Pregnancy Calendar at Week 32

What's Happening with the Baby

By the 32nd week, the baby's length reaches 42 cm, and the weight is about 2 kg. The internal organs are fully formed, but they still contain embryonic structures. For example, the heart has two anatomical features that disappear after birth: the ductus arteriosus and the foramen ovale. The former connects the aorta and the pulmonary artery, ensuring the predominant circulation of blood through the systemic circulation.

The baby starts to develop immune cells that produce antibodies and other biologically active molecules. This enhances the fetus's resistance to pathogenic microorganisms.

What's Happening with Mom

At 32 weeks of gestation, a woman's body is getting ready for the upcoming birth. Changes in the endocrine system and internal organs lead to various sensations for the expectant mother.

Abdominal size continues to increase

At 32 weeks of gestation, the belly is clearly visible as the baby's growth reaches 40 cm or more. As a result, the skin on the front abdominal wall becomes dry and multiple stretch marks appear. Striae also occur on the thighs and breasts. To prevent their formation, it is recommended that pregnant women consistently use anti-stretch mark gels and creams, as well as moisturizing products.

Chest pain

This is a symptom that scares many women. The pain occurs because the developing fetus is positioned head down in the uterus and constantly pushes against the uterine wall with its feet. The second most common cause of discomfort is uterine contractions.

Lower back and leg pain

These issues develop due to weight gain and increased stress on the musculoskeletal system. This shifts the center of gravity, which also leads to discomfort and unpleasant sensations. To prevent pain syndrome, pregnant women are advised to reduce daily physical strain, wear comfortable flat shoes, avoid gaining excess weight, and regularly perform physical therapy exercises to strengthen muscles. Sleeping on an orthopedic mattress with a comfortable pillow has a positive effect on overall well-being.

Frequent Urination

The growing uterus compresses the pelvic organs, primarily the bladder. This reduces its volume and constantly irritates the bladder wall. As a result, the frequency of urination can increase to once every 1-2 hours. Frequent trips to the bathroom cause additional discomfort. Specific treatment is not required. However, if frequent urination is accompanied by burning or pain in the perineal area, you should consult a doctor, as these symptoms may indicate cystitis.

Bowel Irregularities

Constipation or diarrhea is often noted in pregnant women during the third trimester. Ongoing hormonal changes lead to a decrease in the peristalsis of the large intestine, creating conditions for constipation. If a woman consumes an insufficient amount of fiber-rich foods, the risk of developing these issues significantly increases. Diarrhea can be associated with the reduction in the volume of the rectum and sigmoid colon due to the pressure exerted by the enlarged uterus.

Weight Changes

The average weight gain by the 32nd week of gestation is about 22 pounds. Gynecologists recommend that women weigh themselves every week and also measure their blood pressure on both arms. The weekly weight gain should be around 0.66 to 0.88 pounds. If body weight increases more rapidly or there are changes in blood pressure levels, it is advisable to consult with an obstetrician-gynecologist. These symptoms may indicate preeclampsia, which is associated with disruptions in the body's water-salt balance.

Vaginal Discharge

These symptoms can be observed throughout the entire pregnancy. They have a uniform consistency, a light milky color, and a moderate volume. If they become purulent, contain mucus or pus, you should seek medical attention immediately. Such changes indicate the development of an infectious pathology, which can affect the baby's development and cause congenital infections. If the discharge becomes watery or contains blood, it is necessary to consult an obstetrician-gynecologist.

Increased Anxiety

As childbirth approaches, anxiety and concerns about the baby's health tend to increase. Pregnant women may also worry about what kind of mother they will be. Experts recommend creating a comfortable atmosphere at home, listening to pleasant music, taking walks in the fresh air, visiting the theater, and more. It is important not to hide your anxiety and fears but to discuss them with your husband, friends, a psychologist, or a doctor. Many maternity hospitals have perinatal psychotherapists who address anxiety issues in pregnant women.

Insomnia and Other Sleep Disturbances

An enlarged belly, frequent urges to urinate, and fetal movements often lead to waking up multiple times during the night. To normalize sleep, you should take evening walks in the fresh air, ventilate the room, listen to calming music, and so on. Maternity stores sell special pillows that provide a comfortable position for your head at night.

Medical Examination

At 32 weeks, a woman undergoes a series of routine tests. Extensive examinations are required in cases where the pregnant woman has any complaints.

Doctors

Obstetrician-gynecologist – routine examination. The specialist talks with the woman, conducts an external examination, checks the height of the uterine fundus, and more. If necessary, tests and instrumental procedures are performed;
Therapist, cardiologist, etc. – diagnose and treat diseases if there are complaints and a diagnosis is confirmed.

Tests

General urine test to rule out preeclampsia and infectious diseases of the urinary system;
Complete blood count. They determine the levels of red blood cells and hemoglobin to rule out anemia, as well as white blood cells. An increase in their number indicates infectious and inflammatory processes in the body.

Examinations

Determining body weight and blood pressure. Measurements are recommended to be taken weekly at the same time and under similar conditions;
Measuring the height of the uterine fundus;
The obstetrician-gynecologist checks the baby's heartbeat and breathing rate using an obstetric stethoscope;
Ultrasound at 32-34 weeks – the third ultrasound screening. Its purpose is to determine the position of the fetus in the uterus and to rule out any pathological changes in the placenta and the baby. If necessary, simultaneous Doppler ultrasound is performed to assess blood flow in the umbilical cord vessels.

Pregnancy Challenges

The risk of developing gestational pathologies decreases at the 32nd week. However, the following conditions may arise:

Placental Insufficiency

This condition is characterized by reduced blood flow in the placenta, leading to decreased oxygen and nutrient supply to the baby. Severe hypoxia can cause perinatal encephalopathy, a disease that manifests with various neurological disorders. Pregnant women with placental insufficiency require comprehensive treatment.

Preeclampsia

Pregnant women may experience swelling and elevated blood pressure. This is accompanied by changes in lab tests: protein is found in the urine and an increased number of cells. If preeclampsia is suspected, the woman is hospitalized for examination and treatment.

Preterm Labor

The risk of preterm labor is observed in women with severe chronic illnesses, pregnancy complications, and other factors. This condition is characterized by intense cramping pains and heavy watery discharge. If these symptoms occur, it is crucial to call emergency medical services immediately.

What You Can and Can't Do

Leading a healthy lifestyle, eating a balanced diet, and avoiding risk factors for pregnancy complications can help a woman not worry about her baby's health and future childbirth. You can get recommendations from an obstetrician-gynecologist.

What an Expecting Mom CAN Do:

Get therapeutic massages. Make sure to go to specialists who have experience working with pregnant women;
Continue physical exercise, avoiding heavy and intense workouts. It's recommended to exercise under the supervision of a trainer;
Take walks in the fresh air for 2-3 hours a day. Regular evening walks improve sleep quality and prevent insomnia;
Ensure at least 8 hours of sleep at night;
Continue sexual activity. Choose positions that minimize pressure on the abdomen;
Eat plenty of vegetables, fruits, berries, nuts, lean meats, and fish, etc. Proper nutrition meets the needs of both the woman's body and the developing baby for nutrients, vitamins, and minerals.

What an Expecting Mom CAN'T Do:

smoke, consume alcoholic beverages, or use drugs;
self-medicate with prescription drugs or dietary supplements. Many medications are prohibited during pregnancy and should only be prescribed by your healthcare provider;
undergo X-ray examinations, including CT scans and fluorography;
have contact with pets. Cats can carry toxoplasmosis, which can cause developmental defects in the baby if contracted;
follow any diets or engage in fasting. A lack of nutrients increases the risk of pregnancy and childbirth complications;
lift heavy objects or perform intense physical labor;
visit saunas or steam baths, or take hot baths.

Helpful Tips

At 32 weeks, you should prepare the room and items for the baby. If you're missing anything, you can buy it ahead of time.