In the seventh month of pregnancy, most of the woman's fears are left behind. After all, most of the period of bearing a baby has already passed. The expectant mother is already used to her condition. Now all her thoughts are connected with how the birth will go and the upcoming worries about the newborn child.

Baby at 7 months pregnant

By this time, the child is essentially fully formed. But not all of its organs are fully developed, and the main body systems do not work at full capacity. Only the stomach and intestines are fully formed. Kidneys are developed, but they will earn only after the birth of the baby. The lungs continue to develop. The baby occupies almost all the free space in the uterus.

At 7 months of pregnancy, the most crucial stage in the development of the cerebral cortex begins. The child is able to feel pain. The sounds he hears are slightly muffled by the amniotic fluid. The fetus at 7 months of pregnancy distinguishes the taste of food. The length of the child at this time reaches about 38 cm, and the weight of the child at the 7th month of pregnancy is approximately 1 kg.

The favorite position of the child in the womb at this time is a “kalachik” with crossed legs and arms. At this stage, nerve cells begin to work and nerve connections are formed. The speed of nerve impulses increases, which means that the child develops learning abilities.

The condition of a pregnant woman at the 7th month of pregnancy (28 weeks)

Since the weight of a woman by this time has already increased greatly, it becomes more difficult for her to breathe. This is not scary and is explained by the fact that the bottom of the uterus begins to put pressure on the diaphragm, making breathing difficult.

A growing belly can lead to the fact that a woman begins to suffer from insomnia. Therefore, a woman should rest when she feels that she needs it. best position for sleeping is the position on the side.

At the 7th month of pregnancy, a woman may be inconvenienced and disturbed by:

• increased vaginal discharge;
• baby activity;
• varicose veins veins, cramps in the calves of the legs;
• sprain-related pain in the lower abdomen;
• indigestion;
• discharge from the mammary glands - colostrum;
• some clumsiness of movements;
• "Training" contractions, also called - these contractions do not lead to the opening of the cervix.

Walking and a warm bath help to cope with these not very pleasant sensations.

If in the seventh month of pregnancy a woman experiences nausea and vomiting, then this indicates the onset of late toxicosis. In such a situation, a woman should definitely consult a doctor. is a serious complication of pregnancy. Late toxicosis is accompanied by latent swelling of the feet, increased pressure, the presence of protein in the urine and severe metabolic disorders that harm the placenta, which in turn leads to oxygen starvation of the fetus.

If a woman has painless bleeding at the 7th month of pregnancy, then the doctor may prescribe an unscheduled ultrasound in order to exclude placenta previa.

If the expectant mother at the 7th month of pregnancy has bleeding with pain, then she should urgently apply for medical care. After all, these symptoms indicate the beginning premature birth(so called miscarriage in late pregnancy). In such a situation, the woman is invited to go to the hospital for preservation. If there are pathological changes in the 7th month of pregnancy, then they resort to a caesarean section.

In case of placental insufficiency and a threat to the normal development of the child at 7 months of pregnancy, artificial labor is stimulated.

Sex in the seventh month of pregnancy

If a woman's pregnancy does not have complications, then sex during this period is absolutely not contraindicated. And even vice versa. After all, the pleasure received by the mother is good for the baby.

In the second half of pregnancy, your weight continues to increase, the weekly gain is still 250-300 g. With a more significant rate of weight gain, we can first talk about latent, and then about obvious fluid retention - edema, which may be a sign of preeclampsia.

It is believed that during pregnancy a woman should limit herself to an increase of 9-12 kg - depending on the constitution. Optimally, if over the previous two trimesters you added about two-thirds of this increase to your weight, then the last trimester accounts for about one-third - 4 kilograms.

Due to the stretching of the skin on the abdomen and chest, not only the appearance of stretch marks (stretch marks) is possible, but also a feeling of itching and dryness of the skin - most often in the abdomen. Special creams for pregnant women or regular fatty creams containing vitamins A and E will help to cope with dryness and itching.

The rapid growth of the uterus is accompanied by stretching of the ligamentous apparatus, which can cause minor pain in the lower abdomen. Usually the pain goes away when the woman changes her body position.

Back pain at this stage of pregnancy appears quite often - they are associated with an increased load on the spine, softening of the joints of the pelvic bones (this is how the body prepares for a possible stretching of the pelvic ring during the passage of the baby's head during childbirth). The more kilograms you have, the harder it is for your spine, so control your weight as much as possible. Sleep on a firm mattress, sit with a straight back, choose chairs with a back and armrests, do not cross your legs - this position not only impedes blood circulation in the legs, but also increases the load on the pelvic bones. Avoid prolonged standing, wear a pregnancy bandage when walking, do exercises that strengthen the muscles of the abdomen and pelvis (for example, "cat's back", Kegel exercises - alternating tension and relaxation of the pelvic floor muscles, etc.).

At this stage of pregnancy (and sometimes even earlier), cramps in the muscles of the lower extremities may appear. This ailment, unlike "back" pain, can be prevented. To do this, wear special elastic tights, during rest, raise your legs above the level of the body to restore normal blood circulation in them, follow a special diet that maintains the optimal level of calcium and phosphorus in the body, before going to bed, massage your legs from your toes towards the thigh.

In case of varicose veins, which may first appear or progress during pregnancy, it is necessary to wear special knitted underwear. This condition is manifested by discomfort and pain in the legs, especially after prolonged standing; a network of veins appears on the skin of the legs.

To avoid another fairly common ailment of pregnant women - hemorrhoids - it is necessary to prevent the development of constipation with a diet rich in fiber, sleep on your side to avoid pressure on the veins of the rectum, and do exercises that improve blood circulation in this part of the body. These or other symptoms of hemorrhoids occur quite often and to some extent are considered an option. normal pregnancy but you must tell your doctor about them 2.

Since the pressure of the uterus on the abdominal organs has increased significantly, sometimes urinary incontinence is possible when sneezing or coughing. If this happens quite often, use spacers. Do not be discouraged: after a couple of months you will forget about these unpleasant sensations.

Fetal development in the seventh month of intrauterine life

By the end of the seventh month of pregnancy, the length of the fetus is already 40 cm, body weight is 1500 g. From the 28th week of intrauterine development, when the body weight of the fetus is 1000 g or more, the so-called perinatal period begins. It covers all subsequent weeks of pregnancy, childbirth and the next 7 days of a newborn's life.

The baby sets the rhythm of sleep and wakefulness, he can wake up in the morning with his mother and greet her with rather violent jolts. Some children, on the contrary, want to “walk” exactly at the time when their mother is sleeping. Under the skin of the child, fatty tissue gradually accumulates.

The heart of the fetus at this time is reduced with the same frequency as in newborns (120-160 beats per minute). From the seventh month of pregnancy, it is possible to record the fetal heartbeat on a cardiotocogram (CTG), which allows you to assess the condition of the fetus and the tone of the uterus. An indicator of the condition of the fetus is also irregular "breathing" movements of the chest, which can be seen with ultrasound.

From this period of pregnancy, a special substance is formed in the lungs of the fetus - a surfactant, which at birth helps to maintain the lung tissue in a straightened state.

In the seventh month of pregnancy, the fetus is usually born alive. He can survive if he is kept in a special incubator, with artificial lung ventilation and the use of appropriate intensive care and resuscitation equipment. Such a child is born with pronounced signs of prematurity: poor development of subcutaneous adipose tissue, wrinkled skin, abundant cheese-like lubrication; his whole body is covered with fluffy hair.

Possible complications in the seventh month of pregnancy

With the development of labor activity after 28 weeks of pregnancy, they are no longer talking about a miscarriage, but about premature birth. The threat of preterm labor usually requires hospitalization and treatment. To accelerate the maturation of the lungs of the fetus and stimulate the production of surfactant at this stage of pregnancy, corticosteroid hormones are usually prescribed. This contributes to the survival of the child if, despite the measures taken, he will be born significantly.

With placenta previa, when it covers the area of ​​​​the internal os of the cervix, as the gestational age increases, the risk of bleeding and acute fetal hypoxia increases, so the pregnant woman must be in the hospital.

On the seventh month of pregnancy sometimes there are signs of such complications as preeclampsia. Preeclampsia is usually represented by a triad of symptoms: edema, increased blood pressure and the appearance of protein in the urine. Preeclampsia can be expressed to a greater or lesser extent, but in any case, the expectant mother needs mandatory treatment, since this condition is dangerous not only for her, but also for her child.

At this stage of pregnancy, constant monitoring of urinalysis is required - this is necessary for the timely diagnosis of urinary tract infections, preeclampsia and some other pathological conditions. The frequent development of urinary tract infections in the 6-8th month of pregnancy is associated with their expansion due to the action of progesterone and other hormones, as well as the mechanical pressure of the growing uterus.

With the onset of 7 months of pregnancy, great changes occur not only in the condition of the woman, but also in the development of the fetus. This is a difficult period. It can be accompanied by ailments associated both with changes in the body and with complications during pregnancy. At 7 months, expectant mothers have a lot of questions. We will try to answer many of them in this article.

7 months pregnant is how many weeks?

During pregnancy, a woman’s head is filled with various serious questions regarding the health of her and her baby, future childbirth, possible problems and consequences. In general, thinking is not directed towards mathematical calculations. But every pregnant woman wants to know exactly how many weeks it is - 7 months of pregnancy? Why exactly 7? It's simple, because it is at this time that the employer is obliged to release the future mother in maternity leave!

Weeks are counted according to the obstetric calendar, and the beginning is considered to be the first day of the last menstruation. As a rule, this is why the obstetric term often differs from the calculation of the pregnant woman herself, and the difference is upwards of at least 2 weeks.

The obstetric month is not the same as in our usual view, and does not last 4.5 weeks, but exactly 4. A complete pregnancy lasts 40 obstetric weeks, that is, 10 months. Thus, it is possible to calculate how many weeks the seventh month begins: the beginning of the seventh month is 25 weeks (that is, not 6 months, but the seventh has gone), but exactly 7 months is 28 weeks. Seven months of pregnancy lasts until the 29th week. But the exact period is 25-28 weeks.

Fetal changes

The fetus at the 7th month of pregnancy in weight already reaches a kilogram, and its average height is 35 centimeters. Real baby! At this time, the child begins to recognize parental voices and the voices of those who are often nearby. Also, the baby already reacts to sounds, so it is extremely important to create calm environment, with the beginning of the 7th month, a woman is recommended to listen to measured music, and best of all, classics, because it has been proven that children begin to feel more relaxed. At the seventh month, the fetus already knows how to suck a finger!

At 7 months of pregnancy, all the organs of the unborn baby are already formed, but they continue to improve further. From the 29th week, the child is preparing with might and main for a life separate from the mother's womb. The fat content in his body is already 4%, and corks consisting of mucus come out of the spout and protect the respiratory organs from water ingress.

With the onset of the 30th week, the fetus should already take the position of the body in which it will be during childbirth. There are times when the baby has not yet turned around by this time, but you should not worry, because he can lie down differently until the 32nd week.

By the 31st week, the baby curls up tighter in the abdomen, as he is actively growing, and there is less and less space. During this period, the facial features of the future baby become clearer and more expressive, and the pupils of his eyes are already the same as those of a "ready" baby!

The digestive organs begin to form at the 7th week, but by the 7th month of pregnancy they are almost ready for full-fledged independent work.

At 32 weeks, the folds and wrinkles on the face of the fetus are smoothed out, the weight can be from 1800 grams to 2 kilograms, and the height can be from 42 to 45 centimeters on average.

If a premature birth occurs at 7 months of pregnancy, then the baby will already be able to breathe on his own, but he will need enhanced care from medical personnel. The chances of a child surviving during this time are significant. But still, a pregnant woman needs to take care of herself in order to allow the baby to fully develop!

Women's changes

At 7 months of pregnancy, a woman becomes more anxious, because the due date is approaching. But you need to pull yourself together, calm down, because by her behavior a woman forms the future character of the child.

Breathing becomes more difficult from 7 months of pregnancy as the uterus rises higher. To improve well-being, you need to move more, walk in the park. If you feel tired, then you can’t fight it, you need to lie on your back or on your side, and put a soft pillow between your knees. During movement, uterine contractions may be felt, this is not scary. But if at 7 months of pregnancy the stomach pulls strongly, this feeling causes discomfort and even pain, then you need to urgently seek advice from the obstetrician leading the pregnancy.

From the seventh month, a woman may be disturbed by false contractions, but this is even good, since nature thus checks the readiness of the body for childbirth. Contractions should be irregular, painless, not interfering with daily activities, otherwise consult a doctor immediately.

Itching felt on the skin of the abdomen signals the need to soften the epidermis, to purchase a remedy to prevent the appearance of stretch marks. Unpleasant sensations on the skin indicate that it is stretched to the limit, but it is worth remembering that the active growth of the tummy is in full swing, so take care of your comfort and beauty.

The breast at the 7th month of pregnancy begins to prepare for the main mission in a woman's life - feeding a new person! Liquid may begin to be released from it - this is colostrum, the most useful product that mom will feed the child in his first 2-3 days of life. The chest increases in size, becomes heavy, discomfort may be present. Get a special supportive bra, in specialized underwear for pregnant women there are pads into which the secreted colostrum will be absorbed, this is very convenient when you need to visit a public place and not feel discomfort.

Other unpleasant moments during the active growth of the abdomen are possible constipation, heartburn, increased gas formation, pain in the hypochondrium, nausea. All these symptoms are caused by the enlarging uterus pressing on the organs. To reduce symptoms, prevent their occurrence, you need to reduce pressure by eating small meals. At this time, it is desirable to consume more liquids and soups.

In weight, a woman should gain an average of a pound every week, if there are strong discrepancies up or down, then you should talk to your doctor about diet and diet. Pain can occur in the lumbar region, back, and legs as the bones and muscles are put under pressure from the increased weight. There may be cramps in the calf muscles, expansion of the legs (edema) and hemorrhoidal veins. A special bandage and physical education for pregnant women can help with these symptoms.

When walking fast, shortness of breath occurs, this is again associated with the weight and pressure of the uterus on the organs. For this reason, pregnant women seem slow, thoughtful, their gait is peculiar, a little awkward. Movements become cautious and clumsy.

Important points to know

1. In the seventh month of pregnancy, a woman usually weighs 8-15 kilograms more than she was before pregnancy. Many are afraid that they have become very fat, after giving birth they will not be able to lose those extra pounds. 90% of women manage to return the previous figure, the secret is activity, exercise, rational nutrition. We don't say "proper nutrition" because by it many people mean a diet consisting of steamed vegetables. Nutrition should be precisely rational, it should contain meat, and fish, and vegetables, and cereals, but all in reasonable quantities! No need to stuff yourself with double portions, worrying about fat content and quantity. breast milk, the child will not remain hungry, nature provides for the formation of milk in the right amount.
2. Heartburn increases, this may be due to the weakening of the esophagus due to pressure on the organs of the uterus. In this case, it is not recommended to take soda, if edema is formed, this substance can increase them. Take special pills, but which ones? Only a doctor can tell!
3. Vaginal discharge in the seventh month becomes more intense. If they are light yellow or white, this is a sign of normality. Curdled discharge and itching indicate the development of thrush. Bloody or brownish - this is bad, as they signal the threat of premature birth or placental abruption.
4. And again about nutrition: you need to eat a lot of fresh fruits and vegetables, take multivitamin preparations that the doctor prescribes. All this will benefit not only the unborn baby, but also the mother. With a lack of vitamins, hair begins to fade and fall out, nails exfoliate, skin and teeth deteriorate.
5. It is highly undesirable to dye your hair, because harmful components can enter the bloodstream through the skin.

belly size

This parameter depends on the physique of the woman, the structural features of the internal organs, and it is unique for each pregnant woman. Some walk with a huge belly, and it seems that the time has come to give birth, or a woman is carrying more than one fetus. In others, the tummy is small and under loose clothing invisible, and many do not even realize that a woman is going to become a mother!

A small belly at the 7th month of pregnancy may indicate infertility, lack of amniotic fluid, a delay in the physical development of the baby, an incorrectly set period. To diagnose possible "malfunctions", it is recommended to consult a doctor. You may have to undergo an unscheduled ultrasound.

At the 7th month of pregnancy, a small belly size may not indicate any problems at all, so do not panic ahead of time. The physique of each woman is individual. If you had a belly before pregnancy, then during pregnancy it will be big. If a woman is distinguished by a flat tummy, thinness, then the stomach can be very small, and at the same time the size and weight of the child will be normal.

The doctor will notice inconsistencies, if any, and refer you for a proper examination.

Nausea at 7 months pregnant

The eternal question: why do you feel sick during pregnancy? In the first trimester, this is called toxicosis and is not a concern. But doctors begin to worry if a woman suffers from nausea in the third trimester, and this phenomenon is given a different definition - preeclampsia.

Not only women after 35 years old, but also very young mothers can suffer from preeclampsia, and this is already a pathological course of pregnancy.

Preeclampsia is accompanied by such unpleasant moments as dizziness, fainting, increased blood pressure, headaches. This happens due to a strong vasoconstriction, which also leads to insufficient oxygen supply to the blood and placenta, which is fraught not only for the mother, but also for the health and development of the baby. During gestosis, a woman's vision can noticeably deteriorate, and in especially severe cases, a brain hemorrhage occurs, which can lead to the death of the woman in labor and the baby.

If during pregnancy there was preeclampsia, then the consequences of its influence on the body disappear for two whole years. During this period, all blood counts will be deviated from the norm.

What to do with gestosis?

Nausea at the 7th month of pregnancy should not remain a secret for the attending physician, since preeclampsia is not just toxicosis, but a dangerous pathology.

Self-medication is prohibited! An obstetrician-gynecologist will prescribe drugs that will help overcome the disease, improve the woman's well-being.

In addition to medicines, outdoor recreation, bed rest, as well as herbal decoctions will be prescribed.

Pregnancy and colds

It is easier to prevent a cold than to cure it, this saying is true for everyone, especially for pregnant women. In order not to get sick, use the following recommendations:

• avoid public places in the midst of a cold and flu epidemic;
• if there is a need to go to a store, a clinic, visit a antenatal clinic, put on a gauze bandage on your face;
• when you come home from the street, gargle with herbal infusions and water with salt and soda, rinse your nose;
• take the vitamins prescribed by your doctor.

How to treat a cold during pregnancy?

If, nevertheless, a woman caught a cold at the 7th month of pregnancy, what should I do? With a cold in the seventh month, and for all other periods, you should strictly adhere to the rules:

1. In no case should you choose your own treatment, because many drugs are contraindicated in a situation such as pregnancy.
2. Call the therapist at home, and do not go to the appointment in person. The rule "infection does not stick to infection" does not work! Exists great amount viruses, which, as a plus, you can take with you in the neighborhood of existing ones.
3. Consult a doctor at the first symptoms of the disease in order to prevent it from developing and harming the baby.
4. Stay in bed during the illness.
5. Use not only prescribed medicines, but also folk remedies recommended by your doctor.
6. Stable ventilation of the room will help you recover faster.
7. Drink plenty of fluids to flush out toxins from your body.

preterm birth

Childbirth at 7 months of pregnancy is quite common, and modern technologies and knowledge of doctors allow in most cases to save the life of the baby. The causes of premature birth can be:

1. Falls, various kinds of injuries.
2. Diseases.
3. Carrying weights.
4. Stress, anxiety, psychologically unfavorable situation in the family or at work.
5. Difficult working conditions, standing work more than 6 hours a day.
6. Bad habits.
7. Long-distance travel, overvoltage, air travel, long-distance train travel.
8. Premature detachment of the placenta.
9. Fetal damage.
10. Polyhydramnios.
11. Multiple pregnancy.
12. Infections.
13. Violations in the structure of the uterus.

Childbirth at 7 months is an abnormal phenomenon, and they give their complications, which concern mostly the baby. The consequences of preterm birth can be:

1. The lungs of the child are still underdeveloped at this time, so in 60% of cases there are breathing complications and even pauses in breathing. Usually, babies born before the 8th month of pregnancy are placed under a dome with a high oxygen content in the ICU (intensive care unit).
2. Complications of a neurological type (hyperactivity, isolation, learning problems), disorders in the development of the brain.

But all these consequences and complications are detected at an early stage and are well eliminated by intensive therapy. In 99% of cases within a couple of months premature baby indistinguishable from peers born on time!

The seventh month opens the third and last trimester of pregnancy. The expectant mother is actively preparing a “dowry” for the baby, equipping the nursery with the help of her relatives. At this stage of pregnancy, most women no longer work, having taken maternity leave. A noticeably enlarged belly somewhat complicates the existence, but when wearing a high-quality prenatal bandage, a woman almost does not feel this heaviness.

What happens in the female body?

At the beginning of the seventh month, the bottom of the uterus is a few centimeters above the navel, and by the end of this period, it is located between the navel and the xiphoid process. Due to the enlarged uterus, the diaphragm changes its usual position, constricting the lungs. The consequence of this is shortness of breath, which becomes more intense even with little physical exertion. In the hypochondrium often appear painful sensations.

The action of pregnancy hormones makes a woman's skin supple and elastic, as elastin and collagen are intensively synthesized in it. If these substances are not enough, the epidermis becomes thinner at the site of increased load - intradermal tears appear. The body fills them with connective tissue, resulting in stretch marks. Most of them are located on the skin of the abdomen, chest, thighs.

If the fetus is large, twins are expected, there is polyhydramnios, the appearance of striae (stretch marks) is inevitable. For prevention, you can use vitaminizing moisturizers intended for pregnant women. It is recommended to supplement the use of such products with a light circular massage of the abdomen, pinching the skin. If there is uterine hypertonicity, such massage can increase the risk of abortion.

The mammary glands produce colostrum, the precursor to breast milk. If it stands out, you need to use special tabs in a bra, wash your chest with cool water.

During the seventh month of pregnancy, weight gain is 1200-1600 g, approximately 300-400 g per week. The total weight gain since the beginning of the gestational period is 7-11 kg. This variation is due to the difference in the build of pregnant women - the lower the body weight before pregnancy, the higher the increase.

Although the uterus is growing very rapidly, the growing fetus now takes up all the space inside it. He is also growing rapidly, reaching by the end of 7 months a weight of 1.6-1.7 kg, height - 40-41 cm. The proportions of his body are increasingly approaching the proportions of a newborn, the head is growing not so fast. Due to the increased layer of subcutaneous adipose tissue, the baby does not seem as thin as in previous months, his skin acquires a pinkish tint.

Hair grows on the head, eyebrows and eyelashes grow on the face. The nails, although they grow, still do not reach the tips of the fingers, the auricles and cartilages of the nose remain soft.

The nerve fibers of the brain and spinal cord are covered with myelin, the size and structure of the cerebral cortex is almost formed. This development of the central nervous system gives the child many opportunities for learning surrounding reality. Reactions to irritants in a fetus at 7 months do not differ from the same reactions in a newborn baby. He feels pain, reacts to mechanical impact on the stomach, to loud sounds, to psycho-emotional state mother. The response is an increase in the frequency or a decrease in the intensity of movements.

There is no longer a pupillary membrane on the fetal eyeball, it can open and close its eyes. The taste buds on the tongue of the unborn child are in sufficient quantity to distinguish between flavors. He swallows amniotic fluid, getting nutrients from them. Processing products gradually accumulate in the intestines, forming the original feces - meconium. It will come out only after childbirth, in the first days after birth.

Bone marrow the baby produces red blood cells, forming its own blood. The blood of the child and the blood of the mother do not mix with each other, communicating through the placental barrier. Through this thin partition, the exchange is carried out nutrients, water, there is also a process of excretion of waste products of the child.

The baby swallows amniotic fluid, while raising chest. This imitation of swallowing exercises the immature lungs before they take over the function of breathing. If the baby is born at this stage of pregnancy, he will have to breathe with the help of forced ventilation of the respiratory system. Despite this, he has over 90% chance of surviving after a premature birth. If a amniotic fluid when swallowed, it enters the lungs, a woman can feel the baby hiccup.

The position of the fetus in the uterus at this stage of pregnancy can be any, but the range of motion is getting smaller every day due to the growth of the baby's body weight. It is desirable that by the 28th week the baby turned head down - the optimal position for childbirth. If this does not happen, the child has less and less chance of avoiding a breech or breech presentation, which complicates labor. To prevent such a situation, it is fashionable to do special exercises that stimulate the fetus to take the desired position.

At this time, the influence of the hormone relaxin makes itself felt more and more. Its level increases, relaxing all the ligaments and muscles of the abdomen and pelvis to facilitate labor. Because of this circumstance, women acquire a specific "duck" waddle gait, they are worried about back pain.

The action of relaxin on internal organs:

On the venous wall - provokes varicose veins;

On the muscles of the esophagus - throwing the contents of the stomach into the esophagus,;

On the muscles of the bladder - urinary incontinence.

Good heredity and a high level of physical fitness can save a woman from negative feelings.

The pregnant woman's sleep has become shallow, because of discomfort, she often wakes up at night, sees dreams associated with childbirth. This is due to the inability to take a comfortable position, the activity of a fairly large fetus. A change in the intensity of activity in one direction or the other indicates a problem in the child's condition. Perhaps he lacks oxygen, he is experiencing hypoxia. In any case, you should consult your doctor.

The psychological state of a woman

There is a category of pregnant women who at this stage of pregnancy are not interested in anything other than the narrow problems associated with childbearing and caring for newborns. They actively discuss these problems with relatives and friends, visit forums for pregnant women. If it’s not easy to find like-minded people, you should look for them in pregnancy preparation courses.

If the doctor makes a diagnosis of intrauterine growth retardation, this means that the weight and height of the child is behind the norm for this period of the gestational period. The optimal limit beyond which treatment is required is 10% of the norm for a specific period.

Reasons for developmental delay:

Heredity;

Miniature parents;

Smoking during pregnancy;

Somatic diseases of the cardiovascular or endocrine system of a woman;

Ecology;

Taking medications during pregnancy;

Pregnancy with twins or triplets;

Living in areas with rarefied air (highlands).

The diagnosis is made on the basis of ultrasound data, as well as the results of measuring the size of the uterus.

The low dynamics of its increase indicates that the woman and the child require treatment:

Complete nutrition;

Taking multivitamins;

Preparations: actovegin, trental, chimes, instenon;

Bed rest to stimulate blood flow to the placenta.

All activities are aimed at increasing the amount of oxygen and nutrients supplied to the fetus.

From the beginning of the 7th month of pregnancy, the doctor palpates the abdomen, determining the presentation of the fetus:

longitudinal, oblique, transverse. Longitudinal presentation can be head and pelvic. In response to the special gymnastics prescribed by the doctor to change the presentation, the fetus begins active movements. If a woman wears a bandage at the same time, a coup may not occur.

If a pregnant woman has an increased risk of miscarriage, she may go into premature labor at this time.

To prevent such a situation, you should take preventive measures:

Avoid intimate relationships;

Do not gain excess weight;

Eat well;

Stop working;

During the cold season, protect yourself from contracting viral infections.

Symptoms of preterm labor can be the appearance of a mucous plug, the appearance of bloody or copious watery discharge, cramping pain in the pelvis.

Another danger of this month is the appearance of late toxicosis of pregnancy, or preeclampsia. This condition is extremely dangerous, it can result in disruption of the vital organs of a pregnant woman. Preeclampsia is manifested by edema, weakness, nausea. If you experience these symptoms, you should immediately contact your doctor.

At the 7th month, the doctor plans to visit the woman's consultation once every 2 weeks.

Before you issue sick leave for pregnancy and childbirth, an obstetrician-gynecologist prescribes the following examinations:

General clinical analysis of urine and blood;

Blood chemistry;

Blood test for coagulability, for sugar content;

Blood test for coagulation (for pregnant women with Rh conflict and with 0 (1) blood group);

Consultation of an ophthalmologist and therapist.

After the 28th week of pregnancy, a cardiotocogram is performed - the study and recording of heart rate, fetal movement, and the intensity of uterine contractions. The study is carried out for 20-40 minutes. If during this time the fetal heart rate changes noticeably, this indicates a developmental pathology, a possible oxygen starvation.

From the 30th week of the gestational period, a woman receives antenatal clinic certificate of incapacity for work due to pregnancy and rods. Its duration is 140 days, with multiple pregnancy– 180 days. The period of disability in this case begins from the 28th week.

When observed in a consultation for at least 12 weeks, a woman is given a birth certificate in her hands.

Strict control over the quality of nutrition is a guarantee of the well-being of a pregnant woman and the full development of the fetus. Fatty, fried foods, sweets and marinades should be removed from the diet. These substances provoke weight gain, heartburn, salt retention in the body,.

The menu includes fermented milk products, fish, meat, cottage cheese, fruits and vegetables, nuts. They are valuable sources of calcium, protein and vitamins.

Due to the specifics of digestion during pregnancy, it is better to eat often, but little by little, planning the last meal 3-4 hours before a night's sleep. Dinner consists of easy-to-digest products; before going to bed, you can drink a glass of kefir or milk.

intimate relationship

The answer to the question of whether intimate relationships are allowed at the 7th month of pregnancy is very difficult to give. It all depends on the state of health of the woman, the absence or presence of contraindications. Most likely, the decision of this issue should be entrusted to the doctor. If he sees no contraindications to sexual contact, there is an opportunity for intimate relationships.

Such contacts cannot cause harm to the child, he is protected by the muscular layer of the uterus and amniotic fluid.

Increased weight and a significant size of the abdomen at 7 months impose certain restrictions on a woman - she must wear low-heeled shoes, do gymnastics, do not walk for too long, raise her legs to an elevated position after a long walk.

Video about medical examination during pregnancy, precautions for contact with people during the season of high incidence, about the treatment of colds during pregnancy:

Education: Diploma "Obstetrics and Gynecology" received at the Russian State Medical University of the Federal Agency for Health and Social Development (2010). In 2013, she completed her postgraduate studies at the NMU. N. I. Pirogov.

The seventh month of pregnancy is the step with which a woman enters into last - third trimester. It can be considered relatively calm: all the main tests and examinations have already been completed, maternity leave is “on the nose”. By the way, it is better for working mothers to write an application for a decree in advance, warning them a couple of weeks before they leave work. But even if you are not particularly in a hurry to go on maternity leave, and your well-being allows you to continue working, then the intensity of work still needs to be limited, to switch to less tiring work. Be sure to take breaks every hour for 10-15 minutes to warm up, go outside or just stand at an open window. At lunchtime, if possible, try to lie down, or at least just take off your shoes, stretch your legs on a chair and relax.

At the 7th month of pregnancy, many women, who did not even have experience and craving for needlework in the past, enthusiastically begin to sew and knit children's things. This is a great activity that allows mom to get distracted, relax, chat with the baby while knitting a miniature blouse, put maximum love and tenderness into a homemade blanket for the baby. Now it is already possible and necessary to communicate with the baby, talk, listen to music. Mom and dad already probably know the gender of the baby growing in their mother's belly, and they are seriously discussing options for a name that will suit the heir or heiress, and future parents will like.

The seventh month of pregnancy obliges a woman to still take care of herself, observe optimal nutrition, get enough sleep, and more often be on fresh air. From the new - the need to gradually adapt to the schedule of rest and wakefulness of your offspring. Already now he is beginning to actively dictate his own rules and conditions.

· Seventh month of pregnancy: baby development

Pregnancy lasts 9 months, but if the baby decides to be born right now, in the seventh month of pregnancy, then he has excellent chances for this - the development of the child allows him to survive and continue to develop outside the mother's womb, albeit with some medical care. Moreover, from now on, your baby is considered a human person according to official legal norms, not a fetus, as it was before, but a Human, with all the consequences, as they say, including registration. Therefore, it can now be rightfully called a child without using the prefix "future". However, its development is still ongoing, and the time of childbirth is not soon. By week 28, the growth of the crumbs is usually about 35-40 cm, and the weight is close to 1-1.5 kg.

The heart of the child clearly beats, and parents can independently try to determine the sex of the crumbs, by heartbeat. It has been noticed that the heart of boys and girls beats differently: for boys, the rhythm is measured and calm, for girls, the heart “beats”.

At week 28, the baby already opens his eyes, and it is completely meaningful. They are framed by short thin cilia. The child shows a keen interest in everything that happens outside of his water "house". By the way, scientists say that children learn the language principles even in the womb. This explains the fact that a child's cry is often very similar to the mother's voice in intonation and rhythm.

At a period of 7 months of pregnancy, the development of the hearing aid finishes in the child: he understands sounds quite well outside world, although she spends most of her time listening to her mother’s heartbeat, how blood moves through her body, how her intestines work. Moreover, the child already distinguishes voices, he will definitely get used to his mother's by the time of birth, he will calm him down. Experts advise to communicate more often and more with the baby at this stage of development, read fairy tales to him, sing lullabies, turn on pleasant music.

The seventh month is the time of active learning for the baby to raise and lower the eyelids, smile, play, master the movements and capabilities of his body. By the way, the child can already see his own dreams, he learns to respond to them.

The teeth of a baby at 7 months of pregnancy already have enamel, despite the fact that they are hidden in the gums. Now this little man not only feels, he reacts to light, taste and even smells.

By the middle of the seventh month, a decisive stage in the development of the brain occurs. Its volume increases, convolutions and furrows are formed. Semi month old baby reacts to pain in much the same way as a normal one. His body is sufficiently prepared for "going out": the respiratory system has formed, its own immunity has improved, the process of thermoregulation is working, the genitals and all limbs have taken shape, the head turns, the eyes open, the nose "breathes", the intestines and kidneys work. A child's kidneys excrete close to half a liter of urine every day! The body continues to improve, there is little left - the development of the child's lungs, their work has not yet been debugged. Therefore, with an “early” birth, the baby will need the help of doctors and the possibility of a pressure chamber.

The baby continues to move actively, ruthlessly kicking his mother's stomach at the 7th month of pregnancy. Thus, he can express his emotions, mood, desires, discontent, and even demonstrate his temper. Doctors warn that mother should be alerted by strong sharp blows from the inside, which means that something may be wrong. Indeed, for the most part, during this period, children behave calmly, due to the banal lack of space. However, do not rush to worry, the reason for such “boxing fights” may well lie in the difficult nature of your child. But, just in case, it is better to visit a doctor.

The seventh month ends with the appearance of weak uterine contractions in the mother - this is. At the same time, sensations are usually painless and disturbing except for their unusualness - a kind of rehearsal before the grand premiere of the play called "The Birth of a New Life"!

By the end of the term, the formation of the child's reproductive system ends: in boys, the testicles descend into the scrotum, in girls the clitoris has formed, but the labia is still open.

· Possible problems and feelings

In the seventh month, the sensations during pregnancy are actually no different from those already familiar a month earlier. But now a woman understands more clearly and more fully that very soon, she will fulfill the main purpose in her life - she will give life to a new person. It is with the realization of this that the frequent worries and anxious states of a pregnant woman are associated.

At this point, the expectant mother has significantly gained weight: it is believed that the optimal absolute gain is 9-10 kg of the initial weight, and then it will continue to increase. The stomach at the 7th month of pregnancy seems to have grown simply “to the impossible”: the skin of the abdomen probably itches and itches due to stretching, which is why many women have red oblong spots on their stomachs. The breast has increased even more, from the mammary glands at this stage it can be separated colostrum . On the need to use special means from stretch marks has already been said, otherwise mom after childbirth runs the risk of finding an unsightly defect on her hips, stomach and chest - striae, or simply stretch marks.

Pregnancy at this stage may be accompanied by sensations of heat (not to be confused with high temperature), increased sweating, especially at night. These sensations are explained by the acceleration of metabolism 20% faster than in the normal state, an increase in the volume of circulating blood.

From the previous month, swelling of the extremities will also remain “inherited”. They are especially puffy in the late afternoon, as well as after prolonged standing or sitting. All these are the same consequences of an increase in fluid in the body. With minor swelling, nothing should disturb a woman, they do not pose a danger, in the vast majority of cases. But if the swelling of the hands and feet is severe, it is better to consult a doctor.

Vaginal discharge at 7 months, the so-called leucorrhoea, may increase slightly. If this discharge is not accompanied by discomfort, an unpleasant odor and changes in consistency, there is no reason to worry. But if the discharge during pregnancy suddenly becomes abundant, they are transparent, and similar to water, urgently consult a doctor - we can talk about leakage of amniotic fluid - a condition that threatens the development of the child or precedes childbirth, at this stage premature.

Still, the seventh month of pregnancy may be accompanied by pain in the back and abdomen, due to a large sprain and muscle strain, an increasing load on the spine. From time to time, painless short-term spasms of the uterus may appear: it seems to harden, and then relax again. This is how training contractions manifest themselves, which in medicine are usually called Braxton-Hicks contractions, designed to prepare the body for the upcoming birth.

The uterus now feels just huge, it presses on the internal organs, causing difficulty in breathing, causing digestive disorders, heartburn, constipation, accumulation of gases and bloating.

Many women in the seventh month are characterized by forgetfulness and absent-mindedness. Fatigue accumulates - from a large belly, unpleasant phenomena that accompany the well-being of a pregnant woman, the inability to sleep in the desired position. It becomes uncomfortable to sleep, you have to wrap yourself with pillows, and all the time lying on your side. This fatigue is understandable, but you need to pull yourself together: most of the way you have already passed, very soon the birth, and the appearance of the baby will more than pay for all today's inconveniences.

· Nutrition during pregnancy

A child at 7 months of pregnancy continues to accumulate phosphorus, iron and calcium, his bones are already formed, but still very fragile. Therefore, a balanced and rational diet during pregnancy remains one of the main conditions for the 7th month for the normal well-being of the mother and the planned development of the baby. The baby needs to be provided with all the necessary nutrients and useful substances. Keep track of the quantity and quality of the food you take, give preference to natural, home-cooked food prepared by yourself or under your control.

Nutrition of a pregnant woman at this stage does not allow fatty, fried, spicy or sour foods in the diet, especially since pregnancy often occurs against the background of heartburn. It is recommended to exclude salty foods from the menu, limit salt intake: it retains fluid in the body, which is fraught with the development of even greater swelling. To deal with edema, you can stimulate the removal of excess fluid, for this it is enough to pay attention to the drinks consumed: coffee and tea should be replaced with cranberry juice and berry fruit drinks, herbal teas.

The menu must include meat (a source of protein), walnuts and fatty fish (the development of a child’s brain requires the presence of fatty acids), cereals (“correct” carbohydrates), in particular buckwheat, and liver (a source of iron that prevents the development of anemia). And, of course, you need fruits and vegetables that supply fiber, which improves bowel function, and an abundance of vitamins and minerals. Every day you should eat cottage cheese and various fermented milk products - "suppliers" of calcium, compensating for its massive outflow from the mother's body to the child.

All kinds of confectionery "goodies" and sweets are better to be postponed until more appropriate times: sugar and flour stimulate rapid weight gain. However, the main principle here is the knowledge of the measure, if you really want to treat yourself to something delicious, it is much better to eat a couple of pieces of chocolate or one ice cream than to torment yourself with thoughts about the “forbidden sweet”.

As before, the diet should be fractional, that is, frequent and in small portions, breakfast is a must, and dinner is eaten no later than 2-3 hours before going to bed. Breakfast is nutritious and full, it is necessary for lunch - the main meal, but in the evening - light and simple food is recommended. Pregnant women are shown frequent snacks, but in no case should they consist of sandwiches or sweets; yogurt, bananas, nuts, cottage cheese, fruit or vegetable salads, and dried fruits are ideal snack foods.

· Sex in the seventh month of pregnancy

Unfortunately, there is no universal answer to the question of whether sex in the seventh month of pregnancy is safe. Only a doctor, having assessed the condition of the woman, the results of examinations and tests, and how the pregnancy proceeds, can say whether sexual relations are possible at this stage. But, in general, if there are no direct contraindications, sex in the seventh month of pregnancy has every right to exist.

It is categorically unacceptable to practice intimacy in case of a threat of premature birth, the presence of sexual infections in the father, or in the mother, the presence of infections of the genital organs.

As for how the physical proximity of parents affects the child, we hasten to reassure: sex does not harm the child, but the reaction to orgasm in children is different. So, some babies, after the parental "sexual rhythm" and mother's orgasm, are activated, while others, on the contrary, calm down and calm down peacefully. According to doctors, each of the reactions is normal and does not pose any threat. Most often, such a reaction is similar to the feelings of parents, one or both - a desire to sleep or inspiration after sex.

· Analyzes and examinations

The seventh month of pregnancy implies an increase in the "dates" of the pregnant woman with the doctor: two examinations are now shown per month. At the appointment, the doctor traditionally measures the level of blood pressure and weight gain, the size and height of the uterus. The limbs of the pregnant woman are examined for manifestations of edema, the heart of the child is auscultated.

It is recommended to take a general urine test for sugar and protein two days before visiting a doctor. In cases of development of pyelonephritis in a woman, during the bearing of a baby, it may be necessary to pass a special urine test - for bacteriuria. And if there is a risk of developing diabetes (or suspicion of it), an additional biochemical blood test is also necessary.

If you suspect the possible development of heart disease in a child, Doppler or cardiotocography (CTG) is prescribed.

In the seventh month of pregnancy, an unscheduled ultrasound may be needed to exclude placenta previa. This complication may be indicated by sudden bleeding, while there are no painful sensations.

But with the appearance (or intensification) of sensations of pain and pressure in the lower back, squeezing and pain in the pelvis, spreading to the lower back and hips (similar sensations accompany menstruation), the appearance of bloody, brown or watery discharge from the vagina - you need to seek medical help urgently . With a high degree of probability, the listed symptoms indicate the onset of a premature birth in a woman, so medical intervention is required as soon as possible. In the case of a correct and timely response, the chances of a baby for a successful outcome at birth ahead of schedule are quite high.

Yana Lagidna, especially for mymom . en

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