Severe lower back pain 36 weeks pregnant. Condition of the expectant mother

The child is almost ready for birth, as well as the mother, there are literally a couple of weeks left, and the delivery can be considered urgent. If the child appears right now, he will be quite viable, but born before the term. At the same time, it practically does not require special care, his lungs have matured, and he will be able to breathe on his own, his heart, digestive and excretory systems are actively working, his genitals have formed. However, the baby continues to actively develop and prepare for his new, already extrauterine life. Now there is an active accumulation of vitamins and iron, calcium is actively deposited in bone tissue. The nervous, immune and endocrine systems are actively improved, the baby swallows the amniotic fluid and sucks his fingers, preparing to suckle the breast.

Changes in the body at 36 weeks

Your body is large and clumsy due to a large belly and weight gain, many women gain up to 15 kg or more by this time, so it is important to control body weight. Appetite at this time is good, especially if the stomach began to sink and the uterus no longer presses so hard on the stomach. The descent occurs about a couple of weeks before childbirth, this is especially noticeable in primiparas. In this case, the head of the crumbs is lowered into the area of \u200b\u200bthe small pelvis of the mother due to the gradual preparation and smoothing of the neck.

Training contractions often occur, but if you don’t feel them, it’s not dangerous, each woman prepares for birth in different ways. During training contractions, there is no regularity and pain, there is a contraction of the walls of the uterus without opening its cervix, and without pathological discharge. If, during training bouts, the stomach and lower back are pulled, this indicates the onset of labor, you must immediately go to the hospital. When training bouts intensify, which usually happens in the evening, you just need to lie down on your left side and relax. They pass quickly.

Difficulties with sleep appear - because of the stomach, it is difficult to choose a comfortable position and insomnia can torment, this is a kind of preparation for the postpartum period, when caring for the baby will take a lot of time. But you still need to sleep and fully relax, find a comfortable position for yourself, drink less water at night, take a warm bath, give yourself a massage, take a walk before going to bed and air more often.

It is important to move carefully and slowly, as the center of gravity is shifted and there is a risk of falls and injuries. To unload your back and lower back, wear a special bandage, rest more often and take a knee-elbow position. Working harder due to pressure bladder, and you will often want to go to the toilet, but there are difficulties with the intestines - frequent constipation. The legs are very swollen, which requires raising their elevated position and resting. By lowering the abdomen, it will become easier to breathe and shortness of breath and malaise will disappear.

Fetal development at 36 weeks: weight, size and sex

The child has grown to about 47-48 cm, while the weight can range from 2.6 to 2.8 kg, depending on the individual and the pace of development. The baby has rounded plump cheeks, enough subcutaneous tissue has accumulated and the body is rounded. This will give the child the opportunity to maintain body temperature after birth. It is becoming more and more difficult for him to move due to his size, he stretches and pushes more and more, moves his head, and all his movements are clearly felt by his mother. He actively sucks his fingers, plays with the umbilical cord, yawns, hiccups and opens his eyes. It is important to follow the movements. The norm of movements is at least ten in 12 hours. If the movements are sluggish or too active, it is worth going for a walk, perhaps the child has little oxygen.

The skull is not yet completely ossified, there are sutures that allow the head to be configured during childbirth and easier to pass through the birth canal. This is necessary to protect the delicate and sensitive fetal brain from injury. Now all the organs and systems of the fetus are almost ready for the birth, and it is actively accumulating strength and nutrients to face the new world. His lungs are fully mature, he can breathe on his own, hormones are actively secreted, which allows him to regulate his metabolism. Nervous system is being improved, more and more new neural connections and reflexes are being formed. Now the child has taken his final position. If he is in a breech presentation, then the question of the method of delivery will be decided

Childbirth at 36 weeks

If your belly has already dropped, labor will begin soon. On average, a couple of weeks pass from the moment the baby is born. But you need to prepare, and always have identification documents, an insurance medical policy and exchange card. If childbirth begins at the 36th week of pregnancy, everything will go well - the children of this period are fully viable and ready for extrauterine life. But still, it is worth waiting for the period so that the baby has time to accumulate weight and strength for an independent life. Therefore, give up provoking factors - carrying weights and moving furniture, physical activity, active sexual contacts. If your pregnancy is multiple, this period is quite favorable for the birth of babies.

If you feel regular contractions, your water has broken, or bloody issues need to go to the hospital immediately. Most likely, labor activity has already begun.

Feelings of the expectant mother

Frequent hiccups in babies

The main sensations from this period of pregnancy are growing fatigue and a desire to give birth as soon as possible. The weight of the body and abdomen is tiring, restricts movement and gives back pain, it is uncomfortable to sleep, heartburn and shortness of breath torment. You suffer from sudden mood swings, an upbeat and cheerful mood is abruptly replaced by anxiety and tears, depression and fear of motherhood. It will be especially difficult if the pregnancy is the first and occurs after a long waiting period. Such women are very worried about the baby and his health, about how the process of his birth will go. You need to rest more, seek support from loved ones, do pleasant chores in preparing a dowry.

This week, nausea and heartburn may occur, due to tightness of the stomach, as well as diarrhea and vomiting, this is a kind of “cleansing” of the body. Due to squeezing the intestines, constipation develops, and then you should seek help from a doctor. Strongly swell in the area of the arms and legs, but the swelling will gradually go away, leading to weight loss.

Now your body is experiencing double stress, the heart is pumping 50% more blood than before pregnancy, and your body is working at the maximum possible rate. There may be weakness and fatigue, fatigue and a desire to sleep during the day. Although nesting syndrome can also occur - an acute desire to wash and clean everything in the house in order to prepare it for receiving the baby. All these unpleasant sensations remained to be endured for several weeks. Walk and rest more often, be active, you are not sick, you are just expecting a baby.

The state of the uterus at 36 obstetric weeks

The circumference of the abdomen reached its maximum - about 100 cm in girth. The walls of the uterus literally rested against the ribs, which makes it difficult to tilt and put on shoes, gives shortness of breath and discomfort. The height of the bottom from the womb has reached a maximum of 36 cm, now it will only decrease slightly. The tummy requires support in the form of a bandage to prevent discomfort and pain in the back and lower back.

Often there are training contractions that intensify in the evening, while they are irregular and not painful, they do not lead to the opening of the neck. The belly can visually be of different sizes - for someone it is small and pointed, for someone it is round and voluminous. It depends on the capacity of the pelvis and physique. You need to carefully monitor the condition of the uterus - a short neck indicates an early birth, while opening its internal pharynx and lowering the fetal head.

If there is a compaction of the uterus with pulling pains in the lower back, this is an increased tone. It is worth lying down to rest and taking papaverine or no-shpu to reduce the tone and reduce the likelihood of premature labor. With the appearance of regular contractions, spotting or discharge of water, you should immediately go to the hospital.

Ultrasound examination (Uzi)

All planned ultrasound have already been completed, and in this period the study is prescribed for additional clarification of the presentation and the study of some indicators. With the help of a sensor and doplerometry, the doctor will evaluate the ultrasound indicators - the position of the fetus and the condition of the umbilical cords and placenta, the number amniotic fluid and their condition, fetal blood flow and the degree of maturity of the placenta. This will help the doctor decide on the management of childbirth - will they be natural or by caesarean section.

On ultrasound, the estimated date of birth, estimated weight, fetal growth, placental maturity, and the absence of pathological inclusions in it are determined. Also, the doctor will once again examine in detail the condition of the internal organs of the fetus. If necessary, parents also conduct 3D ultrasound, in which they examine the child's face and all its organs and systems, take photographs.

Symptoms and signs of oligohydramnios

According to ultrasound, you can determine the amount of amniotic fluid and identify symptoms of oligohydramnios. With severe oligohydramnios, parts of the fetus are clearly felt, it moves with difficulty and all its movements are strongly pronounced, the heartbeat is clearly audible, while the volume of the abdomen and the height of the bottom may decrease. Oligohydramnios indicates the pathology of the course of pregnancy, as well as some malformations of the fetus.

Symptoms and signs of polyhydramnios

Reverse symptoms occur with polyhydramnios, which can occur with fetal kidney defects, with diabetes mother, pathologies of the heart and liver, intrauterine infection.At the same time, severe polyhydramnios leads to a strong increase in the size of the abdomen, parts of the body of the fetus are palpable with difficulty, fluid is felt under the arms, the heartbeat is muffled, the child is actively moving. With polyhydramnios, due to a pronounced stretching of the walls of the uterus, there is a risk of developing premature birth.

Allocations

Do not worry about the increase in the amount of discharge - in this period, the mucous plug that protected the child during pregnancy may slowly leave. Normal discharge can be thick, milky or translucent, without pathological impurities. The mucus plug may come off in patches or lumps of mucus with pink or brown streaks.

However, if there is spotting or dark, scarlet blood, you must immediately call ambulance- these may be signs of placental abruption or the onset of labor. Placental abruption can also cause abdominal pain, nausea, pallor, and dizziness due to internal bleeding. This condition is deadly, immediate assistance is needed. With placental abruption and increased uterine tone, bleeding may occur, which can threaten the death of the fetus.

No less serious should be taken to the appearance of sharp-smelling and green, gray, yellow, frothy, curdled secretions. They indicate the development of genital infections or thrush, which must be treated as soon as possible so that the infection does not pass to the fetal membranes and is not transmitted to the child. Similar infections also give itching and burning in the vagina and perineum, sleep disturbances and general well-being.

How to recognize amniotic fluid leakage

Leaking amniotic fluid will also be dangerous - they indicate a violation of the integrity of the fetal bladder and high risk infection of the fetus. In this condition, childbirth should take place in the next few days. It is not always easy to recognize amniotic fluid - if they depart in large volume, there is no doubt, and when leaking, there may be liquid, abundant, transparent discharge with a sweetish odor. A doctor can determine them with the help of a special test, and at home, using a special test pad from a pharmacy will help. If amniotic fluid is detected, you should immediately contact the maternity hospital.

pain

In this period, various pains are quite common, they can occur in the back and lower back due to the large size of the abdomen and changes in the center of gravity. Wearing a bandage that supports the stomach and unloads the back will help in their relief. Pain in the region of the pubic bone is due to the relaxation of the pubic symphysis, and some of its divergence, to facilitate the passage of the head. There are pains in the pelvis and joints due to the action of the hormone relaxin, it softens the ligaments and relaxes the joints. This will facilitate the passage of the child through the birth canal, but leads to discomfort for the woman. Sometimes there are special pains between the legs, arising from the pressure of the fetal head on the pelvic region and the bladder. There may also be itching and pain in the anus with the development of hemorrhoids - you should immediately inform your doctor about this.

It is especially dangerous if the lower abdomen is strongly pulled, the lower back hurts or the stomach becomes stony. This is a sign of increased tone, leading to the development of premature labor. With a strong tone, there is a violation of blood circulation in the placenta, its detachment may even occur. In this case, there may be contractions, bleeding from the vagina - you should immediately consult a doctor.

No less dangerous is the development of edema with sharp headaches, flies before the eyes and malaise. In this case, a large amount of protein appears in the urine. This may be the development of late toxicosis of pregnancy, which threatens with complications with the development of preeclampsia and eclampsia. In this condition, the issue of delivery is urgently resolved.

Colds and treatments

Especially dangerous in this period is the mother's cold - viruses can lead to damage to the placenta and its calcifications, its premature aging and fetal hypoxia. Therefore, it is important to protect yourself from colds, especially in the off-season. If you feel unwell, your temperature rises, you have a runny nose and cough, you should immediately go to bed and call a doctor. It is important to check with your doctor how to treat a cold, as some medications can adversely affect the pregnancy of this period. With a fever, it is necessary to take nurofen or paracetamol, a runny nose is treated by washing the nose with saline solutions and instillation of vasoconstrictor drops for no more than three to four days. When coughing, the tone of the uterus may increase, it is necessary to check with the doctor - what drugs can be taken.

Mother's diet and weight

Your weight may increase to 12-15 kg, but there may be an increase and more. This usually happens in thin women or those who eat very hard and high-calorie meals. Getting rid of extra pounds will not be easy, and it is important now to pay close attention to your diet. It is worth abandoning the practice of “eating for two”, you need to eat less fatty and carbohydrate foods, giving preference to protein and vegetable foods, it is important to consume more fiber to prevent constipation. Now the appetite may increase due to the lowering of the abdomen, but it is worth limiting the amount of food eaten. Sometimes your doctor may recommend fasting days to reduce swelling and reduce weight gain.

Monitor the quality of products to prevent food poisoning and intestinal infections. It is important that the food is freshly cooked and well thermally processed - diarrhea and vomiting with a temperature are completely useless to you now.

Sex

In this period, sex may be in question - with an increased tone, it can provoke premature birth. If your body is already preparing for the appearance of a baby, then you need to give up intimacy. If the doctor does not mind, you should choose positions with shallow penetration, as well as reduce the intensity intimate life. Orgasm in this period can increase tone and lead to increased blood supply to the placenta and fetus.

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thirty-sixth week of pregnancy

At the same time, he will practically not require special care, his lungs have matured, and he will be able to breathe on his own, his heart, digestive and excretory systems are actively working, and his genitals have formed. However, the baby continues to actively develop and prepare for his new, already extrauterine life. Now there is an active accumulation of vitamins and iron, calcium is actively deposited in the bone tissue. The nervous, immune and endocrine systems are actively improved, the baby swallows the amniotic fluid and sucks his fingers, preparing to suckle the breast.

Changes in the body at 36 weeks

It is important to move carefully and slowly, as the center of gravity is shifted and there is a risk of falls and injuries. To unload your back and lower back, wear a special bandage, rest more often and take a knee-elbow position. Because of the pressure, the bladder works more actively, and you will often want to go to the toilet, but there are difficulties with the intestines - frequent constipation. The legs are very swollen, which requires raising their elevated position and resting. By lowering the abdomen, it will become easier to breathe and shortness of breath and malaise will disappear.

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Fetal development at 36 weeks: weight, size and sex

The child has grown to about a dosm, while the weight can range from 2.6 to 2.8 kg, depending on individual characteristics and the pace of development. The baby has rounded plump cheeks, enough subcutaneous tissue has accumulated and the body is rounded. This will give the child the opportunity to maintain body temperature after birth. It is becoming more and more difficult for him to move due to his size, he stretches and pushes more and more, moves his head, and all his movements are clearly felt by his mother. He actively sucks his fingers, plays with the umbilical cord, yawns, hiccups and opens his eyes. It is important to follow the movements. The norm of movements is at least ten in 12 hours. If the movements are sluggish or too active, it is worth going for a walk, perhaps the child has little oxygen.

The skull is not yet completely ossified, there are sutures that allow the head to be configured during childbirth and easier to pass through the birth canal. This is necessary to protect the delicate and sensitive fetal brain from injury. Now all the organs and systems of the fetus are almost ready for the birth, and it is actively accumulating strength and nutrients to meet the new world. His lungs are fully mature, he can breathe on his own, hormones are actively secreted, which allows him to regulate his metabolism. The nervous system is being improved, more and more new nerve connections and reflexes are being formed. Now the child has taken his final position. If he is in a breech presentation, then the question of the method of delivery will be decided

Childbirth at 36 weeks

If your belly has already dropped, labor will begin soon. On average, a couple of weeks pass from the moment the baby is born. But you need to prepare, and always have identification documents, a medical insurance policy and an exchange card with you. If childbirth begins at the 36th week of pregnancy, everything will go well - the children of this period are fully viable and ready for extrauterine life. But still, it is worth waiting for the period so that the baby has time to accumulate weight and strength for an independent life. Therefore, give up provoking factors - carrying weights and moving furniture, physical activity, active sexual contacts. If your pregnancy is multiple, this period is quite favorable for the birth of babies.

If you feel regular contractions, your water has broken or spotting has appeared, you should immediately go to the hospital. Most likely, labor activity has already begun.

Feelings of the expectant mother

Frequent hiccups in babies

The state of the uterus at 36 obstetric weeks

Ultrasound examination (Uzi)

All planned ultrasounds have already been completed, and in this period the study is prescribed to further clarify the presentation and study some indicators. With the help of a sensor and doplerometry, the doctor will evaluate the ultrasound indicators - the position of the fetus and the condition of the umbilical cords and placenta, the amount of amniotic fluid and their condition, the fetal blood flow and the degree of maturity of the placenta. This will help the doctor decide on the management of childbirth - will they be natural or by caesarean section.

Symptoms and signs of oligohydramnios

Symptoms and signs of polyhydramnios

Reverse symptoms occur with polyhydramnios, which can occur with fetal kidney defects, with maternal diabetes mellitus, pathologies of the heart and liver, intrauterine infection.At the same time, pronounced polyhydramnios leads to a strong increase in the size of the abdomen, parts of the body of the fetus are palpable with difficulty, fluid is felt under the arms, the heartbeat is muffled, the child is actively moving. With polyhydramnios, due to a pronounced stretching of the walls of the uterus, there is a risk of developing premature birth.

Allocations

However, if spotting or dark, scarlet blood appears, you should immediately call an ambulance - these may be signs of placental abruption or the onset of labor. Placental abruption can also cause abdominal pain, nausea, pallor, and dizziness due to internal bleeding. This condition is deadly, immediate assistance is needed. With placental abruption and increased uterine tone, bleeding may occur, which can threaten the death of the fetus.

How to recognize amniotic fluid leakage

Leaking amniotic fluid will also be dangerous - they indicate a violation of the integrity of the fetal bladder and a high risk of infection of the fetus. In this condition, childbirth should take place in the next few days. It is not always easy to recognize amniotic fluid - if they depart in large volume, there is no doubt, and when leaking, there may be liquid, abundant, transparent discharge with a sweetish odor. A doctor can determine them with the help of a special test, and at home, using a special test pad from a pharmacy will help. If amniotic fluid is detected, you should immediately contact the maternity hospital.

Colds and treatments

Mother's diet and weight

Your weight may increase up to kg, but there may be an increase and more. This usually happens in thin women or those who eat very hard and high-calorie. Getting rid of extra pounds will not be easy, and it is important now to pay close attention to your diet. It is worth abandoning the practice of “eating for two”, you need to eat less fatty and carbohydrate foods, giving preference to protein and vegetable foods, it is important to consume more fiber to prevent constipation. Now the appetite may increase due to the lowering of the abdomen, but it is worth limiting the amount of food eaten. Sometimes your doctor may recommend fasting days for you to reduce swelling and reduce weight gain.

In this period, sex may be in question - with an increased tone, it can provoke premature birth. If your body is already preparing for the appearance of a baby, then you need to give up intimacy. If the doctor does not mind, you should choose positions with shallow penetration, as well as reduce the intensity of intimate life. Orgasm in this period can increase tone and lead to increased blood supply to the placenta and fetus.

36 weeks pregnant

Now you have completed the 8th month of pregnancy, the belly has grown to a large size. Every day the child adds up to 28 grams. At the 36th week of pregnancy, the baby is completely ready and happy to be born. The baby has chubby cheeks, a tummy, a body. The cheeks are well formed because the baby constantly sucks his fingers and prepares for feeding. After all, immediately after birth, he will have to work hard to get enough. The baby's face also became plump and smooth. And the baby's skull itself is still soft and will flatten during birth through the birth canal.

The length of the child is from 44 cm, and the weight of the fetus at the 36th week of pregnancy is approximately 2750 grams.

We take the average size of the fetus and weight. These indicators are purely individual and depend on hereditary factors.

At the 36th week of pregnancy, a woman has the following ailments: she is pulling her lower back, her back and stomach hurt, constant weakness, swelling and discharge are disturbing, thrush can overcome, urge to vomit and nausea become more frequent, and diarrhea worries. All these worries overwhelm you in anticipation of the birth of a child. The body is already so tired that it reacts in this way. Get plenty of rest, lie on your back, breathe fresh air, do breathing exercises, wear cotton underwear, review your diet, do not eat too much fatty foods and make sure that expired foods do not get into the diet, forget about fast food on the go. After meals, for better digestion of food, use enzymes (Mezim, Cholenzim, Pancreatin), medicinal water without gases. And get relief from thrush by washing with a soda solution (1 teaspoon per half liter of boiled water) or chamomile decoction (a tablespoon per liter of boiled water, let it brew, strain). But if curdled discharge appeared at the 36th week of pregnancy, which have impurities of mucus and clots of pus, you should consult a doctor. You have an infection. And if bleeding occurs, call an ambulance immediately. Bloody discharge with pain at 36 weeks gestation - this is probably placental abruption. And this, in turn, is a threat to the child and requires immediate specialized intervention. It is also advisable to go to maternity hospital with liquid watery secretions. Such discharge may be amniotic fluid. It is not at all necessary that the waters will depart in a continuous stream. In any case, only a doctor will explain the situation.

The 36th week of pregnancy gives mom surprises in the form of tremors under the heart, the legs of the little one are very active and the movements of the fetus are restless. The bottom of the uterus of the expectant mother is now right under the sternum, which makes it difficult to breathe.

From the 36th week, the woman is prescribed weekly visits to the gynecologist. Most babies are already head down in the uterus. But still 4% of babies are located down the buttocks. This is the breech or breech presentation of the child. In this case, there may be problems at birth, although not necessarily. As an option for delivery, this is a caesarean section. If the stomach hurts with sensations that it seems to be turning to stone, then you should immediately consult a doctor. It is possible that you have uterine hypertonicity and this will cause premature birth.

The stomach at 9 months requires careful care. To prevent stretch marks, lubricate the skin of the abdomen with special products (Mustela, Belly oila, Weleda), and ideally wear a prenatal bandage. The prenatal bandage also helps by reducing the number of training contractions.

Childbirth at 36 weeks of gestation is quite common. Therefore, a woman must be ready at any moment. There should be no cause for concern. This is fine. The child is already physically formed and ready to appear before you.

Sex at the 36th week of pregnancy is not desirable for a woman, an orgasm leads to an increase in the tone of the uterus, which means that you should be ready for childbirth at any moment, even if your doctor has not previously given restrictions on sex.

Lower back pain at 36 weeks pregnant - what to do?

At the 36th week of pregnancy, the lower back often hurts, which can be both a consequence of diseases of the spine and the response of the woman's body to the changes taking place in her. The body prepares for childbirth by softening the joints and preparing the muscles for the baby to come out of the womb.

During pregnancy, it is important to know all your diseases that may affect the course. A timely visit to a supervising therapist can relieve problems with the development of a child in utero and protect a woman's health from the negative consequences that follow pregnancy.

Causes of pain

From a physiological point of view - the process of child development and response female body on the fetus, lower back pain is normal. The preparation of the genital apparatus for childbirth begins - the softening of the pelvic joints begins for their greater mobility and expansion of the pelvic bones to the sides.

The female pelvis itself in women is fatter and lower than in men - this is genetically determined, the pelvis itself expands during the active work of sex hormones. In addition, the female pelvis has a greater angle of anterior synarthrosis and iliosacral joints, which is an adaptive consequence of human evolution.

With a narrow pelvis, pain may develop if the fetus is too large - the child presses on the pelvis, which causes pain at the level of the sacrum and lower back. The lower back also experiences a high load, which can lead to pain in the anatomical features of the location of the roots in a woman.

Hormones also affect muscle tone. Various muscles are strengthened in order to provide contractions strong enough to push the baby's fetus outward. Due to the increasing mass, compression of the arteries and nerves of the pelvic region and lower back can occur. This provides a deterioration in the nutrition of the back and muscles. Sometimes it hurts in the lower back precisely because of insufficient provision of tissues with oxygen.

In addition, we can distinguish a group of diseases of the lower back, which increases during pregnancy in recent weeks. These include:

Osteochondrosis;
Scoliosis of the lumbar;
Intervertebral hernia in the initial stages.

Osteochondrosis

Osteochondrosis is a pathological formation of cartilaginous tissue around the spine, which compresses the surrounding tissues, limits the flexibility of the spine and causes a feeling of "stagnation" in the lower back and other parts of the spine. The disease affects almost half of the adult population of the planet.

It develops from due to a violation of the normal processes of bone formation. The causes of osteochondrosis include obesity, sedentary image life, malnutrition and lack of physical exercises that knead the back. In the case of pregnancy, the body weight of a woman increases, while it greatly decreases physical activity, which was present to a greater extent before fertilization.

The tissue begins to press down on the surrounding tissue. First of all, it touches the muscles, which often causes their partial spasm. The next are the nerve fibers that run at the level of the lumbar and sacral plexuses. If they are damaged, the pain may radiate to the buttocks and lower extremities which definitely lowers the quality of life.

Osteochondrosis is often accompanied by osteoporosis, a dysplastic degenerative bone disease. The lumbar vertebrae begin to lose their structure - the vertebral body becomes softer, less able to withstand pressure and stress during pregnancy. Calcium can pass into the cartilaginous tissue, causing osteochondrotic ossification.

Scoliosis of the lumbar

Scoliosis is a curvature of the spinal column to the left or right of the normal structure. Processes start at adolescence, which is due to the greatest flexibility of the spine due to the small amount of calcium and phosphorus in the structure of bone tissue. In this case, the surrounding tissues and the ligamentous apparatus of the spine are damaged - the lateral ligaments and the intervertebral disc.

The curvature can begin in any part of the spine, but it is the lumbar that carries the greatest danger to humans. The presence of lumbar scoliosis can lead to the development of repeated bends in the reverse side at the level of the overlying departments - the thoracic and cervical.

During pregnancy, the advanced stage of scoliosis can intensify, which will lead to severe pain. Most of the drugs that treat pain are not available to a woman during pregnancy due to the high toxicity of drugs - non-steroidal anti-inflammatory drugs lead to disorders in the brain, and steroids, in turn, disrupt the development of the kidneys and endocrine system baby.

Intervertebral hernia

The intervertebral disc performs a shock-absorbing function and dampens vibrations. It consists of two parts - the nucleus pulposus, also called amorphous, and the annulus fibrosus, which surrounds it and gives it a permanent shape. The fibrous ring is elastic, which allows it to withstand great pressure of the vertebrae.

A hernia is formed when the fibrous ring is broken. The amorphous mass is squeezed out, which looks like a hernia of a car wheel. The hernia presses on the surrounding tissues, especially the adjacent spinal cord and surrounding spinal roots. It causes pain.

Treatment is difficult due to pregnancy. Surgery is often required to strengthen the annulus, but anesthesia is not an option as it would cause great harm to the growing child. In cases of severe compression, antenatal delivery by caesarean section is possible.

The decision is made by the board, since such procedures can lead to the death of a woman or a child, so the benefits and possible risks are weighed. Only with greater benefit can doctors risk such an operation, and in front of it, the woman and relatives are required to sign documents informing about the risks.

Treatment

It is necessary to treat pain depending on the causes of the disease. Doctors try to turn to conservative methods that exclude possible surgical intervention. These methods include massages, blockades, drug therapy, physiotherapy. Almost none of the methods are available for use by pregnant women.

Proper massage can greatly help during many trophic processes in the spine and lower back. To do this, you need to choose the right technique and massage therapist. Often people who do not have sufficient qualifications offer their services and disrupt the flow of lymph and blood in the body.

In order for the health of the baby and mother during pregnancy to remain excellent, it is worth contacting doctors and specialists with a higher medical education. Do not trust dubious sources, homeopathy and the Internet.

Spinal problems are very insidious. Back pain is often indicative of other serious bodily ailments. …

Why pulls the lower abdomen at 36 weeks of gestation and what to do?

With the advent of the thirty-sixth week, pregnant women may experience transparent or translucent discharge, heaviness in the lower back, as well as pain in the abdomen, which have a pulling character.

ICD-10 code

Causes of pulling sensations in the lower abdomen at 36 weeks of gestation

Pregnant women should immediately pay attention to the fact that pain with a pulling character, which may appear in late pregnancy, is a fairly common occurrence. So don't worry right away.

This may be due to an increase in the size of the uterus, and this increases the pressure on the internal organs that are located in the neighborhood. The belly gradually grows, which means that the center of gravity changes, as does the background. female hormones the joints are relaxed. All this causes an unpleasant pulling pain in the pubis, hips, abdomen and lower back.

Starting from the 35th week of pregnancy, a woman may develop or sharpen hemorrhoids, which can cause such discomfort.

Sometimes such pain can appear after the so-called "training bouts." In this case, pain is sudden and short-lived.

If the pain is constantly increasing or other accompanying symptoms appear, it is best to contact your obstetrician-gynecologist.

Symptoms of pulling sensations in the lower abdomen at 36 weeks of gestation

The most common symptom that occurs in pregnant women at the end of the gestation period is pain, strongly reminiscent of discomfort before menstruation. Do not worry about this if the pain is tolerable and you do not have bleeding. The fact is that the child is growing, during this period his head is down, so the woman has a feeling of fullness in the abdomen.

Sometimes the pulling pain in the lower abdomen also radiates to the lower back, it does not go away even after sleeping or resting in a supine state, it continues for several days in a row. In this case, it is best to consult a doctor, as this may indicate oligohydramnios, and if vaginal discharge joins, premature birth.

Painful sensations can appear suddenly and pass just as quickly, but remain quite tolerable. The lower back, pelvic region, and pubic region may also hurt.

Pulls the lower back and abdomen at 36 weeks pregnant

In addition to the lower abdomen, pain can also appear in the lumbar region. It is very important for a pregnant woman not to panic in this case, since nervous strain can adversely affect health. Such pain is directly related to all the changes that occur in a woman's body. In addition, among the most common causes of such pain are the following:

cold or others infectious diseases. Especially often the lower back hurts if it is blown.
Hormonal changes during pregnancy can cause such discomfort.
Due to the increase in weight, the load on the back increases.
If a pregnant woman walks a lot or stands for a long time, this can lead to pain.
If you have had back problems before, after the thirty-sixth week of pregnancy, they may worsen.

Complications and consequences

Sometimes, pulling pain in the lower abdomen can cause more serious problems. For example, if the uterus is in good shape, which is undesirable for late pregnancy, as it occurs oxygen starvation fetus, which can lead to a delay in the development of the unborn child.

Increased uterine tone can also cause preterm labor. If the pain is accompanied by spotting of blood, this may indicate placental abruption, which may not be safe for the baby.

Treatment of pulling sensations in the lower abdomen at 36 weeks of gestation

Pulling pain in the lower abdomen after the thirty-fifth week of pregnancy can be caused by a variety of reasons, therefore, for pregnancy management at this time, it should be carried out under the strict supervision of an obstetrician-gynecologist. If you feel a growing pain, it is best to lie down and rest for a while. Most often, after rest, the discomfort disappears. If this does not help you, you need to visit your gynecologist or call an ambulance.

Medications

In the later stages of pregnancy (starting from 36 weeks), a woman is already allowed to take certain medications. Pulling pain in the lower abdomen can be alleviated with the help of a no-shpa.

No-shpa - medicine from the group of antispasmodics based on the active component of drotaverine hydrochloride. It is forbidden to take with liver failure, heart failure, severe renal failure, lactose intolerance, intolerance to the components of the drug.

Take pomg of the drug two to three times in 24 hours. At one time, you can drink no more than 80 mg of the drug. May cause palpitations, headaches, nausea, insomnia, constipation, allergic reactions.

Prevention

As a rule, pulling pains in the lower abdomen appear in all pregnant women at the end of the term. This means that the birth will begin soon. Therefore, you should not be afraid of such a state. In order to reduce pain, you can consult with your doctor. Usually, women do special light physical exercises, eat right, walk, or take drugs prescribed by a gynecologist.

Forecast

In most cases, the prognosis is favorable, as pulling pains appear due to an increase in the uterus and fetal development. But still, you should consult a doctor to exclude the possibility of early childbirth.

Medical Expert Editor

Portnov Alexey Alexandrovich

Education: Kyiv National Medical University. A.A. Bogomolets, specialty - "Medicine"

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36 weeks pregnant (for anyone interested)

The bottom of the uterus rises already 15 centimeters above the navel, the 36th week of pregnancy has not yet eased your condition: your stomach is pulling, it is still hard to breathe, it is still uncomfortable to move around. You are tired, but the long-awaited meeting will take place so soon!

The 36th week of pregnancy is the time when the bags to the hospital are almost packed. Have you forgotten about baby clothes? If the 36th week of pregnancy brings you to the forum, everyone there will say with one voice: do not pay attention to the prejudices that prohibit buying a dowry for a child before childbirth. Firstly, the baby’s clothes will come in handy immediately after birth, and secondly, for your own peace of mind, it’s better to take care of everything yourself and in advance, rather than then my husband or parents will run around the shops in a hurry, buying everything indiscriminately.

The 36th week of pregnancy was marked by an increase in your weight by about 13 kilograms.

When the gestational age is 36 weeks, doctors do not advise traveling so as not to risk the life and health of your baby. And your doctor will be far away if you suddenly decide to give birth prematurely.

By the way, you will not be allowed to fly by plane for a period of 36 weeks of pregnancy without the written consent of the doctor. And it will be hard to get it. After all, premature birth is likely. Just imagine: height, lack of qualified assistance nearby - scary! However, short trips by car are allowed. If you have to spend more time on the road, you need to make frequent stops and warm up.

And do not try to get behind the wheel in order to get to the hospital on your own when you go into labor!

A baby at 36 weeks pregnant weighs approximately 2.6 kilograms. 36 weeks of pregnancy could show a photo of a real angel: a smooth face, plump cheeks. Your baby is constantly training: now he often sucks his fingers on the handles or even legs. So he prepares for a real "meal" - sucking on mommy's breasts. The cranial bones of the baby have not yet grown together, they are quite soft. Thanks to this, he will be able to successfully pass the birth canal. The baby's liver has already begun to produce iron, it will help hematopoiesis after he is born. 36 weeks of pregnancy and all the rest before childbirth - the time that the baby uses to get better. He eats well in order to gain strength before being born.

The 36th week of pregnancy already accurately determines the position of the baby in your tummy. Ideally, it should be upside down. If the position is pelvic, you can still try to change it if you perform special exercises during the last two months of pregnancy. A midwife or doctor can find out in what position your baby is preparing to go out into the world. By probing your tummy, they determine where this or that part of the baby's body is located.

36th week of pregnancy: the placenta works less, the baby begins to lack nutrients, he releases the so-called stress hormone, and the expectant mother has fairly regular uterine contractions.

That is why, at a period of 36 weeks of pregnancy, the stomach often hurts. The pain in the pelvis has already become stronger, the bones are stretched there. The shift in the center of gravity from the weight of the uterus can also give rise to back pain.

The 36th week of pregnancy can cause mucous discharge - the so-called mucous plug, which was previously in the cervical canal, will begin to move away. This happens, most often, two weeks before the birth. So, your body is ready for childbirth! If the cork has moved away, this does not mean that you immediately need to run to the doctor. In a pregnancy of 36 weeks, a rise in temperature may also indicate the approach of childbirth.

36 weeks of pregnancy is simply obliged to remain in the photo. After all, the moment of birth is already so close. A few more weeks and you will change. And the memory of these last weeks before meeting with the baby will always be with you!

P.S. I'm planning a photoshoot tomorrow

and today my 36th week has begun, but here how many full weeks it shows

exactly. Must take a picture

Thank you, very useful information)))

The child's liver produces iron. Looks like you hit your head.

Mom won't miss

women on baby.ru

Our pregnancy calendar reveals to you the features of all stages of pregnancy - an unusually important, exciting and new period of your life.

We will tell you what will happen to your future baby and you in each of the forty weeks.

ICD-10 code

R10 Pain in the abdomen and pelvis

Causes of pulling sensations in the lower abdomen at 36 weeks of gestation

Pregnant women should immediately pay attention to the fact that pain with a pulling character, which may appear in late pregnancy, is a fairly common occurrence. So don't worry right away.

This may be due to an increase in the size of the uterus, and this increases the pressure on the internal organs that are located in the neighborhood. The belly is gradually growing, which means that the center of gravity is changing, as is the background of female hormones, the joints are relaxing. All this causes an unpleasant pulling pain in the pubis, hips, abdomen and lower back.

Starting from the 35th week of pregnancy, a woman may develop or sharpen hemorrhoids, which can cause such discomfort.

Sometimes such pain can appear after the so-called "training bouts." In this case, pain is sudden and short-lived.

If the pain is constantly increasing or other accompanying symptoms appear, it is best to contact your obstetrician-gynecologist.

Symptoms of pulling sensations in the lower abdomen at 36 weeks of gestation

Painful sensations can appear suddenly and pass just as quickly, but remain quite tolerable. The lower back, pelvic region, and pubic region may also hurt.

Pulls the lower back and abdomen at 36 weeks pregnant

Colds or other infectious diseases. Especially often the lower back hurts if it is blown.
Hormonal changes during pregnancy can cause such discomfort.
Due to the increase in weight, the load on the back increases.
If a pregnant woman walks a lot or stands for a long time, this can lead to pain.
If you have had back problems before, after the thirty-sixth week of pregnancy, they may worsen.

Complications and consequences

Sometimes, pulling pain in the lower abdomen can cause more serious problems. For example, if the uterus is in good shape, which is undesirable for late pregnancy, as oxygen starvation of the fetus occurs, which can lead to a delay in the development of the unborn child.

Increased uterine tone can also cause preterm labor. If the pain is accompanied by spotting of blood, this may indicate placental abruption, which may not be safe for the baby.

Treatment of pulling sensations in the lower abdomen at 36 weeks of gestation

Medications

In the later stages of pregnancy (starting from 36 weeks), a woman is already allowed to take certain medications. Pulling pain in the lower abdomen can be alleviated with the help of a no-shpa.

No-shpa is a drug from the group of antispasmodics based on the active component of drotaverine hydrochloride. It is forbidden to take with liver failure, heart failure, severe renal failure, lactose intolerance, intolerance to the components of the drug.

From a physiological point of view - the process of the development of the child and the response of the female body to the fetus, back pain is a normal phenomenon. The preparation of the genital apparatus for childbirth begins - the softening of the pelvic joints begins for their greater mobility and expansion of the pelvic bones to the sides.

The female pelvis itself in women is fatter and lower than in men - this is genetically determined, the pelvis itself expands at 12-16 years old during the active work of sex hormones. In addition, the female pelvis has a greater angle of anterior synarthrosis and iliosacral joints, which is an adaptive consequence of human evolution.

With a narrow pelvis, pain may develop if the fetus is too large - the child presses on the pelvis, which causes pain at the level of the sacrum and lower back. The lower back also experiences a high load, which can lead to pain in the anatomical features of the location of the roots in a woman.

Read also:

Hormones also affect muscle tone. Various muscles are strengthened in order to provide contractions strong enough to push the baby's fetus outward. Due to the increasing mass, compression of the arteries and nerves of the pelvic region and lower back can occur. This provides a deterioration in the nutrition of the back and muscles. Sometimes it hurts in the lower back precisely because of insufficient provision of tissues with oxygen.

In addition, a group of lower back diseases can be distinguished, which intensifies during pregnancy in recent weeks. These include:

Osteochondrosis;
Scoliosis of the lumbar;
Intervertebral hernia in the initial stages.

Osteochondrosis

Osteochondrosis is a pathological formation of cartilaginous tissue around the spine, which compresses the surrounding tissues, limits the flexibility of the spine and causes a feeling of "stagnation" in the lower back and other parts of the spine. The disease affects almost half of the adult population of the planet.

It develops from due to a violation of the normal processes of bone formation. The prerequisites for osteochondrosis include obesity, a sedentary lifestyle, malnutrition and lack of physical exercises that knead the back. In the case of pregnancy, the woman's body weight increases, while physical activity, which was present to a greater extent before fertilization, is greatly reduced.

The tissue begins to press down on the surrounding tissue. First of all, it touches the muscles, which often causes their partial spasm. The next are the nerve fibers that run at the level of the lumbar and sacral plexuses. If they are damaged, the pain can radiate to the buttocks and lower extremities, which certainly reduces the quality of life.

Scoliosis of the lumbar

Scoliosis is a curvature of the spinal column to the left or right of the normal structure. Processes begin as early as adolescence, due to the greatest flexibility of the spine due to the small amount of calcium and phosphorus in the structure of bone tissue. In this case, the surrounding tissues and the ligamentous apparatus of the spine are damaged - the lateral ligaments and the intervertebral disc.

The curvature can begin in any part of the spine, but it is the lumbar that carries the greatest danger to humans. The presence of lumbar scoliosis can lead to the development of repeated bends in the opposite direction at the level of the overlying sections - the thoracic and cervical.

Intervertebral hernia

A hernia is formed when the fibrous ring is broken. The amorphous mass is squeezed out, which looks like a hernia of a car wheel. The hernia presses on the surrounding tissues, especially the adjacent spinal cord and surrounding spinal roots. It causes pain.

Treatment is difficult due to pregnancy. Surgery is often required to strengthen the annulus, but anesthesia is not an option as it would cause great harm to the growing child. In cases of severe squeezing, prenatal birth is possible with the help of.

Treatment

Proper massage can greatly help during many trophic processes in the spine and lower back. To do this, you need to choose the right technique and massage therapist. Often people who do not have sufficient qualifications offer their services and disrupt the flow of lymph and blood in the body.

I'm more interested in the fact that the whole day the lower back hurts. what could this be?

and the lower back hurts in any state sitting and lying and standing best answer I gave birth to my son at 37-38 weeks. maybe you are going into labor slowly ... the baby is descending ... do not worry and good luck to you Other answers Full term pregnancy - that's what it is!! ! The baby is descending, the birth canal is being prepared…. Another week or two and you will be a mother!! ! For many women, contractions are felt in the lower back, and not in the stomach. Maybe it's training? Go to the hospital or call an ambulance. you have little time. better to be safe…. personal experience….

Conclusion

With an increase in the weight of a woman, the load on the musculoskeletal system also increases, the center of gravity shifts, forcing the expectant mother to even change her posture.

Produced in large quantities the hormone relaxin helps soften the joints of bones, ligaments and cartilage in order to prepare the body for future childbirth, and unexpected backaches indicate precisely this process.

Such pains, as a rule, amplify after long walks and small physical activities. However, it is not always possible to give an unambiguous answer to the question of why the lower back is being pulled - it is different for each specific case, since there can be many reasons.

Consider cases where back pain is caused by physiological processes occurring in the body of a pregnant woman and does not require urgent consideration, and those cases that signal serious symptoms and require immediate medical attention.

When not to worry

Start of pregnancy

After attaching gestational sac a very rapid growth of the uterus begins, in connection with which its ligaments are transformed and stretched, and with them the nerve endings are deformed. Therefore, there is a feeling of sipping the lower back. Similar pains can also occur in the lower abdomen - the cause and there is tension in the ligaments and a rush of blood.

Therefore, the presence of such pain is often an indicator of pregnancy.

Early dates

During this period of pregnancy, the uterus continues to grow rapidly and cause discomfort to the woman due to the transformation of the ligaments. These minor pains usually go away after a few weeks.

If a woman suffered from osteochondrosis before pregnancy, then familiar pains will not allow her to doubt the cause of their occurrence.

However, it is not these pains that are dangerous, but the means used for their traditional treatment. It is important to remember the contraindications for pregnant women of most of them, since the aggressive components contained in them can harm the baby. It is better to consult a doctor about a new method of treatment.

Late dates

In the second half of pregnancy, lower back pain rarely overtakes anyone.

Most women associate themselves with old grannies because of them.

If your back muscles did not differ in strength before pregnancy, then they will hardly help you maintain your posture, which will eventually lead to an S-shaped spine, while the muscles will be in constant tension due to uneven load on them, respectively, this will cause discomfort.
Sometimes a sprained ankle in the distant past, a tiny crack from a fall or difficult previous births or other chronic injuries. This is because hormones that are intensively produced with the onset of pregnancy contribute not only to reproductive function but also affect ligaments, muscles and joints.
If you have previously had problems with the spine, then your pain will not be unfamiliar and unexpected for you, however, depending on the severity of the pathology, you need to take preventive measures to control the situation together with your doctor. It is extremely important to warn your gynecologist about existing problems with the spine.
Periodically arising pains from the 37th week of pregnancy - the so-called false contractions of Braxton-Hicks - "train" the expectant mother for childbirth and do not require any intervention.
At the very end, at 36-40 weeks, severe pain and backaches indicate that your baby's head descends into the small pelvis and pinches the nerve endings, because this pain, although strong, is not dangerous and truly happy.

Preventive measures for back pain

In order for the pregnancy to proceed easily, you should worry about it in advance and start doing back exercises from the first trimester. The importance of these exercises cannot be disputed - only strong back muscles will insure a woman from pain. There are many complexes of similar exercises that are carried out both in specialized groups for preparing for childbirth, and at home.
Important regular walks to fresh air - They relieve stiffness and pain well.
It is also very useful for strengthening the muscles of the back and spine. water aerobics in the pool.
Use for the correct posture during sleep and rest, special devices- pillows for pregnant women, orthopedic mattresses, additional small pillows.
Back massage during pregnancy has many limitations, but if you learn how to relax your lower back yourself, you can not only relieve yourself of pain during periodic attacks, but also get a serious weapon against it during labor contractions.
Can't carry heavy bags Go shopping with someone or shop online. Ask for help with housework or, if you can afford it, invite a housekeeper for a few months.
Faithful helper for pregnant women prenatal bandage. He will share with you the load on the muscles of the back, and, therefore, will relieve you of the pulling pains in the lower back arising from fatigue, support the child and orient him to the correct location in the uterus.

When to sound the alarm

Early dates

If lumbar pain is localized mainly on one side, then this may be evidence of pyelonephritis - inflammation of the kidneys.

Its risk is especially increased during pregnancy. Sometimes it proceeds poorly and can be confused with manifestations of toxicosis.

However, painful urination and swelling should force you to seek urgent medical help, since the kidneys no longer serve one, but two organisms. An untreated disease threatens with a dangerous complication - renal failure.

Similar pains can be provoked by cystitis and urolithiasis.

Sometimes in the early stages of pain are a symptom of a threatened abortion. If you notice at least a drop of bloody discharge on your underwear and your lower abdomen aches, call an ambulance immediately for hospitalization.

Late dates

In the second half of pregnancy, the risk of pyelonephritis also remains, in which both the entire lower back and one side of it can hurt. Fever, changes in the nature of urine, swelling - these symptoms require urgent medical attention.
With hypothermia, myositis is possible - inflammation of the back muscles. However, the pain is more often localized in the area of the shoulders and neck. This is a sharp pain that causes a lot of discomfort and is usually treated with warming ointments. But for pregnant women, these drugs are contraindicated again because of the danger to the child.
In the later stages, there may also be a threat of miscarriage. If you feel too high tension in the abdomen, discharge from the genital tract, pain both in the lower abdomen and in the lower back before 37 weeks, this indicates your critical condition and the need for urgent hospitalization.

Conclusion

So, if both early and late term pregnancy, your lower back is pulled and this pain does not particularly cause you any inconvenience, or it appeared after some kind of physical exertion or fatigue, or from an uncomfortable position - such pain fits into the physiological causes of your pregnant condition and can be considered normal.

If the pain is strong enough, is paroxysmal in nature, accompanied by pain in the lower abdomen, unusual discharge, body temperature, general poor health - these are danger signals that require urgent medical attention.

Have a safe and easy pregnancy!

Back pain

37 weeks pregnant

The baby is already 36 weeks old and he is preparing to go out. He will already be able to breathe on his own, suck his mother's breast, digest food, meconium has formed in the intestines - the original black-green feces. Heat exchange processes are already more active: fat has accumulated under the skin, and the skin itself has noticeably thickened.

Fetus at 37 weeks gestation: movements, weight and size

The small organism produces the hormones necessary for life, and the liver stores iron to provide the child with blood cells during the first year of his life.

Now, at 37 weeks pregnant, cortisone is produced, a hormone that promotes the full maturation of the lungs. The baby's adrenal glands become larger than the kidneys themselves, and produce a special hormone necessary to reduce the effects of stress due to the birth of a little man.

The main systems of the body continue to improve. Neurons are now enveloped in a special protective sheath necessary for the coordination of movements. This process will continue during all subsequent weeks and even after the birth of a child for a whole year.

The nasal and ear cartilages harden, but the bones of the skull deliberately remain flexible and pliable - so it will be easier for the baby to overcome obstacles during childbirth. Two fontanelles remain completely open.

The baby should have taken a permanent position by now. In 95% of all cases, babies turn head down, but other options are possible.

At the 37th week of pregnancy, the growth of the baby reaches 49 cm, it weighs 2.8-2.9 kg and continues to grow, despite the fact that there is very little space in the uterus. His movements are already very noticeable for mom, but there is not much time left to enjoy them, so try to get the most out of your communication with the bladder.

Moreover, the baby is now pushing tangibly: even feeling embarrassed, because he has already grown seriously, the baby is no, no, but even painful for his mother. Pay attention to the intensity and nature of the movements: the mask should “sign” at least 10 times within 12 hours. An increase or, conversely, a decrease in movements, excessively strong tremors may indicate intrauterine suffering of the baby. Be sure to visit a doctor if you do not notice movements for several hours.

Future mom

If you are pregnant with twins, then there is a very high chance of giving birth this week. Multiparous women also, as a rule, do not carry their babies. In any case, you must be on full alert. Brief those closest to you on their tactics from the moment contractions begin, prepare your bags for the hospital, don't leave the house without an exchange card, and generally don't go far. After all, from this week you can observe the appearance of harbingers of childbirth.

Childbirth at 37 weeks of gestation: precursors

The stomach gradually sinks lower, making it easier for the mother to breathe, but some women do not wait for this until the birth itself. The lower the child goes down, the more you will feel shooting pains in the perineum and legs. At the same time, pressure on the bladder and intestines increases - you will notice that you have become more likely to run to the toilet. Closer to childbirth, the baby calms down, its activity decreases markedly.

Removal of the mucous plug A few days or even weeks before the onset of labor, the mucous plug departs, but this is not at all necessary. The appearance of impurities in the secretions of thick viscous mucus will tell you about the discharge of the mucous plug. These are particles of the mucous plug, which closes the cervix before the onset of childbirth. The separated mucus can be both transparent and pinkish, with a shade of brown, interspersed with blood.

If the last weeks of pregnancy were given to you with tangible difficulty, then shortly before the birth you may find that you have a “second wind”. You were tormented by fatigue and impotence, and now you are ready to move mountains and walk in a great mood, full of strength and desire to do something? Be sure - childbirth is already on the threshold.

Decrease in weight and appetite

If the middle of pregnancy is marked by an excellent appetite, then by its end this very appetite can decrease significantly. Moreover, 3-4 days before giving birth, some women even show their readiness to completely refuse food, they don’t feel like eating at all. In terms of weight, some women may notice a weight loss of 1-2 kg shortly before giving birth.

The discharge of water can happen both against the background of contractions, and shortly before their onset. In any case, if you notice jets of watery fluid crawling down your legs, but at the same time the uterus is not spasmodically contracting yet, either go to the hospital with your husband or call an ambulance. The outpouring of amniotic fluid always indicates the onset of labor.

In some cases, pregnant women may experience diarrhea on the eve of childbirth. If suddenly, against the background of complete well-being, you begin to have diarrhea, perhaps in a day or two you will find yourself in a maternity hospital with contractions.

Drawing pains in the abdomen and lower back, contractions

Pain in the lower abdomen, spreading to the lower back, will also tell about the approaching birth. Pain in the abdomen and lower back is similar to those that a woman experiences on the eve of menstruation.

Belly at 37 weeks pregnant: pulls, hurts, dropped

If the lowering of the abdomen did not occur in the previous week, it is quite possible that this will happen now, at 37 weeks of gestation. If this does not happen now, do not worry: in some cases, the stomach does not fall until the very end of pregnancy.

And if, nevertheless, the stomach has dropped, do not expect childbirth to begin almost immediately: after lowering the stomach, a woman may well carry the baby for another 1-2 weeks. But already freely inhaling and exhaling - the lowered belly allows you to breathe easily.

But, instead of breathing difficulties, there may be pain in the lower abdomen, also covering the lower back. Pulling, tolerably painful sensations in the lower abdomen, if, moreover, such sensations are present in the lumbar region - one of the harbingers of childbirth, a sure sign that very soon the baby will begin its journey into a new world.

Pain at 37 weeks pregnant

So, what can explain the pain in the abdomen and lower back at the 37th week of pregnancy, we found out above. Aching pulling pains are a consequence of lowering the abdomen and a sign of approaching childbirth.

Surely, pain in the back, spine, sacrum, legs is still relevant. The fact of increased weight, enlarged uterus and, accordingly, the abdomen, does not pass without a trace. Try to rest more, from time to time take a horizontal position, placing a roller or pillows under your feet, do not forget about wearing a prenatal bandage, unload your legs.

You will also have to endure pain in the pelvic region, in the sacrum, in the pubic bone - not only does the pelvic bones weaken and diverge under the influence of the hormone relaxin, but also the baby presses on the bottom of the uterus. There is less and less time left before childbirth, but all this time you may well be accompanied by this painful discomfort in the lower part of the body.

Discharge at 37 weeks pregnant

Do not be alarmed if you notice a slight increase in discharge at 37 weeks of gestation - this is now quite normal. Also, you should not be afraid of the presence of mucus in the secretions: this is the mucous plug. Normally, the stretching mucus in the secretions, if these are particles of the mucous plug, may have a whitish, pinkish or brownish tint. The cork can also be separated at once - in one whole lump resembling jelly or silicone. You will definitely recognize the mucous plug: this lump has volumes of approximately 2 tablespoons, while bloody streaks may be present in the lump. Having found a mucous plug, you can safely go to the hospital - childbirth will begin in the very near future.

Lower Back Healing by Stretching the Feet

Do not hesitate to call an ambulance even if you find yourself bleeding. Blood from the genital tract most often becomes a sign of detachment of a normally located placenta - placenta previa, which is also accompanied by bleeding, has probably already been ruled out after undergoing many studies and analyzes. Please note that placental abruption is a very dangerous phenomenon that threatens the life of the child.

Again, you should contact the doctors or go to the maternity hospital, noticing the discharge of amniotic fluid. Amniotic fluid can pour out all at once - you will know about their appearance by the trickles that flow down the legs. Which, in fact, precede the onset of labor. But, at the same time, amniotic fluid can leak in small amounts, in portions - if the fetal membranes are depleted or their integrity is broken. And in this case, one cannot do without the intervention of specialists again: a violation of the integrity of the membranes threatens with intrauterine infection of the fetus.

ultrasound

Now you visit the gynecologist every week. He controls the process of preparing your organisms for childbirth, examines the cervix and listens to the baby's heartbeat.

The third scheduled ultrasound examination is probably already left behind. True, in some cases, you may need a second ultrasound at 37 weeks of gestation. First of all, to clarify the location of the baby. We already know that the most physiological, optimal position of the baby “at the start” to get to know his parents is head presentation. However, the baby does not always settle down with the head down, and, having discovered on the ultrasound that the baby did not accept suitable posture, the doctor may consider delivery by caesarean section.

When conducting ultrasound the specialist will also measure the size of the baby and their compliance with the gestational age, assess the condition and amount of amniotic fluid, the degree of maturity of the placenta, the condition of the uterus and cervix, umbilical cord.

If you are already fully prepared for childbirth, do pediatric self-education. Study the topic very carefully breastfeeding. There is nothing better for a newborn than mother's milk: with a composition unique for your child, with mother's antibodies, healthy, safe, always ready and free. In general, breast milk should be fought for in any case, if suddenly feeding becomes problematic. Prepare for this properly. And also start learning the intricacies of caring for a newborn. You are already without 5 minutes a real mother!

Especially for beremennost.net — Elena Kichak

thirty-seventh week of pregnancy

Pregnancy is not only a period filled with joyful emotions and exciting discoveries, it is also a time of worries about the unborn baby. The thirty-seventh week of pregnancy allows you to take a breath. Doctors consider the beginning of the ninth month to be a sufficient period for the child to be born full-term. All the vital organs and functions of the fetus have already started to work, and now it is almost ready for life outside the mother's belly. For pregnant twins, this is the optimal time for childbirth.

your baby

The child is on final stage development and is gaining momentum. When he is ready, labor will begin. Usually, multiparous women give birth earlier than the first time, and about a third of them at this time.

Appearance

The fetus at 37 weeks of gestation looks like a newborn, without fluff all over the body, but often already with a mop of hair on its head. The nails on the fingers protrude beyond the skin, now the baby can accidentally scratch himself. Cheese grease starting to dissolve. The skin has lost its transparency and has acquired a delicate pink color, if the baby's skin is dark, now it is lighter than that of the parents. The genitourinary system of the fetus is fully formed, in boys the testicles descended into the scrotum, and in girls the large labia cover the small ones. Quite a lot of adipose tissue has accumulated under the skin, especially on the cheeks, so that after “disconnecting” from the mother’s life support systems, the child has the strength to suckle at the breast.

Dimensions

Fetal growth at this stage of pregnancy is on average 45 to 50 cm, weight 2.5-3.3 kg. On the day the baby gains about 30 g of fat and grows by about 1-2 mm. But do not forget that the weight and height of each child are individual. These parameters may differ not only in babies from different parents, but also in siblings. A particularly large fetus can cause serious inconvenience to the mother, and the doctor may advise a caesarean section.

Development of a tiny organism

At this time, the bones are getting stronger in the crumbs and some cartilage is hardening. But not all bones and cartilage are formed before birth. The final strengthening of the baby's skull occurs after childbirth. There are still a few springs open. This is necessary so that the head passes through the birth canal without damage. The patella does not appear at all until the age of three to six years. The nervous system is being improved, the nerve connections are covered with a protective layer, which will be formed after childbirth. The intestines are not smooth, but are lined with “villi” that will absorb nutrients from the food being digested. While the baby is in the mother's stomach, he does not need beneficial bacteria, because now the baby's intestines are sterile and filled with meconium - the first baby feces. After childbirth, meconium will come out naturally, and colostrum, which the baby will eat in the first days, will create the necessary intestinal microflora. Soon, the colostrum will be replaced by more nutritious breast milk, and the baby will restore the reserves of fatty tissues. In the adrenal glands, the hormone cortisone is produced, which contributes to the maturation of the lungs, and the sulfactant accumulates in the lungs, which prevents them from “sticking together”.

baby activity

Our baby is constantly developing, he has his own daily routine that prepares him for a new life. At 37-38 weeks, baby:

starts sucking her body parts and umbilical cord in preparation for hard work after childbirth.
sleeps a lot, gaining strength. Movements occur about a dozen times a day, if this happens twice as often or less often, you should consult a doctor - perhaps something is bothering your child.
uses his senses. He listens to sounds, is frightened by harsh ones and rejoices in the melodious, especially the voice of his mother.
Distinguish between bright light and darkness. Absorbing amniotic fluid, distinguishes the taste of the food that mother ate. Responds to touch on the abdomen.
trains to breathe, "inhaling-exhaling" the amniotic fluid. Sometimes you can feel rhythmic twitches in the stomach - the baby's hiccups.

Your body

Like your baby, you are preparing for the upcoming birth. The body is shaping and adjusting to one day give birth to a wonderful creature that has been under your heart for nine long months.

Harbingers

Harbingers are symptoms that will help you understand that childbirth is very close. One of the first to appear are cramping pains, as if pulling in the lower abdomen and lower back. At the same time, the stomach becomes stony for a short time (comes into tone). These are practice fights. It is quite simple to distinguish them from the real ones - they are not very strong, irregular and disappear if you change your position - stand up or, conversely, lie down and relax. However, if it pulls strongly, as if a five-year-old child was hanging on the lower back, clasping his hands around his stomach, the contractions are regular and more frequent - wait until the contractions are more than once every five minutes, and you can safely go to the hospital. If this is the second birth, it is worth leaving early, as they usually proceed more transiently. Usually at 37-38 weeks, the stomach begins to sink. It becomes easier to breathe, but the fetus begins to put pressure on the bladder. In addition, the pressure of the fetal head on the small pelvis can cause pain in the perineum, and due to a sharp shift in the center of gravity, fatigue appears and the back hurts. The stomach does not always fall in advance, for some mothers, especially for those giving birth for the second time, this happens later, right up to the very birth. The passage of the mucous plug is another harbinger. Often, the discharge of the mucous plug occurs imperceptibly - in the shower or in the toilet. It can depart partially or entirely. It is a greenish or yellowish jelly lump the size of a five-ruble coin, sometimes with pink or brown patches. She can depart in advance, and literally just before the birth. After the “departure”, there may be a couple of days or a couple of weeks left before the birth - it’s too early to panic, but you should listen to your body so as not to miss other harbingers. A surge of energy is a harbinger on the eve of delivery. It is a natural instinct that on a subconscious level forces us to prepare for childbirth. Sometimes it is difficult to distinguish it from the usual Have a good mood. However, if you are drawn to tidy up and wash the floors everywhere, arrange your bedroom more comfortably, prepare everything you need for the baby, then be sure that this is a harbinger. Perhaps instead of tiring hassle, you should take a break to gain some. Decreased appetite, weight loss, as well as vomiting, diarrhea - all this can be a symptom food poisoning, and another harbinger. It is not difficult to distinguish them: during poisoning, weakness, chills, temperature up to 38 degrees and above appear. If you are full of strength, and the temperature does not rise above 37 degrees, this means that your body has simply cleansed itself before the upcoming birth. Although this is not a reason to go to the hospital, it is worth driving the car to the entrance and waiting for the upcoming contractions. The discharge of water is no longer a harbinger, but an occasion to urgently go to the hospital. It can be either complete or partial. In the first case, a couple of liters of liquid are immediately poured out. In the second, there is less amniotic fluid, but they are more abundant than usual secretions, have an unpleasant odor and a more liquid consistency. From this moment, there may be literally a couple of hours left until the moment when you meet your baby face to face. In rare cases, after the discharge of amniotic fluid, the fetus is in no hurry to leave cozy house. This is dangerous for his health, because doctors often resort to drug stimulants and even surgery.

dangers

37, 38, 39 obstetric weeks This is the time when you can relax and wait for an early birth, but now there are still reasons for concern. During this period, you may experience:

increased tone. Most likely these are training bouts, but if the tone does not go away for a long time, it may be worth a little rest and relaxation, try to avoid stress and excessive loads.
heartburn. Even if heartburn has never tormented you in your life, now it can slightly overshadow the joyful expectation. The fact is that the fetus that has increased in size puts pressure on the stomach and intestines and can provoke this harmless, but very unpleasant ailment.
runny nose and cold. A runny nose can be caused not only by an infection, but also by an allergic reaction, as well as hormonal changes. However, you should not rely on luck, you should immediately consult a doctor who will study the cause of a runny nose, and in case of a cold, will offer a safe course of treatment. In this case, it is important to have time to recover before the baby is born, so as not to infect him.
great weight gain and pain in the legs. This symptom should not be ignored. Rapid weight gain and swelling of the legs may indicate preeclampsia.
pain. Now you are experiencing especially heavy loads - the fetus has already significantly gained weight, your tendons and cartilage are weakened by the hormone relaxin, and the grown-up baby has seriously shifted your center of gravity. You need to rest more and not overwork. However, if something hurts a lot and does not go away after rest, you must immediately inform the doctor about it and what and how it hurts: pulling, stabbing, dull pain, etc. - this is important for determining a possible pathology.
infections. 37 and 38 weeks are the deadlines for identifying and starting to treat a possible disease, because otherwise you can simply infect your child during childbirth or at first contact.

Important Inspections

Ultrasounds, smears, blood and urine tests, cervical examinations are all important checkups at all stages of pregnancy and the last trimester is no exception.

Ultrasound allows you to identify: oligohydramnios, polyhydramnios, placenta previa, fetal hypoxia - all these are serious deviations that threaten the life and health of your child. Even if no pathologies were previously detected, this examination should not be neglected. In addition, only now the baby has taken the final position, and the doctor will be able to determine whether it is necessary to prescribe a caesarean section.

Examination of the cervix at 37 and 38 weeks allows you to assess its maturity and decide on additional stimulation of its maturation.

The rest of the tests are also very important and are primarily aimed at finding various infections. But not only analyzes will help you identify in advance possible diseases, you need to monitor your well-being and your secretions. Mucous discharge: purulent; have earthy, green or yellow; have a curd or foamy texture - all this indicates an infection. Blood discharge most likely indicate placental abruption. In these cases, you should immediately consult a doctor.

Find out about the maternity hospital where you are going to give birth, read reviews, ask your friends. Perhaps you will not be satisfied with the service of this institution, or some of their rules will come as a surprise to you.

You should not go far from home, you should always have an exchange card and basic documents with you: passport, policy, etc.

Prepare everything you need for your stay in the hospital in advance. Do not put off the preparations for the last day, especially since no one can say with 100% certainty when the long-awaited moment will come. Instruct loved ones what they will need to do when you go into labor.

If you still don’t know how to deal with newborns, it may be time to educate yourself, because very soon you will have to learn the basics of motherhood in practice.