An ultrasound examination in the third trimester of pregnancy is carried out according to certain medical indications. Typically, such a study is prescribed for a pregnant woman whose fetus has certain developmental pathologies.
The purpose of the
Performing a study in this period of pregnancy quite often coincides with the time of the third screening. Usually this examination is performed at 30-32 weeks of fetal development.
It should be noted that ultrasound at this stage of pregnancy may not be indicated for all women.
Using an ultrasound examination, doctors can determine main indicators of fetal development. This method allows you to conduct a full-fledged complex fetometry. This study includes quite a few different parameters.
32 obstetric week- this is the period when the baby's body is almost completely formed. Such physiological feature allows you to determine quite a lot of different indicators.
Quite often, doctors prescribe an ultrasound to determine the final tactics of obstetrics. Moms who have a breech presentation of the fetus at this time may also need to repeat an ultrasound examination a couple of weeks before delivery.
Ultrasound at -32 weeks pregnant can also be prescribed in multiple pregnancies. Especially often this situation occurs if one of the fetuses has defects in intrauterine development. In difficult clinical cases physicians may resort to an expert-level ultrasound.
Of course, during the ultrasound examination, it is possible to determine the sex of the unborn baby. This is usually done when a pregnant woman has missed a previous screening. In most cases, the sex of the unborn child is determined in the middle of the second trimester.
Ultrasound at this stage of pregnancy can be performed in different ways. Dopplerography is used to determine the pathologies of blood flow. Using this method, diagnostic specialists can determine various pathologies of the placental and uterine blood vessels that feed the fetus.
Dopplerography has also been successfully used to detect emerging heart defects in the fetus.
It should be noted that expectant mothers who, during an ultrasound scan at this stage of pregnancy, doctors found any deviations from the norm, should not immediately start to panic.
One conclusion of the ultrasound test is not yet a diagnosis at all. The interpretation of the result is necessarily carried out by an obstetrician-gynecologist who observes a pregnant woman throughout the entire period of pregnancy.
Main parameters under study
The third trimester is the final stage of the intrauterine development of the baby. To assess pathologies during this period of pregnancy, doctors have developed a number of different clinical indicators.
For a comprehensive conclusion, a comparison of all the results obtained is required.
Fetometry is a baseline study that is actively underway during this period. This method allows you to evaluate the main indicators of the anatomy of the fetus. To do this, during the study, the ultrasound doctor evaluates several parameters. These indicators include the biparietal size and circumference of the fetal head, as well as the circumference of the abdomen.
Must be defined dimensions of the main tubular bones. For this, their length is estimated. Too short tubular bones can be a sign of some genetic diseases or emerging pathologies of the musculoskeletal system.
During the study, which is carried out at this stage of pregnancy, it is also necessary to evaluate abdominal circumference. Doctors have found that this indicator is often associated with head circumference. If the baby's tummy is too large in diameter, then this can be a manifestation of a very dangerous pathology- ascites. It is characterized by the accumulation of excess fluid in abdominal cavity The child has.
At this stage of pregnancy, it is possible to determine and estimated baby weight. An experienced ultrasound specialist will determine how much the fetus weighs with an accuracy of tens of grams. Too much large fruit- this is, as a rule, an indication for a caesarean section, especially in the case of a too narrow pelvis in the mother. Underweight usually occurs in one or both babies in multiple pregnancies.
Evaluation of the work of all vital systems of the fetal body is a very important step in the ultrasound examination. At this time, the doctor already perfectly determines the fetal heartbeat. Exceeding or decreasing this indicator below normal values indicates the formation of pathologies in the work of the cardiovascular system. Such manifestations are especially dangerous if the mother has a history of heart disease.
Identification of heart defects is necessary. Modern techniques make it possible to detect such defects quite effectively. Pathologies in the development of heart valves and the appearance of pathological blood flows (regurgitation) on them may be an indication for surgical correction immediately after the birth of a child.
With the help of ultrasound at this stage of pregnancy, it is also possible to detect various anomalies in the development of the kidneys and urinary tract in the fetus. Qualified specialists can also determine the emerging pathologies of the pelvis and bladder. Along with the study of the urinary system, the doctor necessarily evaluates the work gastrointestinal tract and respiratory system in the fetus.
An examination of the spine in a baby is carried out only if there is a suspicion of the presence of genetic or chromosomal diseases. To do this, an ultrasound doctor examines a linear section of the spine. The spinous processes are also studied. If during the study, an ultrasound specialist revealed any significant defects and he suspected the presence of signs of chromosomal diseases, he would refer the future mother for a consultation with a geneticist.
The placenta, or "baby place" is a very important organ during pregnancy. Through it, the baby receives all the necessary nutrients, as well as oxygen. This is due to the system of uteroplacental blood flow that is common with the mother.
Assessment of the thickness of the placenta, as well as the tone and structure of its blood vessels, must be carried out during the study during this period of pregnancy.
During any ultrasound examination, the doctor must evaluate and main parameters of the internal genital organs future mother . This is necessary for the timely detection of pathologies that can lead to disruption of the course of pregnancy and difficulties during childbirth.
For this, the inner surface of the uterus is examined, and the dimensions of its appendages and ovaries are determined. During ultrasound, neoplasms and cysts can be detected. If these pathologies in a pregnant woman were detected even before the onset of pregnancy, then in such a situation, the dynamics of their growth is necessarily assessed. With an unfavorable course of fibroids or cysts, careful selection of the necessary tactics of obstetric care may be required.
Norms of the studied parameters
Normal doctors consider head presentation. Too much active kids can change their position in the womb several times. Usually, by the end of the third trimester, the presentation is already becoming permanent. In some situations, doctors may prescribe a second ultrasound in 2-3 weeks.
The location of the placenta on the back wall is the most optimal. Doctors also determine how high this organ is located from the internal os of the uterus. If the placenta attaches too low to it, then this may be the result of its increment or lead to various pathologies.
During the study, it is also necessary the cervix is assessed. Normally, this figure should be more than 30 mm. Shortening of the cervix is an extremely unfavorable symptom of isthmic-cervical insufficiency. In this case, additional suturing is required to eliminate this pathology.
It is very important during such a study to evaluate and uterine tone. Hypertonicity can lead to premature birth. Also, this condition contributes to the formation of placental insufficiency.
The amniotic fluid index is a very important indicator, which is also evaluated during this period of pregnancy. Too much of its accumulation is a manifestation of polyhydramnios. Normally, this figure is 140-269 mm. A significant decrease in this indicator indicates the manifestation of oligohydramnios.
Deciphering the results
Future mothers should remember that the interpretation of the obtained values of the study is carried out by an obstetrician-gynecologist, and not an ultrasound specialist. One conclusion of an ultrasound test is not yet a diagnosis. To confirm or exclude pathology in the fetus, it is also necessary to compare the ultrasound findings with biochemical analyzes that were carried out in different periods pregnancy.
Tachycardia- an unfavorable symptom that may indicate fetal hypoxia. To development given state can lead to entanglement of the baby's neck with the umbilical cord. Also, palpitations occur with some heart defects.
Bradycardia, detected at this time in the fetus, may be the result of a lag in intrauterine development. This symptom also appears in the presence of certain cardiovascular anomalies. A decrease in the fetal heart rate below 130 beats per minute requires a mandatory thorough diagnosis. for the detection of various defects of the valvular apparatus of the heart.
At this stage of pregnancy, the maturity of the placenta is usually of the first degree. For more early stages it happens to be zero. With the course of pregnancy, the maturity of the placenta increases. If the placenta does not “ripen” for childbirth, then this is already a pathological condition.
A study of the thickness of the placenta is also mandatory. A smaller thickness of this organ occurs with the possible development of placental insufficiency. Too thick placenta may indicate the development of edema or inflammation. To the development of such pathological changes lead to various viral and bacterial infections.
Ultrasound at 32 weeks of gestation is the third scheduled ultrasound examination. It is performed for the most part to determine the possible developmental delay of the fetus and to examine the condition of the placenta. More about this.
Ultrasound at 32 weeks of gestation, the decoding is the same as for a period of 12 or 20 weeks. Doctors look at all the same parameters - the circumference of the head, abdomen, the size of the arms and legs. Their norms for the thirty-second week of pregnancy are as follows:
BPR - 75-89 mm
LZ - 95-113 mm
OG - 283-325 mm
Humerus and forearms - 52-62 mm, 45-53 mm, respectively.
Femur and lower leg - 56-66 mm, 52-60 mm.
Depending on the data obtained for all these proportions, the approximate weight and height of the child is calculated. It often happens that the results obtained do not correspond to the gestational age. And if this is a slight lead, it's okay. But at 32 weeks of pregnancy, ultrasound indicators in the form of a lag, on the contrary, can be a sign of intrauterine growth retardation of the fetus. The causes of this pathology is the lack of oxygen and nutrition that enter the child's body. As a result of this, a weak child, poorly adapted to extrauterine life, with a small weight, may be born.
The form of fetal growth retardation can be symmetrical and asymmetrical. With symmetrical - the head and body of the child is smaller than they should be at a given time, evenly. With asymmetric, usually the head corresponds to the term, and the volume of the abdomen is smaller. I would like to note that the symmetrical form of fetal developmental delay with a delay of 1-2 weeks may not be a delay at all, but a hereditary feature. If both parents are short, even short, the child can also be born small.
Usually, when diagnosing a developmental delay in a child, doctors recommend an ultrasound control after 2-3 weeks. But there is good news for those who are afraid of the potential harm of ultrasound during pregnancy (which, by the way, is not present) - a doctor in a antenatal clinic can also monitor the development of a child. This is possible by measuring the height of the uterine fundus with a centimeter tape. If the level is 2 or more centimeters less than it should be at the set time, this indicates fetal hypertrophy. In addition, dopplerography and CTG are necessarily carried out, blood flow and heartbeat in the fetus are monitored. In this way, acute hypoxia can be diagnosed. Treatment of fetal hypertrophy is carried out in a hospital. A woman is prescribed medications to "support" the fetus, improve blood flow. If the developmental delay becomes even more noticeable, the child's condition worsens - an emergency C-section at any time, if possible with preliminary medical preparation of the child's lungs for disclosure.
The cause of fetal hypertrophy may be premature maturation of the placenta. And this is also visible on the ultrasound. In total, 4 degrees of maturation are diagnosed in the placenta. At 32 weeks, the placenta is normally 0 or 1 degree of maturity. The 2nd degree is also considered the norm if there are no complaints about the development of the child. Closer to childbirth, the placenta reaches the 3rd degree of maturity, with a post-term pregnancy - the 4th. The greater the degree of maturity of the placenta, the greater the risk of oxygen starvation for the child. Unfortunately, there is no way to “renew” the placenta. Doctors can only provide supportive care. In addition to the degree of maturity, experts pay attention to the thickness of the placenta. If it is not normal, this may indicate an intrauterine infection. More often, certain problems with the placenta are observed in women with preeclampsia.
By the way, more about the placenta. On ultrasound at 32 weeks of gestation, its location must be looked at. It is dangerous if it is low, that is, the placenta is located close to the internal pharynx or completely covers it. Most often, this becomes the reason for early operative delivery, since premature detachment of the placenta causes very heavy bleeding. As a result, both mother and child can die.
An important factor in the course of pregnancy is the amount of amniotic fluid - amniotic fluid. Often, women are diagnosed with polyhydramnios or oligohydramnios. However, in the formulation of these diagnoses, errors are not uncommon, and they are clinically significant only with significant deviations from the norm. So, with severe oligohydramnios, women often experience premature birth, and antenatal fetal death occurs. Polyhydramnios often occurs against the background of infections that can harm the child. It is almost impossible to correct the amount of amniotic fluid with the help of medical interventions.
But enough about medical subtleties. What is interesting about the survey at this time for the women themselves? The fact that the child is already quite large and can be clearly seen. Especially if a 3D or 4D study is being carried out.
When the 32nd week of pregnancy is in the ultrasound photo, you can see a fairly clear portrait of the child and even note his resemblance to his parents. By the way, such clarity is also indicative in terms of identifying various markers of chromosomal pathologies. And one more pleasant moment - ultrasound at the 32nd week of pregnancy shows the sex of the child clearly if the baby turned to face the front wall of the uterus.
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Ultrasound at 32 weeks during pregnancy is the third planned screening that a woman needs to undergo.
This ultrasound is considered very important, because it is on it that doctors look at the presentation of the fetus and determine the tactics of the upcoming birth.
In addition, the third screening is an opportunity to confirm the previously determined sex of the child, as well as to make sure that the fetus is developing normally.
At this stage of pregnancy, the anatomy and biometric parameters of the child, the state of the placenta in which it resides, as well as the maturity of the internal organs of the fetus, are examined.
An ultrasound scan performed at 32 weeks of fetal development does not require special preparatory measures.
No need to go on a diet, not eat food for several hours, drink a lot of water or not drink it at all.
Before lying on the doctor's couch, a woman is supposed to undress to the waist, exposing her stomach.
Ultrasound diagnosis of the fetus in the third trimester of its development is supposed to be carried out exclusively by the abdominal method, scanning the abdominal cavity through the abdominal walls.
In order for the doctor to gain full access to the entire surface of the abdomen of the fair sex, the woman must lie on a special couch on her back and take a relaxed position.
For the convenience of ultrasound, the right side of the patient is supported by a small auxiliary roller.
After the lady settles down on the couch, the doctor will lubricate her stomach with ultrasound gel and place a transducer on it, which reads information about the pregnancy using ultrasonic waves.
By manually moving the sensor of the device, the sonologist will check all the parameters of the developing pregnancy that are of interest to him.
Ultrasound performed at this time should not cause pain to either the mother or the child. From small pressure on the walls of the abdomen, the child can increase his activity and begin to move his limbs.
The time for an ultrasound at 32 weeks of pregnancy depends on which type of procedure you choose.
If you want to limit yourself to conventional, two-dimensional screening, you will spend about twenty minutes in the doctor's office. 3D and 4D screenings will take longer, ranging from forty minutes to an hour.
Many gynecologists who supervise pregnancies often advise their patients who are in the third trimester of pregnancy to undergo not two-dimensional, but three-dimensional or four-dimensional ultrasound.
Modern ultrasound machines have the best diagnostic capabilities.
3D and 4D ultrasound procedures have another advantage that is valuable for parents of as yet unborn children.
After passing through these types of ultrasound, you can get high-quality photo and video files that will capture your baby.
Many clinics provide a 3D screening recording service. As a rule, it is paid, but its cost is low.
If you plan to invite your husband or partner for screening, choose a 3D ultrasound.
During the procedure, the future father will be able to examine his child in detail, see how he moves his arms and legs, and also hear his heartbeat.
Doctors note that joint visits to the sonologist's office strengthen the psycho-emotional ties between future parents and prepare husbands or women's partners for the coming responsibility of fatherhood.
Fetal biometrics and developmental features
In the period since the second scheduled ultrasound, screening at 32 weeks should show significant changes in the size and level of development of the fetus.
Thirty-two weeks pregnant good time to analyze the brain of a developing child. The doctor should conduct a thorough examination of his hemispheres, cerebellum and lateral ventricles.
The width of the latter should fluctuate within ten millimeters - this is the norm in the vast majority of children whose gestational age is 32 weeks.
Indicators of the width of the ventricles of the brain, which differ from the norm upwards, may indicate a possible hydrocephalus of the child, caused by excessive pressure of amniotic fluid on his head.
After examining the brain, the doctor proceeds to examine the face. The eye sockets, nose and lips of the child should be proportionate and fully formed.
Many of the doctors agree that the third screening procedure is best done on modern 3D or 4D equipment.
It will help to check all indicators of the development of the child that are of interest to doctors, as well as to identify various pathologies that may simply be invisible on a simple, two-dimensional ultrasound.
3D ultrasound allows you to check the child's spine for hernias and splits. Visual inspection of the fetus should confirm that it is developing proportionately.
Despite the fact that since the second ultrasound, the baby has grown significantly and can no longer freely spin in the mother's abdomen, he must maintain acceptable mobility, moving his arms or legs, opening his mouth.
The interpretation of the data obtained on ultrasound (otherwise "indicators of fetal development") should be carried out by an experienced specialist.
Most often, the decoding of ultrasound becomes the responsibility of the sonologists who carry out the procedure, less often gynecologists who supervise pregnancy do this.
At this time, the child's skin, which was once thin, transparent and wrinkled, becomes denser, acquires a flesh tone and completely smoothes due to the accumulation of the subcutaneous retina.
The fluffy hair that covers the body of the baby in the first trimesters of pregnancy completely disappears by the third trimester, and the hairline remains only on the head of the child.
Biparental size (between the temporal bones) - BPR or BRGP; Thigh length - DLB; Diameter chest- DGRK
The child's brain continues to develop rapidly. The sensory systems of his body are being improved, new neural connections are being created and strengthened.
Normal indicators for biometric examination of the fetus:
- biparietal size - eighty-five millimeters;
- fronto-occipital size - one hundred and two millimeters;
- head circumference - three hundred and eleven millimeters;
- girth of the abdomen - two hundred and seventy millimeters;
- thigh length - sixty-two millimeters;
- height - four hundred and thirty millimeters;
- weight - about two kilograms.
What do they look at on ultrasound at 32 weeks?
The doctor conducting the ultrasound is obliged to assess the condition of the provisional organs: the placenta and umbilical cord, despite the fact that they have already been carefully examined at earlier screenings.
In addition, the condition of the uterus, appendages and other internal organs of a woman should not hide from the doctor's attention.
If the doctor reveals the improper functioning of the body of the mother or child, then the woman will have to go to the hospital for preservation.
The presentation of the fetus, which is visualized by doctors at this stage of pregnancy, is considered to be final.
If it falls within the normal range, doctors enter this data into a medical record, with which the woman will go to the maternity hospital.
If the ultrasound results show that your fetus is in the pelvic position, your doctor may suggest manual external adjustment of the baby's position inside the abdomen.
Cases where babies are located across their mothers' bellies or diagonally across them are also not the norm. External correction of the fetus with such types of diligence is prohibited!
Oblique or transverse diligence of the fetus is one of the signs of oxygen deficiency. To exclude the presence of this symptom, you should undergo a dopplerometry procedure.
Ultrasound performed at 32 weeks of gestation can reveal fetoplacental insufficiency, which often leads to premature birth.
This insufficiency is characterized by functional disorders in the work of the placenta, which can complicate the work of the respiratory and digestive systems the body of the child, weaken its protective functions, and also provide a colossal lack of hormones necessary for the fetus for adequate development.
The norm of the location of the placenta is diagnosed if the edge of its bottom does not block the internal outlet of the cervix.
The degree of maturity of this organ, which for many months was zero, at this time is equal to one. The placenta will be able to receive the second degree of maturity only after 34 weeks of pregnancy.
The average thickness of this organ, detected by ultrasound at 32 weeks, is thirty-three millimeters.
The amniotic index of amniotic fluid should range from one hundred and fifty to two hundred and fifty millimeters.
A possible entanglement of the baby's neck with the umbilical cord can only be detected when examining the fetus using a three-dimensional or four-dimensional ultrasound.
Classical ultrasound in 2D format cannot cope with this task.
If an ultrasound scan shows that the umbilical cord is wrapped around the child’s neck or the doctor diagnosing the integrity of this organ finds out that there are not three, but two arteries inside it, then the pregnant woman will have to undergo another study - Doppler.
During this procedure, sonologists will rule out or confirm the presence of hypoxia in the child, which could affect his development.
The length of the cervix during the period of 32 weeks of gestation should fluctuate within thirty millimeters.
During an ultrasound, a sonologist should carefully examine this organ and find out if the woman has uterine hypertonicity and if her pregnancy is complicated by the appearance of cysts.
Ultrasound at 32 weeks is a mandatory procedure that allows you to track the development of the child and determine the tactics of the upcoming birth.
Do not forget to take a special diaper to the ultrasound room, which you put on the couch.
A towel or paper napkins will not be superfluous, with which you can quickly and effectively remove the remnants of a special ultrasound gel used by a sonologist to enhance the contact of the sensor with the skin.
Already 32 weeks pregnant! You are already fully enjoying all the benefits of maternity leave, you can walk a lot, relax, attend courses for expectant mothers. Many future mothers are already choosing gifts for their baby - a stroller, a crib, clothes. If you still continue to work, it's time to think about rest! You must gain strength, because both the baby and you need to give birth good health.
The baby is getting stronger and more active. Before the long-awaited meeting very little!
At the 32nd week of pregnancy, the weight of the child is about 1800 g, and his height is 42 cm. It becomes more and more difficult for the mother to withstand such a load, because the stomach has increased significantly, the usual actions are becoming more and more difficult. Be sure to watch your weight! There is not much time left before the birth, namely, in recent weeks, most mothers are gaining excess weight: activity has decreased, and the hormonal background contributes to the accumulation of reserves. Limit carbohydrates, allergens.
32 weeks pregnant: how many months? Already behind the whole eight obstetric months (one obstetric month - 28 days)! You feel more movements of the baby, but the activity in the last weeks will decrease somewhat - it is already getting crowded in the uterus. But the mother clearly feels that the baby's movements are getting stronger.
What's happening?
A child at 32 weeks of gestation has a proportional physique, his skin is no longer red and wrinkled. Most babies have already grown hairs on their heads by this time. But the vellus hair on the body begins to gradually fall out. They fall out completely most often in the first weeks after childbirth, and maybe before childbirth.
This time is an important period in the development of the baby's immunity. Despite the fact that the vast majority of immunoglobulins his body receives from the mother, its own antibodies are already being produced. The first four months of life to protect the body of the baby will be substances that have been accumulated during the last stages of pregnancy.
fetus at 32 weeks pregnant
If you watch the video “32 weeks of pregnancy”, it becomes clear that the baby is getting cramped in the uterus. Despite the rather high degree of its activity, there is no longer enough space for intensive movements, turning over. In most cases, the fetus is already in head presentation - turned over head down. And mothers often get hit with their heels in the area of the liver, stomach. These joyful sensations of the movements of your little miracle can be painful. To facilitate them, you can sit on the couch, leaning on the back, you can put a small pillow under the lower back. So the stomach bulges forward a little, the internal organs are squeezed less.
Childbirth at 32 weeks of gestation is no longer so dangerous: although the baby’s organs and systems are not fully formed, they may well function outside the mother’s body. And professional help, the use of special equipment will help them.
32 weeks pregnant with twins
Twins are usually born two or even three weeks earlier than babies with a singleton pregnancy. At 32 weeks, preterm birth in the case of multiple pregnancy occurs quite often. Therefore, such mothers need to rest more, limit all kinds of loads, and take care of themselves.
This period is the period of active formation of the central nervous system. It is interesting that by this time the size of the brain in a child is already 60% of the size of the brain of an adult, while the proportions of other organs are about 1/5. That is why newborns have such a characteristic physique.
The baby's senses are already quite well developed: from the first seconds, he distinguishes his mother's voice, quickly responds to sound, light stimuli. The kid hears well his mother's heartbeat, the noise of the blood flow in her vessels, recognizes the voice of his father, even distinguishes the usual noises of household appliances. At this time, it is necessary to talk a lot with the child, sing songs to him, read poetry.
Baby photo, ultrasound
It becomes more and more difficult for mom in the third trimester, because the uterus at the 32nd week of pregnancy is already 8-10 centimeters above the navel, and the volume of the abdomen is impressive. Often there are stretch marks on the abdomen, thighs, chest. That is why it is becoming increasingly important to use cosmetics to prevent stretch marks.
Fetal movements at 32 weeks
Mom feels how strong the baby's movements have become. Usually the baby has already taken a permanent position, and the expectant mother feels the blows of small heels, fists in certain places. It is worth noting that a slight decrease in the activity of the baby at the 32nd week of pregnancy is the norm. The child is already cramped in the uterus, and it is inconvenient to completely roll over, as before. The baby is already uncomfortable when the mother takes an uncomfortable position. He already has a formed daily routine, sleeps longer, and sometimes mothers are frightened by long periods of calm. But if after them there is increased activity, most likely, the baby was just sleeping.
Mom's Feelings
The most pleasant sensations of a mother are, undoubtedly, the sensations of the movements of her baby, who has already grown enough, become strong, and the feeling that there is very little left before the meeting. Even sometimes painful heel strikes for every pregnant woman is the best thing that can happen. Mom clearly distinguishes how the baby reacts to sounds, light, change of scenery, voices.
The last trimester of pregnancy is usually accompanied by discomfort in the back. Pain in the lumbar region can be quite significant, and this requires the mother to rest more often. Many mothers recommend for back pain to lie on their side and bring their legs slightly, so the distance between the vertebrae increases, the load decreases, the pain syndrome decreases. Also good effect gives swimming. It is swimming that doctors recommend to all expectant mothers during the normal course of pregnancy. Regular exercises help to keep muscles in good shape without intense loads, which is extremely important during childbirth and recovery after them. In addition, in water, the load on the spine is much less, and this makes it possible to prevent the occurrence of pain. Water procedures also have a relaxing effect, it is a pleasant and at the same time active holiday.
At the 32nd week of pregnancy, it is already desirable to finally decide in which maternity hospital you will give birth, who will take delivery. If you have made a choice, find out if this maternity hospital is closed for washing. It's time to start packing things to the hospital according to the list. Ask at the hospital if you need to bring any medication with you. If you are planning a joint birth, find out if your dad needs any tests. Most often, a fluoroscopy is required.
Be sure to attend the school of future parents, and with dad! You will be taught not only how to properly care for a newborn, but they will also explain in detail how childbirth proceeds, teach breathing techniques, and show you how to perform anesthetic massage during contractions and in between them.
Pay enough attention to your health. Constantly control your posture, this will ease the load on the spinal column, and pain will occur less often. Watch for swelling. In the last stages of pregnancy, swelling is a very common occurrence. Avoid tight clothing, if rings interfere with you, it is advisable to remove them for a while. Ask your spouse to give you a lymphatic drainage massage of the legs - this will not only relieve fatigue, but also significantly improve blood flow, reduce pressure on the veins, and relieve swelling.
- If you're having trouble sleeping, change your evening routine. Be sure to take a walk before going to bed, listen to relaxing music. If your enlarged belly does not allow you to sleep peacefully, try using a special pillow for pregnant women - many mothers note that it helps to take a comfortable position for mom and baby, and sleep becomes stronger.
- You can already safely purchase a dowry for a child, equipping his room or a corner in your bedroom. If you decide not to purchase anything in advance, you can simply finally choose which stroller, crib, mobile you like best, and dad himself will be able to buy them for your arrival from the hospital. But the baby still needs to buy some necessary clothes.
- Remember that severe swelling, which can manifest as a large weight gain, may indicate preeclampsia. This condition requires immediate medical attention.
- Allocations at 32 weeks of gestation require mandatory control. Slight discharge of a homogeneous consistency is acceptable. Any change has a specific reason. If streaks of blood appear, and especially if there is a copious discharge of blood, you should immediately go to the doctor. If the discharge has become watery, their number has increased markedly, this may be a sign of amniotic fluid leakage, which also requires specialist advice.
Pain at 32 weeks pregnant
Pain often accompanies last dates pregnancy. They are associated with an increase in the abdomen, a shift in the center of gravity, a significant increase in the load on the spine. To reduce pain in the back, legs, it is necessary to monitor weight (weight at 32 weeks of pregnancy should be strictly controlled), do gymnastic exercises, massages, and rest more often. To relieve fatigue from the legs, it is useful to simply lie down with your legs on a roller or pillow. The baby usually already takes a position upside down, and the blows of the small legs can cause pain in the epigastrium.
Abdominal pain may also occur. The uterus is preparing for childbirth, and the woman feels training contractions. These are periodic uterine contractions that do not cause the cervix to dilate. Usually women feel them as a tension in the abdomen. If the pain is severe, it requires increased attention. In this case, you need to consult a doctor.
Required research. Analyzes
In addition to standard studies, a planned ultrasound examination is performed at 32–34 weeks of gestation. Ultrasound at the 32nd week of pregnancy allows you to assess the health of the baby, the functioning of the placenta, exclude fetoplacental insufficiency, accurately determine the presentation, position of the fetus. In addition, oligohydramnios during pregnancy is excluded. Week 32 is the most suitable time for diagnosing such a pathology. Ultrasound examination at this time already makes it possible to predict the size of the fetus at the time of delivery, which is important for the tactics of their management, especially in the presence of a large fetus.
Useful video
Questions - answers
Please tell me I am 32 weeks pregnant. Breech presentation can still change?
From 32 weeks it is already unlikely that the baby will change position. The question of the need for any measures to change the presentation is decided individually in each case. It is possible to carry out special techniques to help the baby roll over, but in some cases this can only do harm, causing an entanglement of the umbilical cord at the 32nd week of pregnancy. All activities are carried out only by a doctor, only after an ultrasound examination, and only if there is no threat to the child.
I want to take an ultrasound photo at 32 weeks pregnant. Is it possible at this time?
Of course, especially since it is during this week that a planned ultrasound examination is most often performed. Be sure to take a photo of the baby for memory, if you want!
I'm 32 weeks pregnant, my stomach pulls periodically. Is this the norm?
At this stage of pregnancy, the uterus is preparing for childbirth, there is a contraction of Braxton-Geeks, or training contractions. Most women describe them this way - pulling the stomach. However, if the sensations are more intense and your stomach hurts at 32 weeks pregnant, contact your doctor.