Fortieth week of pregnancy


Future child

Height - 50-51 cm, the weight of a born child ranges from 2900 to 5000 grams.

Week 40 is the week of the planned birth. If the child is delayed longer, then it is imperative to monitor his condition.

The delay in labor can be explained by the fact that they set the wrong date of conception, or maybe the fact that it is difficult for the child to get out into the world on his own due to some complications in the body. Therefore, it is very important to monitor what is happening to him, his heart and placenta.

Many mothers are so worried about their painful sensations during childbirth that they completely forget that it is the child who is most difficult at this moment.

What happens to the baby during childbirth? A few days (sometimes weeks) before childbirth, the hormonal background changes in the mother's body. The level of progesterone decreases, the level of estrogen, oxytocin and prostaglandin increases. All three hormones stimulate labor, soften the cervix and weaken the pelvis. The uterus gradually opens up to 2 cm.

The child is likely to feel a lot of discomfort. Firstly, the hormonal background is seriously changing, and secondly, the uterus - this warm and comfortable bed, becomes some kind of strange, unsteady, unreliable. The child is heavy, is most often upside down and rests with all his weight on the very point that has become so soft and wide. Fearfully? Of course it's scary.

Mom starts having contractions. The baby feels constant squeezing, movements, as if being shoved, pushed, squeezed from all sides. In the end, the amniotic fluid breaks and almost all the amniotic fluid disappears somewhere, without which the baby could not remember himself a day.

The pressure of the contractions continues, from the upper part of the baby's uterus, as if something pushes down to the birth canal, where the passage opens gradually (about 1 cm per hour). The kid is very nervous at this moment. The doctors were able to see this on the ultrasound. He hits with arms and legs, tries to push the uterus that squeezes him away from him.

In addition, he has little air. After all, the blood vessels of the placenta are compressed, blood circulation slows down, the amniotic fluid has flowed out, and to top it all off, a complication in the form of an umbilical cord winding may be added. No matter how painful it is for mom at this moment, you will not envy the child!

And if mom is also afraid, then her body releases adrenaline. An additional dose of this substance further aggravates the child's panic.

The contractions are getting worse. If someone flew on an old plane in a tropical thunderstorm somewhere over Tibet, then turbulence zones, when things fall from the shelves, and passengers fill themselves with bumps, is a very weak comparison with what a child is now experiencing.

When the cervix is ​​fully open, the baby is ready to crawl out. But what is 10 cm compared to a baby's head? Even taking into account the fact that the bones of the baby's skull are quite soft, how to get into this hole with a head with a circumference of 34 cm? And the softness of the bones is a very relative expression. After giving birth, touch your hand to the baby's head. Is it soft?

Therefore, imagine how the bones of the skull are deformed so that the baby can stick his head out into the light of day. What should it feel like? Mom, of course, is not sweet now either. She is going through the process of giving birth to a baby's head and pushing, and this is the most painful thing that can be in childbirth.

But at least they don't squeeze her skull in a vice! Endorphins seem to save the day. These are special substances that appear in the brain and have the ability to reduce pain, create a feeling of creative euphoria and happiness.

Mom will feel the full effect of endorphins when the baby is on her tummy and tries to look at her with his still half-blind eyes, then it seems that the whole world is filled with happiness. And now, with the effort, endorphins allow both mother and child to endure pain.

Finally, the baby looks out into the white light. After all the terrible trials, many more troubles await him. First, they immediately clear his nose and sometimes his lungs - the procedure is quite unpleasant.

Secondly, it becomes terribly cold, because the temperature drop is very sharp for him - from 36.6 degrees to 23-25 ​​degrees.

Thirdly, he hears a deafening noise around him (after all, earlier all sounds came to him like through cotton wool).

And fourthly, he is literally blinded by the light.

Imagine how you would feel in his place if you were thrown into cold water, blinded by a spotlight and turned on disco speakers.

And they also demand the first cry from him, and if the baby, being shocked by what is happening, is in no hurry to scream, then the doctor will first of all slap his hand on his ass. And how not to cry?

So, the baby's first cry is more a cry of fright and resentment than, as they like to write in popular books, "a joyful greeting to the world." The baby will calm down only on the mother's tummy, where he will be immediately put and given a drop of colostrum from the breast. He will feel the familiar taste, smell, hear his mother’s voice and be quiet.

However, he will not have enough strength now to cry for a long time. The kid will fall asleep and, most likely, will sleep the entire first day of his life until he gets hungry and starts looking for an answer to the question: how can you eat here now? But this is already a topic for a completely different story.

Future mom

If you haven't given birth yet, then you belong to a minority of women who give birth at exactly 40 weeks or later. If, after 40 weeks, childbirth does not occur, it is necessary to do additional control examinations (ultrasound, CTG) in order to exclude an error in the timing or to find in time that the child is experiencing any difficulties.

However, doctors won't be too worried even if you get to 42 weeks. Now, if your labor is delayed and longer, you will be offered stimulation with oxytocin or a cesarean section.

You yourself can contribute to the onset of labor. If it is not recommended to do this before 40 weeks, then in case of prolongation (42 weeks), you can try to stimulate yourself on your own, this is in any case better than introducing medications.

There are the following options:
- massage the nipples, this stimulates the production of oxytocin - a hormone that causes uterine contractions and labor;
- to walk, when walking, the child presses harder on the cervix, which stimulates its opening and the production of the same oxytocin;
- to climb the stairs on foot, the meaning of the exercise is the same as when walking;
- swim, especially breaststroke;
- to squat, in this position the pelvic bones move apart and the child presses on the cervix more actively.

Among the very folk remedies, they call washing floors and a warm bath.In both cases, do not be too zealous, otherwise there may be complications.

If childbirth still does not occur after 42 weeks of pregnancy, while the period has been set correctly and this is confirmed by the latest ultrasound data, then the doctor must stimulate labor artificially.

You must understand that this is done in order to preserve the health of your child, because from 42 weeks the placenta begins to age, which leads to hypoxia and nutritional deficiencies.

All methods of stimulation are divided into stimulating cervical dilatation or stimulating uterine contractions. In the first case, prostaglandins are used - special hormones that are injected into the vagina in the form of a gel or suppositories.

Prostaglandin acts only on the cervix and does not penetrate into the amniotic sac, which is its great advantage. In addition, it simultaneously gives an impetus to the mother's body to increase the production of its own prostaglandin.

To stimulate uterine contractions, amniotomy (artificial opening of the fetal bladder) and the introduction of oxytocin are used. Amniotomy leads to the outflow of amniotic fluid, the pressure inside the uterus increases, the child begins to actively press and open the cervix, and active labor begins.

But if the contractions do not start after the water leaves, you will be injected with oxytocin, which will stimulate the contractions of the uterus and cause contractions. Oxytocin is usually given intravenously through an IV line.

However, all these methods and drugs can negatively affect the condition of the baby, therefore, it is necessary to use labor stimulation only in exceptional cases:
- overburdening;
- lack of dilatation of the cervix during childbirth;
- weak labor activity for a long time or cessation of labor in general.

With all this, you should consult a doctor, is it not better to do a cesarean than to introduce artificially synthesized hormones? But, let's hope, you won't get it to stimulate labor, and the baby will calmly get out on his own. So, here it is, in your arms or lying next to it in your bed.

What awaits you during those three days that you will be in the hospital? If everything went well, then there are only three events: the beginning of breastfeeding, tests and vaccinations.

There are conflicting opinions about vaccinations. Look on the Internet and you will find fierce discussions about whether or not to vaccinate newborns. One way or another, in the hospital you will be offered to get vaccinated against hepatitis B and tuberculosis. You have the right to refuse if you have made such a decision. To do this, you will have to write a written waiver of vaccination.

Your baby will have their first blood test, both general and neonatal screening. Screening allows detecting such hereditary and genetic diseases as phenylketonuria, congenital hypothyroidism, adrenogenital syndrome, galactosemia and cystic fibrosis. Screening takes time, so in the event that signs of one of these diseases are found in the blood, you will be informed about this from the local clinic.

These diseases are extremely rare, hundreds of cases are not detected a year across the country, so do not worry in advance. Even if they call you and say that the test is not entirely good, you just need to donate blood again, since mistakes are not uncommon.

And the main thing is breastfeeding. If the baby sleeps on the first day (he is very tired during childbirth), then the second day is usually considered the most difficult - it is then that the "grinding" of mother and child begins. Therefore, after giving birth, try to get as much rest and sleep as possible.

On the second day, the baby will want to eat and will begin to actively master a new skill - to suck and swallow. Neither he nor you will succeed at once, you will have to tinker and suffer before the child smackes with satisfaction and falls asleep.

Please ask nurses or doctors to show you how to breastfeed your baby, how to prepare the nipple, how to hold the baby. If your baby is not breastfeeding correctly, you will most likely experience cracked nipples. It is painful, and in addition, can cause infection and further cause lactostasis and mastitis.

Therefore, do not forget to take an ointment for cracked nipples with you, and most importantly - familiarize yourself with the question of breastfeeding in advance, or at least take some book on this topic with you. It will be a shame if you are not able to breastfeed. After all, mother's milk is the most valuable and useful product that a baby can only get.

Finally, about yourself. It is clear that your child is completely riveting your attention. But don't forget about yourself. For your health, you should pay attention to the following things:
- Is there excessive bleeding?
After childbirth, you will have very heavy discharge (lochia), but still they will more likely resemble menstruation. If the blood turns bright red and starts to flow in a continuous flow, so that even special pads for women in labor cannot withstand, you must immediately inform the doctors about it.
- Is there normal urination?
Often, especially after anesthesia or caesarean, the mother does not feel the need to urinate or cannot do it on her own, which leads to complications in the bladder.
- If you are constipated (there is no emptying 2-3 days after giving birth), ask for glycerin suppositories. Now you cannot especially strain the anus, so candles are the best way out of the situation.
- Are there any pains in the lower abdomen?
Usually cramping phenomena are present for a whole week, but they can hardly be called pain in the literal sense of the word. Rather, it just "pulls". If it is pain that is what you feel, tell your doctor. The same goes for perineal pain.

Remember that problems that are discovered in a timely manner are easy to cure. Therefore, use the presence of doctors to consult with them about everything that happens to you or your child.

Week 39 - Week 40 - Childbirth


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