We had already spoken in Mothers Today about the 'discomfort' (or discomfort) during pregnancy, referring to the first y second quarter. Arrival week 28, less than half is missing, and you'll soon be entering the final stretch of your pregnancy. At this point, you feel much more secure and are probably thinking more about your baby's face and the moment you'll be able to hold him or her in your lap than anything else. You will continue to eat balanced and, while you can, doing gentle exercise; but the well-being that accompanies this stage is mixed with heaviness, sometimes turning into discomfort.
Nothing you can't adapt to, of course, just as millions of women have done before you. In the last few weeks, it's normal to feel a sense of empowerment (you're carrying a new life!) that will help you better cope with indigestion, bloating and postural changesEnjoy your pregnancy whenever possible: there will be days when it's hard, but focus on small pleasant moments Mark the difference.
Most frequent complaints
Heartburn, indigestion
Acidity is largely due to the hormones that relax the esophageal sphincter, which facilitates reflux. Indigestion occurs because the uterus compresses the digestive system. Eat more frequently and in small amounts (five or six meals a day), avoid fried, fatty, spicy, citrus, chocolate, and carbonated beverages. Don't lie down immediately after eating, and elevate the head of your bed if necessary.
Back pain
It will be difficult to find a pregnant woman who doesn't suffer from it. Between the weight of the belly and the action of the relaxin (hormone that stretches ligaments), lumbar and dorsal areas sufferTo mitigate this, bend your knees when bending over, avoid reaching for high objects, sleep on your side with a pillow between your knees, and sit with your back straight. Low-heeled shoes with good support help.
Sciatica and back pain
Compression of the sciatic nerve by changes in the pelvis can cause pain that radiates from the gluteus down the back of the legDorsal pain (upper back pain) occurs due to contractures caused by compensating for posture. Apply gentle local heat, perform stretches guided by a physiotherapist, practice hip mobility exercises and avoid loads.
Rib pain
Intercostal neuritis occurs when uterine growth displaces organs and alters respiratory mechanics. You will notice a stabbing or burning pain between the ribs, which worsens with prolonged sitting. Change your position frequently, stretch the side of your torso, and use diaphragmatic breathing help.
Pelvic and pubic symphysis pain
The pelvis (sacrum, coccyx, pubis and hip bones) forms the bony birth canal. Under the effect of relaxin, the pelvic joints gain mobility for birth, sometimes earlier than desired. You may experience pain such as muscle soreness when climbing stairs or separating your legs. Keep your steps short, avoid opening your hips too wide, use pelvic belt If a specialist tells you to and prioritizes relative rest.
Genital pain
The uterus can compress nerves that innervate the genital area, generating Cramps or stinging in the clitoris, labia, and vaginaThese episodes are usually self-limiting. Resting on your side, changing your posture, and wearing comfortable underwear provide relief.
Do you snore?
Even if you didn't do it before, in this trimester you may start snoring at night. airway congestion typical of pregnancy. Sleeping on your side, using room humidifier, avoiding heavy dinners and slightly elevating the head of the bed reduce the problem.
Shortness of breath
As the uterus grows, the diaphragm rises and it is normal to have feeling of shortness of breath, especially when lying on your back. Try positions that open your chest (the left side is usually more comfortable), take breaks and watch your posture to allow the lungs to expand.
palpitations
Many pregnant women experience palpitations or fluttering. These are often due to changes in the venous return and increased blood volume. If they occur with chest pain, severe dizziness, or marked shortness of breath, consult a doctor. Stay hydrated and avoid stimulants help.
Hemorrhoids, spider veins and varicose veins
Constipation, pelvic pressure, and changes in circulation promote hemorrhoids and varicose veins. It increases the Dietary fiber, drink water, walk daily, elevate your legs when resting and consider compression socks If recommended, warm sitz baths and witch hazel compresses can provide relief for hemorrhoids.
Frequent urination and urine leakage
The baby's head drops and presses on the bladder, so you'll urinate more and may leak a little when you cough, laugh, or sneeze. Go to the bathroom often and practice kegel exercises To strengthen the pelvic floor. If you suspect continued leakage of clear fluid (possibly amniotic fluid), go to the emergency room.
Restless legs syndrome, heaviness and edema
Fluid retention produces swelling in ankles and legs, greater at the end of the day. Elevate your legs, move your ankles, alternate warm and cool showers, and avoid tight clothing. Restless Leg Syndrome It manifests as an urgent need to move your legs when you lie down; try sleep hygiene, gentle stretching, and seek medical attention if it persists.
Tiredness
The third trimester demands a lot of energy. Listen to your body: divide the tasksRest whenever you can and negotiate support at home. Regular, gentle physical activity improves nighttime rest.
I have not mentioned Braxton Hicks contractions (the uterus prepares itself from week 20 for labor), because they are normal in pregnancy, that is to say: more than bothering they rejoice. Let yourself go unless you think that something anomalous is happening (we will explain it tomorrow)
Contractions and mild uterine hypertonia
In addition to Braxton-Hicks, some women notice sustained tension in the lower abdomen which requires stopping the activity: it is a mild hypertonia and usually remits with hydration and rest. If the contractions are rhythmic, painful and increase in intensity and frequency, it is time to contact your professional.
Helpful tips
The midwife and gynecologist will have told you: the “normal” is gaining between 9 and 14 kilos during the nine months of pregnancy. You don't have to go on a diet, but you don't have to "eat for two" either. A healthy diet (lots of vegetables and fruits, few processed, avoiding unhealthy fats and reducing sugars) helps to stay in that range.
For back pain, in addition to postural hygiene, the following are useful: abdominal support garments, gentle local heat, walking at a comfortable pace and working the muscles with yoga or pilates for pregnant womenSwimming or water exercises reduce impact and improve circulation. Studies support the use of acupuncture for gestational low back pain when performed by qualified personnel.
For heavy legs and edema, elevate your legs every day, avoid standing or sitting for long periods of time, take active breaks, and ask about lymphatic drainage or compression stockings if you consider it necessary. Warm and cool showers on your legs activate venous return.
If you have heartburn, in addition to dietary advice, it may help drink water between mealsChew slowly and avoid lying down after dinner. Always ask your healthcare provider before using antacids or laxatives.
Plus
- drink enough liquid, but (obviously) no alcohol and avoiding caffeine as much as possible.
- Wear comfortable shoes (low heels, arch support).
- Rest on your side on a firm mattress and place cushions to align hips and back.
- Before the volume of your belly is considerable (that is: before you cannot see your feet if you look down), reorganize your house so you do not have to bend down or stretch when you want to take objects from the kitchen, the living room, the bedroom.
- To lift weight from the ground bend your knees.
- Change your posture frequently throughout the day: don't stand or sit for long periods of time.
¿Do you think you need massages or a lumbar support belt?? so consult a professionalI was treated by an osteopath for an inflammation of my coccyx. He specialized in pregnant women and knew what he was doing. It doesn't have to be a doctor, but make sure he knows his job; if you don't trust him, you don't have to follow anyone's advice. However, when it comes to medication (including externally applied medication), you'll do well to ask your doctor, pharmacist or gynecologist.
If you are not a new mom, you already know all these things; and you also know how difficult it is to follow the recommendations of doing physical activity or rest as much as possible. Because "as much as possible" having other little ones at home is not enoughSo take advantage of opportunities: the little while dad takes them to the pool, the nap (if they still have one) you can lie down with them, get up at the same time as them if you're on vacation. Find the time, and you'll find it.
When to consult: warning signs in the third trimester
In addition to normal discomfort, there are symptoms that require immediate evaluation. Recognizing them gives you security and responsiveness.
- Threatened preterm labor: Regular contractions (every 10 minutes or less) that increase in intensity, pelvic pressure, menstrual-like pain, and cervical changes. If they occur before week 37 or if you have any concerns, go to the emergency room.
- Premature rupture of membranes (PROM): clear, continuous vaginal discharge (not urine). Place a pad, don't use tampons and consult without delay.
- Placental abruption: Vaginal bleeding (often dark), sudden uterine pain, contractions, and abdominal hardness. This is an emergency.
- uterine rupture: Very rare, but more likely if there was previous surgery on the uterus; persistent severe pain, changes in the contraction pattern, and sometimes changes in the fetal heart rate. Requires immediate attention.
- Kidney infection (pyelonephritis): Fever, chills, severe lower back pain on one side, pain when urinating, and frequent urination. Evaluation and treatment are necessary.
- Pancreatitis in pregnancy: severe pain in the “pit of the stomach” that radiates to the back, nausea, and vomiting. Go to the emergency room if you suspect this condition.
- Acute fatty liver of pregnancy: nausea, vomiting, abdominal pain and yellow coloring on the skin and mucous membranes. Hospital diagnosis and management are required.
Third Trimester Prenatal Care
At this stage, it is common for the frequency of check-ups to increase. Your professional monitors weight, blood pressure and fetal well-being, and answer any questions. Some visits may be virtual depending on your situation, always with clear instructions and, if appropriate, home devices (e.g., a blood pressure monitor).
Common tests include:
- Gestational diabetes screening: detecting and treating early keeps glucose in range and reduces complications.
- Assessment of iron deficiency anemia: If there is iron deficiency, supplements may be prescribed.
- Group B Strep Test: If the result is positive, antibiotics are administered during labor to protect the baby.
Regarding vaccination, consult your healthcare professional for current recommendations. A dose of tetanus, diphtheria, and pertussis (Tdap) in each pregnancy, preferably in the third trimester, to transfer antibodies to the baby. Antibodies may also be recommended. vaccines against respiratory viruses depending on the season, geographic area, and personal situation. Vaccination of cohabitants is another indirect protection measure.
Towards the end of pregnancy, they are reviewed baby position, fetal movements, and your birth plan preferences (analgesia, support, freedom of movement, or, if applicable at your center, water birth). Keep the plan flexible: the priority is safety.
Emotional well-being and preparation for birth
The third trimester can stir up emotions: excitement, impatience, and concerns about childbirth or parenting. Find moments of self-care: to write a diary, listen to calming music, practice conscious breathing or visualizations. birth preparation classes They provide information and a support network.
Talk to your partner or trusted circle about home organization and postpartum support. If you're feeling anxious, share how you're feeling with your midwife or gynecologist: Mental health is also perinatal health.
Now you're almost there to meet your baby, and you're both eager to meet, aren't you? Maintaining healthy habits, asking for help when you need it, and distinguishing between common discomforts and warning signs will allow you to to go through this last stretch more calmly and confidence in your body.