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The last few weeks of pregnancy

The last few weeks of pregnancy

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The uterus

During the last weeks of pregnancy your uterus prepares for the birth. It becomes more irritable and contracts more frequently. These Braxton Hicks contractions are felt as hardenings and tightenings of the abdomen and are usually mild and painless.

Saturday, January 20th, 2018

The pelvis and birth canal
The ligaments and cartilage in your pelvis relax, allowing greater mobility in the joints to increase the flexibility of the pelvis during labour and delivery. During the last weeks of pregnancy the vaginal walls soften and become more elastic. Vaginal secretions increase as the body prepares for the passage of the baby through the
vagina.

The baby

  • During the last four weeks the baby’s head usually descends into the pelvis.
    This lightening may relieve heartburn and your breathing may become easier.
  •  When the widest diameter of the baby’s head engages, you need to urinate
    more frequently.
  • The baby may move less frequently. Consult your caregiver if you are
    concerned.

You, the mother

  • As your due date approaches or passes, anxiety and depression are common, so try to keep occupied.
  • Loss or levelling off of weight may occur in the last few days before labour.
  • You may feel a spurt of energy about 24–48 hours before delivery.
  • Some women experience diarrhoea, which is nature’s way of clearing the bowels in preparation for birth.

Consult your caregiver if you are concerned.

True and false labour

Before the cervix begins to dilate you may experience “false” labour. These contractions are different from the Braxton Hicks contractions. The comparison chart below will help you decide whether you are in labour. If you are unsure, call your caregiver or the midwife at your hospital.

  True Labour False Labour
Contractions
  •  Longer, stronger and closer together.
  • Abdominal discomfort or pain.
  • Often backache and restlessness.
  • Seldom lasts more than one minute in early labour.
  • Change of activity may increase contractions, but does not decrease them.
  • Length, strength and frequency remains about the same.
  • Abdominal discomfort or pain does not increase.
  • Contractions may last for a half to four minutes.
  • Change of activity will decrease contractions.
 Show
  • There may be a thick, mucous discharge with a show of blood before or during early labour.
  • None.
Bowels
  • Frequent soft bowel movements, which may be mistaken for an upset tummy.
  • None.
Emotions
  • Mother often denies she is in labour.
  • Mother starts to move
  • No change.
   into the ‘altered state’.  

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