The third study is necessary to identify those malfunctions, which manifest themselves only in a later date of pregnancy. In addition, in the range of 32 - 34 weeks, additional studies are conducted (Doppler, cardiotokography) to assess the intrauterine state of the fetus, the nature of the development delay, the presence of hypoxic changes and intrauterine infection, determining the degree of crucial to the baby cord and predict some complications in the prenatal period and during childbirth . Thanks to the implementation of the ultrasound on this gestation period, it will be possible to determine the tactics of the delivery, optimal for the appearance of a healthy child
Cardiotocography (CTG) is a method for functional assessment of the state of the fetus based on the registration of the frequency of the fetal heartbeat and their changes depending on the contractions of the uterus, the activity of the fetus itself or the action of external stimuli. This study is carried out only in the third trimester of pregnancy, as well as during childbirth. The heart activity of the fetus is recorded by a special ultrasonic sensor, which is fixed on the front abdominal wall of a pregnant woman in the best hearing of the heart of the fetus. The ultrasonic signal reflected from the heart of the fetus is generated by the sensor and is again perceived by the sensor. The electronic system converts registered changes in the intervals between the individual blows of the fetal heart into the instantaneous frequency of its heart abbreviations, calculating the number of shocks per minute at the time of the study.
Currently, cardiotokography has become an integral part of a comprehensive assessment of the state of the fetus. Thanks to KTG, the possibilities of diagnosis are significantly expanding both during pregnancy and labor, which makes it possible to effectively solve issues of rational tactics of their maintenance.
CTGs follows no earlier than 32 weeks of pregnancy, due to the fact that it is by this time that the relationship between cardiac activity and motor activity of the fetus is being formed, which reliably reflects the functionality of its central nervous, muscular and cardiovascular Systems. By the 32nd week of pregnancy, the average duration of the active state is 50-60 minutes, and calm - 20-30 minutes. The earlier use of the CTG does not ensure the reliability of the diagnosis, since it is accompanied by obtaining a large number of false results.
Doppler / Doppler, including the color Doppler mapping is a study of blood flow in the fetal vessels, umbilical vessels and uterus. The results of dopplerography allow us to judge the state of the uterine-placental and fruit blood flow and indirectly indicate the intrauterine state of the child. Reliable information on the state of the uterine blood flow can be obtained from 20 to 21 weeks. In the late period of pregnancy (after 30 weeks), dopplerography is the desired component of each ultrasound research. Normal blood flow indicators serve a fairly reliable sign of a normal intrauterine state of the fetus, but do not exclude the development of certain complications in a later date of pregnancy.
The presence of blood flow disorders in different departments of the uterine-plazent-fruit system requires strict dynamic control, including in the hospital.
According to the recommendations of the Ministry of Health and Social Development of the Russian Federation, to ensure timely prenatal diagnosis of congenital and hereditary diseases during pregnancy, it is necessary to conduct a three-time ultrasound examination in terms of 11 - 14, 20-24 and 30 - 34 weeks. This ultrasound screening is mandatory. (Order of the Ministry of Health and Social Development of Russia No. 457).
has already stepped 34 weeks of pregnancy. The baby has grown a little, and the mammy becomes more and more difficult. With each week, the long-awaited meeting is approaching, you probably have already decided on the choice of maternity hospital and a doctor who will take birth. If you are planning a collaborative childbirth, find out if you need any dad survey.
Belly no longer gives mom so easily move around, as before. But it is now that you need enough activity, walking in the fresh air - you need to gain strength before the upcoming births, strengthen the muscular system. But at the same time, do not overdo it, use the ability to read positive books, listen to music, enjoy the changes in our sensations, kid's movements.
At the 34 week of pregnancy, the weight of the baby is approximately 2200g, and its growth is about 44 centimeters.
34 weeks of pregnancy - how many months? Eight and a half obstetric months have passed, and it remains very little! Mom must need to control their weight, this term is allowed to be added about 11-12 kilograms. Control the calorie content of the diet, while the maximum ensure the receipt of the necessary components, including trace elements, vitamins.
Pregnancy 34, 35 weeks is characterized by constant improvement of all organs and systems. The kid continues to gain weight, mainly now at the expense of adipose tissue. Its complex is already such as in the newborn.
The skin is becoming more and smoother, the number of lano - flush hairs on the body of the kid can already be reduced. But the hairpieces on the head, on the contrary, are all thicker. Already fully formed nails. The ripening of the bone system continues, and the baby now needs quite a few calcium.
All you need, the baby will take the mother from the body of the mother, so it is necessary to take care of the arrival of all nutrients.
The baby has already grew so much that childbirth for the 34 week of pregnancy is not dangerous for him. Its respiratory system is capable of functioning in most cases even without special equipment, but still should finally form in the desired number of surfactant.
Usually, the child took the final position to this period of pregnancy. The most physiological is the head preview - this position of the kid, in which the head arrives to the generic path, and it will be the first to advance through the generic paths. With vaginal childbirth, this is the most safe for the baby and for mom.. It is still possible to independently change the position, sometimes special manipulations are held, helping the baby to turn over. Whether this is necessary, the doctor defines after a thorough examination.
The third trimester of pregnancy is characterized by the active phase of the formation of the cardiovascular system. Now the heartbeat frequency is almost twice as much as an adult. Knowing, in what position the baby is located, mom can easily attach a stethoscope to the stomach and hear how heart beats.
Starting this week of pregnancy, the child's born ceases to be considered premature and is officially born ahead of schedule. The kid, born at the 34 week of pregnancy, is different from the child who has appeared on the light of the term, insufficient number of subcutaneous fatty fiber. Due to the lack of fat, the body of the kid is not able to properly maintain heat. That is why children born on this period are placed in the conditions of the warm environment. For a month and a half before the occurrence of the date of birth on the body of the child, the amount of raw-like lubricant increases, which is produced by saline glands to facilitate the advancement of the fetus by the generic paths. The raw-like lubricant is delayed on the body thanks to a dense gun, which covers not only the baby's head, but also its limbs, back and even ears. This gun will be present on the child's body a few weeks after the appearance of the light, and then gradually erase.
34 weekly pregnancy is characterized by the following achievements: the weight of the fetus is 2.3-2.4 kilograms, growth is 43-44 centimeters. The child continues to gain weight, grow and develop. His body has already taken a certain position in the uterus, which will most likely be preserved to the birth. The face and body of the kid are rounded and become pretty.
The skin of the child has no red, but pink color. Hair and marigold continue to grow. The formation of most organs and systems has been completed. An exception is the respiratory system: a surfactant accumulation continues in the lungs, the substance is so necessary for the first sigh. It is a surfactant that will not allow alveolas, which look like tiny bags at the ends of bronchiole.
The development of the pancreas and liver continues. These organs contribute to the proper processing of nutrients entering the organism of the newborn with Mother's milk. The liver assumes the function to disinfect toxic substances, which are then removed from the body by the kidneys and the lower digestions of the digestive system. Muscles, roaster in the joints of the bones continue to develop.
If a doctor has a pregnancy, there is a reason to doubt the normal development of the fetus, a biophysical test is assigned to evaluate vital activity. According to the results of the test (scale from 0 to 2), five important parameters are estimated: the heart rate, motor activity, the movement of the respiratory muscles, the tone, the volume of ammunition waters.
This test is performed with the involvement of ultrasonic equipment, which is estimated by the amount of accumulating waters, the number of respiratory movements and moving the fetus. To clarify the heart rate, external monitors are used. There is also an assessment of changes in the heart rate associated with the motor activity of the fetus.
A biophysical test is appointed not to all pregnant women, but the last ultrasound is a survey required. It is necessary to determine the prelation of the fetus, establishing the place of attachment of the placenta. Also, ultrasound at the later date allows you to identify the fetus of the umbilical cord and establish the degree of maturity of the placenta. According to the results of the ultrasound and parametric data of the fetus (the diameter of the head, the length of the femoral bone, etc.) the doctor determines the weight of the child.
Escape 34 weeks of pregnancy, most of the future mothers think about when finally the child appears on the light, and it will be possible to go on the usual way of life. Akaya nostalgia for the past is quite formation, because by the end of the third trimester, the share of pregnant women falls out of meaning. Even if in the first weeks, the conception of the motherboard with the attacks sick of vomiting, at least she could free on. 34 Package week of pregnancy - time, when a woman every day becomes freight, there is a clumsy issues in many actions. It is difficult to argue, climb the staircase, to perform longpring.
Major, 34-Yadel pregnancy pregnancy such "gifts", complicity with falling asleep. Often the mode of the dream and child does not coincide, and the active heverages are knocked down by a woman's desire to sleep. More is so big that any elegable the slightest performance is felt.. There is already a shine to sleep. . All purely individual depends on the predisposition to them. Enviable cases when there is a future for the whole pregnancy, right up to the surfaction, passed easily and easily. About this is a rare exception.
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