Newsletter - week 37

 

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Week 28
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Week 33
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Week 35
Week 36
Week 37
Week 38
Week 39
Week 40

Welcome To Week 37

Your Baby: Growing Everyday

Just a few weeks before your due date, your baby averages around 6 1/2 pounds and measures about 20 - 21 inches long. During these last days inside the uterus, your baby continues to grow and mature. The fine touches are taking place now in preparation for the journey out into the new world!

As anxious as you may be to meet your baby face-to-face, you still have a little time left to feel him flutter about inside you. Each time he kicks or jabs you with an elbow, stop for a second and put your hand on your stomach to memorize the movement and record it in your head. It's a precious time, and who knows if and when it will happen again?

Your Body: Gearing Up For Delivery

As you near the end of your pregnancy, you may start noticing signs and feeling symptoms of false labor. They can set in one month or one day before you actually give birth -- only time will tell. The question is, how will you know when it's real -- and when it's not?

Generally, your health care provider will be able to tell if you are in labor by looking at your cervix to determine if you are effaced and dilated. Often, it can be difficult to tell whether you are in true labor or having false labor. The following are some tips that may help you to distinguish true labor from false labor:

The Real Thing (True Labor)

  • After timing the contractions, you determine that they are coming consistently and getting closer together.
  • Each contraction is lasting anywhere from 30 - 70 seconds and getting longer.
  • The contractions do not go away even if you change your level of activity.
  • Usually with true labor, the contractions have a radiating feeling in your lower back and upper abdomen.
  • The intensity of the contractions becomes greater as time progresses, often stopping you from continuing a conversation..

False Start (False Labor)

  • The contractions continue to be irregular or have a sporadic pattern.
  • There is no consistent length or intensity of contractions and no pattern develops.
  • No clear change or increase in the intensity of the contractions.
  • May feel the contraction lower in abdomen without the radiation feeling.
  • Changing activities affects the contractions.

Remember the list above includes the most common findings between true and false labor, but every woman is different. You may still be unclear whether you are in true labor, and it is always better to call your health care provider or go to the hospital for guidance.

On Note: On A Scale Of 1 To 10

If your friends continually regale you with the details of their deliveries and you have yet to experience it firsthand, this Cervical Changes During Labor simulator is a must-see. Dynamic and detailed, the two images show a cross-section of female reproductive system and a frontal view of a woman's cervix. As you move the bar at the bottom of the scale, you will see how a cervix dilates from 1 to 10 centimeters.

Weekly Tip

Having a baby is one of the most intimate and private experiences for a couple. That said, there are probably plenty of people in the waiting room or across the world who are anxiously waiting to hear the good news. While your mind is clear and your hands are free, prepare a list of friends and family you want to call from the hospital so that you and your spouse don't have to go hunting for numbers.


Review Date: 12/1/2010
Reviewed By: Zev Williams MD, PhD, FACOG, Reproductive Medicine and Infertility, Weill-Cornell Medical Center, New York, NY. Review provided by VeriMed Healthcare Network.

A.D.A.M.'s health encyclopedia is accredited by URAC, also known as the American Accreditation Healthcare Commission (www.urac.org). URAC's accreditation program is the first of its kind, requiring compliance with 53 standards of quality and accountability, verified by independent audit. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial reviewers. A.D.A.M. is also a founding member of Hi-Ethics (www.hiethics.com) and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

ADAM

 

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Encouragement + An Assist = Success

Nine days past her due date, Sara Howe was awakened at 3:00AM when her water broke. Thrilled that the long wait was finally over, Sara and her husband David packed up and headed to PeaceHealth Southwest Medical Center. By 5:00AM they were comfortably settled into one of PeaceHealth Southwest’s Labor Delivery Recovery and Postpartum rooms, ready for action. But four hours later, Sara contractions had still not progressed so her midwife started her on Pitocin. Soon the contractions kicked in and Sara was well on her way.

At around eight o’clock the next morning, it was time for Sara to start pushing. So she pushed. And she pushed, and she pushed, and she pushed. "The first few hours of pushing went by without me realizing the time," remarked Sara. "But around the fourth hour I started to wonder if I was still making progress. That is when the encouragement of my midwife, husband and the PeaceHealth Southwest nursing staff kept me going. It was like I had my own cheering section."

Unfortunately, even with all the support and encouragement, Sara’s labor was not progressing because her baby’s head was tilted in the birth canal. Neither Sara or her midwife wanted her to have a Cesarean section after all that work, so her midwife suggested an assisted delivery. Read more >

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