Thirty-third week of pregnancy

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Future child

Height - 42-43 cm, weight - 2000 g.

Now the child can already breathe on his own, even if he was born prematurely. The level of a special substance, a surfactant, which prevents the pulmonary alveoli from sticking together during exhalation, has almost reached normal.

The baby is actively establishing more and more new connections between neurons, therefore, the ability to recognize and cognize the world around him improves. This is facilitated by the gradual accumulation of myelin, a substance that covers the nerve fiber and facilitates the passage of nerve impulses from different parts of the body to the brain. The closer the amount of myelin approaches the norm, the more conscious the baby's reactions become.

The child has grown even more and it becomes tighter and tighter in the uterus. He sleeps a lot and even dreams. Scientists have seen that the pupils of a toddler move in the same way as an adult in REM sleep. His skin color is becoming 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 placental abruption, that is, the separation of the placenta from the walls of the uterus. This usually only happens after childbirth. If the detachment began earlier, then the life of the baby and the mother may be at risk.

Partial placental abruption is most common (in a small area). In this case, the situation can still be taken under control and timely treatment will help the mother to bring the baby in and give birth to it normally.

Complete detachment of the placenta stops the supply of oxygen and nutrients to the baby and he may die. In addition, the mother develops internal bleeding and hematoma. Therefore, doctors to save the baby and mother cause premature birth or do a cesarean section.

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

Placental abruption occurs in 1 case in 80 births, but if the detachment was already in the history of the expectant mother, then the probability of recurrence increases to 1 case in 10.

Signs of placental abruption are:
- bloody discharge and constant severe pain in the abdomen (however, bleeding can only be internal);
- pain in the lower back, uterus, contractions of the uterus (contractions);
- lack of movement of the baby for a long time;
Any of these symptoms should see a doctor immediately.

If placental abruption is partial and the bleeding is not severe, then doctors usually prescribe bed rest and medication (baralgin, no-shpa, ascorbic acid, vicasol). The child is constantly monitored to exclude hypoxia.

If the placental abruption is complete, accompanied by severe bleeding and pain, then early delivery is indicated up to cesarean section.

Future mom

The average weight gain this week is about 11.5 kg. The height of the fundus of the uterus is 33 cm. Oxygen consumption by mother and baby has increased by almost 30%, and blood mass by 35%! There may be problems with the gums, which can become inflamed and bleed. Thus, they react to an increase in blood volume and the next hormonal changes in the body.

Make sure that your food is complete, do not deny yourself the pleasure of eating, but eat what contains the maximum vitamins. Eat more often, but little by little, otherwise you will have a feeling of heaviness or heartburn - after all, the baby has already left very little room for your stomach.

There is a maximum of 6-7 weeks left before giving birth, so it's time to get acquainted in more detail with how this process proceeds. There are three main stages in total.

Stage one: dilatation of the cervix. In order for a baby to be born, you need your uterus to open by 10 cm. Imagine! Now it is not even one centimeter open, and by the time the child is born, it would be easy to shove two fists clenched in each other, if such a stupid desire had occurred to someone.

As the cervix dilates, you experience pain. Not only do the muscles and bones of the pelvis move apart, but the thinnest vessels are torn a little more, so there are bloody discharge during contractions. But there are not as many of them as the vivid imagination draws - much less than during menstruation.

If the water has not moved away before the onset of labor, it can move during the first stage of labor. But usually the waters drain off at the next stage.

The first stage of labor lasts differently for everyone. For those women who give birth for the first time, it reaches 13-18 hours, or even more, multiparous women give birth faster. The pains that a woman experiences during contractions, at the initial stage, have little to do with what is shown in the movies, when the heroine falls into the hero's arms and shouts in a voice that is not her own.

In fact, contractions begin with subtle pain. If you've had Braxtons, you should be familiar with this by now. The main difference between real fights is their regularity. You can check the clock on them. Contractions last 30-45 seconds with distinct intervals in between.

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

The disclosure of 2 cm is a symbolic boundary for the fact that childbirth is active. Until this moment, the expectant mother can still go about her business, even sleep - her feelings are so tolerant. After this milestone, contractions become rather painful, so that mom has to suppress a moan and start breathing the way she was taught in courses or in books.

During this period, no one can help you, although you are experiencing not the most pleasant sensations. The contractions go on, the baby moves towards the birth canal, his head sinks into the pelvic cavity and prepares for birth.

You just have to somehow relive this moment with the help of anesthesia or with the help of special exercises, shower or massage, which can be done by your dad present at the birth.

At a 7 cm opening, doctors usually turn off anesthesia to allow the baby to be born on its own and not to suppress labor and the sensitivity of your muscles (during pushing it is very important that you feel the process, and anesthesia can interfere with this).

Around the same time, the baby's head crosses the border between the uterus and the vagina, i.e. she is about to be born. The sensations, frankly, are disgusting, because there is strong pressure from the pelvis, intestines, thighs, you may even feel sick.

But no matter how bad it was for the mother, the child is now even worse, since even the full dilatation of the cervix still gives him an opening smaller than the diameter of his head. Therefore, the soft bones of his skull should, as it were, fold and decompose back at the moment the head is born.

But finally, the doctors say with relief: "Full disclosure!" This means that now you are moving on to the second stage of childbirth - the birth of the head or attempts.

The second stage: the birth of the head, and then the full birth of the child. It is often called scientifically, the "ejection" stage or the "pushing out" stage. Often called "pushing". Whatever you call it, the moment of birth of the head is most important for mom now, since this is where the pain that torments her will practically end.

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

Therefore, the woman in labor at this stage is laid on her side or squatted, and she pushes at the moment of the contraction under the guidance of an obstetrician and a doctor, who track the exit of the head from the birth canal.

This stage does not take very long. Some give birth with four attempts, some push longer, especially if anesthesia was used. But in comparison with the first stage of labor, the second stage is incomparably shorter, although, on the other hand, it is incomparably more painful. One thing at this moment pleases - soon, very soon everything will be over. It's about minutes.

In the mother's body, oxytocin is actively produced, a hormone that stimulates childbirth (contractions of the uterus) and endorphin ("the hormone of happiness", which has an analgesic effect and gives the mother strength). At each push, the baby's nape appears in the perineum and leaves again until the vaginal tissue is stretched so much that it can safely let the baby through.

Then his head is born and no longer goes back. After several contractions, the child's shoulders are released. And very soon he completely goes into the hands of the obstetricians. The third stage of labor begins.

The third stage: the birth of the placenta. When a baby is born, everyone will do only him for a while. They will suck mucus from his nose and mouth, he will scream for the first time, then they will put him on your chest and you will finally get to know the one who has been sitting inside you for so long. All this takes some time, and then the doctors come back to you again.

The uterus is still contracting to expel the placenta. It doesn't hurt at all after what you've already experienced. Most women generally do not notice this process much, since they are completely absorbed by the child, and the release of endorphins provides them with a state of euphoria. Often, obstetricians help the birth of the placenta by massaging the uterus, often it comes out by itself. All this takes half an hour on the strength, often less.

In addition, doctors conduct the first postpartum examination of the uterus and vagina, note if there are ruptures, injuries, whether bleeding is normal and if there is dangerous blood loss, check if there are any remnants of the placenta in the uterus, if an incision was made to you, the doctor will sew it up ( usually under local anesthesia).

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

32 weeks - 33 weeks - 34 weeks

Watch the video: Building a baby: The first two weeks

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