At 25 weeks of gestation, the woman's condition begins to change. Yesterday everything seemed easy and simple, the expectant mother was quite mobile and mobile, and already a few days later she increasingly complains of pain, fatigue and begins to dream of the upcoming maternity leave. Why this is happening and what else is remarkable about the 25th week, we will tell in this article.
How many months is it?
The 25th week of pregnancy is one of the final weeks in the second trimester. After 26 weeks, the third trimester will begin - the “home stretch” on the way to the long-awaited meeting with the baby. In the meantime, the penultimate week of the second third of gestation is underway, according to calendar standards, it is the sixth month, and by obstetric standards, the seventh month of pregnancy has begun, and this week is the first.
This difference is due to the fact that the usual calendar has 9 months in pregnancy, and the lunar (obstetric) - 10. In each obstetric month there are exactly 4 weeks, while in the calendar it can be from 28 to 31 days.
The beginning of the 25th week means that 23 weeks have gone from the moment of conception, and almost 21 weeks ago the delay in menstruation began. There is still quite a long time before childbirth - almost 15 weeks, and the 24-25 week, which will be discussed, is, in its own way, a "turning point".
Feelings of a woman
Habitual daily activities begin to tire the expectant mother. It is already becoming difficult for her to stand at the stove for a long time, sit at the workplace or at lectures at the university. The more kilograms she managed to gain by this week, the more noticeable the deterioration of her condition.
Outwardly, she may not show her appearance, but alone with herself, many pregnant women begin to dream that they do not have to get up in the morning when the alarm rings. The 25th obstetric week begins gradually, in stages, to “show” the expectant mother other aspects of the “interesting situation” - not the most pleasant ones. Everything that is happening to the mother now is directly related to the pace of development of her baby.
Stirring
The baby actively accumulates fat and muscle mass, grows, so it is quite natural that his movements become more and more tangible for the mother. By the beginning of the 25th week, women are already well adapted to these sensations, because many, especially during the second or third pregnancy, have been feeling the activity of their child for a month and a half. Yes, and primiparous women by the beginning of the seventh obstetric month are already quite "mastered" and clearly feel their baby.
Perturbations during this period are regular. However, it is not necessary to count them yet, doctors recommend doing this from the 28th week of pregnancy. In the meantime, it is enough to mentally record the facts of a tiny coup or other movement. Very active, restless movements for several hours may indicate that the baby is experiencing discomfort. The absence of movement during the day is also considered alarming.
The activity of babies is increasing gradually. The current period is considered the beginning of the peak of activity, now, up to 32 weeks, the baby will tangibly kick and push her mother, wake her up in the middle of the night, the future father can already feel his movements if he puts his hand on his wife's stomach. After 32 weeks, there will be less space for movement in the uterus, and the son or daughter will be less active.
Do not assume that the life of a baby in the womb is different from that of a mother. A woman and her child are inextricably linked. And it's not so much about the umbilical cord and the placenta, but about the emotional connection. The baby begins to move more actively if the mother is joyful and contented, and can calm down and hide, if she becomes sad, she has a quarrel with someone, does not feel well.
Negative emotions cause increased production of stress hormones, which the baby receives with the mother's blood. Positive emotions stimulate the production of endorphins - hormones of happiness and pleasure. The baby also receives them from her mother. Therefore, the general emotional background unites, and a woman now needs to listen carefully to the movements of her baby in order to establish that very invisible contact with him.
At night, the woman's movements are felt brighter and more distinctly, this is due to the fact that she relaxes and the sensitivity increases. Babies behave more calmly during the day, since a woman walks, does something, moves, and the uniform motion sickness that occurs when she walks acts on the baby in the same way as on newborns - soothing.
Do not forget that all people are unique. At the 25th week of pregnancy, the baby may already well show its temperament: some paunchies are now more active, while others are calmer, and their movements are felt somewhat less often.
Pain
A variety of painful sensations at this time is nothing more than a smooth and gradual preparation of the female body for childbirth, as well as its adaptation to new physiological conditions of existence. There is also a certain pattern: the more extra pounds a woman gained, the more severe the unpleasant sensations associated with late pregnancy will be.
At the 25th obstetric week, certain inconveniences are already felt by women carrying twins or triplets, as well as expectant mothers who carry a large baby under their hearts. A growing uterus causes an overstretching of the ligamentous apparatus, a shift in the center of gravity, and it becomes difficult to wear a tummy.
The muscles are tense, the ligaments become denser and thicker, this can cause aching pain in the lower back. The lower back and back ache mainly in the late afternoon, after a busy day with movement. However, these pains are not permanent, they do not grow, they do not intensify.
If the lower back pulls in a cramping manner, the pain sensations become stronger, despite the fact that the woman lay down and took a warm shower, you should call an "ambulance": it is possible that premature birth begins.
A sprain often causes tingling in the right or left side, as well as an aching sensation in the sacrum. For many women, pubic bone begins to hurt this week. Such pains are not felt constantly, but only when the expectant mother rolls over from side to side, sits down from a lying position, climbs the stairs. The pelvic bones begin to diverge, soften, and become more mobile. This is necessary so that they can release the baby when the time comes for his birth.
Now a woman needs to be extremely careful: if pubic pain intensifies, becomes unbearable, if they begin to interfere with normal movements, a woman cannot sit, stand without pain, be sure to consult a doctor, and also visit an orthopedist to rule out symphysitis - an unpleasant disease , in which delivery is often carried out by cesarean section.
Headaches, which were quite natural in the first trimester, can now be symptoms of rather dangerous complications. For example, hypertension or hypotension.
If the head hurts every day, the pain itself is quite intense, the woman is prescribed strict control over the level of blood pressure. It is measured on two hands in turn. With an increase or with a significant decrease, it is imperative to inform the doctor about this.
Legs now ache and ache due to the increased weight of the woman, because the body simply does not have time to compensate for the load, which is growing every day.
In addition to aching joints, symptoms of varicose veins may appear, because the uterus strongly compresses the inferior vena cava and disrupts normal blood circulation. Wearing special anti-varicose stockings will help to avoid such a dangerous and unpleasant complication of pregnancy.
Allocations
The number of discharge at 25 obstetric week continues to increase slightly. And in this there is no hint of pathology, since a large amount of vaginal secretion is now necessary for the microflora of the genital tract to remain normal.
In order not to suffer from the feeling of constant moisture in the perineum, a woman needs to use thin sanitary pads, and also to monitor the cleanliness of the genitals, because the vaginal secretion is a favorable environment for the reproduction of pathogenic bacteria.
The expectant mother needs to know that discharge that is light in color and does not have an unpleasant odor are considered normal at this time. A slight smell of sour milk is considered acceptable. Any other changes in the nature of the vaginal secretion should be alarming.
Pay attention to pink, cream, beige, brown discharge. All of them are types of blood secretions and can speak of both cervical pathology and problems with the placenta.
Mucous discharge with blood is more often a sign of discharge of the mucous plug from the cervical canal and the onset of premature labor.
If the discharge has changed its normal color to green, brown or gray, this may indicate a bacterial infection. White discharge, accompanied by a white coating on the genitals, is a fungal infection. White discharge, reminiscent of cottage cheese in its structure, is a thrush common among expectant mothers.
Healthy and normal discharge, even if it is quite abundant, is never accompanied by itching, unpleasant odor... This cannot be said about the secretions that appear with infections of the genital tract. Blood and water discharge is now considered the most dangerous, because it can talk about placental abruption or drainage of water.
The more carefully a woman monitors her secretions, the sooner she can detect changes. In this case, it is not worth delaying: the infection needs treatment, and the threat of premature birth, if the water has not departed and the placenta is intact, is removed with medication.
You can prolong pregnancy with the help of "Duphaston", "Utrozhestan". These drugs are prescribed by the doctor in the dosage required for this woman.
Pregnant women should be warned against wearing tampons. Their introduction increases the likelihood of introducing an infection into the genital tract, and the stagnation of vaginal secretions inside the vagina increases the likelihood of inflammation. For now, only gaskets are allowed.
The mood of the expectant mother
Like physical sensations, psychological ones also begin to change. Until recently, a woman was in euphoria, everything around her seemed beautiful and amazing, and her own situation was perceived as a miracle. From the 25th week, the mood of the pregnant woman again becomes unstable. But now it is not progesterone and hCG that are to blame for this instability, as in the early stages, but new physical sensations.
Very often at that time, a woman, standing at the mirror, comes to the conclusion that she no longer has a waist, and her gait makes her look like a penguin. This raises concerns for the relationship with her husband. Psychologists say that there is no need to worry: mentally normal men like such female helplessness, they begin to feel the need to protect and protect the mother of their future children. It `s naturally.
Many women at this time begin to think about the upcoming birth, and this instills fear in them. If a woman is impressionable and anxious, then this fear can be so strong that it is impossible to think about anything else. To avoid the development of neurosis of pregnant women, experts recommend seeking help from psychologists or talking to your doctor who will tell you how the childbirth is going, what methods of pain relief are used today.
Now a woman can become whiny and irritable again. Households should understand her experiences and fears, give her more attention, help around the house, and support. For pregnant women in all antenatal clinics, psychological assistance rooms are free of charge, where, if necessary, you can come with your husband.
All over the world, it is customary to solve the psychological problems of pregnant women with the help of specialists, Russian women are not yet accustomed to this, but there is already a tendency for improvement: according to statistics from the Ministry of Health, about 35% of expectant mothers have visited the offices of a psychologist in the antenatal clinics of the country in recent years. gestation.
Changes in the body
In the body of a pregnant woman, a lot of invisible and obvious changes take place during this period. The production of a hormone begins - relaxin, under the influence of which tendons and ligaments, bones of the small pelvis become more mobile and soft. The amount of melatonin pigment increases, and because of this, moles and freckles become brighter, and may even appear age spots. But the main changes occur with the belly of the expectant mother.
Uterus growth
The uterus has grown so much that it has almost come close to the lower chest line and supports it from below. The height of the bottom (this is the wider, upper part) of the uterus at this time is 23-27 centimeters. A woman feels the uterus not only when bending or changing the position of the body, but also in a calm state.
The uterus is located in the abdominal cavity, occupying almost 70% of its internal area. Internal organs are "pushed back" and pressed. The location of the main female reproductive organ allows a woman to independently easily determine its boundaries, as well as changes in the state of smooth muscles. The tone of the uterus is now noticeable to the touch: the abdomen becomes tense, it becomes more rigid.
The shape of the uterus has changed, now it is not oval or round, as it was before, but irregular, repeating the shape of the fetal bladder. Soon she will tightly grip the baby from all sides, while he still has free space for movement. The length of the cervix is normally 35-45 mm, a shorter neck creates a threat of premature birth and definitely needs medical advice and assistance.
Weight gain
By this week, all women are paying attention to the fact that weight gain is becoming more intense. There is nothing strange in this, because now the baby is actively gaining weight, and, in fact, two are weighed. The amount of amniotic fluid increases, the placenta becomes heavier, and the amount of blood in the woman's body also increased.
At the 25th obstetric week, most expectant mothers have an excellent appetite, they want to eat all the time, and if you do not limit your desires, you can gain quite a lot by this time. The rate of increase depends on what the woman's weight was before pregnancy.
- Skinny mothers by this time should normally gain about 8.5 kilograms.
- If a woman had a normal weight before pregnancy, her gain by this week should not be more than 7.5 kilograms.
- Women with extra pounds and obesity can gain no more than 4.5 kilograms by 25 weeks.
A significant excess of these norms is a consequence of either malnutrition or incipient gestosis. With internal edema, the weight grows pathologically, and visually no swelling is visible. In any case, you should consult your doctor. If preeclampsia is not found, then the doctor will recommend a special food to normalize weight.
Extra pounds are very difficult to carry in the third trimester, they complicate childbirth and make the process of postpartum recovery of a woman longer and more protracted. And all the fair sex know exactly how difficult it is to get rid of the extra 15-20 kilograms later in order to become slim, desirable and beautiful again.
Chest
The mammary glands will no longer undergo significant changes until the very birth. They grew actively in the first trimester, which was accompanied by pain, burning sensation, itching. Now the sensations in the chest are calmer, because the processes that take place are subtle. Now the ducts of the mammary gland are "tuned" for the upcoming breastfeeding - they are expanding.
In multiparous, colostrum may begin to be secreted. Women who are expecting their first child have stronger nipples and narrower ducts, so they may not have colostrum. You don't need to squeeze out colostrum. It is enough to wash the breast two or three times a day with warm water to exclude the penetration of infection, because colostrum is a highly nutritious medium that pathogenic bacteria are very fond of.
At 25 weeks, some women are surprised to note that there are no sensations in their breasts, this makes them anxious about the upcoming lactation. Experts assure that there is no reason for concern: pain in the chest during pregnancy and subsequent lactation are not interrelated in any way.
The skin of the breast is now prone to stretching, and so that later the mammary glands are not covered with ugly stretch marks, we need to take measures to prevent stretch marks right now.
It is important to use only hypoallergenic cosmetics, baby cream, and wear a good supportive bra with cups and wide straps.
Training contractions
There is an opinion among expectant mothers that since these contractions are called training contractions, they should appear immediately before childbirth. But this is a common misconception. At 25 weeks of gestation, training contractions may well begin and will not be considered pathological.
Braxton Hicks' false contractions or contractions are manifested in a short, sudden tension of the smooth muscles of the uterus. At this time, they are irregular, do not appear every day.
By themselves, false contractions do not lead to smoothing and dilation of the cervix. They cause more psychological discomfort than physical, they quickly pass if a woman lies down, relaxes, rests or takes a warm shower.
The mechanism and purpose of false contractions is not fully known to science. It is believed that they, along with the production of relaxin, the divergence of the pelvic bones are certain stages in the preparation of the body for childbirth.
In women who have previously given birth, training contractions usually appear closer to childbirth, and in primiparas they can "start" in advance. There are women who did not have training fights at all, neither in the first birth, nor in the second, and this did not in the least prevent them from giving birth to their children quite normally.
Other changes
The skin of a pregnant woman at 25 weeks becomes drier, the risk of infection and an allergic reaction increases. Therefore, any experiments with cosmetics, massage products, as well as sunbathing are contraindicated. At the current time, you should not visit the solarium and sunbathe for a long time in the open sun.
Diligent work of the sweat glands during this period causes increased sweating. It is especially difficult for women who carry a baby in the summer. Correctly selected clothes and adherence to the rules of personal hygiene will help to survive this period. Synthetic fabrics should be avoided.
Women often feel dizzy at 25 weeks. This is due to the increased amount of blood circulating in the body. For the same reason, a blush often flaunts on the cheeks of a pregnant woman.
Even if the pregnancy proceeds without complications, one should not forget about the likelihood of losing consciousness, fainting, and injury. Therefore, you need to walk carefully without making sudden movements, do not abuse physical activity.
The growth of the uterus at this time becomes the cause of many changes in the work of internal organs at once. So, the squeezed intestine cannot fully function, as a result of which constipation occurs, less often diarrhea.
Hemorrhoids can develop due to constipation and compression of the hemorrhoidal veins. Due to the mechanical effect on the fundus of the stomach by the growing uterus, heartburn begins, and because of its pressure on the bladder, women complain of frequent urination.
Sleep is often disrupted in women at 25 weeks, as it becomes increasingly difficult to choose a position that is comfortable for a night's rest. Increasingly, at night you have to get up to use the toilet due to little need. Because of this, during the day, a woman may feel somewhat lethargic, tired.
Fetal development
Less and less your child meets any standards and becomes more and more like himself. This week, the changes in it are not as big as every week in the embryonic period, but the processes that are now taking place in the child's body are very important. Now the fully formed body of the baby must learn the main thing - the ability to survive in a world that is significantly different from the mother's womb.
At 25 weeks, the baby's height is already about 33 centimeters (from the tailbone to the crown of the head, the CTE is about 28-29 centimeters), and its average weight is 700 grams. Already now there are children whose weight is about 800 grams, and there are babies who barely reach 600 grams.
The closer to childbirth, the more differences can be found between babies. The embryos were all approximately the same, and therefore their sizes were counted on ultrasound and checked against the norm with millimeter precision. Now, mothers have big and petite children, tall and short, fat and skinny babies under their hearts. They are as different as adults.
Appearance
The baby continues to accumulate subcutaneous fat, which makes the skin more firm and elastic. Deep folds, which not so long ago covered the body and face, making the crumb look like dried fruit, are smoothed out, cheeks appear, cute roundness on the arms and legs.
The subcutaneous fatty tissue grows rather slowly, and therefore the baby's appearance is now changing at a slow pace, but this happens every second.
At 25 weeks, the baby's skin acquires the melanin pigment, and the skin becomes slightly yellowish. Previously, it was saturated red, but the subcutaneous fat removed the network of blood vessels from the outer layers, and now the skin has a pink tint, almost the same as it will be at the time of the baby's birth.
The baby's face is fully formed, as are the neck and ears. The auricles are very soft because the cartilage becomes stronger later than the bone.
By the degree of softness of the auricles, doctors in case of premature birth judge the maturity of the baby. The more mature he is, the firmer his ears. On the fingers there are nails, on the pads of the fingers "flaunt" individual patterns that form fingerprints.
The baby's body is thickly covered with cheese-like grease. Its task is to protect the skin. The lubricant is held in place by thin translucent hairs - lanugo. The baby has already begun to gradually get rid of lanugo, the hairs fall out, and with them the amount of cheese-like lubricant decreases.
Closer to childbirth, lanugo normally disappears completely or only a small amount remains, and the lubricant remains only where it continues to perform protective functions - in the folds of the skin, in the groin, under the armpits.
The baby's body has become more proportional, at 25 weeks its head grows slower than the rest of the body, so it no longer looks like a tadpole. The legs have “caught up” in length and have already “surpassed” the handles, now the baby looks almost the way it will look after its birth.
A certain thinness still persists, but now every week the baby gains weight and becomes more plump and attractive.
Nervous system
The cortex of the cerebral hemispheres continues to acquire grooves and convolutions. In the temporal regions, neurons are produced, thanks to which more and more neural connections are established in a small organism. This means your little one is learning new movements and skills every day. Now he is fluent in grasping, swallowing and sucking reflexes.
He prefers right or left hand, and this determines whether he is born - left-handed or right-handed. In the cerebral cortex, in some of its parts, a response occurs when stimulated by a loud sound. The zones react to the stimulus, which will later be responsible for recognizing speech information.
The baby has formed tendon and muscle reflexes. If you tickle his palms or feet, he will spread the fingers of his limbs with a fan. When you touch something to the lower abdomen, the baby reflexively bends.
Now we can safely say that the baby sees dreams. Doctors say that the phases of slow and REM sleep in children at 25 weeks of gestation alternate, as is the case in adults, the phase of REM sleep prevails. It is in this phase that people dream.
Respiratory reflexes are still being formed, the baby's chest has been making the corresponding movements for a long time, but the baby will be able to breathe on its own only after the 27th week of pregnancy, it is by this time that the formation of a complex of reflex connections is completed, which will give him such an opportunity in case the baby hurries to be born on shine.
Internal organs
The most important process at week 25 is the development of lung function. The rest of the organs are already working, but the lungs are just beginning to accumulate surfactant - a substance necessary for subsequent spontaneous breathing.
Lung tissue matures gradually... Now the stage of development of alveoli is coming to an end - tiny vesicles that are located on the branches of the bronchial tree. They will be responsible for gas exchange after the birth of a baby, saturate his blood with oxygen and rid it of carbon dioxide.
So far, the bubbles look like balloons that have not been inflated. After the first breath, air will enter them for the first time. And so that they do not stick together again after exhalation, you need a certain amount of surfactant - a substance consisting of phospholipids and proteins. From the 25th week, the production of this substance begins in full force, and now every day the baby will have more and more chances of survival in case of premature birth.
The baby's heart has become larger, the heartbeat remains fast - 150 to 170 beats per minute. The kidneys and bladder function similarly to adults, with the digestive system beginning to work. The stomach accepts amniotic fluid, lanugo particles enter the intestines, where, together with bile, they form the original feces - meconium - from the gall bladder.
The baby will begin to empty the intestines only after birth. In some cases (hypoxia, entanglement, Rh-conflict) this also occurs in the womb, but then the waters become green and polluted. To save the baby, doctors often decide on an early delivery.
Sense organs
The child's senses are formed and functioning. The baby knows how to open and close his eyes, blink, distinguish between light and darkness. He will begin to see the outlines in more detail a little later.
By the time of his birth, the baby will see at a distance of up to 20 centimeters and, in general terms, will already be able to distinguish his mother's face.
The hearing organs are working at full strength. The baby listens to what is available to him - mother's blood flow, the work of her intestines, digestion. The most dear sounds for him now are the beating of his mother's heart and her voice. The rest of the sounds from the outside frighten the baby for now.
At 25 weeks, the basics of smell are formed. The baby has already learned to distinguish tastes: he gladly swallows amniotic fluid if it has a sweetish taste, and frowns and spits if it is salty or sour. The taste of amniotic fluid is influenced by what mom eats.
Viability
According to the WHO definition, the fetus is quite viable at 25 weeks. This means that in the event of a premature birth or the need for an urgent caesarean section, the baby has a chance to survive. Such chances, according to various sources, are estimated at 15-17%. Not as much as we would like, but not as little as it seems.
The main reason for the death of deeply premature babies is respiratory failure, the unpreparedness of the lung tissue for spontaneous breathing. Therefore, children born at 25 weeks are placed in special incubators, supplied with oxygen, injected with surfactant preparations and actively warmed, since small and thin babies do not have enough subcutaneous fat at this time, they cannot retain internal heat.
Resuscitation and intensive therapy carried out on time give such children a chance of survival, but not a single neonatologist will dare to make predictions about their health. The degree of immaturity of the nervous system does not allow us to confidently assert that everything will be fine with the baby. The likelihood of disability, mental retardation is high. However, the percentage of the likelihood of a good outcome is significantly higher than a week earlier.
Your child is on ultrasound
It is impossible to call a planned ultrasound examination at 25 weeks, because the first two screenings are left behind. An ultrasound scan will be done this week, if necessary, unscheduled. This may arise from a doctor if there are certain concerns for the health of the woman and the fetus.
Also, no one has the right to prohibit a future mother from visiting the ultrasound diagnostics room on her own if she wants to look at the baby, take a picture of him for a family album, and also find out the gender, if for some reason it was not possible to do this earlier.
The gender of the baby is now well distinguishable, and the doctor will be able to predict the birth of a son or daughter with great accuracy. In just a couple of weeks, it will be more difficult to do this, because the baby will grow up, he will have to take a more compact position in the uterus, in which the genitals are often covered from the doctor's eyes with the umbilical cord, legs, arms.
Of course, the expectant mother is very interested in whether her baby meets the developmental standards for a given period. Only a doctor can answer the question, because much is assessed individually.
As for the existing average statistical standards for fetal fetometry, then at week 25 they are as follows:
BPR - 53-71 mm;
LZR - 72-93 mm;
DBK - 36-52 mm;
DCG (tibia or length of the tibia) - 32-45 mm;
PrEP (length of the forearm bones) - 33-41 mm;
Head circumference - 214-250 mm;
Abdominal circumference - 183-229 mm.
This week, the doctor conducting the ultrasound can clearly see the internal organs of the baby, the structures of the brain. If any anomalies in their structure and development are detected, the woman is sent for an expert ultrasound scan and consultation with neonatologists and related specialists.
Dangers and risks
The load on the female body at 25 weeks of gestation is great. Therefore, now it is important to monitor your own health, especially if a woman has a history of chronic diseases. It is possible that right now colitis, pyelonephritis, gastritis and other ailments may worsen.
There are other dangers that can complicate your pregnancy this week.
Fetoplacental insufficiency
In a quarter of cases of fetal death, the reason lies in fetoplacental insufficiency. It significantly complicates pregnancy, causes hypoxia, developmental delay. Disorders in the mother-placenta-fetus system increases the risk of premature birth. This condition can develop against the background of the mother's diseases, especially if she has problems with the kidneys and heart, lungs and hormones.
Fetoplacental insufficiency can develop as a consequence of a viral infection, as well as a consequence of a bacterial infection. The placenta can suffer at a high temperature, which rises if a woman in an "interesting position" has the flu, SARS, cold.
The reason may be obstetric pathologies: placenta previa, pelvic position of the baby, Rh-conflict between mother and fetus.
Gestosis, which can also manifest itself in the current period, not only itself becomes the cause of placental disorders, but also significantly aggravates them if they are caused by another cause. At the current time, symptoms can manifest as a threat of premature birth, pain and discharge of an atypical nature, as well as a lag in the growth rate of the baby according to ultrasound data.
Delayed fetal development
Developmental delays at 25 weeks are often associated with placental disorders, in which the child is deficient in nutrients, gas exchange is impaired. The reasons can also be pathologies and anomalies in the structure of the internal organs of the baby, intrauterine infection, insufficient nutrition of the mother and her bad habits.
If the height of the bottom of the uterus is less than it should be at this time, the doctor may prescribe an ultrasound. If this diagnostic method also confirms the suspicions, then the woman will certainly be offered to undergo treatment.
After establishing and eliminating the cause that caused disturbances in the development of the baby, vitamin preparations are prescribed, agents that improve uteroplacental blood flow.
In most cases, such treatment gives positive results, and the baby manages to "catch up" the missing grams and centimeters before giving birth.
Colds, flu and SARS
The woman's immunity remains reduced, at 25 weeks there is a real danger of getting sick with seasonal or other infectious and non-infectious diseases. That is why it is now important to comply with hygiene requirements, limit contacts with a large number of people, and stay in crowded places.
If the precautions did not help, the woman has a sore throat, fever, a severe runny nose, you should definitely call a doctor at home. Treatment must be prescribed by a doctor. Attempts to heal on their own using medicines or traditional medicine recipes can lead to severe complications.
Gestosis
As before, a woman should follow all the doctor's recommendations, including making sure that no edema appears. Gestosis is a dangerous complication that can lead to convulsions and death of the mother and fetus. Gestosis often causes hypoxia, premature birth.
If the rings suddenly ceased to be removed from the fingers, the old shoes became too small, characteristic grooves on the skin in the ankle region remain from the socks, you should definitely inform the doctor about this. The same should be done if the weight began to increase for no reason: this may be a symptom of dangerous internal edema. At the current time a woman should reduce the amount of salt consumed, since she is able to retain fluid in the tissues.
In addition to being attentive to the diet, you should lead an active lifestyle, do not drink alcohol in any form, do not smoke. All this will help reduce the likelihood of developing gestosis.
Analyzes and examinations
Mandatory tests and examinations are not scheduled this week. If a woman is scheduled to see a doctor this week, then a general urine test should be taken a couple of days before him. Women with a negative Rh factor at 25 weeks donate blood from a vein to determine the titer of antibodies, if such an analysis was not done a week ago. Other examinations are assigned exclusively individually.
Recommendations for expectant mothers
At 25 weeks, a woman should be especially careful to prevent premature birth. For a baby, although he is already considered viable, it is early to be born. To do this, you should exclude physical overload, lifting weights, taking medications without the knowledge of the doctor.
In addition, you need to continue walking in the fresh air, reducing the walking time to 10 minutes and increasing the number of walks by 1-2. There are other recommendations that will be useful for a pregnant woman.
Organize a "pregnant" photo session. So far, I have enough strength to plan and take some beautiful photographs with my husband, which will then remind of the difficult and exciting months of waiting for a small miracle.
The required amount of sleep for a woman at this time increases to 9-10 hours a day. Keep this in mind when planning your routine. Sleeping is best on your side, with a small pillow under your feet in the lower leg area. This will help prevent swelling and make your sleep more comfortable.
You can begin to prepare the nipples of the mammary glands for the upcoming breastfeeding. To do this, they should be lightly massaged, after hygiene procedures and a shower, wipe with a hard towel. But this should be done very carefully. Stimulation of the nipples promotes the production of oxytocin, a substance that brings the uterine muscles into a tonic readiness to contract.
You can have sex if the doctor does not prohibit it. The couple needs to take a responsible approach to the choice of positions in order to exclude pressure on the uterus, as well as deep penetration. Using lubricants, intimate gels, sex toys is not safe, as is anal sex.
A woman should follow a drinking regimen... The liquid should not be small. The recommended amount is 1.5 liters of clean drinking water per day. However, do not take water just before bedtime, as this can lead to edema.
Going on a journey you should check with your doctor if there are any contraindications for the flight. Airlines do not ask a pregnant woman at 25 weeks for a doctor's note. If the pregnancy proceeds without complications, you can fly.
A woman should protect herself from stress. Nervous shocks during this period often provoke premature birth, negatively affect the well-being of the child.
To make it easier for yourself in the last weeks before going on maternity leave, you can start wearing a special prenatal bandage. There are many models of this orthopedic device, each with its own characteristics. You should choose after trying on.
Reviews of pregnant women
At 25 weeks, women who left their comments about this period note that their well-being has deteriorated somewhat. Many are trying these days to take time off and leave, which have accumulated in recent years with the expectation that then immediately go on maternity leave.
The most relevant question among mothers is whether the ultrasound at this time is wrong with the sex of the child and whether it is possible to believe the tables for determining the sex by blood, by the month of conception. Sex is determined, but sometimes doubts remain until the very birth. At the 25th week, many go shopping for the baby, and therefore I want to have a little more confidence in the "prediction" so that the boy does not then wear soft pink caps and suits, carefully purchased by his parents before his birth.
Belly size is another debated issue. Mommies take pictures and share them on social networks and forums. Women who have already started attending courses for pregnant women note that they learned a lot of interesting things, in particular, they learned how to do special exercises to strengthen the pelvic muscles. It is simple and very useful.
About what happens to the fetus and the expectant mother at the 25th week of pregnancy, see the next video.
