Saturday, August 18, 2012

Your New Born


How your baby's growing:
Because he was curled up inside your uterus until recently, your newborn baby will probably look scrunched up for a while, with his arms and legs not fully extended. He may even appear bowlegged.

Don't worry:
Your baby will stretch out, little by little, and by the time he reaches 6 months, he'll be fully unfurled! In the meantime, as he adjusts to life outside the warm, safe confines of your womb, he may enjoy being swaddled in a light blanket.
• Learn more fascinating facts about your newborn's development.

Your life:
You're a parent!  How many days will it take for my milk to come in? How can I feel more competent as a new dad? Swaddling your baby Bottle-feeding basics Record and share your baby's birth story This week, reality sets in — you have a baby! He's all yours, he's home with you, and he's dependent on you for love, care, and feeding.

Video C-section recovery:
The first few days See what the first days of c-section recovery are like for one mom.
No doubt you've been reading up on what to do and how to do it. We have plenty of articles and tools to refresh your memory and teach you new tips, but here's our best advice this week: Don't try to master the art of caring for a baby all at once. Take it easy, take it slow. Your newborn is more durable than you might think. He's getting used to you as much as you and your partner are getting used to him. Like all good relationships, this one will take some time.

Hot topics this weekNewborn care and feeding
• The scoop on bathing your little one
• Our step-by-step guide to diapering
• Breastfeeding: Getting started
• How to soothe your crying baby
See all our information on newborns
* Sleepy time
• How to establish good sleep habits now
• Look up lyrics to your favorite lullabies
• Get help from other parents on teaching your baby to sleep
See all our baby sleep resources
Healing from the birth
• Recovering from a vaginal birth
• Recovering from a c-section
• How your body changes after delivery
See all our articles on recovering from childbirth
Safety first
• The biggest hidden dangers for newborns
• Is your infant car seat installed correctly? Find out
See all our baby safety information
Continue to Read more ...

Your Pregnancy: 41 Weeks

Your Pregnancy: 40 Weeks



How your baby's growing:

A bit over 20 inches long, your baby has continued to grow and may now weigh almost 8 pounds. As cozy as he is, your baby can't stay inside you forever. For your baby's safety, your practitioner will talk with you about inducing labor if your baby isn't born in the next week — earlier if there are any problems. Most practitioners won't let you wait more than two weeks past your due date to give birth because it puts you and your baby at increased risk for complications. About 5 to 6 percent of women have prolonged pregnancies that extend three or more weeks beyond their estimated due dates. Babies born at 42 weeks and beyond can have dry parchment-like skin and are often overweight. Waiting that long to deliver also increases your chance of developing an infection in your uterus that could be dangerous for your baby or of having a stillbirth. What's more, your labor is more likely to be prolonged or stalled, both you and your baby have an increased risk of injury during a vaginal delivery, and you double your chances of needing a c-section.

See what your baby looks like this week.

Note: Experts say every baby develops differently — even in utero. This developmental information is designed to give you a general idea of how your baby is growing in your womb.

How your life is changing:

It's hard not to be anxious when your due date comes and goes and you're still hugely pregnant (especially when well-meaning family and friends keep calling to check on your status!). But don't fret — you won't be pregnant forever. There's a good chance you'll go into labor on your own this week, and if you don't, you'll be induced by 42 weeks, or earlier if you or your baby has any problems.

What happens to your baby in the nursery Take a tour of the newborn nursery and see the care your baby will receive. The methods your practitioner uses to induce labor will depend on the condition of your cervix. If your cervix hasn't started to soften, efface (thin out), or dilate (open), it's considered "unripe," or not yet ready for labor. In that case, your practitioner will use either hormones or "mechanical" methods to ripen your cervix before the induction. Sometimes these will end up jump-starting your labor as well. Depending on your situation, the procedures can include stripping or rupturing your membranes, or using drugs like oxytocin (Pitocin) to start your contractions. If these and other methods don't work, you'll end up having a c-section.

In the meantime, be sure to tell your practitioner immediately if your baby's movements slow down or if any fluid is leaking from your vagina.

A Warm Welcome "If you have other children, let them help you plan a low-key birthday party for the new baby, complete with a birthday cake and decorations. From their perspective, it'll add to the perks of having a new baby in the house."

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Your Pregnancy: 40 Weeks

 
Your Pregnancy: 40 Weeks



How your baby's growing:

It's hard to say for sure how big your baby will be, but the average newborn weighs about 7 1/2 pounds (a small pumpkin) and is about 20 inches long. His skull bones are not yet fused, which allows them to overlap a bit if it's a snug fit through the birth canal during labor. This so-called "molding" is the reason your baby's noggin may look a little conehead-ish after birth. Rest assured — it's normal and temporary.

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:

After months of anticipation, your due date rolls around, and... you're still pregnant. It's a frustrating, but common, situation in which to find yourself. You may not be as late as you think, especially if you're relying solely on a due date calculated from the day of your last period because sometimes women ovulate later than expected. Even with reliable dating, some women have prolonged pregnancies for no apparent reason.
You still have a couple of weeks before you'll be considered "post-term." But to be sure your baby is still thriving, your practitioner will schedule you for testing to keep an eye on her if your pregnancy continues.

Video Live birth: 

Induction Watch one mom's induced labor, from first Pitocin drip to final push. You may have a biophysical profile (BPP), which consists of an ultrasound to look at your baby's overall movements, breathing movements (movement of her chest muscles and diaphragm), and muscle tone (whether she opens and closes her hand or extends and then flexes her limbs), as well as the amount of amniotic fluid that surrounds her (important because it's a reflection of how well the placenta is supporting your baby).

Fetal heart rate monitoring (called a nonstress test or NST) will generally be done as well — by itself or as part of the BPP. Or, you may have what's known as a modified BPP, which consists of an NST and an ultrasound to assess the amount of amniotic fluid.

If the fetal testing isn't reassuring — the amniotic fluid level is too low, for example — you'll be induced. If there's a serious, urgent problem, you may have an immediate c-section.

Your practitioner will also check your cervix to see if it's "ripening." Its position, how soft it is, how effaced (thinned out) it is, and how dilated (open) it is can all affect when and how your labor is induced. If you don't go into labor on your own, you'll be induced, usually sometime between 41 and 42 weeks.
 
Continue to Read more ...

Your Pregnancy: 39 Weeks

 
Your Pregnancy: 39 Weeks



How your baby's growing:

Your baby's waiting to greet the world! He continues to build a layer of fat to help control his body temperature after birth, but it's likely he already measures about 20 inches and weighs a bit over 7 pounds, a mini watermelon. (Boys tend to be slightly heavier than girls.) The outer layers of his skin are sloughing off as new skin forms underneath.

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: 

Inducing labor Newborn screening tests: 

Which ones your baby needs and why Laugh and learn: New parents share their most embarrassing mistakes Introducing your child to your new baby: Overview Relaxation tips to ease labor pain At each of your now-weekly visits, your caregiver will do an abdominal exam to check your baby's growth and position. She might also do an internal exam to see whether your cervix has started ripening: softening, effacing (thinning out), and dilating (opening). But even armed with this information, there's still no way for your caregiver to predict exactly when your baby is coming. If you go past your due date, your caregiver will schedule you for fetal testing (usually a sonogram) after 40 weeks to ensure that it's safe to continue the pregnancy. If you don't go into labor on your own, most practitioners will induce labor when you're between one and two weeks overdue — or sooner if there's an indication that the risk of waiting is greater than the risks of delivering your baby without further delay.

Video Positions to ease labor pain Learn positions and movements that help ease labor pain naturally. While you're waiting, it's important to continue to pay attention to your baby's movements and let your caregiver know right away if they seem to decrease. Your baby should remain active right up to delivery, and a noticeable slowdown in activity could be a sign of a problem. Also call if you think your water may have broken. Membranes rupture before the beginning of labor in about 8 percent of term pregnancies.
Sometimes there's a big gush of fluid, but sometimes there's only a small gush or a slow leak. (Don't try to make the diagnosis yourself. Call even if you only suspect you have a leak.) If you rupture your membranes and don't start contractions on your own, you'll be induced.

Surprising Facts: 

How your body changes after giving birthEven if your labor and delivery was fast and easy, it will take some time for you to feel like your old self again. It may be hard, but try to remember that it took nine months to get here, so you won't bounce back — emotionally or physically — overnight.

What to expect from your body:

You'll start losing weight right away. While you probably won't return to your pre-pregnancy weight for some time, most women are about 12 pounds lighter after delivering one 7- to 9-pound baby and losing another pound or two of placenta and another two pounds or so of blood and amniotic fluid. Although it will take a while for your body to regain its pre-pregnancy shape — that pregnant belly may stick around for longer than you'd like — by the end of the first week, you'll probably have lost about 4 pounds of water weight.You'll have lochia discharge. After your baby is born, the cells that form the lining of your uterus will begin to slough off. This results in a discharge called lochia that lasts for weeks. At first, this discharge is mixed with blood, so it appears bright red and menstrual-like, then it gradually gets lighter in color, finally fading to white or yellow before it stops.Your emotions will be in flux. Within the first week or two of giving birth, many new moms experience the "baby blues." You may find yourself moody and weepy, exhausted, unable to sleep, or feeling trapped or anxious. Your appetite can change, too — you might want to eat more or less. The good news is this emotional upheaval will generally pass within two to three weeks.Call your caregiver if:

You have signs of abnormal vaginal bleeding, such as soaking more than one sanitary pad in an hour, passing blood clots bigger than a golf ball, or bright red bleeding that occurs four days or more after you give birth. You may have what's called a delayed postpartum hemorrhage. (Note: Call 911 if you're bleeding profusely or if you have any signs of shock, including lightheadedness, weakness, rapid heartbeat or palpitations, rapid or shallow breathing, clammy skin, restlessness, or confusion.)You have signs of infection, which may include any fever; lower abdominal pain or foul-smelling discharge (signs of endometritis); difficulty urinating, painful urination, cloudy or bloody urine (signs of a urinary tract infection); redness, tenderness, discharge, or swelling around the site of a wound (such as a c-section incision, episiotomy, or laceration); a painful, hard, reddened area, usually only on one breast, and fever, chills, muscle aches or fatigue, and possibly a headache (signs of mastitis, a breast infection).You have signs of postpartum depression, such as being unable to sleep even when your baby sleeps, having any thoughts of harming your child, crying all day long for several days in a row, or having panic attacks.

How to recover more quickly:

Get as much rest as you can, and make an effort to sleep when your baby sleeps. This can be tough advice to follow, especially during the day, but it really helps.Limit visitors and the time you spend with them. Consider turning off the phone and posting a "we're napping" message on your door to discourage drop-ins.Eat a well-balanced diet.Drink plenty of fluids. Avoid caffeine, alcohol, and sugared sodas.Accept all offers for help with cooking, cleaning, childcare, errands, and the like. If you aren't receiving offers, ask for help. It's hard, but trust us, your friends and family want to help and most will be honored you asked. If you can't get help for free, consider hiring a mother's helper, cleaning lady, or others who can give you a break.Don't isolate yourself. Talking to friends, relatives, and other new moms about your birth experience and life with a newborn can help you cope.

This Week's Activity:

If you're planning to breastfeed and haven't bought nursing bras yet, now is the time. Bring them to the hospital — you'll want them for comfort and support. Your breasts are likely much larger now than pre-pregnancy, and they'll probably increase one or two more sizes while you're nursing. While you're shopping, get some breast pads to tuck into your bra to absorb any leaks and some purified or "medical-grade" lanolin ointment for tender nipples. (Avoid lanolin if you're allergic to wool.)


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Your Pregnancy: 38 Weeks

Your Pregnancy: 38 Weeks



How your baby's growing:

Your baby has really plumped up. She weighs about 6.8 pounds and she's over 19 1/2 inches long (like a leek). She has a firm grasp, which you'll soon be able to test when you hold her hand for the first time! Her organs have matured and are ready for life outside the womb.

Wondering what color your baby's eyes will be? You may not be able to tell right away. If she's born with brown eyes, they'll likely stay brown. If she's born with steel gray or dark blue eyes, they may stay gray or blue or turn green, hazel, or brown by the time she's 9 months old. That's because a child's irises (the colored part of the eye) may gain more pigment in the months after she's born, but they usually won't get "lighter" or more blue. (Green, hazel, and brown eyes have more pigment than gray or blue eyes.)

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: 

Parents say: 

How to care for a newborn baby 24 tips from breastfeeding veterans Breech birth Baby Poop 101 Have you finished your baby's nursery? For many women, the next couple of weeks are a waiting game. Use this time to prepare your baby's nursery or to take care of necessary tasks you may not get around to for a while after your baby's born. Take naps, catch up on your reading, and spend uninterrupted time with your partner while you can.

Some swelling in your feet and ankles is normal during these last weeks, but call your practitioner without delay if you notice excessive or sudden swelling of your feet or ankles, more than slight swelling of your hands, any swelling in your face or puffiness around your eyes, or have a sudden weight gain. Also let her know immediately if have severe or persistent headaches; visual changes (such as double or blurred vision, seeing spots or flashing lights, light sensitivity, or a temporary loss of vision), intense upper abdominal pain or tenderness, or nausea and vomiting. These are symptoms of a serious condition called preeclampsia.

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Your Pregnancy: 37 Weeks

Your Pregnancy: 37 Weeks



How your baby's growing:

Your baby is now considered "full term," even though your due date is three weeks away. If you go into labor now, his lungs will likely be mature enough to fully adjust to life outside the womb. (Some babies need a bit more time, though. So if you're planning to have a repeat c-section, for example, your practitioner will schedule it for no earlier than 39 weeks unless there's a medical reason to intervene earlier.)

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.

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: 

Signs of labor How to push:
 
Should your body be the guide? The stages of labor Pregnancy blahs: Bored with pregnancy Ten tips for labor coaches 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.)

Video Newborn APGAR test Watch a newborn APGAR test and find out what the scores mean. 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."

Surprising Facts: 

Signs of laborThere'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.



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Your Pregnancy: 36 Weeks

 
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.

See what your baby looks like this week. (Or see what fraternal twins look like in the womb 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: 

Live birth: 

Epidural Bonding with your newborn False labor Low back pain during pregnancy What to pack for the hospital when you're having a c-section 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!

Video Inside pregnancy: 

Labor and birth A 3D animated look at the stages of labor from contractions to birth. 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!)."

Surprising Facts: 

The stages of laborFor 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:

First stage 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.

Second stage 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.

Stage three 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.
Get a more detailed account of what happens during each stage of labor.
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.


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Your Pregnancy: 35 Weeks

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.

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: 

When is my baby likely to drop? Pain medication for labor: Overview Breastfeeding: Getting started Preeclampsia Diapering your baby: Step-by-step instructions 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.

Video 10 tips for breastfeeding success Watch a lactation consultant help a new mom learn how to breastfeed her baby.

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."



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Your Pregnancy: 34 Weeks

 
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.

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: 

Group B streptococcus screening Dizziness and fainting during pregnancy Postpartum depression and anxiety Is it normal for my baby to be hiccupping in the womb? How much you'll spend on childcare 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.

Video Newborn care immediately after birth The tests, care, and medications newborns receive in the first minutes of life. 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!"


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Your Pregnancy: 33 Weeks

 
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.

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:

What pregnant women worry about Episiotomy Baby Names Finder Is it normal for my breasts to leak during pregnancy? Who will be with you during childbirth? 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.

Video Inside pregnancy:

Weeks 28 to 37 A 3D animated look at a baby in the third trimester of pregnancy. 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."

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Your Pregnancy: 32 Weeks

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.

See what your baby looks like this week. (Or see what fraternal twins look like in the womb 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:

Packing list for the hospital or birth center What I wish I'd known about pregnancy, birth, and beyond Shortness of breath during pregnancy A dad's role in delivery Record and share your baby shower 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.

Video Vacuum and forceps during birth Watch a demonstration of how a vacuum or forceps can help speed delivery. 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." 

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.Take our poll: Will you use a doula?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.



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Your Pregnancy: 31 Weeks

Your Pregnancy: 31 Weeks



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.

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: 

Giving birth by cesarean section Alternatives to popular baby names Should I try to toughen up my nipples for breastfeeding? Will my lack of sleep harm my baby? The baby blues 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.

Video Live birth:

Twins Follow one woman through her pregnancy with twins and watch her give birth. 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 slippersYour favorite pillowSome light reading materialA nursing nightie and nursing braA going-home outfit for your babyA camera or camcorder, fresh batteries, and film, if necessary



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Your Pregnancy: 30 Weeks

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.)

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:

Quick Clicks Third trimester sleep:

A distant memory Kegel exercises Natural childbirth Is it safe to have sex in the third trimester? Clumsiness during pregnancy 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.

Video C-section recovery: 

The first two months Learn what to expect in the first couple months after giving birth by c-section.
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."

Surprising Facts: 

Common labor fearsAre 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.



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Your Pregnancy: 29 Weeks

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.

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: 

Quick Clicks Inside pregnancy:

Labor and birth Chart: Pregnancy nutrients you need to help your baby grow I think my feet have grown. Is this possible? Which heartburn medicines are safe during pregnancy? Four exercises to ease aches and help with labor Your baby's very active now. Your healthcare provider may ask you to spend some time each day counting kicks and will give you specific instructions on how to do this. Let your provider know if you ever notice that your baby is becoming less active. 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. Sluggish digestion can cause gas and heartburn — especially after a big meal — and contribute to constipation.

Your growing uterus may also be contributing to hemorrhoids. These swollen blood vessels in your rectal area are common during pregnancy. Fortunately, they usually clear up in the weeks after giving birth.

Video Inside pregnancy:

Weeks 28 to 37 A 3D animated look at a baby in the third trimester of pregnancy. If they're itchy or painful, try soaking in a sitz bath or applying cold compresses medicated with witch hazel to the affected area. Avoid sitting or standing for long stretches. Talk with your provider before using any over-the-counter remedies during pregnancy, and let your provider 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. This happens when lying flat on your back causes a change in heart rate and blood pressure that makes you feel dizzy until you change position. You might notice 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 probably won't have time for — movies, facials, romantic dinners with your mate — once your little one is here." 



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Your Pregnancy: 28 Weeks

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.

See what your baby looks like this week. (Or see what fraternal twins look like in the womb 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: 

Third trimester prenatal visits Inside pregnancy: Weeks 28 to 37 Carpal tunnel syndrome during pregnancy Gas and bloating during pregnancy Childbirth classes 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.

Video Live birth: 

Water birth Watch one mom give birth to her baby underwater. 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."


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Your Pregnancy: 27 Weeks

Your Pregnancy: 27 Weeks



How your baby's growing:

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.

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: 

Quick Clicks Create Your Own Birth Plan Bedrest:

Does it help? Choosing a doctor for your baby Making breast milk: How your body produces nature's perfect baby food Paternity leave: What are the options for dads? 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.

Video Getting an epidural Watch one mom in labor get an epidural for pain relief.

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."

Surprising Facts: 

Symptoms you should never ignoreSo 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 usualSevere or persistent abdominal pain or tendernessVaginal bleeding or spotting, or watery dischargePain or burning when you urinate, or little or no urinationSevere or persistent vomiting, or any vomiting accompanied by pain or feverChills or a fever of 100 degrees Fahrenheit or higherBlurred or double vision, or seeing spots or "floaters"A severe or persistent headache, or any headache accompanied by blurred vision, slurred speech, or numbnessAny 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 otherTrauma to your abdomenFainting, frequent dizziness, rapid heartbeat, or palpitationsDifficulty breathing, coughing up blood, or chest painSevere constipation accompanied by abdominal pain or severe diarrhea that lasts more than 24 hoursPersistent intense itching all overAny 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.



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Your Pregnancy: 26 Weeks

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.

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: 

Quick Clicks The 12 things you miss most during pregnancy Sleep aids during pregnancy Braxton Hicks contractions Iron-deficiency anemia in pregnancy How to feel good about your pregnant body 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."

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.

Video Inside pregnancy: 

Weeks 21 to 27 A 3D animated look at a baby in the second trimester of pregnancy. 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.


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Your Pregnancy: 25 Weeks

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 Quick Clicks Maternity leave: 

The basics Drinking alcohol during pregnancy Itchy skin during pregnancy How can I get rid of excess body hair while I'm pregnant? Is it safe to walk through airport screening machines while I'm pregnant? 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.

Video Relaxation tips to ease labor pain Learn breathing, yoga, massage, and other techniques to ease labor pain. 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." 



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Your Pregnancy: 24 Weeks

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.

See what your baby looks like this week. (Or see what fraternal twins look like in the womb 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:

Quick Clicks Preterm labor and birth Glucose screening and glucose tolerance tests Planned home birth Has pregnancy made you more hairy? Did you try to manage your weight during pregnancy? 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.


Relief for finger pain "To relieve finger pain and swelling, I keep a cold pack in the freezer. I apply it to my hands several times a day."


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