You have probably gained 5 to 7 kilos by weight now. Nearly all pregnant women feel a back fatigue, but some experience immediate back pain or weakness.
Pelvic pain, so-called joint discharge, is because the cartilage in the joints that hold the pelvic legs together is softened by the delivery. You become agitated and have a hard time sitting in the same position for a long time. For you, it is extra important not to overload the pelvis by, for example, carrying heavy, or asymmetrical movements.
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Inside the stomach, the child becomes increasingly aware of changes in his or her limited environment. If you push the baby a little on your stomach, you may notice that it is moving – it has become sensitive to touch. The fetus is probably at its best when you rest, and so far it has plenty of room to move around. It responds to different kinds of sounds such as music and voices.
The baby now weighs around 700 grams and is about 30 inches long. The child stores fat and will double its weight in the coming weeks.
The pancreas develops, it produces vital hormones and insulin.
Nails on both fingers and toes begin to grow.
The hearing began to develop as early as week 15, but the ears are not ready until now.
The three stages of childbirth
When you are expecting your first child, it can be safe to know how a birth usually goes. The labor itself is divided into three stages: the opening phase, the expulsion phase and the aftercare phase.
It starts with giving birth. (So you know the birth is in progress). Then it is called the latency phase and means that the cervix softens, becomes shorter (obliterated) and the cervix begins to open. The pain is often irregular and the pain not so intense. Usually you are still at home at this time. During this time, it is good to rest up and eat properly, to cope.
It is usually the phase that takes the longest time, about 20 hours. For some women, it goes on for several days, but then the aches have usually stopped, sometimes at a few hours intervals. For others, it quickly moves into an active phase.
When the painters eventually get stronger and get denser, the opening stage is in its active phase. Active phase is considered to be in if you have painful pain, the water has gone, and / or the uterus mouth has flattened out and opened up 1 cm, or alternatively is open 4 cm.
If two of these three criteria are met, it is considered as if the woman is in active phase. You may need natural or medical pain relief for the pain.
Statistically, the cervix then opens half to one cm per hour, but these are statistics and say nothing about what it will be like for the individual woman. Up to 12 hours is normally considered for the active part of the opening phase, for a nanny it usually goes faster. The child’s head has penetrated down here from the pelvic entrance and past the cobwebs, then it may happen that you feel sick and vomit.
Second stage of labor
The expulsion stage is divided into a penetration phase and a crystalline phase. When the cervix opens fully – 10 cm – the woman has entered the first part of the expulsion phase, the so-called penetration phase.
It can take up to 2-3 hours for firstborns, but if the woman is a nanny, things go much faster. The child’s head rotates and the head penetrates to the pelvic floor. The pressure against the rectum increases and the pain becomes stronger, and switches to the pain pain. The woman often intuitively feels that she wants to push the baby forward. The Christmas pains are a kind of rhythm that alternates between taking in all the forces and relaxing. The feeling may be reminiscent of whining during a toilet visit.
The Christmas phase begins when the baby’s head is toward the pelvic floor and can take up to one hour for first-borns and 30 minutes for midwives. The midwife is with us all the time to guide and help the woman, she also helps with various handles to avoid the woman getting bruises
When the baby’s head is gleaming in the mouth, it is time to start groping unforced. The wheezing helps the baby move forward and it gleams under each ache in the muzzle – until the baby’s head is raised. After that, the child’s shoulders are rotated, and then slide forward and the rest of the child is born. Congratulations, your baby is born!
The third stage
When the baby is born, the placenta should come loose and be born. Then the uterus contracts and the mother feels pain. After a while, the placenta loosens and crusts forward. Usually, the placenta is released after a few minutes, but sometimes it can take up to 30-60 minutes. The midwife checks that the placenta is intact, so that no part of the placenta or fetal membranes is left in the uterus as it increases the risk of infection.
The midwife will also squeeze the uterus several times in the first few hours to see that it contractes properly, otherwise you risk bleeding large amounts.
Now is the time to do a check if any bursts occur. This can be painful, so all women are offered anesthetic before this moment occurs. Anesthesia is done using local anesthesia or pelvic anesthesia. If midwives find deficiencies that need to be addressed, this is done now.