Third Trimester Pregnancy: Everything You Need to Know

Third Trimester Pregnancy: Everything You Need to Know

(upbeat, melodic music) My name is Chris Allphin. I’m a Board Certified OB/Gyn
from Monarch Healtcare, in Idaho Falls, Idaho. Today I’m gonna talk about the
third, and final, trimester. During the third trimester,
visits change frequency. We will now be seeing you every two weeks, and at the very end, weekly. One of those visits, you will be getting the Pertussis vaccine. The CDC recommends that you get
this vaccine every pregnancy regardless of the last time
you were vaccinated for this. During the third trimester,
you’ll have noticed that you may have gained
some weight along the way. This is okay. Typical weight gain is 20 to 40 pounds. If we notice a large increase, say 10 to 12 pounds over a week, we may worry about some other conditions, but for the most part, this is a very common
amount of weight to gain. Common complaints in the third trimester are increasing maternal size. That baby’s getting bigger, and that baby is kind
of running out of room. You’ll notice more pressure in your ribs, you might be more short of breath, you might have pain in your upper abdomen. These are all very common. If you experience increased
pain that you think is abnormal, call the doctor. Also, at this time, you’re gonna notice
regular fetal movement. You may have a slight decrease as you approach your delivery
date, and that’s normal, but you should still have
10 distinct movements over two hours. Oftentimes we do kick counts. Kick counts are where you eat something, hopefully with a little
bit of sugar in it, and then lay on your left side, focusing on the movements of the baby. If you get to 10 distinct movements in a short amount of time, then you’re baby’s doing great. However, if after two hours
you baby has not moved 10 time, please contact your physician
or go to the hospital. During this third trimester, emotionally it helps to
do what is called nesting. Nesting is a term where you
set up a baby’s nursery. This can be in the baby’s own
room, maybe it’s in your room, but you get what the baby needs for when you first bring the baby home. This is an important emotional time for you and your partner. To feel the sense of relief, that you are prepared
and will be prepared, for when this baby comes. I recommend childbirthing classes. This is a great time
for you and your partner to experience a childbirthing class. It will educate you on what to expect when you go in to deliver. There are a lot of unknowns
with the delivery process. Some people don’t recognize
that you will get an IV placed. And some people are kind
of confused as to why. This class will provide answers. And it’ll also be able to let you know what kind of questions you should ask your
provider about delivery. You can contact your hospital for available dates and times
of classes in your area. During the third trimester it’s very common to start
to feel contractions. Early on, from 28 to 36
weeks, they might be small, you might notice a small
tightening of your abdomen. These are most commonly referred to as Braxton Hicks Contractions, and don’t generally cause labor. If you start experiencing them
more than every 10 minutes and they’re increasing in pain, I like to recommend relaxation techniques such as eating something,
taking a bath or shower, and putting your feet up. If they still increase, I
recommend going to the hospital to be evaluated for preterm labor. After 36 weeks, I want them
stronger and more frequent to call it labor. Contractions every three to five minutes and so painful that you can’t
smile through the contraction, that’s when you’re in labor, and that’s when you
should go to the hospital. Also, if our water breaks at any time, please go to the hospital.

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