Prenatal
First trimester
First Trimester: Week 1 (conception) – Week 12
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Hormonal changes will affect almost every organ in the body. Some signs of early pregnancy in many women include symptoms like:
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Extreme fatigue -
Tender, swollen breasts. Nipples may protrude. -
Nausea with or without throwing up (morning sickness) -
Cravings or aversion to certain foods -
Mood swings -
Constipation -
Frequent urination -
Headache -
Heartburn -
Weight gain or loss
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The nervous system (brain and spinal cord) has begun to form. -
The heart begins to form. -
Arm and leg buds begin to develop. -
Your baby is now an embryo and 1/25 of an inch long.
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All major organs have begun to form. -
The baby's heart begins to beat. -
The arms and legs grow longer. -
Fingers and toes have begun to form. -
Sex organs begin to form. -
The face begins to develop features. -
The umbilical cord is clearly visible. -
At the end of 8 weeks, your baby is a fetus, and is nearly 1 inch long, weighing less than ⅛ of an ounce.
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The nerves and muscles begin to work together. Your baby can make a fist. -
The external sex organs show if your baby is a boy or girl. -
Eyelids close to protect the developing eyes. They will not open again until week 28. -
Head growth has slowed, and your baby is about 3 inches long, and weighs almost an ounce.
Second Trimester
Second trimester: Week 13 – Week 28
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Back, abdomen, groin, or thigh aches and pains -
Stretch marks on your abdomen, breasts, thighs, or buttocks -
Darkening of the skin around your nipples -
A line on the skin running from belly button to pubic hairline (linea nigra) -
Patches of darker skin, usually over the cheeks, forehead, nose, or upper lip. This is sometimes called the mask of pregnancy (melasma, or Chloasma facies). -
Numb or tingling hands (carpal tunnel syndrome) -
Itching on the abdomen, palms, and soles of the feet. (Call your doctor if you have nausea, loss of appetite, vomiting, yellowing of skin, or fatigue combined with itching. These can be signs of a liver problem.) -
Swelling of the ankles, fingers, and face. (If you notice any sudden or extreme swelling or if you gain a lot of weight quickly, call your doctor immediately. This could be a sign of a serious condition called preeclampsia.)
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The musculoskeletal system continues to form. -
Skin begins to form and is nearly translucent. -
Meconium develops in your baby's intestinal tract. This will be your baby's first bowel movement. -
Your baby begins sucking motions with the mouth (sucking reflex). -
Your baby is about 4 to 5 inches long and weighs almost 3 ounces.
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Your baby is more active. You might feel movement or kicking. -
Your baby is covered by fine, feathery hair called lanugo and a waxy protective coating called vernix. -
Eyebrows, eyelashes, fingernails, and toenails have formed. Your baby can even scratch itself. -
Your baby can hear and swallow. -
Now halfway through your pregnancy, your baby is about 6 inches long and weighs about 9 ounces.
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The baby's bone marrow begins to make blood cells. -
Taste buds form on your baby's tongue. -
Footprints and fingerprints have formed. -
Hair begins to grow on your baby's head. -
The lungs are formed, but do not yet work. -
Your baby has a regular sleep cycle. -
If your baby is a boy, his testicles begin to descend into the scrotum. If your baby is a girl, her uterus and ovaries are in place, and a lifetime supply of eggs has formed in the ovaries. -
Your baby stores fat and weighs about 1½ pounds, and is 12 inches long.
Third Trimester
Third Trimester: Week 29 – Week 40 (birth)
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Swelling of the ankles, fingers, and face. (If you notice any sudden or extreme swelling or if you gain a lot of weight really quickly, call your doctor right away. This could be a sign of a serious condition called preeclampsia.) -
Hemorrhoids -
Tender breasts, which may leak a watery pre-milk called colostrum -
Your belly button may protrude -
The baby "dropping," or moving lower in your abdomen -
Contractions, which can be a sign of real or false labor -
Other symptoms you may notice in the third trimester include shortness of breath, heartburn, and difficulty sleeping
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Your baby's bones are soft but fully formed. -
Movements and kicking increase. -
The eyes can open and close. -
Lungs are not fully formed, but practice "breathing" movements occur. -
Your baby's body begins to store vital minerals, such as iron and calcium. -
Lanugo (fine hair) begins to fall off. -
Your baby is gaining about ½ pound a week, weighs about 4 to 4½ pounds, and is about 15 to 17 inches long.
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The protective waxy coating (vernix) thickens. -
Body fat increases. -
Your baby is getting bigger and has less space to move around. Movements are less forceful, but you will still feel them. -
Your baby is about 16 to 19 inches long and weighs about 6 to 6½ pounds.
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By the end of 37 weeks, your baby is considered full term. -
Your baby's organs are capable of functioning on their own. -
As you near your due date, your baby may turn into a head-down position for birth. -
Average birth weight is between 6 pounds 2 ounces to 9 pounds 2 ounces and average length is 19 to 21 inches long. Most full-term babies fall within these ranges, but healthy babies come in many different weights and sizes.
Preparing For Delivery
As the weeks and months pass leading up to your delivery date, you’re probably eagerly planning for the new addition to your family, and adjusting to what is going on in your own body.
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You’ll gain weight, typically at a rate averaging about one pound a week during the last trimester.
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As your baby grows in size and places pressure on nearby organs, you may experience episodes of shortness of breath and back pain.
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You may urinate more frequently as pressure is placed on your bladder, and you might have episodes of incontinence.
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You may find it harder to get comfortable, and sleep may become more difficult. You may prefer to sleep on your side.
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You could experience more fatigue than usual.
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You may have heartburn, swelling in your feet and ankles, back pain, and hemorrhoids.
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You may have “false labor” contractions known as Braxton- Hicks contractions. These Braxton-Hicks contractions begin to soften and thin the cervix, preparing it for the delivery of the baby. But unlike true labor contractions, they are irregular, do not occur more often as time passes, and do not become stronger or more intense.
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Where will you be delivering your baby?
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Based on your doctor’s instructions, do you plan to go directly to the hospital when labor begins, or will you call the office first? What arrangements have you made for transportation to the hospital or birthing center? Do you have a doula or want to participate in a doula program? (A doula provides various forms of nonmedical support in the childbirth process.)
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Who would you like to deliver your baby (an obstetrician or a nurse midwife)?
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Who do you want to be present to support you during the childbirth experience?
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What position would you prefer to be in during delivery?
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What are your preferences for pain medication (if any is going to be used)?
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What options would you consider if unexpected circumstances develop (e.g., the need for an episiotomy or a Cesarean section)?
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If you deliver prematurely, does the facility have adequate resources to take care of your prematurely born infant?