Symptoms of late pregnancy
The third trimester is close to labor, so expectant mothers should be especially careful! When a pregnant mother reaches the third trimester, her abdomen will obviously become larger, which will bring a lot of inconvenience to her daily life. At this time, she must pay special attention to the health care work in the third trimester to prevent accidents and prepare for the arrival of healthy babies. So, what symptoms do women have in the third trimester? Let's have a look.
1. Edema, venous tumor: Relevant data show that the whole body water can be increased to more than 6.5 liters during normal pregnancy. This can easily lead to edema of pregnant women's lower limbs, which is aggravated with the increase of gestational age, and some even have varicose veins of lower limbs. Generally speaking, edema during pregnancy can be improved by lying down for one night, but varicose veins can not be recovered until postpartum.
Second, blood pressure and dizziness in supine position: In the third trimester of pregnancy, due to the obvious increase in the volume and weight of the uterus, it is easy for pregnant women to reduce venous blood reflux due to oppression of the inferior vena cava, resulting in insufficient cardiac blood reflux of pregnant women, which often leads to insufficient blood perfusion. In view of this situation, it is suggested that pregnant mothers take the left lateral position to increase the blood flow back to the heart, and at the same time increase the blood flow of uterus and placenta to avoid the influence of hypotension on the fetus.
Third, uterine contraction: After 30 weeks of pregnancy, due to the gradual increase of uterine activity, the intensity and frequency of contraction gradually increased, many pregnant women can not only feel tight, but also feel pain. It should be noted that false labor pains need to be distinguished from labor pains in the early stage of production. Usually, false labor pains can gradually disappear with the change of body position and rest. But if it is real pain, the pain will continue to increase, and it may be accompanied by redness and cervical dilatation. At this time, it is necessary to see a doctor as soon as possible.
Fourth, abdominal discomfort: Under normal circumstances, when a woman reaches the third trimester, the uterus will expand rapidly, causing the intestinal tract in the lower abdomen to move up or move to both sides. At this time, the intestines of pregnant women may be squeezed near the liver and rotate with the growth of the uterus. The pelvic cavity of pregnant women, especially the pubic symphysis on the bladder, is prone to compressive pain because it may involve the round ligament and wide ligament beside the uterus to a certain extent. If the pain symptoms are severe, or symptoms such as fever and vomiting appear, you must go to the hospital for examination and treatment as soon as possible.
Late pregnancy examination
The basic knowledge of prenatal examination in the third trimester begins at 33 weeks, and the strain of prenatal examination is once a week. There is no obvious change in the contents of various examinations, such as measuring body weight, uterine height, abdominal circumference, heart rate, blood pressure and fetal heart rate, and measuring hematuria regularly. The difference is that we are going to start fetal heart monitoring. Normal fetal heart rate changes with different uterine environment. The change of fetal heart rate is the expression of normal regulation function of central nervous system, and it is also the expression of good state of fetus in uterus. The task of fetal heart monitoring is to find fetal abnormalities as soon as possible, and take effective first-aid measures when the fetus has not suffered irreversible damage, so that the newborn can be delivered in time and avoid lifelong injury. Fetal movement and fetal heart rate can be monitored to reflect the condition of the fetus in the mother. After 35 weeks of pregnancy, pregnant women go to the hospital for a weekly check-up, and they all have to do fetal heart monitoring. But this can only be monitored at a specific time, not on demand, so it is necessary for expectant mothers to develop the habit of detecting fetal movement every day.
Fetal heart monitoring is carried out by two probes tied to pregnant women. One is tied to the top of the uterus and is a baroreceptor. Its main function is to know whether there are contractions and the intensity of contractions. The other is placed on the chest or back of the fetus to measure the fetal heart rate. The screen of the instrument has the corresponding graphic display of fetal heart rate and contraction, so the expectant mother can clearly see the baby's heartbeat. There is also a button that can be pressed when the expectant mother feels the fetal movement, and the machine will automatically record the fetal movement. The fetal heart monitor records the number of heartbeats calculated in each fetal heart cycle in turn on the map to show the baseline change of fetal heart. In a certain range, the baseline changes of fetal heart indicate that the regulation of N autonomic nerve and the establishment of cardiac conduction function in fetal heart center have certain reserve power.
Too fast or too slow fetal heart rate is a problem, but generally, too fast fetal heart rate does not explain what is wrong with the fetus, and the risk of too slow fetal heart rate is greater, suggesting that the fetus' reserve in the uterus is reduced, which is in danger of ischemia and hypoxia and needs timely treatment by doctors.
Precautions in the third trimester
1, pregnant woman has a sudden headache.
Sudden headache in the third trimester of pregnancy is often a precursor of eclampsia, especially in pregnant women with elevated blood pressure or severe edema, which may be pregnancy-induced hypertension syndrome. If not treated in time, it will also induce convulsions, coma, and even endanger the lives of mother and child, so it is necessary to seek medical treatment in time.
2. Severe abdominal pain in pregnant women
In the second and third trimester of pregnancy, due to trauma, weight bearing or sudden severe abdominal pain after the same room, most of them are early placental abruption, so they should go to the hospital for examination. In addition, if there are regular labor pains in the third trimester, it is often a sign before delivery, so we should be prepared for labor.
3. A small amount of watery liquid flows from vagina.
Clinically, some expectant mothers shed a small amount of watery liquid from their vaginas, some may be broken water, and some may be leucorrhea-like substances. Expectant mothers who have the above phenomenon should go to a doctor to confirm whether it is better to break the water, so as to prevent secondary infection once the water is broken, and often a small amount of water-like substances will flow out.
Some expectant mothers thought it was leucorrhea and didn't take it seriously. They thought it was urinary incontinence in the third trimester and continued to wait for labor at home. When the delivery really came, the baby had serious intrauterine infection and secondary infection. This makes the baby prone to secondary sepsis and even meningitis and other very serious consequences. Therefore, the vaginal water of expectant mothers in the third trimester must be paid attention to, even if a small amount of watery liquid flows out, it cannot be ignored.
Once this symptom is found, I suggest that expectant mothers must stay in bed and don't walk around. When necessary, expectant mothers should take medicine and suspend sexual life during pregnancy in the third trimester. Expectant mothers should try not to eat cold food and eat more fresh vegetables and fruits.
4. Acute fatty liver during pregnancy
After 7 months of pregnancy, there will be a very rare acute fatty liver in pregnancy. Although the incidence of this disease in obstetrics is extremely low, once it happens, the mortality rate of expectant mothers is as high as 80%. This disease often happens to twins, expectant mothers with pregnancy-induced hypertension or pregnant boys.
The early symptoms of some expectant mothers are general fatigue, nausea and vomiting or epigastric discomfort. Many expectant mothers think that this is because the uterus grows with the baby's development, so these uncomfortable phenomena appear and they don't go to the hospital in time. A week later, the expectant mother's sclera or whole body skin may appear yellow staining. We call it jaundice.
Once this stage is reached, the health of mother and baby will be threatened, and the child will die in the womb at any time. Even if the pregnancy is terminated, the expectant mother will have blood coagulation.
Therefore, during pregnancy, if the expectant mother has general weakness, loss of appetite, or nausea and vomiting, especially upper abdominal discomfort, or right upper abdominal pain, or left upper abdominal pain, she must go to the hospital for treatment in time. Early diagnosis and treatment of this disease, early termination of pregnancy and early recovery are all good, and once the opportunity is delayed, the consequences are unimaginable.
5, premature rupture of membranes
Some expectant mothers will have premature rupture of amniotic fluid after more than 30 weeks of pregnancy, which is medically called premature rupture of membranes. This is prone to emergencies. Expectant mothers may have no head connection, or abnormal fetal position such as breech position and bipedal position.
But once the amniotic fluid is broken, the umbilical cord is easy to come out, and there is an emergency of umbilical cord prolapse in clinic. Once the umbilical cord is prolapsed, the child will suffer from ischemia and hypoxia, and soon the child will suffocate or even die in the uterus. This situation is very common. If the amniotic fluid is found broken in advance, the expectant mother should contact the hospital as soon as possible.
Once this happens, expectant mothers should pay attention to raising their hips to prevent umbilical cord prolapse. If the expectant mother has prolapse of umbilical cord-like substance, find the nearest hospital for treatment at this time.
In order to avoid dangerous situations, expectant mothers should pay more attention to the changes of the fetus in the body. Fetal movement monitoring is very important. It can be said that as a mother, monitoring the situation of the fetus in the uterus is a very effective indicator, which is also a very important content of prenatal examination in the third trimester. Therefore, expectant mothers should strengthen the monitoring of intrauterine fetal health.
I understand the problems we may encounter in the third trimester and some physical discomfort. I hope that pregnant mothers can use correct common sense to protect their health at this stage, and I also hope that every expectant mother in the third trimester can give birth smoothly.