Thirty-eight week of pregnancy

Future child.

Height – 49 cm, weight – 2900 gr.

Well, finally! Your pregnancy is now considered full. How immediately it becomes calmer in the soul, right?

By this time the baby’s head has already lowered to the very entrance to the small pelvis. A little more and he will get out into the light. The amniotic fluid grows old and cloudy. When swallowed, they fall into the baby, which recycles wastes of vital activity into meconium – the original feces.

By this time he already had a lot of meconium in his intestine. It consists of dropped lancrous hair lanugo, peeled skin, broken blood cells and other substances swallowed together with the amniotic fluid.

Meconium will come out of the child completely after the birth (about two or three days). But some babies manage to do this even during childbirth and then the baby will be born, covered with green slime.

The Toddler moves less (he does not have any room for this), but he pushes harder. Most boys by the 38th week have already dropped their testicles into the scrotum, some will be tightened with this until the very birth. But if the testicles have not descended after the birth, then we can talk about cryptocism – an abnormality of the descent of the testicles.

The risk is that with age, infertility or even cancer can develop. But do not be scared at once. In 80% of cases, the testicles take their place during the first year of the baby’s life without surgery. In other cases, cryptochism can be cured by hormonal drugs or by a surgical operation.

Testicular abnormalities occur in 3% of full-term boys and 30% in premature babies. Among the reasons for the development of the anomaly, genetic predisposition, hormonal problems in the mother during the 3rd trimester of pregnancy, increase the adverse factors of low birth weight, premature birth, multiple pregnancies, intrauterine growth retardation, use of estrogen in the mother in 1 trimester.

Future Mom.

The average weight gain this week is about 14 kg. The height of the bottom of the uterus is 38 cm. Its growth is almost complete, now only the baby will grow and a little bit. Prepare for what you can give birth at any time. But do not deliberately stimulate childbirth – let it all happen when it should.

You may lose your appetite, but you still need it. Remember that there are yoghurts, skimmed milk, bananas and raisins, curds and cheese. Do not forget about laxative prunes or dried apricots – because you may have problems with a stool – just do not overdo it. Eat 3-4 berries or drink a glass of compote per day – this is quite enough.

Now the birth is already around the corner, but are you ready to endure the fights? Many women are so afraid of pain even at the initial stage that they panic, grab for doctors and midwives, and require them to help.

One must be clear about one thing: if everything is all right for you, then no one can help you in the battles, except for yourself and your husband, if he goes with you for childbirth.

The only remedy doctors can offer is anesthesia. Anesthesia is now used very often and women are very happy with it. But anesthesia is not a panacea for pain. You should prepare yourself for the pain that will still be and will be quite unpleasant.

Anesthesia is done by doctors no earlier than 2 cm of the cervix opening, otherwise it can slow down the birth activity. This means you will feel a strong, but quite bearable pain by the time of opening by 2 cm. You will want to moan, change your posture, do a lower back massage, etc.

Anesthesia is stopped by the doctors at the opening of 7 cm, then you give birth yourself, without the support of medication. Only in very rare cases, doctors can hold the woman in labor until the moment of the birth of the head, say, when she has problems with the spine (hernia, rheumatism, etc.), i.e. pain, which can significantly complicate the course of childbirth due to muscle spasms.If you are all right, you must go out on your own to feel the muscles of the vagina and uterus, otherwise the baby will be doubly difficult.

Today, doctors suggest that a woman in labor take epidural anesthesia. What it is? You will be given an anesthetic right between the hard shell of the spinal cord and the vertebrae (scientifically, into the epidural space). To do this, you will first put a dropper and inject saline to increase the volume of blood.

This is important because it helps to avoid the pressure drop that often occurs during anesthesia. Then they put you on your side. When the fights are very unpleasant position of the body, but during the introduction of medication in no case can not move.

The doctor will give you a local anesthetic near the point where the main injection will be made, so that you will not be hurt. Then you will not feel like you will be introduced a needle into the epidural space and put a catheter. Through the catheter an anesthetic will be given. A few minutes later you will feel warmth in your legs or tingling. And very soon the pain from the fights will recede.

This is all fine, but there are some drawbacks that one should imagine:
– You can not get up and even change your position especially, because you have a catheter and monitor connected, and your legs are numb;
– You will lose the ability to feel the urge to urinate, you will have to do this through a catheter. It is not painful (because there is no sensitivity), but somehow morally not by itself;
– You will not be able to control or feel until the moment the process of childbirth (if this is important for you);
– After the birth of an hour, two or three anesthesia will still work, and you will not be very mobile.

However, if you are afraid of pain, then epidural anesthesia will greatly facilitate your childbirth process. Is anesthesia safe for you and your child? As always, it all depends on the circumstances. For most women, anesthesia is absolutely safe.

But there are always those who have contraindications or have side effects such as nausea, chills, even seizures. Therefore, the anesthetist before anesthetizing, always asks: did you have any difficulties with any anesthesia before, whether there were head injuries, concussions, what your usual blood pressure, etc.

Doctors state that epidural anesthesia is safe for the baby, although some children experience changes in the heart rate. That’s why the mother with anesthesia immediately connect the monitor.

But in any case, doctors consider it to be the “epidural” the best option, since with intravenous or intramuscular injection into the blood of the mother of medicines (as was done before) the child also receives its dose, which is harmful.

If you do not use anesthesia, then, as we have already said, only you can help yourself in the fights. For this, generations of women have developed some recipes. It is best to study them in detail in the preparation courses for childbirth, where specialists will explain and show everything in detail. But we give here some tips.
1) The mood is very important. It must be understood that the bouts will not end until the birth is over. Set yourself up not for pain, but for the birth of a child. It is the child who is your direct goal now.
2) Entertain yourself. Childbirth is a rather long process. You can have time to read a book and watch a movie, and guess the crossword puzzle. Yes, of course, all this is interrupted by fights, but somehow they are easier to bear.
3) Stay calm, a fight is just a fight, not a “horror-horror-horror”. Any fight sooner or later ends and you will have a couple of minutes to rest.
4) Do not be silent. I want to scream – shout. A maternity home is the nicest place to pounce and shout, or even sing. You have every right. By the way, experts recommend singing, and not shouting, so the throat sits less.
5) If you are not under anesthesia, then do not lie all the time. Go, squat, at least run, if it makes you feel better.Any movement or just a vertical position of the body facilitates the pain of contraction and stimulates childbirth.
6) Use the opportunities of the bathroom and shower, if in the block they are. Soul is very good massage back in the fight, a warm bath helps endure the pain.
7) Use everything possible for relaxation. At the moment of contractions, it is really very important to relax, as a lot of muscles are compressed from pain, but do not help the delivery process at all. In fact, only one womb should be compressed and unclenched (in an unrealizable ideal). Try to remember this during the fight. Relaxation is helped by massage (for example, legs, feet, back), but this often requires an assistant.
8) Frequent breathing indicates panic, so try to breathe smoothly and calmly. This will help relaxation. Many courses teach you how to breathe rhythmically, but whatever you learn on this topic, you will forget half, or even all, in a fight. Remember only one thing: the main thing is to find the rhythm of breathing, which is right for you. There is no right or wrong, only your body and your psyche will point to the rhythm that helps you. The main thing is do not breathe often and deeply, as this can cause hyperventilation of the lungs, but now this is unnecessary.
9) Cold and hot alternation is helpful. Bring with you, for example, a bottle of warm water and a cold one. Experiment, applying them to yourself in fights, and you will see how you can effectively use the contrast of temperatures.

37 weeks – 38 weeks – 39 weeks

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