Week by Week

What pregnant women need to know in week 28 of pregnancy?

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msBahasa Malaysia

Baby Development

How is my baby growing?

Your baby now is about the size of a large eggplant, weighs about 1kg and the length is 38cm from head to heel.

At your next prenatal appointment, doctor may tell you about your baby’s posture in the womb. Babies who are in the breech position may need to be delivered by cesarean section. Your baby still has 2 months to change position, so don’t worry if he or she is in the breech position right now. Most babies will switch positions on their own.

The folds and grooves of your baby’s brain continue to develop and expand. In addition, your baby continues to add layers of fat and has continued hair growth.

Body & Life Changes

How is my body changing?

Your doctor probably sent you for some blood tests early in your pregnancy. Blood test will measure Rh factor, which is a substance found in the red blood cells of most people. If you have Rh negative but your baby has Rh positive, he or she is likely to have health problems such as jaundice and anemia. Your doctor can prevent these problems by giving you a vaccine. It called Rh immune globulin at 28 weeks and again after delivery.

What should I be concerned about?

Your belly is not the only organ which gets bigger in pregnancy. Your ankle and feet will also get swollen, especially at the end of the day. These swellings are not harmful, but you will feel uncomfortale when wearing shoes and watch. Your ring may also get tighter and it is hard to take it off your finger. Don’t worry because slight swelling of ankles, feet and hands is normal. It relates to the increase of necessary fluid in pregnancy. In fact, 75% of women gets swollen at some time during pregnancy, usually around week 28. Swelling usualy gets worse when the weather is warm or after you spend too much time on sitting or standing. In fact, it may go down after you lay down for a night or a few hours.

You can apply these methods to decrease the swelling. They include:

  • Rest your legs and butts;
  • Put your legs up while sitting;
  • Take regular breaks by lying on your side;
  • Wear comfortable clothes;
  • Exercise regularly;
  • Decrease the water level. It sounds counterintuitive but it is true: the more water you drink the less you can retain;
  • Try support stockings to reduce swelling.

Doctor Visits

What should I tell my doctor?

If your swelling gets worse, you have to go to your doctor right away. Over-swelling might be the signal of preeclampsia when it coupled with other symptoms. They may include weight gain, high blood pressure and protein in urine. If your blood pressure and urine are normal (tested in antenatal care), you do not need to worry about this. If it coupled with other symptoms mentioned above, please call your doctor.

What tests should I know about?

There are routine test your doctor may need. These may include:

  • Weigh and blood pressure test;
  • Urine screen to check the levels of sugar and protein;
  • Fetal heart rate test;
  • Check the size of uterus by touching the outside to see how it related to the delivery;
  • The height of the fundus (the top of the uterus);
  • Legs varicose, hands and feet swelling;
  • Glucose screening;
  • Blood test for anemia;
  • Inoculations against diphtheria;
  • Pre-existing symptoms, especially abnormal symptoms.
  • List of questions you want to ask your doctor.

Health & Safety

What should I know about being healthy and safe while pregnant?

Having Botox

Pregnancy may cause you have wrinkles, stretch marks that make you feel uncomfortable so you may seek for botox to safe you skin. However, you are likely to concerned  whether botox does any harm to your baby or not. Botox use by pregnant women has not been studied. If you’ve used Botox and just found out you are pregnant, it’s unlikely there’s any risk to your baby. Studies have shown that when Botox is injected into facial muscles, the small amount used is not expected to circulate throughout your body. Therefore it wouldn’t get to your baby. Due to the lack of data, we recommend waiting until after you deliver your baby to receive the treatment.

Wearing high heels

Wearing high heels (even wide-based ones) is generally not a good idea during pregnancy. You may walk differently and less steadily because of weight increasing. It makes your body shape and center of gravity change. In addition, your ligaments tend to be looser during your pregnancy and it can lead to general instability and muscle strain.

 A fall during pregnancy could hurt you and your baby, so think twice before wearing high heels. If you do decide to wear heels, consider wearing lower ones during your pregnancy progresses than normal. Besides, remember to consider comfort and safety over fashion.

How will your baby’s growing in next week?

Hello Health Group does not provide advice, diagnosis and medical treatments.

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