Although the estimated date of birth is calculated at the end of the 40th week, a normal pregnancy can last 38 to 42 weeks. This variation in the normal duration of pregnancy is due to the individual characteristics of each woman. Thus, week 42 is the last week of a normal pregnancy. If childbirth does not begin at this time, then from the 43rd week the pregnancy will already be considered postponed, and doctors will hospitalize the woman in the maternity hospital to stimulate labor. After the end of the 42nd week, it is no longer possible to wait for the natural onset of labor, since the fetus will be re-worn, which will make delivery both for him and for the mother difficult.
Fetus and its stirring
The weight of the fetus at the 42nd week can vary within 3600 plus or minus 455 g, and the body length – 53.1 plus or minus 1.3 cm. The baby has already fully developed and is ready for extrauterine life. All organs and systems are fully and coordinated. However, despite the fact that the fetus has completed its intrauterine development, it continues to grow in length and gain weight while it is in the uterus. Accordingly, the longer the baby remains in the womb, the larger it will be.
There is no need to worry about the lack of birth. Normal pregnancy lasts 38 – 42 weeks, depending on the individual characteristics of the fetus, the mother. You should also consider the errors in the definition of the term. Therefore, at the 42nd week of postponing pregnancy is not in question. Therefore, you can not worry until the end of this week. A postponed pregnancy will be considered only at the 43rd – 44th week.
Despite the fact that at the 42nd week of pregnancy is not considered postponed, doctors are still worried that the baby may have signs of perenashivaniya, because this, although rare, but it happens. That is why, at the 42nd week, a woman can be examined to identify signs of retreatment, in order to decide whether she can wait for a few more days to give birth or to urgently stimulate labor.
After all, prolonged pregnancy adversely affects the condition of the fetus – its skin becomes thinner, dries, flakes, appears "bath feet" and "hands laundresses". The fetus itself becomes large, heavy, and the bones of its skull are very dense, which creates difficulties for him and for the mother in labor, since it will be difficult for him to move along the birth canal. In addition, when migrating, the likelihood of meconium discharge into the amniotic fluid is high, which has a negative effect on the baby, since it will swallow its own feces with water. Therefore, in case of signs of postponing, active delivery by stimulating childbirth or performing a cesarean section is a justifiable tactic.
The baby lies in the uterus in the fetal position, legs bent at the knees and hips to the abdomen, and hands – to the chest and neck. Before childbirth, the motor activity of the fetus is reduced, as it prepares for the forthcoming work, which is to be done for birth. The movements of the baby at the 42nd week are weak, neat and measured, because he makes movements that imitate those that he has to perform in childbirth. He seems to be training, choosing the most convenient position for the birth. The most interesting thing in fetal movements at the 42nd week is that they appear sporadically, in a whole series, and between such series of movements the baby subsides for a long time in a fixed pose.
Although fetal movements are neat, slow and not strong, they are still very well felt by the mother, but almost do not cause discomfort and pain.
In addition to these movements typical of the 42nd week, the fetus may suddenly show strong physical activity, causing the mother pain and discomfort with her movements. Such active movements are always provoked, and represent the reaction of the child to any external factor that irritates him. With sharp and active movements, the fetus tries to attract attention and as if asks to eliminate its annoying factor. The fetus may give a negative reaction in the form of sharp and strong movements to anything (too bright light, unpleasant smell, loud sounds, stress, fear or other strong emotions in the mother, etc.), as he sees, hears, feels smells, touching the stomach, catches the mood of the mother, her emotions. To calm the baby you need to try to eliminate its annoying factor and calm down, having come to a balanced emotional state.
In some cases, the baby suddenly increases locomotor activity in the absence of an external stimulus. In this situation, active perturbations are caused by hypoxia (oxygen deficiency), and with the movements the baby tries to speed up blood flow through the vessels and, thereby, increase the amount of oxygen delivered to the tissues. Accordingly, when the infant’s physical activity is triggered by hypoxia, you need to breathe deeply, then lie down on your side for 10 to 15 minutes or stand on all fours to relieve pressure on the vessels and restore normal blood flow.
After the mother eats, the fetus may for some time increase physical activity, since the blood glucose level increases, which the baby uses as energy for the muscles.
Considering the fact that in some moments the baby lies motionless, while in others it makes a whole series of movements, his movements are unevenly distributed throughout the day. In any way, it is almost impossible to calculate when the baby moves, and when it is still to lie down. Women can roughly predict periods of perturbation and rest, knowing the nature of their baby.
And yet there is one curious feature – when the mother moves (walks, does housework, etc.), the fetus is usually immobile, and when the woman is resting sitting or lying down, the baby, on the contrary, is actively moving. This is due to the fact that during the movement the abdomen oscillates, creating the effect of motion sickness for a baby who, under the influence of dimensional wiggle, simply falls asleep and does not move. And when the mother is resting, the stomach does not swing, the fetus does not sleep and moves.
In addition to perturbations, a woman may feel rhythmic winches inside the abdomen, which are associated with hiccups in the fetus. Such a hiccup is harmless and passes quickly on its own.
Although the movements of the baby are weak and not as frequent as before, the mother should still feel them every day, on average, 10 to 12 times in 12 hours. If the fetus moves less than 10 times within 12 hours, this indicates that it is not all well and urgently needs to go to the maternity hospital so that the doctors have time to save it.
Ultrasound and tests
At the 42nd week of gestation, a woman is usually required to undergo an ultrasound scan, and sometimes also cardiotocography (CTG) and dopplerography (doppler) in order to determine if the pregnancy is prolonged or not. If there are no signs of postponing, then doctors can allow the woman to stay home until the end of the week, waiting for the natural onset of labor. But if the birth does not begin until the end of the 42nd week, then at the beginning of the 43rd week you will have to be hospitalized in a maternity hospital, where doctors will deliver by cesarean section or induction of labor.
If signs of prolonged pregnancy appeared already at the 42nd week, you will have to be hospitalized in a maternity hospital, where doctors will stimulate childbirth or cesarean section. If there are signs of prolongation, it is impossible to wait for the natural onset of labor, since the fetus already suffers from being in the mother’s womb and needs to be born immediately.
In a planned manner, no tests need to be taken at the 42nd week, unless the doctor prescribes any laboratory tests.
Visit to the obstetrician-gynecologist
At the 42nd week of gestation, unfortunately, severe complications can develop that can lead to the death of the mother or fetus. These complications, however, can be recognized in the early stages, when timely medical assistance will save both the fetus and the woman. Complications can be recognized by a number of characteristic symptoms, which are commonly called warning signs, since they are caused by dangerous conditions. Accordingly, every woman should know these warning signs so that when they appear, they should immediately call "First aid" and be hospitalized in a hospital.
At the 42nd week of pregnancy, the following signs are alarming:
- Spotting from the vagina of any nature (color, smell, texture, etc.)
- Abundant fluid discharge from the genital tract (they may resemble involuntary urine)
- Persistent or constantly occurring headache, which is combined with visual impairment of the type of flickering spots, flashes and flies before the eyes
- Vomiting, especially repeated
- Suddenly developing severe swelling of the face or hands
- Increase in body temperature above 38 o С
- Burning and / or itching in the vagina or perineum
- Pain and / or burning during urination
- Severe pain in the abdomen, the intensity of which does not decrease with time, in a state of complete rest, during a change of posture or after a short walk around the room
- A strong blow to the stomach of any origin (for example, a fall on the stomach, a blow to the stomach with a hand or an object)
- No movement or less than 10 movements of the fetus during the last 12 hours.
Sensations, signs of pregnancy and changes in the state of the body
At the last, 42nd week, a woman experiences a wide range of a wide variety of sensations caused by changes in the body due to pregnancy. Theoretically, a woman may experience any sensations at the 42nd week, but we will dwell in detail only on those caused by the physiological processes occurring during pregnancy in the body and which, accordingly, are completely normal, although unpleasant. In addition, we will describe similar and normal pathological sensations caused by various diseases, so that women can distinguish the norm from the pathology and not worry about the fact that it is not dangerous, or to see a doctor in time if necessary.
Since the upper edge of the uterus has descended a little, at the 42nd week it does not press as hard as it used to on the stomach, lungs, small intestine and other organs located above the navel. Due to this, at the 42nd week, women do not suffer from heartburn, belching, digestive disorders (bloating, flatulence, etc.) and respiratory disorders (frequent shortness of breath, inability to take a deep breath, attacks of lack of air, etc.).
But due to the fact that the fetal head or butt fell into the small pelvis, the uterus begins to put a lot of pressure on the rectum, bladder, pelvic bones, internal organs and soft tissues located below the navel. And such pressure provokes a whole range of different sensations.
First, the pressure of the uterus on the pelvic organs leads to the fact that the woman disappears constipation, but there is frequent emptying of the intestines in small portions, resembling "bear disease". This is due to the following reasons: on the one hand, the clamping of the small intestine disappeared, thanks to which the contents pass through it without delay, and on the other hand, the pressure of the uterus on the rectum prevents it from stretching and accumulating large amounts of fecal matter, causing it to be emptied, only a little feces will appear in it.
Secondly, the fetal head or ass located in the pelvis provokes a strong sensation of pressure, heaviness and distension in the lower abdomen and perineum, as well as strong and very unpleasant aching, pulling, piercing and shooting pains in the lower abdomen, sacrum and lower back. Pain can be given to the legs in the form of lumbago or puncture, which makes it difficult to walk, so that every step is literally given with great difficulty. Some women even feel the head of the child between the thighs, as it literally tears apart the perineum and pelvic bones.
Thirdly, the pressure of the uterus on the surrounding soft tissue can lead to compression or pinching of the femoral and sciatic nerves, which is manifested by persistent, not passing, not subsiding pains in the sacrum and leg (sometimes up to the knee).
Fourthly, the pressure of the uterus on the bladder leads to even more frequent, than earlier, visits to the toilet for urination, as the body can accumulate a small amount of urine due to the lack of space in the pelvis. If every time you urinate, lean a little forward and do it without haste, then the emptying of the bladder will be more complete, which will allow a little harm to the toilet trips.
All sensations caused by the presence of the head or butt of the fetus in the pelvis and its pressure on all surrounding organs and tissues are completely normal, although it is extremely unpleasant and uncomfortable. Moreover, the presence of the above sensations is a harbinger of imminent labor, which is about to begin.
At the 42nd week, the cervix is usually mature, that is, ready for childbirth – it is shortened, soft, partially open (skips the tip of the obstetrician’s finger). However, sometimes the cervix and the 42nd week immature, that is, long, dense, firm and closed. With an immature cervix, she is not ready for childbirth. Doctors may stimulate its maturation with drugs.
In addition to the above, the woman has a number of sensations, which appeared earlier and will pass only with childbirth. At the 42nd week there remains an increased load on the cardiovascular system, increased volume of blood and fluid in the tissues and accelerated metabolism, which provokes an episodic sensation of heat throughout the body, laying the ears, heavy sweating and edema. And the sensation of heat, sweating and laying the ears are absolutely normal satellites of the 42nd week of pregnancy, but the edema can be both physiological and pathological.
If a woman has normal edema, then there is no need to worry and treat them. If the edema is pathological, then an urgent need to be hospitalized in the maternity hospital, as they are signs of severe complications of pregnancy (preeclampsia, developing pre-eclampsia, etc.). Distinguishing normal from pathological edema is simple – it does not increase (or even decrease), does not combine with protein in the urine, never suddenly appears on the arms and legs, and otherwise can be localized on any part of the body.
Sprains and tendons, displaced center of gravity due to protruding abdomen, as well as strong pressure on the joints and bones of the pelvis, thighs and legs cause pain in the back, lower back, sacrum, coccyx, thighs, pubic and pelvis and discomfort when walking. Such pains in one degree or another are experienced by each woman at the 42nd week. As a rule, these pains are normal, but may be pathological, that is, not due to physiological processes, but diseases. The main difference between normal pain in the back, lower back, sacrum, coccyx, hips, pubic and pelvis from pathological is that they pass or decrease after rest. If a woman has normal pains of the specified location, then you just need to relax several times a day in the lying position on your left side and stand on all fours for 10 – 15 minutes. But if there were pathological pain, then you need to consult a doctor.
In addition, at the 42nd week, almost all pregnant women experience pain in the legs, which are normal and pathological. Normal pains in the legs are due to swelling and a high load on them, and their distinguishing feature is that they diminish or disappear after resting. In the presence of normal pain in the legs, you do not need to go to the doctor, you should only relax more often with raised legs and minimize the load on them (do not wear high heels, do not lift weights, do not sit on chairs without a back, do not stand or walk for a long time, etc.).
Pathological pains in the legs are convulsions of the gastrocnemius muscles, which are caused by a deficiency of calcium, vitamin B12, low concentration of glucose in the blood and a strong load on the legs. If you have cramps, you need to pull the foot toward yourself until the pain disappears, and then massage the eggs. And for the prevention of seizures, it is recommended to take calcium preparations, vitamins of group B and not allow a strong load on the legs.
At the 42nd week, many women are worried about the occasional feeling of numbness in their arms and legs, which, however, is not dangerous, although its causes are unknown to doctors.
Quite often, at the 42nd week, pregnant women suffer from headaches, dizziness and fainting, which can be caused by low blood pressure, characteristic of pregnant women for long periods, as well as anemia, hunger and high pressure on the vessels. Such pains disappear after resting in a dark, cool room.
But women also have headaches, dizziness, fainting, or even convulsions against the background of the compression syndrome of the inferior vena cava, in which blood in sufficient quantities does not flow to the brain, lungs and heart. A distinctive feature of the manifestations of the syndrome of the inferior vena cava is that the headache and dizziness do not go away after a rest, and in the supine position, cramps, fainting and pain in the whole body can appear or even appear. When signs of a compression syndrome of the inferior vena cava appear, it is necessary to consult a doctor, and to prevent its manifestations, lie only on the side, do not lie on your back, do not sit with your legs on the leg and avoid postures in which the vessels of the legs can be pressed.
Stretching of the skin leads to the fact that stretching, peeling, itching and rash appear on the stomach, sides and thighs. Moreover, stretching and peeling are always normal, but itching and rash can also be pathological. Normally, itching and rashes do not increase and do not spread to unaffected skin. A pathological itching and rash increases and appear on other parts of the skin. In the presence of pathological itching and rash, you need to consult a doctor, as this is a sign of skin disease. But if there are normal stretch marks, peeling, itching and rashes, then you do not need to consult a doctor, and to reduce their severity it is enough to simply lubricate the skin of the abdomen, sides and thighs with nourishing cream, special cosmetics or vegetable oils (for example, olive, sunflower, ossicles grape, almond, sesame, flaxseed).
On the 42nd week, the breasts usually ache a bit, as the glands intensively produce colostrum, which acts as droplets on the nipples several times during the day. When colostrum appears, simply wipe the breast with a clean, dry and soft cloth. It is impossible to squeeze the colostrum, as this can injure the breast and provoke mastitis.
The uterus is actively and painfully reduced, preparing for childbirth. Such abbreviations are false contractions, which differ from the true ones only by irregularity and irregularity, and in character are exactly the same. If the contractions become regular, then they are true and mean that childbirth has begun and it is time to go to the maternity hospital.
Since a woman is very tired from pregnancy, she is hampered by a heavy and huge belly, she is afraid of forthcoming birth, then quite often on the 42nd week insomnia, irritability, drowsiness, mood swings, tearfulness, etc. appear. And some women, on the contrary, appear "nesting syndrome", which is manifested in the desire to arrange an apartment for a baby.
Many women lose their appetite at the 42nd week, as the body does not want to be distracted by digesting large amounts of food, preferring to give up all the forces for childbirth. However, it is still necessary to eat, it is simply desirable to choose high-calorie meals that give energy for a long time (meat, fish, cereals, soups with vegetables, etc.).
At week 42, normal discharge has a viscous mucous consistency, is pinkish, whitish or cream colored and may contain blood impurities or streaks. The mucous nature of the discharge is caused by the discharge of the stopper from the cervix, which during the entire pregnancy protected the uterine cavity from the entry of pathogenic bacteria into it.
Sometimes the cork moves away entirely. It is a lump of thick mucus about two tablespoons in volume. The whole cork can be painted white, yellowish, creamy or pinkish in color and contain streaks of blood.
In addition to secretions, at the 42nd week, the amniotic fluid is often leaking, because the fetal membranes have already ruptured and pass water. Leakage is the release of small portions of an unclear whitish liquid with flakes and a sweet smell. In some cases, water is leaking in very small portions. In this case, the woman only feels the constant moisture in the perineum and notes wetting of underwear, but does not notice the release of fluid. When water leaks, you must be hospitalized in the maternity hospital in the coming days. If the leaking water is colored greenish or brownish, it is necessary to hospitalize in the maternity hospital immediately, as this indicates hypoxia of the fetus and requires an urgent delivery to help the baby come to life and stop his suffering from oxygen deficiency.
In addition, water can immediately flow out. In this case, you should immediately go to the maternity hospital, since childbirth in any case will begin within the next 16 hours – either this will happen on its own, or the doctors will stimulate it, because the fetus cannot live long in a waterless environment.
Unfortunately, at the 42nd week pathological discharge may appear, which, first of all, include bloody. When bloody discharge occurs, it is urgently necessary to be hospitalized in a maternity hospital, since they can be a sign of a serious illness leading to the death of the mother or fetus.
In addition, pathological are yellowish, greenish, grayish or sallow color, containing lumps, flakes, blisters, an admixture of pus that emits an unpleasant odor, causing itching, burning, swelling and redness in the genital area. Such secretions are caused by an infectious-inflammatory process in the genital organs, therefore, when they appear, an urgent need to consult a doctor for the rehabilitation of the birth canal, so that the baby does not become infected during childbirth.
More on vaginal discharge
The appearance of blood from the genital tract in any quantity at the 42nd week should be considered dangerous bleeding. Indeed, at first glance, a non-dangerous small bleeding can only be the initial stage and a kind of masking of dangerous massive bleeding, which can begin suddenly against the background of seemingly insignificant discharge of blood from the vagina. A heavy bleeding is very dangerous, because of the loss of blood, both the fetus and the mother can die. Therefore, the recommendation to consider any bleeding at the 42nd week to be dangerous is fully justified and rational.
When bleeding occurs, you need to call "First aid", take the documents, telephone, open the door of the apartment and go to bed. Waiting for the arrival of doctors should be with the door open and lying, and not walk around the apartment, collecting things. This requirement is due to the fact that, firstly, physical activity increases the bleeding, secondly, during blood loss, a woman at any time may lose consciousness and, accordingly, will not be able to open the door to doctors.
More on bleeding
Uterus and belly
At the 42nd week, the abdominal circumference can reach up to 105 cm, ranging from 97 to 105 cm. And the height of the uterus floor is on average 33 – 35 cm, ranging from 33 to 38 cm, depending on the individual characteristics of the woman. In the last week of pregnancy, the belly increases only in width, but not in height. This is due to the action of two factors simultaneously. First, the head or ass of the fetus enters the pelvis, preparing for childbirth, with the result that the bottom of the uterus sinks down a bit and no longer rises. Secondly, the abdominal muscles relax, the uterus deviates anteriorly, and the abdomen protrudes more strongly, rather than growing up.
The skin on the abdomen, hips and sides of it itches, flakes, it may appear stretching or rash. Such unpleasant phenomena on the skin due to its strong stretching. To reduce the severity of unpleasant phenomena, it is recommended to lubricate the skin with nourishing cream or vegetable oil (for example, olive, sunflower, linseed, almond, pumpkin, etc.). The navel looks like a stretched shapeless circle, or everted out. From the navel to the pubis is a wide dark strip dividing the stomach into two halves. After giving birth, a strip in the middle of the abdomen will disappear, and the navel will return to its normal size and shape.
At the 42nd week, the woman necessarily feels false contractions, which reflect the training of the uterus before childbirth. Fights arise unexpectedly, it is impossible to predict their appearance, as they are non-rhythmic and irregular. A false fight lasts a few minutes and brings a strong pulling pain in the lower abdomen, and also creates the effect of a stone belly.
Pain in the abdomen and other parts of the body
The strong pressure of the uterus and fetal head on the internal organs and tissues and the high load on the entire body leads to the fact that at the 42nd week a woman feels pain in different parts of the body, which, however, are completely normal, because they are caused not by diseases, but by natural processes occurring in the body. Consider just such normal pains of various localization, as well as their differences from similar to no pathological pains, so that women can know when to just endure, and when to sound the alarm.
So, on the 42nd week, women experience abdominal pains of a different nature, which are caused by a number of completely natural causes. First, the location of the head or butt of the fetus in the pelvis causes a strong pressure on all structures of the pelvis – both on the bone and on soft tissues. It is this pressure of the head on the pelvic structures, and the uterus on the abdominal organs that causes lower abdominal pain, which are felt almost constantly, have a pulling-sore nature, but occasionally, for a short period of time, they can become shooting or piercing. Usually, pain changes character from whining to shooting and cutting, when a woman tries to change her posture, get up or sit down abruptly. Drawing pain in the abdomen extends to the lower back, upper thighs and groin. Sometimes the pain from the abdomen gives in the form of lumbago in the legs.
Secondly, the movement of the fetus causes short-term pain in various parts of the abdomen, which can be stitching, and sharp, and stifling. Such pains from the movement of the baby occur from time to time, do not last long and go away on their own.
Third, false contractions, which are training contractions of the uterus before childbirth, also cause recurrent abdominal pain. Pain from contractions – strong, pulling, localized throughout the abdomen, but most strongly felt in its lower part. The abdomen during the contraction becomes stone, and the pain may spread to the lower back or the sacrum. The fight lasts from a minute to several minutes, it occurs periodically and passes on its own.
All the above options for abdominal pain are normal, as they are due to physiological processes, not diseases. And this means that when such pains appear, you do not need to consult a doctor, you should just endure them. To reduce the severity of pain, you can relax on your side, stand on all fours, or walk steadily around the apartment until the painful sensation passes.
Unfortunately, abdominal pain at the 42nd week can also be pathological, caused by dangerous diseases that can lead to the loss of pregnancy, fetal or maternal death. With the appearance of pathologically abdominal pain should cause "First aid" and be hospitalized in a hospital. It is easy to distinguish pathological pains, they are characterized by the following symptoms: they increase with time, they do not decrease after rest, they can be felt in any part of the abdomen, they are pulling, cutting or sharp cramping in nature and are combined with back pain, fever, vaginal discharge blood or large amounts of turbid water or a sharp deterioration in health.
The head / butt of the fetus, which has fallen into the small pelvis, strongly presses on the bones and soft tissues of the pelvis, as a result of which the woman at the 42nd week almost always has a feeling of bursting, pressure, heaviness and a pulling pain in the perineum, in the pelvic bones, in the thighs, in the pubis, in the sacrum and lower back, as well as cramps in the groin. Also, the softening of the ligaments and tendons, the divergence of the pelvic bones to the sides, the displacement of the center of gravity due to the large abdomen and the high load on the bones, joints and muscles cause pain in the bones of the pelvis, hips, back, lower back, sacrum, coccyx, hip joints, legs, pubic and crotch. These pains are often given to the legs, which makes it difficult for a woman to walk, because at every step she literally shoots her legs. Pain, feeling of bursting and severity can be present constantly or sometimes appear, then disappear, are felt in all these parts of the body or only in some, but are completely normal, because they are caused by natural processes in the body. Therefore, in the presence of these sensations do not need to consult a doctor, it is enough to try to reduce their severity, getting up on all fours for 10 – 15 minutes.
Unfortunately, pain in the sacrum, pubis, legs and lower back can be pathological, due to diseases. Symptoms of pathological pain of the specified location are as follows:
- Pubic pain – combined with "duck gait" and does not decrease after rest. It is caused by symphysitis (inflammation of the symphysis pubis).
- Lower back pain – combined with pain when urinating and / or with increased body temperature. It is caused by diseases of the urinary system.
- The pain in the sacrum does not persist, does not decrease with time, has a sharp-cutting character, is very strong, gives up. It is caused by the pinching of the sciatic nerve or the compression of the femoral nerve.
- Leg pain – combined with one or more of the following symptoms: severe swelling of the hands and face, flashing of flies and spots before the eyes or blurred vision, high blood pressure, protein in the urine. It is caused by preeclampsia or developing preeclampsia.
If signs of pathological pain in the sacrum, pubic, lower back or legs appear, you should consult a doctor.
In addition, at the 42nd week, women are often concerned about chest pains, which are caused by the compression and spreading of tissues by the produced milk, which is prepared in advance for feeding the newborn baby.
You can not have sex on the 42nd week of pregnancy in the presence of the following conditions:
- The mucus plug has come off
- Leaking or draining water
- Female or male genital diseases
- Bearing twins, triplets, etc.
- There are any complications of pregnancy (for example, placenta previa, preeclampsia, cervical insufficiency, etc.).
But when there are no contraindications, doctors do not give an unequivocal answer to the question of whether you can have sex on the 42nd week. Some doctors believe that it is impossible, because the risk of inflammation of the genital tract in a woman is very high. And other doctors believe that on the contrary, you can engage in sex until delivery, if there are no contraindications. Moreover, on the 42nd week they may even recommend sex as a stimulant of labor. Given such polar opinions among specialists, prospective parents will have to decide for themselves the question of the admissibility of intimate contacts between them on the 42nd week.
At the 42nd week of weight gain should vary between 9.7 – 16.0 kg relative to the mass at the time of the beginning of pregnancy. Moreover, the fuller the woman, the closer to the lower limit of the norm should be her weight gain.
At the 42nd week, many women notice that the weight does not increase, but remains unchanged at about 38-40 weeks, or even decreases by 0.5-2.0 kg. This is a normal phenomenon, due to the removal of accumulated excess fluid from the tissues. Previously, this liquid was needed for the normal course of pregnancy, but for childbirth it is not needed, so the body takes it out a few weeks before the baby is born.
The whole set of medicines, depending on the effect on the fetus, according to FDA classification divided into five groups – A, B, C, D and X. That is, all drugs in each group have the same effect on the fetus, so the rules for using during pregnancy for drugs from each group are clearly defined. Obviously, during pregnancy, you can use drugs from groups that do not have a negative effect on the fetus.
So, on the 42nd week drugs of groups A and B are allowed, as they do not have a negative effect on the human fetus. And drugs of group C can theoretically have a negative effect on the fetus, which, however, has not been confirmed by practice and clinical trials, and therefore the possibility of a negative impact on the baby remains purely theoretical, although high. As a result, drugs of group C are allowed for use on the 42nd week, if the condition of the woman is severe and without treatment will definitely and definitely worsen. Drugs of group D definitely have a negative effect on the fetus, so they are used by the poet at the 42nd week only with the threat of death of a pregnant woman. Preparations of group X cause death of the fetus, so they are not used during pregnancy under any circumstances.
Given the above, it is obvious that it is enough to find out the group to which a particular drug belongs, in order to understand whether it can be taken during pregnancy. To clarify the group to which the drug belongs, you need to read the section. "Use during pregnancy and breastfeeding" in the official instructions.
Preparations of group A in the instructions contain an indication that they are safe for the fetus and therefore can be used during the entire period of pregnancy. The preparations of group B in the instructions contain any of the following phrases: "approved for use in the second and third trimesters", or "the drug is banned in the first trimester", or "a negative effect on the fetus in animal experiments was not found, but the absence of such a negative effect was not confirmed for humans, therefore, taking into account the theoretically possible negative effect on the fetus, the drug can be taken exclusively by a doctor after assessing the risk / benefit ratio". The instructions for group C drugs indicate that "a negative effect on the fetus was found in animal experiments, therefore, the drug is prohibited for use during pregnancy, although the negative effect on the fetus for humans has not been confirmed". The instructions for group D drugs indicate that "the drug has a negative effect on the fetus, the poet is contraindicated for use during pregnancy". The instructions for drugs of group X indicate that they are strictly prohibited to receive during pregnancy, as they cause fetal death.
Thus, a simple reading of the instructions for use allows you to understand whether a particular drug can be taken during pregnancy. However, since it is not always possible to read the instructions, when necessary, below we provide a table with a list of drugs of groups A and B among the most frequently used in everyday life, which can be taken on the 42nd week.