The forty first week of pregnancy is a variant of the norm, despite the fact that the expected date of delivery is calculated at the end of the 40th week. But in reality, a normal pregnancy can last for 38 – 42 weeks, and, therefore, the birth, which occurred in the period from 38 to 42 weeks, inclusive, is completely normal. And the estimated date of birth is a kind of averaged date, in relation to which doctors simply orientate. Therefore, if a woman has the forty-first week of pregnancy, then this is not a cause for concern, but a completely normal phenomenon.
Fetus and its stirring
The body weight of the fetus at the 41st week can vary between 3520 plus or minus 422 g, and most often averages 3500 g. The length of the baby’s body varies between 52 plus or minus 1.2 cm, and on average most often 53 m
At this time, the baby is fully mature, all its organs and systems are developed, working and ready to function outside the womb. Only the nervous system continues to develop, but it will continue to develop for a whole year after the birth of the baby. However, despite the completion of its development, the baby, while he remains in the womb, will continue to gain weight and increase in length.
The skin of the child has become rather thick and dense, pink in color, her hair has disappeared from the fluffy, there is practically no cheese-like lubricant, there is an adequate supply of subcutaneous fat, hair on the head and nails on the fingers and toes grow, so that they will have to be trimmed after birth.
The placenta has already grown old, its life comes to an end along with the pregnancy.
Although the 41st week is going on, there is no need to worry about the lack of childbirth, as the pregnancy can normally last 38 – 42 weeks. Therefore, doctors believe that a pregnancy of up to 42 weeks inclusive is normal, and only from the 43rd week they are talking about replanting.
Of course, doctors will worry about whether a woman has a prolongation and at the 41st week, which, although rare, does happen. Ultrasound, CTG and Doppler may be prescribed to detect this condition, and if the results of the studies show signs of delay, the doctors will decide to stimulate labor or produce a cesarean section.
An active delivery, without waiting for the natural onset of labor, is shown and correctly during replanting, as it adversely affects the fetus – its skin macerates (becomes wrinkled, red, thin), appear "bath feet" and "hands laundresses". In addition, the baby becomes too large and heavy, and the bones of its skull become too dense, making it difficult to pass through the birth canal, causing complications of childbirth, CNS injury, etc.
The movements of the fetus at the 41st week are rare and weak, as it subsides before birth, accumulating strength. After all, the child will also have to work hard for the birth. The baby does not tumble, does not kick with its legs in the wall of the uterus. His movements are slow, smooth, neat. At this period of movement of the baby represent the movement of body parts relative to each other and the choice of a comfortable position for childbirth. He seems to be trying to work out the movements that he will have to make when passing through the birth canal.
Despite the fact that in general the baby behaves very calmly at the 41st week, the periods of calm can be replaced by active movements that are neat and smooth. In other words, at the 41st week, the baby is without movement for a long time, then suddenly begins to perform a whole series of movements, then freezes again in the stationary position of the embryo, pulling up the bent arms and legs in the stomach and chest.
The movements of the fetus are felt good by the mother, but practically do not cause discomfort and pain. Some perturbations do feel very weak.
In addition to the typical movement described, the fetus may from time to time begin to move actively, causing the mother noticeable discomfort and pain. Such sudden and painful movements of the fetus are usually his reactions to any external factor that irritates him greatly, and the child as if requires the elimination of the irritant. And a child may react negatively to almost any external factor (for example, too bright light, unpleasant smell, loud sounds, stress, fear or other strong emotions in the mother), as he sees perfectly, hears and hears sounds, feels smells, touches stomach, captures the mood and emotional state of the mother. Therefore, when "protest" activity of the baby should try to eliminate the irritant that he does not like and calm down, so that the fetus does not react to the fear, bitterness, suffering and other strong emotions of the mother.
Sometimes the baby begins to move sharply and actively in the absence of an external stimulus, and in this case, the increase in its activity is due to hypoxia (oxygen deficiency). With active movements, the kid is trying to speed up blood flow, and thereby increase the amount of oxygen coming to the cells. If your baby has active movements, presumably caused by hypoxia, you need to do breathing exercises and get on all fours for 10 – 15 minutes – this will eliminate vessel clamping and restore blood flow to the uterus and placenta in the right amount.
Also, the baby can begin active movements after eating his mother, due to the increased concentration of glucose in the blood, which is a source of energy for perturbations.
During the day, the baby moves unevenly: he pauses for a long time, then makes a series of training movements, lies motionless again, etc. Such an uneven distribution of perturbations in time is also due to the fact that the fetus alternately sleeps and is awake. Unfortunately, it is impossible to predict when the baby will move, and when it is motionless to lie.
However, there is a curious pattern – the fetus often moves when the mother rests lying or sitting. And when the mother walks, works around the house (that is, moves), the baby more often sits still. This is due to the fact that during the movement of a woman’s belly sways, which creates the effect of motion sickness for the baby, who falls asleep and does not move. And when the mother rests, her stomach does not sway and does not create the effect of motion sickness, as a result of which the baby wakes up and may begin to work out the movements that will be needed during labor and delivery.
In addition to perturbations, sometimes a woman may feel rhythmic flinches inside the abdomen, which are caused by hiccups in a child. Hiccups in the fetus is not dangerous, and after some time passes by itself.
Despite the fact that the activity of the fetus at the 41st week is low, the woman should feel the movement of the baby every day about 10 – 12 times within 12 hours. If the fetus moves less than 10 times in 12 hours, it should be immediately hospitalized in the maternity hospital, as this indicates that it is not all right, and medical intervention is urgently needed to save it.
Ultrasound and tests
On the 41st week, the doctor may prescribe an ultrasound scan, cardiotocography (CTG), and dopplerography (doppler) in order to make sure that the fetus is feeling fine and there is no sign of prolonged pregnancy. Surveys are necessary mainly for the timely tracking of signs of prolonged pregnancy, since if they appear, it is necessary to stimulate childbirth without waiting for their natural start. Such a tactic is justified when signs of reloading appear, since it is urgent to make delivery, because the baby is already beginning to suffer in the womb, it does not have enough water, it gains too much weight, the bones of the skull become dense, which will create difficulties in passing through the generic ways. In other words, ultrasound, CTG and Doppler are, at week 41, almost always prescribed to understand whether it is possible to expect a natural onset of labor or whether it is necessary to perform family stimulation.
At the 41st week, no laboratory tests in a planned manner need to be taken if they are not prescribed by a doctor.
Visit to the obstetrician-gynecologist
In the later stages of pregnancy, a number of serious illnesses can develop that can lead to the death of the mother and fetus, which manifest symptoms called warning signs. Every woman should know these warning signs so that when they appear, they should immediately call "First aid" and be hospitalized in a hospital, where doctors will provide the necessary assistance, which will save both the pregnant woman and the baby.
At week 41, the following warning signs may occur:
- Bloody or copious liquid (may be similar to involuntarily excreted urine) vaginal discharge of any nature (color, smell, texture, etc.)
- Often emerging or constantly present headache, combined with visual impairment of the type of flickering spots, flashes and front sights
- Vomiting, especially repeated
- Suddenly developed severe swelling of the face or hands
- Increase in body temperature above 38.0 o С
- Burning and / or itching in the vagina or perineum
- Burning and / or pain when urinating
- Severe pain in the abdomen, which does not decrease with time, in a state of complete rest, after a change of posture or after a short walk
- 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 in the last 12 hours.
Sensations, signs of pregnancy, changes in the mother’s body
Due to physiological changes in various organs and systems, a woman in the 41st week of pregnancy may experience a wide range of different sensations of any location. It is necessary to know that a woman, of course, can experience absolutely any sensations on the 41st week, as well as outside of pregnancy. But we will consider only the normal feelings, characteristic and caused by pregnancy, as well as their differences from similar pathological ones.
The head of the fetus has already sunk into the small pelvis, the upper edge of the uterus does not press the stomach, lungs and small intestine so much, resulting in heartburn, belching, digestive disorders (bloating, flatulence, etc.) and respiratory disorders (frequent shortness of breath, inability to take a deep breath, bouts of feeling short of air) no longer bother a woman or occur only occasionally.
But a strong pressure of the fetus’s head or ass on the rectum, bladder, pelvic bones, internal organs and soft tissues located below the navel causes a variety of different sensations that appear only now or are present from about the 38th to the 39th week.
First, the lack of strong pressure on the small intestine allows the food lump to pass through it without delay. And then, the appeared strong pressure on the rectum, does not give her the opportunity to stretch and accumulate a large number of fecal masses, as a result, instead of constipation, the woman is concerned about the frequent emptying of the intestine in small portions. Sometimes a bowel movement happens so often that it reminds "bear disease".
Secondly, the pressure of the head and butt on all structures of the pelvis provokes extremely unpleasant sensations of pressure, heaviness and bursting in the lower abdomen and perineum, as well as severe aching, pulling, stitching or shooting pains in the lower abdomen, sacrum and lower back. Pain can be given to the legs, which creates severe difficulties when walking, since literally every step is given to a woman with difficulty.
Thirdly, the pressure of the head or butt of the fetus on the bladder causes urination to become even more frequent than they were. Unfortunately, it is impossible to do anything with these exhausting campaigns, since, on the one hand, they are normal and, on the other hand, it is impossible to change the location of organs in the human body. However, if every time you urinate, lean a little forward and do not rush, this will contribute to the most complete emptying of the bladder, and, consequently, will allow you to make trips to the toilet just a little, but more rare.
Fourth, the pressure of the uterus on the surrounding soft tissue often leads to pinching of the femoral or sciatic nerve. The pinching of both nerves causes excruciating, stubborn, persistent and not decreasing in time pains in the sacrum and in the leg (often up to the knee).
All the above sensations associated with the pressure of the uterus on the organs and tissues of the pelvis are completely normal (do not require treatment). Moreover, these sensations are considered harbingers of imminent labor.
At the 41st week, the cervix is often shortened, softened, slightly open (it misses the tip of the obstetrician’s finger), that is, it is ready for the upcoming delivery. But in some cases, the cervix remains unchanged (long, dense, solid and closed), and then it is said that it is immature, that is, not ready for childbirth. With an immature uterine cervix, doctors usually have to produce its maturation artificially with the help of drugs.
In addition to all the above symptoms, a woman at the 41st week still has a range of sensations that appeared at the beginning or middle of the third trimester, and will pass only after the birth. Since the high load on the cardiovascular system is still present, the metabolism is accelerated and the volume of blood and fluid in the tissues is increased, a woman on the 41st week may be disturbed by the following perfectly normal feelings:
- Excessive sweating
- Periodic sensation of heat throughout the body.
- Laying ears
Sweating, feeling hot, laying the ears – always represent only the normal for the 41st week manifestations of physiological processes occurring in the body during pregnancy. And, unfortunately, edema can be not only normal, but also pathological, that is, caused not by natural processes occurring in the body, but by diseases. Normal swelling, as opposed to pathological, never increases with time (and at week 41 may even decrease compared to previous weeks), does not combine with protein in urine, does not suddenly appear on the hands and face. In the presence of normal edema, you do not need to do anything, but when the pathological edema appears, you should be immediately hospitalized in the hospital, as it can be a sign of a terrible pregnancy complication – gestosis, which can lead to death of the fetus or mother.
Sprains and tendons, pronounced pressure on the bones and joints of the pelvis, thighs and legs, as well as the displacement of the center of gravity due to the protruding abdomen provoke frequent pains in the back, lower back, sacrum, coccyx, thighs, pubic and pelvis, and discomfort when walking. Normally, all pregnant women at the 41st week experience more or less pain at this location.
As a rule, pains in the back, lower back, sacrum, coccyx, thighs, pubis and pelvis are normal, as they are caused by natural physiological reasons, but they can also be pathological, caused by diseases. Accordingly, in case of normal pains, it is enough just a few times a day to rest in a lying position on the left side and stand on all fours for 10-15 minutes. But if the pain is pathological, then you need to consult a doctor. It is quite simple to distinguish normal pains in the back, lower back, sacrum, coccyx, thighs, pubis and pelvis from the pathological ones. So, the main difference between the pathological pains of this localization and the normal ones is that they do not pass and do not decrease at all after the rest. In other words, if after the rest the pain has decreased, then it is normal, and if not, then it is pathological.
A common and frequent sensation in the 41st week is pain in the legs, which can be both normal and pathological. Normal pains are due to swelling and high stress. They always decrease or pass after rest. And pathological pains in the legs are manifested by cramps of the gastrocnemius muscles and may be caused by a deficiency of calcium, vitamin B12, low concentration of glucose in the blood and a strong load on the legs. In the presence of normal pain, you should just lie down several times a day with your legs elevated and try to minimize the load (do not wear high heels, do not lift weights, do not sit on chairs without a back, do not stand or walk for long periods, etc.) . And with the appearance of cramps, you need to pull the foot towards yourself until the pain subsides, and then massage the eggs. For the prevention of seizures, it is recommended to take calcium preparations, vitamins of group B and to avoid a strong load on the legs.
Many women at week 41 periodically feel numbness in their arms and legs. This unpleasant feeling is not dangerous, although the reasons causing it are unknown to doctors.
Unfortunately, at the 41st week, many 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 load on the vessels. To minimize these unpleasant feelings, you need to relax several times a day in a dark, cool room.
However, if dizziness, headaches and fainting do not go away after resting in a dark room, then they are provoked by another reason – a serious complication of pregnancy, which is called compression of the inferior vena cava. With this syndrome, the inferior vena cava is squeezed, and the blood stops flowing in the required amount to the lungs, brain and heart, which causes fainting, headaches, dizziness, and sometimes convulsions. To prevent compression of the inferior vena cava, you should only lie on your side, do not lie on your back, do not sit with your legs on your leg and avoid any poses in which the vessels of the legs can be strongly compressed. In the presence of this syndrome should immediately consult a doctor.
The raised uterus stretches the skin very much, as a result of which stretch marks, peeling, itching and rashes can appear on the skin of the abdomen, thighs and sides. Stretching and peeling are always normal manifestations for the 41st week of pregnancy. But itching and rash can be normal and pathological. If the rash and itching intensify and seize new, previously unaffected areas of the skin, then they are pathological, and in this case you should consult a doctor, as there are signs of skin disease. But if itching and rashes do not increase and do not spread to other parts of the skin, then they are normal.
In the presence of normal stretch marks, itching, peeling and rashes, you just need to lubricate them with nourishing cream, special cosmetics or vegetable oils (for example, olive, sunflower, grape seed, almond, sesame, flaxseed) to reduce the severity of these phenomena.
Breast on the 41st week can hurt, and colostrum is released from the nipples. The pains are due to the fact that the glandular tissue began to actively produce colostrum, preparing for the onset of breastfeeding. And from the nipples drop by drop the produced colostrum is released, which you just need to wipe with a clean, dry and soft cloth. It is impossible to squeeze the colostrum out of the chest, as this can provoke mastitis.
The uterus is often painfully contracting, exercising before labor. These abbreviations are called false contractions. They differ from true ones only in that they are irregular and non-rhythmic. Accordingly, if at some point the woman realized that the contractions became rhythmic and the interval between them is reduced, then they are already quite true and you need to urgently go to the maternity hospital, since the birth began.
Since the woman is already quite tired of her position and has a fear of childbirth, then at week 41 she can suffer from mood swings, insomnia, irritability, tearfulness, bad mood, etc. But some women in the last weeks of pregnancy, on the contrary, have an enthusiasm and a burst of energy, thanks to which they start arranging an apartment for the appearance of a newborn. This behavior is called "nesting syndrome"and is considered normal.
Many women lose their appetite before giving birth, which is caused by the change of dominant in the body – now it throws all its strength into the generic act and does not want to be distracted by digesting large amounts of food. In this regard, it is recommended to include in the diet healthy and high-calorie foods that provide the body with energy for a long time, for example, meat, fish, soups in broth with vegetables, cereals, etc.
Due to the fact that a stopper escapes from the cervical canal that closes the path into the uterus for pathogenic microbes throughout pregnancy, normal discharge at week 41 usually becomes slimy. Such normal mucous secretions may be colored pinkish, whitish or creamy, have a viscous consistency and may contain blood.
In some cases, the cork can go away entirely, and then it has the appearance of a thick lump of mucus, painted white, yellowish, creamy or pinkish with streaks of blood or without them.
In addition to the discharge, in the 41st week, amniotic fluid may leak. From the genital tract from time to time small portions of a clear or slightly turbid liquid with a sweetish odor, which may contain an admixture of flakes, stand out. Sometimes the water is leaking in such small portions that the woman does not notice, but she feels that her panties are soaked and wet in the perineum. Water makes the skin of the perineum and pubis sticky and shiny. When water is leaking, you need to see a doctor in the near future, so that he will determine whether it is possible to wait for the onset of labor or to stimulate. But if the leaking water is colored greenish or brownish, you should immediately be hospitalized in a maternity hospital, as this indicates hypoxia of the fetus and requires stimulation of childbirth to help the baby get born, and not to suffer from oxygen deficiency.
In some women, water can flow out immediately. In this case, you need to be hospitalized in the maternity hospital. In this situation, either the childbirth will begin in the near future, or the doctors will have to stimulate them, since the fetus cannot stay in an anhydrous environment for a long time.
In addition to the leakage and rupture of water, as well as normal discharge, at the 41st week, a woman may have pathological discharge. Of course, pathological discharge is bloody. They reflect severe conditions that can lead to the death of the fetus or mother. Therefore, when they appear, it is necessary to immediately hospitalize in the maternity hospital.
Also pathological include discharge yellowish, greenish, grayish or sallow in color, which contain lumps, flakes, bubbles, an admixture of pus and / or blood, have an unpleasant smell or provoke itching, burning, swelling and redness in the genital area. If such secretions appear, you should immediately consult a doctor to sanitize the vagina and eliminate the infectious-inflammatory process that can lead to infection of the fetus during childbirth.
More on vaginal discharge
Bleeding in any quantity on the 41st week should be considered as dangerous, since even the release of a small amount of blood, which at first glance is not dangerous, can at any moment become profuse bleeding, which, of course, is very dangerous. The danger of severe bleeding in the last weeks of pregnancy is due to the fact that literally in 20-30 minutes a woman can lose 500-1000 ml of blood, and such blood loss threatens the life of the mother and fetus. Therefore, the recommendation to consider any bleeding on the 41st week of pregnancy as dangerous is fully justified and rational.
When blood from the genital tract appears in the 41st week, you need to call "First aid", then take the documents, telephone, open the door and go to bed. Expect the arrival of doctors should be lying in bed, and not collecting things for hospitalization throughout the apartment. This requirement is due to the fact that any physical activity can lead to increased bleeding and, consequently, more blood loss and weighting of the condition. And it is recommended to open the front door because blood loss can at any time lead to loss of consciousness, and the woman simply will not be able to let in the visiting team of doctors.
More on bleeding
Uterus and belly
From the navel to the pubis is a wide dark stripe that divides the stomach into two halves, but it will descend after childbirth. The navel was twisted or acquired the appearance of a stretched shapeless circle. Worry about this is not worth it, because after birth, the navel will return to its normal size and shape. On the skin of the abdomen, sides and thighs there are stretch marks, peeling, rashes and itching, which cause significant discomfort. To reduce the severity of this discomfort, you should lubricate the skin of the abdomen, thighs and sides with nourishing cream or vegetable oil (for example, olive, sunflower, almond, flax, etc.).
The uterus trains before childbirth, periodically contracting, which a woman feels like false contractions. Such contractions cause a strong pulling pain in the lower abdomen, sometimes extending to the lower back, and make the stomach literally stone. One fight lasts a couple of minutes, but they occur periodically throughout the day. It is impossible to predict the appearance of a contraction, since they are irregular and irregular.
Pain in the abdomen and other parts of the body
A large uterus pressing on the organs and tissues of the abdominal cavity, on the bones, a high load on the musculoskeletal system, as well as other physiological processes occurring in the body at the 41st week of pregnancy result in the fact that a woman can feel pains of various nature in various organs. These pains are completely normal, and are caused by natural changes in the body, and not pathologies and any diseases. Consider such basic normal pains, characteristic of the 41st week of pregnancy, as well as similar pathological pains, so that women can know when to sound the alarm, and when to just relax and endure.
Since the uterus at the 41st week has already dropped down, its bottom does not abut the diaphragm, and, consequently, the woman no longer suffers from pain in the ribs and hypochondrium caused by the movements of the baby. The pains have disappeared due to the fact that the fetus, making gestures, no longer suffices these anatomical structures with its arms and legs.
Abdominal pain at the 41st week is present in all women and may be due to a variety of physiological factors. Thus, the pressure of the fetal head on the pelvic structures, and the uterus on the abdominal organs provokes pains in the lower abdomen, which are almost constant, usually have a pulling and aching character, but periodically they may become stitching or shooting. Drawing and aching pains in the abdomen spread to the lower back, groin and upper thighs, and give to the legs with short but strong firing. When you try to change a pose, abruptly stand up or sit down, dragging and aching pains in the abdomen become shooting, but short-lived.
The movements of the baby provoke pains that can be localized in any part of the abdomen, are sharp, stabbing in nature, do not last long, occur occasionally.
False contractions reflecting contractions of the uterus and its training before childbirth occur from time to time in the form of episodes. The episode of such pain is short (from a minute to several minutes), the pain itself has a strong pulling character, it is especially acutely felt in the lower abdomen, passes on its own, and periodically recurs throughout the day. During the period of false labor, the abdomen becomes dense, literally stone.
All the above options for abdominal pain are normal, and occur for natural physiological reasons. Therefore, when they appear, you do not need to consult a doctor, and in order to reduce the intensity of pain, you should lie down to rest on your side, get up on all fours, or walk regularly around the apartment until the painful sensation subsides.
However, in addition to the described normal, abdominal pain may be pathological, due to various diseases. It is necessary to know the signs of abnormal abdominal pain, so that when they appear they immediately cause "First aid" and hospitalized in the hospital, as their presence indicates the development of serious diseases that can lead to the death of the fetus or mother. So, abnormal abdominal pains have the following distinctive features: they increase with time, they do not decrease after resting, they can be localized in any part of the abdomen, wear a nagging, cutting or sharp cramping character, and are combined with back pain, fever, body secretions vaginal blood or large amounts of turbid water or a sharp deterioration in health.
Since the head of the fetus sank into the small pelvis at the 41st week, it puts a lot of pressure on the pelvic bones and soft tissues, which provokes feelings of bursting, pressure, heaviness and pain in the perineum, pelvic bones, thighs, pubic, sacrum and lower back, and cramps in the groin. In addition, a high load on the bones, joints and muscles, pelvic bone discrepancies to the sides, softening of the ligaments and tendons, displacement of the center of gravity due to the protruding abdomen cause pain in the bones of the pelvis, thighs, back, lower back, sacrum, coccyx, hip joints , legs, pubic and crotch. Such pains can be lost in the legs, which leads to difficulty in walking, so that at every step the legs literally shoot. All described unpleasant sensations of pressure, distention and pain are normal for pregnancy, therefore, if they strongly disturb a woman, it is recommended to reduce their severity to get up on all fours for 10 – 15 minutes.
Pain in the pubic, sacrum, legs and lower back can be not only normal, but also pathological, to which they relate, if caused by a disease. So, pubic pain can be pathological with symphysitis (inflammation of the symphysis pubis), but in this case it is combined with "duck gait" and does not decrease after rest. Low back pain can be pathological in diseases of the urinary organs, but in such cases it is combined with pain when urinating and / or with increased body temperature. The pain in the sacrum can be pathological if the sciatic or femoral nerve is pinched, but in such situations it has the character of persistently not passing, strong, sharp, stabbing, giving to the leg. Leg pain can be pathological with preeclampsia and incipient preeclampsia, but in this case it is necessarily combined with one of the following three symptoms — severe swelling of the hands and face, flashing of flies and blemishes before eyes or blurred vision, high blood pressure, protein in the urine.
If there are signs of pathological pain in the sacrum, legs, lower back or pubic, you should immediately consult a doctor.
At the 41st week of gestation, women often experience chest pains that are normal and are caused by the tearing and squeezing of the gland tissue by the produced milk, which will be needed very soon to feed the baby.
Intimate intercourse at the 41st week is contraindicated in the presence of the following conditions:
- The mucus plug came out
- Leaking or draining water
- Woman or man suffering from genital diseases
- A woman bears twins, triplets, etc.
- There are any complications of pregnancy (for example, placenta previa, preeclampsia, etc.).
And when there are no contraindications, theoretically you can have sex right up to the birth. Moreover, sexual intercourse often turns out to be a kind of stimulant, after which a woman has a labor activity. However, not all doctors and scientists adhere to this position. Some believe that sex in the last weeks of pregnancy is harmful, since the female’s genital tract is very sensitive and can easily become inflamed, which is highly undesirable before giving birth. Thus, given the differences on this issue in academic circles, the couple will have to make their own decision – whether they can have sex in the 41st week of pregnancy.
At the 41st week weight gain should be 9.4 – 15.6 kg relative to the mass that existed at the time of pregnancy. Moreover, the fuller the woman, the closer to the lower limit of the norm should be her weight gain. In addition, women should know that weight can not increase from about 38-39th week and remain at the same level that was in those weeks. This is harmless and perfectly normal, as the excess fluid accumulated during pregnancy, which is completely unnecessary for childbirth, is removed from the body. Accordingly, the elimination of fluid and weight gain of the child are leveled, and the total body weight of a woman does not increase. And for these reasons, some women lose their weight by 0.5 to 2 kg at the 41st week.
Weight gain in the last weeks should not exceed 300 grams in seven days. If the weight increases at a fast pace, then the woman becomes stout, and this will negatively affect the course of the upcoming birth. Accordingly, one should try not to allow weight gains above the norm, for which in the last weeks one can even eat only lean foods.
Depending on the effect on the fetus, all drugs are divided into five groups – A, B, C, D and X. Accordingly, all drugs from the same group have the same effect on the fetus, and therefore the rules for their use in pregnancy are the same same Thus, for each group of drugs, there are rules for using during pregnancy, by which doctors are guided when deciding whether it is possible to use this or that medicine during the 41st week of gestation.
At the 41st week, pregnant women can take drugs belonging to groups A and B, as they are safe for the fetus. In case of serious condition of a woman, which in the absence of treatment will become worse, it is permissible to use drugs of group C, but only under the control and on prescription of a doctor. Indeed, for drugs of group C there is only a high risk of negative effects on the human fetus, but this negative effect is not confirmed by practice and remains purely theoretical. Therefore, these drugs are considered acceptable for use on the 41st week in a serious condition of a woman, when she will definitely get better treatment, but it is not known whether the medicine will have a negative effect on the fetus. With the threat of death of a pregnant woman allowed short-term use of drugs of group D, which accurately have a negative impact on the human fetus. Preparations of group X are never used during pregnancy, as they cause fetal death.
Given the above, it is obvious that to understand whether it is possible to use a particular drug is simple – all you need to do is find out which group the medicine belongs to. And to know the group to which the medicine belongs is also easy – for this you need to read the section. "Use during pregnancy and breastfeeding" in the official instructions.
If the instruction says that the drug is permitted during pregnancy and is safe for the fetus, then it belongs to group A. The instructions for drugs in group B contain one of the following phrases: "the drug is approved for use in the second and third trimesters", or "the drug is banned in the first trimester", or "negative effects on the fetus in animal experiments have not been identified, but the absence of a negative effect for humans has not been confirmed, therefore, taking into account the theoretically possible negative effects on the fetus, the drug can be taken exclusively by a doctor after assessing the risk / benefit ratio". Instructions for preparations of group C contain a phrase similar to the following: "in experiments on animals revealed a negative effect on the fetus, so the drug is contraindicated for use during pregnancy". The instructions for group D drugs always state that they adversely affect the fetus and are therefore contraindicated in pregnancy. The instructions to the drugs of group X indicate that they cause fetal death, and therefore are strictly contraindicated for use throughout pregnancy.
Thus, after reading the instructions, one can understand whether a particular drug is allowed to be used in the 41st week of pregnancy. However, in practice it is not always possible to study the instructions, therefore, below we present a table with the most frequently used in everyday life preparations of groups A and B, which can be applied on the 41st week.