Most babies will now be positioned longitudinally (lying straight up and down, with their head well in the pelvis). Even now, when space is limited in these final weeks, there is still time for the position to change to head down if your baby is bottom first (breech).
Complex developments are taking place in your baby’s lungs that will enable her to breathe unaided once she is born.
The blood flow to your baby’s lungs mirrors the development of the airways. Blood leaves the right side of the heart through a one-way valve into the main pulmonary vein. This then divides to give a pulmonary branch to each lung, and also a duct that allows blood to bypass the lungs and travel to the body directly. This will close soon after birth as the lungs expand and their resistance to blood flow falls.
Because your baby doesn’t use his lungs for gas exchange in the uterus, the blood supply to them is quite small – only 10 per cent of the post-birth supply. At this stage of pregnancy, the lungs’ blood supply has completed its development, branching into finer and finer vessels as they come to lie closer to the alveoli.
When your baby is born, her chest is compressed in the birth canal and this helps to push the fluid out of the lungs in preparation for that incredible first breath. If your baby is born by Caesarean, she will need first to bring the fluid up by herself. This is not a problem but for this reason the first breaths of a Caesarean baby can be full of mucus.
Make sure you have all the items you need for your hospital bag.Remember to include items for yourself as well as the baby and, if you know you’re having a Caesarean, pack enough items for a few days.
Maternity sanitary pads
Breast pads and nipple cream
Comfortable daywear in case you stay in and want to get dressed.
Baby wipes if you intend to use them
Hat and cardigan for going home – you can also use the cardigan if your baby needs layers to keep warm while she’s in hospital.
Camera – stills camera and/or video camera
Music for the delivery room
Books and magazines
Your partner should also get a bag ready for himself and ensure the car seat is fitted. Pack snacks and drinks nearer the time, but think about what you might need.
Start working out now what you’ll take to the hospital, as you won’t want to be gathering items together once you’re in labour.
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