
Fetal development in week 39:
Whether you give birth tomorrow or next week, it's pretty much all the same for your baby, who is now truly R-E-A-D-Y to face the big bright world outside of your womb. Speaking of wombs, your body is priming up for the big moment and hopefully, you're as prepared mentally as you can be. Your baby is well stocked up on fat, all their organs have put on the finishing touches. Here's hoping your child is already in the birthing position and basically just "hanging out" waiting for that elusive moment when all sysytems synchronize in your body to trigger the labor process.
How big is your baby?
Your baby will be weighing in at around 3.288kg (7.25 pounds) and measuring 50.7cm (19.96 inches).
How is your baby developing and growing?
Your baby's waiting to greet the world! He continues to build a layer of fat to help control his body temperature after birth, but it's likely he already measures about 20 inches and weighs a bit over 7 pounds. (Boys tend to be slightly heavier than girls.) The outer layers of his skin are sloughing off as new skin forms underneath.
Your baby will continue to gain weight although it has slowed down.
All the organ systems are now in place and capable of functioning on their own.
How big are you?
Your uterus now sits about 16-20cm above your bellybutton and about 36-40cm above your pubic symphysis.
How's mom doing?
We know you're antsy for the big moment, but let's step back a minute and talk about what it takes to get to the point where you’re finally holding your sweet little miracle in your arms. Are you mentally ready to embark on the oh-so-fun adventures of labor? Take a moment to review all your preparations If you're giving birth at the hospital, don't forget socks, they always over air-condition the place for handling the pain (breathing techniques etc.). Don't forget you're going to have some physical signs prior to labor: 1) you'll lose the mucous plug sometime before labor sets in, 2) the good ol' water breaking (doesn't happen to all women), 3) and finally, before the contractions kick in, it's likely you'll see some brownish-red discharge in your underwear-- charmingly called "bloody show."
And how about all those little details?
Have you got yourself a back-facing infant seat for the ride home? Is their adorable "first outfit" all packed up? Where's that list of family and friends you're going call with the happy news? Do NOT forget the camera!!! If you're giving birth at the hospital, don't forget socks, they always over air-condition the place. Also, if you're not having a home birth, bring your pillow, you know it's better and comfier than anything they're going to provide for you. Lastly, have you ironed out all the details of your birth plan with your caregiver? It's best to clarify all your preferences prior to serious labor, because once you're puffing like, well, a woman in labor, it's highly unlikely you're going to have the presence of mind to talk it out clearly.
How your life's changing?
At each of your now-weekly visits, your caregiver will do an abdominal exam to check your baby's growth and position. She might also do an internal exam to see whether your cervix has started ripening: softening, effacing (thinning out), and dilating (opening). But even armed with this information, there's still no way for your caregiver to predict exactly when your baby is coming. If you go past your due date, your caregiver will schedule you for fetal testing (usually a sonogram) after 40 weeks to ensure that it's safe to continue the pregnancy. If you don't go into labor on your own, most practitioners will induce labor when you're between one and two weeks overdue — or sooner if there's an indication that the risk of waiting is greater than the risks of delivering your baby without further delay.
While you're waiting, it's very important to continue to keep track of your baby's movements, and let your midwife or doctor know right away if there's a decrease. Your baby should remain as active as ever right up to delivery, and a decrease in activity could be a sign of a problem — meaning that you need to deliver now rather than later. Also call if you think your water may have broken. Membranes rupture before the beginning of labor in about 8 percent of term pregnancies. Sometimes there's a big gush of fluid, but sometimes there's only a small gush or a slow leak. (Don't try to make the diagnosis yourself. Call even if you only suspect you have a leak.) If you rupture your membranes and don't start contractions on your own, you'll be induced.
Your Nutrition
If you are going to be breastfeeding your baby, you may be concerned about your nutrition levels and what is best for you to eat. You may be advised to eat an extra 500 calories per day, as on average a breastfeeding mother usually secretes about 425 to 700 calories into her beast milk everyday.
The extra calories can be gained from eating the following:
Bread/cereal/past/rice - 9 servings/day
Milk/cheese/dairy - 3 servings/day
Fruits - 4 servings/day
Vegetables - 5 servings/day
You will also want to avoid foods that can cause gas, such as broccoli, brussel sprouts, cauliflower and spicy foods.
How your body changes after giving birth:
Even if your labor and delivery was fast and easy, it will take some time for you to feel like your old self again. It may be hard, but try to remember that it took nine months to get here, so you won't bounce back — emotionally or physically — overnight.
What to expect from your body:
• You'll start losing weight right away. While you probably won't return to your pre-pregnancy weight for some time, most women are about 12 pounds lighter after delivering one 7- to 9-pound baby and losing another pound or two of placenta and another two pounds or so of blood and amniotic fluid. Although it will take a while for your body to regain its pre-pregnancy shape — that pregnant belly may stick around for longer than you'd like — by the end of the first week, you'll probably have lost about 4 pounds of water weight.
• You'll have lochia discharge. After your baby is born, the cells that form the lining of your uterus will begin to slough off. This results in a discharge called lochia that lasts for weeks. At first, this discharge is mixed with blood, so it appears bright red and menstrual-like, then it gradually gets lighter in color, finally fading to white or yellow before it stops.
• Your emotions will be in flux. Within the first week or two of giving birth, many new moms experience the "baby blues." You may find yourself moody and weepy, exhausted, unable to sleep, or feeling trapped or anxious. Your appetite can change, too — you might want to eat more or less. The good news is this emotional upheaval will generally pass within two to three weeks.
Call your caregiver if:
• You have signs of abnormal vaginal bleeding, such as soaking more than one sanitary pad in an hour, passing blood clots bigger than a golf ball, or bright red bleeding that occurs four days or more after you give birth. You may have what's called a delayed postpartum hemorrhage. (Note: Call 911 if you're bleeding profusely or if you have any signs of shock, including lightheadedness, weakness, rapid heartbeat or palpitations, rapid or shallow breathing, clammy skin, restlessness, or confusion.)
• You have signs of infection, which may include any fever; lower abdominal pain or foul-smelling discharge (signs of endometritis); difficulty urinating, painful urination, cloudy or bloody urine (signs of a urinary tract infection); redness, tenderness, discharge, or swelling around the site of a wound (such as a c-section incision, episiotomy, or laceration); a painful, hard, reddened area, usually only on one breast, and fever, chills, muscle aches or fatigue, and possibly a headache (signs of mastitis, a breast infection).
• You have signs of postpartum depression, such as being unable to sleep even when your baby sleeps, having any thoughts of harming your child, crying all day long for several days in a row, or having panic attacks.
How to recover more quickly:
• Get as much rest as you can, and make an effort to sleep when your baby sleeps. This can be tough advice to follow, especially during the day, but it really helps.
• Limit visitors and the time you spend with them. Consider turning off the phone and posting a "we're napping" message on your door to discourage drop-ins.
• Eat a well-balanced diet.
• Drink plenty of fluids. Avoid caffeine, alcohol, and sugared sodas.
• Accept all offers for help with cooking, cleaning, childcare, errands, and the like. If you aren't receiving offers, ask for help. It's hard, but trust us, your friends and family want to help and most will be honored you asked. If you can't get help for free, consider hiring a mother's helper, cleaning lady, or others who can give you a break.
• Don't isolate yourself. Talking to friends, relatives, and other new moms about your birth experience and life with a newborn can help you cope.
SOURCES:Baby GagaBaby CenterPregnancy Calendar




