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Week 39 of Your Pregnancy: Care Instructions

  • Newborn babies can look different than what you see in pictures or movies. Their heads can be a strange shape right after birth. And they may have swollen eyes and red marks on their faces.

  • You can still get pregnant even if you are breastfeeding. If you don't want to get pregnant, talk to your doctor about birth control.

Tips for week 39 of pregnancy

  1. If you plan to breastfeed, get prepared.

    • Continue to eat healthy foods.
    • Keep taking your prenatal vitamins during breastfeeding if your doctor recommends it.
    • Talk to your doctor before taking any medicines or supplements.
  2. Choose the right birth control for you.

    • Intrauterine devices (IUDs) are placed in the uterus. Sometimes the IUD can be placed right after giving birth. They work for years.
    • Hormonal implants are placed under the skin of the arm. They also work for years.
    • Depo-Provera is a shot. You get it every 3 months.
    • Birth control pills can be used. They're taken every day.
    • Tubal ligation (tying your tubes) and vasectomy are surgeries. They're permanent.
    • Diaphragms, spermicide, and condoms must be used each time you have sex. If you used a diaphragm before, you should get refitted after the baby is born.
    • A birth control patch or ring can be used. These just can't be started until several weeks after you give birth.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and contact your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

When should you call for help?

Call 911anytime you think you may need emergency care. For example, call if:

  • You have severe vaginal bleeding. You have soaked through one or more pads in an hour, and the bleeding is not slowing down.
  • You have sudden, severe pain in your belly that does not go away.
  • You have chest pain, are short of breath, or cough up blood.
  • You passed out (lost consciousness).
  • You have a seizure.
  • You see or feel the umbilical cord.
  • You think you are about to deliver your baby and can't make it safely to the hospital or birthing center.

Call your doctor now or seek immediate medical care if:

  • You have vaginal bleeding.
  • You have belly pain.
  • You have a fever.
  • You are dizzy or lightheaded, or you feel like you may faint.
  • You have signs of a blood clot in your leg (called a deep vein thrombosis), such as:
    • Pain in the calf, back of the knee, thigh, or groin.
    • Swelling in your leg or groin.
    • A color change on the leg or groin. The skin may be reddish or purplish.
  • You have symptoms of preeclampsia, such as:
    • Sudden swelling of your face, hands, or feet.
    • New vision problems (such as dimness, blurring, or seeing spots).
    • A severe headache that will not go away.
  • You have a sudden release or slow trickle of fluid from your vagina. This may mean your water has broken.
  • You notice that your baby has stopped moving or is moving less than normal.
  • You have signs of heart failure, such as:
    • New or increased shortness of breath.
    • New or worse swelling in your legs, ankles, or feet.
    • Sudden weight gain, such as more than 2 to 3 pounds in a day or 5 pounds in a week.
    • Feeling so tired or weak that you cannot do your usual activities.
  • You have symptoms of a urinary tract infection. These may include:
    • Pain or burning when you urinate.
    • A frequent need to urinate without being able to pass much urine.
    • Pain in your low back (below the rib cage and above the waist).
    • Blood in your urine.
  • You have signs of active labor. During active labor, contractions:
    • Happen more often and at regular intervals (about every 3 to 5 minutes).
    • Last longer (about 60 seconds or more).
    • Get stronger and are hard to talk through.

Watch closely for changes in your health, and be sure to contact your doctor if:

  • You have vaginal discharge that smells bad.
  • You feel sad, anxious, or hopeless for more than a few days.
  • You have skin changes, such as a rash, itching, or a yellow color to your skin.
  • You have other concerns about your pregnancy.
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