Thaum cev xeeb tub 34 lub lis piam, tus me nyuam ntsuas qhov nruab nrab ntawm 43 cm. Nws qhov hnyav yog 2,2 kg. Nws cov plaub hau thiab cov ntsia hlau loj tuaj. Qhov zoo ntawm npog nws daim tawv nqaij pib poob. Nws yog hloov los ntawm cov txheej txheej, vernix caseosa, uas tiv thaiv nws cov tawv nqaij thiab yuav pab txhawb kev yug menyuam. Raws li cov khaubncaws sab nraud povtseg nyob rau hauv nws daim tawv nqaij, daim tawv nqaij nruj thiab tus me nyuam daim duab yuav sib npaug. Thaum nws yug los, nws yuav nce 1 kg ntawm qhov nruab nrab. 

Tus me nyuam hloov cov theem ntawm kev ua si thiab theem ntawm kev pw tsaug zog. Txhua hnub, nws nqos cov kua amniotic ntau heev. Nws kho nws nrog nws ob lub raum, tom qab ntawd tsis lees txais nws raws li cov zis hauv lub hnab amniotic. Meconium tseem tsim nyob rau hauv nws cov hnyuv. Yog hais tias nws tsis tau, tus me nyuam tseem tuaj yeem tig rov qab rau qhov yug.

Nyob rau theem no ntawm cev xeeb tub, tag nrho nws lub cev muaj zog, tshwj tsis yog lub ntsws, uas tseem xav tau ob peb lub lis piam kom ua haujlwm tau zoo. Lub sijhawm hu ua alveolar pib: pulmonary alveoli multiply, capillary network ua homogenized. Surfactant, cov khoom muaj roj uas npog txhua lub qhov (socket) kom tiv thaiv lawv los ntawm kev cog lus, txuas ntxiv zais cia. Nws yog ib qho tseem ceeb heev rau lub ntsws kom loj hlob ntawm tus me nyuam.

Yog tias qhov khoom xa tuaj ntawm 36 WA, peb hais txog qhov nruab nrab ntxov ntxov (yug ntawm 32nd thiab 36th WA ua tiav). Tus me nyuam yuav xav tau kev saib xyuas thiab saib xyuas, tab sis nws tsim nyog nyob sab nraum nws niam lub plab.

7 lub hlis cev xeeb tub, lub plab pib hnyav heev. Thiab rau qhov laj thawj zoo: lub tsev menyuam, tus menyuam mos, cov kua dej amniotic thiab cov placenta hnyav li ntawm 5 kg. Txhua hnub gestures, taug kev, posture raug cuam tshuam, thiab qaug zog pib xav rau leej niam-rau-ua. 

Qee lub sij hawm, nws yuav hnov ​​​​qhov tawv nqaij los yog nruj ntawm lub tsev menyuam. Cov no yog Braxton Hicks contractions, uas tso cai rau lub tsev menyuam los cob qhia kev yug menyuam. Cov physiological contractions no tsis mob, tsis xwm yeem thiab tsis muaj kev cuam tshuam rau lub ncauj tsev menyuam. Yog tias lawv sib npaug thiab ua rau mob, nws raug nquahu kom sab laj.

Nws tshwm sim thaum cev xeeb tub kom khaus plab. Feem ntau yog vim tsis muaj dej thiab hloov hormonal thaum cev xeeb tub, qhov khaus no feem ntau yog me me. Txawm li cas los xij, yog tias lawv nquag heev, khaus thiab tseem cuam tshuam rau cov xib teg ntawm tes thiab ob txhais taw lossis txawm tias tag nrho lub cev, nws yog ib qho tseem ceeb rau kev sab laj yam tsis muaj kev ncua. Nws tuaj yeem yog cov tsos mob ntawm cholestasis ntawm cev xeeb tub, qhov teeb meem ntawm cev xeeb tub lig yuav tsum tau kho sai. 

Cov txiaj ntsig niam-rau-tau los ntawm 8 qhov kev npaj yug me nyuam tau them 100% los ntawm Health Insurance. Txawm hais tias nws yog thawj tus menyuam mos, thib ob, thib peb lossis ntau dua, cov kev npaj kev yug menyuam no tau pom zoo. Cov no yog lub sijhawm tshwj xeeb ntawm kev sib pauv nrog cov kws tshaj lij yug menyuam, thaum lub sijhawm kev kho siab qee zaum tuaj yeem hnyav rau niam-rau-ua. 

Cov kev npaj classic rau kev yug menyuam feem ntau pib nrog kev tawm mus thaum yug menyuam. Cov rooj sib tham muaj nyob rau ntawm qhov chaw xa khoom lossis hauv chaw ua haujlwm ntawm tus kws yug menyuam ywj pheej. 

Muaj ntau lwm yam kev npaj rau kev yug menyuam muaj xws li: haptonomy, so kev kho mob, kev npaj ua luam dej, kev hu nkauj ua ntej yug menyuam, yoga ua ntej yug menyuam, ua ntej yug menyuam, thiab lwm yam. Qee qhov tuaj yeem ua nrog kev npaj classic.  

Rau tus menyuam thawj lossis thib ob, kev so niam txiv pib 6 lub lis piam ua ntej hnub xa tuaj (DPA). Lub sijhawm so thiab txhim kho lub zog rau kev yug menyuam thiab tom qab yug menyuam yog li ntawd los rau niam-rau-ua. Daim ntawv pov thawj nres ua haujlwm yuav tsum raug xa mus rau Health Insurance kom sai li sai tau. 

Txawm li cas los xij, nws muaj peev xwm ncua ib feem ntawm qhov kev tso tawm ua ntej yug menyuam (thawj 3 lub lis piam siab tshaj) mus rau tom qab yug menyuam, ntawm daim ntawv xaj los ntawm tus kws kho mob lossis tus kws yug menyuam.

Lub 8th lub hlis kev sab laj (6th prenatal kev sab laj) ib txwm tshwm sim. Yog tias pelvimetry tau raug sau tseg los xyuas qhov loj ntawm lub plab mog rau kev yug menyuam, nws raug nquahu kom ua sai li sai tau.

Lwm qhov kev teem caij tseem ceeb thaum kawg ntawm cev xeeb tub: kev sab laj nrog tus kws tshuaj loog. Nws yog qhov pom zoo heev, txawm tias cov niam txiv uas xav yug menyuam yam tsis muaj epidural. Kev kuaj ntshav yuav raug sau tseg thaum kawg ntawm qhov kev sab laj no. 

Ib yam li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tau ua qhov chaw mos swab sai li sai tau rau streptococcus B. 

Thaum kawg, nws yog lub sijhawm los npaj cov khoom siv yug me nyuam thiab lub hnab rau chav xa khoom, yog tias koj tsis tau. Ntxiv rau kev lag luam rau tus menyuam thiab nws niam, tsis txhob hnov ​​​​qab txog ntau yam ntaub ntawv: Carte Vitale, daim ntawv pov thawj ntawm kev tuav pov hwm kev sib nrig sib, cov txiaj ntsig ntawm kev xeem, thiab lwm yam. Qhov zoo tshaj plaws yog muab tso rau hauv ib lub hnab ris.

Thaum lub sij hawm cev xeeb tub no, tus me nyuam noj ntau cov calcium thiab hlau, thiab nws yog nyob rau hauv niam lub reserves uas nws yuav kos lawv. Tsis tas li ntawd, nws tseem ceeb heev uas nws tau txais nws txaus. Cov khoom noj mis nyuj (yogurts, tsev cheese, cheeses) yog qhov zoo ntawm calcium, tab sis nws kuj muaj nyob rau hauv cov kaus poom sardines (nrog cov pob txha), taum dawb, taum dawb, qee cov dej ntxhia (Hépar, Contrex, Courmayer, Quézac). Vitamin D, feem ntau synthesized thaum lub hnub raug, yog qhov tseem ceeb rau kev nqus thiab kho cov calcium. Vim tias qhov tsis txaus yog nquag, tshwj xeeb tshaj yog nyob rau lub caij ntuj no lossis hauv thaj chaw uas muaj hnub ci me ntsis, kev siv tshuaj ntxiv feem ntau yog muab thaum cev xeeb tub, hauv daim ntawv ntawm ib qho ampoule.

Raws li rau hlau, nws yog noj nyob rau hauv nws cov tsiaj daim ntawv (los yog heme, qhov zoo tshaj plaws assimilated daim ntawv) los ntawm nqaij thiab ntses, thiab nyob rau hauv zaub daim ntawv (non-heme) los ntawm legumes (lentils, chickpeas, taum liab), noob taub dag, tshwj xeeb tshaj yog tofu. . Yog tias tsim nyog, cov tshuaj ntxiv hlau yuav raug sau tseg.

Nws tseem yog ib qho tseem ceeb rau leej niam kom muaj dej kom zoo thoob plaws hauv ib hnub txhawm rau pab txhawb kev ua haujlwm ntawm lub raum uas, ntxiv rau nws cov khoom pov tseg, yuav tsum tshem tawm ntawm tus menyuam. Nws kuj yog ib qho kev tiv thaiv tiv thaiv kab mob ntawm cov kab mob urinary, uas yuav ua rau muaj kev pheej hmoo ntau ntxiv thaum cev xeeb tub. 

Tshwj tsis yog tias muaj contraindications (kev cog lus, hloov lub ncauj tsev menyuam, kev hem thawj ntawm kev yug ntxov ntxov), nws raug nquahu kom mus txuas ntxiv lub cev ua kom haum rau cev xeeb tub: taug kev, maj mam gymnastics, yoga ua ntej yug menyuam, ua luam dej. Qhov no yuav pab txo qis qee qhov tsis yooj yim thaum kawg ntawm cev xeeb tub (venous ntshawv siab, cem quav), kom nyob twj ywm zoo rau kev yug menyuam, tab sis kuj yuav txo tau qhov kev ntxhov siab thiab kev txhawj xeeb uas yuav nce ntxiv thaum D-hnub mus txog. 

Lub perineum yog ib txheej ntawm cov leeg nqaij, ligaments thiab cov ntaub so ntswg uas txhawb nqa, zoo li lub hammock, qhov chaw mos, zais zis thiab qhov quav. Nws yuav ua lub luag haujlwm tseem ceeb thaum yug menyuam, tshwj xeeb tshaj yog thaum lub sijhawm thawb. Txhawm rau paub txog thaj chaw no, nws yuav nthuav ua qee yam kev tawm dag zog, kev cob qhia kom cog lus rau koj lub qhov quav sphincter, tom qab ntawd koj cov sphincter tso zis. Ceev faj, txawm li cas los xij, tsis txhob ua qhov kev tawm dag zog no thaum tso zis, raws li yav dhau los tau pom zoo (peb tau hais txog "tso tseg").