Occurs at 32 weeks. Photo of the fetus, photo of the abdomen, ultrasound and video about the development of the child. Decoding ultrasound: fetometry

32 weeks gestation is a new milestone that you and your baby have reached. The seventh month is behind. There is a belief that babies born at 7 months adapt more easily than those born at 8 months, this is not true, every week in utero is important for the baby and increases his chances of being born completely healthy.

If we talk about 32 weeks of pregnancy, how many months it is, now it is 7 months, the beginning of the eighth according to the usual calendar. If we talk about the fact that 32 weeks of pregnancy is what month according to the lunar calendar, you have exactly 8 months, there are only 2 lunar months left before the due date (they are counted for 28 days, pregnancy according to the lunar calendar lasts 10 months).

Feel

The 32nd week of pregnancy brings with it increasing fatigue. You want to rest more often, often you go to bed during the day, and you are absolutely right. Your sensations are related to the weight gained, you have added, perhaps already 10 or more kg, and your belly is now so big that you not only cannot see your legs when you walk, even bending over and putting on shoes has become a problem, you have to sit on a chair ...

From this week on, the child's physical activity gradually decreases, movements become rare, but more and more sensitive. You may even think that you have twins in your stomach, as you can feel tremors in several places at once. The baby is getting closer and closer, the amount of amniotic fluid decreases every week, so the movement of the fetus is so clearly felt. And of course, the baby has become bigger and stronger.

Your condition

Every week it becomes more difficult for you, the stomach supports the diaphragm, you feel discomfort and various pains. Many pregnant women have back pain. From time to time, when the child pushes, you feel a sharp pain in the bladder, perineum, painful jabs under the ribs. Your baby can prevent you from falling asleep in the evenings, and now you are sitting very straight, because the tummy does not allow stooping, its inhabitant immediately demonstrates his dissatisfaction with painful movements and pain in the ribs, as soon as you relax. Proud posture of pregnant women is about you ...

Chances are, you are now having a hard time getting enough sleep. Even if you can fall asleep in the evening, the child may wake you up more than once at night, and now you want to go to the toilet in a small way more and more often, frequent urination comes again, which prevented you from living in the first months.

Constipation may also bother you, but they will become a real problem in the last weeks, just before childbirth.

It is important now to control your weight. The risk of late gestosis is increasing, and now you should weigh yourself at home once a week. One of the main symptoms of gestosis is edema. You can notice their appearance on your own, shoes and rings become tight, fingers swell, and you feel it clenching your hand into a fist. It is worth complaining to your gynecologist if you add more than half a kilogram in a week or notice that you have begun to swell.

A delicate problem in the last months of pregnancy is hemorrhoids. It happens not for everyone, but if it happened, it can be very disturbing, and it is extremely difficult to treat it during pregnancy, since most effective remedies for hemorrhoids during pregnancy are contraindicated. Easier to prevent than to cure. Get into good habits of thorough perineal care, do not use toilet paper after stool, but wash off with cool water.

At 32 weeks gestation, nutrition should not only be rich in vitamins and minerals, you need to be free from constipation. In the morning on an empty stomach, drink a glass of cool fresh kefir, it is very good if the first breakfast is porridge. The diet should be full of fresh fruits and vegetables, this is a source of fiber, which contributes to normal stool. Now the time when you could satisfy whims has passed, in the foreground the interests of the child. Even if you really want to - do not lean on sweets.

Sex at 32 weeks of gestation, physical activity, swimming, walking in the fresh air are among your constant needs. Do not deny yourself these pleasures, remember, you are not sick, you will just soon become a mother.

your child

At 32 weeks of gestation, the baby's weight reached 1800 grams. If the baby is born now, he will survive, although he will have some difficulties with spontaneous breathing at first.

The fetus at 32 weeks gestation, in most cases, has already turned over with its head down, and its legs rested against your ribs. When he stretches and is active, it causes some discomfort, since there is not enough space. Fortunately, now he has already formed his own mode of sleep and wakefulness, and when he sleeps, he hardly moves, and during the day, it takes him 90% of the time to sleep. Only these 10% of the time of active wakefulness for some reason often falls mostly at night hours, as if to teach the mother to wake up easily at night for the future, when the baby comes into this world.

The baby at 32 weeks of gestation is proportional, his arms and legs become more and more plump, the skin has become smooth, wrinkles have disappeared. The tightness of the uterus forces him to stay in the embryo position, as a rule, the baby's limbs are crossed and brought to the body. So its shape approaches the ovoid, which is the uterine cavity. When a child is born, you may be surprised that his legs are completely crooked, often there are deformities of the feet, which quickly pass, the legs will straighten by the age of one month.

The baby at 32 weeks of gestation has almost completed its development, only the lungs are ripening. The child's brain is fully formed, its cortex is covered with convolutions, cycles of activity, all nervous reactions and most reflexes have been formed. At birth prematurely at 32 weeks gestation, it is quite capable of screaming emotionally. The child has learned to see well, now his organ of vision is becoming more and more perfect every day, the pupils react to light. The level of his neuropsychic development by this time, distinct reactions to the mother's voice indicate that babies at 32 weeks not only already see dreams, but also remember what they heard in utero. We know this because children are sometimes born at this time.

Childbirth at 32 weeks of gestation is no longer so dangerous, even those newborns who were born in not the most favorable conditions survive, for example, in those who do not have departments for nursing premature maternity hospitals. Their only significant problem is the need for heat and oxygen therapy, since the lungs have not yet matured. However, lung maturation can now be helped by injecting an artificial surfactant into the baby's trachea immediately after delivery. This substance is necessary for expanding the lungs after childbirth, and is normally produced by them in sufficient quantities by 35-36 weeks of pregnancy.

Your tummy

The belly at 32 weeks of gestation rose 32-34 cm above the bosom. He gives you a lot of inconvenience, especially at night, when his little inhabitant is rowdy. Now it is uncomfortable for you to lie on your back, but many feel dizzy and lightheaded in this position. What happens then? With all its weight, the uterus compresses the inferior vena cava, through which blood flows from the lower body to the heart. This is very harmful, as the blood circulation in the legs of the mother suffers, the general blood flow is disturbed and, of course, the blood circulation in the placenta suffers. The optimal position is on the left side. The inferior vena cava does not pass in the center of the body, but is displaced slightly to the right of the spine, and in the position on the left side does not feel the pressure of the uterus at all. In this position, on the left side, placing a pillow under the knee of the upper leg, it is more correct to sleep. You will like this position, so it will be comfortable for you and the fetus.

Some women, especially large and tall ones, still have a small belly at 32 weeks gestation. This is due to the structure of the pelvis, let's say, the uterus has enough room in the abdominal cavity so as not to stretch the anterior abdominal wall too much. If the abdomen is small and even the uterus does not meet the deadline, this may indicate fetal malnutrition or malnutrition. You will find out how the child is doing now this week.

Analyzes and examinations

Pregnancy calendar, week 32 ...

Now it's time for your third planned ultrasound examination. By the 32nd week of pregnancy, the weight of the baby and its size do not allow you to see it in its entirety, and most likely, you will not even be able to understand what exactly the monitor shows, however, with 3D ultrasound, the parts of the baby's body are still perfectly distinguishable for a non-specialist.

An ultrasound scan at 32 weeks gestation is required for all pregnant women, and it is of great importance in predicting the outcome of your pregnancy. Already, they can tell you how the birth is likely to go. Almost all children by this time of pregnancy take the final position in the uterus, the placenta at 32 weeks of gestation no longer migrates, and if this ultrasound detects placenta previa, it will most likely remain until delivery, and a cesarean section will be recommended.

When an ultrasound scan is performed at 32 weeks of gestation, the rate of fetal size can already vary quite strongly in different women. The estimated weight of a fetus is 1800 grams and a height of 42 cm is just an average estimate, the weight may be 200 grams more or less in any direction. Deciphering an ultrasound scan at 32 weeks of pregnancy is carried out using special standards. The measured parameters are called fetometry of the fetus (fetometry - from the word fetus, fetus, the expression photometry is not correct and belongs to the field of optics, not obstetrics).

What troubles can be detected with this ultrasound?

1. Pathology of the placenta.

The placenta at 32 weeks of gestation should be in the day or on the wall of the uterus at least 5 cm above the internal os. If its edge is lower, this is called low placenta, if the edge partially overlaps the internal pharynx, this is called partial placenta previa, when the pharynx completely overlaps, the pathology is called complete placenta previa. Depending on the severity of presentation, a decision is made about the possibility of spontaneous childbirth or caesarean section. In addition to the localization of the placenta, its functional state is assessed. Depending on the presence of calcifications, the thickness of the placenta and the state of blood flow in it, it is isolated. The thickness of the placenta at 32 weeks of gestation is one of the most important indicators, usually it exceeds 2 cm. If the maturity of the placenta does not correspond to the gestational age, the question arises of the presence of feto-placental insufficiency.

2. Pathology of the umbilical cord.

This ultrasound often reveals the entanglement of the fetus with the umbilical cord. In most cases, there is no threat to the child, but if the entanglement interferes with blood flow, it can be dangerous.

3. Fetal pathology.

The discrepancy between the height and weight of the fetus and the gestational age, abnormal presentation, developmental abnormalities, tumors are the most frequently detected abnormalities. At 32 weeks of gestation, the weight and size of the fetus may differ in different pregnant women, however, there is still a certain borderline of the norm, upon crossing which they speak of intrauterine fetal malnutrition. The so-called centile tables are used for the assessment. If you are 32 weeks pregnant and you were told that the baby has a breech presentation, do not worry too early, there is still time for a turn, only 3% of babies remain upside down for childbirth.

4. Pathology of the cervix.

At 32 weeks of gestation, the cervix is ​​tightly closed and has a cylindrical shape. On ultrasound, signs of maturation of the cervix, its shortening and smoothing, can be seen, which may indicate the risk of premature birth.

5. Pathology of amniotic fluid.

By 32 weeks of pregnancy, the amount of amniotic fluid decreases, and now does not exceed one and a half liters. Ultrasound can reveal both polyhydramnios and oligohydramnios. To assess the amount of amniotic fluid, AFI, the amniotic fluid index, is used. The doctor measures free areas in the uterus (gaps formed by amniotic fluid between the baby and the uterine wall) in 4 places, summarizes and divides them by 4. The IAI rate by week can be found in special tables, including on our website.

6. Pathology of the uterine scar after cesarean section.

A postponed cesarean section permanently leaves a scar on the wall of the uterus. During pregnancy, weakening and stretching of the scar is possible; in extreme cases, there is a threat of rupture of the uterus along the scar. Ultrasound assesses the thickness and consistency of the scar on the uterus.

The results of an ultrasound scan at 32 weeks of pregnancy are recorded in the protocol, and, as a rule, based on the information received, your obstetrician-gynecologist draws up a plan for your last months of pregnancy and, in part, even childbirth. Other tests at 32 weeks of gestation are prescribed as usual. Fetal CTG may be recommended.

Potential complaints and problems

Pain at 32 weeks of gestation is a frequent companion of pregnant women, there are more than enough reasons for this. The enlarged uterus, together with the baby, makes the center of gravity of the body shift, and you constantly experience a great load, it’s not surprising that your back and pelvis hurt. And the baby's thrusts can be real anguish. Sometimes your toddler can kick you so well that a sharp pain pierces your bladder or liver. But all these pains are not dangerous, vigilance should be shown if the stomach is pulling at 32 weeks of pregnancy.

The tone of the uterus in many women during this period periodically increases, the abdomen becomes stone, while there may be discomfort in the lower back and lower abdomen. It should be noted that in most cases this is the norm, false contractions, but if they more often than 5 times per hour interfere with doing their own thing, this may indicate the threat of premature birth and requires the participation of a doctor.

Another problem that pregnancy at week 32 can give you is swelling. Often they are localized on the back of the feet, ankles, fingers swell. Edema can be both due to venous insufficiency, and due to the development of late toxicosis. Swelling is a reason to urgently inform your doctor about them.

At 32 weeks gestation, either still worries or visits many pregnant women for the first time. It begins due to the fact that the uterus supports and displaces the internal organs, preventing them from working. Because of this, there may be shortness of breath. Fractional meals, elimination of sweets, coffee, soda and other irritating foods, and sleep in an elevated position help fight nausea. If you feel nauseous, you can try the knee-elbow posture after eating, it helps a lot.

And of course, as in any other period, a cold at 32 weeks of pregnancy can happen to anyone, even the healthiest woman. Now ARVI is almost not dangerous, just remember that you need to be treated under the supervision of a doctor, even if you just have a runny nose and cough, not to mention cases when you have a high fever.

Dangers

Premature labor usually begins suddenly, often with the outflow of amniotic fluid. Unexpected diarrhea at 32 weeks of gestation, unusual discharge (water can flow either as a stream or literally drip out), complaints that the stomach hurts, while the pains are of a girdle cramping character and are becoming more frequent - sure signs of a disaster, call an ambulance immediately. It is also necessary to be wary in those cases if there were discharge that was not there before, for example, brown or bloody, if training contractions disrupt your well-being and are repeated more often 5 times per hour, and the lying position does not stop them. This is also how preterm labor often begins.

An ultrasound examination in the third trimester of pregnancy is carried out for certain medical reasons. Usually, such a study is assigned to a pregnant woman, whose fetus has certain developmental pathologies.

Purpose of the

The study performed during this period of pregnancy quite often coincides with the time of the third screening. Usually this examination is performed at 30-32 weeks of intrauterine fetal development.

It should be noted that an ultrasound scan at this stage of pregnancy may not be shown to all women.

With an ultrasound examination, doctors can determine main indicators of fetal development... This method allows for a full-fledged complex fetometry. This study includes quite a few different parameters.

32 obstetric week is the period when the baby's body is almost completely formed. This physiological feature makes it possible to determine already quite a lot of different indicators.

Quite often, doctors prescribe an ultrasound scan to determine the final tactics of obstetrics... Mothers who have a breech presentation of the fetus at this time may also need to repeat the ultrasound examination a couple of weeks before delivery.

Ultrasound at -32 weeks of gestation can also be prescribed with multiple pregnancies. This situation is especially common if one of the fetuses has defects in intrauterine development. In difficult clinical cases, doctors may resort to the appointment of an expert-level ultrasound examination.

Of course, during the ultrasound examination, it is possible to determine the sex of the unborn baby. This is usually done when a pregnant woman has missed a prior screening. In most cases, the sex of the unborn child is determined in the middle of the second trimester.

Ultrasound at this stage of pregnancy can be done in different ways. Doppler ultrasonography is used to determine the pathologies of blood flow. With this method, diagnosticians can identify various pathologies of the placental and uterine blood vessels feeding the fetus.

Doppler ultrasonography is also successfully used to identify the emerging heart defects in the fetus.

It should be noted that future mothers who, during an ultrasound scan at this stage of pregnancy, doctors found any abnormalities, should not immediately start to panic.

One conclusion of the ultrasound test is not yet a diagnosis at all. The interpretation of the result is necessarily carried out by an obstetrician-gynecologist who observes a pregnant woman throughout the entire period of pregnancy.

Main investigated parameters

The third trimester is the final stage of the intrauterine development of the baby. To assess pathologies during this period of pregnancy, doctors have developed a number of different clinical indicators.

For a comprehensive conclusion, a comparison of all the results obtained is required.

Fetometry- baseline research, which is actively carried out during this period. This method allows you to assess the main indicators of the anatomy of the fetus. To do this, during the study, the ultrasound doctor evaluates several parameters. These indicators include the biparietal size and circumference of the fetal head, as well as the circumference of the abdomen.

Necessarily determined the size of the main tubular bones. For this, their length is estimated. Too short tubular bones can be a sign of some genetic diseases or emerging pathologies of the musculoskeletal system.

During the study, which is carried out at this stage of pregnancy, the abdominal circumference. Doctors have found that this rate is often related to head circumference. If the baby's tummy is too large in diameter, then this can be a manifestation of a very dangerous pathology - ascites. It is characterized by the accumulation of excess fluid in the child's abdominal cavity.

At this stage of pregnancy, you can determine and estimated weight of the baby. An experienced ultrasound specialist will determine how much the fetus weighs with an accuracy of tens of grams. A fetus that is too large is usually an indication for a caesarean section, especially if the mother's pelvis is too narrow. Being underweight usually affects one or both babies with multiple pregnancies.

Evaluation of the work of all vital systems of the fetus Is a very important step in ultrasound examination. At this time, the doctor already perfectly determines the fetal heartbeat. An excess or decrease of this indicator below normal values ​​indicates the formation of pathologies in the work of the cardiovascular system. Such manifestations are especially dangerous if the mother has a history of heart disease.

Identifying heart defects is essential. Modern techniques make it possible to detect such defects quite effectively. Pathologies of the development of heart valves and the appearance of pathological blood flows (regurgitation) on them may become an indication for surgical correction immediately after the birth of a child.

With the help of ultrasound at this stage of pregnancy, you can also identify various abnormalities in the development of the kidneys and urinary tract in the fetus. Qualified specialists can also identify emerging pathologies of the pelvis and bladder. Along with the study of the urinary system, the doctor necessarily assesses the work of the gastrointestinal tract and respiratory system in the fetus.

An examination of the spine in a baby is carried out only if there is a suspicion of the presence of genetic or chromosomal diseases. For this, the ultrasound doctor examines a linear section of the spine. The spinous processes are also being studied. If, during the study, an ultrasound specialist has identified any significant defects and he has suspicions about the presence of signs of chromosomal diseases, then he will send the expectant mother to a geneticist for a consultation.

The placenta, or "baby seat", is a very important organ during pregnancy. Through it, the baby receives all the necessary nutrients, as well as oxygen. This is due to the same system of uteroplacental blood flow with the mother.

Assessment of the thickness of the placenta, as well as the tone and structure of its blood vessels, is necessarily carried out during the study during this period of pregnancy.

During any ultrasound examination, the doctor necessarily evaluates and the main parameters of the internal genital organs of the expectant mother... This is necessary for the timely detection of pathologies that can lead to disruption of the course of pregnancy and difficulties during childbirth.

For this, the inner surface of the uterus is examined, and the size of its appendages and ovaries is also determined. During an ultrasound, neoplasms and cysts can be detected. If these pathologies in a pregnant woman were identified even before the onset of pregnancy, then in such a situation the dynamics of their growth is necessarily assessed. In case of an unfavorable course of fibroids or cysts, careful selection of the necessary tactics of obstetrics may be required.

Norms of the investigated parameters

Doctors consider cephalic presentation normal. Too active babies can change their position in the womb several times. Usually, by the end of the third trimester, presentation has already become permanent. In some situations, doctors may prescribe and repeat an ultrasound scan in 2-3 weeks.

The location of the placenta on the posterior wall is the most optimal. Also, doctors determine how high this organ is located from the internal os of the uterus. If the placenta attaches too low to it, then this may be a consequence of its accretion or lead to various pathologies.

During the research, it is also necessary to the cervix is ​​assessed. Normally, this figure should be more than 30 mm. The shortening of the cervix is ​​an extremely unfavorable symptom of ischemic-cervical insufficiency. In this case, additional suturing is required in order to eliminate this pathology.

It is very important during such a study to evaluate and uterine tone. Hypertonia can lead to premature birth. Also, this condition contributes to the formation of placental insufficiency.

The amniotic fluid index is a very important indicator, which is also assessed during this period of pregnancy. Too much of its accumulation is a manifestation of polyhydramnios. Normally, this figure is 140-269 mm. A significant decrease in this indicator indicates the manifestation of low water.

Fruit size

For the convenience of assessing the intrauterine development of the fetus at this stage of pregnancy, doctors use a special table, which presents all normal values ​​of the main investigated indicators:

Decoding the results

Future mothers should remember that the interpretation of the obtained research values ​​is carried out by an obstetrician-gynecologist, and not an ultrasound specialist. One conclusion of an ultrasound test is not yet a diagnosis. To confirm or exclude pathology in the fetus, it is also required to compare the ultrasound conclusion with biochemical analyzes that were carried out at different periods of pregnancy.

Tachycardia- an unfavorable symptom that may indicate fetal hypoxia. The development of this condition can lead to the entanglement of the baby's neck with the umbilical cord. Also, palpitations are common with some heart defects.

Bradycardia detected at this time in the fetus may be the result of a lag in intrauterine development. This symptom also manifests itself in the presence of certain cardiovascular anomalies. A decrease in fetal heart rate below 130 beats per minute requires a thorough diagnosis. for the detection of various defects of the valvular apparatus of the heart.

At this stage of pregnancy, maturity of the placenta is usually first degree. At earlier stages, it is zero. With the course of pregnancy, the maturity of the placenta increases. If the placenta does not "mature" for childbirth, then this is already a pathological condition.

A study of the thickness of the placenta is also required. A smaller thickness of this organ is found with the possible development of placental insufficiency. Too thick placenta may indicate the development of edema or inflammation. Various viral and bacterial infections lead to the development of such pathological changes.

An ultrasound examination performed at 32 weeks of gestation belongs to the category of mandatory screenings. It allows you to determine pathologies in the development of the fetus, placenta. It is especially important to decipher the ultrasound scan of the 32nd week of pregnancy, which allows you to make sure that the baby is in normal growth.

What is the research for?

An ultrasound scan at 32 weeks of gestation is performed for the following purposes:

• Identification of somatic abnormalities of the fetus.
• Definitions of placental insufficiency.
• Revealing the presentation of the baby, which at this time is often final.

Decoding the results

In addition, at this time, it is possible to assess the proportions, sizes of the child, which are also an indicator of his normal development. First of all, during the diagnosis, the size of the arms, legs, head, chest, and abdomen is assessed. Many parents-to-be are wondering what are the rates of ultrasound at 32 weeks of gestation. A healthy baby should have the following parameters:

• shoulder length from 52 to 62 mm;
• forearm length from 45 to 55 mm;
• thigh length from 55 to 65 mm;
• leg length from 50 to 60 mm;
• biparietal head size from 75 to 90 mm;
• frontal-occipital head size from 95 to 110 mm;
• head circumference from 280 to 330 mm;
• girth of the abdomen from 255 to 315 mm.

The listed indicators are relative, since the most important role in the size of the fetus is given to genetic characteristics, which at this time are already clearly manifested. However, if during the procedure the parameters of the child were found that are very different from the norms, then there is a risk of developing hypertrophy, which is an indicator of impaired maturity of the placenta.

The heartbeat of a child at 32 weeks should be in the range of 140-160 beats per minute. The altered number of heartbeats indicates the pathology of the fetus, the possibility of premature birth.

Fetal size chart depending on the duration of pregnancy

Baby weight

At 32 weeks, the baby is no longer at the embryonic stage, it has a rather impressive weight. The weight of the fetus at this time reaches 2000. However, if a woman is thin, then the weight rate can be from 1600 to 1700 g. In large women, a baby can reach up to 2100 g. In this period, hereditary predisposition already plays a large role. In addition, for mothers who have had infectious diseases during pregnancy, the baby's body weight may be less than average.

This does not apply to a pathological phenomenon. There are cases of low fetal body weight in women with hormonal disruptions. If a woman is carrying twins or triplets, then the parameters of the body weight of the children will differ significantly. It directly depends on how many babies the pregnant woman is carrying. There are times when the weight of babies varies greatly. This is due to the fact that one fruit develops more intensively than the other. Normally, the weight of twins, usually at 32 weeks, ranges from 1650 to 1700 g.

Woman study

In addition to diagnosing the fetus, ultrasound at 32 weeks of gestation allows you to assess the condition of a woman's reproductive organs. The normal thickness of the placenta should range from 25 to 42 mm. Moreover, the placenta should not adjoin the uterine pharynx, it should move 7 cm away from it. This indicates 1 degree of development of the placenta. On ultrasound examination, this degree of maturity is determined by shallow depressions, the appearance of a few echogenic foci.

If ultrasound determines the 2nd degree, then this is a sign of premature aging of the placenta. This condition entails:

• late toxicosis;
• infections;
• diabetes.

In this case, early treatment of pregnant women should be started, which can improve the situation and prevent the development of serious fetal pathologies. The thickness of the placenta should be no more than 45 mm. If in the course of ultrasound diagnostics large parameters were determined, then this is a sign of intrauterine infection, sizes smaller than average indicate premature aging of the placenta.

During the procedure, great importance is given to calculating the volume of amniotic fluid. During the calculations, the doctor conventionally divides the woman's belly into 4 parts vertically and horizontally. Further, all four indicators are summed up. The norm is the amount of amniotic fluid from 20 to 80 mm. Going beyond these boundaries is low water or polyhydramnios, respectively, and requires medical intervention.

During the assessment of the umbilical cord, the number of vessels, the presence of loops, knots, entanglement around the neck of the fetus is determined. The doctor examines the uterus to determine if there is an increased tone, which often leads to premature birth. If a woman is diagnosed with fibroids, then the blood flow is analyzed. At this time, the cervix must be completely closed, otherwise there is a risk of premature birth.

Three-dimensional scanning allows you to see the actions of the fetus at the time of diagnosis

Doppler ultrasound

There are cases when a Doppler study is performed at 32 weeks at the same time as an ultrasound scan. It allows you to assess the condition of the arteries, the functioning of the baby's cardiac activity, the vessels of the uterus, and the umbilical cord. The indication for a Doppler examination is:

• woman's condition... This category includes the presence of arterial hypertension, renal diseases, diabetes mellitus, late toxicosis, Rh-conflict in a pregnant woman;
• state of the woman-child system... This situation includes oligohydramnios, premature aging of the placenta, impaired blood flow through the arteries of the umbilical cord;
• the condition of the fetus includes an abnormal heart rhythm, diagnosed heart disease, hypoxia.

In addition, Doppler-equipped ultrasound is performed in multiple pregnancies, as multiple fetuses can lead to uneven blood flow. Also, women who previously had miscarriages, frozen pregnancies are subject to this diagnosis. Doppler diagnostics can be performed more than once. This is especially important to control the quality of the prescribed treatment.

Doppler study rate depending on the gestational age

Diagnosed pathologies

The third screening can diagnose the presence of the following pathologies:

• fetoplacental insufficiency, which occurs when the placental maturity does not correspond to the term;
• entanglement with the umbilical cord. This condition does not pose a threat to the fetus if it does not cause impaired blood flow;
• inconsistency in the size of the baby, breech presentation;
• predisposition to premature birth, which manifests itself in a shortened cervix;
• altered volume of amniotic fluid, which can be manifested by both polyhydramnios and oligohydramnios;
• in the presence of a scar, identify its inconsistency;
• oxygen starvation of the fetus.

An ultrasound performed at 32 weeks allows you to assess the condition of the baby and the woman. This diagnosis is important because it makes it possible to improve the condition of the baby.

By the 32nd week of pregnancy, the family, as a rule, has already prepared for the fact that there will soon be one more person. The gender of the baby is known, a name has been chosen, and perhaps the young parents have already managed to purchase something for the long-awaited baby.

By the end of the 8th obstetric month, a woman is more and more keenly aware of the connection with the fetus: she feels his every movement and can accurately determine when the baby is resting or awake. Toxicosis and fear of miscarriage at 32 weeks are no longer disturbing, the woman has enough energy and strength, and her mood is stably elevated.

But the process of development of the child at 32 weeks after conception continues. Changes are constantly taking place in the body of a woman and a fetus.

What happens during this period?

The 32nd week of pregnancy, as given to the expectant mother, is not so easy: the grown-up baby is actively moving, which often brings not only joy, but also strong pain. This happens in cases where the fetus rests on the hypochondrium. At this moment, it is important to maintain a straight position of the spine, otherwise the pain can turn into real torture.

What feelings does the expectant mother experience?

The last weeks of bearing a baby are not easy for the expectant mother: heartburn and belching appear, breathing is often difficult and constipation may occur.

These troubles at 32 weeks of gestation are due to the increasing pressure of the growing fetus on the internal organs. In addition, painful sensations in the lower abdomen, which are called training contractions, become commonplace. Thus, the woman's body prepares for the upcoming birth.

Information The child reminds of himself several times during an hour, his intense tremors can also deliver very painful sensations to the mother. The fact is that every day the grown-up child becomes more and more cramped in the womb, therefore, his mother feels his every movement so sharply.

Puffiness at 32 weeks gestation

When a pregnant woman at 32 weeks gestation develops slight swelling and disappears quickly, this is considered normal. A similar phenomenon is due to the fact that water is retained in the body.

The danger is extensive swelling, which lasts more than 1 day. In this case, a specialist consultation is necessary, you cannot close your eyes to such a phenomenon, this can lead to complications.

To prevent or reduce swelling at the time of 32 weeks after conceiving a child, you need to drink enough water and use table salt as little as possible. This product cannot be completely ignored, as this can provoke even more extensive swelling.

If a woman's health condition allows physical activity, it is allowed, in addition to walking, to visit the pool and water aerobics classes. The main thing is not to overwork and not overload the legs, otherwise the swelling will only intensify.

Body temperature

Many pregnant women, when they see that the thermometer has risen above 37 at the 32nd week of pregnancy, panic. But if there are no other signs of malaise, this is not a cause for alarm, in this position, a slightly increased body temperature is characteristic.

It is necessary to take action if the indicator exceeds 37.5. In this case, an urgent doctor's consultation is necessary, since placental detachment is likely at this time.

The temperature should be brought down when it has exceeded 38, and it is better to use folk methods: rubbing with vinegar and an abundant warm drink. It is better to avoid taking medications, unless the attending physician insists on it. When the heat increases to 38.5 and above, you should immediately call an ambulance.

Belly at 32 weeks gestation

The belly has already grown enough for a period of 32 weeks, the figure expands at the sides, and even with a strong desire, a woman will no longer be able to hide her position.

The skin in the abdomen becomes dry and sensitive, and stretch marks may appear. Moreover, this problem in the later stages affects not only the stomach, but also the hips, buttocks and chest. To prevent their development, it is important to take care of the skin, lubricating it with special firming agents.

The navel of the expectant mother by the 32nd week of pregnancy has time to stretch and looks almost flat.

Why does the stomach pull and what to do about it?

Since a woman's weight has increased significantly during pregnancy, and it is concentrated in the abdomen, pulling sensations often occur. In order to reduce discomfort, you need to adhere to the following recommendations:

• control body weight and avoid excessive weight gain;
• monitor your posture and try to keep your back straight;
• do not sleep on a soft bed, preferring hard surfaces;
• do not abuse walking, giving yourself the opportunity to rest;
• sitting down, substitute a low stool under your feet, so that it is possible to straighten the limbs;
• in the supine position, it is better to hold the legs a little higher than the body, placing a pillow under them;
• does not stay on his feet for a long time, avoid overwork.

Information For 32 weeks after conception, the baby is characterized by the appearance of training contractions, which does not bring pleasant sensations and causes pain in the lower abdomen.

Stirring fetus at 32 weeks gestation

By the end of pregnancy, the baby does not move as intensely as before. This is due to the fact that the fetus, by the 32nd week of pregnancy, has significantly increased in size, and it became cramped in the womb. In this position, there is no particular room for movement, and every time the baby moves, it does not remain invisible to the mother, sometimes causing her pain.

Additionally If the baby is very anxious in the womb, this may be due to the uncomfortable position of the woman's body. In such a situation, you need to change the position, and in most cases the baby calms down.

If the activity of the fetus at 32 weeks of gestation is increased, he is constantly worried, or, conversely, practically does not move, it is necessary to inform the doctor about this.

Malnutrition

Malnutrition is called an insufficient amount of amniotic fluid, which occurs as a result of metabolic disturbances in the placenta. This problem is not so common at 32 weeks of gestation and occurs in only 5-7% of cases.

Why is 32 weeks pregnant dangerous?

Complications can appear at any stage of gestation, but why is 32 weeks pregnant so dangerous? During this period, it is important for a woman to avoid all kinds of diseases. Of course, the baby is already fully formed, the laying of organs has long been completed, but if any violation develops, this can seriously damage the fetus.

There are a number of dangers for a pregnant woman at 32 weeks of gestation:

1. Infectious diseases. This nuisance can harm the fetus at any time. Often, treatment is not complete without the use of potent drugs, which can harm the baby's health of varying severity.
2. Heartburn, belching, constipation and hemorrhoids. With improper nutrition, problems from the gastrointestinal tract appear almost always, and in order to prevent this, a woman must adjust her diet.
3. Edema and varicose veins. Tight, uncomfortable clothes and shoes, as well as overwork and long walking contribute to the development of such phenomena. Therefore, the expectant mother needs to wear loose clothing made from natural fabrics and comfortable shoes. And also have a good rest.
4. Late toxicosis. This problem in the period 32 weeks after conception indicates an abnormality that can lead to serious complications.
5. Polyhydramnios and low water. Both in the first and in the second case, there is a real danger of harming the health of the mother and fetus, as well as a high probability of premature birth.
6. Detachment of the placenta. Such a violation can lead to serious abnormalities in the development of the fetus, up to stillbirth.
7. Bloody or purulent discharge. In the first case, the separated masses may indicate the danger of premature birth, and in the second, the development of an infection.

Many women are on this date, and these fears are not unfounded. Therefore, with any change in condition, you should not postpone a visit to the doctor.

Premature birth at 32 weeks

Premature birth at 32 weeks is not uncommon. But there are no special reasons to worry about the life and health of the baby. The organs of the fetus have already formed and the little man is quite viable.

Of course, babies born prematurely need special attention and care. The weight of such a baby does not exceed 2 kg, and the height is slightly more than 40 cm. But modern medical technology and advanced techniques help not only save the life of a premature baby, but also protect him from the development of pathologies and deviations.

Childbirth, which began ahead of time, is distinguished by suddenness. If you feel worse, you must urgently call a doctor. These signs should alert a woman:

• the appearance of severe diarrhea;
• discharge of a dark brown color, in many cases - with impurities of blood;
• severe pain in the lower abdomen;
• cramping attacks, repeated more often 4-5 times within an hour.

The process of preterm birth is the same as in the case of timely relief from the burden. If medical assistance is provided on time and competently, a woman has every chance of giving birth to a healthy and viable baby.

Nutrition

In the last weeks of waiting for a child, it is especially important for a woman to organize her meals correctly. Otherwise, it threatens with the manifestation of edema and digestive problems. During 32 weeks of pregnancy, the following foods should be consumed:

• poultry and lean meat;
• fish and seafood;
• dairy products;
• natural juices;
• fresh fruits and vegetables.

In order not to provoke puffiness, it is required to exclude from the pregnant woman's menu:

• lard and fatty pork;
• smoked meats and canned food;
• fried and spicy foods;
• spices and sauces.

It is also important to limit the amount of salt you eat and drink clean, filtered water.

The last weeks have not been easy for a woman, and she often experiences some discomfort associated with her situation. To reduce discomfort at 32 weeks of pregnancy and not harm the baby's health, you need to adhere to the following points:

1. Get more rest and avoid overwork.
2. While walking, try to keep your back straight so as not to shift the center of gravity and avoid pain in the abdomen and lumbar spine.
3. Eat fewer high-calorie foods in order not to gain more weight. If in a week the expectant mother has gained more than 300-400 grams, this is a reason for a visit to the doctor.
4. Be in the fresh air more often.
5. Avoid stress and nervous strain, try to think positively and not succumb to a bad mood.
6. Wear comfortable clothes and shoes, and dress for the weather.
7. Avoid taking medications other than those prescribed by the attending physician and are necessary.
8. Observe the rules of personal hygiene and use only high-quality and safe products.
9. Do not miss visits to the gynecologist and undergo all scheduled examinations at 32 weeks after conception.

Mom at 32 weeks pregnant

Any communication between parents and a child before and after his birth, if dad and mom are in a good mood, or even if they are a little worried (but this is definitely not stress or conflict), has a developmental effect. The more often communication occurs, the stronger the developmental effect.

Developmental communication with the Baby before birth is initiated by:

• mom - as a rule, it is associated with the current mood, the desire to communicate with the Kid and feel like a mother, as well as if the Kid does not get in touch for a long time or hiccups. In the last weeks before the birth, mothers, especially when no one is around, are happy to communicate with their children aloud, telling what they are doing or going to do, discussing programs, news, etc. At the same time, the pronoun "we" often appears in their speech: "Let's go for a walk with you", "Isn't it time for us to have lunch?", "Dad will come soon, let's look out the window", etc. The kid becomes their main interlocutor - and the best listener in the world (it makes sense to learn this from him);
• by the Kid himself, his active movements, movements and jerks, as well as somersaults - this feeling is difficult to convey in words (but you know what it is about). The active actions of the son or daughter do not go unnoticed by the mother. The very first reaction is to put your hand on your stomach to the place that is closest to the epicenter of the Kid's activity, the second reaction is to cheer up, comfort, scold the naughty with the help of words. It is incredible, but even without seeing their Baby, mothers are able to determine by his actions, their intensity and tension, whether they are associated with his good mood or with discomfort;
• dad - in the morning or when he comes home from work, as well as in the moments of evening rest or on weekends. Dads are big inventors! And they can do what the mothers cannot do or does not come to their minds. For example, your husband may kiss a bulging back, fist, or heel, but you may not. He can put his ear and hear what the Kid hears inside you, as well as how he moves there, but you do not. Dad can speak affectionate words very close to the Kid's ears, he can easily play out a theatrical action with the help of improvised means (a book, a lighter, a spoon, a toy, etc.). Daddy can grunt heartily, bark and meow, and also (oh horror!) Tell non-childish anecdotes. Dads know how to play hide and seek with Kids and even ... tickle them. And if the Kids could react to daddy's actions, they would surely squeal with delight. Dad can "play naughty" the Kid and, tired, do something else or fall asleep. And you will have to calm the mischief - and so all your life. But how nice it is to see that dad loves the child, and the child loves dad!

32 weeks pregnant: Video "Dad-to-be"