Your Pregnancy at Week 39

Congratulations! You've reached the final weeks of your pregnancy (if you haven't delivered already)!

Your nesting instincts are probably kicking into high gear, a sign your baby may arrive soon. Try not to drain yourself of energy too much. Nap as often as possible because you'll need that extra boost soon enough. It's almost time for birth!

If you've been experiencing Braxton Hicks contractions over the past few weeks, you may wonder how to know when it's the real thing. Regular uterine contractions are the strongest indication of being in labour! These contractions may feel like menstrual cramps or lower back pain, and they can be 20 to 30 minutes apart in early labour. Over time, however, the minutes between contractions will decrease. When they are consistently five minutes apart, lasting for a minute for about an hour, it’s time to call your midwife or doctor.

Though not a sure sign, it can be exciting when you pass your mucus plug. Not everyone passes their mucus plug leading up to labour; when passed, it can regenerate and be passed again in the coming weeks. The mucus plug is a small quantity of thick mucus that seals your cervical canal during pregnancy. The mucus plug is released when your cervix dilates in preparation for labour. It may come out in one grand lump all at once or over the course of a few days as vaginal discharge. This mucus may also be tinted with blood, appearing pink, brown, or red.

Another sign of labour is your water breaking. This means that the amniotic sac surrounding your baby, which is filled with fluid, has ruptured, causing the fluid to leak from your vagina. It may come out in a large gush, as many movies display it, but for most, it isn't as dramatic as that. And for some, only a small trickle of fluid is noticeable. Remember that water breaking before contractions start is rare, but if it breaks, no matter how, it's time to call your care provider.

Pregnancy is exhausting, but when you hold that little baby, you'll realize it was all entirely worth it. Here is a list of symptoms you may experience during week 39:

Constipation and/or haemorrhoids: pregnancy isn’t always glowing radiance. As your digestive system slows in response to increased progesterone causing your muscles to relax, you may experience bloating and gas. Pressure from your growing baby can cause haemorrhoids, resulting in blood in stool, itching around the anus, or general discomfort. Talk to your healthcare provider about options for relief.

Increased vaginal discharge: as your due date draws nearer, your body will continue to prepare the way for your baby’s delivery. Increased vaginal discharge is normal and may even contain trace amounts of old blood, especially after sex or a pelvic exam. Talk to your healthcare provider about any concerns so they can rule out any issues.

Stretch marks: there are many skin changes throughout pregnancy, and itchy stretch marks are just one of them! As your baby continues to grow and your body grows to accommodate, your skin may experience stretching, leaving marks and causing discomfort. You can use lotions and creams to soothe irritated skin, but stretch marks are largely genetic and not something you should feel guilty about not “preventing.”

Sweating: increased perspiration can be a result of hormonal changes, or the additional weight and pressure on your body as you carry your growing baby. Stay hydrated to replace any fluids lost.

Heartburn: as your baby continues to grow and press on internal organs, your digestive system is likely to feel the impact of cramped quarters. This, paired with continuing hormone fluctuations, can result in heartburn or indigestion. Talk to your healthcare provider about options for relief if you’re feeling too uncomfortable.

Braxton Hicks: also referred to as “practice contractions,” Braxton Hicks are your body’s way of preparing for giving birth. They are generally painless, or uncomfortable at most – like subtle period cramps. If you are experiencing severe pain or the cramping does not stop, seek medical attention.

Interrupted sleep: trouble sleeping? It’s no surprise as midnight bathroom breaks, heartburn, leg cramps, and the stress of your soon-to-come newborn can all make it difficult to get a full night’s rest.

Backaches and/or leg cramps: aches and pains are an uncomfortable, albeit normal, part of pregnancy. Avoid staying in the same position for too long, stay hydrated, and talk to your healthcare provider about safe pain relief options that may offer some comfort.

Swelling or bloating: some swelling is normal and expected during pregnancy, especially if you are on your feet all day, but it’s best to keep an eye on any sudden changes so your healthcare provider can ensure there isn’t anything to be concerned about.

Crazy dreams: the stress of anticipating your baby’s arrival and the poor sleep of the third trimester can result in interrupted sleep. While the cause of the more vivid dreams in pregnancy is unknown, it may have something to do with that interrupted sleep. Not sleeping as deeply may allow you to remember your dreams more easily.

Nesting: home sweet home! It’s a natural instinct to want to prepare your living space in anticipation of your baby’s arrival. Enjoy the benefits of a clean and organized home as a result of this symptom!

After delivery, you are supposed to experience one of the happiest moments of your life. Right? This is what you've been waiting for... so what happens if you feel sad? "The Baby Blues" refers to a state of heightened emotion, in the first couple of weeks after you give birth, in which you may cry more easily, have trouble sleeping, and feel irritable, sad, or on edge. More than 80 percent of women report feeling blue immediately after giving birth, so if you feel this way, you aren't alone. You're not a bad parent, and you're not a weak person.

Postpartum Mental Health

Sometimes, these feelings may last more than a few days. Postpartum depression, a more severe form of depression, can develop within the first year after giving birth. Feelings such as sadness, anxiety, and restlessness may even become strong enough to interfere with daily tasks. Though it isn't known for sure what causes postpartum depression, many medical professionals believe hormones play a big role.

(And once again, thank you, dear hormones!) During pregnancy, estrogen and progesterone hormones increase greatly; but in the first 24 hours after delivery, they rapidly drop back to non-pregnant levels. This fast change in hormone levels can lead to depression.

You should contact your healthcare provider if you still experience these mood swings or feel depressed more than one week after the birth of your baby; if you feel you are unable to cope with daily activities in your life, such as caring for your newborn or older children; and if you have strong feelings of depression or anger one to two months after childbirth, have trouble sleeping, or have suicidal thoughts.

Please remember, if you experience any of these symptoms, you aren't alone. Support is available. Counselling, antidepressants, and hormone therapies are just a few examples of effective treatments available, should you experience postpartum depression.

Your Birth Story

Recording your birth story is a gift to yourself, and to your child. When you're experiencing these things for the first time, you'll think it's completely unforgettable. And, in many ways, it is. But a few months from now, you may find yourself wondering... what time was it when you first started feeling labour contractions? Or... was your little one 19 inches or 19½ inches long? Life barrels along, with sleepless nights, new adventures, and more, keeping you busy. The details may start to get fuzzy around the edges.

In those early days after the birth, in between those initial feedings and while your little newborn is sleeping, write down your birth story. It doesn't have to be anything fancy. You aren't writing for a national magazine or aiming for any bestseller lists. Simply create a snapshot of the moment, because your life will have forever changed. Someday, your child will be able to see what you were thinking and feeling during their first moments on earth.

Some questions to consider: What are some of the details of your conception and pregnancy? Was it an easy journey? What were some of your challenges during conception and pregnancy? What were your thoughts and feelings in the days leading up to birth? Was your labour scheduled or unexpected? What were you doing when you first realized you were in labour and having a baby? Who was with you? Who was there and with you at the hospital, or in your delivery room at home?

List some details, like the names of your doctors, midwives, doulas, and/or nurses. The time of delivery. Your baby's weight, length, Apgar scores, etc. What was the funniest moment of the day? The scariest? The most touching? What were your thoughts and feelings when you finally held your new baby in your arms for the first time? These details, combined with photographs, will be a keepsake to treasure for years.

You can even begin to answer the pre-birth questions right now, in your pregnancy journal, before you forget!