Congratulations, you've almost made it to the finish line. The third trimester is coming to an end, which means that you are about to become a mom. The account goes into a matter of days.
Your weight reached its maximum two weeks ago, and now ideally should not change. The optimal number of kilograms that you could gain on in 9 months is in the range between 11 and 15. Deviations both in one direction and in the other direction are cause for concern.
If your belly has not yet dropped, then most likely this will happen in the near future. And then, know for sure, the birth will come within two weeks.
The height of the uterus at the 39th week is 37-41 cm, the abdominal circumference reaches 92-98 cm.
Analyzes and medical examinations
Childbirth is already very close. Therefore, all the analyzes and examinations that the doctor prescribes for the expectant mother have one goal - to develop tactics for managing childbirth.
At the reception of a woman, as always, they will measure pressure, weight, abdominal circumference. At the 39th week, one of the mandatory examinations is considered to be an examination in a gynecological chair. The doctor evaluates the condition of the uterus and birth canal. This helps to predict your due date more accurately.
At the 39th week of a pregnant woman, ultrasound (or ultrasound with Doppler) is often performed. Although you did a routine ultrasound examination a few weeks ago, the doctor prefers to make sure the condition and position of the fetus once again before giving birth. Also, the uzist determines how much the child's size corresponds to the width of the pelvis.
This is very important for those women who are going to give birth naturally.
Also at this time, the pregnant woman is sent to CTG in order to listen to the fetal heartbeat and look at its reactions when the uterus contracts. According to these data, the doctor can find out about the presence of hypoxia in the baby.
What does a child look like
By the 39th week, your baby has grown a little. Its weight at the moment is about 3200, its height is 48-50 cm. By its size, it resembles an elongated pumpkin.
By this time, the baby has lost the last signs of lanugo, a vellus hairline that helped him keep warm. The grease remains only in places that are important to protect from friction (armpits, under the knees and groin). The most imperfect place in a baby's body is the visual system.
The baby's intestines are now completely sterile (the first bacteria will enter it with the mother's milk), and filled with meconium, a brownish-greenish mucous substance that will leave the baby's body on the first day after childbirth.
By this time, the fetus is considered fully term, and the baby is already ready to meet with his relatives. Most of the systems and organs perform their specific functions. The intestine performs the first perelsatics movements, the pancreas prepares to connect to the digestion process.
A sucking apparatus is formed in the baby, because very soon he will have to adapt to a new way of feeding.
By the way, the placenta, through which the baby still receives nutrients, is gradually "aging". She no longer provides the fetus with oxygen so well. Do not be afraid, thus the body prepares the child for short-term delays in the supply of oxygen, which are inevitable when the baby passes through the birth canal.
What happens at 39 weeks gestation - sensations
Every day, the amount of amniotic fluid in the body of the expectant mother decreases. The child becomes cramped, and his movements become especially unpleasant for the woman.
As a rule, on this, the woman's belly sinks and she feels some ease in breathing. The pressure of the uterus on the lungs, kidneys, heart, stomach weakens. However, the load on the spine has not gone anywhere.The pregnant woman continues to stretch her lower back, and this is nothing special. The body is tired of the stress that has accumulated over the last trimester of pregnancy.
In the last weeks before childbirth, another change in hormonal levels occurs. In this regard, the woman increases the secretion of all mucous membranes. So get ready for pregnancy rhinitis and heavy vaginal discharge.
At 39 and 40 weeks, the expectant mother often has a relaxing chair. The intestines are cleansed naturally so that their contents do not interfere with delivery.
Expectant mothers should not be alarmed if they feel light stretching in the lower abdomen, which is sent to the spine. This is a variant of the norm and only speaks of the imminent approach of childbirth.
Lower back pain by the 39th week is a constant companion of the expectant mother. Aching pulling back pains occur due to excessive load on the spine, changes in the hormonal background of the pregnant woman (the hormones estrogen and relaxin, which are produced in the woman's body, provoke the discrepancy of the pelvic bones, and the pain can be given to the lower back) or renal colic.
At the 39th week, the expectant mother should especially carefully monitor the vaginal discharge. Normally, they should be transparent or slightly whitish, have an indistinct odor, possibly a little sour.
Don't be surprised if you notice that the discharge is a little heavier than before. We already wrote that this is due to the hormonal jump before childbirth.
You need to sound the alarm only if the discharge has a pungent odor, an atypical color (purulent yellow, green, brown) and a flaky or cheesy consistency. These symptoms indicate the presence of an infection that must be treated before childbirth, otherwise it will be passed on to the baby.
Nausea at the 39th week may be one of the signs of an impending labor, or it may indicate an intestinal infection. So carefully monitor your condition, and in case of alarming symptoms (nausea, accompanied by vomiting and diarrhea), call an ambulance immediately.
Polyhydramnios and low water
The most dangerous diagnosis for a child is polyhydramnios. With an excessive accumulation of amniotic fluid in a woman, the uterus is greatly stretched, which contributes to weak labor. A stretched uterus is not able to contract properly, which can cause a woman to bleed or bleed at the end of labor.
Do's and don'ts at 39 weeks pregnant
Mom's actions at 39 weeks should be neat. It is important to be attentive to yourself and your health until the very birth.
Pregnant women at this time should not:
fly on airplanes;
-Change time zones;
- drive a car for a long time;
- to climb stepladders, stools, chairs;
be nervous (the stressful state of the expectant mother can negatively affect childbirth);
smoking and drinking alcohol.
What you can do in the 39th week of pregnancy:
have sex if there are no contraindications to this;
sleep at least 8-9 hours a day.
At 39 weeks, pregnant women may have decreased appetite. You shouldn't force food into yourself, but you shouldn't go hungry either. Leave in your diet only healthy foods (milk, meat, fish, vegetables), give up fast food, sweet water, canned food.
Keep taking the vitamins your doctor has prescribed for you.
Pregnancy, starting from the 38th week, is considered officially full-term, so it is worth preparing for a miracle any day.
Fatigue accumulates, the expectant mother is worried about the harbingers of childbirth. Don't rush things. It is believed that childbirth will occur when both participants in the process are finally ready for them.
At the 39th week, labor stimulation is possible, if there are indications for it.Stimulation is resorted to if the expectant mother has a very large fetus, there is a threat of hypoxia and other symptoms that can adversely affect the health of the mother or child.
Harbingers of childbirth
Training contractions are often called the harbingers of childbirth - within one to two minutes, the uterus contracts sharply, causing pulling discomfort in the lower abdomen.
To stop the training contractions, the woman needs to lie down for a while.
In the presence of indications or a ban on natural childbirth, the expectant mother can have a caesarean section at the 39th week of pregnancy.
The main thing for a woman in labor is to calm down and prepare in advance all the things necessary for the maternity hospital. Sometimes information about an emergency caesarean comes as a surprise for a woman.
If the doctor made this decision, then there are good reasons for that.
Remember, it is not so important under what circumstances the baby appeared, the main thing is that he be healthy!