What is the course of the 24th week of pregnancy (23.1-24 weeks)? Is the sex of the baby clearly visible on ultrasound in the 24th week of pregnancy? What are the symptoms of gestational diabetes and is it dangerous for the fetus? Should the baby's movements during the 24th week of pregnancy be regular and what if I do not feel the fetus active for a long time? And finally: 24 weeks of pregnancy - which trimester is it? Is there a long time until delivery? We invite you to read the most interesting information on the XNUMXth week of pregnancy.
Pregnancy Math: What is the Month of the 24th Week of Pregnancy?
People in the immediate vicinity of the pregnant woman often cannot understand why the course of pregnancy is given in weeks. Therefore, when a woman reports that she is 24 weeks pregnant, they wonder what month it is?
She is currently pregnant in the 6th month of pregnancy, and there are just over 3 months left until the physiological delivery. The precise division into individual weeks allows you to better reflect the dynamic nature of pregnancy, in which many important changes occur at short intervals. What's more, pregnancy is also divided into three-month periods, the so-called trimesters. No wonder the family and friends of the pregnant woman get lost in calculations and medical terminology.
We are here to help, answering the question: 24 weeks of pregnancy, which trimester is it?
The sixth month means that a woman is just finishing the second trimester of pregnancy, slowly entering the final stage of preparation for childbirth. During this time, it's important to support her not only with household chores and preparing the baby's layette, but also to take care of her mental well-being. At 24 weeks, the belly is already large enough to cause a woman some discomfort. These, along with the "storm of hormones," increased fatigue, and worries about childbirth, can contribute to a significant decline in mood in a pregnant woman.
Ailments and weight in the 24th week of pregnancy: is how much weight gain affects the health of the baby?
A pregnant woman's body weight is constantly increasing, especially during the second and third trimesters, when the baby begins to grow intensively and accumulate fat tissue. Future mothers - how much weight you gained in the 24th week of pregnancy depends both on the weight of the baby itself, the uterus and amniotic fluid, as well as your starting weight before pregnancy.
In the book, a woman in the second trimester of pregnancy should gain about 1000-2000 grams per month, but this is an individual matter for each pregnant woman. Weight gain in overweight and obese women should fall within the lower limit of this range (with significant obesity of the patient, her weight during pregnancy sometimes decreases or remains at the same level, and this is a normal symptom). On the other hand, in women who had a BMI below the norm before pregnancy, kilograms should be added in the second trimester a little more, even about 2 kg per month.
At the follow-up visit at 24 weeks of pregnancy, your doctor or midwife will tell you if your weight is increasing at an optimal pace after weighing the patient. How much you put on at 24 weeks of pregnancy is important not only for your faster recovery after delivery, but also for the health of the developing fetus.
Excessive weight gain increases the risk of:
- speeches diabetes i hypertension pregnancy-induced;
- future obesity i insulin resistance in a child;
- and in some cases it can lead to premature birth i perinatal complications.
Testing at 24 weeks of pregnancy: what is a glucose load test?
Every pregnant woman should have her fasting blood glucose levels checked in the first trimester. If a woman is at risk for GDM due to factors such as being overweight or obese, being over 35 years old, or having a family history of type 2 diabetes, a glucose tolerance test (OGTT) should be performed at the beginning of the first trimester.
If no previous abnormalities are found, an OGTT test (also called a blood sugar curve) is performed on every pregnant woman between weeks 24 and 26 , so you can have this important test as early as week 24. It lasts about two hours, during which you should not leave the clinic/laboratory, so it's a good idea to bring something to read.
The first blood glucose measurement is performed with the patient fasting. The pregnant woman then drinks a 75-gram glucose solution and waits one hour for the next blood glucose measurement. The third and final measurement is performed two hours after drinking the glucose solution. Walking or physical exercise should not be performed during the test. This test can detect gestational diabetes in patients from the 24th week of pregnancy.
What is gestational diabetes and what complications can it cause for the pregnant woman and the fetus?
Gestational diabetes is diagnosed in approximately 5% of pregnant women who did not have diabetes before pregnancy. It is caused by increased levels of prolactin, estrogen, progesterone, and placental lactogen. These hormones have an antagonistic effect on insulin. In some pregnant women, they reduce cell sensitivity to insulin, leading to insulin resistance.
If your doctor has diagnosed you with gestational diabetes at 24 weeks of pregnancy , they will recommend a low-glycemic index diet and regular, moderate physical activity (if there are no health contraindications to exercise). In some cases, gestational diabetes requires pharmacological treatment.
Controlled and treated gestational diabetes does not pose a risk to the fetus, but if not diagnosed it may lead to, inter alia, down:
- the development of birth defects;
- too high a child's birth weight;
- or preterm labor.
Gestational diabetes usually resolves spontaneously for up to a few weeks after birth. In women with gestational diabetes, OGTT should be repeated approximately 8 weeks after delivery. This group is more likely to suffer from metabolic disorders in the future.
Ultrasound at 24 weeks of pregnancy: what is the appearance and position of the baby?
During this period of pregnancy, many expectant mothers opt for a 3D or 4D ultrasound. While not a mandatory diagnostic test, it allows for a clearer view of the baby at 24 weeks of pregnancy . This unique fetal photograph will be a wonderful keepsake in the family album.
During the ultrasound examination in the 24th week of pregnancy, the doctor will be able to confirm with a high degree of probability whether the parents are expecting a boy or a girl, because the genitals are already shaped and clearly visible.
Many expectant mothers are also curious about the baby's position and position at 24 weeks of pregnancy, meaning whether it has already turned head-down, the optimal position for natural childbirth. However, in medical terms, we don't talk about position, but rather—in this case— longitudinal, cephalic, or breech.
At 24 weeks of pregnancy, the belly is already quite large, but the fetus still has a lot of space in the uterus, so it can turn and change its body position many times before birth.
The weight of the child at 24 weeks of pregnancy
The fetus gains weight rapidly with each week of the second trimester. The organogenesis process has completed, and all the energy it gains is directed toward:
- numerous metabolic processes;
- maturation of individual organs;
- development of the nervous system;
- and the accumulation of adipose tissue.
This is a heavy burden on the child's body, so it sleeps most of the day, swayed by the movements of its mother's body to calm it down.
A baby's weight at 24 weeks of pregnancy is approximately 600 grams, and its length, measured from head to toe, is approximately 30 cm . These values are determined by the doctor based on fetal measurements obtained during an ultrasound examination. The specialist compares the obtained data with population norms, as defined in the growth charts. Based on this, the specialist can determine whether the baby is developing at a normal rate in the womb.
Should my baby's movements be felt every hour during the 24th week of pregnancy?
As mentioned above, the fetus sleeps most of the day, so its physical activity lasts only about five hours a day. At 24 weeks pregnant, the expectant mother can already clearly feel the baby's kicks and somersaults, especially after a meal or during rest. It's this healthy calorie intake and the mother's inactivity that make the baby more active in the womb.
Regular monitoring of baby's movements begins at 28 weeks, but you can stimulate the fetus to become more active now, for example, by eating sweet fruit or lying on your left side. If a pregnant woman, at 24 weeks pregnant, doesn't feel fetal movement for many hours, is experiencing anxiety, abdominal pain, or unusual vaginal spotting, you should seek medical attention immediately.
Consultation:
Ph.D. n. med. prof. IMID Tadeusz Issat - Head of the Obstetrics and Gynecology Clinic at the Institute of Mother and Child;
Maria Krowicka-Wasyl – resident physician during specialization in gynecology and obstetrics, Clinic of Obstetrics and Gynecology at the Institute of Mother and Child.