Fetal development in the 24th week of pregnancy
The main feelings of the woman are the movements of her baby. To them, 24 weeks of pregnancy from conception (26 obstetric) brings discomfort due to the growing uterus, heartburn and even the exacerbation of chronic diseases. The rest of the well-being is the same. Are there still "pitfalls", and what should be controlled?
By this date, the woman clearly notes when the uterus comes to tone. The main thing is that this was a temporary manifestation of physical tension or stress, and not foreshadowed the threat of premature birth. In case of doubt, you should consult a doctor. The table will tell about the main changes in this period.
Table - Interesting Facts
Features of the development of the fetus in the 24th week of pregnancy
From 20 to 28 obstetric week, the baby doubles its height, and its weight becomes much more. In case of birth, there are risks of complications, but the probability of a successful outcome is high. Fetal development at the 24th week of pregnancy includes further differentiation of tissues, improvement of the work of all internal organs.
The face of the child has a structure common to all people. Nose, ears, eyes, lips are typically located. Baby blinks, swallows, moves.
All systems are functioning - digestive, urinary, endocrine, nervous. The lungs are already ready for independent breathing, but in the case of premature birth the baby will need functional support, since the amount of surfactant is still not enough.
All the organs of internal secretion work actively, the baby completely provides himself with hormones - thyroid, adrenal and others. Serious changes occur in the bone marrow. The formed immune system can react violently to antibodies penetrating from the maternal blood if the woman and the fetus do not match in the rhesus. From this date, testing for Rh titers is carried out more than once a month, as it was before, and every two weeks.
Noticeable changes occur in the cerebral cortex - gyrus is intensively formed. At this time, it actively responds to the sounds of the external environment, which allows a developed hearing aid. Differentiate the corresponding genitals in boys and girls.
Adaptation of the female body
At the end of the 2nd and subsequent trimester 3, changes in the woman’s body are associated with the following:
- blood - the amount of circulating blood increases, it is “diluted”,
- lung volume decreases as does the respiratory surface
- excretory organs - the growing uterus squeezes the ureters, disrupting the flow of urine,
- intestine - intestinal loops change location,
- vessels and nerve endings are compressed in the lower part of the body, including in the small pelvis.
The table shows the possible changes and complications of the systems and organs, given the above features of pregnant women at this time.
Table - What happens to the mother at the 24th week of pregnancy from conception
24 obstetric week of pregnancy marks the end of the sixth month of pregnancy and the second trimester. For this period, the woman already had a noticeably rounded abdomen, and the movements of the child had already become much clearer and stronger. The fetus on the 24th week of pregnancy has grown significantly, and it is already crowded in the uterus.
What happens in the 24th week of pregnancy?
This period for the woman is one of the most favorable. The child continues to improve the nervous system, vision, the rudiments of the teeth are laid, and also the external genital organs are formed.
The fruit of the twenty-fourth week of pregnancy has an improved vestibular apparatus, and any movements of the woman (movement around the apartment, climbing out of bed, walking, climbing stairs) lead to its strengthening. With sufficiently high physical activity after birth, the vestibular apparatus of the baby will be well developed.
The child continues to actively accumulate fatty tissue, which leads to a sharp increase in body weight. During fetal development, it accumulates brown fat, which has a high energy value. When burned, it gives the baby warmth, which is necessary to improve the thermoregulation system.
The child is susceptible to both pleasant and painful sensations resulting from the contact of the umbilical cord, the walls of the uterus and the placenta with different parts of his body. He clearly feels stroking maternal hands, tapping the abdominal wall, massaging protruding arms, legs, head or back. Tactile contact is important for the fetus and gives it a lot of positive emotions.
What happens during the 24th week of pregnancy in a woman's body?
The bottom of the uterus to this date is located at the level of the navel, but it significantly moves forward. The cervical canal is filled with a special mucous substance, forming a strong tube. She leaves the body of a pregnant woman just before birth.
The body weight of a woman by the end of the sixth month increases by about 7-8 kg. This is a reference value, but depending on the individual characteristics of the female body, the increase may be different. At the same time, high weight is a reason for regular monitoring and observation.
The skin on the belly of the future mother because of the growth of the abdomen is even more tight, which may cause the appearance of stretch marks. After birth, they remain on the body of a woman, therefore, to prevent their formation, it is important to thoroughly moisturize, nourish and soften the superficial skin.
24 obstetric week of pregnancy - the sensations of a woman
The child of the twenty-fourth week of pregnancy already takes up almost the entire uterine cavity, so it is more difficult for him to roll over and move in it. That is why the future mother already clearly feels all the movements and movements of her child. Shocks and pushes with elbows and feet are especially noticeable.
A child in the 24th week of pregnancy all the main time in the process of intrauterine development is asleep, the periods of his wakefulness are from 4 to 6 hours a day. He alternates between stages of rest and wakefulness, which the expectant mother may already notice more clearly. Usually, the child reacts with movements to extraneous external noise and various movements.
Due to the dramatically increased weight, a woman may feel not only soreness in the back and lower back, but also heaviness in the legs, which is associated with an increase in the volume of blood and lymph in the body and pressure of the uterus on the veins that provide blood supply to the lower limbs. A woman can relieve her condition by applying cooling creams and wiping with cool water.
EXTRACTION FROM THE GENUINE PATHWAYS
Normally, during pregnancy, a woman's vaginal discharge can be clear, yellowish, and milky. At the same time they should have a uniform consistency without a strong odor. The admixture of white flakes in the discharge may indicate thrush, treatment of which is mandatory at this time.
The blood in the discharge speaks of such pathological processes as placental abruption and premature labor, therefore, when this symptom occurs, it is important to immediately contact a specialist. For bleeding, accompanied by painful sensations, you need to urgently call an ambulance.
Ultrasound at 24 WEEK OF PREGNANCY
Ultrasound examination at the twenty-fourth week is usually carried out only at the request of the woman herself, in order to determine the development of the fetus at the twenty-fourth week of pregnancy, to assess its condition when certain intrauterine pathologies are detected.
During ultrasound, the doctor assesses fetal development up to 24 obstetric weeks of pregnancy - height and weight of the fetus, heartbeat, development of internal organs and brain, physical activity, amount of amniotic fluid, state of the placenta and umbilical cord, and the presence and absence of developmental pathologies.
In addition to ultrasound, a woman should regularly check blood pressure and measure body weight.
24 week of pregnancy fetal development
The child grows up to this date even more. Its growth increases to 31 cm, and the weight is 530 g. Now it is the size of a corn cob. Due to the enhanced mass gain, it is already crowded in the uterus, so the movements become limited.
On the twenty-fourth week, the child forms two layers of the skin integument - superficial (epidermis) and deep (dermis). A skin pattern is formed on the upper layer, and in deeper blood vessels and numerous nerve endings, which are necessary for conducting impulses, are formed.
After 24 weeks of gestation, the child’s development continues - the formation of the respiratory organs is completed, and the bronchi and bronchioles, which supply oxygen from the lungs to the blood and other organs, are improved. At their endings, small bubbles, called alveoli, had already appeared.
It is on their surface that thin capillaries are formed, which take oxygen from the lungs and carry it through the blood to organs and tissues. In the twenty-fourth week, a special substance called surfactant begins to be produced on these bubbles.
It is vital for the proper development and functioning of the respiratory organs, because it does not allow the alveoli to deflate and protects them from microorganisms. The development of this substance ends only with the birth of a child, but from 34 weeks the child can survive and breathe independently in case of premature birth.
After 24 weeks of gestation, the development of the fetus is accompanied by the active development of the nervous system, the formation of furrows and convolutions in the brain, which leads to an increase in its sensitivity. He already hears well, feels touch, can shudder when there is a sharp and loud external noise, turn his head and even blink.
The child has already acquired those features with which he will be born. Development during the 24th week of pregnancy includes the final formation of eyelashes and eyebrows, the skin gets a delicate pink tint, but the body is still rather thin.
POSSIBLE PROBLEMS AT 24 WEEKS
What happens during the period of 24 obstetric weeks of pregnancy? The main pathologies of this period include:
- hypertonus of the uterus,
- pregnant diabetes,
Thrombosis of the lower extremities is another possible problem at this stage of pregnancy. Such a pathological condition causes impaired blood circulation due to the pressure of the uterus on the veins.
With the formation of a blood clot on the leg, puffiness appears, the sensitivity of the site of localization increases, and the skin reddens. If such a pathology is detected during pregnancy, women are prescribed blood thinning drugs.
WHAT TO PAY ATTENTION?
Meals on this period must be balanced and correct. Future mother is better to prefer fresh fruit, stewed vegetables, dairy products, lean meat, as well as dishes with a high content of calcium, protein and iron.
To ensure the correct distribution of the weight of the abdomen and the load on the spine, it is important to wear a stretching elastic bandage. In the presence of varicose veins and for the prevention of its appearance in the presence of evidence required compression stockings.
Intimacy at this time is not contraindicated if there are no complications. But you need to choose a pose so that there is no load on the stomach.
It is important for the future mother to control her body weight, for which she should be weighed regularly. Weight gain should not be more than 350-400 g per week. Great weight can lead to gestosis, which complicates the course of pregnancy in the last weeks.
Some women at this time are subject to panic attacks or worries about changing appearance. This is especially true for the first time pregnant women, accustomed to their slim, elegant parameters. It is important to love the new state and not fall into depression.
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Location in the womb
The position of the fetus in the womb is a very important clinical parameter. The location of the baby in the uterus is necessarily evaluated several times during the entire pregnancy. It is important to remember that the fetus can be located in the womb at the 24th week of gestation in a completely different way than immediately before birth.
Usually, such a change of position occurs in restless children who like to actively move and even roll over. On the location of the fetus affects quite a lot of different factors.
The most favorable, from a physiological point of view, is headache presentation. In this case, the first childbirth will give birth to the head, and then other parts of the baby’s body will already be born. Experts note that with headache the risk of developing dangerous birth injuries and injuries is quite low. In this case, independent natural childbirth is possible.
A less favorable option is the location of the baby - pelvic presentation. In this case, the first in the direction of the birth canal is the pelvis of the child. With pelvic presentation, the process of natural independent labor can be complicated by the development of various traumatic injuries in both the woman and the fetus.
Pregnant women, as a rule, having heard from the doctor that the child is in a pelvic presentation, begin to panic. Panic is not worth it: the position of the baby before birth can change several times. At the 24th week of pregnancy, previa is not yet final.
If the baby is in this position in the uterus, then the pregnant woman should be more attentive to her condition. She needs to monitor the possible appearance of various bleeding from the genital tract or the development of leakage of amniotic fluid.
If such symptoms appear, then you should not delay in seeking medical help.
If the baby is in head presentation, then this is a very favorable sign. A moderate physical activity of the fetus, as a rule, will not contribute to changing the position of the baby in the uterus. If for some reason the child feels a certain discomfort and begins to push hard, then in this case he will be able to change his presentation over time.
During this period of pregnancy, the baby’s nervous analyzers are already quite developed. In the brain of a child, numerous neurons “work” every day. A large number of special contacts or connections between them provide changes in the behavior of the baby. It should be noted that every day the number of movements made by the baby increases significantly.
The mass of the brain in the fetus at 23-24 obstetric week of pregnancy is about 100 grams. It has already formed the main grooves and gyrus. With each subsequent day of pregnancy, the cerebral cortex continues to develop.
Intensive development of the nervous system causes the fact that the child has the first sensations. Of course, they are still different from those that manifest in him after birth. With the help of nerve analyzers or sense organs, the baby begins to know himself and the water world in which he is still located.
At the 24th week of pregnancy, the baby’s eyes begin to open. He does this while the baby is not quite willing, as the bright light makes him uncomfortable.
According to scientific research, the fetus, which is located in the womb, is able to respond to the light facing it. So, when bright rays hit the face of a child - he turns away from them. It is believed that high insolation can even enhance the motor activity of the baby.
Outside, the eyes of the fetus are covered for centuries. It is believed that by this period of pregnancy a circadian rhythm ability begins to form in a baby. The circadian rhythm is the child's ability to sleep at night and stay awake during the day. Until the 24th week of pregnancy, the fetus did not react in any way to the change of day and night - with each successive day of pregnancy this ability to develop a circadian rhythm in a baby will improve.
The auditory analyzer, through which the baby can distinguish different sounds at this stage of pregnancy, has already been formed. It should be noted that the full-fledged work of the body will occur somewhat later - after the birth of the baby. However, the first manifestations of the functioning of the auditory analysis can be noted already on this period of intrauterine development of the fetus.
The baby at 24 weeks of pregnancy is already able to distinguish between different sounds and even voices. It is noticed that the maternal voice, as a rule, has a calming effect on the child who is in the womb.
It has a very beneficial effect on the nervous system of the baby and pleasant classical music. Some scientists even believe that in this period of intrauterine development of the fetus, it is already possible to begin shaping its musical taste. To do this, they offer future mothers who are in the 24th week of pregnancy to listen with their baby various musical works.
It is very important to choose the melodies in such a way that they do not cause any discomfort to the baby. Если во время прослушивания музыкального произведения беременная женщина замечает, что малыш слишком сильно пинается в ее животе, то, скорее всего, эта мелодия просто ребенку не нравится – лучше выбрать другую.
Не менее действенным методом успокоения малыша является чтение ему сказок. Of course, the baby will not be able to understand the meaning of the read, but the beneficial effect on his actively developing nervous system will be exerted. Such joint reading of books and fairy tales also strengthens the psycho-emotional connection between mother and baby.
It is surprising that the baby, which weighs about half a kilogram, already has receptors in the tongue. They are able to distinguish between different flavors. So, the baby "with ease" can recognize the salty, sweet and even bitter taste. He does this when swallowing amniotic fluid.
The taste of the amniotic fluid is largely influenced by the food consumed by the expectant mother. Some scientists believe that the taste habits and addictions in humans are formed in the second trimester of pregnancy. So, in the future, the baby can become a sweet tooth, or, conversely, fall in love with salty foods.
Amniotic fluid, which the fetus actively swallows, gets inside his body. In the future, some nutrients, such as glucose, are absorbed into the baby’s bloodstream, while others are excreted through the kidneys and the urinary canaliculus system.
Experts have found that during the day the fetus is able to swallow about 400-600 ml of amniotic fluid. It is necessary for him not only for the active development of the digestive and urinary systems, but also for the improvement of the respiratory muscles. The fact is that when swallowing the amniotic fluid, the pectoral muscles are actively working. Such involvement of the pectoral muscles further helps its development and is necessary for the child to perform his first breath.
At 24 weeks pregnant expectant mother already quite feels her baby. The baby is usually actively kicked and pushed. Such sensations a woman may experience in different parts of the abdomen. It depends on how her baby is located.
The fetus, as a rule, may knock or touch the walls of the uterus with his hands. A sufficiently large volume of the uterus allows the child to push off with feet from one wall and move in the aquatic environment to another. From the outside it may seem that the baby is “floating” in the womb.
With each successive day of pregnancy, the character of the movements will change: the baby grows, its weight and height increase, which leads to the fact that the motor activity of the fetus will manifest itself in a different way.
In case of multiple pregnancies, the behavior of babies with respect to each other is interesting. Gemini not only actively discover their own body, touching themselves on the face and umbilical cord, but also relate to individual parts of the body of a little brother or sister. Ultrasound specialists say that during the study it is interesting for them to look at the behavior of the twins in the uterus: children can hold each other's hands and even try to fight.
Motor activity of the fetus at this stage of pregnancy is a very important clinical criterion for determining the state of the baby in the womb. Experts believe that during the day the fetus must make at least 10 active movements. It should be noted that it happens that the baby is actively moving, but his mother does not feel all his movements. This affects a huge number of reasons.
In any case, if for some reason the physical activity of the fetus has changed significantly, then the woman should definitely discuss this fact with her obstetrician-gynecologist.
Each gestation period is unique. Every week the baby continues to grow and develop. In order to determine the exact size of the fetus, doctors resort to an ultrasound examination method, called fetometry. During this study, the doctor makes special measurements, and then reflects them in his medical report.
Determining the parameters of the body of the fetus is an important diagnostic criterion that allows experts to understand how well the intrauterine development proceeds.
Important clinical criteria in a child are his height and weight. Also during fetometrii specialist can determine other clinical parameters.
The normal values of the clinical parameters determined by the fetus are presented in the following table:
Norm at 24 weeks gestation
What happens in the 24th week of pregnancy
24 weeks of pregnancy is the first week of the sixth obstetric month, and the end of the fifth calendar month of pregnancy, the second trimester of pregnancy. In this period it is important to maintain a healthy lifestyle and adhere to the daily regimen, since your well-being and the general condition and well-being of the fetus depend on it. Due to the saturation of the mother’s blood with oxygen, an active development of the nervous system and lung tissue occurs. Gradually, body weight increases and it is necessary to rest more often, so as not to feel heaviness in the legs and fatigue. To prevent changes in the veins and swelling of the legs, often raise them to elevation, control weight gain and the amount of fluid you drink.
Your stomach has become noticeably bulging, due to raising the bottom of the uterus, it becomes harder to breathe, problems with digestion and uncomfortable sensations - heartburn, constipation, cramps, swelling, etc. may occur. The uterus is actively preparing for early childbirth, and Braxton-Higgs false contractions may occur. They are not dangerous, painless, irregular and gradually prepare the uterus for further real contractions. If false contractions cause discomfort - you should lie down to relax and listen carefully to the body. If contractions are regular, painful, or bloody discharge from the vagina occurs, call an ambulance immediately.
In this period, fatigue can gradually join, so you need to take rest breaks more often. If possible, you need to sleep during the day. In this period, the exchange in the body of glucose changes, it is actively spent on the needs of the child and the mother, so it is important to control the blood glucose level. If glucose is elevated in the blood and appears in the urine - this may be a precursor of diabetes mellitus in pregnant women, it is worth undergoing examination by an endocrinologist and correcting the diet. Gestational diabetes increases the risk of complications during childbirth, can lead to overweight in the child, reduction of pressure and serious condition at birth.
Due to the active growth of the child, it becomes less space in the uterus, the skin on the abdomen is stretched, it may appear itchy and peeling, dryness and stretch marks (stretch marks). Blood vessels may be clearly visible on the skin of the abdomen. The uterus can squeeze the bladder and kidneys, which gives frequent urination and can provoke inflammatory processes with a predisposition to them.
By changing the center of gravity, the load on the body changes, which can manifest itself in pains in the back and lumbar region, gymnastics and fitness, yoga, wearing a special bandage, comfortable shoes without heels can help in alleviating the condition. Also, due to the deficiency of calcium and magnesium, leg cramps can occur, which can be very painful. To prevent them, you need frequent rest for the legs, cool foot baths, taking calcium and magnesium preparations, massage of the calves and giving the legs an elevated position.
Fetal development in the twenty-fourth week: weight size and sex
In the period of 24 weeks of pregnancy, the baby grows up to 30 cm and gains about 600 g of weight. In the uterus, he is already cramped, although he can still move quite actively and change body position several times a day, although somersaults cannot be done. The fruit is active and its movements are becoming stronger and more confident. In the period of wakefulness, the child makes itself felt with active movements, his movements are clearly felt by both the mother and those around him - if you put your hands on your stomach or watch him. The child may hiccup or cough, it feels like a rhythmic contraction in the stomach. The child developed the rhythms of sleep and wakefulness, most of the time he sleeps and dreams, and during periods of wakefulness, he actively moves.
The organs and tissues of the child are improved, all organs and systems are actively involved in the work, the baby even makes "breathing" movements, filling the lungs with amniotic fluid and "exhaling" them back. A bronchial tree has already formed, and from this period the inner surfaces of the lungs will gradually begin to be covered with a special film — a surfactant that will not allow the lungs to dry out from the inside and stick together on the exhale. From this period, the sebaceous and sweat glands, releasing the original lubricant, gradually come into operation.
The brain is actively improving - it creates gyrus, grooves and cortical centers with neural connections. This makes it possible to improve reflexes and sense organs. The child can now see and hear, distinguish between tastes and touches. He is already showing the first emotions and need to communicate with the baby, both mom and dad. The child has acquired its own characteristic features, and now it will already look almost like at birth, only a little fat will accumulate in the area of the cheeks. No less active, it will accumulate brown fat in body cavities and under the skin, this fat gives a high level of thermal energy and helps in the first days of a baby’s life to maintain its energy metabolism and body temperature. Due to the hormone of its own growth, the child is actively growing and gaining weight.
Feelings of the future mother
Now the condition of the future mother is excellent, she is almost not disturbed by discomfort, and she can enjoy her position. The mood is now very positive, joyful, and all thoughts are busy with pregnancy and imminent labor. The abdomen is actively growing, the hips are expanding, the breast is preparing for lactation, and even now the first portions of colostrum can stand out. But if they are not there, you should not worry - the presence or absence of colostrum in pregnancy has no effect on further lactation. Emotional uplift and surge of energy can be felt now, almost no mood swings, and this leads to the fact that the woman is actively shopping, working, starting repairs in the house, which can lead to fatigue, uterus tone and discomfort.
Now the appearance of a woman is improving - her hair becomes thicker and get shine, the skin becomes clean and smooth, rosy cheeks. But there may be an increase in the fat content of the hair or their excessive dryness, it is worth monitoring the condition of the skin and hair, they usually suffer from a deficiency of vitamins and minerals.
Now the movements have become distinct and confident, they are felt as pushes, smacks, kicks and even soreness, if the child rests against the walls of the uterus or under the ribs, squeezes the vena cava or sciatic nerve. Due to the increase in body weight and the action of hormones, swelling of the face and limbs may occur. This is due to water retention and the consumption of salty, spicy or sugary foods, it is worth reviewing your diet and controlling fluid intake during the day. From this period, there is an active set of body weight - up to 500 g per week. You will need special loose clothing and comfortable shoes. There may be increased perspiration, which is solved by frequent showers and fluid intake, refusal to wear synthetic clothing.
From discomfort and discomfort can occur:
- change in gait and slight soreness due to relaxation of the ligaments in the hip joints and some discrepancy of the pubic symphysis,
- discomfort in the back and lower back, pain in the sacrum and pelvic region,
- hemorrhoids with rectal pain and bleeding may occur,
- pain in the legs and their swelling, especially in the evening, cramps in the legs, heaviness in the legs.
It is necessary to rest more often, to pay special attention to regular physical exertion, good nutrition and sleep.
The condition of the uterus at 24 obstetric week
There is an increase in the size of the uterus due to the active growth of the fetus, and now the uterus rises 4-5 cm above the navel, which is about 24 cm from the womb to the bottom of the uterus. Its walls are relaxed and soft, periodically the uterus conducts training movements (contractions of Braxton-Higgs). The area of the cervical canal connecting the uterus with the vagina, gradually filled with thick mucus, forming a tube, which will move closer to childbirth. The volume of amniotic fluid increases, their number reaches 400 ml, they are updated up to 10 times per day, leaving along with the placenta to the baby certain nutrients and removing metabolic products.
At each doctor’s appointment, the doctor will assess the condition of the uterus, determine the height of the uterus floor and its tone, the location of the fetus inside it. The doctor will measure the abdominal circumference, which should gradually increase.
Ultrasound examination (ultrasound)
Routine ultrasounds are usually not performed at this time of pregnancy, and if an ultrasound is prescribed, there are usually indications for it. It is dangerous and will not affect the condition and development of the fetus. According to the ultrasound, the duration of pregnancy is determined, the estimated mass and growth of the fetus are calculated, certain indicators are determined that reflect the state and development of the fetus.
The doctor will carefully examine the internal organs of the fetus, parts of his body and the level of their development, the absence of malformations and abnormalities. Especially important is the study of the structures of the brain, heart and kidneys, the length of the limbs. It also determines the state of the uterine walls and the cervix, the location and thickness of the placenta, the umbilical cord and uteroparticle blood flow on dopplerography.
In this period, it can determine the position of the fetus in the uterus, although it is still not stable and placenta previa, its low placentation. Then studies will be appointed frequently to monitor the state of the placenta and fetus, in time to notice developmental problems and threatening conditions. When an ultrasound is detected on suspicion of a genetic pathology or developmental malformations, a consultation of genetics and additional research are appointed. You shouldn't worry too much - the ultrasound can be wrong.
In the second trimester of pregnancy, the discharge may be somewhat more abundant than before, but they must be of a certain type and consistency. Normal discharge has a moderate volume, uniform consistency, transparent or whitish, almost odorless. A dangerous symptom is the appearance of blood discharge on the laundry - this may indicate a placental abruption or the onset of preterm labor. It is also necessary to consult a doctor if you see brown discharge on the linen after the examination or sexual intercourse - these may be problems with the cervix.
Pathological secretions are yellowish, greenish, gray color of discharge, frothy, flaky, cheesy, abundant and heterogeneous, thick discharge with an unpleasant smell - rotten or fishy, with mucus or pus. This indicates the presence of infections - thrush, bacterial vaginosis or genital infections. They must be immediately identified and treated, self-treatment or lack of treatment is unacceptable, this can lead to complications and damage to the membranes and fetus.