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Week 38 of Your Pregnancy: Care Instructions

Believe it or not, your baby is almost here. You may notice how your baby responds to sounds, warmth, cold, and light. You may even know what kind of music your baby likes.

  • Even if you expect a vaginal birth, it's a good idea to learn about cesarean section (C-section). C-section is the delivery of a baby through a cut (incision) in your belly. It's a major surgery, so it has more risks than a vaginal birth.

  • During the first 2 weeks after the birth, limit visitors. Don't allow visitors who have colds or infections. Ask visitors to wash their hands before they touch your baby. And never let anyone smoke around your baby.

7 tips for week 38 of pregnancy

  • Know about unplanned C-sections. Reasons for an unplanned C-section include labor that slows or stops, signs of distress in your baby, and high blood pressure or other problems for you.

  • Know about planned C-sections. If your baby isn't in a head-down position for delivery (breech position), your doctor may plan a C-section. Or you may have a planned C-section if you're having twins or more.

  • Get as much help as you can while you're in the hospital. You can learn about feeding, diapering, and bathing your baby.

  • Talk to your doctor or midwife about how to care for the umbilical cord stump. If your baby will be circumcised, also ask about how to care for that.

  • Ask friends or family for help, as you need it. If you can, have another adult in your home for at least 2 or 3 days after the birth.

  • Try to nap when your baby naps. This may be your best chance to get some sleep.

  • Watch for changes in your mental health. For the first 1 to 2 weeks after birth, it's common to cry or feel sad or irritable. If these feelings last for more than 2 weeks, you may have postpartum depression. Ask your doctor for help. Postpartum depression can be treated.

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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