28 week of pregnancy from conception
At the 30th obstetric week – she is also the 28th week of pregnancy from conception – the expectant mother can say goodbye to colleagues and superiors and devote herself completely to the baby – maternity leave begins at this time

What happens to the baby at 28 weeks

At the 28th week of pregnancy from conception, the baby is actively training to breathe, however, for now, he can only inhale the amniotic fluid in which he is. Sometimes it can get into the wrong throat, then the mother will feel the baby hiccup. These sensations are different from the usual movements in the womb, and sometimes women are afraid of them, but hiccups do not threaten the baby.

Almost all systems in the body of the crumbs are already working, like in an adult. Development continues the nervous system and brain. In the latter, new neurons appear, connections are formed between them. Thanks to the development of the brain, the baby learns to memorize sounds. If earlier he could actively respond to the barking of a dog or the sound of a vacuum cleaner, now the child is used to them and no longer pushes in response.

The baby’s heart is almost fully formed, but features that are inherent in the fetus in the womb are preserved, for example, an oval lumen between the right and left atria. In most cases, it closes after birth.

An active baby can twist in the womb so that a knot appears on the umbilical cord. This can be dangerous, because the knot will disrupt normal blood flow and the child will not be able to receive nutrients and oxygen. Fortunately, real knots that pose a danger to a child are rare.

Fetal ultrasound

The 28th week of pregnancy from conception is the 30th obstetric week, which means it’s time for mommy to do the third screening.

– Ultrasound of the fetus at the 28th week of pregnancy from conception determines the dynamics of growth and development of the baby, the correspondence of its weight and growth indicators to the gestational age. That is, at this time, a conclusion is made about whether the child grows and develops normally or there is a delay in the growth and development of the fetus, explains gynecologist-reproductologist Olga Iskorostinskaya.

In addition to these parameters, ultrasound of the fetus at the 28th week of pregnancy from conception allows you to identify malformations of the child that the doctor might not have seen during the second screening.

– Be sure to perform a Doppler study of blood flow in the umbilical artery and in the uterine arteries of the mother. This also gives additional information to the doctor about the growth and development of your child. If controversial or out of the norm indicators are identified, the doctor may prescribe additional examinations, the gynecologist clarifies.

Photo life

At a period of 28 weeks from conception, the length of the baby from the crown to the sacrum is about 27 cm, and the full height is 36-38 cm. At the same time, the baby already weighs 1350-1400 grams. To imagine its size, look at the winter melon – cassaba.

At 28 weeks from conception, the height of the uterine fundus is approximately 30 cm from the pubic symphysis. A rounded waist can no longer be hidden under a wide T-shirt – the old clothes may not fit on mommy at all.

Some argue that the photo of the abdomen at the 28th week of pregnancy from conception can determine the sex of the child. You should not rely on such methods, it is better to find out the sex on an ultrasound, because the shape and size of the abdomen depend on the physique of the mother and many other reasons, and not on whether it is a boy or a girl.

What happens to mom at 28 weeks

At the 28th week of pregnancy from conception, the expectant mother should look not only at an ultrasound scan, but also go for tests.

Usually at this time, the doctor recommends taking:

  • general blood analysis;
  • general urine analysis;
  • blood for glucose (to exclude gestational diabetes);
  • coagulogram;
  • flora smear;
  • tests for syphilis, hepatitis, HIV and other diseases will not be superfluous

But there is a reason to rejoice, from the 28th week from conception – it is also the 30th obstetric week – you can go on maternity leave. It is best to take advantage of this opportunity, because hard work shortly before the birth can provoke a premature trip to the hospital.

During this period of pregnancy, the woman’s body produces the hormone relaxin. It makes the ligaments and joints of the body more supple, so that at the cherished 38th week from conception, the bones of the pelvic ring stretch and the child passes through the birth canal without any problems. The production of relaxin has its advantages – now you are more flexible and stretching exercises are easier for you. Check for yourself, just be careful, try to choose exercises where you do not need to keep balance.

Because of the same hormone, and also because of the increased weight, a woman can increase the size of her legs. Usually the increase is not more than 1-15 sizes.

What sensations can you experience in 28 week

At 28 weeks pregnant from conception, some women experience Braxton Hicks training contractions. Not everyone has them, so there is no need to worry about their absence. These contractions are usually irregular and almost painless. They will not harm the baby either, he is protected by amniotic fluid. In order to reduce discomfort, it is recommended to lie down, take a walk in the fresh air or take a warm (not hot) bath.

Due to the displacement of organs inside the expectant mother, various, often unpleasant sensations appear:

  • shortness of breath (the uterus squeezes the diaphragm);
  • constipation (stock up on dried apricots, prunes, they “weaken” well);
  • flatulence (eat less legumes, peas, cabbage);
  • heartburn;
  • swelling (try to lie with your feet up more often and eat less sweet and salty);
  • cramps (if they cause discomfort, discuss this with your doctor, it is probably worth taking vitamins).

Monthly

During pregnancy, menstruation cannot be, this is a fact. If you have them, then this is not menstruation, but bleeding, which is dangerous for any woman, but especially for a pregnant woman. What discharge with blood at the 28th week of pregnancy from conception may indicate

  • about the threat of premature birth, placental abruption;
  • about diseases, up to oncology;
  • about a change in the structure of the cervix, which makes it easier to injure;
  • about the presence of a decidual polyp (they appear during pregnancy) or another formation in the cavity.

These are not all the reasons for the appearance of blood from the genital tract; only a doctor can determine the true one during an examination and ultrasound.

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Stomach ache

– Abdominal pain in late pregnancy is often a concern for women. You should always remember that in the stomach of a pregnant woman (as well as a non-pregnant woman, by the way) there is not only a uterus with a child. There are also digestive organs: intestines, stomach, liver. And the cause of pain in the abdomen can be intestinal colic, gastritis, appendicitis … – the list is endless, – explains the gynecologist-reproductologist Olga Iskorostinskaya.

A pregnant woman is not only not immune from such diseases, on the contrary, during pregnancy they tend to manifest themselves, become aggravated.

“The contractions of the uterus, the so-called tone, can also be quite painful,” the doctor clarifies. – It is often difficult for a woman herself to distinguish what exactly hurts, and in case of severe pain, it is not worth even trying. Pain during pregnancy, especially intense, is an occasion for immediate medical attention.

Brown discharge

During a physiological, normal pregnancy, there should not be any colored discharge. Only standard, colorless or slightly yellowish, odorless discharges are allowed. They may be a little more abundant than before, but not brown, pink or yellow.

“For any bloody (dark, light, scanty or abundant) discharge, it is urgent to contact an obstetrician-gynecologist,” the doctors remind.

Otherwise, you can bring the situation to a premature birth, although the baby at the 30th obstetric week is already viable and, with modern equipment, it can be delivered. But is it worth the risk?

Abundant colorless discharge is also a dangerous sign of preterm labor. This can be expressed by the leakage of amniotic fluid, and from here it is not far from childbirth.

Popular questions and answers

The doctor said that I have a large fetus, what is the risk?

A fetus is considered large if it weighs more than 4 kilograms at the time of delivery. This is the case if he lies head down. With a breech presentation, a child with 3700 kilograms is already considered large. The reasons are irrational nutrition of the mother, diabetes mellitus, genetics, disproportionate intake of multivitamins. What is the birth of a large baby fraught with for a mother:

such childbirth, as a rule, takes longer;

greater risk of postpartum hemorrhage;

more likely to traumatize the soft birth canal of the mother;

there may be difficulties with the passage of the shoulder girdle.

The mother of a large baby needs to trust the doctors and strictly follow their recommendations, so the negative consequences can be reduced to zero.

I have been diagnosed with the human papillomavirus, why is it dangerous for a child?

“It is the most common sexually transmitted infection. Take a smear for oncocytology, do a colposcopy, if everything is fine, then you should not worry.

HPV is not an indication for caesarean section: the risk of transmitting the virus to the child is very low, and caesarean section will not save you from possible transmission of the virus.

But it is better, of course, not to catch this virus at all: protect yourself, do not change partners too often and get vaccinated.

If you do become infected, be sure to monitor your condition, because HPV can lead to cancer.

In the third trimester, they diagnosed “symphysitis”, what is it and how will it affect childbirth?

– Symphysitis is a pathology of the pubic joint, due to which its bones diverge. It is most often noticed in the third trimester of pregnancy. Symphysitis symptoms:

pain in the pubic area during movement, changes in body position;

change in gait.

Symphysitis develops for a number of reasons, including due to a large fetus, due to a lack of calcium or vitamin D, due to an increase in the level of relaxin, a hormone that makes ligaments and joints more elastic.

There are three degrees of divergence of the bones of the pubic joint. At the first and second degrees, the discrepancy is 0,5-0,9 and 1-1,9 cm, respectively. In this state of affairs, a bandage, calcium supplements, and vitamin D intake can help. But with third-degree symphysitis, when the divergence of the bones is already more than 2 cm, the doctor will prohibit natural childbirth, as there is a risk of rupture of the pubic joint. So it’s just a caesarean section.

Is it possible to have sex?

You can, but with the permission of a doctor. After all, there is a situation when an intimate life can adversely affect the condition of a pregnant woman and her baby.

– The only situation when a doctor can interfere in your sex life is the clinical manifestations of a threatened abortion. This is, first of all, bloody discharge from the genital tract, in the second – shortening and opening of the cervix. Especially if, due to problems with the cervix, a previous pregnancy was lost. The same is true if the neck is sutured or an obstetric pessary is installed, – explains the gynecologist-reproductologist Olga Iskorostinskaya.

In all other situations, the issue of sexuality, each family decides independently, depending on the desire or unwillingness, personal preferences, prejudices and other things. Sexual life is not prohibited during a normal pregnancy at any time.

What to do if the temperature rises?

The most common illness during pregnancy is the common cold. It is usually accompanied by fever – an unpleasant but short-lived symptom. As soon as the first signs of SARS appear, you need to see a therapist. If this is not possible, we try alternative methods of treatment:

drink plenty of water (you can drink water with lemon or honey);

with a runny nose – rinsing the nose with saline solutions or sprays based on sea water;

with a sore throat – lozenges for resorption, but not for a long time.

If the mother notices that the condition is not improving or, on the contrary, worsening, be sure to call the doctor home. Have a specialist listen to your lungs and rule out more serious illnesses.

What to do if pulling the lower abdomen?

In late pregnancy, in particular at 28 weeks from conception, pulling pains in the lower abdomen can become habitual – here both skin stretching and false contractions, accompanied by periodic uterine tone.

Rest will help to minimize discomfort – the benefit of mommy is already going on maternity leave – as well as walking, exercising in the pool, taking a warm bath.

How to eat right?

What can a pregnant woman eat especially in the third trimester?

1. Fish. Let boiled, baked fish, such as salmon, be present in the diet. It is rich in protein and omega-3s.

2. Meat. Lean beef, chicken, rabbit are excellent sources of protein.

3. Chicken eggs.

4. Legumes. Beans, chickpeas, peas, soybeans contain a large amount of vegetable protein and dietary fiber. BUT! If there is a problem with flatulence, we exclude them.

5. Cereals. They are rich in fiber and protein. This includes whole oatmeal, buckwheat porridge, brown rice, whole grain bread, barley.

6. Fruits and vegetables. Natural sources of vitamins are always better than synthetic counterparts. The main thing is not to lean too much on sweet fruits, a large weight gain can harm mom and baby.

7. Dairy products: fermented baked milk, yogurt, kefir and cottage cheese are sources of calcium, which is necessary for a pregnant woman and her baby.

8. Nuts and dried fruits.

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