Thirty-third week of pregnancy

Future child.

Height – 42-43 cm, weight – 2000 gr.

Now the child can already breathe freely, even if it were born before the deadline. The level of a special substance, surfactant, which does not allow pulmonary alveoli to stick together when exhaled, almost reached the norm.

The kid actively establishes more and more connections between neurons, therefore, the ability to recognize and cognize the world around him is improving. This is facilitated by the gradual accumulation of myelin – a substance that covers the nerve fiber and facilitates the passage of a nerve impulse from different parts of the body to the brain. The closer the number of myelin is approaching the norm, the more conscious the reactions of the baby become.

The child is even more grown up and becomes more and more tight in the uterus. He sleeps a lot and even dreams. Scientists have seen that the pupils of the baby move in the same way as an adult in the phase of fast sleep. The color of his skin becomes more and more natural, and not red, as before, due to the accumulation of subcutaneous layers of fat.

One of the most serious complications that occur in the 2nd and 3rd trimesters is a placental abruption, that is, the separation of the placenta from the walls of the uterus. Usually this happens only after giving birth. If the detachment started earlier, the life of the child and the mother can be jeopardized.

Most often there is a partial placental abruption (in a small area). In this case, the situation can still be taken under control and timely treatment will help the mother to properly inform the child and give birth to it.

A complete placental abruption stops the supply of oxygen and nutrients to the baby and it may die. In addition, the mother formed internal bleeding and bruising. Therefore, doctors for the rescue of the baby and mom cause early delivery or do cesarean section.

The causes of the anomaly are:
– serious injuries;
– hypertension;
– hyperavitaminosis;
– a short umbilical cord in the fetus;
– abnormalities of the development of the uterus and abnormal attachment of the placenta to it;
– lack of folic acid (which is why it must be taken during pregnancy);
– smoking and alcohol.

Detachment of the placenta occurs in 1 case for 80 births, and if the detachment already was in the history of the future mother, the probability of a repeat increases to 1 case by 10.

The signs of placental abruption are:
bloody discharge and persistent severe pain in the abdomen however, bleeding can only be internal);
– pain in the lower back, uterus, uterine contractions (contractions);
– lack of movement of the baby for a long time;
For any of these symptoms, seek medical attention immediately.

If the detachment of the placenta is partial and the bleeding is not strong, then doctors usually prescribe bed rest and medication (baralgin, no-shpa, ascorbic acid, vikasol). The child is constantly monitored to exclude hypoxia.

If the detachment of the placenta is complete, accompanied by severe bleeding and pain, then early delivery is shown up to the cesarean section.

Future Mom.

The average weight gain this week is about 11.5 kg. The height of the bottom of the uterus is 33 cm. The oxygen consumption of mother and baby has increased by almost 30%, and the mass of blood by 35%! Possible problems with the gums, which can inflame, bleed. Thus, they react to an increase in the volume of blood and another hormonal alteration of the body.

Make sure that your food is full, do not deny yourself the pleasure of eating, but eat something that contains a maximum of vitamins. Take food more often, but little by little, otherwise you will have a feeling of heaviness or heartburn – in fact the kid has already left very little room for your stomach.

There is a maximum of 6-7 weeks left before delivery, so it’s time to learn more about how this process proceeds. There are basically three main stages.

The first stage: the opening of the cervix. In order for a child to be born, it is necessary that your uterus opens up to 10 cm.Imagine! Now she is not opened for one centimeter, and by the time the baby was born there it would have been easy to put two fists clenched in each other, if someone had thought such a stupid desire.

Because the cervix opens, you experience pain. You do not enough that the muscles and pelvic bones part, so the tiniest vessels are torn, so there are spotting during fights. But they are not so much as the imagination draws – much less than during the monthly.

If the waters have not moved away before the onset of the fights, they may retreat during the first stage of labor. But usually the waters go off at the next stage.

The first stage

of births lasts for all in different ways. Those women who give birth for the first time, it reaches 13-18 hours, and even more, the women of the same birth give birth quickly. The pain that a woman experiences during labor, at the initial stage, has little to do with what is shown in the movie, when the heroine falls into the hands of the hero and screams in her own voice.

In fact, contractions begin with barely noticeable pain. If you had “Brextons”, you should already be familiar with this. The main difference between these fights is their regularity. They can be checked on them. Contractions last 30-45 seconds with clear intervals between them.

At the very beginning, this interval can be 20 minutes and half an hour. But remember that you must be in the maternity hospital by the time the interval between contractions is 4-5 minutes. The more the disclosure, the more painful the struggle. With the disclosure of 2 cm the doctor can officially give you anesthesia, if you want it.

Disclosure of 2 cm is a symbolic milestone in the fact that childbirth is active. Up to this point, the future mother can still do her own business, even sleep – her feelings are so tolerant. After this milestone, the bouts become quite painful, so Mom has to suppress a groan and start breathing the way she was taught in courses or in books.

During this period, no one can help you, although you experience feelings are not the most pleasant. Contractions are on, the baby is moving toward the birth canal, its head is lowered into the pelvic cavity and is preparing to be born.

You just have to somehow survive this moment with the help of anesthesia or with the help of special exercises, a shower or a massage, which the pope present at birth can do to you.

On opening at 7 cm, doctors usually turn off anesthesia to allow the child to be born on their own and not to suppress the generic activity and sensitivity of your muscles (it is very important that you feel the process, and anesthesia can interfere with it).

About the same time, the baby’s head crosses the border between the uterus and the vagina, i.e. she is about to be born. Sensations, frankly speaking, disgusting, because there is a strong pressure of the pelvis, intestines, thighs, you may even feel nauseous.

But no matter how bad it is for mom, the child is even worse now, since even full disclosure of the cervix still gives him a smaller hole than the diameter of his head. Therefore, the soft bones of his skull should, as it were, form and decompose back at the time of the birth of the head.

But, finally, doctors are relieved to say: “Full disclosure!” This means that now you are moving to the second stage of birth – the birth of the head or attempts.

Second stage:

birth of the head, and then the complete birth of the child. Often it is called scientifically, the stage of “expulsion” or the stage of “pushing out”. Often called “attempts.” No matter what you call it, the moment of the birth of the head is most important for the mother now, since the pain that is tormenting her will practically end there.

The baby’s head passes through the birth canal. This is a very important stage, because, as already mentioned above, the bones of his skull are now very mobile and fragile. Therefore, any compression of your vaginal muscles or, God forbid, walking in the ward, etc., can lead to injury.

Therefore, the mother in this stage is laid on her side or squatted, and she is pushing at the moment of the fight under the supervision of an obstetrician and a doctor who are laying the head out of the birth canal.

This stage does not take much time. Some give birth with four attempts, some are pressed longer, especially if anesthesia was used. But in comparison with the first period of childbirth, the second stage is incomparably shorter, although, on the other hand, it is incomparably more painful. One at this moment pleases – soon, very soon all will end. It’s about minutes.

In the body of the mother, oxytocin is actively produced – a hormone that stimulates labor (contractions of the uterus) and endorphin (the “happiness hormone”, which has analgesic effect and gives strength to the mother). At each end of the neck, the child appears in the perineum and goes away again until the vaginal tissues are stretched out enough that they can safely pass the child.

Then his head appears in the light and no longer goes back. After several fights, the baby’s shoulders are released. And very soon he comes entirely to the hands of obstetricians. The third stage of labor begins.

Third stage:

birth of the placenta. When a baby is born, they will be engaged only for a while. He will suck off the mucus from the nose and mouth, he will cry for the first time, then he will put it on your chest and you will finally get to know someone who has been sitting inside you for so long. All this takes a while, and then the doctors come back to you again.

The uterus is still shrinking to expel the placenta. It does not hurt at all after what you’ve already experienced. Most women generally do not notice this process, because they are completely absorbed by the child, and the splash of endorphins provides them with a state of euphoria. Often, the birth of the placenta is helped by obstetricians, massaging the area of ​​the uterus, often it goes out by itself. All this takes from half an hour’s strength, often less.

In addition, doctors conduct the first postnatal examination of the uterus and vagina, note whether there are tears, damage, whether there is a normal bleeding and whether there is a dangerous loss of blood, check if there are plaque residues in the uterus, if you were cut, then the doctor sashes (usually under local anesthesia).

Everything. This ends the birth. And no matter how bad you were during these hours, now that everything is over, you will say that you are very happy, and the pain at birth is the most pleasant pain in life, because they give life to such a miracle as your baby.

Week 32 – Week 33 – Week 34

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