This is the month that a multiple pregnancy will be so much different than that of a single pregnancy. The babies are not able to grow as much now as there is simply not enough room. However, they are relying on their mother's nutrition to help them put on the final layer of fat. Each baby will weigh around 5 pounds by the 36th week. If your babies are born now, they may need to spend a little bit of time in the intensive care unit. The babies lungs are beginning to produce surfactant , which will help the babies lungs to expand for their first breath. The placenta is still functioning well and nourishing the developing babies.
Your babies will be checked to make sure that they are in the head down position, which is needed for optimal delivery. The position that the babies are in at this point are not likely to change before delivery.
Your hips may feel like they are spreading and the diameter of your pelvis has probably increased a little by this time. The cramped uterus does not allow for intense fetal movements, but you should still feel subtle movements. Your extremities may swell more at this time, so it is important to get your feet up as often as you can.
Braxton Hicks contractions may be very frequent now. If you are experiencing more than four contractions in an hour, call your practitioner. Even if the contractions are not painful or intense, you could be experiencing preterm labor.
Due to increased urination, vivid dreams, anxiety and difficulty finding a comfortable position, you may be having a hard time sleeping. It is important that you rest as much as possible during these last few weeks.
Appetite may decrease because your uterus is increasing and your stomach is left with limited space. Make sure that you are drinking lots of fluids.
Sensitivity to sun
Increased heart rate
Change in sexual desire
Change in appetite
Carpal tunnel syndrome
Leakage from nipples
To Think About This Month
Packing necessary hospital items
Obtaining baby care essentials
Finalize pediatrician selection
Install car seat in car
At The Doctor
Some women will deliver their babies around this time, while others will reman pregnant a little while longer. Your doctor will be checking the same things he has previously checked. At this point you will be monitored for any labor signs-dilation, effacement, contractions, water breakage, etc. In addition, your doctor will check for:
2.) Blood pressure, pulse and respiratory rate
3.) Heart and lungs
4.) Pelvic exam
5.) Urine screen for sugar, blood and bacteria
6.) Ultrasound assessment
7.) Fetal heartbeat
8.) Measure the fundus
9.) External palpation of the uterus
10.) Breast exam