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Inicio > Care in the third trimester of pregnancy

Care in the third trimester of pregnancy

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Aspects and changes that are part of the care in the third trimester of pregnancy.

Weight

Weight is one of the main care in the third trimester of pregnancy. In this last period the increase in maternal weight is higher than in the other stages of pregnancy. In the nine months the average increase for women of adequate body weight is 12.5 kilos; The total increase at 20 weeks is 4 kilos; At 30 weeks, of 8.5 kilos and at 40 weeks of 12.5 kilos.

All of these changes are normal if you keep them within normal increments, which must be evaluated during the entire pregnancy, through periodic attendance to prenatal care.

An exaggerated increase in weight can cause problems for the mother and the baby during pregnancy and birth. In addition, along with changes in center of gravity, can cause you greater difficulty walking and be a predisposition to falls.

Shortness of breath

During pregnancy, the increase in the volume of the abdomen produces changes in the expansion of the thorax, a greater amount of oxygen is required and there are different changes in the capacity of the lungs. All this results in a feeling of shortness of breath, which is even greater in the third trimester of pregnancy.

Urinary changes

Care in the third trimester of pregnancy on urubial changes. The mechanical factors (compression), hormonal, circulatory, produce great changes in the urinary system, among others: enlargement of the kidneys, dilation of the urinary tract, decreased capacity of the bladder by compression of the gradual increase of the size of the uterus, changes Biochemical studies in renal function.

For care in the third trimester of pregnancy, all of this translates into more frequent urination, increased likelihood of urinary tract infections, urinary incontinence, bladder weight. It is important that during prenatal control, through what is learned in the psychoprophylactic course, you do exercises of the muscles of the pelvis and perineals, and in the postpartum, depending on the evolution, perform rehabilitation of the pelvic floor muscles.

Fetal Head Injury

Depending on whether you are pregnant for the first time or if you have had other births earlier, it may be that you feel more comfortable breathing, do not feel so much pressure at the stomach level, feel that “the belly is lower” or “the baby is Lower “, which is associated with greater pressure in the pelvis, weight in the bladder and vagina.

This symptomatology occurs approximately two to three weeks before birth in first-time mothers, and at the beginning of delivery in those who have already given birth. During the prenatal control the doctor, by means of external examination or via vaginal, can establish the degree of fit. If this exists it is possible to predict, although not guarantee, a birth by vaginal delivery.

Premature contractions – preterm birth

They are those that produce changes in the cervix and occur before 37 weeks. They are regular, persistent and painful, unlike those of Braxton Hicks, which are not regular, nor persistent and almost do not produce pain.

Sometimes contractions of preterm labor are associated with some form of expulsion of mucoid secretion via the vagina. However, if you have persistent, regular, painful, and still incomplete contractions for 37 weeks, you should consult your doctor immediately.

Braxton Hicks Contractions

The uterus, from the first trimester of pregnancy, presents irregular contractions, which are painless, can be detected in the second trimester by abdominal palpation and are called contractions of Braxton Hicks. In the last month of pregnancy these are rare, but can occur when the mother has more physical activity and disappear with rest. In the last two weeks they may be more regular (episodes of every 10 to 20 minutes) and may cause some discomfort. If at week 36 you have contractions that increase in intensity, duration and discomfort, you should consult your doctor because this is highlighted among the care in the third trimester of pregnancy.

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