A. What would be best is not worry about this situation. It is clear that you do not have diabetes, if that’s what your test showed. There is nothing surprising about big parents having big babies. Be aware that estimates of fetal weight are notoriously undependable. I have not seen many 6′ tall women who have had trouble delivering their babies.
A. I am so glad you asked this question, as there is so much misinformation out there about what women at term should be doing to help bring on labor. To begin with, there has long been the false belief that labor is brought on by walking around a lot. While women have tended to buy this because of all the pelvic discomfort that this activity produces, it is completely false. What women should actually do is spend as much time as possible at rest and taking in good amounts of liquids, as this is what will result in increased blood flow to the uterus which brings with it oxygen and nutrients needed to make the uterus contract. If you doubt this, pay attention to what happens when you first get off your feet; you will most likely feel an increase in the contractions we call Braxton-Hicks. That said, there is great benefit to ambulating once labor is established as gravity will help bring the baby down against the cervix and open it up rapidly. However, ambulating does not help to initiate labor and most likely actually tends to inhibit it. There is another approach, albeit a bit controversial and certainly not scientifically tested, which I mention only because I have seen it work many times in my practice. Sexual intercourse results, as we all know, in the deposition of semen onto the cervix. This material is absolutely loaded with a hormone called Prostaglandin, which is know to both soften the cervix and stimulate uterine contractions. Naturally, this particular approach will need to be employed only if comfort permits, which is not always the case. It must also be avoided if there are certain risk factors such as ruptured membranes or placental bleeding problems.
A. Premature birth (prior to 37 weeks) is quite likely here, especially as you are already under treatment to prevent labor. The good news is that with premature newborn care as effective as it is nowadays, healthy survival is the rule and not the exception at your current gestation.
A. At this gestation, stomach acids have a tendency to back up into the esophagus, causing acid indigestion. Antacids will help a bit, but don’t expect this to clear completely until after the birth.
A. It’s not likely to be a plugged duct as that is caused by milk which solidifies in the duct, and significant milk flow does not usually start until after the birth occurs. More likely, there is the beginning of milk production without flow which is causing pain. Ice packs to the area for a few minutes at a time should keep this under control for now.
A. Most of the time, sharp back pains in late pregnancy are caused by pressure upon and stretching of nerves coming from the lumbar area as a result of the dramatic changes in posture that are occurring. Generally, reduced activity will cause this to resolve, but if that doesn’t happen, bring it to your doctor’s attention.
A. Yes, it could, but this would not be a dangerous thing at this point in the pregnancy. If the fall created bruising of the uterine muscle, this could result in enough irritability to trigger labor. Most likely, what will happen is that the injury would not be enough to cause labor and the cramping will gradually diminish over the next few days.
A. Kidney infections at any stage of pregnancy are dangerous and usually do require hospitalization. It would not be advisable to undergo a C-section until the infection is cleared, unless there is no other alternative.
A. This is a sign of hormonal change which is a common event in the third trimester. These changes cause fluctuations in blood flow to the skin, which causes these symptoms. It is not dangerous and does not need attention.
A. This is not likely to be of any great importance, but should still be communicated to your doctor if it has not resolved in the next two or three days. Bleeding in pregnancy is never considered normal, but, at a very low level as you describe, usually resolves itself.
A. There is no possible way for an exam of the cervix be used to predict when someone will deliver, so unless there is some additional information regarding your situation, you may disregard that prediction.
A. This is normal. In late pregnancy, the uterus will contract whenever there is some sort of postural change. This includes even the slight positional change which occurs when the bladder empties. It does fall within the definition of Braxton-Hicks contractions, so it has nothing to do with actual labor.
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