29 – 32
are now well into what is called the 3rd
trimester of pregnancy. You may be required to
visit your doctor more frequently. Though the
foetal organ-systems are capable of functioning
properly, they are not mature as yet. Hence you
have to take good care of yourself as you are
not ready to deliver your baby.
changes that your organ system undergoes are at their peak
now.Your heart is beating faster and pumping out more blood
than ever before hence you may have
- breathlessness while doing routine work,
- air hunger.
There are increased amount of blood (but diluted due to
increase in water / plasma content) in your body and hence you have something called
physiological anaemia of pregnancy leading to:
- blackouts and
The complaints previously
experienced will be exacerbated.
E.g.: Nasal congestion, bleeding, leg cramps,
backache, vaginal discharge, heartburn, insomnia, skin eruptions and itching.
Feotus / Your Baby Inside:
Your baby is growing well by now and fills
up almost all the space in the uterus. The fluid around your baby is also at its maximum
at the end of this period.Your baby is around 35 – 40cms (14 – 16") and is
in a curled up position. It can feel pain and might jump during loud sounds and when
prodded. It has periods of increased activity interspersed with periods of quiescence or
sleep. An average feotus may have around 8 – 12 movements in 12 hours.
Your uterus has enlarged considerably and it may reach up
to midway between your breastbone and navel. It makes you look well and properly
pregnant.All the changes that you have experienced during the 2nd trimester are
still there and increasing. Emotionally you may start day dreaming and have fantasies
about your baby. Some of you may experience weariness and bonding of pregnancy
To Your Doctor:
The frequency of the visit to your doctor
will increase. Until now, you had been visiting
your doctor monthly. Now you may be called more
often and may be required to visit fortnightly.
The various parameters checked remains the same. But more
importance is given to:
- Your weight.
- Urine examination for proteins and sugars.
- Growth of the uterus and baby.
- The baby heart sounds and movements.
In some of you who have some high risk factors, your doctor
may advise undertaking certain investigations like:
- Non stress test
- Bio Physical Profile
- Color Doppler
that you are fast approaching term ( 37 weeks)
you have to be extra careful. It is always a good
idea to look for the following alert signals and
report them immediately to your doctor or when
- Pain in the abdomen
accompanied by hardening of uterus (contraction).
- Passage of mucus
with blood (show) .
watery discharge per vaginum.
- Bleeding per vaginum.
- Feeling of lower
abdominal heaviness and increased frequency
- Epigastric pain,
blurring of vision, nausea, headache, convulsion
in woman with PIH
- Abnormally increased
/decreased fetal movements.