Pregnancy normally lasts
for 9 months (i.e. 40 weeks) and is typically divided into three
trimesters.
The First Trimester
During the first three
months of pregnancy, or the first trimester, you typically will
experience a lot of discomfort, such as nausea, vomiting, tiredness,
etc. These things are normal.Most of these discomforts will go away
after the first trimester. Here are some advices during this phase:
- Get at least eight hours of sleep every night. Take a nap during
the day if possible.
- Sleeping on your left side. This will help blood vessels to
supply oxygen and nutrients to the baby (called fetus now).
- Eat more often, but smaller meals. Avoid fatty, fried, or spicy
foods.
- Drink carbonated drinks such as ginger ale or seltzer water
between meals.
- Follow your OB/GYN (obstetrician/gynecologist) doctor's instructions
to take prenatal vitamins.
It is important to keep all your doctor's appointments. Older women
have higher risk of giving birth to babies with defects. There are
several tests that will be recommended or required (if the mother
will be at least 35 years old when the baby is born) to test for
potential birth defects.
- Nuchal Translucency Screening (NTS). This test can be done between
11 and 14 weeks of pregnancy. It uses an ultrasound and blood
test to calculate the risk of some certain birth defects such
as down syndrome.
- Chorionic Villus Sampling (CVS). This can be done between 10
and 12 weeks of pregnancy. In CVS, the doctor inserts a needle
or similar device to reach the placenta. The sample of cells from
the placenta is used to look for problems with the baby's chromosomes.
About 1 in 200 women have a miscarriage as a result of this test.
The Second Trimester
The second trimester of pregnancy is usually easier than the first.
Symptoms like nausea and vomiting should be gone in most cases.
Your abdomen will expand significantly. At the end of this trimester,
you will feel your baby beginning to move!
During this trimester, it is normal for you to gain about a pound
of weight per week, or three to four pounds per month.
The following tests may be done during the second trimester:
- Amniocentesis. This test is done after at least 16 weeks of
pregnancy. It involves your doctor inserting a thin needle to
get a small amount of amniotic fluid for testing. The cells from
the fluid are grown in a lab to look for problems with chromosomes.
About 1 in 200 women have a miscarriage as a result of this test.
- Maternal Serum Screening Test. This is also called multiple
marker screening test, triple test, or quad screen. It is usually
given between 15 and 20 weeks of pregnancy. It checks for birth
defects such as Down syndrome by taking a sample of your blood.
- Targeted Ultrasound. The best time to get a targeted ultrasound
is between 18 and 20 weeks of pregnancy.
The Third Trimester
Now your body is getting quite big. In this trimester, it is normal
to gain about one pound per week, or three to four pounds per month.
By the end of your pregnancy you probably have gained 25 to 30 pounds.
About 7 1/2 pounds of that weight should be the baby.
You may have troubling sleeping. Here are some advice:
- Do mild exercise such as walking.
- Don't eat a large meals within three hours of sleeping.
- Don't take long naps during the day.
Be sure to see your doctor regularly. From 30 weeks to 38 weeks
of pregnancy, you typically have one office visit every two weeks.
After 38 weeks, you should see your doctor every week until delivery.
Now is also the time to get ready for the arrival of the baby.
Get some baby clothes, blankets, diapers, baby wipes, etc.
If you feel that you are in labor (in other words, the baby is
ready to come out), call your doctor or, if you are quite sure you
are in labor (e.g. if your water breaks), have your husband drive
you to the hospital.
Labor
Once you arrive at the hospital for labor, your will be assigned
a nurse. But it is important to tell them who your OB/GYN doctor
is. Typically your OB/GYN doctor is part of a group. This means
that whoever in the group works that day at that hospital will deliver
the baby.
To deal with the intense pain during this process, you can ask
the nurse to use Epidural, which is injected to your body to ease
the pain. The side effect is that after using a significant amount
of this medicine, you may later find it harder to control your muscles
to push the baby out.
If you are giving birth to a boy, you will be asked whether to
perform circumcision.
Even though this procedure has a religious origin, almost 60% of boys in the U.S. get circumcised. So
if you want your boy to look like most other boys, you may consider doing this.
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