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Expert Q&A:
At 35 weeks, how do I know if my baby has "dropped" yet?

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Elaine Zwelling
Answered by Elaine Zwelling R.N., Ph.D., L.C.C.E., F.A.C.C.E.
Elaine Zwelling, R.N., Ph.D., has been involved in maternal-newborn health care for 40 years. She has a bachelor's degree in nursing from Capital University and a master's degree in nursing and a Ph.D. in Family Relations and Human Development from Ohio State University. Dr. Zwelling brings to the Pampers Parenting Network her experience of helping expectant parents enjoy their pregnancy, plan and create a positive birth experience, and learn about parenting their newborn baby. She is certified by Lamaze International as a childbirth educator, is a Fellow in the American College of Childbirth Educators, and has taught childbirth classes for 25 years. Dr. Zwelling was the director and faculty for the Lamaze International Childbirth Educator Certification Program of Florida; in that role she prepared many nurses to become childbirth educators.

Dr. Zwelling was a Professor of Maternal-Newborn Nursing for 23 years at both Capital University and Ohio State University in Columbus, Ohio. At these institutions she taught undergraduate and graduate students and conducted research. For eight years she was a Senior Consultant with Phillips &; Fenwick, a women's health consulting firm in Santa Cruz, California, specializing in helping hospitals implement family-centered maternity care. Currently Dr. Zwelling is a Perinatal Nurse Consultant with the Hill-Rom Company. In this position, she provides comprehensive support and consultation to hospital maternity units to create quality care environments equipped with the appropriate equipment for labor and birth and provides clinical education for nursing staff.

Dr. Zwelling is the co-author of a maternal-newborn nursing textbook, Maternal-Newborn Nursing: Theory and Practice, and has published many professional journal articles related to maternal-newborn health care, family-centered maternity care, and childbirth education. Dr. Zwelling is a recognized speaker at professional conferences and teaches continuing education seminars for childbirth educators and perinatal nurses throughout the country.

Dr. Zwelling resides in Sarasota, Florida, and has a grown son, lovely daughter-in-law, and two grandchildren.

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Question


At 35 weeks, how do I know if my baby has "dropped" yet?

Answer


When your baby "drops" this means he or she has settled down into your pelvis, getting ready for the labor and birth process. Another term you may hear to describe this is "lightening." This term is used because the mother often feels that the load of carrying the baby is lighter after he drops. Because he's no longer pressing up against her rib cage and lungs, the mother can breath more easily after the baby has dropped (although then he's causing more pressure on her bladder, resulting in increased urinary frequency!). The medical term for the baby dropping is engagement, meaning the baby's head has engaged into the pelvis.

You can usually tell that your baby has dropped into the pelvis by experiencing the symptoms I mentioned above, or by noting a change in the shape of your abdomen. Prior to engagement, the top of your uterus will be right under your breasts; you may not even be able to place the width of your hand between the two. After the baby drops you will notice that your uterus is lower and you can fit your hand between your breasts and uterus. After the baby drops you may also notice that your clothes fit more tightly over your belly, because when the baby drops the uterus falls a bit forward in your abdomen, increasing the circumference of your shape.

Every baby will eventually drop down into the pelvis. In first pregnancies, the baby usually drops a week or two before your labor begins; in succeeding pregnancies, the baby may not drop until the mother is in early labor.

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