On the 42nd week of pregnancy from time of fertilization of an ovum there passed 40 full weeks. According to all standards the normal duration of pregnancy makes 37 – 42 weeks. If term exceeds it 42 weeks, then speak about postmaturity.
On the 42nd week of pregnancy all bodies of a fruit ripened for full work out of mother's womb. On such term the child already rather large, his growth hesitates from 52 to 54 cm, weight from 3600 g and more.
If by the end 42 weeks of pregnancy there is no childbirth, then signs of postmaturity of a fruit can appear.
Skin of a body of the child after the birth becomes as if pergament, dry and rigid to the touch, with a set of cracks and folds. In places of bends about joints from cracks as a result of friction blood traces sometimes appear. Skin lost the syrovidny lubricant performing protective function therefore it is very sensitive to any damages long ago.
Tips of nails on hands of such children are longer than a nail bed, they support edge of a phalanx. Fruit skull bones on the 42nd week of pregnancy rather dense, and the head in the course of passing of patrimonial ways is configured worse that complicates childbirth. The big fontanel can be reduced and be closed absolutely a small fontanel.
In a body of a fruit enough fatty tissue therefore forms of the kid at the birth roundish accumulated.
The brain continues to be improved, between neurons of its bark more close ties form. On the 42nd week of pregnancy of the oxygen arriving through mother's placenta is hardly enough for ensuring requirements of a brain in it.
Because of reduction of amount of amniotic waters and lowering of the prelying part the stomach of the pregnant woman became less in sizes. The woman in a womb determines his activity by the movements of the kid. Stirs have to be noted regularly, on force they became more intensively, but with a frequency is slightly more rare than former.
At the pregnant woman by this time the breast considerably increases and grows heavy, an areola of nipples gets more dark coloring. From nipples the first drops of colostrum periodically appear.
Hypostases standing disturb in the evenings now practically all pregnant women, normal by the morning they pass. On the 42nd week of pregnancy of the woman often feel back pains, in legs, sometimes in the field of a pubic symphysis.
It is difficult to mark out absolutely reliable criteria of the fact that pregnancy is postmature. Often speak about it if it lasts 43 and more weeks, and the fruit with postmaturity signs as a result is born.
Happens that pregnancy just lasts, without fruit perenashivaniye. It meets if the menstrual cycle of the woman before childbirth made 30 and more days if from generation to generation in a family children are born on late terms, or for pregnancy the kid ripened insufficiently and gained weight, and now catches up with missed. If in 40 weeks the neck of uterus looks unripe, then, most likely, childbirth will be delayed.
The doctor observing the woman during pregnancy makes the decision on further tactics of behavior – what to do on the 42nd week of pregnancy. It proceeds from indicators of health of a fruit and existence of threat for his health. Thinning and the expressed signs of aging of a placenta, existence in amniotic waters of particles of meconium and lack of vernix caseosa flakes in them are postmaturity signs on ultrasonography.
If on the 42nd week of pregnancy there is no childbirth, then their approach is accelerated medicines, and operational delivery (Cesarean section) in certain cases will be required. Stimulation of natural childbirth is caused hormonal means, only before it it is important to prepare a neck of uterus for opening.
Cesarean section in the emergency order is done if at a fruit the acute hypoxia developed, for example, at placental detachment, loss of loops of an umbilical cord or hit of amniotic waters or meconium in respiratory tracts.
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