Your Changing Body Week-by-Week
This week is a cause for celebration -- you've reached the halfway point of your pregnancy! If you turn to the side these days, others will really notice a change in your profile -- you definitely look pregnant now. If you haven't felt round ligament pains yet, you may soon. These sharp pains in your hip, abdomen or groin are normal. As your uterus grows, the round ligaments, which are attached to your pelvic sidewall and each side of your upper uterus, are pulled and stretched. When you look in the mirror these days, what do you see? Sexy curves or, well, Shamu? It's unlikely that you'll feel great about your body all the time -- every woman has at least one of those "Oh, my gosh, what's happening to me?" moments during pregnancy. But let us state the obvious: You are not fat -- you are pregnant! These nine months are a tiny little blip in the radar of your life, and you'll have your pre-baby body back (or at least something close to it) soon enough. In the meantime, appreciate your newfound voluptuousness. Show off your belly with a fitted T-shirt instead of hiding it under a tented top. And, hey, there's nothing wrong with flashing a little of that amazing new cleavage. Feeling dizzy? This is another normal pregnancy side effect, and it's due to the fact that your blood pressure has dropped. Your blood can't move as fast as it used to, so you may feel lightheaded when you stand up or after standing for a long period of time. You're probably enjoying the benefits of pregnancy hormones now in the form of thicker hair and stronger nails, but along with the gorgeous locks, you may start to notice a few unwanted hairs. Stick to plucking, waxing and shaving for removal -- bleaches and depilatories contain unsafe chemicals. That baby of yours sure needs a lot of nutrients. As she uses more and more of the vitamins and minerals passing through your body, you might need an extra dose. That's why doctors sometimes prescribe iron supplements, in addition to your prenatal vitamin, during the second half of pregnancy. The extra boost may help reduce your risk of anemia, a condition in which your body doesn't get the 30 milligrams of iron it needs every day to produce enough red blood cells; this can trigger symptoms like serious fatigue, weakness, shortness of breath, and dizziness. Contact your doctor right away if you feel any of those symptoms during your second or third trimesters. Anemia won't harm the baby in most cases, but it can really zap your energy levels. The good news, though, is that it's usually easily treatable with a daily supplement. The only thing shrinking right now may be your libido -- so it's totally A-OK if your cravings for French fries trump your desire to do the deed. Many pregnant women report that their libidos are all over the map throughout these nine months. But especially now, as a growing belly translates to feeling more tired and achy, sex may become less and less desirable as your pregnancy drags on. But other women report a big can't-get-enough surge in their third trimester -- so if you're one of 'em, more power to you! Get ready to kiss your petite little belly goodbye soon (if you haven't already) -- your uterus is growing big-time! It is now about the size of a soccer ball. As your uterus continues to expand upward -- the top is nearly midway between your breasts and belly button now -- your middle will grow longer and wider. Makes sense; your baby's going to be pushing past the two-pound mark in no time at all, and you've gotta make room for her in there. You may also be experiencing carpal tunnel syndrome, which causes numb and tingly fingers. Luckily, like most pregnancy symptoms, it usually goes away shortly after your baby is born and your pregnancy swelling subsides. By now, you've probably gained around 15 pounds -- and possibly even more, depending on your pre-pregnancy weight. It may sound like a lot and you may not be loving your pregnancy size, but remember it's a necessity. Also, much of the weight can be attributed to the weight of your baby, an increase of blood and fluid volume, your expanded uterus, larger breasts, the placenta, and amniotic fluid. Are you usually one of those shy, don't-rock-the-boat types? Many women find that being pregnant makes them more assertive than usual -- and better equipped to set boundaries at home, at work, or anywhere. The awareness that you're responsible for another little person is often motivation enough to speak up or say no when necessary -- say, asking a friend (or a stranger) to stamp out her cigarette when she's lighting up nearby. Pregnancy also has a way of making you hyper-attuned to your instincts. So that tiny voice in the back of your head telling you "I need a seat on this overcrowded bus -- stat!" is suddenly toting a megaphone, which helps you go with your gut and do what's best for you and your baby. And the more you can get in the habit of setting limits now, the happier and less frazzled you'll be once you're no longer a party of two. You've made it to the third trimester and even though you're on the home stretch, you're probably about ready to be done with pregnancy! In your final trimester, you'll feel the physical toll of pregnancy. The extra weight can lead to musculo-skeletal pain, and fatigue can slow you down even more. You might also find it harder and harder to get comfortable whether you're trying to sleep, sit at work or relax on the couch. Shortness of breath can also plague pregnant women during the final trimester. During pregnancy you'll experience a lot of surprising symptoms, and one that can happen during the third trimester is leaky breasts. The yellowish, thin fluid is colostrum, which is the precursor to breast milk. Usually you'll notice only a drop or two, if any at all, but if the flow becomes greater, you can put nursing pads inside your bra to keep things under control. This fluid contains antibodies that help fight infection and build resistance to many common illnesses during your baby's first days on the outside. So even if you don't plan on breastfeeding for the long haul, you might want to consider nursing just for a couple of days so your baby can take advantage of this nutritional head start. As your skin expands to accommodate baby, stretch marks aren't always the only side effect. An estimated 20 percent of expectant moms also experience itchy skin. Your doctor may recommend antihistamines or ointments, but a calming lotion can also provide relief. As for those stretch marks? At least half of moms-to-be get them, usually in the sixth and seventh months of pregnancy. And no matter what the fancy-product pushers may have you believe, there's really nothing you can do to prevent them. The good news is that they will fade significantly over time, though they won't disappear completely. There are some prescription creams and in-office laser treatments that may help lighten them, but you're best off waiting until you're at least a few months postpartum (or until you're done nursing, if you want to try certain prescription creams) to weigh these options with a dermatologist. You may be noticing more hip and lower-back pain. What gives? Pregnancy hormones are relaxing the ligaments and tendons throughout your pelvic area so that the bones can spread to make room for delivery. Your expanding uterus may also be putting some pressure on the sciatic nerve, which runs from your lower back to your buttock and hip area and down the back of each leg, triggering chronic tingling or numbness along its path -- a condition called sciatica. But it's usually not serious, it won't affect the baby and it will likely become less intense as he shifts around in there. Because your uterus is now almost five inches above your belly, your baby is pressing more intensely on your internal organs. Expect symptoms such as urine leakage, heartburn, and breathlessness to intensify during the last few months. This might also affect your appetite in the coming weeks, causing your hunger to wane. Some expectant moms even feel nausea come back around this time. Not all contractions mean that you're going to deliver soon, which at this point should have you breathing a sigh of relief! Just like your unborn baby's body takes time to develop and mature before he's ready for his birth, your body readies itself for labor by practicing. These beginner and sporadic contractions are called Braxton Hicks contractions. Although they do not lead to active labor, they do prepare your body (and your psyche!) for when the time comes. If you take time to sit down, put your feet up and drink a glass of water or two, these contractions will subside. Labor-inducing contractions don't stop even if you relax for an hour or two. Another labor signal to watch for is extra-thick vaginal discharge that's pink or even a bit blood-tinged. This is the start of your mucus plug dropping. The mucus plug is a ball of tissue that's been blocking your cervical opening during pregnancy to keep your uterus safe from germs. Losing your plug doesn't mean that labor's starting ASAP, though. Many women lose their plugs up to two weeks before labor officially begins. Does your belly feel a bit lighter these days? It's called dropping, lightening, or engagement, and it's common around this time, as your baby settles lower into your pelvis to get ready for her big move outta there. In a first-time mother, the baby often "drops" two to four weeks before delivery. Also at this time, your milk glands are expanding and filling with colostrum, thanks to an increase in the hormone oxytocin. This might make your breasts feel a bit lumpy. Sex might be the last thing on your mind now, but some experts believe it's beneficial and most agree it's harmless. At this point, your cervix is engorged with blood and feels sensitive, so you may see a little spotting after sex. If you notice persistent spotting or bright red discharge, though, call your doctor. Less than 5 percent of women give birth on their actual due dates, which means your baby could come a few hours from now or not for another two weeks. But you're probably so attuned to the possibility of labor that every little twinge makes you think "Is this 'It?'" Labor may begin in several ways: mild cramps (the most common scenario), your water breaking, or, if you have a scheduled induction or C-section, a trip to the hospital. Labor has three stages -- when you get to the hospital you'll likely be in active labor (the second phase of the first stage), during which your cervix dilates from 3 or 4 centimeters to 7. Your baby is due this week, and if you're lucky he will actually arrive this week! Soon you'll feel your first real contractions. They'll come fast and furious once you're in active labor -- lasting up to a minute each, or even a bit longer -- and yes, they huuuurt. You'll feel this intense pain radiating through your stomach, lower back and upper thighs. This is like nothing you've ever felt before -- and each woman copes with it differently. Now's the time when pain-relieving epidurals are usually administered, so don't be afraid to ask for one. While your baby gets the once-over, you'll be busy delivering the placenta -- the 2-pound, bluish mass of blood vessels and tissues that has nourished and protected your infant over the past nine months. Although you may continue to feel contractions, most new moms are too blissed out -- "I did it! He's here, he's healthy, he's gorgeous!" -- to notice them. Still pregnant? That's okay. Babies come to term anywhere between 38 and 42 weeks -- your 40-week due date simply marks the midpoint of this period. If your delivery is scheduled, you'll check into the hospital and either be prepped for a C-section or, if you're going to deliver vaginally, given something to induce labor, like a prostaglandin gel to soften or ripen your cervix or an IV drip of pitocin (a synthetic version of the hormone oxytocin) to start up contractions. If you go into labor on your own (your water has broken or you're having contractions that are growing steadily more painful), call your doctor or midwife for instructions. Baby's not here yet? Sit tight. Only 5 percent of newborns arrive on their actual due dates, but over 80 percent are born within two weeks of it. Most babies will be perfectly safe and healthy hanging out in your womb until 42 weeks. In fact, your baby isn't technically overdue until this week is over. After that, your doctor will likely want to consider inducing your labor by breaking your water or stripping your membranes, or with drugs (synthetic hormones, actually) that either bring on contractions or prepare your cervix. Copyright © 2011 Meredith Corporation. All content on this Web site, including medical opinion and any other health-related information, is for informational purposes only and should not be considered to be a specific diagnosis or treatment plan for any individual situation. Use of this site and the information contained herein does not create a doctor-patient relationship. Always seek the direct advice of your own doctor in connection with any questions or issues you may have regarding your own health or the health of others. More in Stages of Pregnancy Week by Week Original article and pictures take http://www.parents.com/pregnancy/week-by-week/your-changing-body/?slideId=29994 site
