women

Welcome to your Third Trimester (part 33) - Group B strep test & A diabetic pregnancy

- 7 Kinds Of Fruit That Pregnant Women Shouldn’t Eat
- How to have natural miscarriage
- Foods That Cause Miscarriage
- Signs Proving You Have Boy Pregnancy
You are 34 Weeks Exactly 42 days to go…

If you’ve made the decision to have a home birth, you’ll need to ensure you’re fully prepared in good time.

Your baby today

A close-up of the baby’s face clearly showing the lip shape and slightly separated eyelids. The slight shadowing seen to the left of the image is from the wall of the uterus, which at this stage of the pregnancy will always be very close to your baby.

Women had their babies at home for generations; it was only in the 20th century that women began to have hospital births. If you’re considering a home birth, remember that the majority of pregnancies and deliveries are normal and do not need any medical intervention.

Be reassured that if you have decided to have a home birth and then change your mind, for example if you decide you want an epidural, or your midwife advises you that the baby needs help, you will be transferred to a hospital.

Your relationship with your midwife is even more important if you’re giving birth at home as she will be your sole medical support.

… Doctor
Q: What additional things do I need to think about if I’m having a home birth?
A: Have all the items you need for labor and birth gathered in the place you intend to deliver, and organize your items separately from the baby’s items.

As well as practical items, such as clothing, toiletries, and sanitary pads, you may also want to have on hand music, phone numbers, and a camera. It’s a good idea to have a well-stocked fridge so make a list of nutritious foods to stock up on before your due date. This will help you during labor and in the first week of parenthood. Your baby will need diapers, cotton cloths, onesies, clothing, sheets, and blankets.

If you have other children, you may need to make arrangements for them to be taken care of.

Even though you’re planning to have your baby at home, there are circumstances in which you may need to be transferred to a hospital. This can happen before, during, or after labor and so, even though you may not want to contemplate this outcome, have an emergency bag packed just in case.

Group B strep test

Ten to 30 percent of pregnant women carry the strep B bacteria in the vagina or rectal area. Known as GBS (group B streptococcus), it is usually harmless in adults, but can cause a rare and serious infection in newborn babies if untreated.

  • Many women are now routinely screened for GBS, at 35–37 weeks of pregnancy. If the result is positive, antibiotic treatment can be given during labor that will reduce the risk of the baby becoming infected. Some hospitals don’t screen but if the bacteria is detected in a urine test or a swab is taken for another reason and is positive, antibiotic treatment may given in labor.

  • The test is very straightforward and involves taking a swab of the area around your vagina and rectum with results usually within 24–48 hours.

  • If GBS is detected, and treatment given as soon as labor starts, there is little risk to the baby.

  • It is possible to be infected with GBS in a second pregnancy, even if you didn’t have it first time around.

Your 35th Week

Getting exercise is probably the last thing you want to do, but it’s worth the effort. The more you move, the more energy you will gain. Gentle exercise will also help relieve some of the aches and twinges of late pregnancy. The baby’s movements may change as he has less room to move around. Instead of kicks, he may be shuffling around. He’s busy, though, practicing for the outside world, teaching himself to suckle and focus his vision.

NOTE

Try to stay active, even though you may be waddling by now

You are 34 Weeks and 1 Day 41 days to go…

As your size begins to have an impact on your daily activities, you’ll find that a few practical adjustments are necessary.

Your baby today

This profile of the baby shows the tip of the nose touching the placenta. Your placenta will not be growing any more and now thins slightly. Within, the placenta continues to mature and it remains a highly efficient means of supplying your baby’s energy needs.

Your posture will change as your belly continues to grow. To compensate for the heavy weight you’re carrying, you might find that you lean back slightly, especially when you’re walking downhill. You might also waddle when you walk as you shift your weight from side to side. In a few weeks’ time, when the baby begins to engage into the pelvis (see When your baby drops), you may find that you waddle even more.

It’s normal at this late stage of pregnancy to move more slowly than normal. You may find yourself struggling to get out of bed or out of a chair, and picking something up off the floor can be more difficult than usual. Tasks such as tying your shoelaces or painting your toenails can seem impossible. You can overcome tasks such as these; for example by putting your feet on a stool to tie your shoelaces so you don’t have to bend down so far. If you need help, there’s no shame in asking. It can be difficult to be reliant on others but remember it’s only temporary.

… Doctor
Q: Can I have a water birth in the hospital?
A: This depends on the maternity unit: some have birthing pools; others have facilities for you to rent a pool. More hospitals and birthing centers are offering this birthing option, so ask about renting a pool and bringing it in, but realize that just might not be an option. Some hospitals only allow you to labor in a pool, but not to deliver.

If your maternity unit does have a birthing pool, bear in mind that it may already be in use when you go into labor.

… Your health
A diabetic pregnancy

Whether you develop diabetes in pregnancy (known as gestational diabetes), or have preexisting diabetes, you’ll require special care from your doctor. She will work out a plan for you, since diabetes poses risk in pregnancy.

In the mother, risks include high blood pressure, blood clots, preeclampsia, diabetic kidney disease, and diabetic retinopathy, a condition that affects the retina in the eye. For the baby, there is an increased risk of congenital abnormalities and growth may be too fast or too slow.

The key to a healthy pregnancy and baby when you have diabetes is good blood-sugar control since your insulin requirements will change throughout pregnancy. Controlling blood-sugar levels reduces the risk of birth defects and stillbirth, or of you having a larger than expected baby, which can lead to problems during the birth.

If you have gestational diabetes, you will need to adapt your diet to include carbohydrates and fiber and reduce your intake of fats and sugar. You may also need insulin injections (see image) to help control your blood-sugar levels.

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