Fetus at the 28th week of pregnancy: wiggling, development, weight and size
The baby has already gained its first kilogram and stretched to 38.5 cm, or maybe more. Places for active games remain ever less. He can no longer freely tumble, but still has every chance to change his presentation, so do not worry, if now he lies not as it should be (that is, not down the head) - it can still change.
The main thing in the third trimester is the control of movements. By the 28th week, the baby has already developed its own mode of sleep and wakefulness. Usually, the baby sleeps during the day when the mother is active, and begins its activity at night, when the mother's rhythmic, lulling body movements disappear. Also, the activity of the baby can increase after eating or with increasing levels of adrenaline in the mother's blood (due to stress or emotional shock).
Identify the hours in which the baby is most active. Monitor movements twice a day - in the morning and in the evening. Optimal is 10 movements for 1 hour. But if he made less than 10 movements within an hour (not only coups and blows are taken into account, but also minor perturbations), this can be cause for concern. If you do not notice any activity for more than a day, the doctor should be contacted immediately.
In general, be very careful now to yourself and your baby. He became very sensitive to loud sounds, light changes, the quality of the air you breathe and the drinks and food you consume. With sharp aggressive jerks, the crumb can express his requests: change the position of the body or undress a little. But do not take every push as a sign. Remember, he gets a little crowded there.
Although most of the pregnancy has already left behind, the baby continues to evolve and improve. Since 28 weeks, subcutaneous fat begins to form actively - and the skin will gradually be smoothed. Alveoli continue to form, bone tissue strengthens.
The brain of the baby is actively developing: at the 28th week of pregnancy, the first brain convolutions and grooves appear, although they began to form a little earlier. Now with a high degree of probability it is possible to determine which hemisphere of the brain the children will be leading. So, right-handers, who have a right-hand man, prefer to pull the fingers of their right hand into the mouth, but left-handers tend to give preference to the fingers of the left handle.
The baby is now completely and completely like a little man. Clearly loomed face, with its inherent unique features. Funny and mimicry of the baby: he yawns, blinks, squints and frowns, twists. At the head of the crumb, thin hairs already grow, practically down.
At 28 weeks of pregnancy, my mother will have to undergo a series of examinations, and in general now she will need to see more often with a gynecologist. Now you need to check the level of glucose and hemoglobin in your blood. With a negative Rh factor, the mother also needs to undergo a second test for antibodies.
So that everything goes well, balanced and eat right, walk a lot, but do not stay on your feet for a long time, just relax, avoid stressful situations.
The further, the more awkward you will feel. It's even funny! Let your relatives help you, and in the meantime start writing a list of things necessary for a future future member of the family.
Do not forget about weight control: at this stage, weight gain should be about 50 g per day or 300 g, in the extreme case - by 500 g - throughout the week. In order to track the weight, weigh yourself every morning and, of course, do not forget to eat right.
Pains at the 28th week of pregnancy
As the term and growth of the uterus increase, pregnant women are increasingly able to disturb all sorts of uncomfortable sensations. So, the most common problem of the second trimester of pregnancy are pain in the lower back and the spine: the center of gravity is shifted, the joints soften, the ligaments are stretching more and more, and hence the characteristic pains appear.
Back pain, similar to radiculitis, giving to the thigh and even sometimes reaching the knee and ankle - a consequence of the squeezing of the growing sciatic nerve nerve. In principle, such pains even though they cause discomfort, but do not have to make a lot of pregnant. They arise spontaneously, irregularly, not pronounced, and more are noisy. But when there is a sharp, severe pain in the lower back, which resembles spasms, it is better to immediately dial the number of "ambulance": it is possible that the sensations in this case are associated with the risk of premature birth.
With the increase in weight, possible pain and fatigue in the legs are connected: now the woman has to "carry" a much larger body weight than it was before pregnancy. To avoid possible problems with your legs, rest more often, unloading both legs and back, every evening arrange yourself a massage procedure, foot baths with cool water.
Be sure to pay attention to swelling: during pregnancy, legs or hands swell to some extent, hands, there may be some swelling of the face. If swelling is insignificant, there is no reason to worry, unless it is necessary to revise the diet a little: to reduce salt intake, to refuse fried and smoked food, to monitor the consumption of liquid (soups, juices, milk, fruits are also taken into account). In themselves, edema is not dangerous, but, in some cases, there may be a symptom of a complicated complication of the second half of pregnancy - gestosis.
The abdomen at the 28th week of pregnancy: pulls, hurts
The stomach aches should also be listened to: if at week 28 the stomach is pulled, it hurts, this may indicate certain problems during pregnancy. But, at the same time, it can be a norm.
The stomach can ache, say, because of the softening and tightening of the ligaments holding the uterus. Drawing or stitching pain in this case occurs periodically, more often during a change in the position of the body, When a woman rises from a chair or bed, and is deployed from one or both sides of the abdomen.
Aching in the lower abdomen may be associated with a disruption of the digestive system. Flatulence, constipation, colitis, dysbiosis, but even too tight dinner - any or the above factors can provoke the appearance of painful sensations in the abdominal region.
The sudden and palpable but perceptible pain that occurs in the hypochondrium is a consequence of the constant growth and activity of the baby. Careless his jerks and kicks often come just on the ribs of Mom, here they hurt. At the same time, if the pain in the hypochondrium is dull, aching, occurs a few hours after ingestion, while accompanied by a bitter eructation, a symptom of the pulling abdomen, nausea,about to exclude the probability of development of cholelithiasis cholecystitis.
Acute, severe pain in the abdomen at the 28th week of pregnancy can indicate premature detachment of the placenta. With detachment of the placenta, blood separation from the genital tract is also usually observed. However, there may be internal bleeding: then the blood does not come out, and the expectant mother feels strong sharp pains in the abdomen, often they are so strong that it is almost impossible to touch the abdomen.
With premature placental abruption and premature birth, acute pain occurs in the abdomen. Premature birth is considered, those that occur after this time. They can be started, beginning, threatening. In these cases, at first, the pains in the lower abdomen for the 28th week of pregnancy are insignificant. They are noisy, they can give back. If a woman has really begun to give birth before the due date, then they pass into cramping, and then into regular pain. This is accompanied by the escape of amniotic fluid.
Premature births occur most often in women who suffer from gynecological diseases, have defects in the development of the uterus, and have diseases of other internal organs. Women who experience severe toxemia in later periods are also considered to be a risk factor.
Births that began in the second half of the gestation period can not be stopped. Slight heaviness in the abdomen during pregnancy of 28 weeks with placental abruption is accompanied by bleeding. It can be internal and external. As a rule, a woman has a sharp drop in blood pressure, and she loses consciousness.
Pain does not always indicate a serious problem. Spasms of the digestive system often respond with aching pain and it is in the lower abdomen. It can be a colitis and a dysbacteriosis of an intestine. Not quite fresh food, a tight dinner - all this creates an additional burden on the digestive system.
Allocations at week 28 of pregnancy
Excretions that are considered normal for this period, as before - a homogeneous consistency, light or light milky, with a slight sour smell. Any changes in the color and nature of the discharge should help the woman: the appearance of green, earthy-gray, yellow discharge, foamy or curdled excretions, with a flocculation, are all symptoms of the attachment of an infectious disease. The activation of infection will also be indicated by a changed odor of discharge - a sharp, unpleasant, and the appearance of burning or itching in the genital tract.
The appearance of bloody discharge in any quantity and any intensity is extremely unfavorable. Even smearing brown or slight bloody discharge is an occasion for an immediate call of an ambulance. So, the blood in any quantity indicates a possible abruption or placenta previa, the detachment of the normally located placenta is almost always accompanied by drawing aching pains in the lower abdomen. Also, spotting can be a sign of beginning premature birth.
Like liquid watery discharge of a yellowish hue, which, in fact, are amniotic waters. Simultaneous outflow of amniotic fluid is a sure sign of the beginning of preterm labor. However, amniotic fluid can flow in small portions, creating only a sensation of increased moisture on the panties. But in this case it is also necessary to consult a doctor immediately. First, the leakage of amniotic fluid is always associated with a violation of the integrity of the membranes, which is fraught with the introduction of infection to the fetus. Secondly, even a slight, at first glance, leakage of amniotic fluid can end up with a breakthrough of the membranes and the beginning of premature birth. And the childbirth is swift, and it's extremely necessary to make time with medical help in this case. Otherwise, the consequences can be very, very deplorable.
At the 28th week of pregnancy, ultrasound is prescribed except for some individual indications: the time of the second planned ultrasound examination was left behind, and the third - has not yet come. But, even if the doctor sees the need for a repeated ultrasound at 28 weeks of pregnancy, do not worry, the fetus does not hurt, because the safety of ultrasound research is proven by medicine.
As before, the main indicators for ultrasound at a period of 28 weeks are the indicators of the development of the baby and the condition of the uterus. The specialist will examine the internal organs and systems of the baby, assess the location of the uterus and its size, determine the location and degree of maturity of the placenta, umbilical cord.
Determine the uzist and the presentation of the fetus in the uterus - the head, pelvic or transverse. If during an ultrasound examination it turns out that the baby is in the transverse presentation, you should not immediately get upset: in the near future, he can still accept the most physiological presentation for the birth (headache).
Please note that the size of the fruit at this time is already large enough, therefore, it is almost impossible to discern it on the monitor yourself. But, if you decide on 3D or 4D, you will still have time to get a "portrait" of the baby. Later the crumb will grow even more, and it will be impossible to take a picture - now the last chance remains for this.