Twenty fourth week of pregnancy

Future child.

Height – 29-31 cm, weight – 600-700 grams.

Your child is actively accumulating subcutaneous fat and this week has already become a little rounded. Now he is more like a newborn.

An important event – a special film is formed in the baby’s lungs, which will not allow them to stick together when breathing. If the child is suddenly born now, it can survive, since the lungs are more adapted to breathing than before. Of course, the chances are still too small, but nevertheless they are not as rare as one thinks.

All parents should know that from January 1, 1993 new criteria recommended by the World Health Organization were adopted in our country. This means that intensive and resuscitative care now turns out to be a newborn with a weight of 500 grams, born since the 22nd week of pregnancy.

We already wrote about this in the article about the 23 weeks of pregnancy and now we are again paying attention to this attention of the parents. Whatever you say, this week your child has a chance to survive, especially if there is no good medical care (special incubators, artificial ventilation, steroid Betameson and any other types of intensive care).

One of the main problems for a child born on this term of pregnancy, except for the weak is the lack of large reserves of subcutaneous fat. Special “brown fat” maintains body temperature and provides thermoregulation of the baby’s body. This kind of fat forms a very large amount of heat during combustion (sufficient to maintain the required level) and ATP (a special substance that participates in the most important processes of vital activity).

Subcutaneous fat deposits begin to accumulate in the fetus just now, so children born on this term are in a critical situation – they lack thermal protection, they are sensitive to hypothermia, poorly maintained body temperature, can die in any breeze. Therefore, the cases when newborns still survived are associated with the use of a special warm incubator, in which they developed for about 14 weeks.

The face of the child this week acquires individual traits – exactly how the baby will look when you see it for the first time in the birth chamber. He has pronounced emotions – he is able to get angry and frown, wrinkle his lips, almost cry (at least he curts his mouth just as if he wants to cry).

The Kid has grown and almost completely occupies the entire uterus. Therefore, his movements become less active, but if he moves, his mother feels his movement from beginning to end. By the way, the movements become the same as in a newborn child, since the muscles of the arms and legs have already formed quite well. At this time the child more and more studies the information that comes to him from the outside world.

He is frightened if his mother is frightened, he is happy, if his mother is easy and fun, he works with her actively and with her rest and sleep. However, not always the phases of sleep in the baby and mom coincide, although more often at night the child is less active than in the daytime. Scientists say that when he sleeps, he already dreams! It’s a pity that the kid will never tell us what dreams he dreamed of in his mother’s womb.

Future Mom.

This week your weight reached +7 kilogram to pre-pregnancy. The height of the bottom of the uterus is 24 cm. Hands, feet and face become fuller because your body keeps water. Watch closely to see if you have swelling (see recommendations for 21 weeks). Ares around the nipples are getting darker.

Bladder problems, nosebleeds, headaches, fatigue, heaviness in the legs can be seen. There is excessive sweating. Buy yourself a super-resistant deodorant and replace synthetic clothes with clothes made from natural materials.

This week you need to pay a visit to the doctor and take the following tests:
– a clinical blood test;
– blood biochemistry;
– a general analysis of urine.

During the blood test, you will check the hemoglobin level and, most likely, the hematocrit number. Both these indicators report the presence or absence of anemia (lack of oxygen in the blood).

In the body, there is a balance between the production and disintegration of red blood cells (blood cells containing hemoglobin). At the pregnant woman this balance is broken: there is an active increase in blood volume due to plasma, and plasma is able to dissolve blood cells. This is why many find physiological anemia.

The hemoglobin content decreases, and the degree of blood dilution (hematocrit number) increases. This is especially typical for 22-24 weeks of pregnancy. If the pregnancy develops normally, then the hemoglobin balance is gradually restored.

The most common type of anemia in pregnant women is iron deficiency, it develops against a background of iron deficiency, which is taken from the mother’s body by a baby.

Appearance of iron deficiency anemia is facilitated by:
– multiple pregnancies;
– bleeding during pregnancy;
– problems with the stomach and intestines, as well as previous operations on them;
– reception of drugs neutralizing acids;
– wrong food.

Iron is found in all vitamins for pregnant women. But often it is still not enough and then the doctor can prescribe an additional intake of sulphate or gluconate iron. You can also increase the level of iron, if you often eat liver and spinach.

The problem of anemia must be treated with all seriousness, as it can create additional complications during childbirth. Approximately at this time of pregnancy, possible births are no longer considered miscarriages, but belong to the category of “premature birth”. Nothing good in premature birth, of course, no, it’s better if everything happens in its time. But all the same every day more and more chances are that your child will survive.

Therefore, it is necessary to know the signs of premature birth, either to prevent them, or to have time to come to the hospital or call a doctor at home. According to statistics, in the summer there is a somewhat greater number of premature births, which, apparently, is explained by the heat, stifling and dehydration of the woman’s body. That’s why it’s so important to drink more and do not forget to always carry a small bottle of water with you.

You remember that Braxton-Hicks contractions exist (see article for 23 weeks). This is a harmless contraction and expansion of your uterus, which is prepared for delivery. “Braxtons” last only a few seconds and come irregularly no more than 5-6 times a day. If the contractions (contractions, cramps) occur regularly and more often than 5 times per hour, then this is not “braxtons”, but one of the signs of premature birth.

In addition to labor during premature birth, bloody bright scarlet discharge is observed, acute and traumatic pain in the abdomen and lower back, pressure in the pelvis, water leakage, possibly a sharp increase in swelling of the face or limbs, and pain during urination. When observing one or two of these signs, call your doctor immediately and call for an ambulance. What causes premature birth? First, direct physical impact (for example, my mother failed to fall).

Secondly, cervical insufficiency (Isthmiko-cervical insufficiency) – a specific disease, in which there is an almost painless expansion of the cervix, causing labor. Diagnosis of cervical insufficiency is difficult, basically it is done only after the first birth, if the child was born suddenly and without pain. Doctors think that the disease can arise because of abortions or other operations on the uterus, but the exact cause is still unknown.

With such a defect in the cervix, the mother may notice that she is giving birth, only when the child is born, the rupture of the membranes and the opening is so sudden, quick and painless. Of course, this creates a serious threat to life and the baby, and mom.Treatment for today is that the neck is stitched, which will narrow the uterine pharynx.

Thirdly, among the causes of preterm birth can be called a strong nervous stress and depression (see article on 23 week).

Other causes include polyhydramnios, placental abruption or presentation, malformations or fetal death, unterminated intrauterine device, infectious diseases and hormonal failures in the mother. The risk group includes women who have already had miscarriages, abortions or premature births in the past.

To combat premature birth, you need a completely bed rest, as well as injections of special drugs that suppress the reduction of the uterus. Once again, we emphasize that the first step in the appearance of signs of premature birth is to call your doctor! Self-medication can not be done in any case!

The first task facing the doctor is to find out the reason for the event and make a decision about the need to maintain pregnancy or to give birth. In doing so, they should check the timing of the pregnancy and the way it was flowing. If you regularly visited a doctor, there will be no difficulty in determining the time.

We also note that doctors can diagnose the “Pregnancy delivery threat” in any case if they do not like something or if the patient’s complaints seem to them too suspicious. They are reinsured and write out a sick leave sheet, often even put in a hospital. It is not necessary in this case, nor particularly frightened, nor particularly irritated by the doctors. They want the best and are responsible for the child in a sense even more than you.

23 weeks – 24 weeks – 25 weeks

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