate contact with a gynecologist.
Transparent or turbid copious discharge indicates the leakage of water. Special amniotic pads, which are sold in pharmacies, will help to recognize this pathological condition in time. You can also conduct a test at home by placing a dry clean diaper under it for 20 minutes. If after the control time a wet spot is found on the tissue, you should immediately contact a doctor.
Dribbling is associated with rupture of the fetal bladder, - even if this gap is insignificant, the probability of penetration of the infection inside is very high. The actions of the obstetrician depend on the period of gestation: at 37 weeks, the doctor most likely will send to a cesarean section, in an earlier period, he will prescribe a drug-induced antibacterial therapy.
Women with kidney and cardiovascular diseases have a high risk of developing pre-eclampsia, a dangerous form of late toxicosis (gestosis). It is accompanied by increased and irregular blood pressure, rapid accumulation of edema, disorders of the central nervous system: changes in hearing and vision, dizziness, etc. In the analysis of urine in this case, the protein is detected, which normally should not be. At the first frightening symptoms, you must consult a doctor, because Delay threatens to have serious consequences for the mother and child (convulsions, oxygen deficiency, inhibition of the most important functions of the body).
You should also monitor the behavior and activity of the fetus. Normally, during this week, he regularly moves in the womb: about 10 times in 12 hours. If the child manifests itself too restlessly, or, conversely, for a long time does not make itself felt, you need to seem to the gynecologist, who is observing the pregnancy. Consider that before the birth of the movement of normal become rare - the baby grows in size, and he does not have enough free space in the womb.
If you do not observe movement during long hours, then you need to visit a doctor as soon as possible.
When a pathology is detected, a decision will be made on a caesarean section - this measure will allow to save the life of the child and the health of the mother. The current term allows it, because Mature fetus is physiologically ready for birth.
How to eat during this period?
At this time, future mothers may lose their appetite, which entails a weight loss in the range of 1-2 kg. To maintain a healthy physical condition, doctors recommend giving preference to easily digestible food, rich in vitamins, microelements and healthy carbohydrates. The portions should be small, and the frequency of meals should be 5-7 times a day.
Salty, spicy and smoked dishes are recommended to be excluded from the diet, as they increase thirst, and drinking plenty of water increases the load on the kidneys, resulting in swelling.
The following products will benefit:
- dairy products,
- beef liver,
During pregnancy it is better to use natural drinks with a slight diuretic effect: for example, lingonberry juice will help remove excess fluid from the body.
To avoid insomnia and heaviness in the stomach, it is recommended to refrain from eating 3 hours before bedtime. However, if you really want to eat, do not deny yourself this, but preference should be given to light products.
Why take vitamins and minerals?
Vitamin-mineral complexes recommended by a gynecologist should be taken in full.
- Calcium is especially important now. Being in the womb, the baby continues to grow, the bones increase in size, and his body needs a sufficient amount of this trace element. Calcium helps mom: strengthening the walls of blood vessels, it prevents the formation of hemorrhoids and varicose veins.
- Another useful element is magnesium. It reduces the risk of seizures, relieves muscle spasms and has a beneficial effect on the nervous system: it reduces overall irritability and calms the future mother.
- Железо участвует в процессах кроветворения в организме малыша, а витамин С помогает ему полноценно усваиваться, и вместе с кальцием поддерживает сосуды за счет повышения их эластичности.
Физическая активность: рекомендации и ограничения
Двигательную активность на этой неделе лучше ограничить. Under the control of an instructor, it is allowed to perform light exercises to prepare muscles for childbirth, it is independently allowed to overcome only small distances with a slow step. Evening walks are helpful in fighting insomnia, which often worries future mothers in the last weeks of gestation.
At this time, relaxation and rest are shown - a woman should fully relax and save her strength before giving birth
Respiratory gymnastics will bring much more benefits than physical education. Breathing training will help not only during pregnancy, but also during labor. It often happens that a woman in labor on the obstetric table does not know how to breathe correctly in order to alleviate her condition and alleviate acute pain.
Is intimacy possible?
Today, gynecologists unanimously claim that having sex in the late stages of pregnancy is not just possible, but also useful if there are no pathologies when carrying a child. The reason for this is the presence in the semen of a substance that increases the elasticity of the cervix, which plays an important role in preparing for its disclosure.
In general, the possibility of intimacy this week should be assessed on the basis of their own feelings. If sex does not bring discomfort, you can afford the pleasure, even if a little pulling the lower abdomen. Of course, from the poses in which the partner puts pressure on the stomach, should be abandoned.
When having sex, it is worth remembering that it is better to avoid postures in which the partner puts pressure on the already large belly.
With the appearance of precursors of impending labor and abundant watery discharge, intimate life should be stopped.
What does the doctor checks during the examination?
In the last weeks before giving birth, doctors pay attention to the following indicators:
- condition of the cervix,
- previa fetus
- the width of the pelvis of the future mother.
At 37 weeks gestation, the cervix becomes soft and thin, and in some cases even begins to open. Its changes occur gradually and are usually accompanied by aching sensations in the lower abdomen. To determine the degree of disclosure, the doctor examines a pregnant woman on a gynecological chair.
On examination, he also takes a swab to exclude violations of the vaginal microflora. If tests show the presence of a fungal or bacterial infection, timely treatment will not allow it to rise through the birth canal in the direction of the fetus.
After that, the doctor measures the abdominal circumference of the pregnant woman, her weight and assesses the physiological condition by the presence of edema, blood pressure, urinalysis and, if necessary, biochemical blood data.
An ultrasound scan at week 37 is carried out only for medical reasons: for example, in cases of suspected entanglement of the baby’s neck with an umbilical cord and oxygen deficiency.
How to understand that childbirth begins?
If false fights, in which the lower abdomen pulls and stiffens, are replaced by the true ones - with a gradual reduction of intervals and increased pain, it is time to go to the maternity hospital. In most cases, they are preceded by the discharge of amniotic fluid. By this week it is worthwhile to prepare in advance a bag with the things that will be required for the mother and the baby in the ward.
Statistics show that in multiparous women there is sometimes a rapid labor activity. If you enter in their number, then you can not hesitate, because contractions can intensify faster than at first birth.
So, at this time you should not be afraid of complications if the pregnancy proceeds calmly and the fetus develops normally. The future mother needs to take care of herself, worry less, observe the child's behavior and control her condition.