Nineteenth week of pregnancy

Future child.

Height – 22-24 cm, weight – 260-270 gr.

This is a week of very rapid growth of the baby, the placenta also increases (now it weighs about 170 g.), Amniotic fluid is added.

If you have a girl, that in her fried eggs primitive eggs are formed – the prototypes of your future grandchildren or granddaughters. The next miracle is the emergence of molars under the rudiments of milk.

The kid layer by layer builds up the skin, now the vessels are less visible through it and the child does not look so red as a martian like before.

The heel of a toddler reaches a size of 2.5 cm. From now on, its proportion relative to the length of the thigh and shin will remain constant. The handles have grown, and now they are long enough for the baby to connect them over his head. The neck has strengthened, the kid keeps a head directly and even can easily rotate it on 180 °.

Already most of the future mothers feel the active movements of their child. And he reacts actively to everything that happens around him: a mother or village has risen, is nervous or happy, whether music is playing alongside or someone is talking loudly, etc. If mom pat her belly, the baby will feel it and be happy.

The most important thing this week is the development of the brain. Millions of neurons have already taken their place and have begun to fulfill their responsibilities – the communication between the brain and muscles. Therefore, the child now makes completely meaningful movements, conditioned by external stimuli – touch, light, sound. It is this week that five main senses begin to work fully: smell, hearing, taste, touch and sight.

In the development of the fetal brain there are also congenital anomalies, the most common of which is hydrocephalus (or else lupus erythematosus of the brain). Hydrocephalus arises from the fact that the cerebrospinal fluid flowing around the brain and spinal cord, for some reason meets obstacles in its path, can not move normally and accumulates in the brain (from 500 to 1500 ml of liquid!).

Because of the abundance of fluid, the baby’s head becomes huge, and the brain squeezes. At 19 weeks of gestation, hydrocephalus is diagnosed on ultrasound, it can not be found on a routine examination by a gynecologist.

Hydrocephalus is a symptom of severe abnormal development of the spinal cord and brain, as well as the entire nervous system. Very often, such anomalies arise due to a mother-borne infection (especially cytomegalovirus, affecting the ventricular system of the brain). Hydrocephalus can lead to child death, deep neurological disorders or mental retardation.

Previously, doctors did not have technologies for the treatment of hydrocephalus. Now, even intrauterine therapy is possible, which allows you to pump out excess fluid from the baby’s brain. But such intervention is not carried out now often, and depends on the state of the child. In non-severe cases, the operation will be performed after delivery.

Future Mom.

For Mom:
Your weight increased by 6.2-6.3 kg (normal). Of these, the child accounts for about 270 grams, the placenta – 170 g, about 400 g heavier your chest.

The uterus is at the distance of the finger from the navel. Now there is an interesting process – migration of the placenta. So obstetricians call the process of changing the location of the placenta and its movement from the cervix to the anterior wall of the uterus or its bottom. Thus, the placenta does not block the birth canal. This process takes approximately 10 weeks.

At the fifth month, it is time to choose courses for pregnant women (schools of expectant mothers and so on). Do you really need such courses, is it worth it to spend money on them?

Many women calmly do without visiting such courses, they have enough consultation of their doctor. Others prefer to go to classes. Both of them, in the end, give birth in full accordance with the favorite saying of midwives in the hospital: “Do not worry, pregnant women do not go away from here!”

So it can be said that attending or not attending courses is the personal choice of every woman.However, before you pay money and go somewhere, you should definitely find out what you are offered.

Warning, danger! Now this activity is not licensed, so there are many courses conducted by people who do not have the slightest relation to medicine. Moreover, they often act categorically against any medical intervention, propagandize the birth of the home and the so-called “spiritual midwifery.”

This will be the topic of a separate conversation, now we will briefly mention that none of those people who will tell you anything and advise you, does not bear any responsibility for what he has advised. A medical professional is responsible before the law, the lecturer, or as the coach is now called, does not take courses.

Just think about it before starting categorically not to trust official medicine. Choose courses either at the maternity hospital in which you will give birth, or private courses, but such that at least conduct midwives with diplomas of public medical institutions and work not only on courses, but also somewhere else in the specialty!

Remember, a normal doctor will never categorically reject one thing and categorically advise something else. He would rather try both. If you see the categorical statements, the division into black and white, references to astral bodies and the energy of spirituality, you better leave. These are the usual methods of manipulation, characteristic of sects.

The danger is the second: the program of courses is limited only by showing the film about childbirth and general words. This is a sin to hide, a characteristic feature of free courses. You can hear and see the common words and the movie yourself. The meaning of the course is lost.

Therefore, before choosing a school, write a list of what you would like to receive as a result. We strongly advise you to pay attention to the following points:
– how to prepare for birth correctly (food, gymnastics, mood);
– information about childbirth, especially about what can go wrong (when a doctor can decide on a cesarean, how the newborn should be resuscitated, what you can ask for and when);
– complex of breathing exercises and massage;
– father’s participation in the preparation for childbirth and in the process of delivery;
– the most important thing is information about the postpartum period: breastfeeding and how to solve problems with it (fighting lactostasis, lack of lactation, etc.), caring for the newborn (what to be afraid of, which is not very), the child’s worldview;
– the consultation of a psychologist is very important. It should set you up for the birth itself and their positive perception, and most importantly, give at least basic information about postpartum depression and methods of dealing with it. According to statistics, these or other psychological problems arise after delivery in 95% of women.

Usually on the Internet you can always find information about those or other courses and reviews of women who visited them. Choose those trainings that will satisfy you as much as possible.

The next question that is worth asking is: should I attend courses with a future dad? Again, each pair decides for themselves. Someone assumed that a man in no case should not climb into “women’s affairs”, but someone on the contrary, is ready and at birth to attend. The most frequent situation in our country, when a man begins with a categorical denial of his participation in the preparation for childbirth, and then gradually gets involved and becomes even more active than his wife.

Minuses of attending courses by men, we do not know of any. In any case, the future dad will receive new information, which concerns him and his child directly. Is not it interesting? In addition, the dad is often just necessary for carrying out stretching exercises, massage.

And, of course, a real man and father should know how to help his wife to ease the first bouts, while there is no doctor nearby.And if, God forbid, there are rapid childbirth, when the account goes for 1-3 hours? Is the husband should not have all the information to manage on time and adequately help, and not aimlessly run around the apartment, waiting for an ambulance?

Many of the fears of men that keep them from attending classes are completely childish, due to the fact that they do not know what is happening there, and, as a result, imagine something either funny or terrible.

Actually, any courses operate approximately the same way: firstly gymnastics for pregnant women, where the dad helps in stretching exercises (hold your legs, for example), then a seminar on some topic, say breastfeeding, then questions-discussion, then often free communication and tea drinking. As you can see, nothing terrible for the “real man”.

So, we summarize the pros and cons of the courses. Pros:
1) women, especially primiparas, teach more detailed information about what happens to her, her body, her baby before, during and after childbirth.
2) women are set up for breastfeeding and in advance receive advice about the initiation of breastfeeding and the problems associated with it.
3) If a husband goes to a course, he is more likely to get into trouble with his wife, which facilitates mutual understanding for both in the first months after childbirth.
4) new acquaintances are fastened. Often those who attended the courses, then together they roll wheelchairs around the yard.

Cons:
1) some courses may not have anything to do with medicine and, moreover, engage in total quackery;
2) not all the recommendations on the courses can be unquestionably accepted, make recommendations with common sense, recommendations of official medicine and your loved ones (mothers, grandmothers, girlfriends who have already given birth);
3) legal responsibility, if something goes wrong, only your doctor bears, and it still needs to be proved. In courses, however, usually no one is responsible for anything;
4) compare services and their quality with the price. Not every price is justified. Remember the material interest of the course managers in that you are engaged in them.

Week 18 – Week 19 – Week 20

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