The pregnancy week by week it is moving through the middle of its development. From the week 24 of pregnancy, the future mother will notice important changes in her body. The baby's training is nearing completion. Sciatica, diabetes and anemia in pregnancy are the three key points to address in terms of health in the 24th week of pregnancy.
With regular health checks and proper nutrition, you will be able to feel good until the end of your pregnancy and enjoy the growth of the baby inside you that has just completed 24 weeks pregnant.
In week 24 of pregnancy, it will be evaluated if you have anemia. Anemia in pregnancy is measured by analyzing the levels of iron in the blood and it is normal for iron levels to decrease after the 24th week of pregnancy because the iron demands of your child are increasing. Iron helps in the formation of blood, it is necessary for the formation of red blood cells and when it is not obtained through food it uses the reserves of your body. Consequently, the lack of iron will leave you on the ground, you will find yourself more tired, pale and even dizzy.
In blood tests, anemia is measured by measuring the percentage of hematocrit or red blood cells in the blood; and by the amount of hemoglobin, which is the protein in red blood cells responsible for transporting oxygen. When the hematocrit is below 37 and the hemoglobin is below 12 there is anemia. These results are complemented by an iron metabolism, the test will be more accurate. Iron metabolism will give us the levels of ferritin and iron. Routine or regular blood tests that you will take over three trimesters will keep your anemia under control.
In the week 24 of pregnancy, the baby measures 29-30 centimeters and weighs between 630-680 grams approximately. Her contour is increasingly rounded and she still has enough space in the uterus to move easily and change posture several times a day. You are likely to perceive their movements with greater intensity. Little by little, the progressive increase in size will prevent you from moving so easily. Your baby is surrounded by about 500 ml of amniotic fluid.
Starting at 24 weeks of pregnancy, if a preterm birth occurs, you have a chance of surviving with intensive care. The inner ear continues to develop and is now able to control balance. Regarding its development, in the 24th week of gestation, the development of the lungs and growth of the subcutaneous tissue in the skin stand out, which gives rise to the formation of definitive fingerprints. The sense organs are almost mature.
The control of iron levels and blood glucose will mark your health checks in week 24 of pregnancy. The blood test assesses the degree of anemia (through hemoglobin and hematocrit) and the number of red blood cells, the number of white blood cells and platelets. When the white blood cells are very high it can indicate that there is or has been an infection and if the platelets are very low there is an increased risk of bleeding during delivery and postpartum.
The glucose test, also known as the O'Sullivan test, is used to detect pregnant women at higher risk of developing diabetes during pregnancy. How do you perform the glucose test? You will go to the laboratory on an empty stomach, they will draw your blood and quantify your basal blood glucose levels. Then they will give you to drink a very sugary juice with 50 grams of glucose, which can have a lemon or orange flavor. You will have to wait an hour sitting down, without walking or drinking anything, and then you will have your blood drawn again to re-quantify your blood sugar levels. If these values are greater than 140 gr / dl., It will mean that you have a greater chance of being diabetic and it will have to be confirmed by oral glucose overload of 100 grams.
This second test is also done in the laboratory. This time they will draw your blood on an empty stomach, they will give you a very sugary juice with twice as much glucose as the previous time: 100 grams. They will draw your blood again at the hour, at 2 hours and at 3 hours. If two altered values are obtained, above the reference parameters, it will indicate that you have gestational diabetes and you should monitor your pregnancy.
Iron requirements are so high during pregnancy that, apart from eating a diet rich in iron, health authorities recommend the prescription of iron during pregnancy. Remember that the function of iron in the body is to combine with oxygen in the lungs and transport it through the bloodstream to all vital organs. And it is that a nutritional deficit in the baby can affect its growth and psychomotor development, and its ability to explore and develop cognitive abilities.
In the mother, the lack of iron results in deficient oxygenation and a marked fatigue that can prolong the delivery period of the baby during delivery, because the woman has less strength and a greater risk of blood loss. Factors that increase the predisposition to anemia include having children at intervals of less than two years between one pregnancy and the next. Heavy menstruation, teenage pregnancy, a regular diet with little iron and suffering from some parasites also influence.
The foods that have the most iron are fortified meats, legumes, milk, and flours. Iron that comes from animal meat is better absorbed than that of vegetable origin. However, it improves its absorption by combining it in the same digestion with some juice or fruit rich in vitamin C.
Pain in the back at the lumbar level and in the pelvis (lower abdomen) due to the growth of the uterus or the position that the baby adopts can compress the sciatic nerve at some point. Compression of the sciatic nerve causes weakness, tingling, and pain that radiates to the buttocks, legs, and feet. In some cases, the pain is so severe that it makes movement of the leg difficult. Sciatica usually disappears after the baby is born. However, to alleviate the discomfort during pregnancy, it is advisable to apply cold / heat to the affected area, first ice in the first 48 hours and later heat, do not stay too long in the same position, whether sitting or standing, go to the physiotherapist For physical therapy and stretching exercises, regular walking, swimming or yoga are also recommended activities. And as a painkiller you can use paracetamol whenever your doctor allows it.
Around the 24th week of pregnancy, hormonal changes can modify the skin with the appearance of chloasma, which is an increase in pigmentation on the face and neck that manifests itself in the form of spots. Increased pigmentation can also be seen in the breast, in the nipple and areola, and in the linea alba that joins the navel and the pubis. In general, pigmentation changes tend to disappear after delivery, but to prevent them from leaving an indefinite mark on your skin, you need to use sunscreen creams throughout your pregnancy, be it winter or summer.
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