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Management

Pregnancy: Weeks 40 to 41

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By week 40, you've reached your due date. Your baby could be coming any day. Most babies born after their due
dates are healthy. But you may have tests to make sure everything is okay. If you feel stressed, you could try
a meditation exercise, such as guided imagery. It may help you relax.

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If you are past 41 weeks, your doctor may measure the amount of fluid that surrounds your baby. They
may also test your baby's movement and heart rate.

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If you don't start labor on your own by 41 or 42 weeks, your doctor may want to start (induce) labor.
If there are other concerns, your doctor may talk to you about a C-section.

To start (induce) your labor, your doctor may do any of these things.

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Place a narrow tube with a small balloon on the end (balloon catheter) into
your cervix.
The doctor inflates the balloon. This helps your cervix open (dilate).

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Sweep the membranes (separate the lining of the amniotic sac from the
uterus).
This helps the uterus make a chemical that can start contractions.

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"Break your water" (rupture the amniotic sac). This may be done if
your cervix has started to open.

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Use medicines. They may be used to soften the cervix or start
contractions.

How to do guided imagery

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Close your eyes, and take a few deep breaths. Picture a peaceful setting, such as a beach or a
meadow. Add a winding path. Follow the path until you feel more and more relaxed.

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Take a few minutes to breathe slowly and feel the calm. When you are ready, slowly take yourself back
to the present. Count to 3, and open your eyes.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all
appointments, and call 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.

Current as of: July 10, 2023

Content Version: 14.0

Care instructions adapted under license by your
healthcare professional. If you have questions about a medical condition or this instruction, always ask
your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of
this information.

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