Congratulations, your baby is about to be born! At any time you can go into labor. The pregnancy week by week has reached the end, your baby is full term and in the 40th week of pregnancy you are ready to receive your baby and cradle him in your arms. After nine months of sweet waiting, this is the week you've been dreaming of for so long. At last, you will meet your baby.
However, some deliveries are made to order and are delayed a bit. Note that your baby can also be born in week 41 or 42. Your gynecologist and the medical team who treat you will perform tests every few days to determine the status of the placenta and to know if it continues to nourish and oxygenate the baby correctly.
You feel pleased every time you feel your baby's kicks and movements. And it is that each time he moves less, but noticing the vigor of his kicks fills you with tranquility since it is a sign of good health. When you have not noticed it moving inside for more than an hour, you can stimulate it by drinking a juice or taking some cookies, since sugar gives it energy and encourages it to move. Keep in mind that if after a while you still do not notice their movements, you should go to the emergency room.
In the 40th week of pregnancyYou must be very attentive to any symptoms that indicate that you may be in labor. Remember that you may start to notice more and more contractions. You will be in labor if the contractions are rhythmic, every 5 minutes and are maintained with that regularity for more than an hour. If the contractions are not very followed, but you notice intense pain, also go to the emergency room.
Bleeding greater than or equal to a rule and a ruptured amniotic bag or sac will also indicate that you are in labor. Sometimes a ruptured amniotic sac does not imply an abundant fluid leakage. Sometimes the break is a fissure and the loss of fluid occurs in small amounts. In any case, you should go to the maternity ward because it is an unequivocal sign that your baby will be born in the next few hours. It is important that you look at the color and appearance of your amniotic fluid. If the liquid is transparent, everything is fine, however if it is yellowish or greenish, it could be a sign that the baby is suffering from fetal distress and you should go to the maternity ward as soon as possible.
Your baby is full term. It is full size and ready to be born. Its length generally varies between 48 and 53 cm and its weight can be ebetween 3 and 4.5 kg, depending on the sex of the baby. Children are usually taller and weigh more. Most of the caseous vermix (the fat that covers it) is gone, although some remains may remain in their skin folds.Although many babies are born bald, they most likely have long hair and nails, with which you can scratch your face shortly after birth. The bones in your baby's skull are still separated and will stay that way to allow the head to compress enough to pass through the birth canal. Fontanelles close months after they are born.
Anxiety and nervousness are the dominant notes of your emotional state in the days leading up to delivery during the 40th week of pregnancy. The gynecological protocol will mark the last days before delivery, since it is very important for the medical team to know exactly your health status, that of the baby in the womb, the status of the placenta, cervix and birth canal.
In week 40 of gestation, following the SEGO (Spanish Society of Gynecology and Obstetrics) protocol, the first fetal monitoring is performed, also called a baseline test for all low-risk pregnant women. It is a simple method, easy to perform, non-invasive and safe for both the mother and the fetus. This test should not be performed on an empty stomach to more accurately measure some variables such as fetal heart rate and its variability with ascents or decelerations.
Monitoring can be classified as reactive or non-reactive. When the basal test is not reactive, the pregnant woman must be admitted to repeat it or end the pregnancy. If the test shows signs of loss of fetal well-being or that your baby may begin to suffer fetal distress, you will be admitted to end the pregnancy, either inducing labor or performing a cesarean section, depending on the degree of fetal distress that exists.
Meanwhile, they will perform an examination to see how the cervix is changing. If you are very dilated, you will be admitted to the hospital to give birth. You will be assigned a room to carry out labor during the dilation phase until you reach 10 cm. At that time, you will be taken to the delivery room, where your baby will be born.
If it has been necessary to schedule a cesarean section because the baby is in a breech or transverse position, you have not dilated the neck or you have had a previous cesarean section, the dilation period will not be necessary and you will be taken directly to the delivery room.
In week 40 of pregnancy, you may have food-related cravings more often. There is so little left to give birth that you can indulge yourself. Whenever you can, choose healthy snacks such as vegetable sticks, fruits, low-fat yogurts ... before salty snacks or sugary soft drinks.
However, it is normal that you want to eat between meals. Keep eating 5 small meals a day. They will help you keep your blood sugar levels in good condition and avoid energy dips that could cause some slight dizziness, since due to the fact that the growth of your uterus and your baby are at their highest moment, it is normal that you feel more tired and exhausted than normal.
Hydration is essential. Try to drink at least 2 liters of liquid a day between juices, soups, infusions and water. Maintaining optimal hydration levels will help you take care of your health and that of your baby in the final stretch of pregnancy.
And finally, think that you are about to give birth and you need to have strength and energy to face the birth in the best conditions. All the nutrients that you ingest in these last days will not only serve to nourish the development of your baby, but will also provide you with everything you need to carry out labor in the best conditions. Remember that if you go into labor at home, it is advisable to eat something before leaving for the hospital, since the normal thing is that in a first delivery the dilation lasts about 6 hours on average and also in the maternity they will give you an enema to empty the stomach contents before giving birth.
Only 4 percent of women go into labor on their due date. Generally, 98 percent do so in the two weeks before or after. Surely your baby will be within that 96 percent of babies born head down, but if you are finally going to have a cesarean section because your baby is in the breech or cephalic position, you should know that it is a safe method to be born, although recovery Cesarean delivery is usually slower than vaginal delivery.
The duration of labor varies from one woman to another. In primiparous women it usually lasts from 6 to 8 hours on average, while in multiparous women it usually lasts from 4 to 6 hours. Going through labor safely and confidently, without tension or nervousness, will help you a lot to have a smooth delivery and will facilitate the birth of your baby. The closeness and support of your partner and your family will be of great help.
After being born, your baby will continue to receive antibodies through breast milk, whereas before it was through the placenta. Most of the lanugo that protected its skin has already disappeared, although it will be born impregnated with vernix caseosa. Whereas before it was customary to wash them and remove that natural protection after birth, it is now considered necessary to maintain it for a few days for greater protection of the baby's skin.
As soon as it is born, your baby will undergo the Apgar test, which is carried out in two phases, one at birth and another at 5 minutes. In both cases, the baby's reflexes are scored on a scale of 0 to 10, which will account for the baby's vital status and health at the time of birth.
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