Ninth month of pregnancy

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The last month of pregnancy is the end of a long journey and a period of languid expectation of childbirth and the birth of a long-awaited baby. A baby born in the period of 38-42 weeks of pregnancy is considered to be full-term, this is just the middle and end of the ninth month, but if the baby is born at 36-37 weeks, he is considered not to be premature, but prematurely born. Such a crumb is quite capable of independent life, although it is somewhat more sensitive to external environmental conditions and requires a little more attention and care. With each week of the last month he gains weight and grows up, you should be ready to give birth at any time.

What happens to the body in the 9th month of pregnancy

The last month of pregnancy has come, it lasts from the 37th to the 42nd week of pregnancy, on average, children are born between 38-40 weeks old, and only a few earlier or later. After 38 weeks of gestation, the fetus is considered full-term, and delivery can begin any day, only about 5% of babies are born exactly on the expected date.

In this period, the woman is already quite tired of her position and her belly, which has become very heavy, and the painful expectation and frequent training fights make her tired and irritable. Now you can no longer be afraid of premature birth if you previously had problems about the time of gestation or there were complications. Often with planned caesarean section, delivery is planned for a period of 38-40 weeks, so that the fetus is as ripe and full-term. The last weeks are especially hard for those who will give birth for the first time, since the sensations of true contractions are still unfamiliar and often you are ready to go to the hospital with training.

Contractions in a woman

The body is actively preparing for the process and the so-called precursors are constantly appearing. Two to three weeks before delivery, the abdomen is lowered by inserting the fetal head into the pelvic cavity and gradually relaxing the lower segment of the uterus and cervix. With repeated pregnancies, the abdomen may fall immediately before or at the beginning of the birth. The abdominal circumference may slightly decrease due to relative lack of water, due to changes in the hormonal background, which helps in delivery and reduces the risk of complications (prolapse of the umbilical cord, improper presentation, placental abruption). It will become easier for a woman to breathe, heartburn and discomfort when eating will decrease.

Pain in the lower back and pelvis can disturb, softening of the joints and ligaments occurs, which helps in childbirth, but affects the condition of the back and pelvic area. Pain when lowering the head into the pelvis, pressure in the pubic area, sacrum at night, pain in the perineum and vaginal area can be especially unpleasant and severe, it is difficult to find a pose in bed and sleep soundly. Training contractions can become more frequent and stronger, they help to further reduce the uterus actively. Training fights are irregular and pass, if you calm down and rest on your side, they look like pulling in the lower abdomen and the feeling that the stomach is stiff.

Before childbirth, special changes to the body, called the precursors of childbirth, can occur along with the prolapse of the abdomen. These signs include a decrease in body weight within 2 kg due to the convergence of edema and hormonal changes in the body, decreased appetite and physiological cleansing of the body. Shortly before the event, the appetite decreases or disappears completely, there may be a relaxation of the stool and even diarrhea, nausea and vomiting.

For several days or even weeks, the passage of the mucous plug may begin – it can depart in parts or in whole, a lump as the cervix ripens and the cervical canal opens. The mucus may have a yellowish color, may be colorless or streaked with blood. You need to fully collect the bags and documents and be ready to be sent to the hospital at any time from the beginning or discharge of waters, or regular contractions at regular intervals. In the ninth month of pregnancy, a woman leaving home must always take an exchange card.

Baby in the womb

Fetal development: weight size and gender

In this period, the child has already fully formed and is ready for birth and life outside the mother’s tummy. The child has all the necessary set of reflexes, respiratory movements are made by the lungs, although they are still asleep and will open only with the first breath. They have developed enough surfactant to breathe on their own. The digestive system is ripe and ready for food intake and digestion by enzymes; a lot of original feces have accumulated in the intestine, which should go away only after the birth of a baby. It was formed from amniotic fluid, epithelial cells, desquamated cells that enter the swallowed waters. Mekonium has the appearance of a putty olive green mass, odorless.

By the ninth month, the baby has a proportional body, the skin is smooth and has a pale pink color, the skin vessels no longer shine through, the fluff (lanugo) has almost disappeared from the body, remaining only a little on the shoulders and back, in the area of ​​natural folds along with the original grease, which protects the delicate skin of crumbs. Now the baby is actively gaining weight and gaining growth, it is becoming increasingly crowded in the uterine cavity, it takes the uterine and most optimal posture for childbirth – head down, firmly pressing the arms and legs to the body. He does not have opportunities for active movements, and now it is mainly shocks, tossing and turning and sipping. They are clearly felt by mom.

Ripening of the nervous system takes place, it becomes more and more perfect, developed and mature. The nervous system regulates the work of all internal organs and glands, which allows the body to function as a single system.

The fetal liver this month actively accumulates iron for its further expenditure on the baby needed in the first months after birth. Iron is essential for creating new blood cells and preventing anemia. The heart has completely formed chambers and valves, with the exception of those holes that are needed for fetal blood flow, therefore, at birth, it will be ready for work according to the new scheme, and the fetal holes will be immediately closed. Now an oval window and Botall duct are open so that the blood goes around the lungs and the baby “breathes” the placenta. At the same time, the lungs themselves, due to the penetration of amniotic fluid into them, make “breathing” movements and develop.

In boys, the testicles finally descend into the scrotum, in girls, the large sex lips cover the small ones, and the process of genital formation is completed. The immune system also matures, although it will still be finally formed after the birth of the crumbs. Mom actively passes antibodies through the placenta to her baby from the main dangerous diseases that she had been ill herself. By the time of birth, the fetus will reach its final height and weight of 48-56 cm and 2800-4000 g. Girls are usually born less than boys, although much depends on the characteristics of the parents and the conditions of the pregnancy..

Soon in the hospital

Feel

The main sensations of this month are fatigue and harbingers of childbirth, now the woman clearly senses all the movements and movements of the fetus, her stomach has reached its maximum and it is extremely difficult to wear it. But a couple of weeks before birth it becomes easier to breathe and eat due to lowering the abdomen, inserting the head into the small pelvis. At the same time, pressure and discomfort in the pelvic area will be increased – constipation may intensify and urge to become small more often due to pressure on the bladder by the head. There may be pain in the sacrum, pubis and hips, due to irritation of the nerve endings.

There may be swelling and the risk of varicose veins, the skin on the abdomen is tightened and itchy, stretch marks may occur. Fainting and dizziness due to hypoxia and compression of the large uterine vessels are frequent. Preparation for childbirth occurs and 1-2 kg weight loss, diarrhea and vomiting may occur, as an option for cleansing the body before childbirth. The woman feels that she is pulling the lower abdomen, abdominal pain may occur, which indicates the beginning of regular contractions and labor.

Discharge

By the end of pregnancy, discharge increases, protecting the baby from infections that can penetrate the vagina. Now it is important for the crane that infection does not develop, since it will be dangerous in childbirth. You should immediately consult a doctor if there are curdled, tiny or plentiful milk secretions, and especially yellowish, green, gray, foamy and with an unpleasant odor. They must be treated immediately, and these secretions reduce the elasticity of the vaginal tissues and lead to complications in childbirth and an increased likelihood of postpartum inflammatory processes..

There is also a gradual passage of the mucous plug – these are transparent or slightly colored pink lumps of mucus, the plug can go off gradually or simultaneously, with a lump of mucus. Childbirth will begin soon.

The doctor listens to the stomach

Tests and examinations

This month, visits to the doctor will become weekly, it is important to assess the general condition of the woman, her weight and the presence of edema, pressure and determine the level of leukocytes, protein and glucose in the urine before each visit. The doctor will evaluate the woman’s readiness for childbirth and can plan hospitalization in the hospital in advance or with the onset of labor.

At the beginning of the month, a study will be carried out on the armchair and a smear collection on the flora, blood tests can be additionally prescribed. The planned ultrasound scan has already been completed, but in case of doubt or concerns, the doctor may prescribe additional ultrasound scan or Doppler ultrasound, CTG of the fetus. This will help in choosing tactics in childbirth and in deciding whether they will be natural or a caesarean section..

Mom’s diet and weight

In this period, the uterus puts maximum pressure on the internal organs and you need to eat properly to avoid nausea and vomiting, constipation and other digestive problems. In many respects, the process of childbirth and the condition of the baby depend on the nutrition of the mother. In the last months of pregnancy, it is worth switching to hypoallergenic foods with the exception of potentially dangerous allergens, abandoning foods that can become a potential source of intestinal infections or poisoning – canned food, raw foods, unboiled milk, poorly fried meat and fish. It is important to pay special attention to products with calcium – dairy products and cottage cheese, yoghurts. Equally important is the intake of a sufficient amount of protein in the form of red meat and iron-containing foods. The amount of meat and fish in the diet should be slightly reduced in favor of vegetables and fruits, vegetable oils, grains and light foods. It is necessary to abandon fatty, fried and spicy foods, an excess of sauces and spices, steam, bake, stew food or boil. It is worth eating often, but in small portions, to refuse the use of carbonated drinks, fermenting foods, excess sweets and carbohydrates. You can do fasting days once a week as agreed with your doctor. Before giving birth, appetite can generally disappear – and this is normal, the body prepares for hard work and cleanses the intestines.

Temperature

Cold in the ninth month

At the ninth month, you should be safe from colds, otherwise the birth can be complicated, and you will have to give birth in an isolated box of the observatory. The common cold is dangerous for the violation of labor, the need for medication and the danger of its effects on the fetus. So, taking paracetamol or its analogues violates the process of preparing the cervix for childbirth and complicates the birth process in the future.

Sex

The question of intimacy in the ninth month is debatable – this will be determined by the doctor. But usually the libido of women is reduced, and with such a big belly it is not very convenient to have sex in general. Many doctors recommend abstinence when moving the mucous plug, although the orgasm alone does not provoke premature birth. But if there are contraindications, sex will be prohibited – it is leakage of amniotic fluid, placenta previa or low placentation, multiple pregnancy or the presence of ischemic-cervical insufficiency. Difficulties can be with the choice of poses, since it is necessary to completely eliminate pressure on the stomach. If childbirth is delayed, intimacy is one of the natural methods of stimulating childbirth – a man’s sperm has a softening effect on the cervix.

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