Ninth obstetric week of pregnancy: what happens, sensations, fetal development. Embryo development by day and week Embryo at week 9 ultrasound

Starting from the first days after conception and up to a period of 9 weeks, chorionic gonadotropin (hCG) is rapidly growing in a woman's body. At this time, its amount reaches peak values, which entails an increase in all signs of pregnancy. Our article will talk in detail about what happens to mom and baby at week 9, as well as methods for dealing with the manifestations of toxicosis.

9 weeks is how much?

Doctors are accustomed to considering pregnancy by obstetric term. This is due to the convenience of calculation and the fact that it is very difficult to accurately determine the day of conception, that is, the embryonic period, even if you know the date of unprotected sexual contact.

In real time, the fertilization of the egg occurs 12-14 days later. This is the embryonic period. Therefore, 9 weeks for the obstetric term is 7 weeks for the embryonic. If we talk about the ninth week of the embryonic period, then it coincides with the eleventh week of the obstetric period.

For ease of calculation in medicine, the obstetric period of fetal development is always used.

What should be the weight gain at this time

Weight gain throughout pregnancy in women occurs in different ways. Some moms get better, others, on the contrary, lose weight. To calculate the allowable rate of weight gain, you can use a simple method. First you need to calculate the body mass index. This is done according to the following formula: weight in kilograms divided by height squared.

After the calculation, the result is compared with the table.

With a normal body weight, a woman on average gains about 10-15 kilograms. On the early dates weight gain is usually up to about two kilograms. With a singleton pregnancy, this is considered the norm. With twins or triplets, the increase is usually 500 grams or more for each seven days.

These numbers are the average. Often at the 9th week of pregnancy, women not only do not get better, but also lose weight. The cause is early toxicosis, manifested in the form of nausea, vomiting and other symptoms. You don't have to worry about a little weight loss. Usually, after a decrease in the manifestations of toxicosis, a woman gains kilograms.

A cause for concern should be a sharp loss of body weight or, conversely, a too intense set of kilograms. In such a situation, it is necessary to be examined.

Types of toxicosis and methods of dealing with it

Toxicosis is commonly called a number of disorders, accompanied by characteristic signs that occur in the first half of pregnancy. Usually nausea, vomiting and other symptoms of this condition are pronounced until 11-16 weeks, after which they begin to gradually fade away.

There are several types of severity of toxicosis:

Mild - vomiting occurs up to five times during the day, the woman feels sick mainly in the morning, in the rest of the day she feels satisfactory.
Average - vomiting occurs 8-10 times a day, appetite decreases, nausea, dizziness, dyspeptic disorders occur.
Severe course - vomiting occurs more than 10 times a day, a woman needs drug treatment and hospital stay.

The main type of therapy for toxicosis is the replenishment of lost fluid and nutrients by introducing special solutions through a dropper.

Reviews of many women indicate that it is quite possible to cope with toxicosis at the 9th week of pregnancy with the help of simple methods. Among them, the following are effective:

proper nutrition, including a large amount of fruits, vegetables, herbs and cereals;
the use of a sufficient amount of liquid, mineral water, natural juices, herbal tea;
giving up alcohol and tobacco smoking;
rejection of household chemicals and perfumes;
frequent airing of the room;
observance of the daily routine and walks on fresh air;
timely visit to the doctor.

Lemonade, mint and ginger tea helps relieve nausea. Peppermint lollipops work well. In the morning, do not immediately get out of bed. It's good to have a salted cracker or mint on hand. Remember, by the second trimester, toxicosis will decline. A little patience during this period will not hurt.

Fetal development

The tiny organism in the womb is constantly growing and developing. At the 9th week of pregnancy, its diameter can be compared with a grape or a cherry. The height of the baby is about two centimeters, and the weight reaches two grams. At this stage, the child becomes more and more like a person. His tail disappears in the region of the coccygeal region, arms and legs are clearly visible. The shape of the body still resembles a bent arc, but every day it straightens out.

On the face of the crumbs, a nose, mouth, eyes are visible. The rudiments of milk teeth have already appeared, and taste buds are formed on the tongue. The eyes are tightly closed for centuries. In this state, they will stay for a long time, up to about 26 weeks. Despite the fact that the head is still very large in relation to the body, the neck is already clearly visible. During this period, palatine bones grow together, earlobes appear.

In addition, the changes are as follows:

membranes disappear between the fingers and toes;
ankle and wrist joints are formed;
the baby bends and unbends the arms at the elbows;
all joints begin to function. The baby is already able to make movements;
hair follicles are laid;
the intestines are improved;
the diaphragm develops;
constantly strengthening neural connections;
in the heart, which by this time is already divided into 4 chambers, valves appear;
The heart rate of a baby at 9 weeks pregnant is approximately 140-160 beats per minute.

Providing a small organism with oxygen and nutrients occurs through the placenta. At this stage, it is well developed and performs its functions perfectly.

Despite the fact that at 9 weeks everything internal organs the fetus is formed, it is not able to survive outside the womb. Until the moment of delivery, all systems will continue to improve.

Feelings in a woman

At the beginning of the third month, the woman continues to worry about the same signs that were noted earlier. At the 9th week of pregnancy, the manifestations of toxicosis become more noticeable. Many mothers need medication to relieve their well-being. What else worries the girl?

Change in taste and increased sense of smell

Stories that in the middle of the night pregnant women may crave this or that product are not exaggerated. Such desires are not whims at all. A woman becomes a hostage to her hormonal levels.

A surge in progesterone entails a change in taste preferences. A young mother suddenly begins to combine completely incompatible foods or eat something that used to be disgusting. The perception of smells also changes. At the 9th week of pregnancy, it is better to give up various flavors, perfumes and household chemicals.

Pulling sensations in the lower abdomen and in the lumbar region

The complaint that their lower abdomen is pulling can be heard from many mothers. These sensations are not considered pathological. They are associated with the growth of the uterus as a result of the development of the fetus. If such sensations arise, you should carefully listen to your body. Spasms that go away on their own are not considered a pathology. Otherwise, the situation is with severe pain and the appearance of bloody discharge. If these symptoms are detected, you should immediately contact the gynecologist.

mood swings

Mood swings at the 9th week of pregnancy worry many women. In a short period of time, a mother can experience a whole range of emotions. This is explained by fluctuations in the body of the hormone progesterone. In addition, many girls find it rather difficult to get used to the idea that a tiny life is developing in their tummy. This causes great fear and anxiety.

At this stage, the support of loved ones and the understanding of work colleagues are very important. In the second trimester of bearing a baby, such “emotional swings”, as a rule, pass on their own.

Morning sickness at 9 weeks pregnant is still present in many women, and in some it is gaining momentum. The correct drinking regimen, a healthy diet and some other tricks described earlier in the article help to cope with this. The good news is that there is very little patience left. By 11-12 weeks, the condition should improve.

Toxicosis with a severe course is controlled by doctors. Sometimes a pregnant woman is shown inpatient treatment.

Frequent trips to the toilet

Frequent urination at week 9 becomes commonplace. This is not surprising, because the uterus is increasing in size every day, putting pressure on bladder and intestines. There is no point in dealing with this symptom. You can not limit yourself to the liquid, as this can provoke some undesirable consequences.

Drowsiness and weakness

Fatigue and a constant desire to sleep become the constant companions of a woman at the 9th week of pregnancy. This condition is explained by several factors:

drowsiness is a kind of protective reaction of the body. In this manner nervous system tries to protect itself from excessive psychological stress and stress;
increased drowsiness due to the production of progesterone, which has a relaxing effect on the body;
Another reason for the constant desire to sleep is iron deficiency anemia. It can occur with a nutritional deficiency. Therefore, it is very important for a woman at the 9th week of pregnancy to monitor her diet.

Chronic low blood pressure can also lead to fatigue and drowsiness. Hypotension provokes a breakdown and a constant desire to lie down.

breast augmentation

The mammary glands play a very important role after the birth of a baby. Lactation provides the baby with all the necessary nutrients. Starting from the second month of bearing a child, the breast begins to change dramatically. It becomes painful, increases in size. Many women note the darkening of the nipples and the appearance of veins in the mammary glands.

It is very important at this time to take care of high-quality underwear made from natural fabrics. The chest should not be squeezed. At 9 weeks, you can purchase a special bra for pregnant women.

Frequent headaches

Carrying a child is a long and rather difficult period. The body of a woman suffers a kind of stress. The load is on the nervous and cardiovascular system. Changes in hormonal levels, fluctuations in blood sugar levels, stress, lack of sleep negatively affect overall health. In this regard, a woman often encounters headaches.

It is recommended to deal with a headache at the 9th week of pregnancy with the help of medications only as directed by a doctor. At home, you can apply a cool compress to your head.

Allocations

Increased blood circulation in the pelvic area during the bearing of the baby increases, the uterus grows. All this provokes an increase in secretions. Normally, they should have a transparent, odorless, mucous consistency. If the secret becomes pathological, this is a cause for concern. What this or that nature of the discharge may indicate:

Brown or bloody - indicate various conditions, from the presence of cervical erosion to placental abruption. If such a secret is found on linen, you should immediately contact a specialist for help.
Pink, light beige discharge or brownish spotting often indicates an infection in the genitals. For exclusion serious illnesses a woman is recommended to take a smear for pathological microflora from the vagina.
White, yellow with an unpleasant sour smell indicate the development of thrush. Often, the disease occurs against the background of reduced immunity at the 9th week of pregnancy. Thrush is treated with the help of medications prescribed by a gynecologist.
Watery discharge is a warning sign. They indicate leakage of amniotic fluid. The condition requires immediate medical correction and careful monitoring of the course of pregnancy.
Scarlet blood on linen indicates bleeding. This gives rise to an immediate appeal for medical care. Bleeding occurs with miscarriage, fetal fading, placental abruption, ectopic pregnancy and other dangerous conditions.

At the 9th week of gestation, a woman should remember that her health and the development of her crumbs are in her hands.

In case of any alarming manifestations, you should contact a specialist.

Dyspeptic disorders

On the part of the digestive tract, a woman is worried about heartburn, belching, flatulence, often there is constipation or, conversely, diarrhea. The reasons for this condition are the relaxing effect of the hormone progesterone on the smooth muscles of the internal organs and the decrease in the peristalsis of the stomach and intestines against this background.

Digestive disorders should be dealt with through proper and balanced nutrition, as well as with the help of a competent drinking regimen. Nutritionists recommend taking water and other drinks half an hour before meals or 40 minutes after it.

Analyzes and ultrasound

At the 9th week of pregnancy, a woman should regularly visit a gynecologist. There is no need to wait until the last moment and delay with registration, because the development of the baby does not always go according to plan. In the hospital future mom receives an exchange card and recommendations on which doctors she should go to.

therapist;
cardiologist;
ophthalmologist;
dentist.

If necessary, you may need to consult other specialists, for example, a surgeon, a neurologist and others.

general analysis of blood and urine;
a smear for pathogenic flora from the vagina;
bacterial culture of urine and feces;
analysis for TORCH infection;
blood chemistry;
analysis for Rh conflict.

Ultrasound at 9 weeks of gestation is rare. Ultrasound is prescribed if you suspect the bearing of several embryos, as well as if the patient complains of spotting or severe pain in the lower abdomen and in the lumbar region.

During an ultrasound examination, you can see the location of the fetus, multiple pregnancy, coccyx-parietal size of the fetus (KTR). At the ninth week, the normal CTE is 16-27 mm. Often during the study, a retrochorial hematoma is detected. At the same time, inpatient treatment is carried out with the help of hemostatic drugs. With a positive outcome, the hematoma exits through the vagina and does not harm the fetus.

What does the fetus look like on ultrasound?

In the photo you can see what the baby looks like at 9 weeks.

In this ultrasound photo, twins are found.

With multiple pregnancies, various complications often occur, so the girl needs careful medical monitoring.

Frozen pregnancy

Fading of the fetus is called the stop of its development. Often the woman long time doesn't feel any symptoms. Symptoms occur later, when intoxication of the body with the decay products of the membranes begins.

hormonal disorders;
genetic failure;
Rhesus conflict;
mother's bad habits;
stress, exercise, unhealthy lifestyle.

Frozen pregnancy is accompanied by the appearance of bloody discharge, fever, pain and cuts in the lower abdomen. To prevent this condition, you should be attentive to your health throughout the entire period of bearing a child and visit a antenatal clinic in a timely manner.

After fertilization, the egg travels through the fallopian tubes and attaches to the wall of the uterus. This is a normal development of pregnancy, but this is not always the case. Sometimes the fetal egg is attached in the fallopian tube, in the peritoneum, or in another pathological area.

More often at week 9, this pathology is already detected, as the woman undergoes the necessary studies. If registration occurred later, the risk of ectopic pregnancy remains. Read more about this condition in.

Miscarriage or spontaneous abortion

Despite the fact that nine weeks is already the beginning of the third month of pregnancy, the risk of miscarriage is still quite high. Reasons for spontaneous abortion include:

stress, trauma in the abdomen;
weight lifting;
bad habits;
genetic failure in the fetus;
hormonal buildup in a woman;
malnutrition;
increased uterine tone;
alcohol consumption.

Symptoms characteristic of a miscarriage are the appearance of severe pain and cramps in the abdomen. At the same time, a woman detects bloody discharge, a headache appears, sometimes the body temperature rises, and general well-being worsens.

Early diagnosis miscarriage and qualified medical care often helps to save the life of a child.

Cold at 9 weeks pregnant

In the early stages of bearing a baby, even a common cold can provoke extremely serious complications, because right now many of the internal organs of the baby are being laid and formed. If a woman has a fever, a sore throat, a runny nose and other warning signs, you should abandon home treatment and consult a doctor. This is especially true for diseases such as influenza, chickenpox, rubella and others.

Therapy at the 9th week of pregnancy should be carried out under the close supervision of an infectious disease specialist using only safe drugs. Otherwise, the consequences can be the most negative.

Basal temperature at this time

Basal or rectal temperature are indicators that are measured in the back hole. These numbers help to monitor the menstrual cycle and evaluate hormonal fluctuations in the body.

Normally, at the 9th week of pregnancy, a woman's basal temperature should remain within 37-37.3 ° C. A short-term increase in the thermometer marks up to 38 ° C is also allowed. At the same time, it is important that the mother does not have other alarming symptoms, such as pain and spotting.

Daily routine and nutrition of a pregnant woman

Proper daily routine, healthy eating and quality sleep are necessary conditions at 9 weeks pregnant for gestation and birth healthy baby. In this regard, mom needs to adhere to proper nutrition at all stages of bearing a child.

Often women are assigned table number 9. The menu is saturated useful vitamins and minerals, helps to meet all the needs of the body of a pregnant woman in nutrients.

The list of prohibited and permitted products can be seen in the table.

In addition to proper nutrition, you need to often walk in the fresh air, relax more, sleep at least 8-9 hours a day. At the 9th week of pregnancy, you should try to limit yourself from stress and worries. A woman is recommended to listen to pleasant music, read educational literature, communicate with friends and relatives.

Physical activity

Sufficient physical activity is one of the important conditions for a healthy pregnancy and easy childbirth. Thanks to her, a woman manages to keep good shape, burn excess calories. In addition, gymnastics helps to eliminate spasms and pain in the lower back, relieve muscle tension. Yoga promotes relaxation and normalization of sleep.

walking;
swimming;
Pilates;
yoga;
water gymnastics;
fitball training.

Refuse at week 9 should be from extreme sports, strength exercises, long-distance running. It is undesirable to engage in diving, skiing, tennis, basketball, football, wrestling.

Sexual intimacy with a partner is not included in the list of direct contraindications during pregnancy. The decision on whether a woman can have sex at this time is made by a doctor after a gynecological examination and passing all the tests.

It is forbidden to have sexual contact with patients with the following conditions:

the threat of termination of pregnancy;
increased uterine hypertonicity;
bloody issues;
miscarriages or missed pregnancy in the woman's history;
pain in the abdomen and lower back of unknown etiology.

In the normal course of pregnancy, sex is allowed, and for more later dates even welcome. At the same time, it is important that sexual partners are healthy.

FAQ

Often, pregnant women are looking for answers to their questions in various forums. After analyzing the most frequently asked questions, we will try to answer them.

Why did my chest stop hurting at 9 weeks?

The female body goes through many changes while carrying a baby. Tangible changes are also noticeable from the side of the mammary glands. From the first weeks of pregnancy, the breast becomes more sensitive, painful when pressed. Sometimes it happens that the mammary glands stop hurting at a certain period. Do not sound the alarm, because this is a completely normal phenomenon. The pain may return later.

If the chest has stopped hurting, but there are no warning signs, you do not need to worry. You should urgently consult a doctor in situations where the cessation of pain is accompanied by bleeding, fever, pain in the lower abdomen and other alarming symptoms.

What to do if all signs of pregnancy and toxicosis disappeared?

The cessation of toxicosis at the 9th week of pregnancy may indicate some physiological characteristics of the woman's body (early cessation of toxicosis) or serious problems such as miscarriage or fetal fading. In any case, if such a situation arises, a specialist consultation and an ultrasound scan are required.

Is it normal if toxicosis began only at week 9?

The appearance of nausea, vomiting and other signs of toxicosis at this time is considered quite natural. Depending on the individual features the body of a woman, toxicosis can appear both in the early and later periods.

Big belly grew at 9 weeks pregnant

The belly during pregnancy begins to grow at about 11-12 weeks. In thin girls, it is less noticeable, and in tight girls it is immediately visible. If the tummy has grown at this time, this may indicate an incorrect setting of the term, multiple pregnancy, or weight gain. A second examination by a gynecologist and an ultrasound examination of the fetus will help clarify the situation.

Where does fetal retrochorial hematoma come from?

Retrochorial hematoma is accompanied by the appearance of brown or bloody discharge in a woman. Possible causes of this condition include:

hormonal disorders;
genetic abnormalities in the fetus;
violation of the composition of the blood in a pregnant woman, increased clotting;
stress;
bad habits;
sexually transmitted infections;
inflammatory diseases in the expectant mother.

This condition is treated with medication. Often requires a stay in the hospital under the close supervision of a doctor.

Want to learn more about other periods of pregnancy? You can read about them in our article "".

Video

You can learn about the features of fetal development at week 9 by watching this video.

The gestation period of 9 weeks is 11 obstetric weeks. There is very little left before the end of the first trimester of pregnancy. And this means that the baby is already fully formed, and the risk of losing it is much lower. In some women, the tummy gradually begins to round. And someone is already in a hurry for an ultrasound, for the so-called screening, in order to quickly find out if everything is in order with the baby and his gender. Is it possible to get this information on this period? Learn from this material.

What happens to the fetus at 9 weeks

The kid already looks like a tiny man with a big head and too long arms(at this time, the arms of the fetus are longer than the legs). Now its size is about half the length of the body. And this is understandable, because the brain grows and develops very quickly. The chest is fully formed.

All facial bones are present. The ears are almost in place. Formed tongue, palate and nasal passages. Pretty strong neck, the child can turn his head. There is a grasping reflex. The baby feels the taste of amniotic fluid.
The eyes take on color - the iris is formed.
The height of the child is slightly more than 4 cm, and the weight is about 8 grams.

The fetus is very thin skin through which blood vessels are clearly visible. The baby moves with might and main, swims in the amniotic fluid. Everything that happens to the fetus at 9 embryonic weeks can be seen on ultrasound, but mom still doesn’t feel anything at all.

The intestines are already functioning, though some of its loops are still falling out. Other internal organs also grow and develop. Big role plays the liver. She produces blood. By the way, the composition of the blood of a child in prenatal period very different from what will happen after his birth. The fetus in the blood does not have leukocytes - white blood cells, only red - erythrocytes.
The kidneys have begun their work. Baby urinates in amniotic fluid.
The placenta is actively developing and increasing in size, according to the fetus. It will grow almost the entire pregnancy. The thickness of the placenta corresponds to the obstetric week of pregnancy.

The formation of the genital organs is actively underway, but neither the scrotum of boys, nor the labia of girls with ultrasound is yet visible. By the way, have you ever heard of a bicornuate or saddle uterus in girls? In children at this embryonic period, the uterus and vagina are normally divided into 2 halves. But gradually they get correct form. Although almost all girls are born with a saddle-shaped uterus, this is the norm. But if some developmental disorders have occurred at this time, then the girl will be born with a bicornuate uterus, which will complicate or make it impossible for her to conceive a child and carry a pregnancy.

What does a pregnant woman feel and notice?

The tummy is growing, and the woman herself can already feel her uterus just above the pubic bone. Another 2-3 weeks, and the doctor in the antenatal clinic will measure it with a centimeter tape at each examination and record the data in the outpatient card of the pregnant woman. The height of the fundus of the uterus is approximately equal to the number of weeks of pregnancy. But it can be more if the pregnancy is multiple or with a large fetus and polyhydramnios, but at this time the height of the uterus is approximately the same for everyone.

Often, during self-examination, women notice something like a mound in the uterus towering above the pubis. Someone says that in this way the tone of the uterus is manifested. If a woman has uterine fibroids, then this is attributed to her, because myomatous nodes tend to grow in the first trimester. In fact, this is a fertilized egg. This is what creates this asymmetry. But this phenomenon is temporary and very soon the uterus will acquire a spherical shape.

The growth of the tummy is good and interesting, but there are unpleasant moments. These include the appearance of stretch marks - striae. They are usually seen on the buttocks, thighs and chest. At longer stages of pregnancy, striae also cover the stomach. This does not affect health, but it brings little joy. Striae look like bright stripes. Gradually, after childbirth, they will turn pale, however, they will forever remain on the skin in the form of white stripes.

Stretch marks are sometimes impossible to avoid. It is possible to reduce the risk of their appearance only by preventing excessive overstretching of the skin, which means that the main enemy in this case is subcutaneous fat. You need to try to keep your weight normal.

Creams for stretch marks are not very effective. But of course you can use them. The main thing is skin hydration.

Also, some mothers say that in their first trimester of pregnancy, hair began to actively grow over upper lip, others, on the contrary, say that the hairs are gone. This is individual.

Feelings of the expectant mother at nine weeks pregnant

A feeling that often haunts expectant mothers is hunger. And this is understandable, because part of the nutrients received by the mother goes to replenish the resources of not her body, but the child. Therefore, doctors advise to slightly increase the amount of food, add one more snack. Only not cookies, sweets and similar little-useful products, but vegetables, cereals, fruits, sour-milk.

Frequent thirst is best quenched with ordinary non-carbonated water. Shop juices contain more sugar than vitamins, then there is not much benefit from them, but the weight of the expectant mother from such a dessert will quickly increase.

Unpleasant sensations in the stomach at nine weeks of pregnancy occur less frequently. Toxicosis gradually recedes, appetite improves, so it's time to start monitoring your weight.

It may completely stop hurting the chest. This is fine. It should not be regarded as a sign of "fading" of pregnancy. But the mammary glands remain slightly enlarged throughout the entire period of bearing the baby.

The threat of miscarriage - whether to drink Duphaston, the condition of the cervix

This is the main problem of the entire first trimester of pregnancy, which has not yet ended. Slight pulling pains that occur only occasionally do not affect the development of pregnancy. But if they become regular and begin to resemble painful menstruation, you need to urgently consult a doctor. You should especially hurry if there is bloody discharge from the vagina. Perhaps the detachment of the chorion has begun.

In this case, doctors first make sure with the help of ultrasound that the pregnancy is progressing, that is, the fetus has not died, and they prescribe a hemostatic (if necessary), it can be Traneksam or Dicinon, as well as a progesterone preparation for oral administration and ( or) vaginally.

The most commonly prescribed progesterone preparations at the moment are Utrozhestan and Duphaston. Doctors of antenatal clinics usually prescribe "Dufaston" for any suspicion of a threatened abortion. However, the most effective tool prevention and treatment, and this is proven by scientific studies, is the vaginal use of progesterone. So, the drug "Utrozhestan" (it can be taken orally or used vaginally) is preferable. In second place are intramuscular injections of progesterone. Usually they are done in hospitals. Cheap and efficient. And only in third place is the oral intake of progesterone.

Progesterone should only be taken as prescribed by a doctor, as it has many side effects. For example, it negatively affects the mother's liver.

In some situations, at this time, the woman is stitched on the cervix. This is necessary if isthmic-cervical insufficiency is proven. Usually, at such an early date, the cervix is sutured to women who have had a history of miscarriages over long periods due to its weakness. After suturing, progesterone is prescribed for a long time. By the way, it is this drug that helps to reduce the tone of the uterus as much as possible. And "No-shpa" and "Papaverine" have a short-term effect. You can't use them on a regular basis.

Whether to do an ultrasound - the first screening

At 11-13 obstetric weeks, that is, at 9-11 fetal weeks, the first screening is carried out - a woman donates blood for PAPP-A and hCG, undergoes an ultrasound scan. On ultrasound, all organs and systems of the child's body are evaluated. Chromosomal pathologies, Down syndrome, Edwards, Patau and others are judged by the presence or absence of the nasal bone, the size of the collar zone (NTP). On ultrasound, you can see some malformations, for confirmation of which analysis is not needed, for example, severe pathologies of bone development, absence of the brain, anomalies of the intestines and rectum, embryonic hernia, fusion of the lower extremities (mermaid syndrome), etc.

The most informative period for screening is the period when the CTE of the fetus reaches 45 mm. This happens at about 11-13 weeks. But sometimes mothers come for examination at exactly 9 weeks of pregnancy according to the embryonic period, and their baby has not yet reached the required 45 mm, so it is better to be examined at 10 weeks after conception, that is, in the standard 12 obstetric weeks.

There are mothers who categorically oppose screenings during pregnancy, allegedly the examination may erroneously show that the child has severe malformations or genetic abnormalities, and he is absolutely healthy. The woman will have an abortion or cause premature birth so as not to give birth to a "disabled person".

This is usually the thinking of those who do not quite understand the meaning of screening. The results of blood tests, ultrasound, as well as some data of the woman, first of all, her age, using computer program processed. A result is issued, which indicates whether the expectant mother has a high or low risk of giving birth to a child with certain chromosomal pathologies. And if the risk is high, then doctors suggest undergoing an invasive procedure, taking a piece of the placenta or amniotic fluid for genetic analysis. Sometimes the procedure provokes miscarriages, so it is not performed for all women in a row, only for those who have real risks. And according to the results of this genetic analysis, one can already accurately judge whether the child is healthy.

If a child has Down syndrome, Patau, Edwards syndrome, or severe malformations are visible on ultrasound, mothers may be offered to terminate the pregnancy. It is to offer, not to force to go for an abortion. Whether or not to undergo screening is up to the woman herself.

Some, mostly deeply religious, expectant mothers do not undergo screening because they are sure that they will not take the life of an unborn child under any circumstances. And this is their right.

Boy or girl?

Since the topic of ultrasound has already come up, it is impossible to omit information about the possibility of determining the sex of a child at nine weeks. At this time, doctors see the so-called genital tubercle. And then, if the baby lies in a position convenient for viewing the genitals. The doctor can guess the sex by the angle of intersection of the two lines (through the genital tubercle and the sacrococcygeal region). If this angle is less than 30 degrees - there will be a girl, if more - then a boy.

Week 9, nutrition at the beginning of pregnancy (video):

9 weeks pregnant

9 weeks, nutrition at the beginning of pregnancy

2013-06-05T00:00:00

Not many doctors know how to measure this angle correctly. In addition, the first screening already takes quite a lot of time for the doctor, and he is unlikely to be engaged in sex determination. Although, good specialist with a favorable position of the floor, it can accurately determine the sex of the baby at the beginning of the second trimester of pregnancy.

Since the immunity of expectant mothers is reduced, it is not difficult to catch any virus. Of course, it is best not to visit crowded places, wash your hands thoroughly and often, do not touch your face with them, but this does not always help.

So, if you are already sick, visit a doctor. Better ENT, if there are symptoms in his part. If the viral nature of the disease is confirmed, you just have to be patient ... 5-7 days. By this time, antibodies against the virus will begin to be produced and symptoms will subside.

It is not necessary to be treated with antibiotics. They don't protect against viruses. Various pills for sore throats, in the best case, can extinguish the pain in it a little, but there is no faster cure. It is better in this case to moisturize the throat more often. Drink body temperature water (36-38 degrees) or gargle. Moisturizing the mucous membrane of the larynx helps a lot. Drinking plenty of warm water is also helpful.

Time will save you from a cold. But if the nose does not breathe at all, vasoconstrictor drops can be used. Just remembering that they sometimes provoke an increase in blood pressure. It is better to drip them less often and less. Not longer than 3 days exactly. If possible, you need to humidify the air at home. Ventilate more often and (or) turn on the humidifier, then drops will not be needed. By the way, without any fears and restrictions, you can use products to moisturize the nasal mucosa. The same Aquamaris, for example. Or buy regular saline at the pharmacy and bury it in your nose with a pipette. In extreme cases, ordinary boiled water with a teaspoon of salt diluted in it will also do.

You should not take various immunomodulators. They are practically useless, and potentially dangerous for the expectant mother.

Will this disease affect the child? Hardly. Usually, only the influenza virus has consequences, and then if it was heavily tolerated by the pregnant woman. With a quick start of treatment, it usually does not have consequences for such a period. However, examination and consultation with a doctor, we repeat, are necessary.

Frequent urination is due to the fact that the uterus (which has now grown to the size of an orange) is pressing on the bladder. Mood swings are caused by a change in the hormonal background in the body of a pregnant woman. Nausea and extreme selectivity in food are not found in all expectant mothers, but only in 65% of pregnant women. Increased fatigue and headaches are explained by an increased volume of blood in the body of the expectant mother, and an increase in blood pressure is possible. Changes in the mammary glands are a consequence of preparation for lactation. Rhinitis of pregnant women is caused by vasoconstriction. Cramping in the lower abdomen (sometimes radiating to the lower back) is a consequence of an increase in the size of the uterus. The belly at the 9th week of pregnancy does not yet betray itself with its size - others may not guess anything. Edema of the legs is still unlikely (they should be expected in the second half of pregnancy).

Allocations

Normally, when carrying a baby, the discharge from the vagina of the expectant mother should be mild, colorless, and not have a specific smell.

Cheesy white discharge may indicate the development in the body of a pregnant woman of an infectious disease called "thrush".

Scarlet, red and red-brown vaginal discharge at the ninth obstetric week of pregnancy indicates a pathology (or an ectopic pregnancy, or a threat of miscarriage - spontaneous abortion). If an increase in body temperature over 37.5 degrees is added to these symptoms, you should immediately seek medical help.

The next menstrual cycle will be only after childbirth.

Pain and bleeding

At the term of the ninth obstetric week of pregnancy with a healthy course of gestation, it is permissible that in the tummy occurs pain sensation. For example, after loading a certain group of muscles (lifting an object of moderate weight, walking fast, climbing stairs), it may feel like the stomach is turning to stone. This is due to the tone of the uterus. However, if after the load is stopped, the pain in the lower abdomen intensifies and becomes more acute, this is a very alarming symptom that requires immediate consultation with a gynecologist.

Especially if these pain accompanied by secretions of the following shades:

bloody;
red-brown;
scarlet or light red.

In such a situation, it is impossible to postpone a visit to the doctor!

Colds and fever

Now, in the ninth obstetric week of pregnancy, it is acceptable that the immune system of a pregnant woman is weakened. Therefore, at this time, as well as at all subsequent ones, the expectant mother needs to take special safety measures so as not to catch a cold or a viral disease.

ventilate the room daily;
regularly carry out wet cleaning of the room;
wash your hands when you get home and before eating;
get vaccinated against influenza in a timely manner in a medical institution;
during the epidemic season, do not visit crowded places;
avoid contact with people who have the flu;
Take more vitamins with healthy foods (such as seasonal fruits).

And if you still get sick, in no case do not self-medicate. If you have a fever, antipyretic drugs should only be taken after consulting your gynecologist. A lot of medications that could now have the desired effect are contraindicated during pregnancy.

Chorion at 9 weeks pregnant

Chorion is in the language of obstetricians the placenta, or children's place. The chorion is connected by the umbilical cord to the fetus, that is, it is also a connecting element between the body of the expectant mother and the intrauterine child, through which nutrients are supplied to the latter.

If the ultrasound shows that the chorion is closer than six centimeters to the uterine os, this location is called placenta previa (chorionic previa).

What is the danger of this presentation:

risk of miscarriage;
caesarean section during delivery;
the threat of placental abruption and severe bleeding.

intimate life

Intimate life at the 9th week of pregnancy for young spouses from a medical point of view is not contraindicated in the healthy and normal course of childbearing. However, if doctors inform the expectant mother about the threat of miscarriage, it is better to refrain from having sex now. Remember that you do not need to completely exclude physical activity from your life. But they must be moderate. Physical activity, including sex, improves blood circulation in the body, saturates with oxygen and improves the psycho-emotional mood of a pregnant girl.

Physical activity

There is an opinion that pregnant girls are shown complete rest and abstinence from any physical exertion. This myth is cultivated in every possible way by older relatives (mothers, grandmothers, mothers-in-law, and so on). The expectant mother should not be led by incompetent recommendations. Now we will debunk this myth.

Gynecologists of all countries recommend maintaining moderate physical activity throughout pregnancy. Morning exercises, regular classes in special sports, daily walks - all this will only benefit both the expectant mother and the fetus.

What kinds of sports do we call special:

walking;
swimming;
yoga;
Pilates.

Of course, during the period of bearing a child, you should not skydive, climb, descend into caves or go diving. In everything you should know the measure, listen to yourself - exhausting loads are not necessary. You will notice that regular light physical activity improves your mood and improves your health.

Necessary analyzes and studies

At the period of the seventh - eleventh week of pregnancy, you should register in the antenatal clinic with the district obstetrician-gynecologist. At the first visit, the doctor will ask you about symptoms, sensations, complaints, collect an anamnesis, enter your card, confirm the presence of pregnancy, make an examination, take smears for flora and cytology.

At each visit to your gynecologist, including the first, you will be measured:

arterial pressure;
pulse;
body temperature.

All these data will be entered into the exchange card.

At the first visit, the gynecologist will send you for tests:

general analysis of urine and blood;
blood chemistry;
bacterial culture of urine;
tests for HIV, syphilis, viral hepatitis, blood type, Rh factor;
analysis of feces for eggs of worms;
blood test for hCG hormone.

cardiologist;
otolaryngologist (smears for staphylococci will be taken);
ophthalmologist;
dentist.

Fetal ultrasound at 9 weeks pregnant

An ultrasound examination of the fetus at the ninth obstetric week of pregnancy (the first week of the third obstetric month) is performed only with special indications. At this time, usually a gynecologist does not prescribe this study. It is almost impossible to see the sexual characteristics of an intrauterine baby in the photo of the 9th week of pregnancy. However, you can see if the expectant mother has a singleton or multiple pregnancy. This method of research is now uninformative. A planned ultrasound examination in a antenatal clinic is usually carried out at the end of the first trimester of pregnancy, at the time of the eleventh or twelfth week.

The tremulous moment that every woman looks forward to has come: a pregnancy test showed a positive result. On the women's calendar, the 9th week of pregnancy, you will have a baby. After confirming a developing pregnancy in the ultrasound room, a woman's life changes dramatically. Physiological changes that will occur in the body will affect all organs and systems. Both the hormonal and emotional background of a woman will undergo restructuring.

Expert: Elena Lyzlova, obstetrician-gynecologist, Sechenov First Moscow State Medical University.

9 obstetric week - this is not the 9th week of pregnancy from conception, but only 7 - represents a transitional stage between the first and second trimester of gestation (this term doctors refer to just the period of bearing a child: from the first day last menstrual period before cutting the umbilical cord). The embryo in utero continues to grow and develop, its heartbeat is more and more clearly audible. At this stage of pregnancy, he begins to take on the shape of a small person. Elena Lyzlova, an obstetrician-gynecologist at I.M. Sechenov Primary State Medical University, told the site portal in more detail about what happens to the fetus and what a woman feels.

What does a child look like

From this week, a new stage in the development of the child begins - he is no longer an embryo, but a fetus. At this time, the growth of the fetus is actively taking place, the future baby is becoming more and more like a person.

Firstly, the tail begins to disappear, as well as the membranes between the fingers, but the legs and arms are constantly growing. At the same time, the rudiments of future milk teeth and hair follicles are formed. The eyes are already visible, but the eyelids cover them, but the ears are already quite distinguishable.

The formation of vital systems is actively underway: the hemispheres of the brain are formed, the cerebellum is formed, which is responsible for the coordination of movements, the pituitary gland, thanks to which the production of the first hormones will begin, and the adrenal medulla - it is engaged in the production of adrenaline.

Gradually, the baby acquires muscles, its bones are strengthened, and for this you need good nutrition and oxygen saturation. The fetus receives it through the placenta, and all the "waste" is excreted into the mother's body.

Temperature rise is no reason to panic

At the ninth week of gestation, as a result of the growth and development of the fetus, the "children's place" increases in volume, and is comparable in size to a grapefruit. However, the uterus is not yet visible to the naked eye - it does not protrude from behind the womb. Therefore, the stomach at the 9th week of pregnancy remains almost the same size as it was before the discovery of the fact of the presence of a new life. The size of the fetus is from 20 to 33 millimeters, about 4 centimeters in height.

Under the influence of the pregnancy hormone (progesterone), the body temperature rises - the indicators can reach up to 37–37.3 degrees Celsius. In the absence of signs of an infectious or viral agent entering the body - catarrhal phenomena - such values \u200b\u200bshould not cause concern for the expectant mother.

Starting from the fifth week of pregnancy, under the influence of hormones, the breast swells and increases in size. The mammary glands become sensitive. The milk ducts are preparing for the arrival of mother's milk, there may be slight light discharge from the breast. Changes are also observed in the circulatory system of a woman, hCG level continues to grow - says doctor Elena Lyzlova. - It is necessary that a sufficient amount of oxygen, nutrients and trace elements enter the blood. This is necessary to ensure adequate blood flow between mother and baby, which the fetus needs at 9 weeks of gestation.

What complaints are considered normal

Typical complaints of the first 12-14 weeks of gestation are fatigue, weakness, drowsiness, tearfulness.

The emotional background is labile, unstable. This is noticed both by those around, close relatives and friends, and by the woman herself, - says gynecologist Elena Lyzlova. - Any, even a small, unremarkable event (a broken nail or a change in plans) can cause an inappropriately violent reaction. During this period, it is important not to overload yourself with household chores, work, to find time to restore strength and energy. Pregnancy is a time that should be dedicated to yourself. Little joys - whether it's visiting the theater, meeting friends, walking in the park, shopping - can fill life with pleasant emotions and impressions.

What happens to the baby and mother at the 9th week of pregnancy:

in a woman, the perception of the senses, primarily touch, is aggravated;
smells that evoked pleasant emotions before gestation can now make you sick, and aromas that you didn’t like before, on the contrary, will cause inexplicable sympathy;
nausea and vomiting, impaired digestion of food, discomfort in the abdomen, weight loss may be one of the clinical manifestations of toxicosis of pregnant women.

If the first symptoms of acute toxicosis occur, it is recommended to immediately consult an obstetrician-gynecologist for an accurate diagnosis and selection of therapy.

The same should be done if the lower abdomen is strongly pulled or there are disturbing pains. Neglect of this recommendation is fraught with the development of complications, both for the pregnant woman and for the fetus.

Marital intimacy at 9 weeks

Is it possible to sleep with a man at the 9th week of pregnancy - one of the most exciting questions for the expectant mother, it is important for her to know whether it is safe to continue having sex. Another option at this time: a woman is worried that she has completely lost her desire, weakened by permanent morning sickness and evening sleepiness. Some from the first weeks go to sleep in a separate room: they are afraid of a miscarriage to the point of shivering, or they have already had the sad experience of a missed pregnancy, and they intend to spend all 40 weeks in abstinence. And others, on the contrary, really need the support of their husband and literally part with tears before work. They are not afraid of the terms "detachment", "low presentation" or "sexual rest".

The main contraindication to sexual intercourse during gestation is the threat of abortion. A signal that things are bad will be brown or spotting. Mechanical irritation caused by the penetration of the penis is one of the provocative factors of childbirth. In addition, the substances (prostaglandins) contained in the ejaculate contribute to the softening of the cervix, explains Elena Lyzlova. - However, in the absence of a threat of termination of pregnancy, sexual contact with a partner is not only possible, but also recommended by medical specialists. The release of hormones of joy that occurs during intercourse is both a way to relieve internal tension and a method of strengthening family relationships.

The benefits of playing sports

Significance physical activity during pregnancy in the absence of contraindications (primarily the threat of abortion) is considered proven. Your back will say "thank you"! Doctors around the world recommend making time for sports every day, responding positively to women's feedback on their workouts.

The main benefits of physical activity for a pregnant woman are worth going to the gym.

Maintain muscle tone.
Feeling better.
Prevention of development of complications.
Positive emotions due to the release of hormones of joy after sports.
Preparation of the body for childbirth.

One of the varieties of dosed cardio loads - a walk in the fresh air - does not require a special level of preparedness, additional financial costs. Walking in nature enriches the blood with oxygen, normalizes blood pressure, and this is very useful when the 9th obstetric week of pregnancy is underway, Elena Lyzlova emphasizes.

By the 9th week of pregnancy, many organs have already been formed in the fetus, but this is far from the limit - they continue to develop.

Fetus at 9 weeks pregnant: weight and dimensions

You know that the baby's brain is already almost like an "adult": it has two hemispheres covered with convolutions. And this week, the cerebellum (which is responsible for the coordination of movements) and the pituitary gland (in which the first hormones will be produced) will begin to form. The fetal brain is already sending signals to the mother's body indicating its needs. Most scientists are inclined to think that this explains the gastronomic whims of a pregnant woman.

The central nervous system continues to develop. In particular, cranial, spinal and intervertebral nerves are formed. The development of bone and muscle tissue at the 9th week of pregnancy continues. The limbs of the baby are lengthened, and the arms are longer than the legs, and seals form at the ends of the fingers, from which marigolds will then form. It is interesting that they are located on the fingers so far from the side of the palms and feet, but gradually the nails will move to outside- where it's supposed to be.

The baby holds the arms bent at the wrists at the level of the heart. He can already bend and unbend them. The elbows and forearms are clearly visible, and the feet are slightly lengthened.

The growth and development of the heart continues, the umbilical cord also increases - both in length and in diameter. A place for the production of adrenaline is formed - the middle layer of the adrenal glands. By the way, the child can already urinate on his own: waste products are excreted through the umbilical cord to the mother's body. The load on the woman's kidneys increases, which will continue until the very end of pregnancy.

Already from this week the placenta begins to function, but it has not yet taken over all the necessary functions.

At the 9th week of pregnancy, the rudiments of the mammary glands appear, as well as the lymph nodes - the first lymph cells are formed. The genitals are forming: the boy's testicles are still located in the abdominal cavity, but then they will descend.

The face also continues to improve. The mouth becomes smaller and lengthens, the corners and lips are visible, it is already opening and closing: the baby can swallow and wrinkle the lips. But the eyes are closed for centuries and will not open soon. But on the auricles, lobes are already forming.

Of course, the head is still large, but gradually it becomes more human-like.

The baby is still quite tiny - he is still only 7 weeks old. The entire fetus weighs about 2 g and by the end of the 9th week of pregnancy grows to 22-30 mm.

Future mom

You are also growing: the weight and dimensions gradually increase, the tummy begins to round, the chest becomes heavier and swells, because very soon you will have to feed the baby, so the body begins to accumulate the necessary reserves. At this time, it can become especially sensitive, so buy special bras without unnecessary seams and only from natural fabrics, replace them with large ones in time. Do not be afraid of the appearance of a venous mesh on the chest - it will disappear later. But if you are predisposed to varicose veins, then this sign should not be ignored.

Feelings at 9 weeks pregnant

If in previous weeks the expectant mother was tormented by toxicosis, his symptoms still persist: in the mornings she still feels sick, certain smells cause the usual disgust. As before, a woman can surprise her family and friends with her gastronomic preferences and food “combinations”: herring mixed with orange? It's so delicious right now!

Going to the toilet is becoming more frequent: the kidneys of the future mother are now forced to work for two, so you have to go to the toilet twice as often. Periodically, bouts of dizziness, feeling of lack of air can still attack. The body slowly begins to deposit fat reserves: habitual clothes are becoming tighter. However, this is by no means a signal that you will have to eat less - fat reserves are necessary for the normal bearing of the baby and subsequent lactation after the baby is born! And therefore, now you don’t need to get carried away with diets, but think about changing your wardrobe with the transition to more spacious and loose clothes made from natural materials.

To the already manifested symptoms of pregnancy, new ones, in particular, sleep disorders, may be added. If you just knock down because of the desire to sleep - try to eat more protein foods. And start preventing constipation before it's too late. It does not interfere with the development of the most optimal daily routine, which involves a long stay in the air, good sleep and rest. Walk a lot, eliminate irritations, eat well, provide yourself with sufficient rest, do not lift weights, try not to walk or stand for a long time. And do not forget about skin care, and indeed about hygiene.

Belly at 9 weeks pregnant: pulls, hurts

Pain in the abdomen of a different nature for pregnant women in the early stages is not uncommon. But, it's one thing if these pains are associated with weakening and stretching of the ligaments that hold the uterus, because such pains do not carry any danger with them. In this case, painful sensations occur periodically, are localized more often on the sides of the abdomen, but can also be given to the lower back, creating discomfort in the groin area.

Worse, when the stomach pulls and hurts at the 9th week of pregnancy, it is similar how it can hurt on the days of menstruation. Dull, aching or cramping pain above the pubis, in the lower abdomen, most often indicates an increased tone of the uterus and the associated risk of spontaneous abortion. If such symptoms appear and do not stop, you should definitely go to the doctor for an examination, and, if prompted, be sure to go to bed.

An immediate response also requires the appearance of smearing brown discharge against the background of pulling pains in the abdomen, or, worse, blood. Vaginal bleeding, and even in the presence of cramps in the lower abdomen, is a sign of a miscarriage that has begun, calling an ambulance in such a situation is necessary.

Allocations

Discharge at the 9th week of pregnancy, which does not pose any danger - discharge in moderation, light, milky in color, without a sharp pronounced odor. The appearance instead of them of yellow, green or purulent, bubbling or curdled discharge with an unpleasant odor, and even against the background of severe discomfort in the form of burning or itching in the genital tract, is evidence of the development of one of the infectious diseases that await a woman. One cannot do without the participation of medicine - having determined the pathogen and diagnosing the disease, the doctor will prescribe adequate treatment in order to avoid infection to the fetus.

Of course, there can be no talk of spotting at the 9th week of pregnancy: there is no menstruation for a long time and should not be, and blood on panties, even in the form of smearing brown discharge, is a reason for seeking medical help as soon as possible. You should especially react promptly if spotting brown discharge or bleeding appear in parallel with abdominal pain - it will almost certainly be a risk of miscarriage.

Bloody discharge can also be caused by erosion of the cervix, indicating any unfavorable neoplasms. That's just, if the appearance of blood is associated with erosion of the cervix, there is no pain in the abdomen. Be that as it may, there should be no normal bleeding, and the cause of their appearance should be entrusted to the doctor, to whom one should be sent immediately upon detection of blood.

Ultrasound at 9 weeks pregnant

Sometimes, an ultrasound scan may be needed to diagnose and evaluate the course of a pregnancy. With the help of ultrasound, a specialist will assess the condition of the uterus and fetus, make predictions for the future, and more accurately determine the gestational age.

In addition, now it is possible to assess the motor activity of the embryo - ultrasound will show how the baby moves arms and legs, displays whether the baby is sleeping or awake. Although the woman, of course, will not feel the “wakefulness” of this yet, the movements and pushes of the baby will become noticeable only by 4-5 months of pregnancy.

But now, during an ultrasound session, the expectant mother can already see the outlines of the baby, hear how fast his tiny heart is beating: at this stage, the heart rate of the fetus averages 130-150 beats per minute.

Specially for- Elena Kichak