I am 40 weeks pregnant and the fetus has not started yet. What will be the impact? What should expectant mothers pay attention to?

In clinical obstetrics, births between 37 and 42 weeks of gestation (259-293 days) are term births; births at 42 weeks of gestation (294 days) and above are term births. .

Generally speaking, the 40th week of pregnancy is exactly the time of expected delivery calculated based on the last menstrual period.

So is it definitely abnormal to exceed the due date?

In other words, after the fetus matures, must it be delivered within the expected date of delivery?

Not necessarily.

The due date is a rough estimate. Some people have done statistics and found that more than half of the children are not born on the due date.

The due date tells the pregnant mother that the time for delivery of the fetus is approaching.

I am 40 weeks pregnant and there is no sign of labor. Is the baby okay?

Pregnant mothers are most concerned about this issue.

In practice, around the expected date of delivery, there are early delivery and some delayed delivery; there are individual differences;

As long as the delivery is between 37 weeks and 42 weeks of pregnancy , all full-term babies.

So after the due date, the baby is still "laying" firmly in the mother's belly. Is the baby okay?

The engine mechanism of childbirth is complex, and there is currently no accurate explanation; there are several main clinical theories -

Inflammatory response theory, endocrine control theory, mechanistic theory and Neuromedium theory.

This is a theoretical research area in the academic community. We know that the factors that initiate labor are very complicated.

See how the fetus is doing now?

The fetus is mature, about 50 centimeters long, and weighs about 6-7 pounds on average. It will gain weight if it stays in the mother's belly for one more day.

At this time, pregnant mothers should pay attention to going to the hospital to check the condition of intrauterine amniotic fluid. The amount of amniotic fluid gradually decreases after 38 weeks of pregnancy, and whether the amniotic fluid is clear or turbid;

and the placenta , very important, all the nutrients needed for the fetus' life come from the supply of the placenta. The function of the placenta affects whether the fetus develops normally in the womb. It also determines the hospital's treatment plan for the mother after the expected delivery date has expired and before labor has started.

What should pregnant mothers do? Should I continue to wait or have a cesarean section at the right time?

Pregnant mothers should seek medical treatment promptly at this time.

At the same time, you must keep recording the number of intrauterine fetal movements every day.

After 40 weeks of pregnancy, placental function gradually declines. Clinically, after 41 weeks of pregnancy, termination of pregnancy needs to be considered.

Although labor has not started at this time, as the placental function declines, the amniotic fluid pollution increases, the fetus is overweight in the womb, etc., there are certain risks to the fetus' delivery and the mother's birth canal damage.

My sister-in-law’s labor did not start after the due date. Nothing happened.

After going to the hospital for examination, the doctor believed that the fetus, amniotic fluid, and placenta were all functioning well. After 41 weeks, active labor had not yet started, so the doctor asked the couple to choose a date and perform a cesarean section directly. end pregnancy.

From the time she pushed it in until the baby was delivered, it only took 40 minutes. Mother and daughter are safe.

Therefore, if there are no signs of labor after the expected date of delivery, the pregnant mother should go to the hospital in time to find out the condition of the fetus, the function of the amniotic fluid and placenta, and discuss with the doctor Communicate and choose the appropriate delivery method to end the pregnancy in a timely manner.

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I’m pregnant In the late stages, mothers want to unload more and more. They count down every day, looking forward to meeting their babies soon. After a long wait, mothers finally wait for the arrival of the great end, which is the expected date of delivery. However, there are many mothers. There will be such a problem, that is, when the due date arrives, the baby still has no intention of coming out, and the expectations of mothers turn into disappointment and worry. Then at 40 weeks, the baby has not yet started, will there be any impact? Woolen cloth?

About the expected date of delivery:

In order to know the approximate time when the baby will be born, some reference standards are also needed to measure the baby's growth and development, so the pregnancy process is usually calculated as 40 weeks, the due date is not calculated from the day of pregnancy or that "passionate" night. The due date is usually calculated based on the mother's last menstrual period. Why is it calculated like this? The last menstrual period is a reliable date that can be used to calculate, because even if you can determine the day of ovulation and the day you have intercourse, you may not be able to determine the moment when sperm and egg combine, so we will not use this uncertain conception as As the beginning of pregnancy, it is calculated using a certain day, which is the first day of the last menstrual period.

Although the entire pregnancy period is 40 weeks, few babies are born on the 40-week due date. You must know that the reason why the expected delivery date is called the "expected" delivery date is that it is only an estimate. Even if the mother's due date measured by the software is consistent with the doctor's last menstrual period and ultrasound examination, and all clues point to the same day, the mother should also remember that the most reliable due date is only an "expected" delivery date, which affects the accuracy of the expected delivery date. There are many reasons, such as the growth and development of the fetus, irregular menstrual cycles, irregular ovulation and other factors that will affect the accuracy of the expected date of delivery. Very few babies will be born accurately on the expected date of delivery, usually two weeks before and after the expected date of delivery. Childbirth is very normal, that is to say, it is normal for the baby to have not started to move at 40 weeks. When the pregnancy reaches 42 weeks or exceeds 42 weeks, it is considered a post-term pregnancy, and post-term pregnancy is more dangerous.

Post-term pregnancy:

When the gestation period reaches or exceeds 42 weeks, it is a post-term pregnancy. There are many reasons for post-term pregnancy, such as endocrine disorders, normal pregnancy to full term During pregnancy, estrogen will increase and progesterone will be low. Endocrine disorders will affect the abnormal secretion of estrogen and progesterone in the mother's body. Estrogen cannot increase significantly, and an increase in the proportion of progesterone will inhibit prostaglandins and uterine contractions. Due to the role of hormones, the phenomenon of expired pregnancy will occur; factors such as the mother's inactivity, weakened uterine contraction stimulation reflex, abnormal fetal development and other factors may cause expired pregnancy.

Expired pregnancy is also more harmful. The baby relies on the placenta to provide nutrients and transport oxygen in the mother's belly. The placenta also has a "shelf life" and its functions will begin to degrade after a certain period. This leads to insufficient nutrition and oxygen supply to the fetus; post-term pregnancy will also reduce the amount of amniotic fluid, and may easily lead to premature fetal syndrome, macrosomia, fetal distress, dystocia, etc.

If the pregnant mother has reached the stage of "pregnancy" and the fetus has not yet shown signs of labor, mothers can try the following methods to "induced labor" ~

Mothers are trying When using some "induced labor" methods, be sure to ask your doctor's opinion first.

To put it simply, if the baby has not yet started to move at 40 weeks of pregnancy, there will generally be no adverse effects. It is normal for the baby to be born two weeks before and after the due date, even if the baby is not born yet by the due date. Mothers don’t need to worry. Doctors will not let mothers exceed the 42-week time point. Appropriate methods will usually be used to help mothers induce labor at 41 weeks.

At 40 weeks, the fetus has not started yet. The most important thing for mothers to pay attention to is that they still need to have prenatal checkups on time and maintain the frequency of once a week prenatal checkups. If there are special circumstances, the frequency of checkups needs to be increased. Specifically, Follow the doctor's advice, and also pay attention to the fetal movements at home, try to avoid being alone or traveling far away, and pay more attention to the signs of childbirth.

Generally speaking, our entire pregnancy is 40 weeks, but because each pregnant mother’s physique and fetal development are different, premature birth or overdue pregnancy often occur on the expected date of delivery. Therefore, the expected date of delivery is only an approximate time period, not an accurate date, and if the mother's menstruation is not particularly regular before pregnancy, it is easy to have an overdue pregnancy. It is recommended that pregnant mothers must check on time for timely treatment when an overdue pregnancy occurs. .

The subject is currently 40 weeks pregnant, and the fetus still shows no signs of movement. This is a sign of post-term pregnancy.

The so-called expired pregnancy: refers to a pregnancy that reaches or exceeds 42 weeks. The general incidence rate accounts for 5 to 12 of the total pregnancies. Moreover, expired pregnancy not only affects the fetus, but also has great harm to the mother.

So in what specific ways does expired pregnancy harm the mother and fetus?

The harm of expired pregnancy to pregnant women and fetuses:

When Qian’s mother was giving birth, the pregnant mother who was in the same delivery room was a typical expired pregnancy. He told the subject about the situation at that time Similarly, after the examination, it was decided to give her oxytocin. However, after two days of oxytocin administration, there was still no response. The doctor diagnosed that the mother's birth canal and cervix were dilated and were not sensitive to the drug. They recommended a cesarean section, but she had to wait until During the examination in the afternoon, it was found that the placenta was severely aged. What was more serious was the sudden decrease in amniotic fluid, which posed a great threat to the fetus. In desperation, she had no choice but to choose a cesarean section. Therefore, no matter what the cause is of post-term pregnancy, everyone must pay special attention to observation during this period to ensure the safety of the fetus and the mother.

Many pregnant mothers are worried about what they should do after a post-term pregnancy. Does it mean that induction of labor is necessary?

In fact, the occurrence of post-term pregnancy does not mean that a cesarean section must be performed. It must be judged and analyzed based on the specific prenatal examination index!

For women with postterm pregnancies, doctors often use digital cervical examination to assess cervical maturity (ie, the softness of the cervix and the dilatation of the external uterine os). Then consider whether it is necessary to promote cervical ripening, that is, to use oxytocin to induce uterine contractions so that the fetus can be delivered through the birth canal. Therefore, mothers must undergo close prenatal check-ups and fetal testing; if it is confirmed that induction of labor is needed, it is recommended that the mother fast for several hours before induction of labor to allow the stomach to empty and avoid vomiting during labor induction.

At the same time, pregnant mothers need to pay attention to the fact that if the following situations occur in the later stages of pregnancy, they should consider inducing labor:

In short, if the fetus is still not moving beyond the expected date of delivery, pregnant mothers must Maintain a good attitude, there is no need to be anxious, and there is no need to rush to induce labor. You only need to be responsible for doing a good prenatal check-up. The other doctors will analyze the prenatal check-up index and make a delivery plan that is most beneficial to the mother and fetus. I wish the pregnant mother a good pregnancy!

Don’t worry, you must know that only 5% of babies are born on the expected date of delivery, and signs of labor can occur as late as 42 weeks. If there is still no onset at 42 weeks, the doctor will give you a caesarean section. What you have to do now is to adjust your mentality, understand the signs of labor, and then pack your delivery bag. When the attack occurs, just twist the bag and leave. Finally, I wish you a healthy baby.

Under normal circumstances, the pregnancy cycle is 38 to 40 weeks. If it exceeds 42 weeks, it is a post-term pregnancy. If there is still no movement at 40 weeks of pregnancy, you need to go to the hospital for examination. If everything is normal with the fetus and the amount of amniotic fluid is appropriate, you can wait up to one more week and it will not have much impact.

Error in the expected date of delivery

Because many people have irregular menstrual cycles or cannot remember the date of their last menstrual period, there will be some errors in the estimation of the expected date of delivery.

Then it is normal to give birth two weeks before and after the due date.

Get prenatal check-ups on time

Although there is an error in estimating the expected date of delivery, you are already 40 weeks pregnant at this time. You must have prenatal check-ups on time, and pay attention to your own condition at all times, and seek medical attention if there are any abnormal changes. Go to the hospital promptly.

Artificial induction of labor

At 40 weeks of pregnancy or beyond, if the placenta has aged and the blood flow has decreased during prenatal check-up, it will affect the supply of nutrients to the fetus and prevent the fetus from continuing to grow. Moreover, due to intrauterine hypoxia, low amniotic fluid volume and contamination, the fetus may suffer from intrauterine asphyxia. Even if there is still no movement under these circumstances, it is necessary for the doctor to decide and take measures to terminate the pregnancy.

Generally, drugs are used to induce labor to promote cervical ripening and achieve the effect of inducing labor. In unusual circumstances, a caesarean section may be required.

I also artificially induced labor at 41 weeks of pregnancy

When I was 40 weeks pregnant with my daughter, there was no movement. I went to the hospital for a B-ultrasound and it showed that the amniotic fluid was large and uncontaminated, and the fetus was fine. The indications were normal, and the doctor asked me to go back and wait a few more days to pay attention to physical changes. As a result, there was still no reaction at 41 weeks. When I went to the hospital, the doctor immediately ordered my daughter to be admitted and given medication to induce labor.

According to the doctor, artificial induction of labor is needed at this time. Not only is it meaningless to wait any longer, but the longer the pregnancy, other unfavorable factors will appear.

Therefore, pregnant mothers who are 40 weeks pregnant must go to the hospital for a check-up and decide whether to continue waiting or induce labor based on the doctor's advice.

At forty weeks of pregnancy, the fetus has entered the third trimester and will be delivered at any time. If the baby has not started yet, the mother should pay more attention to the fetal movements. Count the fetal movements three times every morning, noon and evening. If the fetal movements are frequent or suddenly decrease, You should go to the hospital to consult a doctor in time. The second condition is that the baby passes meconium prematurely in the belly, which is very dangerous. If the mother has discomfort or abdominal pain, she should seek medical treatment as soon as possible. During pregnancy, pregnant mothers still need to have regular physical examinations

I am 40 weeks pregnant and the fetus has not started yet. What will be the impact? What should expectant mothers pay attention to?

In the tenth month of pregnancy, which is the 40th month, the pregnancy is supposed to be full term, but sometimes the baby doesn’t make the slightest move to be born, and the pregnant mother can’t help but feel a little anxious. Waiting and waiting, the more you wait, the quieter it becomes. It seems like a test of fate for pregnant mothers. The closer the baby is to birth, the pregnant mother is undergoing a double test both physically and psychologically.

Will I definitely give birth at 40 weeks of pregnancy?

Generally, delivery from 37 weeks to less than 42 weeks is considered full term. Very few pregnant mothers will have labor symptoms at 40 weeks, and more than 42 weeks is considered a post-term pregnancy. Therefore, depending on the personal situation of pregnant mothers, some will give birth 40 weeks early, and some will give birth beyond 40 weeks. This is a very normal phenomenon. Pregnant mothers must be too worried. If it is more than 42 weeks, it is a post-term pregnancy and they should get a prenatal check-up from the hospital. If the placenta has not aged yet and the fetus is in good condition, you can wait. Otherwise, oxytocin or cesarean section should be used to end the pregnancy in time.

What are the signs of labor?

The most common phenomenon during the 40th week of pregnancy is that the pregnant mother has very regular and frequent uterine contractions, a feeling of fetal descent, and a small amount of redness. These symptoms are precursors to labor. An important sign of labor is regular and gradually increasing uterine contractions, lasting 30 seconds or more, with intervals of 5-6 minutes, accompanied by progressive disappearance of the cervical canal, dilation of the cervix and descent of the fetal presenting part.

Reasons for no labor at 40 weeks of pregnancy

1. Error in calculating the expected date of delivery: The calculation of the expected date of delivery is based on the start of the last menstrual period, but it is not the exact time of fertilization, so the expected date of delivery is not Errors are also normal. Some pregnant mothers calculate their due date directly from the time of fertilization, resulting in a certain deviation in time.

2. Imbalance of hormone levels in the body: The progesterone content in the body of pregnant mothers is relatively high, which inhibits prostaglandins and oxytocin, and the uterus does not contract, delaying the onset of labor.

3. Asymmetry between the fetus’ head and the mother’s pelvis: If the fetus’ head is asymmetrical to the mother’s pelvis, it may also lead to no signs of labor. This requires a vaginal examination to see if There are exceptions.

4. The placenta is not yet mature: A placenta that reaches level 3 means it is mature and may also show signs of aging. Late-maturing placenta may also cause pregnant mothers to not go into labor. It is best to have regular prenatal check-ups at the hospital. Pregnant mothers should be aware of the maturity status of the placenta when consulting it.

What should expectant mothers pay attention to?

1. If everything goes well for the fetus in the pregnant mother’s belly during the prenatal checkup, it is recommended that the pregnant mother exercise more to promote production, and also have regular prenatal checkups so that the pregnant mother is well aware of the various physical health indicators of the fetus. Have an accurate understanding.

2. If the pregnant mother has a post-term pregnancy during the prenatal examination, she must seek medical treatment in time to prepare for artificial delivery. Here, she may choose a natural delivery or a caesarean section according to the situation. If the pregnant mother's uterus is normal, she can receive an oxytocin injection to assist the delivery. If difficult labor occurs, only a doctor can assist in a caesarean section.

In short, pregnant women do not always have to give birth at 40 weeks after giving birth in ten months. There are various factors that lead to delayed delivery. At this time, pregnant mothers need to know more about childbirth and delivery. Knowledge, don’t blindly worry or worry about why the baby is not born yet.

You'd better go to the hospital and ask the doctor. When I was 40 weeks pregnant with my baby, there was no reaction. The director of the obstetrics department at the hospital asked me to be hospitalized directly and arranged for a caesarean section or a vaginal delivery with a water bag. I am afraid that delaying it any longer will not be good for the baby. You should bring all the test reports to ask the doctor. You still have to listen to the doctor on this.

Many pregnant mothers are protected by their families from the beginning of pregnancy and receive various nutritional supplements but lack of exercise. Excessive weight gain can cause the baby in the belly to be too big and cause "macrosomia", so weight management during pregnancy is very important. Let me talk about my birth experience and some insights. I hope it will be of some help to my sisters. I went to the hospital for a check-up on the 1st. The fetal monitor failed, and there were contractions and fetal movement was not good. I was hospitalized. I had a stomachache at 10:30 pm on the 1st. On the 2nd, the fetal monitor failed. I saw redness at 1:30 in the morning and went to the internal medicine clinic to open one finger. One finger lasted until 1 o'clock on the 3rd when my stomach pain was particularly severe. I went to the internal medicine clinic to open two fingers.

After that, I went to the delivery room. It hurt too much. I asked for a painless injection, and it was painless at three o'clock. At six o'clock, the doctor prescribed three fingers. Because I was allergic to anesthetics, I couldn't stop vomiting and was very confused. At six o'clock, the anesthesiologist came and turned off the pain. I couldn't take a bite of the food my husband gave me. I couldn't vomit and felt terribly nauseous. At that time, I was thinking that I really couldn't give birth naturally in that state. I didn't have any strength to vomit. Fortunately, it passed without pain. I stopped vomiting and became confused after half an hour. The doctor said he would turn me on again at 8 o'clock and it would be painless. My contractions were frequent. After I turned it off and it was painless, the pain would start again. When it was almost 8 o'clock, I felt like I wanted to poop. I asked the doctor if I could defecate next to the toilet. He told me that I couldn't and that I might have lowered my head to defecate. They were taking over the shift at that time.

At eight o'clock, someone came over to give me an internal examination.

I was shocked when I opened the ten fingers during the examination. After that, I told my husband that the ten fingers were opened and they were very happy because of my previous condition. I was afraid that I wouldn’t be able to give birth, and I had to endure both. The doctor asked me to go to the delivery room, and after I went there, I got on the delivery bed. The midwife told you how to give birth. I always thought that giving birth meant exerting extra force and always exerting force. In fact, that’s not true. Yeah, I had to push hard at first and then I had to pull back. It was really hard to control the pull back. I felt like my baby was blown out by my blowing [laughing] I went to the delivery bed around 8:10, and I gave birth at 8:30. , I felt like my stomach was empty immediately after giving birth. After giving birth, I asked the doctor if it was a boy or a girl. The doctor said to wait for her to take a look and then tell me it was a girl. I said that was great. I really like girls. It would be better to have a baby if the baby is not big. It went very quickly. I was 54cm tall and weighed 5.9kg. There was no side incision but there was a tear. I needed two stitches. After the birth, I was pushed out and stayed in the delivery room for two hours for observation and a sling bottle. The baby was sent out first and waited. When I was pushed out, I couldn't control my tears when I looked at the relatives outside. My husband came over to kiss me and said thank you for your hard work, and the tears fell. After I was pushed back to the ward, I was greeted by all kinds of greetings from my relatives