Childbirth in the 39th week of pregnancy
Childbirth in the 39th week of pregnancy usually does not surprise a woman at all. She has long been in standby mode, and besides, the beginning of labor activity on this term is a completely normal phenomenon, which in no way should embarrass the future mother. We will tell in this article how such genera go, how to recognize their beginning, whether there are risks and dangers.
Opinion of doctors
If childbirth begins at week 39 or in the full 39 obstetric weeks of pregnancy, they will be considered the “gold obstetric standard,” since it is during this period that most of the second and third births occur, as well as more than half of the first births. And the period between 38 and 39 weeks, and the next 30-40 weeks are considered optimal for the birth of the baby into the world. He is fully ripe and ready for independent living outside the womb.
There are no signs of reversal - although the placenta is aging, it still provides the baby with everything necessary. The bones of the baby's skull are soft and relatively easy to go through the birth canal.
The future mother should not be embarrassed by the fact that until the date of delivery, which was determined by the obstetricians and which is indicated in her exchange card, there is still more than a week. Then the DA (exactly 40 weeks) is called the estimated period that deviation from it to the larger and smaller sides for two weeks is completely allowed.
Births at week 39 will be urgent, that is, occurring on time. And so do not worry and worry. They do not begin spontaneously, but only when all the internal “conditions” for this are fulfilled in the woman's body: the uterus becomes quite heavy and its walls experience ultimate tension, the actomyosin protein is formed in the cells of the uterus, which allows the myometry to contract, the placenta and the pituitary gland begin produce oxytocin, and the content of progesterone, which was responsible for maintaining pregnancy, decreases, the cervix begins to expand and shortens.
At a certain point, contractions begin or water runs off - the onset of labor may be different. But labor contracted labor activity begins in 9 cases out of 10. Labor activity can begin itself, and can be stimulated by doctors for medical reasons. At their own discretion, childbirth at this time does not stimulate, since WHO recommendations prohibit giving rise to 39 full weeks without medical grounds, and the Russian Ministry of Health recommends stimulating labor activity in a healthy woman who does not begin labor activity only at 42 weeks gestation.
Child development, vitality
The baby has reached the maximum size. He became very crowded in his mother's uterus, and therefore in every way contributes to the speedy onset of labor activity - he presses the droop head on the cervix from the inside, actually forcing it to open and prepare faster. The fetus moves less, since there is almost no space left for movement in the uterus.
The weight of most children in this period exceeds the mark of 3 kilograms. The weight of boys is usually in the range of 3600-3700 g, girls weigh less - about 3500 grams. Large children in this period already exceed 4 kilograms, and miniature hypotrophic babies can weigh less than 3 kilograms. But in any case, the child is full-term, his weight is beyond doubt - he will be able to retain body heat after birth.The growth of the majority of newborns born on this period exceeds 50 centimeters.
All organs and systems are formed and work as usual, the only exception is the nervous system, which is to be actively “tuned” for a long time after the birth of a man into the light. The baby feels good motherly emotions and mood. Therefore, in childbirth, women need to behave in a disciplined manner, avoid panic.
In the lungs of the child, a sufficient amount of surfactant has been developed - a substance that will allow the alveoli to not close after inhalation and ensure normal breathing. Lung tissue has matured. Digestion, bladder, heart, liver, kidneys and all other organs work.
Babies at this time appear puffy and plump, most of them have no signs of lanugo on the skin, but even if there is some light-colored, discolored hair, the situation does not require treatment and intervention, they will "wipe out" themselves in the coming weeks.
It is important that in this period the child has a fully developed primary immunity, it is already working and protecting the baby from threats in the form of viruses and bacteria. The maternal organism has shared its own antibodies with the baby, and this will help the baby during the first six months of life. Then he will begin to form his own immunity.
How are they going?
It is not necessary to be afraid of the onset of childbirth, on this period they pass quite traditionally, without significant features that would be associated with the period of pregnancy. The risk of complications in the birth process and after childbirth is quite high with preterm labor, and at week 39, delivery is urgent.
Doctors will talk about stimulation if the condition of the fetus is disturbed or the condition of the woman worsens due to pre-eclampsia or exacerbation of chronic diseases. They can stimulate contractions at week 39 due to fetal hypoxia, premature rupture of water in the absence of independent labor, due to Rh-conflict aggravated by the development of a child in utero hemolytic disease. At this time, it is not uncommon for a planned cesarean section to be performed, if there are indications.
If a woman enters the maternity hospital with independent contractions that have already begun, or in a state of threatening childbirth, they will no longer be pregnant. There is no need for this - both the mother’s body and the baby’s body are fully prepared for the important event, which, of course, is the birth.
How do they start?
Spontaneous delivery in week 39 usually begins with the appearance of contractions. You can distinguish them from false ones by rhythm and regularity. The uterus tenses and relaxes, pulls the lower back and lower abdomen with a certain frequency. At the first stage, one fight can be repeated once every 30-40 minutes, but gradually the contractions will become more frequent, and the pain will increase. In the maternity hospital should go when the contractions will be repeated every five minutes during the first birth and every 10 minutes - with repeated.
If the outflow of waters happened, you do not need to wait. In the hospital should go as soon as possible.
Stimulation
Stimulation of labor at this time is possible only in a hospital. In order to cause childbirth, may apply mechanical means - kelp, Foley catheter. Also widely used medications - Mifepristone and others. Amniotomy is also used to stimulate labor contractions - rupture or puncture of the fetal membranes.
Is there a danger?
The likelihood of complications increases with stimulated labor. Since stimulation is an intervention in natural processes, childbirth can proceed with some anomalies — with primary or secondary weakness of the tribal forces, rapidly. After delivery, infectious complications are not excluded, but their probability is not so high.
Otherwise, childbirth is a very individual process.And the risks are calculated by experts individually, taking into account the history, nature of the pregnancy, the state of health of the woman. There is no danger for the child, he is fully viable at week 39.
About what happens at the 39th week of pregnancy, see the following video.
