Fortieth week of pregnancy

Future child.

Height – 50-51 cm, the weight of the child born varies from 2900 to 5000 gr.

40 weeks is the week of planned delivery. Many give birth earlier, the minority report pregnancy to 40 weeks. If the child lingers longer, then it is necessary to monitor his condition.

Delay in childbirth can be explained by the fact that they have established an incorrect conception date, or maybe because it is difficult for a child to get out of the world because of some complications in the body. Therefore, it is very important to monitor what happens to him, his heart and the placenta.

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

What happens to the baby during childbirth? Within a few days (sometimes even weeks) before the birth in the mother’s body, there is a change in the hormonal background. The level of progesterone decreases, the level of estrogen, oxytocin and prostaglandin increases. All these three hormones stimulate the birth activity, soften the cervix and weaken the pelvis. The uterus gradually opens up to 2 cm.

The child most likely feels great discomfort. First, the hormonal background changes seriously, in the second uterus – this warm and cozy bed, becomes some strange, unsteady, unreliable. The child is heavy, is most often upside down and weighs all weight on the point that has become so soft and broad. Fearfully? Of course, scary.

Mother begins to struggle. The kid feels constant contractions, movements, as if from all sides he is shoved, pushed, squeezed. In the end, the amniotic fluid bursts, and almost all the amniotic fluid disappears, without which the kid does not remember a single day.

The pressure of contractions continues, from the top of the child’s uterus, as if pushing something down to the birth canal, where gradually (about 1 cm per hour) the passage opens. The kid at this moment is very nervous. Doctors could see this on ultrasound. He beats with pens and legs, tries to push himself away from the uterus squeezing him.

In addition, he does not have enough air. After blood vessels of the placenta contract, blood circulation slows down, the amniotic fluid has flowed out, to top it all, a complication can be added in the form of an umbilical cord. No matter how it hurt my mother at this moment, the child will not be envied!

And if the mother is also afraid, then her body emits adrenaline. The additional dose of this substance further aggravates the panic in the child.

Contractions intensify. If someone flew on an old plane in a tropical storm somewhere over Tibet, then the turbulence zones, when things are falling off the shelves, and passengers are stuffing their bumps – this is a very poor comparison with what the child is experiencing now.

When the cervix is ​​fully opened, the child is ready to climb out. But what is 10 cm compared to the head of a child? Even with the account that the bones of the skull of the toddler are rather soft, how to get into this hole with a head with a circle of 34 cm? Yes, and the softness of bones – this expression is very relative. After childbirth, touch the baby’s head with your hand. Is it possible to call it soft?

Therefore, imagine how the bones of the skull deform so that the baby can stick his head out into the light of God. And what should be the sensations? Mom, of course, is not sweet either. She is experiencing the process of the birth of a child’s head and attempts, and this is the most painful thing that can be in childbirth.

But at least her skull is not squeezed by a vice! Rescue the situation, apparently, endorphins. These are special substances that appear in the brain and have the ability to reduce pain, create a feeling of creative euphoria and happiness.

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

Finally, the baby peeps out into the white light.After all the terrible trials, he is in for a lot of trouble. First, he immediately cleaned the nose and sometimes the lungs – the procedure is quite unpleasant.

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

Thirdly, he hears around a deafening noise (after all, all the sounds were heard before him as through cotton).

And fourthly, it literally dazzles the light.

So imagine how you would feel if you were thrown into cold water, blinded by a searchlight and cutting disco speakers.

And the first cry is demanded from him, and if the kid, being in shock from what is happening, does not hurry to shout, then the doctor first slam the palm of his ass. And how can I not cry?

So, the baby’s first cry is more a scream of fright and resentment than, as people like to write in popular books, “a joyful greeting to the world.” Calm baby only on my mother’s tummy, where he immediately put and will give a drop of colostrum from the chest. He will feel the familiar taste, smell, hear my mother’s voice and calm down.

However, he does not have the strength to cry for a long time now. The baby will fall asleep and most likely will sleep the whole first day of his life until he gets hungry and begins to look for the answer to the question: how can we eat now? But this is already a topic for a completely different story.

Future Mom.

If you have not given birth so far, then you belong to a minority of women who give birth on time exactly 40 weeks or later. If the labor does not occur after 40 weeks, additional follow-up examinations (ultrasound, CTG) should be made to exclude a mistake in the timing or in time to find that the child is experiencing any difficulties.

However, doctors will not be too concerned, even if you reach 42 weeks. If the birth is delayed and longer, you will be offered oxytocin stimulation or a caesarean section.

You yourself can contribute to the beginning of labor. If it is not recommended to do this before the 40th week, then in case of overdrafting (42 weeks), you can try to stimulate yourself, this is in any case better than medication administration.

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 on the cervix more strongly than stimulates its opening and production of the same oxytocin;
– walk up the stairs, the meaning of the exercise is the same as when walking;
– swim, especially breaststroke;
– squatting, in this position the pelvic bones part and the baby presses on the cervix more actively.

Among the very popular means of washing floors and a warm bath, In both cases, do not be too zealous, otherwise there may be complications.

If childbirth is still not occurring after 42 weeks of pregnancy, and the term is set correctly and this is confirmed by the latest data from ultrasound, the doctor is obliged to stimulate labor artificially.

You need to understand that this is done in order to preserve your child’s health, because from 42 weeks the placenta begins to age, which leads to hypoxia and a deficiency of nutrients.

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

Prostaglandin acts only on the cervix and does not penetrate the amniotic fluid, which is its great advantage. In addition, he simultaneously gives an impetus to the body of the mother to increased production of his own prostaglandin.

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

But if after the withdrawal of the waters of the fight does not begin, you will be administered oxytocin, which will stimulate contractions of the uterus and cause contractions. Typically, oxytocin is administered intravenously via a dropper.

However, all these methods and preparations can adversely affect the condition of the baby, therefore it is necessary to apply stimulation of birth only in exceptional cases:
– perenashivanie;
– absence of cervical dilatation during labor;
– a weak labor activity for a long time or the cessation of contractions in general.

In this case, you should consult a doctor, is it not better to do cesarean than to introduce artificially synthesized hormones? But, we hope, before the stimulation of childbirth you will not get it, and the baby will calmly get out himself. So, here it is, in your arms or lies beside in your crib.

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

There are conflicting opinions about vaccinations. Look at the Internet, and you will find fierce discussions about whether or not to vaccinate newborns. Anyway, in the hospital you will be offered to do a vaccination 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 refusal of vaccination.

Your baby will receive a first blood test, both general and neonatal screening. Screening can identify such hereditary genetic diseases as phenylketonuria, congenital hypothyroidism, adrenogenital syndrome, galactosemia and cystic fibrosis. The screening takes time, so if there are signs of one of these diseases in the blood, you will be informed about it from the local polyclinic.

These diseases are extremely rare, hundreds of cases throughout the country are not detected in a year, so do not worry beforehand. Even if you get a call and say that the analysis is not very good, you just have to donate the blood again, because mistakes are not uncommon.

And most importantly – breastfeeding. If the first day the baby sleeps (he was very tired at the time of delivery), then the second day is usually considered the most difficult – that’s when “mopping” to each other mother and child begins. Therefore, after childbirth try to rest and get some sleep.

On the second day, the kid will want to eat and begin to actively learn a new skill – to suck and swallow. Neither he nor you all at once will not work, you will have to tinker and torment yourself before the child smacks satisfied and falls asleep.

Please ask nurses or doctors to show you how to properly give the baby a breast, how to prepare a nipple, how to hold the baby. If the baby does not take the breast correctly, most likely you will have a cracked nipple. It hurts, and besides, can cause infection and further become a cause of lactostasis and mastitis.

Therefore, do not forget to take ointment from the nipple cracks, and most importantly – in advance to familiarize yourself with the question of breastfeeding or at least take with you some book on this topic. It will be insulting if you can not arrange breastfeeding. After all, Mom’s milk is the most valuable and useful product that a baby can only get.

Finally about yourself. It is clear that your attention is entirely entangled in your child. But do not forget about yourself. For your health, you should pay attention to the following things:
– Is there excessive bleeding?
After birth, you will have very abundant discharge (lochia), but still they will resemble monthly. If the blood becomes bright red and begins to flow in a continuous stream, so that even the special pads for parturient women can not stand, it is necessary to immediately inform the doctors about it.
– Is there a normal urination?
Often, especially after anesthesia or cesarean, the mother does not feel the need to urinate or can not do it herself, which leads to complications on the bladder.
– If you have constipation (no emptying 2-3 days after delivery), ask for glycerin suppositories. You now can not particularly strain the area of ​​the anus, so the candles are the best way out of the situation.
– Are there any pains in the lower abdomen?
Usually cramping phenomena are still present for a week, but they can hardly be called pain in the literal sense of the word. Rather simply “pulls”. If you feel pain, tell your doctor. The same goes for the pain in the perineum.

Remember that timely detection of problems is easy to cure. Therefore, use the presence of doctors to consult them about everything that happens to you or the child.

39 weeks – 40 weeks – Births

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