Colostrum during pregnancy: when it appears, norm and deviations. Excretion of colostrum during pregnancy: norm and pathology Excretion of a lot of colostrum at 36 weeks of pregnancy

The 36th week of pregnancy is getting closer to the date when the mother will be able to hold her baby, and the process of childbirth itself ceases to be scary. The woman begins to calmly accept the change that will soon occur in her life, counting the days until the birth of her newborn.

What happens to the fetus

At the beginning of the ninth obstetric month, the fetus is already completely ready to exist outside the mother’s body and weighs about 2.5 kg with a height of 47 cm (twins are slightly smaller in height and have a body weight of 2 kg). The bones of the skull are still soft, but they will remain so until birth, facilitating the process of passage through the birth canal. At that time:

active growth and weight gain occurs;
all internal organs continue to improve;
The nervous system is actively developing, the fetus reacts to external stimuli (recognizes the voices of loved ones, shows pleasure or displeasure from music, feels the emotional state of the mother).

The main activity of the child in the mother's womb, due to the emerging sucking reflex, is thumb sucking. Although giving birth at 36 weeks of gestation produces a healthy, viable newborn, it will be much more comfortable for the baby if the final process of organ formation is completed within the mother's body.

What will an ultrasound show?

This examination is no longer done routinely; it can only be prescribed when the doctor needs to clarify:

fetal weight;
degree of maturity of the placenta;
amount of amniotic fluid;
is there any entanglement of the umbilical cord;
presentation.

Depending on the data obtained, obstetricians develop delivery tactics. In the photographs taken during an ultrasound, future parents see the child as he will be born: the facial features are already fully formed, only the skin remains red and slightly wrinkled. But the skin will acquire a normal color only after birth.

Necessary examinations

In connection with preparing for childbirth, a woman does:

measurements of the abdomen and pelvis;
weighing (the pregnant woman should gain no more than 13 kg by this time);
CTG (checks the fetal heartbeat and the ability of the uterus to contract).

In addition to routine tests, a pregnant woman can be checked for:

hemoglobin (if anemia is suspected);
sugar (must be taken from women over 25 years of age or if there is a hereditary predisposition to the development of diabetes).

Other laboratory tests are also possible, which are prescribed taking into account the condition of the pregnant woman.

How does a woman feel?

The 36th week of pregnancy is marked by a deterioration in general health for a woman.

Noted:

fast fatiguability;
difficulty moving due to a large belly;
breathing problems (the large uterus puts pressure on the internal organs, preventing them from functioning normally, and the expectant mother feels a constant lack of oxygen);
heartburn;
constipation (if stool retention is prolonged, then you need to consult a doctor: the doctor will adjust the diet, and in difficult cases, prescribe a laxative that is safe for the fetus);
swelling in the legs (swelling of the legs due to deterioration of venous circulation is normal if it decreases while resting in a horizontal position);
arterial hypertension (if the pressure rises frequently and to high levels, then this is an indication for immediate hospitalization);
constant lower back pain;
pain in the lower abdomen.

Most often, pain in the abdomen is caused by softening of the ligaments, separation of the pelvic bones, or training contractions. If they are short-term and not very strong, then there is no reason to worry.

If you experience severe pain, especially if it is accompanied by bleeding, you should immediately visit a doctor. This may be a sign of placental abruption or that labor is about to begin.

Despite the fact that many pregnant women are already prepared for the upcoming birth, some women, especially first-time mothers, experience nervousness, irritability, or even fear of the upcoming process.

Close relatives during this period need to show maximum attention to the pregnant woman and help her cope with negative emotions.

Childbirth at 36 weeks of pregnancy is considered normal by obstetricians. Moreover, the birth of twins most often occurs at 36-38 weeks. For now, medicine cannot yet determine the date of conception with day-by-day accuracy, and perhaps there was an error in the calculations when registering.

By this time, all pregnant women have already mastered proper breathing and attended courses for young mothers, so if the event occurs 2 weeks earlier than expected, there is no reason to worry.

At week 36, if this has not been done before, you need to collect everything you need for the trip to the maternity hospital and have documents with you at all times. But you shouldn’t endlessly look for signs of labor; it’s better to try to relax and maintain a positive attitude.

How to monitor your condition

The 36th week of pregnancy is characterized by the fact that the body undergoes an active restructuring of all functions for childbirth. Doctors recommend closely monitoring the condition of the abdomen and vaginal discharge.

Stomach

Many pregnant women experience pain in the lower abdomen during this period. They can be caused by the following:

These are the most common causes of pain. But if the pain is not caused by training contractions, to which most women are already accustomed, and multiparous women do not pay attention to them, then it is necessary to consult with your doctor.

Perhaps a visit to the obstetrician will reassure you that there is no cause for concern, and perhaps it will allow you to identify developing disorders at an early stage. Another danger that marks the 36th week of pregnancy is petrification of the abdomen. If your stomach has become hard and tense, then you should not ignore this sign.

A tense abdomen can be caused by:

Flatulence. In this case, you need to reconsider your diet, and the symptoms will disappear.
Uterine hypertonicity. The uterus does not relax after training contractions, and its muscle layer is constantly tense. Hypertonicity of the uterus negatively affects the condition of the fetus, disrupting its proper nutrition, and can provoke premature birth.

In addition, hardening of the abdomen can occur due to prolonged immobility or an overfilled bladder. If after a change of position or after a visit to the toilet the abdominal wall relaxes, then there is no cause for concern. But if there is prolonged severe tension in the abdomen, it is necessary to be examined by a doctor.

Vaginal discharge

There is an increase in the amount of mucus secreted. This can happen over several days or all at once, when a large mucous lump with small bloody streaks appears on the pad or panties of a pregnant woman - this means that the mucus plug has come off.

The plug often comes out at 36 weeks, but if this does not happen, then there is no need to worry: the plug can come off later, just before childbirth, and in some cases even at the time of the release of amniotic fluid.

Cause for alarm should arise when the discharge changes appearance and consistency:

Normally, discharge at 36 weeks should be light, transparent and have a slight sour odor. A short-term increase in mucus secretion can only occur when the mucus plug comes out.

Some pregnant women worry about the condition of their breasts when colostrum begins to be released from the nipples. But the presence or absence of colostrum is an individual feature of the female body and does not affect breastfeeding. After the birth of a newborn, other processes will begin to occur in the body (they will begin to operate after the placenta is separated), and breast milk will certainly appear.

Why is this period dangerous?

At 36 weeks, a woman begins to look like a bun, it’s hard for her to move, and she gets tired quickly, but there are few dangers in this period.

Fetal death

At this stage, the child is already viable, and intrauterine death rarely occurs. The mother only needs to control the number of movements (5-7 per hour is the norm) and if the fetus does not move for a long time, consult a doctor.

A sharp long-term (over 3 hours) increase or decrease in the number of movements indicates fetal discomfort.

Getting injured

A shift in the center of gravity due to heavy weight and a protruding belly makes a woman clumsy and clumsy, and coordination is partially impaired. The main danger is falling. To avoid this, it is not recommended to leave the house in icy conditions and always wear shoes with solid non-slip soles.

Late toxicosis

If the manifestation of early toxicosis is considered almost normal, then constant nausea, vomiting and headache at 36 weeks are dangerous. If this condition is not treated promptly, it can cause severe swelling, convulsions, and even be fatal. All pregnant women with late toxicosis of any severity are indicated to be hospitalized in the pregnancy pathology department. There, depending on the patient’s condition, they either provide symptomatic treatment or decide on an emergency delivery.

Is sex possible?

As a rule, at 36 weeks women do not experience sexual desire, but if there is a desire and there are no contraindications, then sexual activity is allowed before childbirth. You just need to avoid deep penetrations and pressure on the stomach.

Contraindications for having sex will be:

Tendency of the uterus to hypertonicity. Orgasm will further increase uterine tone and can cause early labor.
Multiple pregnancy. For mothers of twins, sexual contact is prohibited almost throughout the entire pregnancy.

If you have doubts about your condition (abdominal pain, changes in vaginal discharge), then it is better to refuse sex.

At week 36, a pregnant woman should be prepared for the fact that labor may begin at any moment. Therefore it is recommended:

Collect everything you need for a trip to the maternity hospital in a bag and put it in a visible place. Tell close people (mother, husband) about the location of the bag. It is quite possible that the birth will begin outside the home, and relatives should be able to provide the woman in labor with everything she needs as soon as possible.
Carry documents with you at all times. It is very important to carry with you not only an identity document, but also an exchange card. If labor begins suddenly, the data indicated in the chart will help the doctor choose the safest tactics for labor management.
Have a charged phone on hand so that you can call an ambulance and inform your loved ones that the birth of a new family member will soon occur.

But the fact that labor can begin at any moment is not a reason to sit at home and wait. On the contrary, due to the fact that it becomes difficult for the expectant mother to breathe and she constantly experiences oxygen starvation, the pregnant woman is recommended to walk more in the fresh air.

There is no need to be afraid of walking, it is better to just enjoy life, having your phone and the necessary documents with you.

The huge uterus compresses all internal organs and disrupts digestion. To prevent heartburn or nausea, it is recommended:

Sleeping on a full stomach disrupts the functioning of the digestive tract, causing nausea and heartburn.

The expected event is coming soon, and in order to carry and give birth to a healthy baby, the expectant mother needs to carefully monitor her condition. At the first signs of deterioration in health, it is better to consult a doctor and find out that everything is fine than to miss the first symptoms of a developing pathology.

Your baby will be born only in a few months, and you are already getting ready to feed him. Many women generally call swelling and increased sensitivity of the breasts the first sign of pregnancy! At this time, the mammary glands begin to produce colostrum - the baby’s first food, a thick, sweetish liquid of light yellow color with high nutritional value - more than 150 kcal per 100 grams, this is the calorie content of fruit jam and milk ice cream!

When and how should colostrum appear, what is normal and what is pathology? Let's figure it out!

When does colostrum begin to be produced?

As soon as a woman's body undergoes hormonal changes due to pregnancy, she begins to produce colostrum. This happens already in the first trimester - however, the nutrient fluid is released in minimal quantities, so not all pregnant women notice it. Although among expectant mothers there are those for whom the appearance of colostrum becomes a - as you understand, the amount and intensity of colostrum secretion at the beginning of pregnancy is an individual thing.

In the second trimester, the number of women who pay attention to dirt on their underwear increases. Finally, in the third trimester, almost all pregnant women know that in certain situations, colostrum is actively released, literally “dripping” from the breast.

Situations that provoke the release of colostrum include:

hot shower, bath, sauna, bath;

hot drinks;

breast massage;

sex;

stress (both positive and negative emotions).

The appearance of colostrum: what is normal and what is not?

So, we have already found out that the release of a small volume of colostrum already in the first weeks of pregnancy is the norm. However, if colostrum does not appear until you give birth, this is also normal!

Minor impurities of blood in colostrum may appear due to capillary ruptures during the expansion of the mammary gland ducts. If nothing bothers you other than the “visual effect,” then this is also a variant of the norm.

The vast majority of pregnant women experience a feeling of itching, swelling, and fullness of the breasts in the second and third trimester. In this way, the mammary glands are rebuilt to produce milk.

Contact your doctor if:

you regard your sensations as pain, and not as slight discomfort (any doubts “does it hurt and am I really in pain” is also a reason to consult a doctor!);

regular appearance of blood in the discharge (this may also indicate a tumor!);

the unpleasant odor of colostrum indicates an inflammatory process in the ducts of the mammary gland.

Colostrum is released - what to do and what not to do?

If there is so much colostrum that it stains your clothes, purchase special disposable bra inserts for nursing mothers. Don't forget to change them regularly!

Wash your breasts regularly with warm water and do not overuse soap! If necessary, use delicate care products with a neutral pH.

Dry yourself with a soft cloth without rubbing your nipples.

Do not try to express colostrum or massage your breasts to trigger it. Artificial induction of lactation can provoke increased uterine tone.

Colostrum: myths and legends

Since the time of our great-grandmothers, there have been many “true signs” associated with colostrum among pregnant women, which, however, have no physiological basis. It’s interesting to check whether they “worked” for you or not?

” The appearance of colostrum is a sign of imminent labor (usually called two weeks).

Such a prediction can seriously worry expectant mothers who notice the appearance of colostrum already in the second, or even in the first trimester. Fortunately, it has nothing to do with reality.

” The more colostrum and the earlier its release began, the more milk there will be. There is no colostrum before birth - hurry up and buy formula.

In fact, neither the period at which colostrum begins to be released, nor its volume before and even after childbirth, correlates in any way with breastfeeding.

” “Missing” colostrum is a sign of future problems with breastfeeding.

During pregnancy, colostrum can be periodically released, then the discharge stops, then resumes again... this does not affect the quality of breastfeeding in any way.

Prepared by Ekaterina Ershova

The changes that occur in a woman’s body at 36 weeks are for the most part directly related to preparation for childbirth and the postpartum period.

Pain in the pelvis also intensifies due to stretching of the bones, which are trying to accommodate the full uterus and at the same time preparing to expand the space of the birth canal in time so that the baby can get out of the uterus with the least effort. The heart and lungs are cramped and heavy, but this will last no more than two or three weeks until the child presses his head against the pelvic bones, after which the stomach will noticeably drop and breathing will become much easier.

Week 36: how the baby develops

Over the past three or four weeks, the nature of his movements has changed especially noticeably: the baby seems to have become more careful and at the same time more clumsy. Soft tremors are now felt not everywhere, as they were in the thirtieth week, but only in certain places. This is not surprising, because every day the child becomes plumper. At 36 weeks of pregnancy, my cheeks became especially plump. The baby sucks his thumb every now and then, so his cheeks are well trained and are quite ready to accept food from his mother’s breast.

One morning, lightly touching my chest with my hand, I suddenly felt a wet mark: colostrum was beginning to be released. Just a few weeks ago, in order to squeeze out even a tiny drop, you had to massage your breasts for several minutes, but today a thick, slightly sticky liquid appears on the nipples.

Colostrum: details

Colostrum is the baby’s very first food, which he will have to eat until the milk ducts are filled with milk. Despite the fact that this colorless liquid is secreted much more difficult than milk and in relatively small quantities, its nutritional value is extremely high. And the fact that the baby will be able to suck from the mother’s breast without effort in the first three days after birth is quite enough to provide him with the necessary nutrients, support his immunity and help improve the functioning of the newborn’s gastrointestinal tract. By the way, the concentration of immunoglobulins in colostrum is much higher than in mature mother’s milk, so babies fed with this secretion of the mammary glands in the first days of their lives are distinguished by strong immunity.

The moment when the mammary glands of a pregnant woman begin to secrete colostrum occurs in each case at its own time. For some, this happens at the beginning of the third trimester, for others - just before childbirth.

It is not at all necessary that colostrum, having appeared once on the nipples, should be poured out regularly, because in the prenatal period, all the secretory activity of the mammary glands is just a rehearsal, preparation for the feeding period. However, of course, it is worthwhile from this moment, or better yet in advance, to pay more attention to the issue of hygiene of the breast area and preparing the breasts for the feeding period. The composition of colostrum is a very comfortable environment for the emergence and proliferation of pathogenic bacteria, which can cause discomfort and inflammatory processes in the nipple area. To avoid such troubles and prepare your breasts for feeding long before the baby is born, it is enough to follow simple hygiene procedures. In addition to the obligatory shower in the morning and evening, you need to find time in the middle of the day to wash your chest with boiled water at room temperature and wipe with a soft terry towel. It is also recommended from time to time to wipe the nipples with a chilled chamomile decoction, which effectively disinfects and protects the skin of the mammary glands, preventing the risk of painful cracks. To protect your nipples from pathogenic microorganisms during the day, you can use special sanitary pads for the breast.

Preparing the mammary glands

At week 36, it is once again useful to remember the good word “contrast”, which already strongly evokes an association with strengthening blood vessels and capillaries, as well as stimulating active blood circulation, which is not only useful when preparing the breasts for the feeding period, but is strongly encouraged. The sooner you get used to hardening your breasts with a contrast shower, hot and cold compresses and a truly magical massage with a frozen piece of aloe, the more effective and safe these procedures will be for improving lactation in the postpartum period. The mentioned procedures are also useful for maintaining the elasticity of the skin of the mammary glands, which is especially important during pregnancy if you can boast of large breast size.

Preparing the mammary glands for the feeding period also includes a special soft massage: light circular stroking with a slight degree of pressure - it is useful to combine it with the use of a special moisturizing cream for the breast. Thanks to the massage, blood circulation improves and the milk ducts are activated, through which colostrum, and a little later milk, flows to the nipples.

It is best to solve the problem of an inverted nipple using special massage techniques from about the thirty-fifth week of pregnancy. Stimulation of the nipples in the last weeks of pregnancy can cause frequent uterine contractions, which may cause labor to begin earlier than planned.

Everyone is fully awaiting the birth of the baby. Mom is literally sitting on her suitcases - all her things and documents for the maternity hospital are ready. The child develops and grows, resembling a papaya in size.

Feelings at 36 weeks of pregnancy

At 36 weeks, the baby continues to grow and gain weight. He moves in his stomach, moves his legs and arms. Mom feels these movements well and must constantly listen to them. In a normal pregnancy, the baby should make about 10 movements within 12 hours.

Many women worry before giving birth, especially if it is their first. And the closer the birth is, the more anxious the expectant mother’s soul is. Towards the end of pregnancy, many women, due to their internal fears, become nervous, capricious and irritable. Don’t worry, because childbirth is a natural process and it will definitely happen someday, there’s no escape from it. Therefore, you should take everything for granted.

By the end of pregnancy, a woman is already very tired. The stomach becomes heavier, it is difficult to walk, there is stiffness and limited movements. A little more time and the baby will be born, it will become much easier. Therefore, you should have time to enjoy your position, rest more and breathe clean air. Having set yourself up for the best, don’t worry.

Changes in the mother's body at 36 weeks of pregnancy

The belly has become huge, making the movement of the expectant mother less and less limited. At 35-37 weeks, the baby’s head goes into the pelvis, the stomach drops and it becomes easier for the mother to breathe. But this does not always happen, and the expectant mother has to breathe heavily until the birth. This happens if the birth is not the first and the woman has already given birth.

The woman is gaining less and less weight - no more than 300 grams per week. Training contractions may often occur. As a rule, they do not last long. In the evenings, a woman may be bothered by swelling of her legs, which usually goes away in the morning.

The pelvic bones move apart and the ligaments soften. In this regard, pain in the pelvis may appear. The uterus puts pressure on the internal organs, which contributes to an increase in the processes of urination and defecation. The cervix becomes softer and shorter - this is how the body prepares for an early birth. There is very little time left before them. However, some babies can’t wait to be born: giving birth at 36 weeks is not uncommon.

The breasts fill with colostrum, which will become breast milk after the baby is born. In the ninth month, my breast size increased by about 2 times.

Baby at 36 weeks

If the pregnancy is proceeding normally and delivery occurs this week, then at this stage the baby’s weight will already be within normal limits. Now the child’s body weight is 2600-2800 grams, and his height is 46-48 cm.

The baby becomes less active, he has less and less space. He has already positioned himself in the position in which he will be born (head down and facing his mother’s back).

The baby is already sucking his thumb - preparing to eat after his birth. In addition to sucking movements, he can already perform swallowing and breathing movements. The baby reacts to familiar voices and melodies with active actions.

The cheeks become plumper. The child continues to accumulate subcutaneous fat. The little heart is already fully formed. All other organs and systems are also completely ready for birth. The skin and subcutaneous tissue are fully formed.

At this stage, the child learns to breathe through his nose. Before this, he received his portion of oxygen through the mouth through the umbilical cord.

What's new?

The baby has turned head down and is ready to be born. In addition, the following events are happening this week:

the stomach has dropped and it becomes easier for mom to breathe;
the baby learns to breathe through his nose;
the child is able to distinguish shades of taste;
the child develops memory - he can already remember everything he hears;
The bone tissue has strengthened, but the skull is still very fragile.

A child born at this time is already able to breathe independently. At 36 weeks the baby is already considered full-term.

External development of the fetus

External signs of child development at 36 weeks are as follows:

the baby becomes plump and round, accumulating subcutaneous fat (up to 30 grams daily);
the skin and subcutaneous tissue are fully formed;
the nails protrude above the phalanges of the fingers, with which the child can scratch himself;
the amount of original lubricant decreases.

The unborn baby's eyes have a blue or gray-blue color, which will change a few months after birth.

Internal development of the fetus

Internal signs of fetal development at 36 weeks include the following:

the heart is fully formed;
all body systems are ready;
subcutaneous fat accumulates;
the lungs are fully mature.

The baby's bones and muscles become denser. The skull is still quite fragile, so it can be deformed when passing through the birth canal. This makes the birth process easier.

Weight gain at 36 weeks of pregnancy

Optimal weight gain by 36 weeks is about 12 kg. By the end of pregnancy, weight gain of up to 16 kg is considered normal. If there is a little too much, it’s okay; after giving birth, the mother will quickly get rid of the excess.

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Signs and symptoms of pregnancy at 36 weeks

Many women at 36 weeks may experience the following symptoms:

pain in the back, pelvis, chest;
constipation and other digestive disorders;
frequent urination and bowel movements;
headache;
varicose veins;
sleep intermittently;
enlargement of the mammary glands, leakage of colostrum.

Since the child puts pressure on the nerve endings, there may be a feeling of numbness in the pelvis while walking. Over a long period of time, the pelvic ligaments and joints weaken before childbirth.

What happens to the belly at 36 weeks of pregnancy?

The belly at 36 weeks is huge. But this doesn't always happen. Some women have a relatively small belly during pregnancy, which is a cause for concern. One of the reasons is oligohydramnios, the other is a small fetus. And sometimes, simply because of a woman’s body type, her stomach may appear small.

Regardless of the size of the abdomen, at 36 weeks it begins to descend. This occurs due to the fact that the fetus itself descends - its head rests on the bottom of the pelvis. This indicates that labor is about to occur. It becomes easier for mom to breathe, heartburn disappears and the pressure of the uterus on the upper organs decreases.

In the long term, you should take care of your stomach. Doctors recommend wearing a prenatal bandage without fail - it makes pregnancy much easier, relieves stress on the back and helps reduce stretching of the skin. It is advisable to lubricate the skin of the abdomen with special products against stretch marks.

At 36 weeks, you should carefully listen to your condition. If your stomach becomes stiff, your back and lower abdomen hurt, you should call a gynecologist and consult. Perhaps these are signs of uterine hypertonicity and imminent labor.

Uterus

At 36 weeks, the size of the uterus reached 35 cm. From the pubic symphysis, the uterus rises 36 cm and its upper point is located 15 cm above the navel.

As the baby moves downwards, moving towards the birth canal, the woman may feel contractions of the uterus. At the same time, the cervix can expand, narrow and dilate up to 10 cm. This causes the start of training contractions.

Pain

Pain at the end of pregnancy often worries women. The uterus enlarges, stretches and puts pressure on the internal organs. A large belly causes a shift in the center of gravity, and this additionally loads the back and lower back.

Pain in the hip joints occurs due to softening and relaxation of the ligaments and joints. In addition, most pregnant women experience hemorrhoids, which are also accompanied by severe pain in the anus. The disease is treated with special medications for pregnant women prescribed by a doctor.

If a woman experiences nagging pain in the lower abdomen or lower back, and there is also a feeling of “petrification” in the abdomen, you should consult a doctor. This may be a sign of increased uterine tone, which often leads to premature birth.

Over long periods of time, women may experience pain and swelling in their legs. This is explained by weak blood outflow due to strong compression of the pelvic veins by the uterus. This is normal when swelling goes away on its own by morning. But sometimes swelling can be a symptom of gestosis, a dangerous complication of pregnancy. Therefore, any such condition requires consultation with a doctor.

To avoid negative symptoms, doctors advise following a number of the following recommendations:

walk every 10-20 minutes - you cannot stay in the same position for a long time;
do not drink a lot of liquid (up to 1.5 l);
in the morning and throughout the day, perform special exercises for pregnant women;
Eat rationally and little by little throughout the day.

By the end of this week, the expectant mother will feel much more comfortable - her stomach will drop. It will become much easier for the woman to breathe, and she will no longer experience shortness of breath as often. But another problem will arise - the expectant mother will urinate more often.

Discharge at 36 weeks of pregnancy

In the last weeks of pregnancy, the amount of discharge increases. They acquire a more viscous consistency. This means that the plug gradually comes out, closing the cervical canal. If it has a light brown or pink tint, this is a sign that labor will begin soon.

The presence of infection is indicated by purulent, cheesy, cloudy mucous discharge. However, they may be accompanied by itching or burning. In such cases, you should immediately consult a doctor.

If bloody discharge appears in any quantity, you should urgently call an ambulance. The blood most likely indicates placental abruption. Urgent hospitalization is required, as the condition is life-threatening for the mother and child.

You should go to the maternity hospital if there is liquid discharge that resembles white or yellow water. Most likely it was the amniotic fluid that began to leak. They may go away gradually, not all at once. In any case, you should be under the supervision of doctors until the end of labor.

Necessary medical observations, tests and examinations

At 36 weeks, the following examinations and tests may be prescribed:

Ultrasound (if not performed previously), which assesses the condition of the placenta, the amount of amniotic fluid and its quality, the height and weight of the child, its position in the uterus, heartbeat and blood supply system;
blood test for AIDS;
blood chemistry;
clinical urine analysis;
vaginal smear to assess microflora on the eve of passage through the birth canal.

Once a week during a normal pregnancy, a woman is required to visit a doctor. At the same time, her blood pressure is measured, she is weighed, the height of the uterine fundus and abdominal circumference are measured, and the baby’s heartbeat is listened to.

Sex

At 36 weeks it is better not to have sex. Orgasm can provoke uterine tone and lead to premature birth. There is no need to disturb the child, especially since labor is about to occur. It is known that male sperm has the ability to relax the uterus and stimulate the onset of labor. A woman's reproductive tract is now very vulnerable. And even with protection for both partners, you can easily get infected.

Nutrition

A pregnant woman in the third trimester should not overeat. You should eat small meals several times a day.

Mom should avoid the following foods:

baked goods, cakes, sweets, pastries;
black chocolate;
peanut;
citrus fruits in large quantities;
seafood;
sushi;
canned food;
spicy, fatty, smoked and fried foods.

It is recommended to reduce the consumption of flour products. You should not eat exotic fruits and vegetables; it is better to give preference to food products known specifically for your area of residence. A pregnant mother's menu should resemble a child's diet.

The expectant mother is recommended to eat more fresh vegetables and fruits, cereals, soups and borscht in vegetable broth. It is better to drink dried fruit compotes, weak tea, plain water, and still drinks. Dairy and fermented milk products, low-fat fish and meat will be preferred.

What to do this week

last scheduled ultrasound, if the woman has not had one before;
learn everything about childbirth, you can attend courses to prepare for the upcoming birth;
choose a maternity hospital and find out the rules for admission to it;
prepare all the documents that will be needed in the maternity hospital;
pack your things for the maternity hospital.

Dangers and complications

At 36 weeks of pregnancy, the following complications may occur:

late toxicosis (high blood pressure, headaches and dizziness);
oligohydramnios and polyhydramnios;
spotting from the vagina (abruption or placenta previa);
clumsiness;
varicose veins

Various diseases can provoke similar pathologies during pregnancy - anemia, kidney and vascular diseases, as well as smoking and large weight gain. Body weight over long periods of time must be carefully monitored. The maximum increase at 36 weeks should not exceed 200-300 grams. The amount of liquid you drink should not be more than one and a half liters per day.

If you experience any complications during pregnancy, you should consult a doctor. With such violations for a long period of time, the woman is usually admitted to the maternity hospital.

At 36 weeks of pregnancy, the following recommendations will be useful:

count the number of movements of the child (10 times in 12 hours);
protect yourself from worries, stress and irritation;
maintain a positive attitude;
control your weight;
monitor the condition of the arms, legs and abdomen;
do not have sex to avoid infection of the birth canal or induce labor;
do not suffer from colds and other infections;
wear a prenatal bandage - a belt that supports the abdomen;
be in the fresh air;
sleep on your left side;
do not drink a lot of liquid at night;
prepare the necessary things and items for the maternity hospital.

36 weeks of pregnancy is a long time. This is a long-awaited time for a positive attitude and confidence that everything will be fine and the delivery process will end successfully with the birth of the long-awaited baby.

It is advisable for the expectant mother to listen to calm music and watch positive films; she should not neglect her own vocals. Children always like their mother's songs, no matter how much they sing them. After birth, they will be happy to listen to their mother's voice.

The end of pregnancy is coming soon, so you need to have time to enjoy this state. And complete confidence can be achieved in communicating with similar mothers by attending birthing courses and listening to the advice of women who have recently given birth.

In the last weeks of pregnancy, the expectant mother should gain strength, maintain a positive attitude and good spirits. To do this, it is important not to overwork and rest more. If it is difficult for a pregnant woman to choose a comfortable position for rest or she suffers from insomnia, before going to bed you need to ventilate the room, take light sedatives (only as prescribed by a gynecologist), take a walk in the evening in the fresh air and not overeat at night. The main task at this time is to remain calm, be rested and get ready for childbirth.

What happens to mom at 36 weeks of pregnancy

Normally, the expectant mother should add 10-12 kg by this time. The size of the abdomen reaches its maximum volume. The amount of amniotic fluid gradually decreases. The cervix continues to prepare for childbirth. It shortens and softens, the ligaments stretch, and the pelvic bones gradually move apart.

There is less and less time left before giving birth, and for many women, fear is replaced by the desire to meet the baby and regain their previous shape. At this time, it is important to prepare for the upcoming birth: choose an institution, collect the necessary things.

Against the backdrop of a growing uterus, the number of daily urinations and bowel movements increases, breathing becomes more difficult, and nausea and stool disorders are possible. All of the above conditions are considered normal.

The number of movements of the baby gradually decreases towards the end of pregnancy. They become less intense, but more noticeable.

At 36 weeks of pregnancy, expectant mothers may experience pain and swelling in the legs, headaches, heartburn, constipation and hemorrhoids. Swelling of the extremities is caused by impaired blood flow due to compression of the pelvic veins by the enlarged uterus. As a rule, this condition is considered normal. If, along with swelling, unstable blood pressure, dizziness and other pathological symptoms are observed, you should consult a doctor. Symptoms such as varicose veins, stretch marks on the skin, cramps and heaviness in the lower back persist.

What happens to the baby at 36 weeks of pregnancy

The fruit reaches a considerable size. Its weight at this stage is 2500-2700 grams. To fit into the uterine cavity, the baby is forced to lower his chin, cross his arms over his chest and pull his legs towards his stomach. The development of the brain nerve centers is almost complete. The endocrine, nervous and immune systems continue to improve.

The liver accumulates iron, which is intended to ensure hematopoietic function during the first year of a baby’s life. The lungs produce surfactant, a substance that is necessary for a child to breathe independently.

Previously, the fetal sinuses were closed with mucus plugs. Now that oxygen is supplied through the umbilical cord, the baby learns to breathe through the nose, inhaling and exhaling amniotic fluid.

Rhythmic poems and familiar melodies can stimulate motor activity in the baby. This indicates that the child is able not only to hear, but also to remember surrounding sounds. Sucking and swallowing abilities are improved. Instead of the mother's breast, the baby uses his own finger.

Feelings of a expectant mother at 36 weeks of pregnancy

At 36 weeks of pregnancy, mucus may be added to the normal discharge (normally it should be clear or white). This is part of the mucus plug that protects the cervix from pathogenic microorganisms. This phenomenon indicates that labor will begin in a few weeks.

The breasts become sensitive and slightly enlarged. Colostrum is periodically released from the mammary glands. Frequently massaging the breasts and squeezing out colostrum is not recommended; this can provoke uterine contractions and the onset of labor. You also need to choose a comfortable bra. It should fit tightly around the chest, but not squeeze it.

Some pregnant women experience increased nervousness, which is caused by fear of childbirth, insomnia and chronic fatigue. The woman becomes confused and inattentive, and her concentration deteriorates. She can quickly move from a calm state to laughter or tears. This behavior is due to hormonal changes and a change in the mode of preserving the fetus to a state of preparation for childbirth.

Medical examination at 36 weeks of gestation

The list of necessary examinations and tests at this time depends on the condition of the expectant mother, the characteristics of pregnancy and the specifics of the medical institution where the pregnant woman is being observed. During a routine visit to the gynecologist, blood and urine tests will be required. The doctor may also recommend taking a smear for flora, blood for AIDS, hepatitis and other tests. At the appointment, the doctor, as usual, measures blood pressure, weight, height of the uterine fundus, abdominal circumference and listens to the baby’s heartbeat.

To detect indications for cesarean (artificial delivery), if placental insufficiency and umbilical cord entanglement are suspected, an ultrasound procedure may be prescribed at 36 weeks of pregnancy. If during an ultrasound examination the doctor diagnoses premature aging of the placenta, Doppler testing and cardiotocography (CTG) are indicated.

Possible pregnancy problems at 36 weeks

On the eve of childbirth, serious hormonal and physical changes occur in the body of the expectant mother. During this period, infection of the genital tract or exacerbation of chronic pathologies is possible. If you experience persistent vomiting, fever, a cold, or other pathological symptoms at 36 weeks of pregnancy, you should consult a doctor.

It is important for the expectant mother to monitor the amount, shade, smell and consistency of the discharge. The appearance of spotting at 36 weeks of pregnancy in combination with pain in the lower abdomen may be a sign of placental abruption. In such a case, you need to consult a doctor. Also, the help of a specialist will be required if there is purulent, cheesy or unpleasant-smelling vaginal discharge, as well as itching and burning in intimate places. This may be a manifestation of a genital tract infection.

If at the 36th week of pregnancy a expectant mother's stomach becomes stiff, the lower abdomen and lower back are pulled, amniotic fluid has broken (simultaneous release of amniotic fluid), and contractions have intensified and become more frequent - this is the beginning of labor. In such a case, you need to go to the maternity hospital or call an ambulance.

Many pregnant women experience increased nervousness as they anticipate childbirth. The expectant mother should try to maintain good spirits and a positive attitude. Getting ready for the maternity hospital, arranging the home and children's room, buying children's things, etc. will help you calm down a little.

Nutritional Features

Even in the last weeks, it is important for the expectant mother to adhere to a healthy and balanced diet. It is advisable to consume only high-quality and healthy products. It is better to give preference to fractional meals - eat 6-7 times in small portions.

You can now exclude foods that are contraindicated during lactation from your diet:

Exotic vegetables, fruits;
Excessively fried, fatty, spicy and smoked foods;
Canned food;
Seafood, sushi;
Peanut;
Citrus;
Black chocolate;
Store-bought cakes, pastries, sweets.

You need to choose fresh and simple products. It is better to bake, steam or boil food. Drinks you can drink include pure water, compotes, and weak tea. Sometimes a cup of coffee is allowed.

Taking vitamins

Even with proper and rational nutrition, pregnant women cannot ensure that the body receives beneficial microelements and substances in optimal quantities. Therefore, your doctor may recommend taking special multivitamin preparations. A woman can take such vitamins not only during gestation, but also during breastfeeding. It is not recommended to prescribe vitamin complexes to yourself. An overdose of some components is much more dangerous than their deficiency.

Almost all pregnant women are advised to take calcium and vitamin D.

Sex at 36 weeks pregnant

Many experts recommend not limiting intimate relationships until childbirth. In this case, the well-being of the pregnant woman, her state of health and the presence of contraindications should be taken into account. Sexual contacts during gestation will even be beneficial. The male seminal fluid contains substances that relax the uterine cervix and prepare it for delivery.

Contractions of the uterus during orgasm can trigger the onset of labor, so if there is a threat of early labor, it is better to avoid sexual intercourse. Also, intimate relationships are not recommended if there is a threat of infection of the genital tract, multiple pregnancies, isthmic-cervical insufficiency and placental abruption.

Physical activity

Many women begin to limit physical activity due to fatigue and sluggishness. However, we must move. You can perform special exercises for pregnant women, walk outdoors, and visit the pool. Breathing exercises and Kegel exercises will be helpful. They will help prepare the pelvic muscles for childbirth and speed up recovery after childbirth.