Pregnancy Week 24 and Gestational Diabetes

Symptoms

• Increased baby mobility – Their movements are more noticeable and can be felt as kicks, stretches, or rolls inside the uterus.
• Abdominal enlargement – The uterus continues to expand, which may create a sensation of pressure in the lower abdomen.
• Swelling in feet and hands – Fluid retention is common and may increase after standing or sitting for long periods.
• Fatigue and heaviness – Weight gain and hormonal changes can cause tiredness during the day.
• Lower abdominal pain – The growth of the uterus stretches the ligaments, causing mild discomfort or occasional twinges.
• Heartburn and acid reflux – As the uterus presses against the stomach, digestive discomfort may occur.
• Changes in breathing – There may be an occasional feeling of shortness of breath as the uterus exerts pressure on the diaphragm.
• Increased gum sensitivity – You may notice bleeding when brushing your teeth due to changes in blood circulation.
• Increased vaginal discharge – A more abundant, clear, or whitish discharge is normal as long as it does not have a foul odor or strange changes.
• Skin alterations – Facial spots, darkening of the linea alba, and stretch marks may become more visible.

Baby’s size

In week 24, the baby is approximately 30 cm long and weighs around 600 grams, similar to an ear of corn or a small melon.

Baby’s Development and Changes

• Increased lung development: Their lungs begin to produce surfactant, a substance essential for breathing outside the uterus. Although they are not yet fully prepared to breathe, this process is key to survival in the event of a premature birth.
  
• Thicker skin: Their skin continues to develop and, although still thin and reddish, begins to accumulate fat underneath, which will help regulate their temperature after birth.
• Maturing organs: Their digestive system and brain are in full development. Neural connections advance rapidly, allowing the baby to have more defined reflexes.
• Increased sensitivity to sound and light: Their hearing is sharper, allowing them to react to loud noises and recognize their mother’s voice. They also begin to perceive light from the outside, although their eyelids remain closed.
• More movements and kicks: Their activity is more noticeable, and they may change position several times a day. It is common to feel stronger and more regular kicks.

What Should You Do?

• Attend medical check-ups – It is likely that during this week you will undergo a glucose tolerance test to rule out gestational diabetes. It is also important to monitor blood pressure and the baby’s growth.
• Monitor nutrition – Maintain a balanced diet with foods rich in protein, calcium, iron, and fiber to support the baby’s development and prevent issues such as anemia or constipation.
• Stay hydrated – Drinking enough water helps reduce swelling, improve digestion, and prevent urinary tract infections.
• Engage in moderate exercise – Walking, swimming, or prenatal yoga helps maintain blood circulation and strengthen the body for childbirth.
• Manage stress and rest adequately – Sleeping at least 7-8 hours and finding moments of relaxation help reduce fatigue and improve emotional well-being.
• Hydrate the skin – Applying moisturizing creams or natural oils can help prevent dryness and reduce the appearance of stretch marks.
• Observe baby’s movements – Although there is not yet a fixed pattern, it is important to notice their activity and consult a doctor if a significant decrease is perceived.
• Maintain good posture – Sleeping on your side, especially the left side, and avoiding standing or sitting for long periods can help reduce back discomfort and improve circulation.
• Prepare for the final stage of pregnancy – This is a good time to learn about childbirth, breastfeeding, and newborn care.