At week 39, the stomach becomes hard, it becomes difficult to even take two steps, the lower back is so tight. For many mothers, the 39th week of pregnancy generally becomes the last week before giving birth; more precisely, it is at this stage that the main miracle occurs - the birth of a baby.

Pregnancy 39 weeks - fetal movements

A very important self-diagnosis parameter at 39 weeks of pregnancy is fetal movements. Traditionally, about ten movements per day are considered the norm, and if the number of movements increases or decreases sharply, you should immediately call the doctor, perhaps something is wrong, and the baby is very uncomfortable, but he cannot tell about it.

39 weeks of pregnancy - harbingers of labor

At the 39th week of pregnancy, the harbingers of labor make themselves felt to almost everyone, even if the actual birth of the baby occurs only in a few days. In any case, you need to be prepared and pack your bag for the maternity hospital in advance, warn relatives about what to do and what to do, and not go out without an exchange card. Even to the bakery.

39 weeks of pregnancy - the stomach turns to stone

Some mothers can be very annoyed by the so-called training contractions, which the first time they just want to mistake them for real ones. But they are very easily distinguished from childbirth - false contractions are painless and irregular, they are accompanied only by slight discomfort in the abdomen and back. But if, at the 39th week of pregnancy, the lower back is pulled so that there is no strength to endure, the stomach turns to stone, and it seems that contractions become painful and regular, then this is already a sign of the process that has begun.

Diarrhea at 39 weeks of pregnancy

Diarrhea at 39 weeks of pregnancy is also one of the precursors of childbirth; the body is cleansed for the future process of giving birth to a child. The same goes for slight nausea or lack of appetite; before giving birth, many ladies experience a complete reluctance to eat anything.

39 weeks of pregnancy - signs of labor

One of the first signs that labor will soon begin is a drooping abdomen. However, this does not mean that it will “start” right now; several days may pass before contractions become active. Secondly, quite often pain occurs in the abdomen, pubis, sacrum and pelvis. This is due to the fact that the body is actively preparing the birth canal for the unborn child, the cartilage softens in order to pass the baby through the pelvis. There is nothing terrible or unbearable about this pain; it is easily relieved by gentle massage of the sacrum and wearing a bandage. And also one of the signs of approaching labor at the 39th week of pregnancy is breast swelling, it seems unbearably heavy.

Discharge at 39 weeks of pregnancy

It is very important to monitor vaginal discharge at 39 weeks of pregnancy, as it can tell the expectant mother a lot. In a normal state of excretion white, they have virtually no odor and have a homogeneous consistency. At a certain point, the mucous plug may come off - this is a direct harbinger of future birth, a completely normal thing. But if you see wet spots on your underwear, transparent or greenish, then this is a reason to urgently call an ambulance - the amniotic fluid is leaking. In a normal state, they have no color, and a green tint is a sign of fetal hypoxia, with which you need to quickly go to the hospital and remove the child. The water can either pour out completely in one go or leak, but it is impossible to miss its release.

And finally, spotting at 39 weeks of pregnancy may indicate placental abruption, in which case you need to call the emergency room just as urgently, this is very important, you need to remove the baby immediately.

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• How to induce contractions?

The 39th week of pregnancy or the middle of the ninth month is the period when the baby in the womb is already fully formed, grown, stronger and ready to “go out”. It can be compared to a small watermelon, which is about 50 cm long and weighs 2900-3200 g.

During this period, the maturation of all the baby’s organs is completed, the functional activity of which does not differ from the work of the body of an adult. Every day the fetus drops lower and lower, which serves as a prediction of the approaching birth. The child's lungs are fully formed, so he is quite ready to take the first portion of oxygen on his own. The pancreas produces enough enzymes for normal functioning gastrointestinal tract. But beneficial bacteria enter the intestinal flora only with the intake of colostrum from the mother's breast.

A fetus at 39 weeks of gestation has fairly developed vision, which helps determine the volume and contrast of objects, distinguish colors, and respond to movements. He still breathes and feeds with the help of the placenta and umbilical cord, receiving everything he needs from the mother’s body. nutrients. Photos and videos at the 39th week of pregnancy will provide an opportunity to take a closer look at the baby, his habits and reactions.

What happens to the stomach

At 39 weeks of pregnancy, the belly begins to harden

At 39 weeks of pregnancy, a woman is on the verge of a new round in her life. After all, very soon she will give birth to a new life, hug and press her beloved “bundle” of happiness to her chest. At the same time, expectant mothers may alternate between bursts of joy and increased nervousness. This is explained by the maturing fear of childbirth.

Physiologically, the woman does not experience significant changes, but they still exist. The first thing that characterizes pregnancy at 39-40 weeks is that the stomach becomes hard. It hardens and pigment spots may appear. Don't panic if your lower abdomen feels tight. This condition indicates that labor is approaching. The fetus presses on the pelvic floor, causing nagging pain.

Expectant mothers may find that their stomach hurts like during menstruation and pain appears in the lumbar region. Nausea may occur due to the high position of the uterus. Thus, nature takes care of the health of the woman in labor, preparing her body for future childbirth.

The thirty-ninth week of pregnancy is the time when the woman in labor actively produces the hormone relaxin, which is responsible for relaxation and softening of muscles. During this period, the pelvic bones gradually begin to diverge, paving the birth canal for the baby. Therefore, you will have to endure pain for the sake of your child. Obstetricians advise wearing a prenatal bandage belt. It will significantly reduce pain in the back, lower back, pelvis and legs.

Fetal movements

At 39 weeks of pregnancy, the baby moves less

At 39 weeks of pregnancy, mothers notice that their baby has calmed down and moves little. And this is not surprising, because there is much less space in the womb.

The baby has taken the birth position and is already waving his arms and legs much less. However, the movements do not disappear completely. They become rarer, but more sensitive. In most cases, the baby's activity directly depends on the mother's lifestyle.

As a rule, if the expectant mother is active until the last term, the baby will also behave restlessly in the stomach. Often the child is more restless at night. Perhaps in this way he is preparing his mother for the difficult nights that lie ahead. Nervous breakdowns and uncomfortable posture also affect the baby’s condition.

At 39 weeks of pregnancy, a caring mother should count at least 10 movements per day. If their number is less, it is worth making another visit to the doctor. In the later stages, the risk is not appropriate.

What does discharge at 39 weeks of pregnancy tell you?

At 39 weeks of pregnancy, your doctor needs to monitor your discharge.

Some discharge is completely physiological and is not a cause for concern. Their transparent nature may indicate the beginning of the discharge of amniotic fluid. If the amniotic sac bursts immediately, the waters will recede instantly and cannot be confused with anything. But it is also possible that they will leave for several days.

Discharge mixed with blood may be the release of a mucus plug. But if this process is characterized by the presence of bleeding, it is necessary to urgently visit a doctor, since there is a risk of detachment of the placenta from the wall of the uterus.

White discharge at 39 weeks of pregnancy risks becoming a cause for alarm, especially if it has a consistency similar to curd mass and also causes irritation and redness. Candidiasis (thrush) in the last stage of pregnancy poses a danger for both the mother and the baby, since during childbirth it can become infected with a fungal infection, the treatment of which is complicated by the tiny age of the child. Candidiasis greatly softens the vaginal tissue and the woman in labor risks getting numerous tears.

Yellow discharge without a characteristic odor is normal. It’s another matter if they have a strong smell, which indicates the presence of a bacterial infection, inflammation in the ovaries or fallopian tubes.

Brown discharge may be the result of an obstetric examination or sexual intercourse. In this case, they disappear throughout the day. Brown discharge is associated with the release of the mucus plug and the onset of labor literally after a couple of hours. Also, brownishness indicates aging of the placenta, as a result of which the baby will not receive the required amount of nutrients, which can cause him to starve and hypoxia.

In any case, any doubts about the discharge require consultation with a doctor. Only an experienced specialist will be able to accurately determine their nature and eliminate the problem, if of course it exists.

Sex at 39 weeks pregnant

Sex at 39 weeks of pregnancy is possible with feeling good expectant mother

Is it possible to have sex at 39 weeks of pregnancy? Doctors answer this question ambiguously. Some of them believe that intimate relationships are latest dates can cause premature birth due to uterine contractions during orgasm. Others, on the contrary, argue that sex stimulates regular contractions and speeds up the process of the first stage of labor. The uterus opens faster, reducing pain.

But both sides are of the same opinion that sex should be oriented towards the woman’s well-being and the body’s need for it. It is necessary to avoid sudden movements and be extremely careful.

Signs of approaching labor

Maximum attentiveness to your body is the main task of a pregnant woman in her final stages. At 39 weeks of pregnancy, the woman’s body sharply reduces the production of the hormone progesterone, which was responsible for maintaining pregnancy, and the amount of the hormone estrogen increases, the effect of which is aimed at preparing for childbirth. What are the main harbingers of childbirth?

1. The stomach drops as the baby's head is inserted into the pelvis. Simultaneously top part The uterus also descends and no longer puts pressure on the stomach and lungs, allowing the pregnant woman to breathe easier and not feel the former heaviness.
2. Leaking water or completely draining it. In this case, you immediately need to pack your things and go to the maternity hospital.
3. A sharp weight loss of one and a half kilograms, the disappearance of swelling. If the expectant mother notices that the mark from the elastic band of the socks on her leg has disappeared, childbirth is not far off.
4. Removal of the mucus plug. This is a fairly common symptom. It is important here to understand what it is. A mucus plug is an accumulation of mucus with blood streaks, with a total volume of 2-3 ml. But if the expectant mother notices heavy bleeding, she should immediately contact an obstetrician.
5. Diarrhea at 39 weeks of pregnancy and increased urination are another sign of imminent labor. The fact is that compression of the pelvic organs by the fetus leads to loosening of the stool. In addition, an increase in estrogen concentration is a leading indicator that labor is approaching.
6. Discomfort in the lower abdomen, aching pain and pulling sensations.
7. The appearance of periodic contractions, the same in time and becoming more frequent.

The second pregnancy does not differ in prenatal sensations. Their symptoms are identical. The only difference is the birth process itself, which in most cases goes much faster due to the child’s accelerated passage through the birth canal. The mother’s body “remembers” its first “experience” quite well. You should trust him and then everything will be fine.

How to induce contractions?

Trying to induce contractions on your own can harm mother and baby

On average, obstetricians set the gestation period from 38 to 42 weeks. It depends on the health and well-being of the mother in labor.

Under no circumstances should you provoke the birth process on your own. Excessive “amateur activity” can cause complications and caesarean section.

There are times when the deadline has come, but there are no contractions. In this case, doctors stimulate the woman to go into labor. Often, nature itself lets the expectant mother know that she is ready for childbirth. This explains the fact why pregnant women in their final stages are so impatient to say goodbye to their “interesting” situation. But what are the do's and don'ts of triggering contractions?

The most common “granny” method is nipple stimulation. Their massage must be done carefully to avoid infection. Sex is another method to speed up labor, but on the condition that it ends with the wife’s orgasm. Intimate relationships provokes uterine contractions. The most natural ways to induce labor are considered to be walking and exercise. It is important not to overdo them. And if you don’t want to climb around with a damp rag, wiping the floors, just scatter the boxes of matches and put them back, bending over each one separately.

Under no circumstances should you carry heavy objects. The permissible weight in the last stages of pregnancy is no more than 2 kg. Excessive loads can only make the situation worse.

Along with light exercises to stimulate contractions, you should wipe and massage the genital perineum with olive oil. This will help make labor easier and possibly avoid rupture.

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39 weeks of pregnancy: mucous discharge

At 39 weeks of pregnancy, discharge can occur for various reasons. 39 weeks of pregnancy - brown discharge is absolutely not dangerous. They can occur after intimacy. But when the 39th week of pregnancy comes: mucous discharge should alert you. Since this may be an infectious disease that can harm both you and the child.

Any discharge or bleeding that appears in the last stages of pregnancy is always a cause for concern. You need to know how to react to them and what to do in such situations.

What does the color of the discharge indicate?

If the mucous discharge is pinkish in color or streaked with blood after an internal gynecological examination or sexual intercourse, this indicates rubbing of the cervix, which is quite sensitive at this time.

In particular, the 39th week of pregnancy may cause brown discharge that appears within forty-eight hours after intimacy or a doctor’s examination.

This is considered normal, but you should notify your doctor, who in this case will most likely advise you to refrain from sexual intercourse until delivery.

The appearance of brown or bloody pink mucous discharge in combination with contractions indicates the onset of labor, which should also be reported to the doctor. Bright red spotting may be due to placental abruption.

At 39 weeks of pregnancy, discharge of this type may be a sign that the baby may be in danger. In such a situation, you should immediately contact the maternity hospital. Under no circumstances should you expect your relatives to return home, the best option an ambulance will be called.

Discharge due to pathologies

If thrush worsens when the 39th week of pregnancy approaches, the mucous discharge is white. This disease can become dangerous because it can infect the mucous membranes and skin of the newborn.

Thrush will cause difficulties in the formation of normal microflora in many organs, which will be too difficult to cope with in a newborn child.

If white mucous discharge appears, accompanied by itching and a sour smell, you must immediately consult a doctor, because at 39 weeks of pregnancy, labor can begin at any time, and before it begins, you need to get rid of the fungus. This is much easier to do than to get rid of a similar problem in a child afterward.

Any doubts that arise in connection with the appearance of mucous discharge during pregnancy become a reason to consult a gynecologist. It is necessary to consult a doctor immediately in order to prevent the occurrence of undesirable consequences as quickly as possible.

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Discharge when amniotic fluid breaks

This is another sure sign of an imminent birth. Amniotic fluid can come out in small portions (i.e. leak over several days) or pour out at once in quite a lot. large quantities when the membranes rupture. In the latter case, we can talk about the beginning of labor, so it is necessary to urgently go to the maternity hospital. Contractions usually begin next. Most often, amniotic fluid drains in pregnant women in the morning, while lying down or when getting out of bed.

Normally, this discharge is liquid, transparent, clean, with a sweetish odor. A pinkish or yellowish tint is acceptable, as well as a small amount of white flakes (these are traces of vernix lubrication covering the baby’s body). Sometimes the waters are colored greenish or brownish, this indicates that original fetal feces have entered them. In this case, there is a danger of the baby swallowing amniotic fluid, which is not entirely good. You need to go immediately to the maternity hospital.

So, normal discharge in a pregnant woman at the 39th week is transparent or white, without any discomfort (itching, redness, unpleasant odor). Brownish mucous membranes with small streaks of blood indicate the passage of the plug and imminent birth.

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Fetus at 39 weeks of gestation

This is the penultimate week of pregnancy, if we take into account its ideal 40-week duration. But birth may occur several weeks earlier or later, which is normal. At 39 weeks of pregnancy, the fetus is completely ready for independent functioning. The lungs are fully mature and will start working immediately with the first portion of inhaled air. The digestive system is able to accept, promote, digest and assimilate food: villi have already formed on the mucous membrane, the pancreas produces the necessary enzymes. True, the baby’s intestines are still sterile, but after the first meal bacteria will begin to colonize it.

The small heart works properly, pumping blood throughout the body, and the kidneys, removing metabolic products through the mother’s excretory system. The amount of amniotic fluid at the 39th week of pregnancy decreases noticeably, but it does not stop renewing every 3 hours, and this happens until it leaves.

The baby's vision is already well developed: he not only reacts to light and darkness, flickering and movement in front of his eyes, but is also able to focus his gaze at a distance of 20-30 cm, that is, during feeding he will see your face! Be sure to smile at him!

The baby's central nervous system is still developing. This process will continue after his birth.

A baby at 39 weeks of gestation is already very beautiful and looks like a baby: the skin has smoothed out and acquired a pleasant pinkish tint, folds and cheeks have appeared, the fluff and vernix have almost completely disappeared. Despite the cramped space, he continues to grow and get better: his full height(size) already exceeds 50 cm, and weight reaches 3500 g. Of course, these data are very individual.

Feel

The uterus tightly envelops its resident, so the mother feels almost his every movement. Try to capture this moment in your memory: it will never happen again...

You are probably looking forward to giving birth: after all, the state of heaviness throughout the body and discomfort has not only become tired for a long time, but has reached its peak. The uterus puts all its weight on the bladder, making trips to the toilet seem endless! To help your bladder empty as much as possible, lean forward when urinating and don't rush to stand up. You also experience strong pressure on the perineum and pelvis, which causes aching, stabbing and shooting pains that radiate to your legs. It hurts to walk, it’s uncomfortable to sit, it’s hard to lie down, sometimes it’s impossible to find a comfortable position for sleeping...

Yet, despite the weakness and fatigue, strength and inspiration come from nowhere for most mothers: the “nesting syndrome” begins. A woman with a twinkle in her eyes begins to put things in order in the house, creating coziness and comfort for the whole family and especially its new member. This is perhaps the most pleasant feeling before childbirth. It allows mom to be distracted and charges her with the necessary optimism. But don't overdo it. Now you need to save your strength for childbirth, so take on the role of foreman and let your family carry out your instructions.

Do not forget about daily walks, since the baby now needs oxygen more than ever before: the placenta begins to age and no longer performs its functions as diligently.

At 39 weeks of pregnancy, the cervix begins to shorten and dilate. You will begin to feel the baby's head in the pelvis between your thighs, which presses on the bottom of the pelvis.

Stomach

The belly at 39 weeks of pregnancy has most likely already dropped. In primiparous women this happens several weeks before giving birth, in multiparous women it can happen right the day before, and in some cases the belly does not drop at all. But the baby is already rushing to the exit: its presenting part (the one to which it will be born), in most cases this is the head, enters the pelvic area. The doctor can feel it during examination - both externally and internally. The tone of the abdominal walls decreases - and the fundus of the uterus deviates slightly anteriorly.

My belly is huge now! The skin is very stretched, which is why it often itches, and the navel may protrude outward. Don't let this worry you: after giving birth, everything will fall into place.

In recent weeks, you have had the good fortune to watch your baby dance: his stomach was literally shaking. Before giving birth, the discos stop, the baby calms down, but you should still feel his movements every day, they are just not as active anymore - it has become too cramped inside for activity.

Weight at 39 weeks of pregnancy

Neither a big belly nor continued weight gain with the baby should no longer affect your own weight at 39 weeks of pregnancy. By this time, the total gain for the entire gestation period was 11-16 kg (plus or minus). And now you should no longer get better. On the contrary: before giving birth, a woman usually loses a little weight (literally 1-2 kilograms) due to increased removal of fluid from the body. This is a preparatory stage planned by nature: a woman must be flexible and mobile in order to give birth more easily.

Therefore, do not stop weighing yourself: sudden underweight will warn you about imminent birth.

Often a woman's appetite disappears a few days before giving birth. But it also happens that no special changes occur in this regard.

Sex

Sex at 39 weeks of pregnancy is actually sex before labor begins. Is it possible and worth it to practice? Doctors answer this question differently, and each couple must decide for themselves. Until recently, doctors imposed a strict ban on intimacy in the last 6 weeks of pregnancy. The main argument for this position is that orgasm stimulates uterine contractions and can cause premature birth. Now you are no longer afraid of them, and this point of view has long been refuted. You should focus solely on the woman’s well-being. Some of them are quite tired and feel unwell, so in recent weeks they have not felt attracted to their spouse. But many, on the contrary, need intimacy with him, want to feel loved, desired, needed. Sex at 39 weeks of pregnancy is not forbidden if the integrity of the amniotic sac is preserved and future parents need intimacy with each other. Moreover, doctors around the world have long come to the conclusion that sex before labor is the best natural stimulation, and in some countries it is even recommended to have sex after the onset of regular contractions in order to prepare the cervix for dilatation and generally facilitate and speed up the process of childbirth. The fact is that male secretion contains the hormone prostaglandin, which prepares the cervix, and endorphins released in the mother’s body during sex act as a mild pain reliever.

However, the future dad should be extremely affectionate and careful. And if mom feels pain and discomfort during sex, then it is better to stop it.

Pain at 39 weeks of pregnancy

In the last weeks of pregnancy, you are probably already experiencing aching pain in the lower abdomen, which portends an imminent birth. Training contractions became more painful than before. The movements of the child also often cause pain to the woman. When you try to stand up or change your body position, you may experience pain in your stomach, side, or back.

39 week pregnancy photo

At 39 weeks of pregnancy, the perineal area hurts the most: the baby has dropped and is pressing on the pelvic floor. You may also feel this pain in the lower back (lower back and sacrum).

Due to the discrepancy of the bones, aching appears in this area, sometimes sharp pain. Shooting and stabbing pain also radiates to the legs, especially while walking.

When real contractions begin, the pain will increase and intensify. It is important to learn how to relax in response to pain, so if you still have a day or two, then use it to master relaxation and breathing techniques.

In addition, your breasts may begin to hurt at 39 weeks of pregnancy. This is not strange, because very soon she will have to feed the baby: the production of colostrum has already begun.

Discharge

Because of this, you may notice milk leaking from your breasts. Do not squeeze out colostrum under any circumstances: maintain good hygiene, wash your breasts at least 2 times a day, and gently blot the liquid on your nipples.

If the mucus plug has not yet begun to come off, then this may happen now. However, the whole process usually takes several days (or even weeks), since most often the mucus plug comes out in parts, and not all at once. This is indicated by the discharge of thick, viscous mucus at 39 weeks of pregnancy. It is clear, white, yellowish or cream in color, but may also contain streaks of blood.

The passage of the mucus plug is one of the harbingers of labor, but does not mean that it has already begun. Therefore, calmly continue your business, taking into account only that the cervix is ​​now open to infections, which means that sex and swimming in stagnant water should be canceled. Brownish or reddish traces in the mucus indicate that labor is likely to be a few hours away.

However, if the passage of the mucous plug is accompanied by bleeding, then you should immediately go to the hospital, since the placenta may be expelled prematurely.

In addition, the rupture of amniotic fluid foretells the impending birth. They may leak in small portions, which you observe by the release of clear fluid from the genital tract. And it happens that the amniotic sac bursts, and the water flows out simultaneously, in a stream - you certainly won’t miss this.

Most often, the water breaks in the morning, when the woman gets out of bed or has not even gotten out of bed yet, but in general this can happen at any minute. At the same time, many people hear a muffled pop that precedes the flow of water. The opening of the amniotic sac and the release of water are not accompanied by any pain.

Usually after this labor begins. If your water breaks immediately and you literally gush, then don’t wait for contractions, but get ready for the maternity hospital right away. Don’t worry if the contractions have already become intense, but your water still hasn’t broken: this often happens in the maternity hospital, and it is possible that the amniotic sac will be punctured on purpose - this does not mean anything bad.

Normally, amniotic fluid is clean and transparent, and may contain white flakes of vernix that covered the baby. They are odorless or have a slightly sweet smell. However, sometimes the baby’s original feces, meconium, gets into the amniotic fluid, and there is a high risk of the baby swallowing it. This condition is a little dangerous, so if the waters are greenish or brownish, you should go to the hospital immediately.

Harbingers of childbirth

We have already looked at many of the signs of labor. In particular, we know that before childbirth the stomach aches, the lower back, back, perineum, legs, and also the bones of the hip joint hurt. The stomach itself drops, which makes it easier for a woman to breathe, the functioning of the gastrointestinal tract improves a little, and this nasty heartburn that has been bothering the expectant mother for so long may even disappear! But trips to the toilet become more frequent: due to the pressure of the uterus, the bladder and rectum are forced to empty themselves more often. Sometimes you even get an upset stomach, as if you were worried - this is the work of hormones preparing the body for childbirth.

You will again remember what sudden mood swings are, or rather, your family will remember this. Let them not take your nervousness to heart, which can grow especially strong from the moment regular contractions begin.

Appetite usually decreases before childbirth (although not always). And last but not least, this leads to a slight decrease in body weight.

Meanwhile, the baby is also preparing for birth. And besides the fact that he lowers himself and presses on my mother’s crotch, he also behaves more modestly - he practically calms down. However, periods of calm can be replaced by increased activity (as much as possible in cramped conditions): the baby practices tactics during childbirth.

The uterus has long begun to train, periodically contracting. But when labor begins, the contractions will become real.

Many mothers worry that they will miss the onset of labor, but this is in vain: believe me, you will immediately understand that this is it. Firstly, the release of the mucus plug and amniotic fluid will tell you that the ice has broken. Secondly, even if this does not happen, you will not miss the real contractions: they begin to repeat every 10-15 minutes, then every 5 minutes, then even more often, while the pain increases all the time: try to relax and rest as much as possible in the period between contractions. If your appetite suddenly awakens, then eat something light (it’s good to be prepared for this in advance).

From this moment, real labor begins, and you already move to a different status - a woman in labor.

Childbirth at 39 weeks of pregnancy

Now you need to focus on yourself and the baby. Help each other, listen to each other, breathe correctly, follow all instructions from the medical staff.

The longer you can stay on your feet, the better, so walk around during contractions, stopping to rest. When contractions begin to feel intensely painful, it's time to use breathing techniques. During the contraction, breathe evenly, deeply, calmly - this will moderate the pain and preserve strength for the second period.

Do not rush to push - this can only be done on the doctor’s command when the cervix is ​​fully dilated. Then push no matter what, stopping only as directed by your doctor. Don't be embarrassed by unexpected urination or other unforeseen nuances - they don't matter to anyone right now. It is very important to take a comfortable body position during pushing - this point should ideally be discussed with the doctor in advance. In the period between attempts, it is extremely necessary to relax and rest, restoring spent strength as much as possible.

In the second stage of labor, when the baby is born, a lot of strength and effort will be required from you. It is important to give your best. Different women experience this period of childbirth differently: some feel simply inhuman fatigue, others seem to be reborn and accumulate all their resources.

Your thoughts should now be directed in one direction: the baby is trying very hard, and you are obliged to help him be born as easily and naturally as possible. Don't be afraid of anything! Don’t let the pain scare you: it will not exceed a threshold that you will not be able to overcome, nature has taken care of this.

Relax as much as possible and remember everything you have read and heard about in preparation for childbirth. The most important thing is that childbirth at 39 weeks of pregnancy is timely and physiological. The baby is fully matured and absolutely ready for birth, he is great because he chose the right moment for this.

Immediately after the baby is born, obstetricians will clamp the umbilical cord, and when it stops pulsating, they will cut it. The baby should ideally be placed on the mother's breast - this is the best outcome of childbirth for both you and the baby. Getting your baby's first colostrum is incredibly important! This is his immunity, health and strength. But first, if the baby suddenly swallowed water with meconium, the obstetricians will clear his bronchi of the contents (that is, they will perform lavage).

During pregnancy, a woman periodically experiences changes in her reproductive tract, and often for the worse. It may be yellow, thick discharge, or thin, whitish, or streaked with blood. If you have any suspicions, you should consult a doctor. At different times, discharge may vary significantly. You should be especially attentive to your condition at the end of pregnancy.

Discharge in a pregnant woman as a harbinger of labor

Discharge at 39 weeks of pregnancy may indicate, since one of the first signs of labor is the release of the mucus plug.

A mucus plug forms at 7 weeks of pregnancy in the cervical canal. Its importance is very great - it prevents infection from entering the uterine cavity. If the cervix begins to dilate, the plug comes out. In fact, this can happen at any stage of pregnancy. Therefore, if the birth is far away, but the plug has moved away, then this is a reason to seek medical help as soon as possible.

But most often the plug comes off in the last month of pregnancy. Usually the plug looks like a lump of mucus streaked with blood. Although it may look different: in the form of a transparent viscous clot without any impurities or take on a whitish, yellowish-cream or even brownish tint.

Sometimes it separates gradually, then spotting will be observed at 39 weeks of pregnancy. In most cases, this process takes several days, much less often - several weeks. But this does not apply to pathology. A pregnant woman must understand that from this moment on, the cervix becomes very susceptible to various types of infections, so now being in a filled bath (stagnant water) and having sex is definitely unacceptable.

Traces of blood in the plug or its brownish color may signal the onset of labor in the coming hours.

Discharge indicating pathology during pregnancy

In addition to the plug, the discharge may be associated with an infection. Then they turn yellow or green tint. The smell of such secretions is clearly unpleasant, and their appearance very much like a purulent mass. Itching and swelling of the genitals appear. All these signs indicate the presence of a bacterial infection in the genital canal of a pregnant woman. In this case, immediate medical attention is required, since there is a huge risk of intrauterine infection of the fetus. Against this unfavorable background, the newborn may develop pneumonia or sepsis.

If the discharge is cheesy, then candidiasis has worsened (and this is a common occurrence during pregnancy). In this case, the discharge becomes white. The pregnant woman also suffers from severe itching of the genital tract. This condition requires an urgent course local treatment. Since childbirth is very close, it is necessary to have time to be treated before the rupture of the membranes, during childbirth the baby may be infected.

The worst thing is if the discharge becomes bloody and profuse. In fact, we are already talking about the beginning of bleeding in a pregnant woman. This could be talking about . Sometimes in such a situation, the discharge is not bloody, but spotting brown. This is due to the fact that placental abruption can begin in a small area, and with periodic contractions of the uterus (training before childbirth), the already clotted blood is emptied and comes out. The worst thing about the beginning of placental abruption is that such a pathological condition can progress very quickly. If there is a delay in providing urgent medical assistance, death in the womb of the fetus and the death of the woman in labor due to severe bleeding are possible.

In such cases, it is better to call an ambulance and go to the maternity hospital. The doctor should be involved in finding out the cause of the discharge, since only he will be able to assess the situation and make the right decision.

Discharge when amniotic fluid breaks

This is another sure sign of an imminent birth. Amniotic fluid can come out in small portions (that is, leak for several days) or flow out at once in quite large quantities when the membranes rupture. In the latter case, we can talk about the beginning of labor, so it is necessary to urgently go to the maternity hospital. Contractions usually begin next. Most often, amniotic fluid drains in pregnant women in the morning, while lying down or when getting out of bed.

Normally, this discharge is liquid, transparent, clean, with a sweetish odor. A pinkish or yellowish tint is acceptable, as well as a small amount of white flakes (these are traces of vernix lubrication covering the baby’s body). Sometimes the waters are colored greenish or brownish, this indicates that original fetal feces have entered them. In this case, there is a danger of the baby swallowing amniotic fluid, which is not entirely good. You need to go immediately to the maternity hospital.

So, at the 39th week, the mucous membranes become transparent or white without the appearance of an uncomfortable condition (itching, redness, unpleasant odor). Brownish mucous membranes with small streaks of blood indicate the passage of the plug and imminent birth.

07 Mar 2012 1156

• Leakage of amniotic fluid in the first and second half...
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The last month before giving birth can bring with it new symptoms, and the 39th week of pregnancy is no exception. Discharge can greatly change its character before childbirth, and this becomes the cause of unnecessary worries.

Discharge at 39 weeks intensifies and is normal, but it can also indicate pathology. So that you don't miss out dangerous symptoms or the beginning of labor, this article was written.

Normal discharge at 39 weeks of pregnancy

The end of pregnancy is a time of preparation for childbirth, your body changes, and the nature of the discharge from the genital tract also changes. Even earlier, they could be mucous and quite abundant, but now you simply cannot do without daily sanitary pads. The cervix ripens, and it softens, shortens and opens slightly. By the time labor begins, she will be able to move 2 fingers freely. Throughout pregnancy, the cervix was closed by a mucus plug, which came off, in some gradually, in others all at once in the form of a dense lump of mucus.

At 39 weeks of pregnancy, spotting in the form of copious mucus streaked with blood is completely normal, and it should not cause you much concern. There is not a lot of blood, its source is the cervix, these are literally threads in abundant transparent or whitish mucus, reminiscent of protein. This is the traffic jam. You should not have any other discharge.

39 weeks of pregnancy, discharge due to pathology

White discharge

In the last months of pregnancy, your thrush may become worse. This extremely unpleasant disease is dangerous because during childbirth, candida can infect the skin and mucous membranes of the child, while in a newborn, thrush is not only the cause of suffering, it is dangerous for him, as it causes difficulties with the formation of normal intestinal microflora and other organs, and it is very difficult being treated. If you are already 39 weeks pregnant, white discharge with itching and a sour smell is a reason to immediately seek treatment, labor can begin any day, and you need to get rid of the fungus before it starts. It is much easier to treat a mother than to later deal with this problem in a newborn.

Bloody and brown discharge

Brown discharge at 39 weeks may be normal in extremely small quantities, like thin streaks when a mucus plug is released, but in most cases it is an alarming and dangerous symptom. The appearance of spotting if you are 39 weeks pregnant, brown discharge leaving stains on your underwear is a sign of danger, as are similar bloody discharges. At 39 weeks, any bleeding can signal placental abruption, which is a threat to the baby’s life. Blood requires only one action from you - immediately call ambulance. The expectant mother herself should try to lie down and move as little as possible, because the bleeding may intensify and it is impossible to go anywhere on your own, much less walk.

Yellow and greenish discharge

Yellow discharge at week 39, green, thick, with a bad odor - a sign of infection. Ordinary mucous discharge may also look yellow if it remains on the underwear for a long time, but it does not smell, but if you smell a not too pleasant smell, and even more so, the discharge is accompanied by itching and burning - this indicates the presence of a genital tract infection. Gonorrhea and ordinary colpitis caused by E. coli can give such a picture; in any case, getting something like this before childbirth is very bad, treatment is necessary.

Any doubts about the normality of your discharge during pregnancy should be a reason to consult a gynecologist.

The gestation period is coming to an end, and the baby can no longer wait to come out. All the baby’s vital systems are formed, and the fetus is approximately the size of a watermelon.

Spending time at home in anticipation of childbirth Expecting a boy
neatness of contraction phase
changes how much
in the clock position

Fetal development

When the 39th week of pregnancy begins, the baby should have the following achievements.

1. By the end of the term, the weight of the fetus should be about 3 kilograms, and the height should reach 50 centimeters. These indicators are individual and are transmitted from the father and mother of the unborn child.
2. The digestive, respiratory, immune and other systems of the body are ready to function. The first feces appear in the intestines as a result of the baby swallowing amniotic fluid. They are eliminated from the body after birth.
3. The baby’s intestines do not yet have their own beneficial microflora - they will appear with the first portion of mother’s milk.
4. Central nervous system not yet fully developed. She will continue to improve after birth.
5. The baby can already hear everything and feel touches on his stomach. He also distinguishes between light and dark times of the day, and he has developed a stable rhythm of life. He reacts to the anxious and calm state of the mother. Stress and excessive anxiety have a bad effect on a child's body.
6. The child's eyes can focus at a distance of 20-25 centimeters.
7. The fetus began to move less actively, as the space surrounding it became noticeably tighter. At 39 weeks this occurs due to less amniotic fluid. As a rule, the baby has already taken the right position to go outside.
8. The sucking reflex, necessary for eating immediately after birth, actively develops.
9. The baby's skin is no longer translucent. It has acquired a white tint, and the folds due to weight gain and subcutaneous fat are gradually smoothed out.

Spending time at home

As a rule, the baby already has hair. Also, a child at 39 weeks of gestation tries to focus his gaze and respond to a color image.

At 39 weeks, the expectant mother is worried about the upcoming birth. Her body and baby are ready for this process. If you follow some recommendations, it will be easier for the mother to wait for the long-awaited moment.

Final preparations By this time, the expectant mother already knows where she will give birth, as well as who will deliver the baby. She must have all the necessary documents, medications, and things for the trip to the maternity hospital. It is worth carefully planning this day: when contractions begin, is it necessary to call an ambulance or will relatives be able to take the woman by private transport. Long trips at week 39 and long flights are also undesirable. Relatives should always be there to encourage the expectant mother if contractions begin.

Nutrition A pregnant woman may suffer from constipation in the last stages, so you should avoid “heavy” foods and give preference to dairy products, vegetables and fruits. Under no circumstances should you overeat. It is better to eat often, in small portions. You should also continue to take prenatal vitamins during the last trimester.

Emotional state The child is still closely connected with the mother, not only physically, but also emotionally. This connection means that worries and stress, as well as lack of sleep and a nervous state, have a bad effect on the child’s health. Mom needs more positive emotions and to protect herself from worries and stress. When the baby is not yet born, you can afford to go shopping to buy all the things your baby needs.

What happens in the mother's body

The baby is considered full-term and was ready to be born at 38 weeks. Week 39 is the home stretch; the mother is about to give birth and her body is already ready for childbirth.

1. The expectant mother's cervix becomes shorter in order to be ready to open and release the baby.
2. The belly drops lower and lower, and the baby is closer to the exit of the uterus.
3. At week 39, the mother may feel relief: weight loss, pain in the lower abdomen decreases, swelling of the body ceases to bother, and the lower back stops hurting.
4. The mother may experience “training labor” - the uterus begins to contract, pain appears, as during contractions, but these signs do not lead to the onset of labor.

At 39 weeks, a pregnant woman experiences excitement in anticipation of the long-awaited meeting with her child. She worries about how labor will go at 39 weeks of pregnancy and listens to her body:

• the expectant mother feels the baby’s kicks less often, the fetus drops closer to the pelvis, which means that labor may begin soon;
• it becomes easier for a woman to breathe, since the enlarged uterus no longer puts pressure on the lungs and diaphragm;
• discharge mixed with mucus may begin, which means that the mucus plug, protecting the baby from the outside world, has gradually begun to come out;
• A pregnant woman has to run to the toilet more often due to the enormous pressure on the bladder.

In general, if the pregnancy proceeds without complications, the pregnant woman can only wait for contractions to begin.

In anticipation of childbirth

Discharge at 39 weeks of pregnancy may be a harbinger of the onset of labor. In order not to miss a long time this moment, a woman needs to carefully monitor her feelings. Moreover, discharge now serves as a signal of developmental anomalies, so at the first alarming symptoms you need to call an ambulance.

1. Discharge mixed with mucus occurs due to the fact that the mucus plug begins to separate. This is a sign that the baby is already asking to come out. Normally, the discharge should not have an unpleasant odor or be different in color.
2. Discharge that is yellowish-white in color may be amniotic fluid. At 39 weeks of pregnancy, fluid may begin to leak due to a violation of the integrity of the membranes. This is an alarming symptom, since the membrane protects the baby, and infection can leak through the gap. Also, the gradual leakage of this fluid can delay labor. If you experience this symptom, you should consult a doctor.
3. Bloody discharge may indicate that something is wrong. This is an alarming sign of placenta rejection. Also, bleeding at the 39th week of pregnancy can be caused by hypertonicity of the uterus: a feeling as if the stomach is turning to stone, the muscles are tense. To relax them, mom can drink No-shpa. You need to immediately go to a specialist so as not to harm the child and save his life.

Other period features

If a pregnant woman now feels sexual attraction to her partner, then sex at 39 weeks of pregnancy is possible. Of course, this applies to those cases when pregnancy proceeds without complications. It is worth remembering that the hormonal and emotional surge achieved during orgasm at 39 weeks can cause the onset of labor. This process is especially likely in multiparous women.

During sex, a woman should not experience pain. At 39 weeks of pregnancy, the fetal head is pressed tightly against the exit of the uterus, so sudden movements should be avoided.

The fetus at 39 weeks of gestation is already ready to come out. If this is a woman’s second pregnancy, then at this stage high probability the beginning of labor.

When the 39th week of pregnancy begins, the harbingers of the onset of labor will be as follows:

• discharge of amniotic fluid: fluid leakage can occur rapidly or little by little during the day, the release of amniotic fluid always means the onset of labor at the 39th week of pregnancy, it is dangerous for the baby to be in the womb without fluid;
• contractions should occur at intervals of 5-10 minutes: in order not to confuse them with “training” ones, you need to note the time in between them and check the norm; during contractions, in order to relieve pain, the woman is advised not to lie or sit, but to walk slowly;
• release of the mucus plug: a violation of the integrity of the fetal bladder begins with the release of the plug; the woman will understand that labor has begun as soon as she notices abundant mucous discharge of a yellowish-white color.

Usually, by this stage of pregnancy, the “alarm suitcase” has already been collected (if this is a woman’s second birth, then she already knows exactly what needs to be put in it). All you have to do is call an ambulance and wait for the magical moment of meeting your child. At 39 weeks of pregnancy, the warning signs of labor can be confused with “training contractions.”

Waiting for a boy

If at 39 weeks of pregnancy a woman feels that her lower abdomen is tight and hurts, then you should not worry too much. This is a normal condition because in anticipation of labor, the uterus drops to make it easier for the baby to come out.

It’s another matter if the nagging pain does not stop for several hours and radiates to the lower back. It could be contractions. The expectant mother should note the intervals between pain sensations so as not to confuse them with “training contractions.” This is how the uterus prepares itself for childbirth.

If the pain in the lower abdomen intensifies and bleeding occurs, you should immediately consult a doctor. This may be a sign of a pathological or abnormal condition. The doctor will help save the baby’s life and not harm the mother’s health. Find out if it's normal if .

At 39 weeks of pregnancy, due to family circumstances or health reasons, it may happen that a woman needs to give birth prematurely. There are folk and time-tested methods on how to give birth faster.

1. Having sex can stimulate labor. Sperm, when released into the vagina, can speed up labor by affecting female hormones. Also, having sex promotes blood flow to the pelvic organs, which can also cause labor.
2. Active physical activity is another way to speed up labor. Energetic walking, long-term cleaning of the room, and brisk walking up the stairs are suitable. A woman just needs to warn her relatives in advance about her actions.
3. Massaging the breasts and nipples can also cause the uterus to contract and blood to flow to the pelvis, leading to the onset of labor.
4. Folk remedies that can relax the intestines stimulate the onset of labor. Drinking 1 spoon of castor oil after meals will help. A woman can also give herself an enema or take a laxative.

: Borovikova Olga

gynecologist, ultrasound doctor, geneticist