Causes of nausea in late pregnancy. Ninth month of pregnancy: features, sensations, belly size. Is a cold dangerous?

Pregnancy is coming to an end... The happy moment of meeting your baby is approaching every day. This is no longer a fetus, but a full-fledged little person. A child at 9 months of pregnancy is already ready for independent life outside the womb, but continues to grow. This is what today's material is about.

The baby in the womb makes its final preparations for life outside. His body can already breathe, eat and process breast milk. The nervous system is completing its formation. The stomach and intestines are also already configured for active digestion of the first food - colostrum.

Is it normal for you to vomit during the third trimester of pregnancy? Haven't I had morning sickness before? Is it too late for this to be morning sickness? If so, what could cause such a problem? The third trimester of pregnancy is an important time when the baby is growing rapidly and the mother is vulnerable to a number of medical complications. A common cause of vomiting or indigestion in the third trimester is the compression of the stomach and other organs by the growing uterus. This can cause symptoms of heartburn and nausea, which, if severe, may lead to vomiting.

Heart and lungs are waiting in the wings. Despite the respiratory movements, the respiratory organs are trained before their work and will begin to function immediately after passing through the birth canal. But for now the lungs are at rest. The baby carries out blood circulation with the help of the placenta.

The genitals in boys continue to mature and will not finish until a few weeks after birth. At 9 months of pregnancy, the immune system is able to fully protect the body of the unborn child. He will receive the necessary antibodies through his mother's milk. Therefore, breastfed babies are less susceptible to various infections.

Likewise, pregnancy may increase a pregnant woman's sensitivity to certain foods, especially spicy foods or other foods with strong flavors or odors that can trigger nausea and vomiting. A number of common viral or bacterial infections, also known as gastroenteritis, can also cause nausea and vomiting, which are not associated with pregnancy but are quite common and can happen to anyone. Finally, vomiting can in rare cases be a symptom of a serious pregnancy complication called preeclampsia.

The baby in the stomach assumes a head position in which it will move along the birth canal.

By the time he is born, he has practically no space left to make body movements.

Woman's well-being

This is a condition in which blood pressure is elevated and other symptoms include headache, swelling in the legs and cramps. As always, it is never possible to get an accurate diagnosis without being examined by a doctor. You should discuss these symptoms with your doctor as soon as possible.

This answer is for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, contact your doctor or 112 immediately. Always seek the advice of your doctor before starting or changing treatment.

In the ninth month of pregnancy, the expectant mother experiences both relief and difficulty in her condition. Namely:

1. Breathing becomes much easier as the baby's head begins to lower, reducing the pressure on the respiratory system.
2. The fetus, descending, creates even more pressure on the bladder and digestive organs. Heartburn and constipation may persist until the end of pregnancy.
3. After sexual intercourse, bloody discharge is possible.
4. The risk of developing varicose veins increases - lengthening and expansion of veins. Mainly on the legs due to the pressure of the unborn child on the pelvis.
5. Many women during pregnancy report a strong feeling of itching in the abdominal area. The phenomenon is explained by stretching of the skin, which can result in ruptures.

The end of pregnancy is rightfully considered the most difficult, not only physiologically, but also emotionally. Constant pain in the lower back causes many problems. It becomes uncomfortable to sleep, sit and walk. The pelvic bones begin to expand, causing constant nagging pain. Some women suffer from insomnia.

Mom's diet and weight

Talk to someone like friends and family about pregnancy and they will talk about how common morning sickness is during pregnancy. This is especially common during the first trimester, and it often makes waking up in the morning a less desirable thing. What you may not know is that nausea in the third trimester is not that unusual, and it can make your pregnancy a lot more difficult. Keep reading to find out if nausea is normal in the third trimester and why it happens.

Third trimester Nausea: is this normal?

The baby grows quite quickly during the third trimester and uses the minerals and vitamins in your body. Sometimes this can make you feel nauseous. Just keep in mind that while occasional nausea is normal, you should see a doctor if it happens too often and is accompanied by frequent vomiting. There can be various reasons for nausea in the third trimester, so you should not take it lightly. Your obstetrician will check that your pregnancy is progressing normally. They may even be able to give you some tips on how to deal with the unpleasant aspects of pregnancy and nausea.

Nutrition

1. Despite the finish line, you need to be careful about your diet. The body of a pregnant woman needs a large amount of vitamins and microelements. Fresh fruits and vegetables will help fill the deficiency of nutrients.
2. But it is advisable to minimize the consumption of dairy products. During this period, the need for calcium decreases significantly, since the skeleton and internal organs of the unborn child are fully formed. Many women notice that their hair stops splitting and their nails become stronger. Due to an excess of this microelement, a newborn’s fontanelle may become overgrown too quickly, which increases the pressure inside the skull.
3. Excessive consumption of meat and fish dishes is also not recommended. Protein foods reduce the elasticity of the cervix, which increases the risk of rupture and the duration of labor.
4. To avoid rod-shaped bacteria, all food should be thoroughly washed and fully cooked. All intestinal diseases can be passed on to the baby and cause a lot of problems for the new mother.
5. It's time to give up foods that contain antigens. They can cause allergic reactions. These are chocolate, strawberries, citrus fruits. For the mother, if she is not sensitive to such edibles, they do not pose any danger. But for a newborn in the future it can be reflected in the form of diathesis.

Nausea at 9 months pregnant

What Causes Third Trimester Nausea?

I also have heartburn and my midwife says this could all be a symptom of preclepsy.
My doctor suggested that this was quite normal, but they are still testing my urine for the amount of protein and found nothing. As mentioned, there can be a number of reasons associated with third trimester nausea. You experience nausea in the third trimester mainly due to heartburn, which is sometimes called acid reflux. You have a valve at the bottom of your esophagus that relaxes when you eat something, but sometimes it opens and allows your stomach acids to move up your esophagus. This causes a burning sensation and stomach upset. Heartburn is common in the third trimester because this is the time when changing hormones relax the muscles in the digestive tract. Feeling nauseous due to heartburn is not a cause for concern, but it can be quite painful.

If earlier nausea was caused by intoxication of the female body against the background of hormonal changes, then at the 9th month of pregnancy this painful sensation manifests itself due to disturbances in the functioning of the digestive tract. The internal organs under the enlarged uterus shift from their normal position, causing discomfort in the stomach area.

Eat smaller meals more often and avoid spicy foods to correct this problem. Also, reduce your caffeine intake and avoid lying down for at least an hour after eating. This complication may develop after you are 20 weeks pregnant. You will have protein in your urine and your blood pressure will also increase. The condition affects up to 8% of pregnant women and can cause liver failure, strokes, kidney damage, seizures, fluid in the lungs and blood clots. Preeclampsia can be life-threatening for both the baby and the mother.

The second cause of nausea and heartburn is a large amount of fatty and/or smoked foods. This is again due to excessive stress on the body. The main rules for such symptoms:

1. Eat in small portions. Overeating is accompanied by copious secretion of gastric juice.
2. There should be no long gaps between meals.
3. After a meal, a little physical activity will help reduce the burning sensation in the esophagus. For example, a walk or slow walking around the room.

Based on the severity of the condition, toxicosis is classified according to degrees:

• Mild: vomiting occurs up to 5 times a day, the general condition is quite satisfactory. This degree of toxicosis is characterized by changes in tastes and severe intolerance to various odors. As for urine/blood and sleep/appetite tests, all indicators remain normal.
• Moderate: vomiting becomes more frequent up to 10 times a day, nausea becomes constant, food and liquid are practically not retained in the female body. The general condition worsens, sleep disturbances, loss of appetite and weight are noted (up to 3-5 kg ​​per week). Other signs may include hypotension with tachycardia, and acetone detected in the urine during analysis.
• Severe (hyperemesis) : vomiting becomes frequent - more than 20 times a day, there is a complete loss of appetite, sleep disturbance, sudden weight loss (up to 10 kg per week), apathy. Food containing liquid cannot be retained in the stomach.

In mild cases of hyperemesis, oral rehydration is sufficient to prevent new attacks of vomiting. Only 1% of women who require antiemetic drug therapy and hospital observation are unlucky.

Why is repeated vomiting dangerous?

Analyzes and examinations

Causes of nausea that do not pose a threat to the pregnant woman and child

You may have developed this condition if you experience third trimester nausea with symptoms such as abdominal pain, facial swelling, severe headaches and visual disturbances.
Nausea in the third trimester can sometimes be a sign that labor is imminent. You may also experience some other symptoms such as back pain, cramps, diarrhea, pelvic pressure and increased vaginal discharge if your nausea is related to labor. Hormonal fluctuations could very well be the reason why you experience nausea during the first and third trimesters. Just like the early stages of pregnancy, the final stage of pregnancy will cause major changes in your hormones. This imbalance will lead to severe nausea during your third trimester.

In the last month of pregnancy, the expectant mother is recommended to visit an antenatal clinic every week. At each appointment, the doctor measures the abdominal circumference, the height of the uterine fundus, feels the position and listens to the baby’s heartbeat, and also weighs and determines blood pressure. Ultrasound examination at this stage is carried out only when necessary.

The size of the uterus grows rapidly during the third trimester of pregnancy, which can cause nausea. The baby is almost ready to leave the uterus in the third trimester, so it will be at its largest and pressing on other abdominal organs such as the intestines and stomach. This will lead to severe nausea and heartburn.

Consuming too much during the third trimester can also lead to third trimester nausea. As mentioned, a growing uterus shrinks on your stomach, leaving less room for food, so eating too much will lead to nausea. Eat nutritious foods in smaller quantities more often throughout the day to avoid feelings of nausea.

A urine test must be taken before each visit. This fact confuses many pregnant women. But the health of the baby and the safety of the mother in labor comes first. Blood sampling is prescribed as directed. Anemia at 9 months is a common indicator.

Diagnostics

If this symptom occurs, you should consult an obstetrician-gynecologist.
During examinations, additional consultation with a gastroenterologist, endocrinologist, oncologist, or infectious disease specialist may be necessary. The examination program may include the following activities:

• personal examination with collection of general medical history;
• general blood and urine analysis;
• blood chemistry;
• blood test for tumor markers;
• general and bacteriological analysis of stool;
• Ultrasound of the abdominal organs;
• CT and MRI;
• Ultrasound of the fetus.

Based on the results of the study, the doctor can determine the root cause and determine the most effective treatment.

Possible dangers

1. The baby doesn't have enough air. At this time, two types of hypoxia are distinguished. With acute oxygen starvation, the fetus’s well-being quickly deteriorates. The cause is the umbilical cord entwining the neck or early discharge of amniotic fluid. In the chronic form of the disease, the baby’s condition gradually becomes more complicated when disturbances in the functioning of the placenta or its premature aging occur.
2. Preeclampsia. The disease manifests itself in late pregnancy. A woman’s kidneys may fail, and malfunctions occur in the cardiovascular system and brain. The disease can be recognized by the presence of edema and urine analysis. If a woman is given a similar diagnosis, then in such cases an emergency caesarean section is required.

What to do if there is swelling

Edema during gestation is a completely common condition. They occur in many women expecting babies. This is explained by the fact that excess fluid collects in the tissues, and then it is removed from the body too slowly. The speed of blood flow decreases due to sodium accumulated in the veins.

How to Ease Third Trimester Nausea

If you're experiencing third trimester nausea, you may be wondering if there is a way to relieve it. Here are some simple tips to help make your nausea more manageable. Be sure to talk to your doctor before engaging in any exercise. at least an hour in the middle of the day. Drink plenty of water to avoid dehydration due to nausea and vomiting. Use certain herbs such as peppermint, ginger, slippery elm drops, and lemon tea to relieve nausea. Try acupuncture and acupressure to relieve nausea during your third trimester. And the video below will tell you how to do this to relieve the feeling of nausea.

• Eating small meals can often help tide over nausea.
• Do not use right before bed.
• Avoid spicy foods and caffeine to relieve nausea.
• Be active and exercise regularly to improve your condition.

Welcome to the third trimester, you're two-thirds of the way to the finish line and just three minutes away from your newborn.

1. Eat properly. Exclude salty, smoked, fried and fatty foods from the menu.
2. Control your fluid intake. Drink as you wish without losing your sense of proportion.
3. Moderate physical activity, which includes walking in the fresh air.
4. Try to place your feet on a pillow or bolster in a horizontal position.
5. Take magnesium and vitamin E.
6. Wear comfortable shoes that will not put pressure on your feet.
7. Diuretics will help remove excess fluid.

Discharge at 9 months of pregnancy

This is when you really gain weight, your tummy stretches out and your walk turns into a heap. You may find it difficult to breathe as your enlarged uterus reduces your lung capacity. You continue to attend your prenatal appointments and there is excitement about your labor and delivery sessions. The 9th month can feel like the longest month yet, despite the flurry of last minute activity to get everything ready for the baby's arrival. Of course, if you're overdue, the 10th month will seem even longer!

Your baby is growing and your uterus is expanding. You may even feel like there is no room in your womb, but you still have 10-12 more weeks. You will notice more fetal activity, to the point where it can sometimes be harmful. Your belly button will begin to protrude.

At the end of pregnancy, vaginal discharge is a harbinger of future labor and many of them do not pose any danger.

1. A small amount of white discharge of a thick consistency.
2. Pink mucus that appeared as a result of examination on the gynecological chair. It can also occur immediately after sexual intercourse.
3. A slippery mass with thin bloody stripes. Such discharge appears several weeks before the baby is born.

At 9 months of pregnancy, the first colostrum may appear.

What to do if there is swelling

Difficulty sleeping or finding a comfortable bedroom.
Back pain during pregnancy, especially in the last trimester and pain in the lower abdomen. Varicose veins during pregnancy Braxton Hicks. Enlarged breasts. Colostrum leaks from the breasts. Will weigh a remarkable 9 pounds plus and measure 46 cm in length by the end of month seven. Your baby is quickly approaching his birth weight, and as the room gets tighter in the uterus, you will feel your baby pushing more on his elbows and knees. As a result, you may notice a greater pattern in their legs rotating around their sleep patterns. Their little body begins to store minerals such as calcium and iron for the first time. The eyes now open and close and are more sensitive to light. Most babies will settle in the head position in mom's pelvic area before the end of this month.

The main harbinger of the upcoming birth is considered to be the release of the mucous plug. It looks like a small dense clot. This event means that real contractions will occur no later than 7 days. The plug may also come off several hours before labor and be accompanied by pain in the lower abdomen.

Many women note that at the 9th month of pregnancy they stop being examined in a gynecological chair. The lack of action is justified: the thin vessels that are located in the vagina become very fragile in the later stages. And the attending physicians do not want to unnecessarily disturb the patient with internal examinations. Since bloody discharge is not uncommon after them.

Your last month of pregnancy will likely come with a little more discomfort and exhaustion. Hang there; it's almost over. This is what you can expect in the last month of pregnancy. You may find that the muscles in your abdomen ache from working so hard to support your belly, or that your crotch and hip bones ache when you walk during the last month of pregnancy. In the first week or two of the ninth month, enjoy your big silhouette in the mirror because your baby will soon sink lower than your pelvis and the bulge will change.

Treatment of vomiting during pregnancy

Treatment of mild forms of vomiting during pregnancy, as a rule, is outpatient under the control of the dynamics of the pregnant woman’s body weight and mandatory repeated urine tests for acetone content. Moderate and severe vomiting during pregnancy requires hospital treatment.

Complex therapy for vomiting during pregnancy includes drugs that affect the central nervous system, normalize endocrine and metabolic disorders (in particular, water and electrolyte balance), antihistamines, and vitamins. During treatment, it is necessary to observe a therapeutic and protective regime. It is impossible to place two similar patients in one ward, since a recovering woman may experience a relapse of the disease under the influence of a patient with ongoing vomiting.

To normalize the function of the central nervous system, electrosleep or electro-analgesia is used. Duration of exposure – 60-90 minutes. The course of treatment consists of 6-8 sessions. Hypnosuggestive therapy can be used to influence the central nervous system. Various options for reflexology provide good results.

To combat dehydration of the body, to detoxify and restore the CBS, infusion therapy is used in an amount of 2-2.5 liters per day. Every day for 5-7 days, Ringer-Locke solution (1000-1500 ml), 5% glucose solution (500-1000 ml) with ascorbic acid (5% solution 3-5 ml) and insulin (at the rate of 1 unit of insulin per 4.0 g dry matter glucose). To correct hypoproteinemia, albumin (10 or 20% solution in an amount of 100-150 ml) and plasma are used. If CBS is violated, intravenous administration of sodium bicarbonate (5% solution) is recommended. As a result of the elimination of dehydration and loss of salts, as well as albumin deficiency, the condition of patients quickly improves.

To suppress the excitability of the vomiting center, you can use cerucal, torecan, droperidol, etc. The basic rule of drug therapy for severe and moderate vomiting is the parenteral method of administering drugs for 5-7 days (until a lasting effect is achieved).

Complex therapy for vomiting during pregnancy includes intramuscular injections of vitamins (B1, B6, B12, C) and coenzymes (cocarboxylase). Diprazine (pipolfen) is used, which has a sedative effect on the central nervous system and helps reduce vomiting. The drug has prolonged antihistamine activity. The complex of drug therapy also includes other antihistamines - suprastin, diazolin, tavegil, etc.

Methionine can be prescribed to prevent and treat toxic liver damage. It has antitoxic properties, activates the action of enzymes, vitamins and hormones, has a lipotropic effect and enhances the synthesis of choline and phospholipids from fats.

To treat vomiting during pregnancy, splenin 2 ml intramuscularly can be used for 10-12 days. Splenin was isolated from the spleen of cattle and proposed for the prevention and treatment of early toxicosis. The drug normalizes nitrogen metabolism and increases the detoxification function of the liver. May have an immunostimulating effect.

The effectiveness of the therapy is judged by the cessation of vomiting, weight gain, and normalization of urine and blood tests.

Sex

Opinions differ on this issue. It is better to consult your doctor. Sex is acceptable if there are no contraindications to physical intimacy or complications. But you need to remember that sexual intercourse in the 9th month of bearing a baby can provoke labor.

You may be wondering how you are going to pull yourself through the next month. Many mothers are physically exhausted in the last month of pregnancy. You may be tired of carrying your upper and heavy body up and down the stairs. Even getting up from the couch can leave you out of breath. First-time moms will become accustomed to a pattern they've never experienced before—light sleep. Caring for a child, seeing adult children covered with blankets, soothing during nightmares, sitting through illness, soothing wakefulness - all this dictates the light to sleep for a number of years.

Is a cold dangerous?

Viral infections do not pose a serious danger to the child, such as in earlier stages. But they present many problems for the expectant mother:

1. It is difficult for a woman in labor to bear the symptoms: nasal congestion, chills, fever. Many traditional medications are still strictly prohibited.
2. A cold or flu can catch a pregnant woman just before giving birth. The body spends a lot of energy to overcome the disease, the woman weakens under the influence of infection. And the birth of a baby requires enormous physical and emotional effort.
3. An unborn child may experience oxygen starvation, which is caused by nasal congestion.
4. In the womb, the baby is protected by the placenta from viruses and infections. But immediately after the first breath, this barrier disappears. And the expectant mother will not be able to protect him.

Possible complications of hyperemesis (from Latin - hyperemesis gravidarum) for the expectant mother include:

1. Severe reduction in body weight (from 5 to 20%).
2. Dehydration and electrolyte imbalance.
3. Mallory-Weiss syndrome.
4. Hypokalemia.
5. Vitamin deficiency.
6. Anemia.
7. Hyponatremia.
8. Complications after childbirth.

Possible complications for the fetus include prematurity and intrauterine growth retardation.

Vomiting itself is not capable of causing harm to the fetus, but the risk of complications is caused not by vomiting, but by its consequences. Namely, severe weight loss, malnutrition, electrolyte disharmony, etc., which, in turn, can lead to miscarriage, early birth, and the appearance of birth defects in the baby.

Precursors of labor in the ninth month of pregnancy

The main difference from the previous months of pregnancy is the long-awaited birth of the baby. From 37 weeks after conception, the baby is considered officially full-term. According to regulatory indications, a woman can be “in an interesting position” up to 41 weeks. By this period, all vital organs are formed and the baby is just gaining body weight.

A woman must know the signs that herald the onset of labor. And, most importantly, be prepared for them.

The first warning signs may appear within one to two weeks:

1. The stomach drops.
2. Heartburn and nausea disappear.
3. Urination becomes more frequent.
4. Pain in the lumbar region.

The following symptoms indicate contractions that will begin within 24 hours:

1. The mucus plug that covered the cervix comes off.
2. Amniotic fluid leaks out.
3. Diarrhea is possible.
4. Training contractions.

In case of secondary warning signs, it is necessary to urgently go to the maternity hospital or call an ambulance.

It happens when the period is approaching the end, and there are no signs of contractions, in this case a planned birth is carried out. Doctors, using medications or opening the amniotic sac, stimulate labor. It is under no circumstances recommended to perform these manipulations on your own.

Sometimes the expectant mother has to experience not very pleasant sensations. If a pregnant woman vomits at 39 weeks of pregnancy, this may be a harbinger of labor. During pregnancy, a woman releases prostaglandins, which promote the maturation of the uterus. Their accumulation in the body plus changes in the uterus itself affect neighboring organs, including the intestines. When a woman feels nauseous at 39 weeks of pregnancy, this may indicate that...

If a pregnant woman experiences vomiting at 39 weeks of pregnancy, a visit to the doctor will not be superfluous. Only a specialist can determine what caused this condition. This can be not only prenatal changes, but also an intestinal infection.

A condition when, at 39 weeks of pregnancy, you feel dizzy, have high blood pressure, blurred vision, “spots” appear before your eyes, and at the same time feel nauseous and vomiting, you should immediately consult a doctor. These may be signs of a condition in which delivery needs to be accelerated.

Weakness at 39 weeks of pregnancy

The last weeks of pregnancy are often accompanied by a feeling that the woman is suffering from her clumsiness. She is unable to fully rest because it is difficult to find a comfortable position. At 39 weeks of pregnancy, heartburn often occurs. The level of progesterone in the blood increases, which relaxes the smooth muscles of the gastrointestinal tract. The baby's pressure on the internal organs of the expectant mother increases and the contents of the stomach enter the esophagus, which causes heartburn.

Second trimester

Closer to the second trimester, the condition may worsen and be accompanied by vomiting and diarrhea. At this point, progesterone begins to be actively produced and slow down the functioning of the gastrointestinal tract. And fetal movements, starting from the third month, cause colic and aggravate general malaise.

Vomiting and nausea most often worsen from 9-16 weeks. But for some pregnant women, nausea comes earlier and can last almost the entire pregnancy. Symptoms lasting until the third trimester occur in 15-20% of women.2