Pregnancy
Third Trimester
The third trimester (7th month- delivery) is the most
important period for both mother
and child. Weeks of waiting and wondering will finally culminate with in short
period. You may be anticipating the birth of your baby with pleasure,
excitement and anxiety, which can be described as a nameless feeling of bud, which is waiting for blossom.
It might be hard for you to believe that in a few short months you will be
holding a new baby in your arms. You will have physical changes as the baby
develops and grows in the womb and emotional changes as the idea of a new life
becomes real. But at the same time, this time feel more uncomfortable for
you because of this physical and emotional changes. The fetus grows rapidly during the last three months, multiplying its weight
about three to four times. Usually the third trimester is the best time for
preparing for your delivery. During this time your abdomen is very large and
firm. You can see the movements of your baby clearly. By the end of the ninth
month the baby is probably in the head first position in preparation for the
delivery.
Seventh Month
During the seventh month, the baby is growing and
gaining weight, so there is less space in your uterus and the aminotic fluid
will start diminishing. This may affect the movement of the fetus and
hence you might not feel the movement and kicks as much as you felt during
the second trimester. It is during this last three months that a fetus grows
most. During this time the baby will respond actively to the sound and
touch. You can feel your baby's arms and legs if you watch your abdomen. His skin becomes thicker but smoother and will be covered with a white coating
called vernix'. This protects your baby's skin as he floats in the amniotic
fluid, preventing his skin becoming prune-like during his 9-month bath. Babies
are actually asleep for most of their time in the womb. Baby can open his eyes
and used to suck his thumb and cry. He loses most of the downy hair
known as lanugo from his body. By the end of this month
he weighs1.6 kg (approx) and measures about 40-42 cm. His lungs, heart control
and digestive system is immature now and there is a good chance of survival with
expert pediatric care if the baby born now2 .
Eighth Month
During this month, the fetus is too big to move
around but it is possible for him to kick strongly and roll around. At this
stage, many baby's, especially first baby's head will probably have descended
into the mother's pelvis, ready for the birth. His brain is
growing rapidly, and most of the internal systems are well developed except
lungs. The brain and nerves
started directing bodily functions.
You can feel the baby's
elbow or heel through your abdomen. At present the head bones are soft and
flexible to make it easier for baby to fit through the birth canal. Nerve ending
of your baby's ears are get connected now and it is possible for him to hear
distinct sounds. If you are having a boy, his testicles have dropped
from his abdomen where they will then descend into his scrotum. A layer
of fat is forming underneath the thin, thus the skin will become less wrinkled, transparent
and glowing. Soft nails have grown to the tips of his fingers and toes. Baby is
practicing opening his eyes and breathing. The baby will gain about 28 gm every
day for the remaining four weeks in the womb. By the end of this month your baby
may weigh 2.5kg and measures about 46cm (18 inch).
Ninth Month & Beyond
This is the average time for a baby to be ready
to be born. Baby's lungs are mature and ready to start their function. His
brain is still be developing rapidly. During this month, baby gains about 1
kg. Usually baby will be in head down position and rests in the mother's
lower abdomen. Some vernix will usually left on your baby, and it may still
have some lanugo on its shoulder, arms and legs. A dark tar- like substance
called meconium gathers in the baby's intestines; this will be passed in his
first bowel movements after birth. His immune system is still immature, so he is
receiving antibodies through the placenta, and after he is born he will get
antibodies through your colostrum and milk. His fingernails may be so sharp that he
scratches himself with them. By this time, your baby may weigh 2.5kg
and measures about 46cm (18 inch).
Changes in Mother
At this final count down, you may experience
various doubt and fear mixed with exhilaration. You are longing for the
pregnancy to be over. Your body's ungainly proportions don't help your mood either. You
will have a feeling of heaviness in your lower abdomen. At the beginning of the third
trimester, as the baby grows larger, he presses on your internal organs and it
may lead to the problems such as breathlessness, heartburn etc but once the
baby's head drops into pelvis most of these problems will get reduced. On the
other hand, your bladder will be under more pressure, so you may need to urinate
even more frequently. Back aches, muscle cramps, and swelling of the hands and
feet are quite common.
In the final two week. your pelvic joints expand for
the birth, so you may have some discomfort in this area. With that your cervix will be
softening in preparation for the labour. You will experience vigorous fetal
movements, sometimes visible even through clothing. You may not get any
comfort sleep because lying on your back makes you breathless. Sleeping on the
left side by holding the upper leg and abdomen on pillows is quite helpful. Your navel will
have flattened or even popped out.
There will be an increase in body temperature as
the fetus radiates body heat which cause the mother feel hot. Swelling of the
ankles, hands, and face may occur (called edema), as the mother continues to
retain fluids. Colustrum, a fluid in the breasts that nourishes the baby until
the breast milk becomes available, may leak from the nipples. Also breasts feel
full, and bluish veins appear beneath the skin. A supportive bra will help
relieve discomfort. More stretch
mark will be appear on the abdomen, thighs and buttocks.
Towards the end of the pregnancy,
noticeable contraction of the uterus, called Braxton Hicks contractions,
increase in frequency. These contractions, which have occurred
intermittently throughout pregnancy.
Sexual interest may decrease as both partners
feel overwhelmed by the size of the pregnancy and the mother becomes
increasingly tired and uncomfortable
At the beginning of the third trimester, your
physician will insist you to have prenatal visit once in every two weeks and by
the end of the eighth month, your prenatal visits may be scheduled to every
week. It will depend on the medical condition of the expectant mother and
development of the baby. Your health care provider will continue to monitor your
blood pressure and weight, as well as the activity and movements of the fetus.
Pregnancy is a unique experience for every woman.
Your sensations may vary from those of your friends who are at the same point in
pregnancy. It is better to ask to your friends, relatives or even from your
mother about their experiences during pregnancy and share yours.
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