Week 23 of Pregnancy: Braxton Hicks Contractions: Are They Normal?
World
Motherhood
World
At week 23 of pregnancy, the baby continues to grow and develop their senses, while the mother may notice their movements more and experience some physical changes such as weight gain and slight swelling. It is a good time to maintain healthy habits, continue with medical checkups, and begin preparing for the baby’s arrival.
Symptoms
- Weight gain and body changes
The baby’s growth and fluid retention may cause you to notice progressive weight gain, as well as increased curvature in your back due to pressure from the growing uterus. - More intense fetal movements
As the baby develops, their movements become more noticeable. You may feel kicks, turns, or small impulses, especially after eating or when lying down. - Braxton Hicks Contractions
These are mild and sporadic contractions that help prepare the uterus for labor. They are usually not painful or regular, but if they become constant or strong, it is important to consult with your doctor. - Swelling in feet and ankles
Fluid retention is common at this week. To reduce swelling, it is recommended to elevate your legs, wear comfortable clothing, and stay well hydrated. - Leg cramps
Many women experience cramps, especially at night. This may be related to a lack of certain minerals such as magnesium or potassium. Gentle stretching and good hydration can help relieve them. - Heartburn and slow digestion
Due to pressure from the uterus on the stomach and the effect of hormones on the digestive system, symptoms such as reflux, gas, or a feeling of fullness may appear. Eating small portions and avoiding greasy or spicy foods can help. - Increased skin sensitivity and appearance of stretch marks
The skin stretches, which can cause itching or sensitivity in the abdomen, breasts, and thighs. Using moisturizing creams and drinking enough water can help keep the skin elastic. - Fatigue and difficulty sleeping
As pregnancy progresses, finding a comfortable sleeping position can be more difficult. It is recommended to sleep on your side, preferably on the left side, and use pillows to support your back and belly.
Baby’s size
- At week 23 of pregnancy, the baby measures approximately 28 to 30 cm from head to toe and weighs around 500 to 600 grams, having a size similar to that of a large eggplant.
- At this stage of pregnancy, their skin remains thin and somewhat wrinkled, but gradually begins to accumulate more fat beneath the skin, which will help regulate their temperature after birth. Their body is now more proportionate and their facial features are well defined.
- One of the most important advances this week is the development of the lungs. Although they are not yet ready for breathing outside the uterus, the baby already practices breathing movements by inhaling and exhaling amniotic fluid. Their auditory system is quite developed, which allows them to react to loud sounds and recognize the mother’s voice.
- In addition, their brain continues to mature rapidly and begins to develop more complex nerve connections, which improves their reflexes and movements. It is common for the baby to move more frequently and forcefully, giving small kicks or stretching inside the uterus.
What Should You Do?
- Attend prenatal checkups
It is essential to continue with medical visits to monitor the baby’s growth and detect any possible complications early. - Maintain a balanced diet
Consuming a diet rich in proteins, iron, calcium, and essential fatty acids helps the baby’s development and prevents problems such as anemia or maternal fatigue. - Perform moderate exercise
Activities such as walking, swimming, or prenatal yoga help improve circulation, reduce stress, and relieve discomforts such as back pain. - Control swelling
To avoid fluid retention, it is recommended to elevate your legs when possible, stay hydrated, and reduce sodium intake. - Care for skin and prevent stretch marks
Applying moisturizing creams or oils to the abdomen, breasts, and thighs helps maintain skin elasticity and reduce itching. - Rest adequately
Sleeping on the left side improves circulation and avoids discomfort. Using support pillows can help find a comfortable position. - Monitor the baby’s movements
Starting this week, fetal movements are more evident. It is important to note their frequency and report any significant changes to your doctor. - Avoid stress and care for emotional health
Practicing relaxation techniques, meditation, or simply dedicating time to pleasurable activities contributes to the well-being of both mother and baby.
Nutrition at week 23 of pregnancy
Proteins
Promote the development of the baby’s tissues and help with the mother’s cellular regeneration.
Sources: Lean meats, chicken, fish, eggs, legumes, tofu, nuts, and dairy products.
Calcium
Essential for the formation of the baby’s bones and teeth.
Sources: Milk, yogurt, cheese, almonds, spinach, broccoli, and sesame seeds.
Iron
Prevents anemia and improves blood oxygenation. It is recommended to combine it with vitamin C for better absorption.
Sources: Lean red meats, liver, spinach, lentils, chickpeas, and fortified cereals.
Vitamin C: Oranges, strawberries, peppers, and kiwis.
Omega-3 Fatty Acids
Promote the baby’s brain and visual development.
Sources: Fish such as salmon and sardines, walnuts, chia, and flaxseeds.
Folic acid
It is essential to prevent neural tube defects and support cellular growth.
Sources: Spinach, lentils, broccoli, asparagus, and fortified cereals.
Fiber
Helps prevent constipation, a common symptom at this stage of pregnancy.
Sources: Fresh fruits, vegetables, whole grains, oats, and legumes.
Hydration
Drinking enough water is essential to avoid dehydration, improve digestion, and prevent swelling. It is recommended to consume at least 2 liters of water per day.
Foods to avoid or limit
Caffeine: Reduce consumption to less than 200 mg per day (approximately one cup of coffee).
Fish with high mercury content: Avoid shark, swordfish, and bluefin tuna.
Raw or undercooked foods: Do not consume raw meat, eggs, or seafood to avoid infections.
Deli meats and unpasteurized cheeses: May contain dangerous bacteria such as listeria.
Precautions
Avoid high-impact exercises or those with risk of falls.
Do not perform activities that involve lying on your back for long periods.
Maintain proper hydration before, during, and after exercise.
Always consult with your doctor before starting or modifying an exercise routine.
Exercise at week 23 of pregnancy
Improves blood circulation
Helps prevent swelling in legs and feet, as well as the appearance of varicose veins.
Reduces pain and discomfort
Decreases back pain, muscle stiffness, and stress on joints.
Controls weight gain
Maintains a healthy weight and helps reduce the risk of developing gestational diabetes.
Strengthens the pelvic floor
Prepares the body for labor and prevents urinary incontinence.
Improves mood
Releases endorphins, reducing anxiety and stress. It also improves sleep quality.
Facilitates postpartum recovery
Staying active promotes faster recovery after the baby’s birth.
Things You Should NOT Do:
Avoid postures that compress the abdomen
Do not lie on your back for prolonged periods, as it can reduce blood flow to the baby.
Avoid sudden movements or exercises that involve jumping or excessive twisting.
Do not lift heavy objects
It can create pressure on the abdomen and increase the risk of back injuries.
Do not remain standing or sitting for long periods
It can promote swelling and poor circulation. It is advisable to take breaks to move and stretch your legs.
Avoid consumption of harmful substances
Do not smoke or expose yourself to tobacco smoke.
Do not consume alcohol, as it can affect the baby’s development.
Limit caffeine consumption to less than 200 mg per day.
Do not consume raw or unpasteurized foods
Avoid raw meats, fish, and seafood.
Do not consume unpasteurized dairy products or deli meats without heating, due to the risk of infections such as listeriosis.
Do not self-medicate
Any medication, supplement, or natural remedy must be approved by your doctor.
Avoid extreme temperatures
Do not use hot tubs, saunas, or very hot baths, as they can affect blood pressure.
Do not neglect rest
Sleep enough and find comfortable positions to avoid discomfort or pressure on the abdomen.
Frequently Asked Questions
Is it normal to feel more movements from the baby?
Yes, at this stage the baby is more active and their movements are more noticeable. You may feel little kicks, stretches, and position changes throughout the day.
Why do I feel more swelling in my feet and legs?
The increase in blood volume and fluid retention can cause swelling, especially after being on your feet or sitting for long periods. It is advisable to elevate your legs and stay hydrated.
How much weight should I gain at this stage?
Weight gain varies for each woman, but on average, by week 23 you will have gained between 5 and 7 kg. It is important to monitor this with your doctor.
Is it safe to travel at this stage of pregnancy?
Yes, but it is advisable to avoid long trips without breaks to move around. If traveling by plane, it is important to consult with your doctor and verify the airline's policies.
Is it normal to have heartburn and digestive problems?
Yes, the growth of the uterus can put pressure on the stomach and cause reflux. Eating small portions, avoiding heavy meals before bed, and elevating your head when lying down can help.
Can I continue exercising?
Yes, as long as it is moderate exercise and approved by your doctor. Walking, swimming, prenatal yoga, and low-impact strengthening exercises are recommended.
Why do I have pain in the lower abdomen?
The growth of the uterus stretches the ligaments, which can cause mild discomfort or twinges. However, if the pain is intense or constant, it is important to consult with your doctor.
Is it normal to have skin changes?
Yes, spots may appear on the face (chloasma), darkening of the linea alba on the abdomen, and stretch marks due to hormonal changes and skin stretching.
How can I improve sleep quality?
Sleeping on your side, especially on the left side, using pillows to support your back and legs, and avoiding caffeinated beverages at night can help you rest better.
When should I be concerned about the baby's movements?
If you notice a significant decrease in the baby's movements or go many hours without feeling them, it is advisable to consult with your doctor to make sure everything is well.
If you have doubts or unusual symptoms, it is always best to seek medical consultation to receive specialized guidance.
