The 28th week of pregnancy

Future child.

Height – 37 cm, weight – 1200 gr.

With the modern development of medicine, a child born after the 28th week of pregnancy has almost all chances to survive, especially if he does not have congenital pathologies.

But at this time the baby will be born even slimmer, with wrinkled skin, with a fluff of lanugo all over the body, which usually comes to the term of normal birth. His spout and ears are still very soft, because the cartilages did not have time to gain enough strength. There is underdevelopment of the genital organs (in girls the small labia is not yet covered with large labia, and in boys the testicles do not sink into the scrotum).

The child is not yet sufficiently developed and lungs. The number of alveoli is growing rapidly, soon there will be 50 million! At week 28, the cells lining the alveoli already accumulate a certain amount of surfactant – a substance similar to soap, which is also called “surface active.”

The surfactant is formed on the 22-24th week of pregnancy and will not allow the alveoli to stick together when the baby makes his first inhalation and exhalation. By the 36th week of pregnancy, the baby’s lungs are already sufficiently prepared to breathe on their own.

A very important event occurs in the brain. It grows so quickly that now it forms wrinkles: “convolutions” and “furrows” that increase the surface of the cortex. By the way, man’s gyri and furrows are much longer than in other primates.

The mass of the brain increases. By the time of birth, it will be approximately 400 g (about 12-13% of body weight). The brain mass in an adult varies from 1200-1400 (about 2% of the body mass)

Nerve fibers are covered with a special fatty shell called “myelin.” It provides a more rapid passage of nerve impulses. sound, listen and study someone else’s speech, try even to make movements in the larynx, as if screaming or making sounds.

You hardly doubt that the baby will know your voice. You even have a kind of dialogue, “with the one who sits in the pond” and feel his jerks in response. “The baby is getting fat and it’s getting harder and harder for him to actively move in. Soon you will feel how the intensity of his” flights “inside you is changing. not a sportsman, a circus, but a big bear, who is cramped in his lair, and he turns around for a long time and with special care. “By the way, over the last 12 weeks the weight of the child has increased approximately 10-fold. At this time, the father, putting his hand on his mother’s belly, can very well feel the movements of the baby and even figure out where his ass is, and where his head is.

Future Mom.

The average weight gain this week is about 9 kg, the height of the uterine fundus is 28 cm. On the abdomen, buttocks and thighs, fat deposits form, and the veins can appear on the chest. Remember the need to maintain the correct straight posture, so that the pressure of your weight does not develop the deflection of the spine.

“Braxtons” (see article on the 23rd week of pregnancy) continue, and also amazing dreams. Compared with the first weeks of pregnancy, when you saw bright good dreams, after which there was a surge of energy, dreams in the middle and third trimester leave, rather, a depressing feeling.

One of the main themes of such “nightmares of pregnant women” is a drop from a huge height to the ground or from the ground into a huge well, etc.

The second type of dreams is dreams about childbirth. And often childbirth generally without pain (“in a dream I gave birth, but did not notice how”). Sometimes dreams of childbirth can be very scary. One woman dreamed that after the first child she gave birth to five more, and the doctor in a dream told her that she still has a lot of children inside her.

The feeling of sleep was very disturbing and unpleasant. Others dream of childbirth, but not painless, but extremely painful (up to this: “To be born, I pull at the leg, which sticks out of my stomach …”).

Still others dream about their future children.And nothing else, if the usual little children are dreaming. But if newborns already have a mouth full of teeth, walk, talk and read books, then such a dream can scare.

The third type of dreams is conflict with the husband. There are nightmares about how the dreamer throws a husband, or goes to war or on a long voyage, or goes to jail (sometimes the dreamer herself sits down). Or with the husband it in any way does not communicate, but in the world around there is a global catastrophe (war, ecological disaster, a flood, an earthquake).

Psychologists believe that nightmares arise because of the physiological discomfort that the expectant mother experiences during these pregnancy periods: the internal organs are tight, the uterus presses on the bladder, there are convulsions and swelling of the legs.

Therefore, in order not to suffer from nightmares, try to make for yourself a dream as comfortable as possible. Cover the pillows, do a few exercises for the back, massage hands and feet, do not eat up for the night, ventilate the room and walk more often before going to bed.

Unpleasant dreams can arise and because of your internal fears of childbirth, feelings for the child and her husband. You may be afraid of losing your freedom with the birth of a child, as well as destroying relationships in the family. In this case, you can communicate with doctors, psychologists and experienced moms (in LCD, on courses, on the Internet, in the yard, in the club – no matter where).

In the near future, you should visit a doctor and take the usual set of tests: a clinical blood test, a general urine test, a hemostasiogram with a D-dimer (see article on the 20th week of pregnancy), make an ECG. Maybe the doctor will also prescribe a blood test for sugar to prevent the possible development of diabetes in pregnant women.

If you have a negative Rh factor, you need to test for antibodies. They are formed if your child has a positive rhesus, and is able to destroy red blood cells in the baby’s blood. This is very dangerous, because causes anemia and leads to other serious illnesses (for example, hemolytic). Therefore, at the 28th week, an injection of an immunoglobulin should be made, which prevents the appearance of antibodies in the blood of the mother.

If you wait for more than one child, then your maternity leave will start from the 29th week. Therefore, during a visit to the consultation, take your hospital sheet from your doctor, on the basis of which you will be paid vacation for 194 days (84 days before the birth and 110 days after the birth in case of multiple pregnancies). This holiday is paid at the rate of 100% of the average earnings of a woman for the 12 preceding months.

More details on the documents that need to be collected by a pregnant woman, we’ll talk in the article for 30 weeks of pregnancy. Now we only note that at the 28th week an exchange card is usually issued and issued to the woman’s hands. Now you should visit the doctor exclusively with an exchange card, it is advisable not to leave the house without her at all, since in case of emergency hospitalization (God forbid) doctors will promptly have all the data about you.

All the results of the examinations are recorded in the “exchange”: blood and urine tests, ultrasound, doppler, CTG, ECG, blood group, rhesus, etc. If the data on analyzes in the exchange card is not at the time of the arrival of the future mother in the hospital, it will be considered conditionally infected with all possible diseases, and, therefore, put in the department of pathology or in a specialized maternity hospital. This is done to prevent possible infection of other parturient women and children with AIDS, hepatitis, rubella, etc.

After the birth of the child, all data on childbirth, information on the size and health of the baby carried out in vaccinations and examinations will be entered into the “exchange”. This special part of the card you will give to the children’s clinic when you register the newborn.

Week 27 – Week 28 – Week 29

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