Pregnancy / Childbirth

The fifth month of pregnancy - what awaits you at this special time?

The fifth month of pregnancy - what awaits you at this special time?

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The next part of our pregnancy calendar concerns the halfway point of pregnancy, i.e. its fifth month (read about the fourth, third, second and first month of pregnancy). Check what changes occur at your time and that of your baby, and what important tests are carried out at this stage of pregnancy.

What is changing in the future mother's body?

During this time it comes to the fore undeniably beautiful tummy. Every day, with the growth and development of the baby, the circumference of the pregnant belly increases, which, unfortunately, can also cause some ailments. Most often they manifest themselves as pain, spreading or stinging in the lower abdomen and groin. This is also the result ligaments that extend as the uterus increases.

One of the most troublesome ailments during this period of pregnancy are sleep problems and back pain. Take care of Fr. adequate sleep hygiene: ventilate the room before bedtime, do not use electronic devices just before falling asleep, and ensure a comfortable sleeping position - this can be facilitated by, e.g. special pillows for pregnant women. Back pain, on the other hand, is associated with loosening the elements of the sacroiliac joints that prepare the pelvis in this way, as well as with the growing belly and its increasing weight. To avoid or relieve back pain, remember about comfortable shoes and frequent change of position - stillness will only intensify your ailments.

In the middle of the second trimester of pregnancy they make themselves more visible again hormonal changes.
They may appear on your skin unwanted changes include rashes, warts or discoloration such as darkening the white borderline on the stomach. The nails and hair, although they grow extremely fast, become brittle and fragile. There may also be unwanted hair on the face, stomach or arms.

The persistently high level of estrogen and better blood supply to the pelvic organs causes a greater appetite for sex, which (if your attending physician does not see any contraindications) in the 5th month you can still enjoy without obstacles.

You can also during this time feel short of breath and overwhelming warmthwhich can give you a feeling of weakness. Higher levels of progesterone in combination with lowered blood pressure can cause dizziness, so remember to change your body position slowly and not to step on the platform, as it may cause a dangerous fall.

The baby is 5 months pregnant

At the end of the fifth month of pregnancy, babies growing in your stomach it can measure up to 25 cm and weigh about 300 grams. It is already big enough to make itself felt, which is why between 18 and 20 tc most future mums begin to feel the movements of their child. The baby is in this period very busy constantly practices the work of arms and legs, as well as maintaining balance. The first respiratory movements appear and although the fetus obviously does not breathe air, or a little bit of fetal water entering and discharging from the lungs, it is his training before breathing normally after delivery. Around this time it also begins to produce urine, which is excreted into the amniotic fluid. Since the heart is already fully educated and is already working to its own rhythm, this is the perfect time to check the correctness of its structure and function in ultrasound, because often at such an early stage doctors are able to detect its defects.

What tests should be done at 5 months of pregnancy?

The 5th month of pregnancy is the time when you need to do another (after a double test) test for genetically determined defects, called a triple test. It is a non-invasive and optional test, but it is recommended, especially if the pregnant woman has not had the double test earlier.

The triple test is a safe test for both mother and child and consists in determining the concentration of estriol, chorionic gonadotropin (hCG) and alpha-fetoprotein (AFP) in pregnant blood. The test result is correlated with your age and body weight, and then compared with the results of the control group. In this way, the fetal risk of genetic abnormalities such as Down syndrome and Edwards syndrome is assessed. The test does not give an unequivocal answer whether the fetus is sick or not, it only gives the probability. This study is best combined with an accurate fetal assessment in compulsory, so-called half ultrasound examination, which will allow to check whether it develops properly or whether there have been any developmental abnormalities.

During your visit to the gynecologist, a thorough medical history awaits you, in particular about how the pregnancy goes and taking into account your accompanying diseases, e.g. diabetes, hypothyroidism, etc. In addition, the doctor will examine you gynecologically (in the speculum and two-handed), check the vaginal secretion pH and will measure your blood pressure and body weight. Finally, based on the history and research results, she will assess pregnancy risk and give recommendations for the next weeks of pregnancy.

The obligatory tests performed between 15-20 weeks of pregnancy (i.e. depending on the pregnancy that may occur at that time) include: blood count, urine general test and anti-Rh antibody testing. This latest study is designed to examine whether Rh (+) mother's blood contains anti-Rh antibodies directed against the blood cells of a child with the Rh (-) blood group - in simple terms, this test checks for blood leaks between the mother and the fetus and her allergy to Rh negative baby's blood cells in the event of a serological conflict.

During this visit, the attending physician will probably also inform you about the need to perform the OGTT test, i.e. the sugar curve, which aims to show how your body copes with carbohydrate metabolism. This examination is carried out between 24 and 28 weeks of pregnancy, so during this visit your gynecologist will give you a referral, so that you will have the result of this examination during the next one. The result of this test is necessary to confirm or rule out gestational diabetes.

After the fourth month, during which most of the pregnancy ailments disappeared, the fifth may again bring more. Put weight on proper sleep hygiene and remember to change body position slowly. Take care of yourself, as fatigue and weakness in combination with dizziness can contribute to both dangerous to your health and carried baby under the heart falls.

Based on "Obstetrics and Gynecology" Volume 1, ed.: Prof. dr hab. n. med G. H. Bręborowicz"Care for a pregnant woman", Agnieszka M. Bień"Midwifery - exercises. A textbook for medical students ”, Michał Troszyński


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