Check out the sensations and feelings of 40 weeks pregnant woman. Learn all about childbirth like inducing labor and pain management. Also, learn about the fetal development in the last week and after birth.
In term of pregnancy, it is 40 weeks from conception or the 42nd obstetrician week. It is the maximum possible period of bearing a child. If during this week the birth activity does not begin – the woman will be helped to give birth to the doctors.
Sensations and Feelings of 40 Weeks Pregnant Woman
Feeling of extreme fatigue does not leave. It is also joined by fear for his child. Usually, by this time, women visit a gynecologist twice a week. For 40 weeks pregnant woman, they receive a referral for hospitalization. In the hospital, they are examined for their condition and the child.
Is it possible to undergo examination outside the hospital or be in a day hospital? It’s like negotiating with a doctor. Keep in mind that if you do not give birth within a week, the birth will stimulate.
Well, the method of stimulation will be chosen depending on the material equipment of the maternity hospital and the maturity of the genital tracts of the mother.
Feelings of the future mother from the stimulation of childbirth are quite painful, so you can also independently attempt to accelerate childbirth. For example, to have sex with her husband. Proven means, by the way!
Upon admission to the department, a woman handles urine and blood tests “for anything in the world.” It also awaits delivery of a smear to the flora (to determine possible inflammation and as soon as possible to sanitize the vagina).
The doctor will conduct a thorough examination of the preparedness of the cervix for delivery and will feel how tight or soft, long or short, the inner pharynx is ajar or closed. Next, CTG and ultrasound with an assessment of the blood flow of the child.
If a doctor has any doubts about the possible carrying of the baby, an amnioscopy is performed – a visual examination of the fetal bladder and water. If they contain traces of meconium, there is nowhere else to wait, it is necessary to give birth faster.
If there are no signs of transferability, CTG and ultrasound is performed every 3 days before delivery, which can be and Cesarean section, if stimulation does not help.
Fetal Development in 40 Weeks Pregnant Mother
The weight of the baby is now around 3.5 kg, and if the placenta continues to work well, it is still growing. The height is 50-52 cm. Moreover, boys are usually born larger than girls at one gestation period.
Determine the estimated weight of the baby on ultrasound can now be done with high accuracy, as well as what happens to the fetus and how its condition is in forty weeks of gestation. Sometimes there are also mistakes when a 4-kilogram child turns out to be a miniature three-kilogram girl.
By the way, the birth of children weighing 4-4.5 kg is not uncommon at the moment. Perhaps the role is played by the good nutrition of modern pregnant women and by careful monitoring of their health by doctors throughout the entire period of the baby’s bearing.
The baby in the uterus is in the embryo pose, its legs are bent and crossed and, together with the handles, are pressed to the body. This situation the baby will save a few more weeks after childbirth. Gradually, the hypertonicity of muscles will begin to go away.
After giving birth, the baby is put in a sterile diaper. This is necessary because the children have imperfect heat regulation. We need them to adapt to our world. Immediately put points onApgar- assess the condition of the newborn at 1 and 5 minutes after birth.
It assesses skin color, pulse, muscle tone and breathing. 8-10 points is an excellent result. 7 is also good. 5-6 points cause fear, but if within 5 minutes the readings improve to 7 points or higher – everything is fine. If the baby is assessed for 4 or fewer points, an emergency resuscitation is required.
In the case of normal birth and well-being of the newborn, he is laid on his mother’s stomach and allowed to give the breast. The first drops of colostrum are priceless. By the way, it is the early suckling of the baby that starts the process of rapid contraction of the uterus and lactation.
It is not necessary to worry, that the child is not nadelsja droplets colostrum. It is very high in calories, and the baby’s stomach after birth has a volume of only 10-15 grams. Already in the first days after birth will increase many times.
Different Ways Doctor’s Stimulate Onset of Labor
Sometimes the future mother does not go into labor on time. This if happens to already 40 weeks pregnant woman then it’s time for a doctor to help. There are many ways a doctor can stimulate the onset of labor which is as shown below. These methods are used only if needed like for 40 weeks pregnant woman whose contractions are not there yet.
- Peeling of Membranes
It is performed when the cervix is slightly open. The lower pole of the amniotic fluid is somewhat removed.
Often, such actions of the doctor lead to the removal of the mucous plug, and sometimes even water. These manipulations can also be performed in conditions of a woman’s consultation.
One downside is that they are very painful. And it’s not always the first time a gynecologist gets to start a generic process.
This is a puncture with the help of a special acute instrument of the fetal bladder. It is performed with a mature and slightly open cervix. Absolutely painless procedure.
The puncture of the amniotic bladder provokes fights very quickly. The fact is that the fetal bladder sometimes has a flat shape and in labor, rather, it interferes.
If the water is “lowered”, the baby’s head will fall lower into the pelvis and itself will promote a more rapid opening of the cervix.
- Introduction of Oxytocin
That’s what all future moms are afraid of. The thing is that with “Oxytocin” there are very active and painful contractions.
Many people think that this drug is administered to everyone in a row. But this is not so. There are strict testimonies. For example, the long absence of labor after the passage of amniotic fluid.
Simply because no one will put oxytocin since in its side effects there is an abruption of the placenta and an increase in blood pressure.
Usually, oxytocin is given intravenously, that is, in the form of a dropper. This limits the freedom of women during childbirth, forcing to lie. However, without it, you are nowhere.
Enter the drug very slowly, make sure that there is no hyperstimulation of the uterus, and the condition of the fetus has not worsened. In parallel with oxytocin, usually, nail “No-shpu” – spasmolytic.
By the way, after delivery, oxytocin usually continue to be stabbed, only intramuscularly, 2 times a day. This helps the uterus contract faster.
- Use of Prostaglandins
They can be administered vaginally or taken internally. Drip introduction is possible in a hospital.
However, most often used are vaginal forms of the drug, since they give the least side effects.
- Use of Medicine
Use Mifepristone, it is a drug that blocks the production of progesterone Pregnancy hormone. And, as is known, the drop in progesterone leads to the completion of pregnancy at any time. Now it is necessary.
The drug is absolutely safe for the child, but has side effects and is always taken under the supervision of a doctor. By the way, it is with the help of mifepristone that medicamentous abortions are made in the early stages of pregnancy.
In order to quickly prepare the cervix for childbirth, a woman takes 200 mg of mifepristone 1 time. If it does not help, he repeats the procedure after 24 hours.
- Foley Catheter or Balloon Dilator
This simple device in the form of a tube, which is introduced into the cervix and is subsequently filled with saline solution.
This mechanically leads to the opening of the cervix. It is very painful and is not used so often.
Unless, in provincial maternity hospitals, where there are no other means to help a woman.
- Introduction of Kelp
It is dried sea kale, its stems. They easily enter the cervix, and under the influence of moisture and mucus swell, very gently and gradually opening the cervix.
Next, as the cervix is ready, doctors pierce the amniotic fluid (make an amniotomy) and, if necessary, put a dropper of oxytocin.
Advice to 40 Weeks Pregnant Woman
The advice given below are the recommendations from experts in the field. It mainly focuses on drinking regimen, first stool and uterine contractions and a lung X-ray.
After giving birth, many mothers are very thirsty. This is physiological, because there was a great loss of blood, and a new one needs to be formed from something. But to consume too much liquid in the first 3-5 days is not worth it.
The fact is that this is guaranteed to lead to the development of edema of the ankles. Legs can become “elephant” days at 7-10. Such that they do not fit into their shoes. This is overshadowing many mothers the moment of discharge.
Yes, and still, if you drink a lot of water, then too much breast milk will come, lactose eases will arise. And maybe even mastitis. Therefore, do not ask your loved ones to bring one and a half or more liters of drinking water each day in bottles.
It will be enough to have 500 grams of liquid + those compotes and teas that are usually given out in maternity homes along with food.
If you notice that you do not urinate enough, but drink enough, be prepared for the appearance of edema. The fluid is retained in the tissues.
What if the swelling already appeared? Try safe diuretics natural remedies. For example, cranberry juice. But only in moderation, following the reaction of the child (if breastfeeding).
It is good to lie with your feet up, you can put them on the pillow. This is a temporary measure since when you start walking, the liquid will again move down to the legs. But it does not matter. Edema passes in a few days. The body is recovering.
The first chair after childbirth in many mothers is problematic. If there are stitches on the perineum – you cannot push. And at mummies with pererastyanutoj a uterus, the peristalsis of intestines can very much suffer. To the extent that they cannot even contain gases, let alone push.
In all these situations, the ideal remedy is a glycerin candle or microclyster “Mikrolaks”. Take them in advance with you to the hospital. In extreme cases, you can ask the nurse to give you a regular enema with water.
The third common problem is a bad uterine contraction. The woman notices that her tummy remains large, in comparison with other women who gave birth. Yes, and doctors note this for examinations, which are usually conducted daily in maternity homes.
What to do? In maternity hospitals, oxytocin is injected twice a day for 3 days. But you can help the uterus a little more – it’s often lying on your stomach (until the milk comes, and then it provokes lactostasis), do not be afraid that the uterus is still large, and you feel it well, like a ball under yourself, nothing terrible.
The second is to do exercises on the press. Do not hesitate of neighbors in the ward. You can even do the simplest exercise “bike” – it helps a lot.
All women after childbirth, usually directly from the hospital, are referred for fluorography. To be afraid of a this is not necessary. Milk radiation does not fall and the child does not hurt. Express milk or refrain from feeding because of fears after the picture should not be.