Third trimester of pregnancy marks the importance of regular antenatal visits. A pregnant woman with an uneventful pregnancy needs to go to her doctor every fortnight. All the symptoms and physiological changes appear to be exaggerated in third trimester.
A pregnant woman may feel more fatigue and pain her legs and symphysis pubis, she may feel breathlessness and palpitations and hot flashes due to hormonal changes. Weight has started to gain tremendously and she feels like more vaginal and urinary infections are showing recurrence. If the lady developed any pregnancy induced medical condition like gestational diabetes, hypertension or preeclampsia, signs and symptoms are increased in the third trimester.
Week 31 to 33
- In a pregnancy journal for these weeks, one has to write all the events that could be possible from 31 to 33 weeks. Name of the doctor or midwife has to be mentioned in every journal.
- Date of the antenatal visit is also important to mention. Gestational age at that specific date and expected date of delivery has to be mentioned every time.
- Vitals of the pregnant lady are important to take. Her blood pressure at the time of examination is very important to measure and note down.
- Ask the lady if she has any presenting complaints. She may suffer from nausea, breathlessness, sweating, swelling of feet and eyes or any other thing she wants to mention.
- Her weight is measured at the time of visit and total weight gain from previous checkup is also mentioned.
- Her urine sample is taken for routine urine analysis and if she is pre eclamptic, she may show proteins in her urine sample. Other signs and symptoms of pre-eclampsia like headache, blurring or vision, nausea, Epigastric pain are also noted down.
- She has to mention if she is having normal baby movements. As each pregnancy has different pattern of fetal movements, a mother knows well by now what is the difference between normal and abnormal baby movements. If not satisfied with the movements, must consult your doctor for further evaluation.
- If the mother is feeling any contractions, do mention them with the duration and frequency over a period of ten minutes.
- Any form of leaking, discharge or vaginal bleeding or spotting has to be mentioned if any of such things are noticed by the mother.
- Size of the uterus is measured according to her gestational age, and the correlated by manual abdominal examination and obstetric ultrasound. This roughly gives an idea if the baby inside is growing well or not.
- Fetal heart beat is assessed either through fetoscope or sonic aid or ultrasound examination. It is really good to mention fetal heart rate at the time of examination.
- This is the time for vaccination also. So, do mark if take the flu shot or tetanus dose.
- In the investigation section, all the tests including ultrasound report has to be mentioned with proper description.
- In the end, mother is advised about her diet, supplements and date for next visit is given.