懷孕第32週

孕婦生理變化

有一些孕婦乳房會開始分泌一些黃顏色的液體，這是初乳，與產後的母乳不同。孕婦的腰痠與腳、小腿腫脹現象仍持續。



胎兒發育成長

寶寶頭臀長約28公分，頭至腳的身長約為46公分，體重約有1800公克。皮膚的表面仍然紅而且皺，皮下脂肪在增加中。寶寶的各個器官繼續在發育至完善，肺和胃腸的功能也接近成熟，他(她)常在做睜開眼睛與呼吸動作的練習！而寶寶吞進的羊水，經膀胱再排泄至羊水中，這也是為未來出生後的排小便做練習呢！



第五次產檢

這週應至婦產科做第五次的產檢，這次產檢的項目如下：

1.問診：有無不適症狀，如出血、腹痛、頭痛、痙攣、厲害水腫等。

2.身體檢查：體重、血壓、腹長（宮底高度）、胎心音、胎位、水腫、靜脈曲張。

3.實驗室檢查：尿蛋白、尿糖。

4.抽血檢查：梅毒、B型肝炎表面抗原、B型肝炎e抗原、德國痲疹免疫球蛋白G。



＊德國痲疹免疫球蛋白G檢查呈陰性之孕婦，在產後最好接受德國痲疹疫苗接種。

＊若此次產檢的胎盤位置仍在子宮下段，而且距子宮頸口7.5公分以下，則為前置胎盤。

＊若胎兒的位置現在不是頭下腳上，可以採取膝胸臥式進行矯正。

＊以後的產檢為每兩星期檢查一次。





See the big pictureHow your baby's growing:

By now, your baby weighs 3.75 pounds (pick up a large jicama) and is about 16.7 inches long, taking up a lot of space in your uterus. You're gaining about a pound a week and roughly half of that goes right to your baby. In fact, she'll gain a third to half of her birth weight during the next 7 weeks as she fattens up for survival outside the womb. She now has toenails, fingernails, and real hair (or at least respectable peach fuzz). Her skin is becoming soft and smooth as she plumps up in preparation for birth.



How your life's changing:

To accommodate you and your baby's growing needs, your blood volume has increased 40 to 50 percent since you got pregnant. With your uterus pushing up near your diaphragm and crowding your stomach, the consequences may be shortness of breath and heartburn. To help relieve your discomfort, try sleeping propped up with pillows and eating smaller meals more often.



You may have lower-back pain as your pregnancy advances. If you do, let your caregiver know right away, particularly if you haven't had back pain before, since it can be a sign of preterm labor.



Assuming it's not preterm labor that's ailing you, you can probably blame your growing uterus and hormonal changes for your aching back. Your expanding uterus shifts your center of gravity and stretches out and weakens your abdominal muscles, changing your posture and putting a strain on your back. Hormonal changes in pregnancy loosen your joints and the ligaments that attach your pelvic bones to your spine. This can make you feel less stable and cause pain when you walk, stand, sit for long periods, roll over in bed, get out of a low chair or the tub, bend, or lift things.





Get support from your partner "Sleeping is getting difficult. The only way I can get any rest is to lie with my back to my husband as he cradles my body. The support from him and a pillow between my legs is the best help." —Anonymous