The countdown begins to the most anticipated moment of pregnancy, the time of delivery or the birth of your baby. In the week 38 of gestation you must be very attentive to labor contractions. The uterus is no longer the indispensable environment that the baby needs because it already has all its organs ready to survive outside. Some continue their development after birth, such as the nervous system, but the baby is already able to live normally outside the womb.
Statistics reveal that only 5 percent of babies are born on schedule, while the remaining 95 percent are sooner or later.
Predicting the exact day the baby will be born is complicated, so be alert to signs that indicate that you are in labor such as water breakage, regular contractions or vaginal bleeding.
Several are the factors that come together to trigger labor from the thirty-eighth week of pregnancy. The baby's lungs and placenta are often in sync to start labor. Thus, when the lungs are mature, they secrete a protein into the amniotic fluid that alters the production of hormones.
This change causes the placenta to reduce the emission of progesterone and promote the production of a new hormone known by the name of oxytocin, which is responsible for regulating the contractions of the uterus and participates in the entire process of dilation during labor. Oxytocin is also known as the love hormone, as it is secreted during sexual intercourse and also intervenes in the memory of memories and helps to forget the pain of labor.
Tiredness will mark your pregnancy in these last weeks, because you will have difficulty resting at night, and any activity during the day will cost you more effort. Try to relax and rest.
In the week 38 of pregnancy, he baby weighs about 3 kilos and measure 47 centimeters. Your baby is now ready to live outside the womb. As the time of delivery approaches, there is an increase in your hormone levels, which will help maintain blood pressure and glucose levels after birth and your respiratory movements increase.
At the musculoskeletal level, muscle tone has developed, although the upper and lower limbs continue to flex. The subcutaneous fat increases and the skin is smooth and smooth, whitish or pink. Lanugo and caseous vernix continue to disappear. The hair is longer and thicker. The fingernails extend past the fingertips.
The hygiene of the intimate parts must be extreme in the face of childbirth. During the 38th week of pregnancy, you will notice that the vaginal discharge is somewhat thicker and more abundant, and you also urinate frequently. Because the orifices are dilated, you will avoid infections with regular and adequate hygiene of your intimate parts so that they do not hinder the development of a normal delivery. Women who have previously suffered from genital herpes should check for itching in case an outbreak recurs.
To the gynecological and ultrasound examinations, the cardiotocographic record of the baby is also added, also known as monitoring. It consists of placing detectors in the mother's gut to record the baby's heartbeat and uterine contractions. When the uterus contracts, the baby's heart beats faster for a few seconds and this indicates that the baby is in good health.
Another complementary test in recent weeks is amnioscopy, which consists of introducing a tube through the vagina to the uterine cervix and using a cold light to visualize the amniotic sac. This test is not routinely performed at all centers.
Through a vaginal examination, your gynecologist will check the dilation of the cervix and its degree of effacement. If there is cervical dilation, you will have an amnioscopy to see the color of the amniotic fluid, which should be transparent. If it is green or brown, it indicates fetal distress, so labor should be induced.
Your blood pressure should not exceed 140 mmHg maximum and 90 mmHg minimum. So avoid getting nervous about your due date. Collect all the information you can about the phases of labor and in this way you will avoid the fear of the unknown. Talk to other mothers, your midwife and get in touch with a doula to help you live your motherhood naturally.
In the last two weeks of pregnancy, you may feel hungrier than usual. To satisfy your appetite in a healthy way, turn to fruit when you're hungry. Always carry a piece of fruit in your bag, at home cut fruit and vegetables and store them in a container in the fridge to have it ready. You can dip carrot or celery sticks in yogurt or cream cheese, have a handful of nuts, which will give you instant energy, or choose between a serving of your favorite cereals with some dairy.
If your body asks for something salty, baked potatoes are a great alternative to French fries. Once roasted you can dip them in natural sauces such as tomato. Opt for the homemade sandwiches made with whole wheat bread, turkey, chicken, lettuce, tomato, apple and the vegetables that you like the most and try rice or corn cakes that are satiating and low in calories.
Cherry tomato skewers with mozzarella balls or skewered fruit pieces or cheese cubes with apple or mango are also a healthy alternative to kill the bug or decide to attack the fridge.
Knowing how labor can be triggered is the greatest curiosity and concern for a pregnant woman who is about to give birth. Labor can start in a number of ways. One of them can occur by breaking the bag of waters. Sometimes the fluid loss is abundant, but other times, the fluid loss is little and is mistaken for discharge or urine.
In any case, the loss of spontaneous fluid from the amniotic sac indicates that delivery must occur within 24-48 hours, as the baby cannot survive without fluid inside the uterus. You must look closely at the color of the amniotic fluid, at the time the rupture occurred and go to the hospital.
Another way to start labor spontaneously is when contractions are regular (every 5 minutes if it is your first pregnancy and every 10 minutes after the second baby), they are painful and do not subside with rest. You must go to the maternity ward, where the midwife or obstetrician will check through a vaginal examination and monitoring if the delivery process has started.
The period of dilation, which is the first phase of labor, begins when uterine contractions are regular and the cervix is effaced (shortened) and dilated 2-3 centimeters. The expulsive period begins with full dilation (10 centimeters) and ends with the baby's delivery. And the period of delivery begins after the baby is born and ends with the delivery of the placenta. The duration of each of these periods depends on the woman herself, on whether it is her first or subsequent delivery, and whether or not there are complications related to the baby. An optimistic and relaxed attitude is essential to help the natural development of childbirth.
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