Small fetus at 20 weeks. Twentieth week of pregnancy: “Mom, sing me a song! weeks of pregnancy: what happens to the baby

By the end of the twentieth week of pregnancy, its first half will also end - after all, five obstetric months have already passed. This is an important milestone for a pregnant woman - she begins to fully realize all the responsibility for the baby, because now she feels him better.

The baby is also going through an important stage - the formation of its organs is ending, and from now on it will grow and improve. He begins to take control of his body - it is not without reason that it is at this time that mothers first feel the movement of the baby.

Many mothers feel anxiety and fear for the life and well-being of the baby. If you, too, cannot get rid of these emotions - turn to the help of loved ones, meet on the playground with mothers who are at a later date or have even given birth to a baby - their help and advice will help you a lot!

20 weeks pregnant: how many months have passed? The fifth obstetric month of pregnancy ends (in one obstetric month - exactly 4 weeks, or 28 days).

What's happening?

The belly at the 20th week of pregnancy may not yet be visible to others, but you can see how it is rounded. This period of pregnancy is golden - early toxicosis has already ended, mommy has an excellent appetite, practically no health problems, and the baby is already making itself felt.

Very rarely, back pain, heartburn and nausea, varicose veins, constipation and hemorrhoids can disturb anyone in this period. Basically, these problems begin to haunt the pregnant woman only after a couple of weeks, and now you can enjoy your good health and communication with the baby.

The fetus and its development at the 20th week of pregnancy

The fetus at the 20th week of pregnancy is still quite tiny - its weight is 270-300g, and the length from the crown to the toes is no more than 25-27 cm.

The kid is actively growing and developing, he does many things for the first time.

The eyes of the fetus develop - photoreceptors appear on the retina. Now your baby can see the light. If the baby's eyes were closed before the 20th week of pregnancy, now the blink reflex begins to form in him. In addition, facial expressions are being actively improved - the child squints, opens his mouth and makes grimaces.

All layers are formed in the skin, it becomes thicker and reddens. If before that the skin was translucent and smooth, now it becomes denser, wrinkles form on it. In addition, the sebaceous glands begin to work actively, producing a special secret. This secret - the original lubricant - covers the skin of the fetus, protecting it from moisture and other factors. In addition, lanugo begins to form on the skin, a fluff appears in place of hair, eyebrows and cilia. The baby's nails are growing.

The baby's heart is also actively developing - at this time, the fetal heartbeat can not only be seen on ultrasound, but also heard with a stethoscope through the mother's tummy.

The nervous system of the child matures - he begins to actively move, tries to grab his fingers for his body parts, the umbilical cord, sucks his finger.

The lungs are actively formed, but at this stage of development they are not yet able to provide the baby with oxygen. It will take another couple of weeks, and the child will begin to make training breathing movements, preparing for an independent life.

The intestines also begin to work actively - the baby swallows amniotic fluid, due to which meconium is formed in the intestines - the first feces that will leave the baby's intestines after his birth.

Baby photo, ultrasound

Below we present to your attention photos of ultrasound at this time.

Proper nutrition

Nutrition is one of the most important aspects of pregnancy - both its deficiency and excess can lead to serious problems. Considering that the active formation of all the systems of the baby is now taking place, it is vital to provide his body with all the necessary materials.

The nutrition of a pregnant woman at week 20 should be light and varied - these are fresh herbs, lean meat, lean fish, dairy products and cereals. It is worth excluding simple carbohydrates from the diet, which do not carry any benefit for the baby and mother. No need to eat spicy and pickled foods. Drinking alcohol during the formation of the baby's nervous system can be fatal for its further development.

You should adhere to the drinking regime - you need to drink a lot of clean water, fruit drinks and freshly squeezed juices, weak tea with milk. It is better to avoid store-bought juices, and the use of sugary and carbonated drinks should be completely abandoned. The total volume of liquid should be at least 2 liters per day.

In order not to increase pressure and edema does not appear, salt intake should be significantly limited. Salt negatively affects the functioning of blood vessels, in addition, it contributes to the accumulation of excess fluid in the body.

It is also necessary to monitor the number of calories consumed - the weight should increase by no more than 3-5 kg. If you put on too much weight already in the middle of pregnancy, then you will have serious problems by the time of childbirth, and the process of childbirth will take place with complications. If you're gaining too much weight, rethink your meal plan, include more fiber in your diet, and limit your carbohydrate intake.

Baby movements at 20 weeks pregnant

The 20th week of pregnancy for primiparous mothers is marked by the first movements of the baby. Of course, you could have felt these gentle touches before: many mothers compare the first movements of the baby with the touch of the wings of a butterfly, while others say it is like a fish swimming in the stomach. If your baby pleased you with his activity before, now you can clearly distinguish his movements from the work of the intestines and other sensations.

Your baby is still very small, so he can move freely in the uterus. Of course, most of the time he rests. But from time to time it can seriously disturb the mother with its activity. Watch how your baby behaves, talk to him and sing songs - this will help him calm down. If you notice that the baby has become too active, does not calm down - this may indicate a lack of oxygen or an uncomfortable position that the mother has taken. Try to change position, walk around, go out into the fresh air.

Mom's Feelings

Mom at the 20th week of pregnancy can experience many new, not always wonderful sensations. Of course, you should not have any special health problems by this time, but a growing tummy can cause a number of unpleasant sensations.

Firstly, due to the shift in the center of gravity, pain in the spine may appear. You become more clumsy, although it is not yet so noticeable. If the belly grows fast enough and it causes you discomfort, it's time to think about wearing a special bandage that will help eliminate discomfort.

In addition, the rapid growth of the tummy causes the skin to stretch, which can cause it to itch. To avoid these unpleasant sensations, apply special products to the skin of the abdomen daily. Proper skin care will help to avoid stretch marks and stretch marks.

Enlargement of the uterus and squeezing of blood vessels can lead to such unpleasant phenomena as hemorrhoids and varicose veins. Constipation contributes to the appearance of hemorrhoids - that is why you need to include more fiber and water in the diet. To prevent varicose veins, you need to wear special elastic underwear for pregnant women.

If the uterus is much smaller than it should be, you do not feel the movements of the fetus - this may be a sign of oligohydramnios or missed pregnancy. Oligohydramnios during pregnancy can also indicate malformations of the fetus. Ultrasound screening, which is carried out in the period of 20-23 weeks, can answer these questions.

Cramps in the calves become a fairly common problem in the second trimester of pregnancy - they occur for many reasons: weight gain, increased blood volume, and lack of calcium. If cramps bother you too much, try to get more rest and eat foods rich in calcium. Don't forget to have enough water.

What if twins?

If you have two crumbs in your tummy, then their development corresponds to the timing - they also become very active, which can cause discomfort to your mother. The tummy in the presence of twins grows faster, so the mother can already be tormented by pain in the spine, heartburn and nausea. Mom often runs to the toilet due to bladder compression.

If before the 20th week of pregnancy with twins, the risk of miscarriage was quite high, now it is significantly reduced. Otherwise, twin pregnancy does not differ from the usual one at this time.

Discharge and pain at 20 weeks pregnant

At the 20th week of pregnancy, you may notice an increase in discharge - this is due to the flow of blood to the genitals. The discharge should not be very copious, viscous, clear or milky, with a sour smell.

The appearance of copious watery discharge may indicate leakage of amniotic fluid, and yellow-green, fetid or cheesy discharge, accompanied by severe itching, may indicate an infection.

The appearance of scarlet blood is possible with low placentation. If you have this period, low placentation may be manifested by periodic bleeding. In this situation, doctors carefully monitor the course of pregnancy and prescribe special treatment.

In case of any deviations from the norm in the nature of the discharge, you should contact your doctor.

Pain at the 20th week of pregnancy should not bother mommy. There may be some discomfort in the spine due to the increased load on it. Pain and cramps in the legs are also possible - for the above reasons.

Also during this period, the appearance of training contractions is possible - this is a painless contraction of the uterus, which disappears after a change in position or walking - this is how the body prepares for childbirth. If you feel severe abdominal pain, blood appears in the discharge, or it has turned brown, immediately contact the clinic, these signs indicate a threat of interruption.

Required studies and analyzes

During this period, visits to the antenatal clinic are monthly, before each visit, a urine test is taken. Ultrasound at the 20th week of pregnancy allows you to assess the development of the child, to identify deviations in the structure of organs, violations of the formation of amniotic fluid. In addition, the blood supply of the baby is studied on ultrasound, the vessels of the umbilical cord are examined.

At the appointment at the antenatal clinic, the doctor will measure the size of the pelvis and the height of the uterine fundus, abdominal circumference and pressure. Often, a chair examination is performed to assess the condition of the cervix.

Other studies are carried out only if there are indications and deviations found during the examination.

Sex at 20 weeks pregnant. Is it possible or not?

Sex at the 20th week of pregnancy is not only not contraindicated, but also useful for the mother's body and the establishment of family relationships. At this stage of pregnancy, dads most often begin to worry about the fact that the wife loves the child more, and now all her time will be given to the baby. Sex will help show that your husband is just as important to you as ever. Show that you still love him, and the child will only add love and affection to your marriage.

During sex, you need to be careful, although the risk of harming the child is minimal - he is reliably protected from environmental influences.

Useful video

Questions - answers

I have the first pregnancy, 20 weeks - leaking water already during the day. How dangerous is this for a child?

Leakage of amniotic fluid at this time indicates a threat of miscarriage or infection of the fetus. With this condition, hospitalization in a hospital and treatment aimed at prolonging the pregnancy and preventing the spread of infection to the fetus are mandatory.

Lately I have been suffering from constipation. How dangerous and what does constipation at 20 weeks of gestation indicate?

Constipation during pregnancy is associated with changes in hormonal levels and compression of the intestine by the pregnant uterus. Persistent constipation can lead to hemorrhoids. To prevent constipation, eat plenty of fiber, prunes and other dried fruits, drink more water.

What should be hemoglobin at 20 weeks of gestation? Before pregnancy, the analysis showed 130 g / l, now it is 115 g / l - is it dangerous for the child?

From the 20th week of pregnancy, the blood volume of a pregnant woman begins to actively increase - this is necessary to adequately provide the baby and mother with oxygen and nutrient substrates. Because of this, it is possible to dilute the blood with its liquid components, against this background, the hemoglobin level can drop to 110 g / l - physiological anemia of pregnant women. With lower hemoglobin numbers, the doctor will prescribe you treatment. You also need to eat foods rich in iron - liver, meat, apples.

I recently noticed that droplets of liquid stand out from the nipples. Is it possible that this is produced by colostrum at 20 weeks of gestation?

Not only the uterus is preparing for childbirth, but also the mammary glands of a woman. Colostrum production may begin as early as 16 weeks of gestation - you will notice droplets of a sticky sweet liquid on your nipples. The nipples are as if greased. In no case do not press on the nipples - you can provoke an increase in the tone of the uterus. Wear special liners, only cotton underwear, carefully observe breast hygiene.

The 20th week of pregnancy becomes such a “frontier” for the entire period of bearing a baby. After all, the 20th week of pregnancy falls at the end of the fifth month: if the birth occurs at the 40th week, then the 20th week of pregnancy will be exactly “half of the path traveled”.

Belly at 20 weeks pregnant

It is no longer possible to hide the belly at the 20th week of pregnancy: it rises more and more, significantly rounded. At the same time, the waist "blurs" and disappears. Now the most relevant is the use of special means to prevent the appearance of stretch marks on the abdomen due to its increase and stretching of the skin. All kinds of gels and creams today are sold in abundance in pharmacies and specialty stores, you need to use them regularly - 1-2 times a day, rubbing with massage movements into the stomach at the 20th week of pregnancy, as well as into the thighs and chest. A full-fledged "replacement" for special products can be ordinary vegetable oil - olive or almond.

Uterus

The growth of the abdomen occurs as the uterus enlarges at the 20th week of pregnancy. At this time, the uterus is already approximately at the level of the navel - the bottom of the uterus is located 11-12 cm above the womb. The uterus at 20 weeks of gestation can sometimes contract: such contractions are called false contractions, and they do not pose any threat to the fetus.

ultrasound

Ultrasound examination at this time is usually performed as part of the second screening. Ultrasound at 20 weeks of gestation may be needed to assess the progress of the pregnancy, determine the sex of the child, the likelihood of malformations and chromosomal abnormalities. Also, ultrasound at the 20th week of pregnancy allows you to determine whether the size of the fetus corresponds to the gestational age, whether the condition of the amniotic fluid and placenta is normal.

When conducting an ultrasound scan at the 20th week of pregnancy, the internal organs of the crumbs are also studied: kidneys, stomach, urinary and gallbladder, liver, lungs, intestines. The baby's heart is also subject to careful examination - if any discrepancy is found, a specialized ultrasound examination of the heart will be needed. Unfortunately, heart defects are one of the most common fetal malformations today.

In addition to the fact that ultrasound will help assess whether the development of the baby is normal, ultrasound at the 20th week of pregnancy will also show: the baby in the womb is actively growing and developing. And yet - he doesn’t get bored at all, because his size allows him to move freely in his mother’s tummy for the time being, which the baby actively uses, turning over and somersaulting.

fetus at 20 weeks pregnant

After all, the baby is now fully formed, its growth continues steadily, and the work of organs and systems is being improved. The baby's nervous system, respiratory, digestive and hematopoietic organs are formed and fully functioning. A small heart beats audibly: you can already listen to the rhythm of the baby's heart with an ordinary stethoscope.

The baby's arms and legs have also acquired their final shape, nails grow on the fingers, and the first hairs appear on the head - lanugo. Also, the fluff is formed where in the future the baby will have eyebrows and cilia.

The fetus at week 20 is already fully aware of the sounds, so the mother needs to beware of harsh noises. The baby is already reacting to the light - even though his eyes are still closed, but the rays of light penetrate under the eyelids, which begin to open slightly.

Along with the fact that the baby’s skin is also thickening, the sebaceous glands produce a special “original lubricant” - while it protects the baby from the effects of the liquid medium, and in the future it will help the fetus slide more easily through the birth canal and facilitate its birth.

If we talk about the "parameters" of the baby, then the fetus at the 20th week of pregnancy reaches a length of 25 cm, and weighs about 300-340 g. Such dimensions and weight not least explain the fact that the mother already fully feels the activity of the baby.

Feel

The first movements of the baby are quite justifiably extremely pleasing to the mother: now she already fully feels that a new life is growing and improving inside her. Which from time to time makes itself felt with light pushes and movements - the baby hiccups, pushes off the wall in the uterus and swims to the opposite one, bounces in response to a sharp sound or mother's excitement. If at first the movements of the fetus are barely distinguishable, then over time they become more and more pronounced. However, one should pay attention to the nature and intensity of the fetal movements: if its movements are felt excessively often, it is quite possible that in this way the baby declares a lack of oxygen.

Other - less "pleasant" - are the sensations at the 20th week of pregnancy, associated with a constantly growing uterus and increasing pressure on the internal organs. It is the change in the configuration “inside” the woman that explains the appearance of heartburn, constipation, poor urine outflow, and shortness of breath. However, all these unpleasant phenomena will pass in the near future - when a woman becomes a happy mother.

pain

Most often, expectant mothers during this period complain of pain at the 20th week of pregnancy, appearing in the lower back and back. This is a consequence of a significant load on the joints and ligaments, back muscles, due to a shift in the center of gravity. To prevent pain in the back and lower back, there are special exercises that help to "unload" the spine. But, at the same time, it is also necessary to follow elementary rules that will help, if not avoid, then significantly reduce pain in the lower back and back. These rules involve maintaining the correct posture, avoiding high heels and taking all possible measures that will make it possible not to strain your back.

Another fairly common problem among pregnant women is the appearance of leg cramps. Pain at the 20th week of pregnancy can be so noticeable that it “brings” the woman to tears. Cramps are the result of ever-increasing weight and ever-increasing stress on the legs. To minimize the likelihood of cramps, you should regularly give your legs a rest, resort to a relaxing massage of the calves and feet, and stretch your legs more often on the bed.

Pain at the 20th week of pregnancy in the abdomen is an alarming phenomenon. If the stomach hurts from time to time and not much, there is still a need to consult a doctor: in order to avoid the possibility of an increased tone of the uterus and a possible miscarriage for this reason. If the stomach hurts badly, it is necessary to seek specialized help immediately, otherwise tragic consequences and the loss of a child cannot be avoided.

Discharge at 20 weeks pregnant

After all, it is pain in the abdomen (sharp or pulling, but prolonged), and even accompanied by bloody or brown discharge, that become harbingers of the threat of premature termination of pregnancy. Also, spotting, accompanied by pain in the lower abdomen, may be a symptom of placental abruption or placenta previa - in any case, a gynecologist's consultation is necessary. If spotting at the 20th week of pregnancy is not accompanied by painful sensations, but occurs more and more after intercourse or a gynecological examination, cervical erosion most likely occurs.

Normally, the discharge at the 20th week of pregnancy is light in color - grayish or with a milky tint. At the same time, they differ in a sour smell and a homogeneous consistency. The appearance of green or yellow discharge, cheesy, with impurities of lumps of mucus, indicates an infection that has begun. Usually, infection is also accompanied by a burning sensation and itching in the vaginal area, and in this case, you should not hesitate to contact a specialist. After the examination, the doctor will prescribe the appropriate treatment to avoid the spread of infection and not “start” the disease.

Weight

Weight at the 20th week of pregnancy must be monitored with all responsibility: ideally, until the end of pregnancy, the weight of a woman should not exceed 15-16 kg, otherwise childbirth is much more difficult. Considering that the weight at the 20th week of pregnancy can already increase to 3-6 kg (moreover, just 3 kg is considered the “ideal” increase), the issue of weight should be given maximum attention. From this week, everything possible should be done so that the weekly weight gain is about 500 g, therefore, it will not be superfluous to develop a diet that should be followed throughout the pregnancy.

Nutrition

Recommendations regarding nutrition at the 20th week of pregnancy remain the same: nutrition should be balanced and healthy, food should be as natural and healthy as possible. Considering that in the second trimester (when toxicosis and the associated discomfort remain in the past) the appetite of a pregnant woman is excellent, it is advisable to build a diet in such a way as to extract all the useful and nutrients from the products as much as possible and at the same time not feel hungry.

To do this, it is desirable to eat throughout the day often, but little by little, have a full breakfast and lunch, preferring light food for dinner. On the table of a pregnant woman, meat (low-fat), vegetables and fruits in large quantities, dairy and sour-milk products, cereals must be present without fail.

Experts also advise to listen sensitively to the desire to "eat something like that." For example, the desire for chocolate may be related to the body's need for carbohydrates. But the carbohydrates extracted from chocolate and other sweets are completely unhealthy: these carbohydrates are “empty”, and besides, they raise the level of glucose in the body. Therefore, it is better to "get" the necessary carbohydrates from bran bread, fruits, cereals. Again, cereals will become a source of B vitamins, and buckwheat - also iron, phosphorus can be obtained from fish, vitamin A - from carrots, folic acid - from broccoli.

Food is best cooked by boiling, baking or stewing dishes. It is better to forget about smoking and frying for a while - this is not at all useful, and it provokes heartburn. In addition, the use of salt in cooking should be significantly limited: salt retains water in the body and causes edema, which greatly overshadows the happy time of pregnancy.

Sex

But sex at the 20th week of pregnancy may well replace the pleasure you get from an extra half a bar of chocolate. Intimate life is not at all prohibited, unless, of course, there are any contraindications from the doctor. That's just, practicing sex at the 20th week of pregnancy, you should choose positions that exclude pressure on the mother's stomach and not be too "zealous" with intensity. Yes, and you should pay attention to the sensations during intercourse: any discomfort or feeling that the uterus is “shrinking” should be the reason for the obligatory and as soon as possible consultation with a specialist.

Tests at 20 weeks pregnant

If until the 20th week of pregnancy, a visit to the doctor and mandatory testing were supposed to be done once a month, then, starting from the 20th week, specialist control is needed twice a month. Tests at the 20th week of pregnancy (in addition to ultrasound) may be needed to study blood, urine, to assess the increase in the uterus.

A blood test allows you to monitor the level of sugar in the mother's blood, in time to determine the presence of anemia. Urinalysis will tell about the work of the kidneys, as well as about the likely hidden inflammatory processes. Ultrasound, as already mentioned above, in itself becomes a very informative research method, which can sometimes be supplemented and "enhanced" by a biochemical blood test - the so-called "triple test". Such an analysis is done to assess the level of hCG hormones, estriol and alpha-fetoprotein in the mother's blood: deviations from the established norms indicate a high risk of having a baby with developmental defects or chromosomal abnormalities.

Frozen pregnancy

Although the fading of pregnancy is more often characteristic of the early stages, nevertheless, a frozen pregnancy of 20 weeks also happens quite often. The fetus can stop developing and die for many reasons: here you have endocrine disorders, and the impact of negative factors, and a failure in the production of progesterone.

But if it is possible to diagnose an undeveloped pregnancy in the early stages only with the participation of a doctor, then a frozen pregnancy of 20 weeks can be “felt” by a woman personally. The reason for suspicion may be the cessation of abdominal enlargement, as well as the absence of fetal movements. However, it should be borne in mind that the baby does not have to move all the time: the crumbs also have their own sleep and wakefulness regimen, therefore, the lack of movement for some time may be due to the fact that the baby is just sleeping.

Usually, a frozen pregnancy of 20 weeks is diagnosed without difficulty: with the help of ultrasound, as well as in the absence of a fetal heartbeat. And in this case, doctors will act immediately: the uterus must be freed from the dead fetus, which contributes to the development of infection. After curettage, the woman is assigned an additional examination, which may help to establish the cause that caused the pregnancy to fade. You will also need antibiotic therapy and a fairly long recovery time - after the pregnancy fades, it is not recommended to plan the next pregnancy earlier than in six months or a year.

The second half of pregnancy has begun, every modern mother should be aware of all the events taking place inside her, she should control the entire pregnancy process, know what is happening to her and her unborn baby at a certain point in their lives. This period brings new sensations, the fetus at the 20th week of pregnancy is already beginning to move, move, this can be seen not only on ultrasound, but also felt by itself.

Movement during this period of pregnancy

20 weeks is already half of which has already gone through many changes for both the expectant mother and the developing baby. Already now you can feel the movements of the crumbs, they look like light jolts, some compare them with the “fluttering of butterflies” inside the stomach. Women begin to feel the baby differently: someone at the 16-17th week, and someone at the 21-22nd. This difference is obtained due to the body weight of the woman, the activity of the fetus. Thinner ones begin to feel movements earlier than plump ones. When moving, the baby gives the mother the most wonderful sensations, the mood rises, and the pregnancy itself proceeds unforgettably. Positive emotions are developed because it is only thanks to them that such troubles as oligohydramnios, placenta previa or toxicosis in the 3rd trimester go aside.

20 weeks pregnant, no movement? No need to be upset, because at this time they are observed infrequently or may disappear for a while, and this is considered the norm for the course of pregnancy, such behavior of the baby should not be a cause for concern. However, you need to be vigilant, with a long absence of movement, immediately contact your obstetrician-gynecologist, otherwise everything may end in a miscarriage. At this time, they can produce if specialists detect any pathologies in the development of the fetus. This is done in order to prevent the birth of an unviable baby and eliminate the risks to the life of the mother during pregnancy and subsequent births.

The expectant mother should know that within 30 minutes her baby should make 20-60 movements. The strength, rhythm, pace of movements depend on the time of day: movements are more active at night and in the evening, and the rest period occurs approximately in the morning hours. Boys are considered more active than girls.

10 series (that is, you felt the baby move, and then he began to push, roll over - this is considered one series) per day is considered the norm for the baby to move. The absence of 10 movements per day indicates hypoxia (oxygen deficiency), for its treatment it is necessary to contact specialists. Persistent and strong movements indicate an uncomfortable position for the mother. If the movements of the fetus have become painful, restless, more active than before, this may indicate the initial stage of oxygen deficiency; with progressive hypoxia, the movements are weakened or completely stop.

It must be remembered that the baby can move with loud sounds, when eating, lack of fresh air, and most often at night. The child already hears everything clearly and thus can respond to factors that irritate him.

The size of the fetus, its weight and the formation of the baby

At 20 weeks of pregnancy, the size of the fetus is already about 25 cm, and the weight is a little more than 300 g, the distance from the crown to the coccyx reaches 16 cm. Mom also begins to change significantly, the stomach begins to grow more noticeably, and this is not surprising, because half of the entire pregnancy has already passed. If a pathology is observed, then the height and weight of the child deviate significantly from the norm, the development of the fetus with disorders is noticed, and if the existing pathology cannot be cured by modern medicine, then an artificial birth is recommended to the woman.

At 20 weeks of pregnancy, the size of the fetus begins to noticeably increase every day, the child has already formed internal organs and can already function independently. Marigolds have appeared, you can see an individual pattern on the fingertips. An intensive weight gain and development of the baby is noticed, the size of the child increases every day of his life, the mother must eat right to ensure the correct 20 weeks - this is the period at which the child's skin thickens, but the face is still wrinkled. This can be seen during an ultrasound examination.

Low placentation during this period of gestation

When the placenta (its lower edge) is located 5 cm below the internal os, then we encounter such a phenomenon as low placentation. 20 weeks of pregnancy is the period at which doctors can diagnose a low location of the placenta. However, do not worry, the placenta can migrate up to 34 weeks, you just need to control this process with ultrasound at 16 weeks, 24-26 weeks and 34-36 weeks. The placenta is an organ that forms during pregnancy. It has a protective function, provides the child with oxygen, and also through it the baby receives all the necessary nutrients.

Usually, the placenta during the course of pregnancy within the normal range is attached to the anterior or posterior wall of the uterus, closer to its bottom. If the placenta is attached low, then this is considered a pathology - placenta previa, but low placentation is not a presentation yet, since it is located low, but there is a gap between it and the exit from the uterus.

The causes of a low placenta may be associated with uterine fibroids, multiple pregnancies, underdevelopment of the uterus, the consequences of an abortion, or the transfer of inflammatory diseases. This pathology can cause bleeding. It is impossible to make sudden movements with low placental, physical activity is contraindicated. Low placentality can affect the fetus, so it will receive less oxygen and nutrients.

What other troubles can a woman expect during this period of gestation?

At this time, the expectant mother may be upset by the following diseases:

Preeclampsia (that is, late toxicosis) - can occur at 20-21 weeks of gestation, although it often appears at 36-39 weeks. Toxicosis should be given special attention, it can provoke placental abruption, because of it toxicosis can occur, it is imperative to control and constantly consult with your obstetrician-gynecologist about any changes in well-being.
Placenta previa. Placenta previa can cause a miscarriage. The period of 20 weeks of pregnancy may be accompanied by bleeding and pain due to this pathology. At this stage of pregnancy, an ultrasound will be able to show presentation, but it may go away on its own, and at 24 weeks, an ultrasound can be repeated.
Oligohydramnios can be the cause of delayed mental and physical development. A feeling of oligohydramnios can occur when the fetus moves.

The belly and well-being of the expectant mother

20th week of pregnancy: what happens to a woman's body? She also begins to change rapidly outwardly, now by the end of the 20th week, up to 3 kg, or even 4.5 kg, is added to the mother's weight. The belly is already becoming more and more noticeable, but it is still located just below the navel, the clothes are no longer suitable, and the tummy begins to constrain. During this period of pregnancy, there is a change in posture due to a shift in the center of gravity, there is also a large load on the spine and on the sacro-femoral region. A child at the 20th week of pregnancy is growing rapidly, a woman begins to notice stretch marks on her body. Today you can find a lot of cosmetics against this defect, they will not only help reduce scars, but also completely prevent their appearance.

Already 20 weeks pregnant - no movement? You need to do an ultrasound, it will be calmer, since you can already hear the baby's heartbeat, and you can also determine who you are waiting for - a boy or a girl.

Causes and methods of artificial childbirth

Artificial childbirth - a call to labor at 20, sometimes at 21 weeks, as well as in late pregnancy. 20 weeks pregnant, no movement? This may be the reason for artificial childbirth. The reason for their conduct can also be premature discharge of water, the development of the fetus with pathologies, and a threat to life for the mother. They can be caused by piercing the amniotic membranes, the introduction of prostaglandins.

Ultrasound during pregnancy

20 weeks pregnant, what happens on ultrasound? Today, this study can tell a lot about oligohydramnios, the causes of toxicosis, placenta previa, its location and condition, as well as such a deviation from the norm as low placentation. 20 weeks of pregnancy is such a period at which it is already possible to establish the sex of the child, as well as its weight, size and location.

Today, thanks to the examination, they look at the correspondence of the size of the child to the gestational age, pay attention to the development of internal organs, such as the stomach, kidneys, intestines, liver, lungs, urinary and gallbladder. Particular attention is paid since it is possible to see such a pathology as heart disease at this time, this deviation is considered the most common.

Sex

If the pregnancy proceeds without complications, then sex is not contraindicated. It is necessary to avoid positions that put pressure on the stomach, so there should not be any discomfort, everything should pass without any pain, without discharge, otherwise you need to stop sexual intercourse and contact your obstetrician-gynecologist.

Frozen pregnancy

The 20th week of pregnancy has already come, there are no movements for a long time, the stomach has stopped growing - all this may indicate the fading of the fetus. It is more often observed before the 20th week, but after that it can also be diagnosed. Ultrasound can confirm fading in the absence of a heartbeat, if this fact is confirmed, it is necessary to remove the fetus to prevent the development of infection. Next, doctors conduct a medical examination to find out the cause of the pregnancy fading. After a year and a half, you can plan a second pregnancy.

Necessary tests at 20 weeks of gestation

After 20 weeks, you need to visit a doctor already 2 times a month. For the course of pregnancy within the normal range, a study of urine, blood and a planned ultrasound is necessary. Urinalysis is necessary to detect inflammatory diseases, blood - to control hemoglobin and sugar levels, ultrasound will more accurately show fetal disorders at a certain stage of development. If necessary, a biochemical blood test is performed, which evaluates the level of alpha-fetoprotein, hCG hormones, in order to timely determine deviations in the development of the child.

20 weeks pregnant discharge

20th week of pregnancy... The sensations of the baby moving cause the most favorable emotions, but there are also less pleasant moments, because it is during this period of pregnancy that the discharge becomes more abundant than before, this is due to an increase in the estrogen hormone. They have a milky or grayish hue, without an unpleasant odor, uniform in consistency. If so, then there is no need to worry. Allocations can be reduced if you use a decoction of chamomile with boiled water for washing.

However, if there is a green or yellow discharge, with an unpleasant odor, frothy, curdled, then you should immediately consult your doctor. The appearance of bloody, brown spots, as well as any discharge that is accompanied by pain in the lower abdomen, are the reason for calling an ambulance. Such symptoms can be triggered by placenta previa or placental abruption. In cases where the discharge is bloody, but not accompanied by pain, and may appear after intercourse, we can talk about the presence of cervical erosion. Also, various infections can be suspected when itching is felt in the vaginal area. In any case, you do not need to self-medicate, but immediately consult a doctor who will prescribe the appropriate treatment, and the pregnancy will proceed without complications.

Twenty weeks is a period that is considered a “turning point” for a woman, because from that moment the second half of pregnancy begins. This period is associated with global changes that occur in the body of the mother and baby.

The fetal heartbeat is now auscultated with a conventional obstetric stethoscope. A noticeably rounded belly already clearly indicates an interesting position for a woman. At 20 weeks, pregnant women should especially carefully monitor their health, since various complications are possible during this period.

20 weeks pregnant - what happens to the baby?

The length of the fetus at the 20th week is approximately 25-30 cm, weight ranges from 250-450 g. During this period, the fetal heartbeat is heard with an obstetric stethoscope through the abdominal wall (previously it could only be determined by ultrasound).

The heart rate (HR) in the fetus significantly exceeds the heart rate of an adult and is 120-140 beats per minute.

From the 20th to the 28th week, the red bone marrow begins to take over the function of hematopoiesis (previously, hematopoiesis was hepatic). The hemoglobin (Hb) of the child is predominantly fetal (HbF), closer to oxygen than the adult hemoglobin produced in the late fetal period.

A twenty-week-old fetus can independently produce all major classes of immunoglobulins (Ig). Lymphoid tissue is formed in the spleen exactly at the twentieth week, the most active leukopoiesis (formation of leukocytes) in this organ occurs at the fifth month of intrauterine life.

The baby actively sucks his finger, sometimes hiccups occur. The fetus has a downy hairline, eyelashes and eyebrows. From fluff hairs and cells of the epidermis, a cheese-like (generic) lubricant is formed - a creamy white substance that performs the protective function of the skin.

Lubrication is usually retained until the baby is born. At the end of the fifth - the beginning of the sixth month, subcutaneous fat is actively developing.

The skin of the fetus is red, during this period the sebaceous glands begin to work. It is they who produce the secret, which takes part in the formation of the original lubricant. In the gastrointestinal tract, meconium is formed - the original feces.

At 20 weeks, the fetus has well-formed eyes, and the blink reflex gradually develops. Facial movements are quite pronounced: the child closes his eyes, frowns his brows and even smiles.

From the 20th week, the primigravida begins to feel the movements of the baby. In subsequent pregnancies, fetal movements are felt from 18 weeks.

Movement activity changes throughout the day. Under the influence of irritating factors (loud sound, stuffiness, etc.), the fetus moves very actively.

Changes in the body of the expectant mother

Twenty weeks is the middle of pregnancy. The abdomen protrudes noticeably forward. Stretch marks (stretch marks) begin to appear on the skin, so it's time to purchase a special skin care cream.

Many pregnant women may experience difficulty breathing and heartburn due to compression of the internal organs by the enlarged uterus and pushing the diaphragm up.

After a while, when the fetus descends deeper into the pelvic cavity, the discomfort disappears. In primigravidas, this happens 2-3 weeks before childbirth, in multi-pregnant women - before labor itself.

A woman may notice more vaginal discharge than before. This phenomenon is associated with increased blood flow to the genitals and is quite natural. If there is a lot of discharge, you should use sanitary pads. Linen should be only natural (cotton).

Attention should be paid to the nature of the discharge. Normally, they are white or yellowish in color. If the discharge becomes bright yellow, green, has an unpleasant odor, you should consult a gynecologist. Abnormal discharge along with itching or burning may indicate an infection.

If itching and burning appear during urination, cystitis may occur. All of these conditions require immediate medical attention.

Analyzes and examinations, photo of the baby

The complex of necessary examinations includes:

measuring the size of the abdomen and pelvis;
weight measurement;
measurement of blood pressure (blood pressure);
KLA (general urinalysis).

Additionally, a blood test may be required.

In accordance with Order No. 457-MZ of the Russian Federation, the complex of prenatal diagnostics without fail includes a triple screening ultrasound examination of pregnant women. At 20-24 weeks, it is carried out to detect malformations and markers of chromosomal pathologies.

During the screening ultrasound at the 20th week, it is possible to determine the sex of the baby. Also, the expectant mother can get a photo of the child if there is an appropriate opportunity for an ultrasound machine.

In the period from 16 to 20 weeks of pregnancy, according to the result of a study of the mother's blood type for hCG (chorionic gonadotropin) and AFP (alpha-fetoprotein) (the so-called duplex test), a risk group for the birth of children with chromosomal diseases is formed among pregnant women.

Possible dangers at 19 and 20 weeks of gestation

The period from 18 to 22 weeks is the third critical period of pregnancy. At this time, the most important processes take place, in which the activity of the child's brain, the hematopoietic system is formed, the most important hormones are produced, and reflexes develop.

The end of the twentieth week is the beginning of the second half of pregnancy. During this period, the most important systems of the body (nervous, cardiovascular, hematopoietic) mature. At this time, the fetus is less sensitive to damaging factors.

Injurious agents are activated upon penetration through the placental barrier, some of which may alter the normal permeability of the placenta. The placenta is a powerful protective barrier that protects the fetus from toxins and other harmful substances.

However, the placenta is vulnerable to most drugs (vitamins, hormones, narcotic analgesics, antibacterials, anti-inflammatory drugs, etc.). Thus, drugs taken by a pregnant woman enter the fetus through the placenta.

The amount of toxins received by the fetus depends on the permeability of the placenta, blood flow, characteristics of the damaging agent, existing pregnancy complications.

When complications occur, the barrier function decreases, and substances begin to flow through the placenta, which under normal circumstances would not pass.

One of the most dangerous complications that can occur starting from the twentieth week of pregnancy is preeclampsia. The prerequisites for it and the initial signs may appear as early as sixteen weeks. However, preeclampsia is considered to be a pathology of the second half of pregnancy.

Previously, this condition was referred to as late toxicosis. Its cause, in fact, is pregnancy itself, that is, it does not occur in non-pregnant women. Preeclampsia disappears with the termination of pregnancy (delivery or miscarriage).

The essence of gestosis can be characterized by the phrase "toxic-allergic reaction of the body to pregnancy." The etiology (cause) of gestosis is still not fully understood, there are only a number of theories. It was only possible to establish one thing: preeclampsia is caused by pregnancy.

Preeclampsia can take several forms: dropsy of pregnant women (appearance of edema on the limbs and anterior abdominal wall), nephropathy (a set of symptoms such as increased blood pressure, edema and proteinuria (protein in the urine)), preeclampsia (attachment to nephropathy symptoms of CNS damage (headache , "flies" before the eyes, pain in the chest) and eclampsia (convulsive seizure, followed by loss of consciousness and coma).

With gestosis in a woman's body, global changes occur: most organs cease to function normally.

The permeability of blood vessels changes, the kidneys stop filtering salts and water properly and pass protein into the urine, the heart compensates for vascular resistance, resulting in an increase in blood pressure.

During this period of pregnancy, special attention should be paid to edema. Often they signal an incipient nephropathy. Many women are not worried about anything, except for swelling of the limbs, but blood pressure suddenly rises sharply, a brain hemorrhage occurs, which can end extremely badly for the woman and the fetus.

Preeclampsia during pregnancy (especially long-term current, accompanied by an increase in blood pressure, even during treatment) is a dangerous condition that is very difficult to manage.

Special scales have been developed to determine the severity of preeclampsia and predict possible complications, however, this pathology of pregnant women often does not fit into standard algorithms.

That is why, even if a woman feels great, but the doctor insists on hospitalization, it is necessary to strictly follow his instructions. Preeclampsia can lead to premature termination of pregnancy, serious fetal developmental disorders and even death.

Premature abruption of the placenta may occur, as a result of which bleeding will develop, and the fetus may die. If a seizure occurs, the woman after it loses consciousness and may fall into a coma.

Thus, with the appearance of any (hidden or visible) edema, it is necessary to consult a doctor as soon as possible.

If the results of the examination indicate protein in the urine or increased blood pressure, the woman is urgently sent to the hospital in the department of pathology of pregnant women.

In most cases, therapy has a positive effect, but in the absence of a proper result, early delivery is possible (this issue is decided strictly individually and only on the basis of objective signs of a threat to the health of the mother and child).

With dropsy, it is sometimes allowed to stay at home if it is possible to provide conditions for outpatient treatment.

Starting from the second half of pregnancy, the daily protein content in the diet should be 120 g, carbohydrates are limited to 300 g, fats - up to 80 g, salt - up to 4-5 g;
It is important to carefully monitor the amount of fluid you drink (up to a liter per day). Once a week, you can arrange unloading (on apples, kefir, low-fat cottage cheese);
The duration of sleep should be at least 10 hours, daily walks in the fresh air should be increased.

Women with the threat of preeclampsia should keep records of the fluid taken and excreted per day (daily diuresis), monitor changes in body weight. If the amount of liquid drunk is large, and no more than 300 g is added per week, then the measures taken are effective.

A complete diet (mainly healthy natural food);
It is acceptable to consume up to 2 liters of fluid per day;
Walks in the open air;
The use of special creams for the skin of the chest and abdomen (to avoid stretch marks), the choice of a bandage;
Sex - allowed (exclusion of positions that put pressure on the stomach);
Attending psychological trainings for pregnant women.

It is important to remember that untimely access to a specialist in the event of edema and non-compliance with his recommendations can lead to extremely negative consequences for the health of the mother and fetus.

And some more useful information about the 20th week of pregnancy - in the next video.

From the 20th week, half of the gestational age has passed. Usually the birth of a child occurs at the 40th week, so it will take about the same time to bear the fetus.

The twentieth obstetric week is determined from the first day of menstruation preceding pregnancy, which corresponds to the 18th week from the moment of conception. At this time, there is a cessation of toxicosis associated with a change in hormonal levels. A woman is no longer tormented by pulling pains in the lower abdomen, due to the intensive growth of the fetus. Weight is gained steadily, provided that the correct diet is formed. The main feature of the 20th week is the first manifestation of fetal movements felt by the mother and visible during ultrasound examination.

At the 20th week, the volume of the uterus increases significantly, the stomach grows, and with them the pressure on the internal organs of the mother increases. The waist line practically disappears. Due to the fact that the center of gravity shifts, the gait of the pregnant woman changes significantly. Lower back pain may be disturbed, the cause of which is the expansion of the pelvic bones and a change in the structure of the cross-femoral ligaments.

The production of hormones increases, under the influence of which discharge from the vagina may appear. Their influence positively affects the condition of nails and hair.

There are some difficulties with breathing due to pressure on the diaphragm. With a lack of air, it is recommended to master the technique of shallow breathing.

Pressure on the intestines manifests itself in the form of constipation, heartburn and bloating. Urination becomes difficult. With prolonged walking, cramps occur in the calf joints, which, however, can be the cause of a lack of calcium in the body.

Some women at this time have an increase in pigmentation on the skin, bleeding gums. Treatment can be carried out with the help of rinses using natural formulations of sage, chamomile or oak bark. Often there is a deterioration in vision.

You should not worry about these reasons: after the birth of a child, all these phenomena disappear without the use of medicines.

During this period, many women feel the movement of the fetus. From the nipples, a white liquid begins to stand out - colostrum, which provides nutrition for the baby from the first days of his life.

The weight of the pregnant woman increases by this time by an average of 3-5 kilograms.

Particular attention should be paid to edema characteristic of this period. It will not be possible to completely avoid them, but in the presence of alarming symptoms, a visit to the doctor should not be postponed.

Normal at this time is the presence of secretions of a light, creamy color with a liquid consistency and a sour smell. Beli can be quite plentiful due to the increased work of the hormone estrogen.

Pink, brownish or bloody discharge are reasons for an urgent visit to the doctor, especially if such signs are accompanied by pain in the lower abdomen. In the presence of foamy, curdled, yellow or purulent discharge, you should immediately go to the hospital or call an ambulance.

Midterm baby development

By the middle of pregnancy, all organs and systems of the child are fully formed. He distinguishes sounds and can turn his head. His body is covered with thin skin, under which fat begins to accumulate. The fetus can already turn upside down on its own and will do it more than once.
By the 20th week of pregnancy, the baby begins to produce hormones, the thyroid gland begins to work. This affects the formation of receptors in the brain. The pancreas begins to produce insulin, which is necessary for the fruitful growth of the fetus. The number of nephrons in the kidneys increases.
The weight of the baby is about 260 g, height - 140-160 mm. There is a fetal heartbeat with a frequency of 120-160 beats / min. The size of the fetus is about 25 cm. Soft marigolds are already growing on the fingers, and the original pattern is discernible on the pads. The weight of the baby increases daily, which indicates its successful development in the womb.
Be sure to conduct an ultrasound examination of the fetus at the 20th week. At this time, it is possible to determine the sex of the baby.
The child's sense organs begin to respond to light through the formation of photoreceptors. A blink reflex appears, which can be seen during an ultrasound. Mimicry appears on the child's face: he smiles, lowers the corners of his mouth, closes his eyes or frowns.
On a 3D or 4D ultrasound, you can examine the back, head, facial features of the child, count the fingers and toes. Organs are studied in detail on the 20th week. The stomach, bladder and lungs are visible. The location of the heart valves, heart chambers and the functionality of the blood system are determined. The intestines begin to produce meconium - the original feces. If abnormalities are found, the woman is sent for an additional study to rule out heart disease.
Necessarily at the 20th week of pregnancy, the frequency of contractions of the muscles of the uterus is recorded during ultrasound. The place of attachment of the placenta, the volume of amniotic fluid is checked.
The reasons for additional research and drug treatment may be signs of cystitis, pyelonephritis, presentation or low location of the placenta.
The body of a woman in the middle of pregnancy is already beginning to prepare for childbirth. Braxton Hicks contractions, called training contractions, often occur. They usually pass unnoticed, and any woman who has given birth can distinguish them from labor pains. They appear as a short-term tension in the lumbar region and lower abdomen lasting 30-60 seconds.

Recommendations for changing the diet of a pregnant woman

During this period, there is a strong increase in appetite, and therefore the menu should be adjusted, otherwise you can gain significant weight.

The main emphasis when choosing a diet in the 20th week of pregnancy should be on the quality of the products, and not their quantity. It is important to avoid foods that are high in calories, fat, and sugar.

To reduce swelling, you should reduce the consumption of salt and spices when eating. Be sure to consume foods with a high content of calcium, iron-containing drugs.

The presence in the menu of lean meat, vegetables and fruits, milk porridges is obligatory.

Do not ignore the desire of a pregnant woman to eat any product. So, for example, chocolate increases the level of carbohydrates. However, it is better to replace sweets that increase glucose levels with natural products: bran bread, cereals or fruits.

B vitamins can be obtained by eating buckwheat, A - from carrot juice, phosphorus - from fish products, folic acid - from broccoli. Food should be baked or stewed, not fried in oil. You should forget about smoking, because such dishes will cause heartburn and water retention in the body, and, as a result, swelling due to the high salt content.

On the 20th week, a general urinalysis is provided. Blood tests, suspicious vaginal discharge and other examinations are carried out according to medical indications. If from the 16th to the 19th week the “Triple test” was not made - a biochemical blood test, then it should be taken immediately. The results will show the level of hCG - the hormone of pregnancy, the presence of alpha-fetoprotein elements in the blood, indicating the full development of the child or the presence of chromosomal abnormalities.
At this time, the threat of preeclampsia is checked. The symptoms can be high blood pressure, protein in the urine, swelling of the extremities, a sharp weight gain of 0.5 kg.
Signs of varicose veins create a particular problem. To eliminate the expansion of blood vessels and the appearance of "blood stars", it is recommended to wear special underwear.
With severe back pain, you need to purchase a bandage. For office workers, avoid wearing high heels and wedges to reduce pressure on the spine. In addition, taking a high position changes the tilt of the uterus, which can adversely affect the well-being of the child.
A pregnant woman needs to control fluid intake. Calculate the approximate volume of water consumed and output. On average, you need to consume 1.5-2 liters of water per day, that is, approximately 30 ml per 1 kg of a woman's weight. It is important to prevent water deficiency in the body, as the body will retain the leftovers in case of its absence. Note that at this time, the receptors responsible for the urge to go to the toilet are blocked. For this reason, a pregnant woman must monitor urination so that excess water in the body does not linger.
Recommendations for a woman's lifestyle are the same as in the 18th and 19th weeks. Avoid long walks. However, long sitting, for example, at the desktop should also be abandoned. Every hour you should do a little warm-up, walk for at least 5-10 minutes.
If you find white discharge from the breast - colostrum, do not put pressure on the nipples, as this can cause premature contraction of the uterus. It is better to put napkins or special pads in the bra to eliminate the leakage of liquid.
The twentieth week is the time to take care of the beauty of the mother from stretch marks. To do this, you need to purchase a special cream for pregnant women. You can also rub natural oils into the skin of the abdomen: olive, jojoba, aloe vera. The main thing is that the skin is hydrated. It is forbidden to use medicines containing hormones.
To avoid the appearance of age spots, during this period, you should limit exposure to the sun. When going outside during the daytime in the summer, you should apply a cream that protects against ultraviolet rays. It is not recommended to visit hot countries, such as Egypt, Thailand, due to a sharp change in climate, which can provoke a change in hormonal levels.
A significant increase in weight, more than 5 kg, should be reported to the doctor. Extra pounds will put pressure on the internal organs of the mother and child, which can affect their health.
Sexual life during this time is allowed, unless the doctor has prescribed otherwise. It is worth choosing positions that are comfortable for the mother, with the exception of pressure on the abdomen. Feelings of contraction of the uterus during intercourse should be reported to the doctor, as this may be a sign of increased uterine tone, which can lead to premature contractions.
Fetal movement should be noted every 10-15 minutes. However, do not panic if the baby does not move - he is probably just sleeping.
A visit to the doctor from the 20th week should be carried out twice, and not once a month, as before.
Some women at this period are already beginning to purchase clothes, since there is a high probability of determining the sex of the child. Although many consider this a bad omen, those who give birth not for the first time know that in the last periods of time and physical opportunities for shopping are becoming less and less. So mid-term is a good time to buy rompers, undershirts, bonnets, socks, diapers and other things depending on the season when the baby is born.
In order to mentally prepare for childbirth, the expectant mother can attend special courses organized at the maternity ward or at private clinics. Doctors will explain in detail how to behave during contractions, what you need to take with you to the hospital, how to breathe properly.
A pregnant woman in the 20th week needs to master a new "science" - the correct lifting from the bed. You need to get up smoothly, first throwing your legs, and not completely turning your body. You also need to pay attention to the quality of the mattress for sleeping: it must necessarily be solid from high-quality hypoallergenic materials. The room should be well ventilated, air circulation should be ensured so that the sleep of the baby and mother is strong and healthy. After the woman woke up, you can lie down for 10-15 minutes so that the whole body comes into tone, and only then get up.
And one more important point, you should not hold your hand at the top for a long time. If you need to take some item from the top shelf, it is better to ask your husband or loved ones about it.
An important psychological moment is the appearance of the first outlines of the child on ultrasound for the future father. Often men begin at this moment to believe that a woman no longer needs them, and all her thoughts will soon revolve only around the baby. Surprisingly, it is now that a man begins to feel unnecessary and lonely. He increasingly strives for friends, trying to justify his importance. At this moment, the woman needs to calmly explain to her husband that their relationship remains the same, and now another person will appear in them who will bring love and a new understanding of the family into the house.

Features of bearing twins

The heart of a pregnant twin works twice as hard as more blood needs to be pumped. A woman, accordingly, gets tired more, and the load on the kidneys increases already by 14-15 weeks.