Height - 22-24 cm, weight - 260-270 g.
This is a week of very rapid growth of the baby, the placenta also increases (now it weighs about 170 g), amniotic fluid is added.
If you have a girl that primitive eggs are formed in her scrambled eggs - prototypes of your future grandchildren or granddaughters. The next miracle is the emergence of molars under the rudiments of milk teeth.
The baby builds up the skin layer by layer, now the vessels are less visible through it and the child does not look such a red Martian as before.
The baby's heel reaches a size of 2.5 cm. From this time on, its proportion relative to the length of the thigh and lower leg will remain constant. The handles have grown and are now long enough for the little one to connect over his head. The neck is strengthened, the baby keeps the head straight and can even easily rotate it 180 °.
Most expectant mothers already feel the active movements of their child. And he actively reacts to everything that happens around him: his mother got up or sat down, is nervous or happy, whether music is playing nearby or someone is talking loudly, etc. If a mother strokes her belly, the baby will feel it and be happy.
The most important thing this week is brain development. Millions of neurons have already taken their place and started to perform their duties - making the connection between the brain and muscles. Therefore, the child now makes completely meaningful movements due to external stimuli - touch, light, sound. It is in this week that the five basic senses begin to work fully: smell, hearing, taste, touch and sight.
In the development of the fetal brain, there are also congenital abnormalities, the most common of which is hydrocephalus (or otherwise lupus of the brain). Hydrocephalus occurs due to the fact that the cerebrospinal fluid, flowing around the brain and spinal cord, meets obstacles in its path for some reason, cannot move normally and accumulates in the brain (from 500 to 1500 ml of fluid!).
Due to the abundance of fluid, the baby's head becomes huge and the brain is compressed. At the 19th week of pregnancy, hydrocephalus is diagnosed by ultrasound; it cannot be detected during a routine examination by a gynecologist.
Hydrocephalus is a symptom of severe abnormal development of the spinal cord and brain, as well as the entire nervous system. Very often, such anomalies occur due to the mother's infection (especially cytomegallovirus, which affects the ventricular system of the brain). Hydrocephalus can lead to the death of a child, profound neurological disorders, or mental retardation.
Previously, doctors did not have the technology to treat hydrocephalus. Now even intrauterine therapy is possible, which allows you to pump out excess fluid from the baby's brain. But such an intervention is not often carried out now, and depends on the condition of the child. In mild cases, the operation will be done after childbirth.
Your weight has grown by 6.2-6.3 kg (normal). Of these, the child accounts for about 270 g, the placenta - 170 g, your breasts are heavier by about 400 g.
The fundus of the uterus is at a finger's distance from the navel. Now an interesting process is taking place there - the migration of the placenta. So obstetricians call the process of changing the location of the placenta and its movement from the cervix to the front wall of the uterus or its bottom. Thus, the placenta does not block the birth canal. This process takes approximately 10 weeks.
In the fifth month, it is time to choose courses for pregnant women (schools for expectant mothers, etc.). Are such courses even necessary, is it worth spending money on them?
Many women can easily do without attending such courses, they only need to consult their doctor. Others prefer to go to class. Both those and others, in the end, give birth in full accordance with the favorite saying of obstetricians in the hospital: "Do not worry, pregnant women do not leave here!"
So we can say that to attend or not to attend courses is a personal choice of every woman. However, before you pay money and go somewhere, be sure to thoroughly find out what you are offered.
Caution - danger! Now this activity is not licensed, so there are many courses taught by people who have nothing to do with medicine. Moreover, they are often categorically against any medical intervention, promoting childbirth at home and the so-called "spiritual obstetrics."
This will be a topic for a separate conversation, now we will briefly note that none of those people who will say or advise you anything bears absolutely no responsibility for what they advised. A medical professional is responsible before the law, a lecturer, or as a coach is now called, does not bear responsibility for courses.
Just think about it before you start categorically distrusting mainstream medicine. Choose courses either at the maternity hospital in which you will give birth, or private courses, but those that are at least taught by obstetricians with diplomas from public medical institutions and who work not only in courses, but also somewhere else in their specialty!
Remember, a normal doctor will never categorically reject one thing and strongly advise something else. He would rather try both. If you see the categoricalness of statements, the division into black and white, references to astral bodies and the energy of spirituality, you better leave. These are common sectarian manipulation techniques.
The second danger: the course program is limited only to showing a film about childbirth and general words. This is, to be honest, a characteristic feature of free courses. You can hear and see common words and the film yourself. The meaning of the courses is lost from this.
Therefore, before choosing a school, write a list of what you would like to get as a result. We strongly advise you to pay attention to the following points:
- how to prepare for childbirth correctly (food, gymnastics, mood);
- information about childbirth, especially what can go wrong (when the doctor can make a decision about caesarean, how the newborn should be resuscitated, what you can demand and when);
- a complex of breathing exercises and massage;
- participation of the father in preparation for childbirth and in the process of childbirth;
- the most important thing is information about the postpartum period: breastfeeding and how to solve problems with it (fight against lactostasis, insufficient lactation, etc.), caring for a newborn (which is not to be afraid of, which is not so much), the baby's worldview;
- consultation of a psychologist is very important. He should set you up for the birth itself and their positive perception, and most importantly, give at least basic information about postpartum depression and methods of dealing with it. According to statistics, some psychological problems occur after childbirth in 95% of women.
Usually on the Internet you can always find information about certain courses and reviews of women who attended them. Choose the trainings that will satisfy you as much as possible.
The next question that stands is: should you attend courses with your future dad? Again, each couple decides for themselves. It is accepted by some that a man should never get involved in "women's affairs", while others, on the contrary, are ready to be present at childbirth. The most common situation in our country is when a man begins with a categorical denial of his participation in preparing for childbirth, and then gradually draws in and becomes even more active than his wife.
We do not know of any cons of attending the courses by men. In any case, the future dad will receive new information that concerns him and his child directly. Isn't it interesting? In addition, dad is often simply necessary for stretching exercises, massage.
And, of course, a real man and father should know how to help his wife ease the first contractions while there is no doctor nearby. And if, God forbid, there is a rapid childbirth, when the count is 1-3 hours? Shouldn't a husband have all the information in order to be able to help in time and adequately, and not aimlessly run headlong around the apartment, waiting for an ambulance?
Many of the fears of men that keep them from attending courses are completely childish and are associated with the fact that they do not imagine what is happening there, and, as a result, imagine something either funny or scary.
In fact, any courses work in about the same way: first, gymnastics for pregnant women, where dad helps with stretching exercises (for example, holding your legs), then a seminar on some topic, say, breastfeeding, then discussion questions, then often free communication and a tea party. As you can see, it's okay for a "real man".
So, let's summarize the pros and cons of the courses. Pros:
1) women, especially primiparas, teach more detailed information about what is happening to her, her body, her child before, during and after childbirth.
2) women are tuned in to breastfeeding and receive advice in advance about the beginning of breastfeeding and the problems associated with it.
3) if the husband goes to courses, he is more imbued with the problems of his wife, which facilitates mutual understanding for both in the first months after childbirth.
4) new acquaintances are made. Often, those who attended the courses then ride the strollers around the yard together.
1) some courses may have nothing to do with medicine and, moreover, engage in utter quackery;
2) not all recommendations on the courses can be indisputably accepted, conform the recommendations with common sense, the recommendations of official medicine and your loved ones (mothers, grandmothers, girlfriends who have already given birth);
3) Your doctor alone bears legal responsibility if something goes wrong, and this still needs to be proven. In courses, usually no one is responsible for anything;
4) compare services and their quality with the price. Not every price is justified. Remember that course leaders are materially interested in having you study with them.
18 weeks - 19 weeks - 20 weeks