Showing posts with label info. Show all posts
Showing posts with label info. Show all posts

Saturday, March 13, 2010

37 weeks info from babycenter.com

Your pregnancy: 37 weeks

How your baby's growing:

Congratulations — your baby is full term! This means that if your baby arrives now, his lungs should be fully mature and ready to adjust to life outside the womb, even though your due date is still three weeks away.

Your baby weighs 6 1/3 pounds and measures a bit over 19 inches, head to heel (like a stalk of Swiss chard). Many babies have a full head of hair at birth, with locks from 1/2 inch to 1 1/2 inches long. But don't be surprised if your baby's hair isn't the same color as yours.

Dark-haired couples are sometimes thrown for a loop when their children come out as blonds or redheads, and fair-haired couples have been surprised by Elvis look-alikes. And then, of course, some babies sport only peach fuzz.

Note: Every baby develops a little differently — even in the womb. Our information is designed to give you a general idea of your baby's development.

How your life's changing:

Braxton Hicks contractions may be coming more frequently now and may last longer and be more uncomfortable. You might also notice an increase in vaginal discharge. If you see some "bloody show" (mucus tinged with a tiny amount of blood) in the toilet or in your undies, labor is probably a few days away — or less. (If you have heavier spotting or bleeding, call your caregiver immediately.)

Also be sure to ask your caregiver about the results of your Group B strep culture. That way, if the result isn't yet on your chart when you get to the hospital or birth center, you'll be able to give the staff there a timely heads-up if you need antibiotics.

It may be harder than ever to get comfortable enough to sleep well at night. If you can, take it easy through the day — this may be your last chance to do so for quite a while. Keep monitoring your baby's movements, too, and let your caregiver know immediately if you notice a decrease. Though her quarters are getting cozy, she should still be as active as before.

While you're sleeping, you're likely to have some intense dreams. Anxiety both about labor and about becoming a parent can fuel a lot of strange flights of unconscious fancy.

Home alone "I know some people are thrilled to show off their new baby. But all I wanted to do was curl up with her in my arms when I got home from the hospital. Next time I'll tell people ahead of time that we aren't seeing visitors for the first week." — Anonymous

Surprising Facts: Signs of labor

There's no way to predict when labor is going to start. Your body actually starts "preparing" for labor up to a month before you give birth. You may be blissfully unaware of what's going on or you may begin to notice new symptoms as your due date draws near.

Here are some things that may happen in the weeks or days before labor starts:

• Your baby drops. If this is your first pregnancy, you may feel what's known as "lightening" a few weeks before labor starts as your baby descends lower into your pelvis. You might detect a heaviness in your pelvis as this happens and notice less pressure just below your ribcage, making it easier to catch your breath.

• You note an uptick in Braxton Hicks contractions. More frequent and intense Braxton Hicks contractions can signal pre-labor, during which your cervix ripens and the stage is set for true labor. Some women experience a crampy, menstrual-like feeling during this time.

• You pass your mucus plug. The mucus plug is the small amount of thickened mucus that blocks the cervical canal leading to your uterus. The plug may come out all at once in a lump, or as increased vaginal discharge over the course of several days. The mucus may be tinged with blood (which may be brown, pink, or red), in which case it may be referred to as "bloody show."

• Your water breaks. Most women start having regular contractions sometime before their water breaks, but in some cases, the water breaks first. When this happens, labor usually follows soon. (If contractions don't start promptly on their own, you'll be induced.) Whether the amniotic fluid comes out in a large gush or a small trickle, call your doctor or midwife.

How can I tell if I'm in false labor or true labor?

Sometimes it's very hard to tell false labor from the early stages of true labor. Here are some things that might help you sort it out:

• False labor contractions are unpredictable. They come at irregular intervals and vary in length and intensity. Although true labor contractions may be irregular at first, over time they start coming at regular and shorter intervals, become increasingly more intense, and last longer.

• With false labor, the pain from the contractions is more likely to be centered in your lower abdomen. With true labor, you may feel the pain start in your lower back and wrap around to your abdomen.

• False labor contractions may subside on their own, or when you start or stop an activity or change position. True labor contractions will persist and progress regardless of what you do.

This Week's Activity:

Figure out how to install your baby's car seat. You can't bring your baby home without a car seat and it's harder to install than you think, so don't wait until the last minute.

Some car seat manufacturers have a toll-free number for you to call so an expert can walk you through the process. Or get a car seat safety inspector to help you. To find one in your area, go to the National Highway Traffic Safety Administration's Web site or look in your local phone book.

Saturday, March 6, 2010

36 weeks info from babycenter.com

Your pregnancy: 36 weeks

How your baby's growing:

Your baby is still packing on the pounds — at the rate of about an ounce a day. She now weighs almost 6 pounds (like a crenshaw melon) and is more than 18 1/2 inches long.

She's shedding most of the downy covering of hair that covered her body as well as the vernix caseosa, the waxy substance that covered and protected her skin during her nine-month amniotic bath. Your baby swallows both of these substances, along with other secretions, resulting in a blackish mixture, called meconium, will form the contents of her first bowel movement.

At the end of this week, your baby will be considered full-term. (Full-term is 37 to 42 weeks; babies born before 37 weeks are pre-term and those born after 42 are post-term.)

Most likely she's in a head-down position. But if she isn't, your practitioner may suggest scheduling an "external cephalic version," which is a fancy way of saying she'll try to coax your baby into a head-down position by manipulating her from the outside of your belly.

Note: Every baby develops a little differently — even in the womb. Our information is designed to give you a general idea of your baby's development.

How your life's changing:

Now that your baby is taking up so much room, you may have trouble eating a normal-size meal. Smaller, more frequent meals are often easier to handle at this point. On the other hand, you may have less heartburn and have an easier time breathing when your baby starts to "drop" down into your pelvis.

This process — called lightening — often happens a few weeks before labor if this is your first baby. (If you've given birth before, it probably won't happen before labor starts.) If your baby drops, you may also feel increased pressure in your lower abdomen, which may make walking increasingly uncomfortable, and you'll probably find that you have to pee even more frequently.

If your baby is very low, you may feel lots of vaginal pressure and discomfort as well. Some women say it feels as though they're carrying a bowling ball between their legs!

You might also notice that your Braxton Hicks contractions are more frequent now. Be sure to review the signs of labor with your practitioner and find out when she wants to hear from you.

As a general rule, if you're full-term, your pregnancy is uncomplicated, and your water hasn't broken, she'll probably have you wait to come in until you've been having contractions that last for about a minute each, coming every five minutes for an hour. Of course, you'll want to call right away if you notice a decrease in your baby's activity or think you're leaking amniotic fluid, or if you have any vaginal bleeding, fever, a severe or persistent headache, constant abdominal pain, or vision changes.

Even if you're enjoying an uncomplicated pregnancy, it's best to avoid flying (or any travel far from home) during your final month because you can go into labor at any time. In fact, some airlines won't let women on board who are due to deliver within 30 days of the flight.

Eating in "Start collecting take-out and delivery menus from local restaurants. You won't have time to cook in the early weeks after giving birth. Even restaurants without a visible take-out business will usually accommodate a to-go order (especially if it's for a new mom!)." — Kristina

Surprising Facts: The stages of labor

For first-time moms, labor takes an average of 15 hours, though it's not uncommon to last more than 20. (For women who've previously had a vaginal birth, it takes eight hours, on average.) The process of labor and birth is divided into three main stages. Here are the highlights on how childbirth progresses:

The first stage begins when you start having contractions that progressively dilate and efface your cervix and it ends when your cervix is fully dilated. This stage is divided into two phases, early and active labor.

It can be tricky to determine exactly when early labor starts. That's because early labor contractions are sometimes hard to distinguish from the inefficient Braxton Hicks contractions that you may have been feeling for some time.

Unless there are complications or your midwife or doctor has advised you otherwise, expect to sit out most of your early labor at home. (Be sure, though, to check in with your caregiver to make certain.)

Early labor ends when your cervix is about 4 centimeters dilated and your progress starts to speed up. At this point, you enter what's known as the active phase of labor. Your contractions become more frequent, longer, and stronger.

The last part of the active phase — when your cervix dilates from 8 to 10 centimeters — is called the transition period because it marks the transition to the second stage of labor. This is the most intense part of the first stage, with contractions that are usually very strong, coming about every two and a half to three minutes and lasting a minute or more.

Once your cervix is fully dilated, the second stage of labor begins: the final descent and birth of your baby. This is the "pushing" stage of labor, and it can last anywhere from minutes to a few hours. (It's likely to be quicker if you've previously given birth vaginally.)

Your baby's head will continue to advance with each push until it "crowns" — the term used to describe the time when the widest part of your baby's head is finally visible. After your baby's head comes out, your midwife or doctor will suction his mouth and nose, and feel around his neck for the umbilical cord. His head then turns to the side as his shoulders rotate inside the pelvis to get into position for their exit. With the next contraction, you'll be coached to push as his shoulders deliver, one at a time, followed by the rest of his body.

You may feel a wide range of emotions now: euphoria, awe, pride, disbelief, excitement (to name a few), and, of course, intense relief that it's all over. Exhausted as you may be, you'll also probably feel a burst of energy, and any thoughts of sleep will vanish for the time being.

The final stage of labor begins immediately after the birth of your baby and ends with the delivery of your placenta. The contractions in the third stage are relatively mild.

This Week's Activity:

Create a grapevine. Make a list of all the people you want to hear about your baby's birth — with their phone numbers or e-mail addresses — and pass this along to a friend who can spread the news. That way, when you're ready for others to know, all you have to do is make one call. Include at least one person from work on the list, so they can spread the word there.

What to pack for the hospital when you're having a c-section
You're likely to be in the hospital for four or five days after a c-section. Use our list to make sure you have everything you need for your stay – and be sure to check out the suggestions from BabyCenter moms who've been through it.

We recommend packing your bag when you're eight months pregnant. Remember: Your body doesn't know you have a c-section scheduled. You could go into labor at any time in the weeks before your scheduled date.
For you

• A picture ID (driver's license or other ID), your insurance card, and any hospital paperwork you need

• A list of people to call and their phone numbers, your cell phone and charger, or, if you'll be using the hospital phone, a prepaid phone card

After your baby's born, you'll want to call family and friends to let them know the good news. Make a list of people you'll want to contact ahead of time so you don't forget someone important when you're exhausted after delivery.

• Toiletries

Pack a few personal items, such as a toothbrush and toothpaste, lip balm, deodorant, a brush and comb, makeup, and a hair band or barrettes. Hospitals usually provide soap, shampoo, and lotion, but you might prefer your own.

• Eyeglasses

Even if you usually wear contacts, you may not want to deal with them while you're in the hospital.

• A bathrobe, a nightgown or two, slippers, and a few pairs of socks

Hospitals provide gowns and socks for you to use during your stay, but most will allow you to wear your own clothes if you prefer. Choose something loose and comfortable that you don't mind getting dirty. Your own slippers and robe come in handy once you're up and walking around.

• Comfortable nursing bras or regular bras

Whether or not you choose to breastfeed, your breasts are likely to be tender and swollen when your milk comes in. This can happen anytime during the first several days after delivery. Once it does, breast pads can help absorb leaks.

• Several pairs of maternity underpants

Some women love the mesh underwear usually provided by the hospital; others don't. You can't go wrong with your own roomy cotton underpants. Make sure the waistband is loose enough that it won't press on your abdomen at all. The hospital will provide sanitary pads, which you'll need because even after a c-section, you'll bleed after delivery. Make sure you have a supply of heavy-duty pads waiting at home!

• Snacks!

Once the nurses give you the okay to start eating, you may be pretty hungry, and you won't want to rely solely on hospital food. So bring your own – crackers, fresh or dried fruit, nuts, granola bars, or whatever you think you'll enjoy. A bottle of nonalcoholic champagne might be fun for celebrating, too.

• A book on newborn care

The hospital will probably provide you with a book, but you may prefer your own. Of course, the postpartum nurses will be there to answer questions and show you how to change, hold, nurse, and bathe your newborn if you need guidance.

• Whatever will help you relax and feel comfortable

Here are some possibilities: your own pillow (use a patterned or colorful pillowcase so it doesn't get mixed up with the hospital's pillows), music and something to play it on, light reading material, a sleep mask to help you nap during the day.

• Photos of your other children

When they come to visit, they'll see that you haven't forgotten them.

• Gifts for older siblings

Some parents bring gifts for the new baby to "give" to big brothers and sisters.

• A notepad or journal and pen or pencil

Track your baby's feeding sessions, write down questions you have for the nurse, note what the pediatrician tells you, jot down memories of your baby's first few days, and so on. Some people bring a baby book so they can record the birth details right away.

• A going-home outfit

Bring something roomy and easy to get into (believe it or not, you'll probably still look 5 or 6 months pregnant) and a pair of flat, comfortable shoes. If you're going to wear pants, make sure the waistband is loose and won't press on your incision.

For your partner

• A camera or video camera with batteries, charger, and memory card (or film or tape)

• Toiletries

• Comfortable shoes and a few changes of comfortable clothes

• Snacks and something to read

• Money for parking and change for vending machines
For your baby

• An installed infant car seat

You can't drive your baby home without one! Have the seat properly installed ahead of time and know how to buckle in your baby correctly.

• Baby clothes for the hospital stay

The hospital will provide diapers and some sort of clothing, such as a pair of pajamas or a sleep shirt. You can bring baby clothes of your own if you like. One-piece stretchy outfits that snap or zip up the front are easiest for diaper changes.

• A going-home outfit

Your baby will need an outfit to go home in, including socks or booties if the clothing doesn't have feet, and a soft cap if the air is likely to be cool. Make sure the legs on your baby's clothes are separate so the car seat strap can fit between them.

• A receiving blanket

The hospital will provide blankets for swaddling your baby while you're there, but you may want to bring your own to tuck around your baby in the car seat for the ride home. Make it a heavy one if the weather's cold.

What not to bring

• Jewelry

• Lots of cash or other valuables

• Medications, including vitamins

Let your doctor know whether you're on any medications. The hospital will provide them for you if your doctor agrees that you should continue to take them while you're there.

• Diapers

The hospital will provide diapers for your baby while you're there. Leave your supply at home.

• A breast pump

If you end up needing a breast pump for any reason, the hospital can provide one.

Saturday, February 27, 2010

35 weeks info from babycenter.com

Your pregnancy: 35 weeks


How your baby's growing:

Your baby doesn't have much room to maneuver now that he's over 18 inches long and tips the scales at 5 1/4 pounds (pick up a honeydew melon). Because it's so snug in your womb, he isn't likely to be doing somersaults anymore, but the number of times he kicks should remain about the same.

His kidneys are fully developed now, and his liver can process some waste products. Most of his basic physical development is now complete — he'll spend the next few weeks putting on weight.

Note: Every baby develops a little differently — even in the womb. Our information is designed to give you a general idea of your baby's development.

How your life's changing:

Your uterus — which was entirely tucked away inside your pelvis when you conceived — now reaches up under your rib cage. If you could peek inside your womb, you'd see that there's more baby than amniotic fluid in there now.

Your ballooning uterus is crowding your other internal organs, too, which is why you probably have to urinate more often and may be dealing with heartburn and other gastrointestinal distress. If you're not grappling with these annoyances, you're one of the lucky few.

From here on out, you'll start seeing your practitioner every week. Sometime between now and 37 weeks, she'll do a vaginal and rectal culture to check for bacteria called Group B streptococci (GBS). (Don't worry — the swab is the size of a regular cotton swab, and it won't hurt at all.)

GBS is usually harmless in adults, but if you have it and pass it on to your baby during birth, it can cause serious complications, such as pneumonia, meningitis, or a blood infection. Because 10 to 30 percent of pregnant women have the bacteria and don't know it, it's vital to be screened. (The bacteria come and go on their own — that's why you weren't screened earlier in pregnancy.) If you're a GBS carrier, you'll get IV antibiotics during labor, which will greatly reduce your baby's risk of infection.

This is also a good time to create a birth plan. Using our form will help you focus on specifics — like who'll be present, what pain management techniques you want to try, and where you want your baby to stay after you deliver.

It will give you a starting point to discuss your preferences with your medical team. Childbirth is unpredictable, and chances are you won't follow your plan to the letter, but thinking about your choices ahead of time — and sharing your preferences with your caregiver — should take some of the anxiety out of the process.

Prep early for those first weeks "To streamline a chore like filling out birth announcements, address and stamp your envelopes now while you're still in control of your time." — Laura

3 Questions About...Arriving at the hospital

Q1.
How can I prepare for my arrival at the hospital?

Long before you go into labor, you and your partner should map out the most direct route to the hospital or birth center. Find out where to park, keeping in mind that you'll be leaving your car for at least 24 hours. Ask the hospital staff where you should enter if you arrive after-hours. Most hospitals offer tours of the obstetrical floor at designated times. Taking advantage of these tours will give you a chance to do a dry run before the big day.

Q2.
What should I do when I get to the hospital?

If you've preregistered, you should follow the instructions you've been given, which probably include breezing right by the front desk and going directly to the maternity ward. If you haven't preregistered, you can probably still head directly to the maternity ward. There's usually a check-in desk once you get there. The staff there will help you deal with any necessary paperwork.

A nurse may lead you directly to a birthing room and pair you with a labor and delivery nurse. If it's not clear that you're in active labor or need to be admitted for other reasons, she'll most likely bring you to an exam room first. Your caregiver will evaluate you there to see if you're ready to be admitted.

The nurse will ask you for a urine sample and have you change your clothes. Then she'll check your vital signs and ask when your contractions started and how far apart they are, whether your water's broken, and whether you've had any vaginal bleeding. She'll also want to know if your baby's been moving, if you've recently had anything to eat or drink, and how you're coping with the pain.

Your caregiver will check the frequency and duration of your contractions as well as your baby's heart rate. Then she'll perform an abdominal and vaginal exam. If it looks like you're not in labor or are still in early labor— and everything is okay with you and your baby — you'll probably be sent home until your labor is further along. Otherwise, you'll be admitted.

Q3.
What will happen once I'm admitted?

The nurse or your caregiver may ask if you have a birth plan. Even if you don't have a written plan, share your needs and preferences with the staff, including your feelings about using pain medication during labor.

Then you'll have blood drawn (to find out your blood type among other things) and an IV may be started. You'll definitely need an IV to get antibiotics if you test positive for Group B strep, for hydration if you can't keep fluids down, if you want a spinal or an epidural, if you need oxytocin (Pitocin), or if you have any health problems or pregnancy complications.

Your nurse or caregiver should also orient you, showing you where everything is in your room and where your partner can get ice for you. Don't be shy about requesting things you might need, like a rocking chair, a cool washcloth, or another blanket, or asking any lingering questions you might have. And if you're going to have continuous electronic fetal monitoring and are interested in how it works, ask her to explain which lines on the strip show your contractions and which show the heartbeat, and let her know if you'd prefer the volume on the machine to be turned up or down.

Talk to your caregiver about preregistering at the hospital. If you prepare the paperwork now, you won't have to worry about it on the big day.

This Week's Activity:

Prepare food to eat after your baby's born. If you cook, start doubling recipes and freezing half. You and your partner will be too exhausted to cook in the first weeks after you bring your baby home and you'll be thrilled to have healthy meals you can heat up fast.

If you don't cook, go around your neighborhood and pick up all the takeout and delivery menus you can find. You'll be grateful for all the options at your fingertips.

Saturday, February 20, 2010

34 weeks info from babycenter.com

Your pregnancy: 34 weeks

How your baby's growing:

Your baby now weighs about 4 3/4 pounds (like your average cantaloupe) and is almost 18 inches long. Her fat layers — which will help regulate her body temperature once she's born — are filling her out, making her rounder. Her skin is also smoother than ever.

Her central nervous system is maturing and her lungs are continuing to mature as well. If you've been nervous about preterm labor, you'll be happy to know that babies born between 34 and 37 weeks who have no other health problems generally do fine. They may need a short stay in the neonatal nursery and may have a few short-term health issues, but in the long run, they usually do as well as full-term babies.

Note: Every baby develops a little differently — even in the womb. Our information is designed to give you a general idea of your baby's development.

How your life's changing:

By this week, fatigue has probably set in again, though maybe not with the same coma-like intensity of your first trimester. Your tiredness is perfectly understandable, given the physical strain you're under and the restless nights of frequent pee breaks and tossing and turning, while trying to get comfortable. Now's the time to slow down and save up your energy for labor day (and beyond).

If you've been sitting or lying down for a long time, don't jump up too quickly. Blood can pool in your feet and legs, causing a temporary drop in your blood pressure when you get up that can make you feel dizzy.

If you notice itchy red bumps or welts on your belly and possibly your thighs and buttocks as well, you may have a condition called pruritic urticarial papules and plaques of pregnancy (PUPPP for short). Up to one percent of pregnant women develop PUPPP, which is harmless but can be quite uncomfortable. See your practitioner so she can make sure it's not a more serious problem, provide treatment to make you more comfortable, and refer you to a dermatologist if necessary. Also be sure to call her if you feel intense itchiness all over your body, even if you don't have a rash. It could signal a liver problem.

Slide your way to slumber "In the third trimester, turning over in bed is a nightmare. The solution? Big satin pajamas and even satin sheets — the slipperiness of satin helps tremendously!" — Carrie

3 Questions About...C-sections

Q1.
What are my chances of having a c-section?

About 30 percent of pregnant women in the United States give birth by cesarean section these days. In certain cases the surgery is scheduled in advance. In others, it's done in response to an unforeseen complication.

Q2.
W hy might I need a c-section?

You may have an unplanned cesarean delivery for many reasons, such as if your cervix stops dilating, your baby stops progressing down the birth canal, or your baby's heart-rate gives your practitioner cause for concern. A planned cesarean may be recommended if:

• You've had a previous cesarean with a "classical" vertical uterine incision or more than one previous c-section. (If you've had only one previous c-section with a horizontal incision, you may be a good candidate for a vaginal birth after cesarean, or VBAC.)

• You've had some other kind of invasive uterine surgery, such as a myomectomy (the surgical removal of fibroids).

• You're carrying more than one baby. (Some twins can be delivered vaginally, but all higher-order multiples require a c-section.)

• Your baby is expected to be very large (a condition known as macrosomia).

• Your baby is in a breech (bottom first) or transverse (sideways) position. (In some cases, such as a twin pregnancy in which the first baby is head down but the second baby is breech, the breech baby may be delivered vaginally.)

• You have placenta previa (when the placenta is so low in the uterus that it covers the cervix).

• The baby has a known illness or abnormality that would make a vaginal birth risky.

• You're HIV-positive, and blood tests done near the end of pregnancy show that you have a high viral load.

Q3.
What should I expect during a c-section?

Typically, your partner can be with you during the surgery. If you don't already have one, your medical team will start an IV and insert a catheter to drain urine during the procedure, and you'll be given an epidural or spinal block, which will numb the lower half of your body but leave you alert and awake.

A screen will be put up so you don't have to watch the actual procedure. Once the doctor reaches the uterus and makes the final incision, she'll ease the baby out, lifting him so you get a glimpse of him before he's handed off to be cared for by a pediatrician or nurse. While the staff is examining your baby, the doctor will deliver your placenta and stitch you back up.

When your baby has been examined, the pediatrician or nurse may hand him to your partner, who can hold him right next to you so you can nuzzle and kiss him while you're being stitched up. Closing your uterus and belly takes a lot longer, than opening you up. This part of the surgery usually takes about 30 minutes. When the surgery is completed, you'll be wheeled into a recovery room, where you'll be able to hold your baby and breastfeed if you want to.

This Week's Activity:

Make a labor contingency plan. You may go into labor early or have a complication that requires you to be in the hospital longer than you anticipated. Give at least one friend or neighbor the keys to your house in case you need something and can't get home.

Line up people to do the following on a moment's notice:

• Take care of children
• Drive older children to and from school and to any afterschool activities
• Feed the dog, water the plants, get the mail
• Fill in for you at work or any other obligations

Saturday, February 13, 2010

33 weeks info from babycenter.com

Your pregnancy: 33 weeks

How your baby's growing:

This week your baby weighs a little over 4 pounds (heft a pineapple) and has passed the 17-inch mark. He's rapidly losing that wrinkled, alien look and his skeleton is hardening.

The bones in his skull aren't fused together, which allows them to move and slightly overlap, thus making it easier for him to fit through the birth canal. (The pressure on the head during birth is so intense that many babies are born with a conehead-like appearance.)

These bones don't entirely fuse until early adulthood, so they can grow as his brain and other tissue expands during infancy and childhood.

Note: Every baby develops a little differently — even in the womb. Our information is designed to give you a general idea of your baby's development.

How your life's changing:

As your baby fills out even more of your belly, lots of things might start to change: Whereas before you were sashaying, you may find yourself waddling.

Finding an easy position to sit in — let alone sleep — is becoming more of a challenge. And bumping into chairs and counters is par for the course.

You may be feeling some achiness and even numbness in your fingers, wrists, and hands. Like many other tissues in your body, those in your wrist can retain fluid, which can increase pressure in the carpal tunnel, a bony canal in your wrist. Nerves that run through this "tunnel" may end up pinched, creating numbness; tingling, shooting or burning pain; or a dull ache.

Try wearing a splint to stabilize your wrist or propping your arm up with a pillow when you sleep. If your work requires repetitive hand movements (at a keyboard or on an assembly line, for instance), remember to stretch your hands when you take breaks — which should be frequently.

Many women are still feeling sexy at this stage — and their partners often agree. You may need to make some adjustments, but for most women, sex during pregnancy is fine right up until their water breaks or their labor starts.

Bored with pregnancy? Try this! "Every time I start to get bored with my pregnancy, I lie down and rub my belly. Sure enough, my baby starts to kick, and I think about how wonderful it will be when I'm able to hold him." — Barbara

3 Questions About... Monitoring your baby's movements

Q1.
How often should I feel movements?

Your baby should be moving as frequently as she has for the last month or so. Every baby has her own pattern of activity and there's no correct one. As long as you don't notice any major changes in your baby's activity level, chances are she's doing just fine.

Q2.
Do I need to keep track of my baby's kicks?

For an added sense of security, many practitioners recommend that after 28 weeks, you formally monitor your baby's movements at least once or twice a day. There are lots of different ways to do these "kick counts," so check with your caregiver about how she wants you to track your baby's movements.

Here's one common approach: Choose a time of day when your baby tends to be active. (Ideally, you'll want to do the counts at roughly the same time each day.) Sit quietly or lie on your side so you won't get distracted. Time how long it takes for you to feel ten distinct movements — kicks, twitches, and whole body movements all count.

You should feel at least ten movements within two hours. (Don't worry; it probably won't take that long. Sometimes you'll feel ten kicks within the first ten minutes.) If you don't feel ten movements in two hours, stop counting and call your midwife or doctor.

Q3.
What should I do if I think my baby's movements have slowed down or changed?

Let your practitioner know right away if you notice a slowdown of your baby's movements. A decrease in fetal movement may signal a problem, and you'll need a nonstress test or biophysical profile to check on your baby.

This Week's Activity:

Wash your baby's clothing and bedding. You know all those adorable outfits you bought or received at your baby shower? You should wash anything that will go near your baby's skin to remove any irritants in the fabrics. The gentlest detergents are those designed for babies and those that are labeled hypoallergenic or good for sensitive skin.

Saturday, February 6, 2010

32 wks info from babycenter.com

Your pregnancy: 32 weeks

How your baby's growing:

By now, your baby weighs 3.75 pounds (pick up a large jicama) and is about 16.7 inches long, taking up a lot of space in your uterus.

You're gaining about a pound a week and roughly half of that goes right to your baby. In fact, she'll gain a third to half of her birth weight during the next 7 weeks as she fattens up for survival outside the womb.

She now has toenails, fingernails, and real hair (or at least respectable peach fuzz). Her skin is becoming soft and smooth as she plumps up in preparation for birth.

Note: Every baby develops a little differently — even in the womb. Our information is designed to give you a general idea of your baby's development.

How your life's changing:

To accommodate you and your baby's growing needs, your blood volume has increased 40 to 50 percent since you got pregnant.

With your uterus pushing up near your diaphragm and crowding your stomach, the consequences may be shortness of breath and heartburn. To help relieve your discomfort, try sleeping propped up with pillows and eating smaller meals more often.

You may have lower-back pain as your pregnancy advances. If you do, let your caregiver know right away, particularly if you haven't had back pain before, since it can be a sign of preterm labor.

Assuming it's not preterm labor that's ailing you, you can probably blame your growing uterus and hormonal changes for your aching back. Your expanding uterus shifts your center of gravity and stretches out and weakens your abdominal muscles, changing your posture and putting a strain on your back.

Hormonal changes in pregnancy loosen your joints and the ligaments that attach your pelvic bones to your spine. This can make you feel less stable and cause pain when you walk, stand, sit for long periods, roll over in bed, get out of a low chair or the tub, bend, or lift things.

Get support from your partner "Sleeping is getting difficult. The only way I can get any rest is to lie with my back to my husband as he cradles my body. The support from him and a pillow between my legs is the best help." —Anonymous

Decision Guide: Who should be in the labor room with you?

Childbirth is an intensely personal experience, as is your decision whether to have additional family members, friends, or labor coaches in the birthing room with you. Here are some things to keep in mind as you prepare your guest list:

• There's no one right decision. In a recent BabyCenter poll, 44 percent of expectant moms said they preferred to have no one but their partner and medical staff in the room when they gave birth, while 37 percent said they brought an additional relative along and 16 percent requested to have a friend present. Only 3 percent of respondents asked for a doula or labor coach in the birthing room.

• Some husbands or partners may be confused about their role in the birth or reluctant to participate if others are present. If you bring outside relatives or coaches in, make sure your partner is on board with the plan.

• You may be under pressure from mothers or mothers-in-law who are eager to be present for the birth of their grandchild — regardless of your wishes to keep the experience private. If you want to be alone with your partner, don't be afraid to enlist hospital staff for support in carrying out your wishes and keeping relatives out of the delivery room.

• Labor and delivery nurses come and go according to their shifts, so if you'd like to be attended continuously by one person, a private labor coach or doula is a good option. In fact, some research shows that women attended by labor assistants have shorter labors, fewer labor complications, and healthier newborns. You should also give serious thought to having a doula present if you're set on having a drug-free birth.

This Week's Activity:

Start lining up helpers. Your friends and family will want to pitch in after your baby's born, but many new moms are too overwhelmed to direct household help. How to prepare now:

• If anyone offers to help during the newborn weeks, write down their name and number.
• Select one friend to set up a schedule so that all the friends who wish to help are given a date on which they can bring you a meal.
• Create a master grocery list so you can hand it off to a friend.
• Create a childcare or ride schedule for older children.
• Line up a friend or neighbor to take out your garbage, walk your dog or feed your pets.

Saturday, January 30, 2010

31 wks pregnant - info from babycenter.com

Your pregnancy: 31 weeks (this is probably about the point I was born to my birth mom, incidentally since I was a 3 lb baby and a preemie)

How your baby's growing:

This week, your baby measures over 16 inches long. He weighs about 3.3 pounds (try carrying four navel oranges) and is heading into a growth spurt.

He can turn his head from side to side, and his arms, legs, and body are beginning to plump out as needed fat accumulates underneath his skin. He's probably moving a lot, too, so you may have trouble sleeping because your baby's kicks and somersaults keep you up.

Take comfort: All this moving is a sign that your baby is active and healthy.

Note: Every baby develops a little differently — even in the womb. Our information is designed to give you a general idea of your baby's development.

How your life's changing:

Have you noticed the muscles in your uterus tightening now and then? Many women feel these random contractions — called Braxton Hicks contractions — in the second half of pregnancy. Often lasting about 30 seconds, they're irregular, and at this point, they should be infrequent and painless.

Frequent contractions, on the other hand — even those that don't hurt — may be a sign of preterm labor.

Call your practitioner immediately if you have more than four contractions in an hour or any other signs of preterm labor: an increase in vaginal discharge or a change in the type of discharge (if it becomes watery, mucus-like, or bloody — even if it's pink or just tinged with blood); abdominal pain or menstrual-like cramping; an increase in pressure in the pelvic area; or low back pain, especially if you didn't have it before.

You may have noticed some leaking of colostrum, or "premilk," from your breasts lately. If so, try tucking some nursing pads into your bra to protect your clothes. (And if not, it's certainly nothing to worry about; your breasts are making colostrum all the same, even if you don't see any.)


If your current bra is too snug, you might also want to pick up a nursing bra. Choose a nursing bra at least one cup size bigger than you need now. When your milk comes in you'll be grateful for that extra room!

If you're having a boy, you and your partner will want to take some time to think about whether or not to have your baby circumcised. Find out the pros and cons from your doctor, and what the procedure involves.

Choosing a focal point "I'm 31 weeks along, and at my childbirth classes they've been telling us to concentrate on a focal point during labor. Anything from a picture to a crack in the wall or ceiling can work, so long as it helps Mom relax and distracts her from the pain." — Anonymous

Decision Guide: Do you want pain medication during labor?

There's no one right way to have a baby. Every woman's experience with pain is different and every labor is different.

Some women know in advance that they want pain medication. Some are committed to a natural, unmedicated approach to pain management. And some want to try for a drug-free birth with the option of pain medication if the going gets too rough. Learn all you can about the pros and cons of the various options so that you can make an informed choice.

Here are some things to consider as you make your decision:

• If you haven't done so already, sign up for a childbirth education class with your partner. Instructors generally cover all labor pain relief options, including epidurals, spinals, and systemic medication as well as drug-free approaches like breathing and relaxation techniques.

• Most women opt for some kind of pain medication during childbirth. The most popular form of labor pain relief, an epidural, delivers continuous pain relief to the lower part of your body while allowing you to remain fully conscious.

• Some women choose a natural, drug-free approach to controlling labor pain. If you want to remain in control of your body to the greatest extent possible, be an active participant throughout labor, and have minimal routine interventions in the birth process, then natural approaches will suit you best. If you choose to go this route, you accept the potential for pain and discomfort as part of giving birth, but with the right preparation and support, you may find it works well for you.

• Whether you've decided to use pain medication during labor or are committed to natural childbirth, remember that you have the right to change your mind once you're in labor.

• Take our poll: Have you decided to use drugs during childbirth?

This Week's Activity:

You don't need to pack your bag yet, but start making a list of items to bring to the hospital.

Besides a change of clothes and a toothbrush, some items to include:

• A photograph or object to focus on during labor
• Snacks to keep your energy up and gum or mints for bad breath
• Cozy socks and slippers
• Your favorite pillow
• Some light reading material
• A nursing nightie and nursing bra
• A going-home outfit for your baby
• A camera or camcorder, fresh batteries, and film, if necessary

Saturday, January 23, 2010

30 wks pregnant - info from babycenter.com

Your pregnancy: 30 weeks

How your baby's growing:

Your baby's about 15.7 inches long now, and she weighs almost 3 pounds (like a head of cabbage).

A pint and a half of amniotic fluid surrounds her, but that volume will decrease as she gets bigger and takes up more room in your uterus. Her eyesight continues to develop, though it's not very keen; even after she's born, she'll keep her eyes closed for a good part of the day. When she does open them, she'll respond to changes in light but will have 20/400 vision — which means she can only make out objects a few inches from her face. (Normal adult vision is 20/20.)

Note: Every baby develops a little differently — even in the womb. Our information is designed to give you a general idea of your baby's development.

How your life's changing:

You may be feeling a little tired these days, especially if you're having trouble sleeping. You might also feel clumsier than normal, which is perfectly understandable.

Not only are you heavier, but the concentration of weight in your pregnant belly causes a shift in your center of gravity. Plus, thanks to hormonal changes, your ligaments are more lax, so your joints are looser, which may also contribute to your balance being a bit off. Also, this relaxation of your ligaments can actually cause your feet to spread permanently, so you may have to invest in some new shoes in a bigger size.

Remember those mood swings you had earlier in pregnancy? The combination of uncomfortable symptoms and hormonal changes can result in a return of those emotional ups and downs.

It's normal to worry about what your labor will be like or whether you'll be a good parent. But if you can't shake the blues or feel increasingly irritable or agitated, talk to your doctor or midwife. You may be among the 1 in 10 expectant women who battle depression during pregnancy. Also let your caregiver know if you're frequently nervous or anxious.

Searching for a pediatrician "I realized that finding a good pediatrician would be at least as important as finding a good doctor or midwife, so I started my search early. I asked my midwife and her assistant, the workers, administrators and mothers at two daycare centers, and my local hospital's referral center for recommendations. The two practitioners whose names came up most often were the ones I interviewed." —Anonymous

Surprising Facts: Common labor fears

Are you nervous about giving birth? You're not alone! Here are some common fears and how to cope with them.

• I won't be able to handle the pain.
One in five expectant moms says this is her top third-trimester fear, according to a BabyCenter poll. Some women know ahead of time that they will want pain-relieving medication during labor and, in fact, most women do end up opting to have an epidural. Others are committed to giving birth without drugs. They accept potential for pain and discomfort and learn techniques to help them manage it. With the right preparation and support, some women find natural childbirth deeply satisfying and empowering.

• I'll need an episiotomy or I'll tear.
An episiotomy is a surgical cut in the muscular area between your vagina and anus (the perineum) which is performed right before delivery to enlarge your vaginal opening. Some women tear spontaneously in this area during delivery — even with an episiotomy — and the tears can range from almost undetectable to severe, requiring a significant number of stitches to repair. Once nearly standard, episiotomies are on the decline and experts now agree that the procedure shouldn't be done routinely. Talk to your practitioner about how often and under what conditions she performs episiotomies and how she might help you avoid one, or tearing. There's some evidence that you'll be less likely to need stitches if you start massaging your perineum about five weeks before your due date.

• I'll have a bowel movement during labor.
In a recent BabyCenter poll, 70 percent of women said they were afraid they'd poop while giving birth, 39 percent said they actually did, and of those, only 22 percent were embarrassed by it. Though it's hard to believe now, if you do have a bowel movement while you're pushing, no one will blink an eye. Your caregivers will clean it up possibly even before you know what's happened.

• I'll be steamrolled into unnecessary medical interventions.
The best way to deal with this fear is to have a frank conversation with your practitioner. If you trust and respect your doctor or midwife, you can rest assured that she'll be doing her best for you and your baby on the day of delivery. If she's aware of your wishes and preferences (consider writing a birth plan), she can do her best to adhere to them. Another way to ease this fear is to hire a doula — a professional labor assistant — to attend your birth. She can be your advocate at the hospital.

• I'll have to have a c-section.
Since one in five women giving birth for the first time ends up having a c-section to deliver her baby, this fear is understandable. If you have your heart set on a vaginal birth, ending up with a c-section can be disappointing. Some moms say they feel cheated out of a vaginal birth, especially if they took childbirth classes and fantasized about the "ideal birth," or if they feel that their c-section wasn't really necessary. Others say they feel as if they're somehow less of a woman because they needed a c-section. If you have these feelings, it may take some time to reconcile the reality of your birth experience with what you'd imagined during your pregnancy. It might help to know that many women find their babies' births, whether vaginal or c-section, very different from what they expected.

• I won't make it to the hospital on time.
Emergency home deliveries are extremely unusual, especially with first babies. But if you can't shake this fear, check out our emergency home birth instructions so you'll have an idea of what it involves.

This Week's Activity:

Assemble any baby gear This is the perfect job for your partner or a friend who wants to help. Cribs, bassinets, and strollers are notoriously tricky to put together, especially when you're sleep deprived, so get started now. Swings, mobiles, and monitors can all require batteries, so make sure you have enough on hand.

Tip: Consider getting rechargeable batteries and a battery charger.

Sunday, January 17, 2010

29 wks pregnant - info from babycenter.com

Your pregnancy: 29 weeks

How your baby's growing:

Your baby now weighs about 2 1/2 pounds (like a butternut squash) and is a tad over 15 inches long from head to heel.

His muscles and lungs are continuing to mature, and his head is growing bigger to make room for his developing brain. To meet his increasing nutritional demands, you'll need plenty of protein, vitamins C, folic acid, and iron.

And because his bones are soaking up lots of calcium, be sure to drink your milk (or find another good source of calcium, such as cheese, yogurt, or enriched orange juice). This trimester, about 250 milligrams of calcium are deposited in your baby's hardening skeleton each day.

Note: Every baby develops a little differently — even in the womb. Our information is designed to give you a general idea of your baby's development.
How your life's changing:

Your baby's very active now. Your practitioner may ask you to spend some time each day counting kicks and will give you specific instructions on how to do this. Let her know if you ever notice a decrease in activity. You may need a nonstress test or biophysical profile to check on your baby's condition.

Some old friends — heartburn and constipation — may take center stage now. The pregnancy hormone progesterone relaxes smooth muscle tissue throughout your body, including your gastrointestinal tract. This relaxation, coupled with the crowding in your abdomen, slows digestion, which in turn can cause gas and heartburn — especially after a big meal — and contribute to constipation as well.

Your growing uterus may also be contributing to hemorrhoids. These swollen blood vessels in your rectal area are common during pregnancy and usually clear up in the weeks after giving birth. If they're itchy or painful, try soaking in a sitz bath or applying cold compresses medicated with witch hazel to the affected area.

Also avoid sitting or standing for long stretches. Talk with your practitioner before using any over-the counter remedies during pregnancy, and let her know if you have any rectal bleeding. To prevent constipation, eat a high-fiber diet, drink plenty of water, and get some regular exercise.

Some women get something called "supine hypotensive syndrome" during pregnancy, where laying flat on your back causes a change in heart rate and blood pressure that makes you feel dizzy until you change position. You might note that you feel lightheaded if you stand up too quickly, too. To avoid "the spins" lie on your side rather than your back, and move slowly as you go from lying down to sitting and then standing.

Enjoy your freedom "Shake the pregnancy blahs by enjoying your last weeks of pre-baby freedom. Do all the things you may not have time for — movies, facials, romantic dinners with your mate — once your little one is here." —Bethany B.

3 Questions About Maternity leave
Q1.
Does my employer have to let me take maternity leave?

Not necessarily. Many employers are required by the Family and Medical Leave Act (FMLA) to allow their full-time employees (both men and women) 12 weeks of unpaid family leave after the birth or adoption of a child. But there are exceptions: Some part-time workers, newer employees, and employees of companies with fewer than 50 workers aren't covered by the FMLA. But even if you're not eligible for leave under the FMLA, you may be eligible under your state's provisions. To find out, check with your state's department of labor.

Actual paid "maternity leave" is unusual in the United States. Some companies offer new parents paid time off, up to six weeks in some cases. But most likely, you'll use a combination of short-term disability (STD), sick leave, vacation, personal days, and unpaid family leave to cobble together your maternity leave.

Q2.
How do I decide when to start my leave?

There's no "right time" to stop working. Some women start their leave in the seventh or eighth month while others work right up until delivery. You'll need to monitor your pregnancy to determine the right time to start maternity leave. If your practitioner puts you on bed rest, or complications develop that require you to be out of work before you give birth, you'll most likely be put on short-term disability if your state or company offers it.

Once your maternity leave is up, don't be surprised if it's hard to leave your baby and go back to work. Seventy-eight percent of new moms in a BabyCenter poll said they struggled with the decision to return to work, while only 22 percent said they were ready to go back.

Q3.
What's the best way to discuss these issues with my boss?

First, do your homework. Review your employee handbook, or contact a human resources representative who can inform you of your employer's formal policies regarding pregnancy and maternity leave. You may also want to question your co-workers who have already traveled this path.

Then, make a plan. Figure out how much time you think you'll want to take. If you're considering unpaid leave, think about how much time without a paycheck you can reasonably afford. Consider whether you'll want to take maternity leave in one block of time or whether you'd rather split it up over the year. Under the FMLA, you can use your 12 weeks anyway you want — all at once, a week at a time, some now, some later, etc. When making these decisions, consider your partner's schedule and benefits too. Some companies offer paid paternity leave, and your partner may qualify for leave under the FMLA as well.

To increase your chances of getting what you want, plan to offer your boss solutions rather than problems by having some ideas for how your work can be handled while you're away.

If you're not sure where to start, read about how seven new moms negotiated their maternity leaves and transitioned back to work. Seeing how other women made it work can be inspiring.

Find out exactly which questions you should ask your coworkers and human resources department with our maternity leave checklist, and get the full lowdown on maternity leave.

This Week's Activity:

Run some vital errands now. Here are some things you'll need in the first few weeks when it's almost impossible to go shopping:
• Diapers and wipes.
• Baby care items such as nail clippers, a thermometer, a bulb syringe, and a pacifier.
• Baby-friendly laundry detergent.
• Sanitary pads for you. (You'll bleed for a few weeks after delivery.)
• Thank-you cards and stamps.
• Paper towels and paper plates for easy cleanup after meals.

Sunday, January 10, 2010

28 wks pregnant - info from babycenter.com

Your pregnancy: 28 weeks

How your baby's growing:

By this week, your baby weighs two and a quarter pounds (like a Chinese cabbage) and measures 14.8 inches from the top of her head to her heels. She can blink her eyes, which now sport lashes. With her eyesight developing, she may be able to see the light that filters in through your womb. She's also developing billions of neurons in her brain and adding more body fat in preparation for life in the outside world.

Note: Every baby develops a little differently — even in the womb. Our information is designed to give you a general idea of your baby's development.
How your life's changing:

You're in the home stretch! The third and final trimester starts this week. If you're like most women, you'll gain about 11 pounds this trimester.

At this point, you'll likely visit your doctor or midwife every two weeks.

Then, at 36 weeks, you'll switch to weekly visits. Depending on your risk factors, your practitioner may recommend repeating blood tests for HIV and syphilis now, as well as doing cultures for chlamydia and gonorrhea, to be certain of your status before delivery.

Also, if your glucose screening test result was high and you haven't yet had follow-up testing, you'll soon be given the 3-hour glucose tolerance test. And if the blood work done at your first prenatal visit showed that you're Rh negative, you'll get an injection of Rh immunoglobulin to prevent your body from developing antibodies that could attack your baby's blood. (If your baby is Rh positive, you'll receive another shot of Rh immunoglobulin after you give birth.)

Around this time, some women feel an unpleasant "creepy-crawly" sensation in their lower legs and an irresistible urge to move them while trying to relax or sleep. If this sensation is at least temporarily relieved when you move, you may have what's known as restless legs syndrome (RLS). No one knows for sure what causes RLS, but it's relatively common among expectant mothers. Try stretching or massaging your legs, and cut down on caffeine, which can make the symptoms worse. Ask your caregiver if you should try iron supplements, which can sometimes relieve RLS.

Sleep easier "Now that it's later in my pregnancy, I find that if I sleep on either side with a pillow tucked underneath my stomach, I can make it through the night." –Venece

3 Questions About Preeclampsia

Preeclampsia is a complex disorder that affects 3 to 8 percent of pregnant women. A woman is diagnosed with preeclampsia if she has high blood pressure and protein in her urine after 20 weeks of pregnancy.

Most women who get preeclampsia develop a mild version near their due date, and they and their babies do fine with proper care. But when preeclampsia is severe, it can affect many organs and cause serious or even life-threatening problems. The only way to get better is to deliver the baby.

Q1.
What are the symptoms of preeclampsia?

Preeclampsia can come on suddenly, so it's very important to be aware of the symptoms. Call your midwife or doctor right away if you notice any of these warning signs:

Swelling in your face or puffiness around your eyes, more than slight swelling of your hands, or excessive or sudden swelling of your feet or ankles.

• Rapid weight gain — more than 4 pounds in a week.
• Severe or persistent headache
• Vision changes, including double vision, blurred vision, seeing spots or flashing lights, sensitivity to light, or temporary loss of vision
• Intense pain or tenderness in your upper abdomen
• Nausea and vomiting

Preeclampsia can occur without any obvious symptoms, particularly in the early stages, and some symptoms may seem like normal pregnancy complaints. So you might not know you have the condition until it's discovered at a routine prenatal visit. This is one of the reasons it's so important not to miss your appointments.

Q2.
What puts me at high risk for preeclampsia?

It's more common to get preeclampsia for the first time during a first pregnancy. However, once you've had preeclampsia, you're more likely to develop it again in later pregnancies. Other risk factors include:

• Having chronic hypertension
• Having certain blood clotting disorders, diabetes, kidney disease, or an autoimmune disease like lupus
• Having a close relative (a mother, sister, grandmother, or aunt, for example) who had preeclampsia
• Being obese (having a body mass index of 30 or more)
• Carrying two or more babies
• Being younger than 20 or older than 40

Q3.
Is there any way I can avoid getting preeclampsia?

No one knows for sure how to prevent preeclampsia, although there's a lot of research going on in this area. A number of studies have looked into whether taking extra calcium, vitamins, or a low dose of aspirin can help, but the results have been mixed.

For now, the best thing you can do is get good prenatal care and keep all your prenatal appointments. At each visit your healthcare provider will check your blood pressure and test your urine for protein. It's also important to be aware of the warning signs of preeclampsia so that you can alert your caregiver and get treated as soon as possible.

For more information on pregnancy complications, see BabyCenter's comprehensive pregnancy complications area.

This Week's Activity:

Choose a doctor for your baby. Get names of pediatricians or family practitioners from friends, co-workers, neighbors, or your pregnancy caregiver. Make sure the doctor accepts your health insurance, keeps hours that work with your schedule, and has an office that's convenient for you. If you can, schedule face-to-face interviews with your top candidates. If it seems too early to be thinking about this, consider that your baby will have his first doctor's visit shortly after birth.

Sunday, January 3, 2010

27 wks pregnant - info from babycenter.com

Your pregnancy: 27 weeks

This week, your baby weighs almost 2 pounds (like a head of cauliflower) and is about 14 1/2 inches long with her legs extended.

She's sleeping and waking at regular intervals, opening and closing her eyes, and perhaps even sucking her fingers. With more brain tissue developing, your baby's brain is very active now. While her lungs are still immature, they would be capable of functioning — with a lot of medical help — if she were to be born now.

Chalk up any tiny rhythmic movements you may be feeling to a case of baby hiccups, which may be common from now on. Each episode usually lasts only a few moments, and they don't bother her, so just relax and enjoy the tickle.

Note: Every baby develops a little differently — even in the womb. Our information is designed to give you a general idea of your baby's development.
How your life's changing:

The second trimester is drawing to a close, but as your body gears up for the final lap, you may start noticing some new symptoms. Along with an aching back, for example, you may find that your leg muscles cramp up now and then. They're carrying extra weight, after all, and your expanding uterus is putting pressure on the veins that return blood from your legs to your heart as well as on the nerves leading from your trunk to your legs.

Unfortunately, the cramps may get worse as your pregnancy progresses. Leg cramps are more common at night but can also happen during the day. When a cramp strikes, stretching the calf muscle should give you some relief. Straighten your leg and then gently flex your toes back toward your shin. Walking for a few minutes or massaging your calf sometimes helps, too.

It may be the furthest thing from your mind right now, but it's not too soon to think about family planning. You'll want to have made some decisions about postpartum birth control before your baby arrives.

If you're considering a tubal ligation, be aware that most states require you to sign a consent form at least 30 days beforehand. So if you'd like the option of having the surgery during your postpartum hospital stay, don't wait too much longer to discuss it with your caregiver. (You can still change your mind later.)

Beyond orange juice "Need more vitamin C? Try red bell peppers! They have nearly twice the vitamin C of a navel orange, and a half cup is one of the five servings of fruits and vegetables you need each day." — Kayla B.

Surprising Facts: Symptoms you should never ignore

So many aches, pains, and strange feelings arise during pregnancy that it can be hard to decide what's normal and what warrants a call to your doctor or midwife. To complicate matters further, some symptoms may be more or less urgent depending on your particular situation or health history and on how far along you are in your pregnancy.

Here's a rundown of symptoms that could be a sign of a problem. If you have any of these complaints, call your doctor or midwife immediately:

Before you reach 37 weeks:

• Pelvic pressure (a feeling that your baby is pushing down), lower back pain (especially if it's a new problem for you), menstrual-like cramping or abdominal pain, or more than four contractions in an hour (even if they don't hurt)

• An increase in vaginal discharge or a change in the type of discharge — if it becomes watery, mucus-like, or bloody (even if it's only pink or blood-tinged)

At any time:

• Your baby is moving or kicking less than usual

• Severe or persistent abdominal pain or tenderness

• Vaginal bleeding or spotting, or watery discharge

• Pain or burning when you urinate, or little or no urination

• Severe or persistent vomiting, or any vomiting accompanied by pain or fever

• Chills or a fever of 100 degrees Fahrenheit or higher

• Blurred or double vision, or seeing spots or "floaters"

• A severe or persistent headache, or any headache accompanied by blurred vision, slurred speech, or numbness

• Any swelling in your face or puffiness around your eyes, anything more than mild swelling in your fingers or hands, or severe or sudden swelling in your legs, feet, or ankles, or a rapid weight gain (more than 4 pounds in a week)

• Severe or persistent leg or calf pain that doesn't ease up when you flex your ankle and point your toes toward your nose, or one leg significantly more swollen than the other

• Trauma to your abdomen

• Fainting, frequent dizziness, rapid heartbeat, or palpitations

• Difficulty breathing, coughing up blood, or chest pain

• Severe constipation accompanied by abdominal pain or severe diarrhea that lasts more than 24 hours

• Persistent intense itching all over

• Any health problem that you'd ordinarily call your practitioner about, even if it's not pregnancy-related (like worsening asthma or a cold that gets worse rather than better)

Even if you don't see your symptom on the list above, trust your instincts and call your caregiver whenever you have a concern about your pregnancy. If there's a problem, you'll get help right away. If nothing's wrong, you'll be reassured.

This Week's Activity:

Sign up for a breastfeeding class. If you are a first-time mom and planning to breastfeed your baby, it's a good idea to take a breastfeeding class. Ask your caregiver or childbirth education teacher where you can take one. Or call La Leche League. It can help you locate breastfeeding resources in your area.

Sunday, December 27, 2009

26 wks

Your pregnancy: 26 weeks


How your baby's growing:

The network of nerves in your baby's ears is better developed and more sensitive than before. He may now be able to hear both your voice and your partner's as you chat with each other.

He's inhaling and exhaling small amounts of amniotic fluid, which is essential for the development of his lungs. These so-called breathing movements are also good practice for when he's born and takes that first gulp of air. And he's continuing to put on baby fat.

He now weighs about a pound and two-thirds and measures 14 inches (an English hothouse cucumber) from head to heel. If you're having a boy, his testicles are beginning to descend into his scrotum — a trip that will take about two to three days.

Note: Every baby develops a little differently — even in the womb. Our information is designed to give you a general idea of your baby's development.

How your life's changing:

Are you rushing around trying to get to childbirth classes and prepare your baby's room while still taking care of all your other daily tasks?

Make sure that you also continue to eat well and get plenty of rest. Around this time, your blood pressure may be increasing slightly, although it's probably still lower than it was before you got pregnant. (Typically, blood pressure falls toward the end of the first trimester, and it tends to reach a low at about 22 to 24 weeks.)

Preeclampsia — a serious disorder characterized by high blood pressure and protein in your urine — most often shows up after 37 weeks, but it can happen earlier so it's important to be aware of the warning signs of this condition.

Call your caregiver if you have swelling in your face or puffiness around your eyes, more than slight swelling of your hands, excessive or sudden swelling of your feet or ankles, or rapid weight gain (more than 4 pounds in a week).

With more severe preeclampsia, you may experience other symptoms. Let your caregiver know immediately if you have a severe or persistent headache, vision changes (including double or blurred vision, seeing spots or flashing lights, sensitivity to light, or temporary loss of vision), intense pain or tenderness in your upper abdomen, or vomiting.

If your lower back seems a little achy lately, you can thank both your growing uterus — which shifts your center of gravity, stretches out and weakens your abdominal muscles, and may be pressing on a nerve — as well as hormonal changes that loosen your joints and ligaments. Plus, the extra weight you're carrying means more work for your muscles and increased stress on your joints, which is why you may feel worse at the end of the day.

Walking, standing, or sitting for long periods, as well as bending and lifting can all put a strain on your back. A warm bath or hot compress might bring relief. (Some women, though, find cool compresses more comforting.) Try to maintain good posture during the day, avoid activities that require bending and twisting at the same time, take frequent breaks when sitting or standing, and sleep on your side with one or both knees bent with a pillow between your legs, using another pillow (or wedge) to support your abdomen.

Soothing sore feet "To help yourself relax, immerse your feet in a basin filled with warm water. Add a few drops of scented oil and enjoy." — Anonymous

Decision Guide: Should you create a birth plan?

Writing a birth plan can give you an opportunity to think about — and discuss with your partner and caregiver — how you'd ideally like your delivery to be handled. The process of creating a birth plan can be a terrific way to learn more about labor and your own preferences for care. But keep in mind that labor is inherently unpredictable, and you'll need to stay flexible in case things come up that require you and your birth team to veer from the plan.

So is it worth doing?

If you use the birth plan as an educational tool to learn more about your options during labor and delivery and as a point of departure for talking to your caregiver and communicating your wishes, you can't go wrong.

In a recent BabyCenter poll about birth plans, 54 percent of those who responded said their plan was irrelevant once actual labor started. "My birth plan pretty much went out the window once I got to the hospital. But not sticking to the plan didn't take away from my birth experience at all," said one respondent. On the other hand, 46 percent said their birth plans did help them create the birth experience they wanted. Said one new mom: "I was amazed. My midwife and the nurses followed my birth plan like an instruction manual. I was so worried because I had heard all these awful stories about how the hospital staff really doesn't care about birth plans. I got everything I wanted out of my daughter's birth."

If you decide you want to try making a birth plan, it can be as long or short as you like. Some women simply write down their birth philosophy and a general sense of how they'd like things to go. For instance, "I'd like to have as natural a birth as possible. Please don't offer me pain relief medication or do any interventions unless necessary." Or "I'd like my labor to be relatively pain-free and want an epidural as early as possible."

Some issues to consider when creating a birth plan:

• Do you want a drug-free labor or are you banking on an epidural? If you're not sure, it's okay to make a note of that.

• Do you want your delivery to be a private affair (just the attending medical team and your partner)? Would you like other family members or friends in the room for support? Is it okay if medical students or residents are present during your birth?

• Do you want a mirror brought in so you can see your baby crowning?

• Would you like to have the room as quiet as possible? Have special music playing? The lights dimmed? A video camera rolling?

• After your baby's born, do you want your partner to cut the cord? Would you or your partner like to stay with your baby during any procedures or exams?

• Do you plan to breastfeed?

• Do you want your baby to stay with you around-the-clock?

• Are you willing to pay extra for a private room if one's available?

For a detailed look at all the questions to consider, see BabyCenter's online Birth Plan tool.

This Week's Activity:

Discuss some personal issues. Would you like to have your son circumcised? If so, do you want it done in the hospital? Will you have a religious ceremony after your baby's born? Would you like to stay home with your baby full- or part-time? These are just a few of the big decisions you and your partner should discuss now. Even if you think you both agree, it's best to share your opinions openly to avoid misunderstandings and hurt feelings.

Sunday, December 20, 2009

25 wks pregnant

Your pregnancy: 25 weeks

How your baby's growing
Head to heels, your baby now measures about 13 1/2 inches. Her weight — a pound and a half — isn't much more than an average rutabaga, but she's beginning to exchange her long, lean look for some baby fat. As she does, her wrinkled skin will begin to smooth out and she'll start to look more and more like a newborn. She's also growing more hair — and if you could see it, you'd now be able to discern its color and texture.

See what your baby looks like this week.

Note: Every baby develops a little differently — even in the womb. Our information is designed to give you a general idea of your baby's development.

How your life's changing

Your baby's not the only one with more hair — your locks may look more full and lustrous than ever. It's not that you're growing more hair, but thanks to hormonal changes, the hair that you'd normally shed is sticking around longer than usual. Enjoy the fullness while you can — the extra hair will fall out after you give birth.

You may also notice that you can't move around as gracefully as before. Unless your caregiver has advised you otherwise, it's fine to continue to exercise, but follow a few safety rules: Don't work out when you're feeling overly tired and stop if you feel any pain, dizziness, or shortness of breath. Don't lie flat on your back and avoid contact sports as well as any exercise where you're apt to lose your balance. Be sure to drink plenty of water, and make time for both warm-up and cool-down periods.

When you have your glucose-screening test at 24 to 28 weeks, a second tube of blood may be taken at the same time to check for anemia. If blood tests show that you have iron-deficiency anemia (the most common type of anemia), your caregiver will probably recommend that you take an iron supplement.

Have you started thinking about baby names yet? Choosing a name is an important decision, but it should be a fun one, too. You may want to consider family history (Great Grandpa Zeb), favorite locations (Venice, where you honeymooned), or cherished literary or film characters (Greta, Meg, or Atticus, for example). Check out a couple of baby-name books to help you brainstorm, too.

Constipation cure: "To ease constipation, add oat or wheat bran to anything you can think of — cereal, yogurt, smoothies, or even spaghetti sauce." — Kristin

3 Questions About...Third trimester prenatal care
Q1.
How often will I see my caregiver in the third trimester?

Between 28 and 36 weeks, you'll see your caregiver every two weeks. One month before your due date, this will increase to once a week.

Q2.
What will she do at each appointment?

• Ask how you're feeling physically and emotionally and follow up on any issues raised at your last appointment. Among other things, she'll want to know if you're having contractions, vaginal bleeding, or unusual discharge; if you're having headaches; and if you're feeling anxious or depressed. Let her know if you have any symptoms that haven't been addressed.

• Ask about your baby's movements. She'll remind you to call if you sense that your baby has gotten less active. At some point, she may ask you to start counting your baby's movements for a set period of time each day.

• Weigh you and check your urine for signs of preeclampsia, urinary tract infections, and other problems. Take your blood pressure and check your ankles, hands, and face for swelling.

• Check your baby's heartbeat and do an abdominal exam to estimate your baby's size and position. She'll measure the distance between your pubic bone and the top of your uterus to see if your baby's growth rate seems normal.

• Possibly check your cervix. Don't expect a pelvic exam at every visit. Many caregivers don't do one unless they have a specific concern, such as preterm labor. Once you pass your due date, your provider will check your cervix to help decide whether (or when) to induce your labor.

• Tell you what to watch out for. She'll tell you about the signs of preterm labor and preeclampsia, and review other warning signs that should prompt a call. As your due date nears, she'll discuss the signs of labor and let you know when you should get in touch with her.

• Go over your labor and delivery questions. Make a list with your partner and bring it to a prenatal visit.

• Discuss postpartum decisions like whether you plan to breastfeed or circumcise your son. She'll also discuss your options for postpartum contraception. If you haven't found a doctor for your baby, your caregiver can give you some names.

Q3.
What tests are coming up?

Depending on your situation you may be offered:

• Hematocrit/hemoglobin: This blood test for anemia is usually repeated during the third trimester. (If you were tested when you took your glucose challenge test and the results were normal, it might not be repeated.)

• Gestational diabetes testing: If you have a normal glucose screening test between 24 and 28 weeks, consider yourself done. But if your screening results are abnormal and you haven't yet done the glucose tolerance test, you'll be tested now.

• Rh antibody screening: If you're Rh-negative, the antibody screen will be repeated (usually at the same time as your glucose challenge test) and you'll get an injection of Rh immune globulin at 28 weeks. In the unlikely case that some of your baby's blood gets into your bloodstream, the Rh immune globulin will protect you from developing antibodies that could pose a risk to future babies or even this one. (Note: if your baby's father takes a blood test and is found to be Rh-negative like you, you'll know that your baby is also Rh-negative so you won't need the Rh immune globulin.)

• Tests for sexually transmitted infections: If you're at high risk, your caregiver will do cervical cultures to check for chlamydia and gonorrhea, and your blood will be tested for syphilis. It's a wise idea to be retested for HIV as well if there's any chance you contracted it since your original test because treatment is available that dramatically reduces the risk of transmitting it to your baby.

• Group B strep test: Between 35 and 37 weeks, you'll be checked for group B streptococci (GBS) in your vagina and rectum. You won't be treated right away if the cultures are positive, because early treatment is no guarantee that the bacteria won't return. Instead, you'll be treated with IV antibiotics when you're in labor. (If you've previously given birth to a baby who had GBS, you can skip this test because you'll be given antibiotics in labor no matter what.)

• Biophysical profiles and nonstress tests: If you have certain pregnancy complications or you've passed your due date, these tests will be ordered to check on your baby.

This Week's Activity

Dedicate time to your partner this week. Treat your partner to a romantic surprise. Write down all the things you love about him, tell him why you think he'll be a great dad, or just go for a stroll while holding hands. Take time to connect on a physical and emotional level and celebrate what connects you and makes you love one another. Try to do something at least once a week that clearly communicates the importance of your partner in your life, says clinical psychologist Diane Sanford.

Sunday, December 13, 2009

Your pregnancy: 24 weeks

How your baby's growing:

Your baby's growing steadily, having gained about 4 ounces since last week. That puts him at just over a pound.

Since he's almost a foot long (picture an ear of corn), he cuts a pretty lean figure at this point, but his body is filling out proportionally and he'll soon start to plump up. His brain is also growing quickly now, and his taste buds are continuing to develop. His lungs are developing "branches" of the respiratory "tree" as well as cells that produce surfactant, a substance that will help his air sacs inflate once he hits the outside world.

His skin is still thin and translucent, but that will start to change soon.


How your life's changing:

In the past few weeks, the top of your uterus has risen above your belly button and is now about the size of a soccer ball.

Most women have a glucose screening test (also called a glucose challenge test or GCT) between now and 28 weeks.

This test checks for gestational diabetes, a pregnancy-related high-blood-sugar condition. Untreated diabetes increases your risk of having a difficult vaginal delivery or needing a cesarean section because it causes your baby to grow too large, especially in his upper body.

It also raises your baby's odds for other complications like low blood sugar right after birth. A positive result on your GCT doesn't mean you have gestational diabetes, but it does mean that you'll need to take the glucose tolerance test (GTT) to find out for sure.

Finally, if you don't already know how to spot the signs of preterm labor, now's the time to learn. Contact your caregiver immediately if you notice any of the signs mentioned below.

3 Questions About...Preterm labor

More than 12 percent of babies in the United States are born prematurely (before 37 weeks). About a quarter of these births are intentional, meaning that the medical team decides to induce labor early or perform a c-section because of a serious medical condition such as severe or worsening preeclampsia or because the baby has stopped growing.

The rest are known as spontaneous preterm births. You may end up having a spontaneous preterm birth if prior to 37 weeks you go into labor, your water breaks, or your cervix dilates with no contractions.

While there are some known risk factors for preterm labor, such as having certain genital tract infections, placental problems, or cervical insufficiency, in many cases no one knows what causes a woman to go into labor before term.

So it's important for all pregnant women to learn the signs of premature labor and what to do if it happens to you.

Q1.
What are the signs of preterm labor?

Call your midwife or doctor right away if you're having any of the following symptoms before 37 weeks:

• An increase in vaginal discharge
• A change in the type of discharge — if it becomes watery, mucus-like, or bloody (even if it's pink or just tinged with blood)
• Any vaginal bleeding or spotting
• Abdominal pain, menstrual-like cramping, or more than four contractions in one hour (even if they don't hurt)
• An increase in pressure in the pelvic area (a feeling that your baby is pushing down)
• Low back pain, especially if you didn't previously have back pain


These symptoms can be confusing because some of them, such as pelvic pressure or low back pain, occur during normal pregnancies too, and early contractions may just be harmless Braxton Hicks contractions. But it's always better to be safe than sorry, so call your midwife or doctor right away if you're experiencing anything unusual.

Q2.
What should I do if I think I'm going into labor prematurely?

If you have signs of preterm labor or think you're leaking amniotic fluid, call your practitioner, who'll likely have you go to the hospital for further assessment.

Once there, your medical team will monitor your contractions, watch your baby's heart rate, and test your urine for signs of infection.

A doctor or midwife will do a speculum exam to see whether your membranes have ruptured. She may swab your cervix and vagina and send one sample to the lab to check for an infection and another for a fetal fibronectin (fFN) test.

This test analyzes your cervical and vaginal fluid for the presence of a protein that helps bind the amniotic sac to the lining of your uterus. Between 24 and 34 weeks, elevated levels of fFN mean that this "glue" is disintegrating ahead of schedule (due to contractions or injury to the amniotic sac).

A negative result means that it's highly unlikely that you'll give birth in the next week or two, which can set your mind at ease and allow your practitioner to hold off on treatments that may prove to be unnecessary.

Q3.
Will my baby be okay if he's born early?

The closer your baby is to full term at birth, the more likely he is to survive and the less likely he is to have health problems. Premature babies born between 34 and 37 weeks generally do fine, although they are still at higher risk for short- and long-term problems compared to babies born full term.

On the other end of the continuum are babies who are extremely premature: These days, some babies born as early as 24 weeks (or even a bit earlier) may survive thanks to advances in neonatal care, but these extremely preterm infants require significant medical interventions and long stays in neonatal intensive care units (NICUs), and the survivors often have serious long-term problems.

The best thing you can do to reduce your risk of preterm birth is to avoid known dangers to your baby like smoking, drinking, and illicit drug use. Eat a nutritious diet, keep all of your prenatal appointments, and report any symptoms or problems to your caregiver promptly.

This Week's Activity:

Tackle your home improvement projects. Sit down with your partner and take stock of the things you'd like to fix around the house before your little one arrives. Then let your partner handle them. (You shouldn't be exposing yourself to chemicals or getting up on ladders.) Some things for the list:


• Install or check smoke detectors, get a fire extinguisher for each floor of your house, and plan a fire escape route.
• Fix or remove any broken furniture or fixtures.
• Paint the nursery, hang curtain rods, assemble new furniture.

Saturday, November 28, 2009

22 wk info from babycenter.com

How your baby's growing:
At 11 inches (the length of a spaghetti squash) and almost 1 pound, your baby is starting to look like a miniature newborn. His lips, eyelids, and eyebrows are becoming more distinct, and he's even developing tiny tooth buds beneath his gums. His eyes have formed, but his irises (the colored part of the eye) still lack pigment. If you could see inside your womb, you'd be able to spot the fine hair (lanugo) that covers his body and the deep wrinkles on his skin, which he'll sport until he adds a padding of fat to fill them in. Inside his belly, his pancreas — essential for the production of some important hormones — is developing steadily.

Note: Every baby develops a little differently — even in the womb. Our information is designed to give you a general idea of your baby's development.
How your life's changing:

At this point, you may find your belly becoming a hand magnet. It's perfectly okay to tell folks who touch your tummy that you'd rather they didn't. And if people are telling you that you look smaller or bigger than you should at this point, remember that each woman grows — and shows — at her own rate. What's important is that you see your practitioner for regular visits so she can make sure your baby's growth is on track.

You may start to notice stretch marks on your abdomen as it expands to accommodate your growing baby. At least half of all pregnant women will develop stretch marks by the time they give birth. These small streaks of differently textured skin can range from pink to dark brown (depending on your skin color). Although they most commonly appear on your tummy, stretch marks may also show up on your buttocks, thighs, hips, and breasts. There's no proof that lotion helps prevent stretch marks, but keeping your skin moisturized may help with any itching.

Write it down "I kept a journal for my son while I was pregnant, and I brought it to the hospital with me so I could write in it as soon as I was up to it. It really helped to share all the feelings I was having." — Anonymous
Surprising Facts: Body changes beyond your belly

You expected your belly to grow — and perhaps your breasts, too — but the following physical changes may take you by surprise. As with many pregnancy changes, hormones play a role in most of these alterations in your looks.

• Thicker, more lustrous hair You're not actually growing more hair, just losing less than normal. During pregnancy, your body sheds hair much more slowly than it did before. What to do: If thicker hair is a boon for you, enjoy it. If it's making your mane more unruly than ever, ask your stylist to do some thinning at your next cut. These changes won't last forever. After your baby's born, you'll start to lose this excess hair, sometimes in clumps.

• Increased body hair Sex hormones known as androgens can cause new hair to sprout on your chin, upper lip, jaw, and cheeks. Stray hairs can also pop up on your belly, arms, legs, and back. What to do: Tweezing, waxing, and shaving are all safe ways to manage these temporary changes.

• Faster-growing fingernails Your fingernails may grow more quickly than usual, and you may notice changes in texture. Some women's nails get harder, while others' get softer or more brittle. What to do: Protect your nails by wearing rubber gloves when you're cleaning, and using moisturizer on them if they're brittle.

• Skin changes Some pregnant women report that their skin has never looked better. If that's you, enjoy the proverbial "glow." Others find the hormones of pregnancy aggravate skin conditions such as acne. What to do: Wash twice a day with a gentle soap or cleanser, and make sure that any moisturizer or makeup you use is oil-free.

• Stretch marks As your belly expands to accommodate your growing baby, you may get tiny tears in the supportive tissue that lies just beneath your skin, resulting in striations of varying color. These marks will begin to fade and become considerably less noticeable about six to 12 months after you give birth. There's not much you can do besides trying not to gain more than the recommended amount of weight. Heredity is responsible for the natural elasticity of your skin and plays a role in determining who will end up with stretch marks.

• Skin discolorations Increased melanin can cause splotchy patches of darkened skin on your face. These pigment changes may become intensified if you spend time in the sun. What to do: Protect your face by using a sunblock that offers both UVA and UVB protection with an SPF of 30 or higher, wearing a hat with a brim, and avoiding the sun during peak hours of the day (10 a.m. to 2 p.m.).

• Larger and darker nipples and areolas You may find that your nipples and the pigmented area around them (the areolas) are getting bigger and darker. The little bumps on your areolas, known as Montgomery's tubercles, may also be more pronounced. These bumps are oil-producing glands that help fight off bacteria and lubricate the skin. Some women also notice more pronounced veins in their breasts. What to do: Nothing!

• Larger feet Your feet may go up half a shoe size or more. Lax ligaments may make your feet spread a bit — permanently. Swelling can make your shoes feel tight as well, although it will go away after delivery. What to do: Buy comfortable shoes to accommodate your growing feet.

This Week's Activity:

Check out your rings. It's common to have some swelling in your fingers as your pregnancy progresses. If your rings are feeling the least bit snug, do yourself a favor and take them off now before it's too late (or at least keep an eye on them). If you can't bear to be separated from your wedding band or another important ring when you can no longer sport it on your finger, loop it on a chain and wear it close to your heart.

Monday, November 9, 2009

19 wks pregnant - info from babycenter.com

Your pregnancy: 19 weeks

How your baby's growing:

Your baby's sensory development is exploding! Her brain is designating specialized areas for smell, taste, hearing, vision, and touch. Some research suggests that she may be able to hear your voice now, so don't be shy about reading aloud, talking to her, or singing a happy tune if the mood strikes you.

Your baby weighs about 8 1/2 ounces and measures 6 inches, head to bottom — about the size of a large heirloom tomato. Her arms and legs are in the right proportions to each other and the rest of her body now. Her kidneys continue to make urine and the hair on her scalp is sprouting. A waxy protective coating called the vernix caseosa is forming on her skin to prevent it from pickling in the amniotic fluid.

Note: Every baby develops a little differently — even in the womb. Our information is designed to give you a general idea of your baby's development.

Think you're big now? You'll start growing even faster in the weeks to come. As a result, you may notice some achiness in your lower abdomen or even an occasional brief, stabbing pain on one or both sides — especially when you shift position or at the end of an active day. Most likely, this is round ligament pain. The ligaments that support your uterus are stretching to accommodate its increasing weight. This is nothing to be alarmed about, but call your practitioner if the pain continues even when you're resting or becomes severe.

You may be noticing some skin changes, too. Are the palms of your hands red? Nothing to worry about — it's from the extra estrogen. You may also have patches of darkened skin caused by a temporary increase in pigment. When these darker patches appear on your upper lip, cheeks, and forehead, they're called chloasma, or the "mask of pregnancy." You may also notice some darkening of your nipples, freckles, scars, underarms, inner thighs, and vulva. That darkened line running from your belly button to your pubic bone is called the linea nigra, or "dark line."

These darkened spots will probably fade shortly after delivery. In the meantime, protect yourself from the sun, which intensifies the pigment changes. Cover up, wear a brimmed hat, and use sunscreen when you're outdoors. And if you're self-conscious about your "mask," a little concealing makeup can work wonders.


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At my U/S on Thursday I was told the baby was 10 inches long and about 10 oz, very long and skinny at this stage...