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You're Almost There: The Third Trimester

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Elaine Zwelling
By Elaine Zwelling R.N., Ph.D., L.C.C.E., F.A.C.C.E.
Elaine Zwelling, R.N., Ph.D., has been involved in maternal-newborn health care for 40 years. She has a bachelor's degree in nursing from Capital University and a master's degree in nursing and a Ph.D. in Family Relations and Human Development from Ohio State University. Dr. Zwelling brings to the Pampers Parenting Network her experience of helping expectant parents enjoy their pregnancy, plan and create a positive birth experience, and learn about parenting their newborn baby. She is certified by Lamaze International as a childbirth educator, is a Fellow in the American College of Childbirth Educators, and has taught childbirth classes for 25 years. Dr. Zwelling was the director and faculty for the Lamaze International Childbirth Educator Certification Program of Florida; in that role she prepared many nurses to become childbirth educators.

Dr. Zwelling was a Professor of Maternal-Newborn Nursing for 23 years at both Capital University and Ohio State University in Columbus, Ohio. At these institutions she taught undergraduate and graduate students and conducted research. For eight years she was a Senior Consultant with Phillips &; Fenwick, a women's health consulting firm in Santa Cruz, California, specializing in helping hospitals implement family-centered maternity care. Currently Dr. Zwelling is a Perinatal Nurse Consultant with the Hill-Rom Company. In this position, she provides comprehensive support and consultation to hospital maternity units to create quality care environments equipped with the appropriate equipment for labor and birth and provides clinical education for nursing staff.

Dr. Zwelling is the co-author of a maternal-newborn nursing textbook, Maternal-Newborn Nursing: Theory and Practice, and has published many professional journal articles related to maternal-newborn health care, family-centered maternity care, and childbirth education. Dr. Zwelling is a recognized speaker at professional conferences and teaches continuing education seminars for childbirth educators and perinatal nurses throughout the country.

Dr. Zwelling resides in Sarasota, Florida, and has a grown son, lovely daughter-in-law, and two grandchildren.

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Now that you have successfully navigated two-thirds of your pregnancy, what can you expect in the last three months? The third trimester of pregnancy, from weeks 28 to 40, is a remarkable period of growth and development for your baby. This is when your baby begins to develop fat under her skin, so that she starts to look like the baby you expect to see at birth.

  Portrait in Miniature

  The Comfort Zone

  Easy Does It

  Looking Ahead



Portrait in Miniature


By the end of week 32, your little one is likely to weigh about 4 pounds and be about 11 inches long. He will continue to gain weight rapidly so that by the time he's born he'll weigh about 7 to 8 pounds. He'll begin to develop a sleep-wake cycle, and you may start to be aware of when he's awake and moving and when he's asleep and quiet. You may also notice periods of rhythmic movement that probably mean he has the hiccups.

Your baby now begins to suck his thumb or make sucking movements with his mouth, so that he'll already have learned how to nurse by the time he's born. His eyelids are no longer fused, which means he can open and close them regularly. He develops his ability to see and hear, and you'll notice that he becomes responsive to stimuli in your environment, such as noises, music, or light. Even though he's still inside you, he begins to respond like a "real" baby!

The Comfort Zone


But what about you? You'll probably discover both positives and negatives about the final months of pregnancy. The negatives are the physical discomforts you'll notice, most of them due to the increasing size and weight of your baby. You may find yourself feeling short of breath as your baby begins to press up against your diaphragm and lungs, so that climbing a flight of stairs or taking a brisk walk around the block is no longer an easy task. Backache and fatigue may slow you down because of the increased weight you're carrying around.

Easy Does It


Take this chance to slow down and make fewer demands on yourself. Ask friends or family members to help you whenever possible. It may be hard to find a comfortable sleeping position at night, and you may find yourself making frequent bathroom runs as the baby presses on your bladder. Cutting down on fluids before you go to bed will help. And many women notice swelling (also called edema) in their ankles and feet because of extra fluids in their body. Elevating your legs whenever you can will help relieve this swelling. Emotionally, you may find that you're getting downright impatient with this pregnancy. You want your baby in your arms, not in your uterus any longer!

 

 

Here are some more tips for making your third trimester comfortable and fulfilling:

 
    • If weather permits, take a leisurely walk outdoors a few times a week. The fresh air will invigorate you, get your blood circulating, and decrease some of the aches and stiffness you may be feeling.
    • Attend a childbirth class to learn comfort measures and stretching exercises. Use the relaxation exercises taught there, along with some visual imagery and music, to help you relax and focus on the excitement ahead.
    • Sleep on your side at night for comfort. Use pillows to support your upper leg and your back. Get at least seven hours of sleep each night and nap during the day so you approach childbirth as rested as possible.
    • Read . . . read . . . read. Information about labor, birth, and baby care will help to decrease your anxieties and prepare you for the events ahead.
    • Keep your weekly prenatal appointment so that your health care provider can follow your progress and your baby's as you approach birth. Knowing that all is well will enable you to relax and enjoy the last few weeks of being pregnant.
 

 

Looking Ahead


So what can possibly be the positive side of your third trimester? Mainly, it's the increasing anticipation and excitement. Knowing that your baby is growing and healthy, feeling her move and kick ever more vigorously, preparing for her birth, choosing a name, buying baby clothes and getting all the things ready to care for her in your home, and realizing that in just a number of weeks she'll be here all make this time special. And, of course, it helps to know that all the physical discomfort you're feeling now is only temporary and will disappear as soon as your baby arrives! It is an incredible time, so try to relax and enjoy it. You're almost there!

 

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2
Member comments
Eat, sleep, ENJOY!
I agree...great reminders of this special time. My daughter was born at 26weeks/5days (1lb, 7oz, ou..

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