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39 week of pregnancy

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Pregnancy is one of the most unforgettable periods in the life of every woman, and her last stages are very significant and exciting. It is at this moment that it is most important to keep track of all the changes and the emergence of new sensations that can indicate the right or wrong course of pregnancy.

In the penultimate week of pregnancy, any expectant mother is already beginning to morally prepare for a meeting with the baby, especially carefully listening to all changes, both significant and insignificant, occurring in her body, and a stone belly at week 39 can cause a lot of anxiety and fear. In order to understand the nature of this phenomenon, it is necessary to become more familiar with all the changes that occur during this period.

At the 39th week of pregnancy, the baby is ready to be born. During this period, his physical activity is somewhat reduced, since the child no longer has enough space for frolicking somersaults and somersaults. Its growth at this time is on average 50-54 centimeters, and the weight usually varies from 3200 to 3400 grams, but this does not mean that deviation from these parameters is not the norm. In this matter, it all depends on the individual characteristics of the baby. At this period, his liver and kidneys are already sufficiently formed, but they will continue to develop during the first months of life. The intestine of the child is filled with meconium - the original feces accumulated after the ingestion of amniotic fluid. The baby already has excellent vision, which allows him to see in the dark and focus his eyes at a distance of about 20 centimeters. During this period, growth and development of the placenta significantly slows down and it begins to age. It is believed that she has already fulfilled its function. The prenatal development of the baby also slows down, since nutrients are now supplied in quantities necessary only to maintain his vital activity. At the reception, the doctor will definitely listen to the fetal heartbeat, and can also do an ultrasound scan to make sure that everything is in order. The gynecologist is obliged to examine the woman herself, in whose body certain changes have also occurred.

Since the 39th week of pregnancy, abdominal growth and weight gain cease. At this stage, the mucus plug may come off and discharge from the genital tract may increase. The passage of traffic jams can only indicate that childbirth can begin very soon. After this, it is necessary to observe hygiene especially carefully and remember that in no case should the possibility of infection of the fetus, ingestion of microbes be allowed. During this period, the amount of amniotic fluid decreases, but there is still enough of them to protect the baby from external influences.

Weight loss may occur at the 39th week of pregnancy. This is possible thanks to the removal of excess fluid and the creation of a certain hormonal background, namely the change in the amount of progesterone and estrogen, contributing to the loss of several kilograms.

At the 39th week of pregnancy, there is an inevitable decrease in the bottom of the uterus, due to which abdominal prolapse occurs and the woman feels much better. This will be a real relief for those who suffer from heartburn. But it was during this period that the inconvenience was delivered by pain in the back and waist. This is not surprising, because the growing fetus creates a serious burden for the future mother's musculoskeletal system. In this case, doctors recommend to rest as much as possible, more often take a horizontal position and if possible, get enough sleep. Water procedures also help well, but at this time it is better to limit yourself to taking a shower, especially if the mucus plug is already gone. It is not recommended to visit the pool during this period. In addition to these changes, there are certain conditions that cause discomfort and anxiety.

Many women complain that their stomach hardens. At week 39, this phenomenon is quite common. A hard stomach at week 39 is sometimes a cause for serious concern for expectant mothers, who are really scared. But experts rush to convince them otherwise. In fact, this condition is more than natural and indicates how actively the 39th week of pregnancy proceeds. A hard stomach is a sign of increasing the tone of the uterus and the beginning of its preparation for childbirth. It was at this time that training bouts intensify, which prepare the body for labor activity. Sometimes they can be so strong that they interfere with sleep at night. Doctors gynecologists strongly advise women in any case not to worry about how much the stomach kinks in week 39. They claim that the threat of abortion due to the tone of the uterus is already far behind and now this condition can only lead to childbirth, which is about to begin. Real contractions differ from training ones primarily in their duration and frequency. If you suspect the beginning of labor, you can turn on the grapple lever, which is quite likely to confirm or refute these conjectures. When confirming the start of the delivery mechanism, it is necessary to take a shower, get together and go to the maternity hospital accompanied by a close relative, or call and call the ambulance brigade.

Births at week 39 are not premature and are considered urgent. Therefore, if there are signs of the onset of labor, you should not panic, since this is considered to be a completely natural phenomenon that can completely physiologically end a pregnancy.

So, the experts told about how the 39 week gestation should actually proceed. The stomach becomes stone, as it turns out, due to the increased tone of the uterus, at such a late period it should not cause any concern, and may only be a signal of an approaching meeting with the baby.

39 week of pregnancy: why the belly of the stone becomes "stone", what happens to the baby, precursors of labor and how to speed up labor

The 39th week of pregnancy from conception is not a long-term replanting, so a woman can be at home and goes to the maternity hospital only with the onset of labor or leaking amniotic fluid.

Usually, those whose pregnancy was physiologically proceeding and there were no indications for an earlier delivery are treated by this date. The main parameters of the development of pregnancy in this period are reflected in the table.

In the 39th week of pregnancy, the stomach is very stony


Every woman who has reported a child up to 39 weeks can safely say that one of the last weeks of walking a pregnant woman is a real feat. The child is already large enough, its weight is about 3 to 4 kilograms, a large proportion of the weight gained is amniotic fluid and the umbilical cord.

The future moms of this week of pregnancy begin to feel that their stomach is becoming hard, as if it is turning to stone, this feeling is very scary. However, do not worry.

Before childbirth, the mucus plug must come off and the amniotic fluid must go out; without this, childbirth cannot begin.

The cork looks like a clot of mucus, the color should be clear, whitish or yellowish - these shades are considered the norm, but the amniotic fluid should be colorless. As a rule, amniotic fluid clear with a sweet smell.

Pregnant state at 39 weeks

  • I constantly want to go to the toilet in a small way: this happens as a result of strong pressure of the uterus, it puts pressure on the bladder with all its great weight. At the same time, when the child begins to move, the pressure increases.
  • There are increasing discomfort on the pelvic bones of the woman, the body is intensively preparing for childbirth.
  • There may be aching pain in the lower back. Stomach "kameneet."
  • At 39 weeks of pregnancy, everything is inconvenient to do, while fatigue appears for walking, it is also difficult to sit for a long time, it is difficult to find a position in which it will be comfortable.
  • Nervousness increases, as the hormones continue to change, fast delivery adds anxiety.

It is very important to observe your feelings, especially in the abdomen area. This is necessary in order to understand in time that the labor activity has begun.

The state of women in the last term of pregnancy

In the last periods, the uterus is most often observed in pregnant women. The female body is actively preparing for delivery, the logical conclusion of pregnancy. The abdominal muscles begin to contract, thus they train before childbirth.

Sharp pain in the hip joints can be an unpleasant sensation, this happens because the fetus begins to actively look for a place to exit in the birth canal, because of the active movement it squeezes the organs and nerve endings.

The abdomen continues to grow rapidly, as the fetus actively gains weight, as a result of which the skin on the abdomen stretches and some form stretch marks in the form of white stripes. Sometimes, some pregnant women develop a pigment streak and dry skin, itching is very rare.

The pain in the abdomen is petrification, not always suggests that something is wrong, one of the reasons is the stretching of muscle tissue as a result of the active movement of the child.

The child begins to prepare his way and is looking for a comfortable position for passing through the birth canal. In any case, if a pregnant woman feels discomfort, then you should consult with your doctor.

The doctor, if the birth has not yet begun, prescribes sedatives, and in order to reduce the pain, it is necessary to find a comfortable body position.

There is such a thing as training contractions - this is a short-term contraction of the muscles of the uterus, they differ from real contractions by the irregularity of repetitions and, as a rule, pass quickly.

Pain is considered normal in the lateral parts of the abdomen, if these pains are irregular and are not the result of physical exertion. But here, if the pain is constant, then you should consult a doctor to find out the cause and reduce the risk for the pregnant woman and the child.

Do not neglect any symptoms that cause anxiety. For example, if you notice bloody or brownish discharge, you should urgently call an ambulance. These signs may indicate an abortion or the onset of labor.

Drugs prescribed by the doctor with a stone belly during pregnancy

  • "Ginerapral." Such a drug is prescribed strictly according to the testimony of the doctor. Unauthorized prescription or cancellation of this drug may lead to undesirable consequences. The main function of the drug is to relax the uterine muscle tissue and prevent it from contracting.
  • "Papaverine". Combined antihypertensive and antispasmodic drug with analgesic action.

These drugs are prescribed only by a doctor, the use of these drugs by a pregnant woman is not allowed, because each case is individual.

Listen to yourself, follow the doctor's instructions and let your childbirth be easy!

39, 40 and 41 weeks - the stomach turns to stone: why and what to do

For many future moms, at week 39, their stomachs will stone. Why is this happening? Some women think that childbirth is already beginning, others worry that something bad is happening to the baby. The answer in most situations is simple - these are training bouts.

At one moment, the stomach becomes stone, it becomes hard, the lower back seems to cover a dense ring, during pregnancy for a period of 40 weeks this can occur several times a day, therefore many primiparous are afraid and do not know what it is and when they need to go to the doctor.

What happens in the mother

Some changes constantly occur in the mother's body. If in the early stages the conditions for the growth and development of the fetus are being formed, then in the third trimester the female body begins to gradually prepare for birth.

Starting from the 39th week of pregnancy, almost everybody has a stone in their stomachs - what is it for - future mothers begin to guess, and when will the most important and long-awaited meeting with the baby occur?

Changes in the 39th week of pregnancy

After 36 weeks, pregnancy is considered full-term, but most women give birth between 38 and 41 weeks. If on week 39, the belly of the stone, such a sign is a signal of readiness of the organism for the birth of a child, but childbirth does not always occur on this day.

Often in pregnant women, there are training bouts in the later periods, in which:

  • there is a muscle spasm, and the stomach becomes hard,
  • pulls the lower back,
  • there is a pulling pain that surrounds the abdomen.

A distinctive feature of training contractions from the true ones is the absence of a periodicity of contractions, the intensity of the attacks does not increase, the contractions are short in time.

When the stomach often kamenet for a period of 39 weeks, it is necessary to follow the contractions, to detect the time interval when they recur, as well as the duration of each period. Depending on the data obtained, it is necessary to decide whether to stay at home or go to the maternity hospital.

40 week

At the onset of 40 weeks, we can expect that childbirth will begin at any time, so you do not need to ignore the state when the stomach is turning to stone or the loin is sore. At this time, an active preparation of the female reproductive system for the birth of an infant is taking place: the cervix becomes more elastic, it shortens and gets smoothed contours.

At 40 weeks of gestation, mucus plug mucus may occur, which indicates an early onset of labor - they usually occur within a week, while the pregnant woman has red-brown mucous secretions, often hardens in the stomach, and pulling discomfort in the lower abdomen.

Why does the stomach turn to stone at 40 weeks? This is due to false fights. Thus, the body seems to check whether it is ready for such a complex and lengthy process as childbirth.

If a woman expects the birth of her first child, then such fights are often accompanied by anxiety or fear, because she does not know what will happen next.

If this is the second pregnancy, then mom already knows the entire sequence of the process and tries to remain calm.

At week 41

If the 41st week of pregnancy has already begun, and the long-awaited meeting with the baby will not happen at all, although the expectant mom often has a stomach, you should not worry. After all, the baby is postponed only after 42 weeks.

Often there are errors in calculating the duration of pregnancy. The obstetric and physiological period may differ by 2 weeks, since it is not always possible to establish the exact day when conception occurred.

Pregnancy during this period is accompanied by the following phenomena:

  • sometimes the lower abdomen hurts, which can be accompanied by hardening,
  • discomfort in the perineum, as well as hip joints,
  • mood swings
  • discharge of cork, if it did not occur earlier.

Possible complaints and problems

At the final stage of pregnancy, beginning at 39 weeks, the expectant mothers have a hardening of the stomach, and this happens often.

At the same time, the woman points to various symptoms and uncomfortable conditions.:

  • Due to the fact that the uterus is greatly enlarged, it puts pressure on the large intestine, which causes constipation and flatulence.
  • Since the release of bile from the gallbladder is impaired, the pregnant woman indicates a heaviness in the projection of the right hypochondrium. It does not hurt, but there is pressure in this area.
  • In the last weeks of pregnancy, especially at 39-41, the expectant mother often hardens the abdomen, which is caused by hypertonicity of the uterus muscles.
  • A growing fetus puts pressure on the perineum and leads to the expansion of the pelvic bones, which causes pain in the projection of the pubic symphysis.
  • Due to excessive overstretching of the skin, their dryness occurs, striae are often formed.

If the stomach kameneet at 40 weeks of pregnancy, do not worry about this. Your body is already ready for the birth of a child, so this exciting event will happen very soon.

Why does the stomach harden?

As a rule, unusual sensations in the stomach appear when a woman will soon have to give birth. This is the main sign that indicates the imminent birth of a baby, especially if your stomach is stony and hurts during the 40th week of pregnancy.

It should be noted that not only on the 39th and 40th week of pregnancy the stomach becomes stone - this can happen in any period of childbearing. Why it happens?

There are several reasons:

  • Hypertonus. The uterus consists of smooth muscle fibers, which are characterized by contraction, resulting in a feeling of tension in the abdomen. This condition can occur with overwork, stress, sometimes women indicate that hypertonia occurs after obstetric examination.
  • Braxton Hicks contractions. When the expectant mother expects a first-born child, she may be intimidated if her stomach turns stone at 40 weeks of gestation and it is not clear what it is. Тренировочные схватки подготавливают матку и весь организм к сложному и продолжительному процессу.

Беременной в конце последнего триместра необходимо прислушиваться к сигналам, которые подает ее тело. Если тянет низ живота, и он каменеет на 40 неделе, нужно отметить начало и конец схваток, а также продолжительность промежутков между ними. If pain occurs every 10 minutes, it is urgent to go to the hospital.

How to relieve discomfort?

From the moment the pregnant woman periodically begins to feel the training bouts and her stomach becomes stony at the 39th week of pregnancy, the future mother begins to be disturbed by the main question - when will she give birth? Unfortunately, not a single doctor will give an exact answer, but it should be understood that the expectant mother is entering the home stretch - an exciting event can occur on any given day.

When the stomach often kamenet at 40 weeks, while childbirth does not start, you can reduce the discomfort in the following ways:

  • in the event of a false contraction, you must lie down and rest,
  • To relieve the feeling of a stone belly, you need to get on all fours and bend your back down, then round it,
  • with severe pain, it is allowed to take a pill No-shpy, which will relieve muscle spasm,
  • you can not lie on your back for a long time and in the same position
  • Do not lift weights and overstrain.

When do I need to see a doctor urgently?

There are situations when it is necessary to urgently seek medical help.

It is better to do so for those who have a kamenetus stomach at 40 weeks of pregnancy, and the following symptoms are determined.:

  • bleeding,
  • discharge of water
  • sudden hyperthermia,
  • dizziness followed by loss of consciousness
  • there are no signs of movement of the baby,
  • regular fights with a break of 5-10 minutes.

Why does the stomach become stony in the 40th week of pregnancy? This sign indicates that everything is ready for the birth of a child, and it remains only to wait for this meeting. At fights try not to be nervous, think about the fact that soon you will see your baby for the first time.

What happens to the fetus

The child is fully ready to be born. Its weight on average reaches 3200-3500 g. The body weight of large children can be 4000 g or more. Growth varies from 52-56 cm, and this is only an approximate figure. All body systems of the baby are formed and ready to exist outside the womb of the mother, nothing significant is happening:

  • the main organs - liver, kidneys, pancreas, heart fully cope with their tasks,
  • breathing apparatus - a surfactant has already accumulated in the lungs, which after birth promotes active independent breathing,
  • the gastrointestinal tract - is able to digest the mother's milk, in the intestines already accumulated original tar calories, meconium, from which the baby will get rid of in the first days after birth,
  • the central nervous system - now and with the advent of the baby into the world, she continues to improve,
  • immunity - the mother’s immune cells are actively transferred to the fetus, because after birth, he especially needs antibodies that can protect him from pathogenic microorganisms.

The bones of the baby continue to be mineralized, the fontanelles thicken. During passage through the birth canal, the head circumference practically does not change, so the postponed pregnancy is accompanied by a greater likelihood of obstructed labor, more often a cesarean section is performed.

The skin of the baby has a delicate pink hue. The fluff (lanugo) and the original lubricant, which can remain only in the functional folds, completely disappeared from it.

Many children by the time of birth already acquire hair. Almost all babies grow nails, with which they are able to scratch themselves in the womb.

The subcutaneous layer was formed, because the body of the child is no longer "wrinkles". A person acquires individual traits.

Movement and activity

At the 39th week of pregnancy, the fetus has already gained maximum weight and has grown in size, so it is closely located in the womb.

The kid continues to move, but now his activity is limited by impulses of limbs and turns of the head. His arms and legs are pressed to the body, this is the position most favorable for the generic process.

The expectant mother should continue to control perturbations. They must be at least ten a day.

Location

Normally, by the 39th week of pregnancy, the fetus lies head down along the uterus. This is the most comfortable position for passing through the birth canal. If the baby is down with the pelvis, the woman is assigned to delivery by caesarean section.

With a small weight of the fetus and re-pregnancy natural birth is allowed. Cases of transverse or oblique position of the fetus are usually delivered to the 39-40 obstetric week. When they are detected, a cesarean section is now performed.

Signs of reversal

It is possible to determine whether a woman has been pregnant or not by signs during or after delivery. They are as follows:

  • low water,
  • lack of cheese lubrication,
  • fruit weight about 4000 g,
  • long fingernails and hairs on the head,
  • dense bones of the skull and reduced size of fontanel,
  • skin is greenish or yellowish.

Maternal condition

At 41 obstetric weeks, there are no significant changes with the expectant mother. If something bothered her before, the symptoms may worsen, for example, hemorrhoids aggravate or back pain appears.

Now the thoughts of the future mother are focused on the topic of childbirth. This is an exciting period, because labor activity can begin at any time.

If the woman’s abdomen has not dropped before, this is happening now. Under the influence of hormones, the cervix continues to be prepared for childbirth: at the 39th week of pregnancy, its shortening and softening occurs, the cervical canal opens.

The amount of amniotic water decreases, they can be yellow or even greenish, which is a sign of post-term pregnancy and fetal hypoxia.

The discomfort

In addition to excitement and anxiety, a woman experiences many other sensations.

  • False contractions. They increasingly make themselves known, they are sometimes difficult to distinguish from the physiological. Periodically "kameneet" belly in the 39th week of pregnancy - the tone occurs during stroking, physical activity.
  • Pressure on the crotch. The descending baby exerts additional pressure on the perineal region, while the pain may be given to the lower limbs and lower back.
  • Kicking baby. Despite the fact that the pressure on the diaphragm and abdomen has decreased a little, the child may, with a sharp jerk of the leg / hand, cause the future mother pain in the stomach or liver, causing heartburn and even nausea.
  • Pains There may be pain in the sacrum and lower back due to pinching of the femoral nerve. The upper and lower limbs may become numb, and leg cramps, especially at night.

It is especially important to pay attention to the nature of vaginal discharge at the 39th week of pregnancy. Normally they:

  • odorless and colorless
  • moderate and uniform consistency,
  • have a slimy character.

Elimination of mucus with bloody streaks or brown is acceptable. This leaves the mucus plug that protects the child from the penetration of pathogenic microorganisms. It can stand out completely or in parts. This indicates the approach of labor.

Pathological discharge (candidiasis, colpitis) should be a reason for seeking medical attention. The specialist will prescribe the treatment, most often it is the local candles. Ignoring inflammation in the vagina increases the risk of ruptures during labor and infection of the fetus.

If the discharge has become liquid, abundant and have a sweetish smell, the leakage of amniotic fluid cannot be ruled out. They may leak for some time or pour out almost all at once. In case of doubt, you should immediately contact the hospital. Green, yellow water or mixed with meconium - a sign of trouble for the fetus.

Harbingers of childbirth are signs indicating the imminent onset of labor. A week before the start of labor, the following harbingers may appear:

  • easier to breathe - due to the decrease in the height of the uterus,
  • nesting instinct - because of the fluctuations in the hormonal background, it is pleasant for a woman to revise and fold baby’s things, to be alone,
  • the baby is inactive - the movements are less frequent, but there should be no less than ten per day.

The mucus plug usually goes away a day or two before the onset of labor, it can be accompanied by a single diarrhea without signs of poisoning and without fever. For seven to ten days (sometimes earlier), the woman begins to be bothered by nagging pains in the lower abdomen, lower back, and sometimes uterine contractions every 10-15 minutes, but soon they disappear.

Regular labor contractions can be considered uterine contractions every 7-10 minutes. In this case, their frequency increases, and the rest break decreases. Harbingers of childbirth at 39 weeks of gestation in multiparous ones may appear with the onset of active contractions.

When visiting a gynecologist, a routine examination is performed, and pressure, GMR and abdominal circumference are measured. CTG is recorded. Ultrasound may be prescribed at the discretion of the doctor. It will help determine:

  • indirect signs of postponing,
  • the size of the baby
  • the amount of amniotic water
  • signs of aging placenta
  • blood flow velocity in uterine, fetal and placental vessels.

Appearance

The skin of the baby has a delicate pink hue. The fluff (lanugo) and the original lubricant, which can remain only in the functional folds, completely disappeared from it. Many children by the time of birth already acquire hair. Almost all babies grow nails, with which they are able to scratch themselves in the womb. The subcutaneous layer was formed, because the body of the child is no longer "wrinkles". A person acquires individual traits.

Harbingers of childbirth at the 39th week of pregnancy

Harbingers of childbirth are signs indicating the imminent onset of labor. A week before the start of labor, the following harbingers may appear:

  • easier to breathe - due to the decrease in the height of the uterus,
  • nesting instinct - because of the fluctuations in the hormonal background, it is pleasant for a woman to revise and fold baby’s things, to be alone,
  • the baby is inactive - the movements are less frequent, but there should be no less than ten per day.

The mucus plug usually goes away a day or two before the onset of labor, it can be accompanied by a single diarrhea without signs of poisoning and without fever. For seven to ten days (sometimes earlier), the woman begins to be bothered by nagging pains in the lower abdomen, lower back, and sometimes uterine contractions every 10-15 minutes, but soon they disappear.

Survey

When visiting a gynecologist, a routine examination is performed, and pressure, GMR and abdominal circumference are measured. CTG is recorded. Ultrasound may be prescribed at the discretion of the doctor. It will help determine:

  • indirect signs of postponing,
  • the size of the baby
  • the amount of amniotic water
  • signs of aging placenta
  • blood flow velocity in uterine, fetal and placental vessels.

Need stimulation

The norm for the onset of labor is the period from 37 to 42 obstetric weeks. This is influenced by many factors: the exact date of conception, the presence of previous pregnancies, the number of fetuses being born, the age of the woman.

If evidence is found, a decision may be made to stimulate labor at the 39th week of pregnancy (from conception). These include:

  • Mature cervix
  • discharge of amniotic waters without the onset of labor,
  • low water or high water
  • preeclampsia or only swelling / pressure increase.

The following methods can be used to induce childbirth.

  • Amniotomy. The most natural way. It involves the opening of the amniotic membranes using the branches from bullet forceps. Non-painful procedure. A woman feels everything as if she is undergoing a routine examination on a gynecological chair. Amniotomy can only be performed on the condition of a mature cervix.
  • Special catheter. A small diameter balloon is installed in the cervical canal for a day. Immediately after installation, a certain amount of sterile fluid is injected into it. Thus, mechanical pressure is exerted on the cervix, and it “opens”. The catheter is removed and amniotomy is performed.
  • Preparations. With an immature cervix, hormone preparations based on prostaglandins (Prepdil and Prostin gels) or mifepristone are prescribed. They are inserted into the vagina or taken inside.

In the second and subsequent pregnancies, induction of labor has a more favorable prognosis. In primiparous people, such actions often end with an emergency caesarean section.

According to the testimony, you can speed up delivery at the 39th week of pregnancy (from conception) with the help of drugs. But for the beginning of labor activity, it is not only the readiness of the child and the birth canal that is important. A woman should have a certain psychological attitude with the formation of a generic dominant.

The size, appearance and position of the fetus

The weight of the fetus at week 39 reaches 3.5 kg (but maybe as 3 or 4 kg), height - 51-52 cm. The baby has a rather large head, broad shoulders, a bulging tummy, a narrow pelvis and legs, which may seem shortish compared to the body and arms. On the arms and legs of the crumbs, folds and constrictions have already appeared, and, the greater the mass of the baby, the more pronounced these constrictions. There is still a bit of protective lubricant in the folds, but on the body it is almost gone. Similarly, the baby's calf has disappeared, and the hair is fluffy (a small amount of them can remain only on the shoulders). The skin has lost its redness and wrinkles. Marigolds completely closed nail box on the fingers. That is the crumb now differs nothing from the newborn.

At the 39th week of the prenatal period, the expectant mother can note that the baby seemed to be calmer and the abdomen stopped walking. On this occasion, do not worry. Crumbs just do not have enough space and all he can do is slightly push mother with her elbow, knee or heel. But what is very important - a woman must feel these movements, no one has canceled the “rule of 10 movements”.If the shocks are gone, you should immediately consult a doctor. Ultrasound and cardiotocography (CTG) can help assess the condition of your baby.

By week 39, the fetus has already taken up a position in the womb, in which it will be born. Normally, it should be longitudinal, head down, the nape to the internal cervix. But in some cases, the crumb is completely different:

  • transversely
  • askew
  • down the buttocks or legs,
  • throws back the head and to the inner throat of the cervix is ​​drawn forehead or face.

Most of these baby positions are indications for cesarean section.

Well-being of the future mother

The bottom of the uterus fell down a bit, so the expectant mother becomes easier to breathe and eat at week 39 (the stomach and lungs are no longer supported by the uterus). But the bladder, on the contrary, is now feeling the most pressure during the entire pregnancy, so it’s necessary to write almost every hour.

In general, the woman’s well-being remains consistently satisfactory - it cannot be called good, because the preparation for the upcoming births makes itself felt all the time:

At week 39, standing on the scales, the expectant mother can note a decrease in weight by 1 or even 1.5 kg. This is absolutely normal. The body, preparing for childbirth, tries to get rid of excess fluid and toxins that have accumulated in the intestines. That is why a pregnant woman often has to run to the toilet “for the most part” and “for the little one”.

Placenta on the 39th week of pregnancy

At week 39, the placenta begins to age - its thickness decreases, calcium deposits appear in the tissues, blood flow in the vessels worsens. Of course, these changes affect the blood supply and provide the baby with all the necessary substances, but not critical. Doctors believe that such stressful training even helps the crumbs before delivery, during which there are always periods when the fetus begins to suffer from a lack of oxygen. However, it happens that the baby seat begins to age prematurely and by week 39, they almost completely lose all their functionality. In such conditions, the baby ceases to gain weight and is constantly in a state of oxygen starvation.

To determine that the baby is bad inside the uterus, you can use CTG and Doppler. In addition, both the obstetrician-gynecologist, having listened to the heart of the fetus, and the expectant mother, who is following the movements of her baby, may be suspicious. Therefore, we should not ignore the trips to the antenatal clinic and the tracking of the motor activity of the baby in the last weeks of pregnancy.

There is another important point - the aging of the placenta leads to the fact that it ceases to perform its barrier function. Now pathogens, toxins, harmful chemical compounds, etc. can get to your baby. Therefore, the future mother should not forget about vigilance for a minute:

  • no self treatment
  • no visits to crowded places where you can pick up something,
  • no experiments with food
  • no general cleaning with the use of strong household chemicals and repairs in the house.

Required examinations

At week 39, you should visit the observatory gynecologist in the antenatal clinic. Now it is more important than ever, because only a doctor can determine whether everything is fine with the baby and whether there is a reason for hospitalization in the maternity hospital.

During this visit, the doctor will do the following:

  • Ask about the state of health and complaints.
  • Evaluate the results of the urine test, which should be passed before.
  • Measures blood pressure, weight and parameters of the abdomen of the patient.
  • Listens to the heart of the fetus.
  • Ощупает живот, чтобы определить, правильно ли расположился малыш и опустилась ли его головка в область таза мамы.
  • Проверит ноги женщины на наличие отеков.
  • Даст направление на УЗИ и КТГ, если есть показания.

If a woman cannot give birth herself (for example, if there are several scars on the uterus, if there is a narrow pelvis), she will most likely be hospitalized at week 39 and will have a planned cesarean section.

When to go to the hospital?

The peak of experiences in the future mother usually falls on the end of pregnancy. How to understand that it's time to go to the hospital - this is one of the most exciting issues. To reassure themselves and loved ones, some pregnant women go to a medical facility in advance and are already there waiting for the onset of labor. In fact, you can wait for the birth and at home - there is nothing heavy and dangerous.

Expectant mothers at 39 weeks gestation need to focus on several important points:

  • If contractions are repeated at regular intervals (which become shorter) and gradually lengthen - this is definitely not training, but the beginning of labor activity. Such contractions do not take place after a rest, a warm shower, lumbar massage, a walk. If the fight began, you should pay attention to the time. When the interval between successive uterine contractions is reduced to 10 minutes, it is necessary to assemble at the maternity hospital.
  • If the water has diverted (they began to leak or flow in a flood), you should go to the hospital immediately,because there is a high risk of infection to the baby. In addition, the outpouring of water can accelerate the process of birth of the crumbs.

Also, the future mother needs to be aware of situations in which it is better to immediately call an ambulance or go to the hospital on her own, without waiting for the appearance of contractions, shortening the intervals between them or leaking the amniotic fluid. These situations include:

  • Vaginal bleeding.
  • Strong pain - as if the uterus could not fully relax between contractions.
  • Change the nature of the movements of the crumbs - if the fetus stopped moving at all or became very active.
  • Increased blood pressure. It is advisable to check if the future mother has a severe headache or dims in her eyes, “flies” appeared.
  • The onset of labor in a woman with multiple pregnancies.
  • Constant dizziness and loss of consciousness of the future mother.

Going to the hospital, the main thing is not to panic! Important: do not forget to bring documents (passport, exchange card, certificate issued by antenatal clinic) and a prepared bag with things (it should already be in the room packed for at least 2 weeks).

If the hospital is not far away, you can use your own car or taxi, if the distance is large and / or the complications described above arise, you should call an ambulance. Doctors ambulance team will be able to provide the necessary medical care and bring the woman to the hospital as soon as possible.

Olga Zubkova, medical commentator, epidemiologist

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Stomach is getting stony in the 39th week of pregnancy: what is the reason?

When the estimated date of birth is very close, the expectant mother especially carefully listens and looks at any changes in her body.

And when she suddenly notices that in the last 2–3 days, her stomach began to often strain and harden, this could be a reason for unnecessary unrest.

Why is this happening? What is the reason for the tension of the abdomen in late pregnancy - 38–39 weeks?

Belly tension

The abdomen tenses when the uterus is enhanced. Sometimes it looks like muscle tension, which occurs during orgasm. However, during pregnancy, the uterus is toned without any connection with sex and pleasure. Why does it harden?

In the case of 38–39 or later obstetric weeks, abdominal tension is most likely associated with training bouts. Now, most expectant mothers attend courses, read special literature and are prepared for the possible appearance of such uterine contractions. But still, some may be taken by surprise, especially when they are 1-2 days before giving birth.

What are training bouts and how do they differ from the generic process?

Training bouts

Uterine tension, not associated with the onset of labor, is training, or false contractions. These cuts are also well known as Braxton-Hicks contractions.

They may appear in the second trimester, from week 16. Then the expectant mother gets used to them and is able to recognize. But sometimes false contractions begin to actively manifest themselves a few days before giving birth - at 37–39 obstetric weeks and serve as their forerunners.

False contractions of the second trimester do not have a special meaning and do not harm a woman or a child. This is a common contraction of the muscular organ - the uterus, painless and short-lived. In the same way, the uterus is reduced and out of pregnancy - for example, during orgasm, but because of its small size and location features, a rare woman notices this reduction.

But starting from week 16, such contractions are already easily felt by expectant mothers and look like a sudden tension of the abdomen. He becomes stone. This can occur several times during the day.

How to distinguish false contractions from true ones, especially if the obstetric period is 38–39 weeks? How not to miss the beginning of labor and not be late to the hospital?

Distinctive features

Is it easy to confuse Braxton-Hicks contractions with the onset of labor? No, if you know the features of the first and second process. False contractions differ from generic following symptoms:

  1. They are irregular. There is no dependence and pattern between uterine contractions. They can be single throughout the day or quite frequent.
  2. They are painless. This does not mean that false contractions are faintly felt. A pregnant woman can feel strong pressure in the abdomen, a distinct contraction of the uterus. These phenomena may be accompanied by a feeling of discomfort, difficulty breathing, but the main sign of childbirth - pain - will not.
  3. Training cuts do not increase in strength and duration. The first fight can last a minute, and the second - 10 seconds, after which there will be a break. This is completely normal for Braxton-Hicks contractions.
  4. They weaken or stop completely under the action of antispasmodics - No-shpy, Papaverina or Viburkola.

Do I have to be intimidated if strong irregular contractions suddenly appeared at week 39? Should I go to the hospital or can I stay at home? Do I need to take any precautions?

Action tactics

If irregular contractions have arisen or intensified at week 37–39, it is very likely that the forerunners of early childbirth. Perhaps they will come in 1-2 days. It is quite possible to wait for this moment at home, unless the mother has any warning signs or there are no diseases requiring early hospitalization.

The need to go to the hospital occurs in the following situations:

  • If the tension of the abdomen is accompanied not only by the sensation of pressure, but also by pain.
  • If the contractions last more than two minutes.
  • If the contractions become rhythmic.
  • In the case when, along with the tension of the abdomen appeared bloody discharge from the genital tract. And especially if they continue for 1-2 days.
  • If the future mother has somatic diseases - hypertension, heart disease, and other pathologies.
  • With the increase of preeclampsia - the appearance of edema, protein in the urine, increased blood pressure.
  • When in past childbirth complications were noted, for example, rapid labor, premature placental abruption.

If there are no unpleasant symptoms and complications, then even with an irregular increase in the tone of the uterus, you can continue to enjoy pregnancy. But do not forget about some precautions.

Precautionary measures

If at 38–39 a week the stomach suddenly stiffens, as during an orgasm, you need to give it a chance to relax. It is advisable to sit down or lie down at this moment, breathe deeply until the muscle tone is completely removed. Training contractions before childbirth - a great way to pre-work the breathing technique.

If a woman notices that some actions reinforce these reductions, they should be avoided - for example, excessive exercise.

Many future mothers in the later stages begin to equip their homes, obeying the nesting instinct. But this is not a reason to wash the floors from morning to evening, move the sofas and cabinets, or hang curtains.

At the time of muscle contraction, the blood flow in them is disturbed, and, therefore, the supply of oxygen to tissues is deteriorating.

If false contractions suddenly become very frequent, albeit short-lived, it is better to appear to the obstetrician on the same day so that the baby’s health does not suffer.

Many parents are concerned about the issue of sexual life at 38–39 weeks. This is especially true for the female orgasm, because it is also accompanied by a contraction of the uterus.

Sex life

Late periods of pregnancy is not a contraindication for sex and female orgasm. It can lead to the last day before birth.

Of course, this applies only to those women whose pregnancy is proceeding normally, and there is no risk of premature termination.

If a woman bears double-triplets, if an early labor activity has started in the previous pregnancy or there are other pathologies, it is worth delaying sex and orgasms - at least a few days or even weeks.

Despite the fact that an orgasm causes only a short-term contraction of the muscles, it is accompanied by fairly strong emotional sensations that can trigger childbirth, if there is a predisposition to it.

Moreover, some obstetrician-gynecologists are of the opinion that bright orgasms lead to the onset of labor in most women.

And even sometimes it is recommended to use this method - for example, when changing pregnancy.

However, there is an opposite point of view. It is believed that positive emotions during sex relax a woman and ease the discomfort of strong training bouts. Therefore, many couples practice sex life until the last day of pregnancy.

To prevent sex from harming your mother or baby, you should consult with the woman’s doctor. Only he will be able to give optimal recommendations, taking into account the state of the birth canal, the uterus, the child before the birth.

If in the 39th week of pregnancy the stomach suddenly hardens and kamenet, do not panic. The body is likely to signal the imminent onset of labor.

And perhaps this is its beginning. You need to calm down, collect your thoughts and carefully observe the contractions of the uterus.

If you experience regular contractions or warning signs, we should immediately go to the maternity hospital.

Week 39 stomach of stone

Every woman who has reported a child up to 39 weeks can safely say that one of the last weeks of walking a pregnant woman is a real feat. The child is already large enough, its weight is about 3 to 4 kilograms, a large proportion of the weight gained is amniotic fluid and the umbilical cord.

The future moms of this week of pregnancy begin to feel that their stomach is becoming hard, as if it is turning to stone, this feeling is very scary. However, do not worry.

Before childbirth, the mucus plug must come off and the amniotic fluid must go out; without this, childbirth cannot begin.

The cork looks like a clot of mucus, the color should be clear, whitish or yellowish - these shades are considered the norm, but the amniotic fluid should be colorless. As a rule, amniotic fluid clear with a sweet smell.

39th week of pregnancy

At the 39th week of pregnancy, all the thoughts of a woman are occupied with an emergency meeting with her baby. Formed generic dominant is determined by all the processes occurring in the body of the future mother. Very soon the child will be born, but for now the woman needs to be patient and keep track of all the changes in her body during this interesting period.

Fetal development

At the 39th obstetric week, the weight of the baby is 3000-3500 g, height - 50-55 cm. The size of the fetus at this time is determined by the following factors:

  • heredity,
  • the state of the endocrine system of a woman
  • condition of the placenta
  • individual characteristics of fetal development.

Heredity is the first thing you should pay attention to when assessing the size of the fetus. Do not expect the birth of a large child from parents of low weight and height. And on the contrary, a tall and large woman is likely to have a baby weighing more than 3,600 g. The birth of a large newborn is possible with some endocrine diseases of the mother (in particular, diabetes mellitus).

The state of the placenta is the second most important factor determining the weight and growth of the fetus. Impaired blood circulation in the placenta at any time may result in intrauterine growth retardation.

With insufficient blood supply, the placenta will not be able to perform its main function - to provide the baby with oxygen and nutrients. Formed chronic hypoxia, adversely affecting the development of the nervous system and all other organs.

Lack of nutrients slows the growth of the fetus. In this case, the weight of the fetus will be less than 3000 kg, laid on this period of pregnancy.

At the 39th week of pregnancy, the baby is considered full-term and fully ready to appear in the new world. All internal organs and systems of the fetus are ready to function in full force. The lungs ripen, they form an extensive network of small capillaries. A sufficient amount of surfactant provides the newborn the opportunity to breathe on their own immediately after birth.

In the adrenal glands of the fetus, enhanced production of cortisol continues. The amount of the hormone depends on when the baby is born. As soon as the level of cortisol reaches its peak, the contractions will begin. Thus, the baby chooses the date of his birth, determining for himself the optimal moment of birth.

The sense organs in late pregnancy are well developed enough to help the baby adapt in an unfamiliar world. A child born on this period distinguishes objects located at a distance of 30 cm from his eyes, and also highlights bright colors and large details.

The baby hears well the speech addressed to him, recognizing the voice of his mother. By smell, the child quickly finds the mother's breast. Formed sucking reflex helps the newborn to obtain the necessary for the life of breast milk and thereby ensure the possibility of survival.

The bones of the skull of the fetus in the late stages of pregnancy remain supple and resilient. Between the bone sutures are the fontanelles - large and small.

With the passage of the birth canal, the skull bones are displaced to protect the fetal brain from injury. So the baby passes the birth canal of the mother with minimal damage to himself.

In pelvic presentation, when the legs or buttocks are the first to go, the likelihood of serious injury is much higher.

In late pregnancy, the placenta does not always cope with its task. Calcinates and foci of necrosis are formed in its tissues. The blood supply worsens, which inevitably leads to the development of fetal hypoxia. Most children are born at this stage, and the placenta ceases to function.

Surveys

At the 39th week of pregnancy, weekly visits to the doctor continue. The reception continues to assess the condition of the woman and the fetus. The baby's heart is heard by an obstetric stethoscope. During the examination, the doctor notes the location of the uterus, the presence of edema and the condition of the veins of the lower extremities. In case of any deviations, the question of early hospitalization in the maternity hospital is raised.

In late pregnancy, the approximate weight of the fetus is determined. Calculate body weight in three ways:
Formula Lankowitz. (Height of the bottom of the uterus (cm) + abdominal circumference (cm) + mother weight (kg) + mother height (cm) X 10.

Formula Jordania. The abdominal circumference is multiplied by the height of the uterus. All data are measured in centimeters.

The calculation of these formulas is carried out in the antenatal clinic and upon admission to the delivery room. The error can be up to 500 g in any direction.

By ultrasound. Ultrasound - the most accurate way to determine the weight of the fetus. In late pregnancy, ultrasound is not performed on all women. The reason for the survey may be a suspicion of a large or lightly fetus, as well as various deviations in its development. During the ultrasound, the doctor draws attention not only to the condition of the baby, but also other important points:

  • Amniotic fluid volume
  • condition of the placenta
  • cervical length,
  • umbilical cord location
  • fetal heart rate and rhythm.

Determining the weight of the fetus is necessary to draw up a delivery plan. Not always a woman can have a baby by herself. An indication for cesarean section can be the weight of the fetus more than 4000 g in headache presentation and more than 3600 in the pelvic. The final decision is made after assessing the size of the woman’s pelvis and other parameters affecting the course of labor.

How to speed up delivery in the 39th week of pregnancy: safe and dangerous ways


Approximately 40% of pregnant women give birth to a viable mature fetus before the onset of the 40th week of pregnancy.

Остальные же будущие мамочки, к этому сроку, как правило, уже насладившись «интересным» положением, тихо им завидуют и мечтают поскорее встретиться со своим пузожителем.

А особо нетерпеливые родительницы даже пытаются перехитрить природу и помочь себе поскорее разродиться, опробуя на себе способы, которые предлагают советчики всемирной «паутины».

Готов ли плод к рождению на 39-ой неделе

In fact, the fetus at the age of 39 weeks is, so to speak, in the period of intrauterine “survival” before delivery. That is, the baby is complete and is quite ready to get acquainted with the outside world. It possesses the reflexes necessary for the maintenance of extrauterine activity, namely respiratory, sucking, swallowing and other congenital reactions, normally, inherent in the newborn.

The digestive tract of the baby is ready to accept and digest the first portions of colostrum, and then breast milk or adapted mixture by age. Thanks to its taste buds, the child is able to distinguish bitter, salty and sour from sweet, giving preference to the latter.

The baby hears well and future parents probably repeatedly had the opportunity to feel physically how the crumb reacts to loud sounds. A fetus born at 39 weeks gestation sees it well at a distance of about 30 cm and distinguishes colors.

On the 39th week, the fetus weighs approximately 3000 - 3500 grams, and its growth is about 50 cm. By this time, the baby already, as a rule, occupies a “prenatal” position: the predisposed part of it rushes out of the uterus, the legs bent in knees, tightly pressed to the tummy.

Mommy usually feels it - her tummy goes down around her palm and breathing becomes easier.

However, before the birth of the baby, there is still some time needed to complete all the processes in the mother and fetus associated with preparing them for childbirth.

Should I try to speed up delivery at week 39?

Ancestral activity must not begin "by the will of your wish and desire."

By the end of pregnancy, a certain hormonal background prevails in a woman’s body, a “generic dominant” is formed, under the influence of which the generic process starts.

It is assumed that the fetoplacental complex plays a key role in preparing a woman's body for childbirth in the last weeks of gestation.

Ideally, delivery begins spontaneously, as the fetus and placenta mature, as well as the readiness of the birth canal of the mother to the process of expelling the fetus from the womb.

However, for many reasons, it may happen that there are no signs of a speedy delivery even at the 39th week and the doctor gives a conclusion about the immature cervix. In this case, after additional studies of the condition of the fetus, its position, degree of maturity of the placenta and its position, the obstetrician can make recommendations on the use of methods of non-drug stimulation of labor activity.

For example, on the 39th week, it’s time to think about giving birth to those moms who have a hereditary tendency to pererashivanii. The risk group includes those women whose menstrual cycle is irregular or over 30 days. As a rule, the doctor clarifies such moments with the patient when registering for pregnancy.

Without the approval of the observing doctor, to take action in order to stimulate the onset of labor, even if using “domestic” methods, is at least unwise.

The future mother should remember that if further gestation is really undesirable and threatens the state of health of her or the fetus, then medically stimulated delivery of the delivery is carried out in the hospital with the help of special preparations.

Methods of home stimulation of labor at the 39th week of pregnancy

In the prenatal period, close attention is paid to the readiness of the birth canal for childbirth.

Normally, by the end of the gestation period, the cervix must be sufficiently loose and shortened, “mature”, in order for the fertilized egg to be able to leave the mother's womb unhindered. Maturity of the cervix is ​​an important condition for the smooth flow and completion of the labor process.

Ancestral activity that began with an immature cervix, several times more often accompany anomalies, there are difficulties in the postpartum period for mothers and newborns. The course of such childbirth is often completed by an emergency operation. Therefore, stimulation of labor induction with insufficient readiness of the cervix to expel the fetus is extremely dangerous.

To prepare the cervix for childbirth and, at the same time, bring the date of birth of the baby closer, the following tools are designed to help:

  • Unprotected intercourse.

Necessary prenatal changes the cervix undergoes under the influence of hormones and biologically active substances (prostaglandins E2 and F2α), produced by fetoplacental complex. Prostaglandins are also rich in male sperm. In addition, intimate caresses and orgasm stimulate the release of oxytocin, which increases the contractile activity of the uterus.

This method has contraindications: placental abruption, some diseases of the partner, for example, STDs, etc.

  • maintaining a diet high in polyunsaturated fatty acids (fatty fish, olive, flaxseed oil, avocado, etc.),
  • reception of evening primrose oil (dosage depends on the duration of pregnancy).

If the doctor at the next admission of a pregnant patient at 39 weeks stated that the condition of the cervix corresponds to the gestational age, then the expectant mother can try to hasten the birth, for example, in this way:

  • Reasonable physical activity.

Heavy physical exercise, of course, is prohibited. It will be enough not to neglect household chores, long walks, swimming, etc.

  • Stroking breasts and nipple stimulation.

It promotes the synthesis of oxytocin, a hormone that can cause uterine contractions.

  • Perform exercises to prepare the perineum, for example, Kegel gymnastics.

Exercises contribute to the production of oxytocin, as well as relax the pelvic floor muscles. In addition, such exercises, as well as massage of the genital lips and vagina, have a beneficial effect on the elasticity of the muscle tissue of the perineum.

  • Acupuncture and acupuncture.

Currently, it is recognized that experts in acupressure and acupuncture, using their professional techniques, are able to stimulate labor and influence the course of the labor process.

On the Internet, you can find a lot of other tips to speed up labor induction. Very popular recipes "potions" with alcohol, castor oil and various herbal decoctions, which are designed to provide a contractile response of the uterus.

The consequences of the use of such stimulants can be completely unpredictable and extremely dangerous for both the mother and the fetus.

Dangerous methods of accelerating labor

Ways that should not be used at home to accelerate generic activities:

  • "Stimulating" cocktails with castor oil and alcohol.

This drink causes a strong urge to defecate, and there and close to the generic activity close, according to advisers.

Indeed, castor oil has a laxative effect, and alcohol is designed to provide the best "absorption" of ingredients in the blood. However, the effect of this remedy for stimulating labor is not confirmed, and the risk of severe diarrhea and vomiting, followed by dehydration is very likely. Bad bonus: poisoning of the body (maternal and fetal) alcohol.

Contractile activity of the intestine, expelling the contents, apparently, should entail a contractile activity of the uterus, expelling the fetus.

The danger is that the progress of the cleaning process is difficult to control. Ancestral activity can be rapid, and the consequences of defecation will be dehydration and impotence of the mother.

  • Acceptance of castor oil in its pure form.

The tool is as popular as described in the previous paragraphs. Dangerous effects are similar.

The use of castor oil for labor induction in maternity hospitals was abandoned, as from an ineffective agent, carrying, nevertheless, an undesirable effect. At home, the same apply it is not worth it.

The most popular decoctions and infusions based on black cohosh and raspberry leaves).

However, on the part of medicine there is no confirmation of the effectiveness of these agents. And black cohosh, as a poisonous plant containing alkaloids, is generally prohibited for use during pregnancy and lactation. That is, taking any herbal remedies during pregnancy should be coordinated with the supervising doctor.

In general, if the pregnancy develops normally, then active actions on the part of the woman are not required for early delivery.

If, during pregnancy, abnormalities confirmed by medical studies arise requiring the completion of pregnancy for the benefit of the mother and / or baby, then this is certainly a reason for intervention, which, however, must be initiated by medical specialists.

How to give birth faster 39 weeks of pregnancy? Births at the 39th week of pregnancy

Every mother is looking forward to the birth of her baby. But sometimes it also happens that patience is simply not enough. And often a woman wonders how to give birth faster than 39 weeks of pregnancy. Is it possible to do this, is the child ready to come into the world, and how can everything be accelerated - this is what I want to tell now.

What happens on the 39th week

At the very beginning, you need to figure out what is happening with the woman's body at this time and whether the baby can be born. So, giving birth at the 39th week of pregnancy is a normal phenomenon. A crumb has already been formed enough to be born without fear. His posture in the womb is head down, legs and arms are tightened. This means that he has already prepared for the natural process of appearance.

All its internal organs are also designed to work, although so far the baby receives food through the umbilical cord, and its intestines are still sterile. It is also important to remember that at this time the child’s motor activity is significantly reduced. This is due to the fact that the amount of amniotic fluid is reduced, and the baby has little free space.

A child may not move for a long time, but there is nothing to worry about.

Birth Harbingers: Distant

How can you understand that labor starts at the 39th week of pregnancy? So, for this you can see if there are first forerunners of this process. What can a lady feel at this time? So, indicators can be far and close. If we talk about distant:

  1. Childbirth will be very soon, when the ladies belly fell. A woman will definitely feel this, as she will breathe easier. However, this may cause diarrhea, as the baby will put pressure on the gastrointestinal tract.
  2. False contractions. Closer to the time of childbirth (however, sometimes in the second trimester of pregnancy), women may have false contractions, which got their name from scientists Braxton and Hicks. Thus, the body is preparing for the birth of the baby. However, the strength of these contractions is much lower, but the sensations are not so painful.
  3. Change in posture. Due to the fact that the abdomen of a woman falls, she has shifted the center of gravity. Well, naturally, the posture changes. Gait becomes "duck". There may be discomfort, discomfort in the region of the symphysis pubis and sacrum.

Harbingers of childbirth: close

However, there are more clear signs that the birth is about to come. If a lady has 39 weeks gestation, the harbingers of labor will be as follows:

  1. Vaginal discharge. Before childbirth may appear brown mucous discharge, possibly with streaks of blood. It's not scary, mucous plug comes out. It may also indicate that amniotic fluid is leaking.
  2. Waste mucus plug. She appears in the very first weeks of the formation of the baby. Its main function is to protect a child from infections. This plug tightly closes the entrance to the uterus, which prevents viruses and infections from penetrating into its cavity. When she departs, this is an important indicator that labor will come soon. However, she can come out a week before the baby is born. How can you understand exactly what happened? The woman will have thick mucous discharge, their accumulation, possibly with streaks of blood.
  3. Motor activity of the baby. Before the birth, the babies in the stomach subside. All because of - the lack of space for action. The child is growing up, the belly is maximally enlarged, but the crumb of this is not enough. Therefore, the kids move less.
  4. Changes in the cervix. This woman, of course, does not feel, but the doctor can diagnose. So, it is very important to track the disclosure of the cervix, because these indicators indicate how close the process of active labor activity in women.
  5. The change in body weight ladies. Before childbirth, a woman's weight often decreases. Everything happens because the body of a pregnant woman accumulates estrogen (the most important hormone for labor), which helps reduce puffiness. Excess fluid is excreted from the body, the weight of the mother decreases.
  6. Loosened chair. The accumulation of estrogen in the pregnant woman’s body also affects the state of the woman’s stool. So, often about a week before childbirth, a woman will increasingly visit the toilet. This is a natural process of bowel movements before childbirth.
  7. Contractions. What else does a woman need to know if she is 39 weeks pregnant? Harbingers of childbirth, which indicate their initial process - it fights. In this case, the pain will gradually increase, and the time between sensations will decrease.

And, of course, an indicator that natural childbirth is close, there will be psychological changes in a pregnant woman.

A couple of weeks before the baby is born, a woman becomes calm, peaceful, forgetful. Stop worrying about trifles.

This is all very important, as it helps to prepare the ladies for the process of labor activity. However, it should be said that all these indicators are very individual.

Intimate relationships

If a woman wants to know how to give birth faster than 39 weeks of pregnancy, she should just have sex. For a long time, doctors tried to forbid intimacy in the last weeks of carrying a child. And all because it is a great stimulation of labor.

Everything happens during the orgasm of the ladies, when the body can take such reductions for the beginning of labor activity. In any case, even if it does not help the revitalization of labor, it certainly does not hurt. After all, all the positive emotions that the mother experiences are transmitted to the baby. However, it is worth remembering that at this time a woman may have little lubrication.

In order not to spoil the sensations during intimacy, you need to stock up on her artificial substitutes.

The nipple massage also works in this way. This is not only an excellent preparation of women for breastfeeding, but also natural stimulation of labor.

Drinking alcohol

You can often read that natural childbirth can be significantly closer if you drink a little alcohol. So, ladies advise each other to take a glass of wine or even an alcoholic mixture.

According to their version, this forces the baby to “get out” from the inside as soon as possible, since he doesn’t like such nutrition at all. However, this fact is not confirmed by doctors. Moreover, doctors do not get tired of repeating that it is absolutely impossible to drink alcoholic beverages on any term of carrying a baby.

After all, this can affect not only the state of health, but even the development of the baby itself.

Special nutrition

We understand further how to give birth faster 39 weeks of pregnancy. So, people say that you can eat certain foods, and they, in turn, accelerate the process of the appearance of the crumbs into the world. What, then, is offered to the ladies:

  1. Spicy dishes. However, physicians have absolutely no scientific evidence for this. In addition, it is worth remembering that you can not eat raw fish (if the lady chooses Japanese cuisine).
  2. Olive oil. Doctors do not refuse this means. If you take it one tablespoon three times a day, the ligaments of the uterus soften and its elasticity improves. In addition, it is not only a way to accelerate childbirth, but also a method to avoid breaks at the moment of birth of a baby.
  3. Raspberry tea. This is a common method of accelerating labor in the United States. So, you need to brew a drink from the leaves of raspberry and drink it, starting from the 35th week. However, everything needs to know the measure, this must be remembered.
  4. Castor oil. Some women know that its use can cause contractions. But why is this happening? The fact is that castor oil has a laxative effect. And this leads to the fact that early cervical stimulation occurs.

Understanding how to give birth faster 39 weeks of pregnancy, it is worth remembering that you do not need to independently accelerate this process. Experts say that it is necessary to stimulate generic activity only for medical reasons. In other cases, the baby knows better himself whether it is time for him to come into the world or else we need to sit in the tummy a little more.

Medical stimulation

Normal natural childbirth can begin at any time after the 37th week of pregnancy. At this time, the baby is already fully formed and ready to see the world.

However, sometimes the patient can be assigned to the stimulation of childbirth (feedback from patients after this is positive, because all this happens solely under the supervision of obstetricians).

However, this procedure should be appointed only on special indicators.

Indices of stimulation of labor before the appointed date

В каких случаях женщине на 39-й неделе вынашивания малыша могут стимулировать родовую деятельность?

  1. Многоплодная беременность. Это необходимо, потому что двум и более деткам в это время уже очень тесно в животе мамы.
  2. Медицинские показатели. Это может быть резус-конфликт матери и плода, осложнения с сердцем, повышение кровяного давления. It is worth remembering that all this affects not only the state of the mother, but also on the very baby.
  3. Failure in the process of delivery. Earlier, on the 39th week, a woman can be medically stimulated to give birth if a premature discharge of water has occurred, the matchmaking is weak and short, if the cervix is ​​large, and there are no contractions, and if the woman is tired can itself lead the process of the birth of a baby.

Ways to stimulate childbirth

If a lady has 39 weeks gestation, how to speed up delivery? So, for this, doctors can choose one of the ways to stimulate labor.

  1. Act on the cervix. For this lady prostaglandins are introduced, special hormones that cause the neck to open.
  2. Amniotomy, i.e. opening of the amniotic sac. This procedure is painless. When water leaves the uterus, the pressure in it rises, the baby's head presses on the pelvic bones, which stimulates the appearance of crumbs.
  3. Oxytocin. The introduction of this hormone into the body stimulates the contraction of the uterus.

When is stimulation prohibited?

If a lady has 39 weeks gestation (second childbirth, the first - it doesn’t matter), the stimulation of childbirth can be prohibited by the following indicators:

  • The location of the child is wrong, he is not ready for the normal process of birth.
  • The baby’s condition is not perfect (readings of the heart monitor are important).
  • The size of the head of the baby does not match the size of the mom's pelvis.
  • The mother has certain health problems (for example, a suture on the uterus).

In all these cases, most often vaginal delivery becomes impossible, the lady is prescribed a cesarean section.

Pending

For nine months, the expectant mother experiences the whole range of feelings: from distrust to immense all-consuming joy, with trepidation and excitement waiting for the moment when the birth begins, in order to see her long-awaited child soon.

Starting from about 38 39 weeks of pregnancy, the expectant mother begins to actively prepare for the appearance of her baby.

But in the last days of waiting, pregnant women often begin to feel the fear of the unknown, often become unhappy with their appearance and dream of giving birth faster.

Medicine has established favorable periods for carrying a child: 38 - 42 weeks, depending on the state of health of the pregnant woman and the child.

There are life situations when it is just necessary to cause labor before the deadline, or in conditions when the term of labor has approached and no contractions are observed.

Every woman by nature has knowledge of when her long-awaited baby is ready to be born, and can cause preterm birth at home for 39 weeks of pregnancy at home.

Preparation for stimulation

If a woman has an insurmountable desire to give birth faster, and there is no desire to stay for a long time in a medical institution with attached droppers, provided that the doctors did not appoint you to stay under medical supervision of a pregnant woman, there are several options to induce childbirth at home.

It is imperative to consult with an obstetrician-gynecologist for the application of these methods and methods, since it is not safe to speed up labor at 39 weeks of pregnancy. At 39 weeks, the baby is already fully formed and ready for birth, but only the body of a pregnant woman decides if he is ready for the appearance of a child now.

Before you yourself speed up the process of labor, you must carefully prepare:

  1. Listen to your baby and consider harbingers of childbirth.
  2. Tune in to a positive outcome and be in high spirits.
  3. It is necessary to have a good sleep, as hard work lies ahead and the body will need all the strength and resources to give birth faster.

  • Do not neglect the right nutrition! Eat the necessary vitamins and trace elements.
  • In time to treat, under the supervision of medical professionals, diseases that manifest themselves during pregnancy.

    Verify that the future mother and baby are in excellent condition using cardiotocography, a method that evaluates the condition of the fetus during pregnancy and during labor on the basis of a baby’s heart rate measurement.

    Before stimulating labor, it is very important to make sure that there is no conflict between the Rh factor of the mother’s blood and the baby, whether there are precursors of placental abruption or if the amniotic fluid has not withdrawn.

    How to speed up childbirth?

    The first and most pleasant way to bring about early delivery is to stimulate contractions with sex. This method has been tried by many women.

    Its essence lies in the fact that during unprotected sex, the uterus comes to tone, and the sperm, getting into the vagina of a pregnant woman, provokes uterine contraction and cervical dilatation. Increased blood flow to the lower pelvis will help speed up the onset of contractions and labor.

    Sex should be calm, without sudden movements, in order to avoid exfoliation of the placenta. If peeling occurs, it is necessary to urgently perform a cesarean section, otherwise the baby may die.

    Some do not run the risk of having sex at week 39 for fear of harming the baby. But this method has its contraindications, namely:

    • placenta previa
    • low location of the placenta
    • various sexually transmitted infections.

    Another way to speed up labor at term 39, which will help you feel the signs or precursors of labor, is breast massage, or rather, nipple stimulation.

    This is a simple and effective method recommended by doctors, which helps to speed up childbirth, because the massage produces the hormone oxytocin, and give a comfortable nipple shape for further breastfeeding of the baby.

    But it is necessary to take it with great caution, as there is a huge opportunity during a nipple massage to carry the infection to the mammary glands or to get mastitis.

    They also accelerate generic activity for a period of 39 aromas of rose and jasmine. You can hold a session of aromatherapy and tune in to a positive attitude - and harbingers of emergency labor activity will not keep you waiting. It should be borne in mind that these flavors may be increased sensitivity.

    There is another way to speed up labor activity, namely acupuncture, i.e. acupuncture. With the help of a fine needle, you can stimulate contractions, but it is forbidden to do it yourself! If there is a need for this procedure, you should trust the professional in his field.

    Do not neglect the advice of our grandmothers for early delivery:

    • eat dishes with a high content of beets and parsley,
    • drink currant juice, tea with raspberries,
    • take a little, about fifty grams of castor or olive oil,
    • It is worth adding to your daily diet foods rich in fiber: cabbage, beets, salads from fresh vegetables,
    • salads need to be filled with vegetable oil,
    • Parsley is a natural aphrodisiac and contributes to the reduction of the uterus for emergency labor.

    Many people recommend to drink a glass of red wine or champagne, to eat some natural black chocolate. They also proved pepper plaster on the lower back, which increases blood circulation, iodine net on the lower back, taking a douche or going to the bath.

    A great way to calm your own nerves, especially for multiparous and accelerate the process of childbirth is exercise. It's no wonder pregnant women, especially at 38 - 39 weeks of pregnancy, begin to thoroughly flush the apartment.

    Doing sports for pregnant women, jumping, long walks in the fresh air, bending, collecting matches scattered on the floor. An effective way to relieve tension throughout the body and to bring up the generic activity will be yoga for pregnant women or simple oriental dances.

    But do not abuse it, as it may threaten to exfoliate the placenta.

    An effective, but unpleasant way - cleansing enema will help to speed up childbirth, after it becomes regular and labor pains become more frequent.

    With a desperate desire to give birth to the expectant mother right now in the hospital, drugs containing the hormone prostaglandin (candles, injection, pills, gel) can be prescribed. Or the doctor may suggest an amniotomy - obstetric surgery, which implies a puncture of the amniotic sac to stimulate labor.

    This procedure is appointed only after a thorough examination of the condition of the pregnant woman. To increase the frequency and intensity of labor, obstetricians inject a medical drug Oxytocine or Enzaprost into a vein using a dropper.

    Contraindications to the use of oxytocin are a scar on the uterus after cesarean section or other operations on the uterus, multiple pregnancy, narrow pelvis or asthma.

    In multiparous moms, the second pregnancy is easier, the harbingers of emergency labor are noticed earlier, and childbirth can begin suddenly and rapidly.

    Each organism is individual and the reproductive system is very different, and therefore it is better not to risk and rely on the natural course of childbirth, since the method that promotes the early onset of contractions of one pregnant woman, the other may not be suitable, but only harm. Therefore, after waiting for 38 and 39 weeks, it is not so difficult to wait seven or fourteen days and it is better to give birth to yourself.

    The best and most effective way is to talk with your own baby. It has long been established that the child in the womb hears voices, music. Communicate with him in a calm voice, tell him how much you love him and wait for him to appear, listen to the signals that your body sends and in a short time a long-awaited meeting with the baby will occur.

    Recommendations

    Week 39 is a time of intensive preparation for childbirth. Make sure you have everything ready for an early meeting with the baby:

    1. Documents to the maternity hospital: passport, medical policy, exchange card, birth certificate.
    2. Bag to the maternity hospital with all the necessary things.
    3. Set for the newborn on an extract.
    4. Children's room or a cozy corner in the dormitory for the newborn.
    5. Items needed to care for the baby in the first days of life.
    6. Clothes for the newborn and nursing mothers.

    If the bag is collected, and in the children's room the repair is completed, it's time to relax. If you feel well, you can go shopping, having bought all the necessary things for the baby. At the same time, it is worthwhile to complete all the work begun, so that after the birth of the child, nothing distracts from communicating with your baby.

    Many women are afraid to leave the house in late pregnancy. In fact, there is nothing to worry about strolling around in shops or visiting relatives during this period. Fights do not start suddenly and usually last more than 6 hours. During this time, the future mother will have time to return home, collect the necessary things and call an ambulance.

    An important point: to leave the house in the later periods should be accompanied by a husband, girlfriend or relatives. The support of a loved one can come in handy if the contractions begin or the amniotic fluid recedes.

    It is worth planning any affairs taking into account the period of pregnancy. The doctor’s phone number and the address of the nearest maternity hospital should always be on hand.

    Walking and traveling long distances during this period are not recommended.

    obstetrician-gynecologist Ekaterina Sibileva

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