Wednesday, August 26, 2009

Week 35, two weeks left!!!!

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.

How your life's changing:


Your uterus — which was entirely tucked away inside your pelvis when you conceived — now reaches up under your rib cage. If you could peek inside your womb, you'd see that there's more baby than amniotic fluid in there now. Your ballooning uterus is crowding your other internal organs, too, which is why you probably have to urinate more often and may be dealing with heartburn and other gastrointestinal distress. If you're not grappling with these annoyances, you're one of the lucky few.


From here on out, you'll start seeing your practitioner every week. Sometime between now and 37 weeks, she'll do a vaginal and rectal culture to check for bacteria called Group B streptococci (GBS). (Don't worry — the swab is the size of a regular cotton swab, and it won't hurt at all.) GBS is usually harmless in adults, but if you have it and pass it on to your baby during birth, it can cause serious complications, such as pneumonia, meningitis, or a blood infection. Because 10 to 30 percent of pregnant women have the bacteria and don't know it, it's vital to be screened. (The bacteria come and go on their own — that's why you weren't screened earlier in pregnancy.) If you're a GBS carrier, you'll get IV antibiotics during labor, which will greatly reduce your baby's risk of infection.

This is also a good time to create a birth plan. Using our form will help you focus on specifics — like who'll be present, what pain management techniques you want to try, and where you want your baby to stay after you deliver. It will give you a starting point to discuss your preferences with your medical team. Childbirth is unpredictable, and chances are you won't follow your plan to the letter, but thinking about your choices ahead of time — and sharing your preferences with your caregiver — should take some of the anxiety out of the process.

Wednesday, August 19, 2009

Week 34.

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.

How your life's changing:

By this week, fatigue has probably set in again, though maybe not with the same coma-like intensity of your first trimester. Your tiredness is perfectly understandable, given the physical strain you're under and the restless nights of frequent pee breaks and tossing and turning, while trying to get comfortable. Now's the time to slow down and save up your energy for labor day (and beyond). If you've been sitting or lying down for a long time, don't jump up too quickly. Blood can pool in your feet and legs, causing a temporary drop in your blood pressure when you get up that can make you feel dizzy.


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

Wednesday, August 12, 2009

Week 33!!

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.

How your life's changing:

As your baby fills out even more of your belly, lots of things might start to change: Whereas before you were sashaying, you may find yourself waddling. Finding an easy position to sit in — let alone sleep — is becoming more of a challenge. And bumping into chairs and counters is par for the course.

You may be feeling some achiness and even numbness in your fingers, wrists, and hands. Like many other tissues in your body, those in your wrist can retain fluid, which can increase pressure in the carpal tunnel, a bony canal in your wrist. Nerves that run through this "tunnel" may end up pinched, creating numbness; tingling, shooting or burning pain; or a dull ache. Try wearing a splint to stabilize your wrist or propping your arm up with a pillow when you sleep. If your work requires repetitive hand movements (at a keyboard or on an assembly line, for instance), remember to stretch your hands when you take breaks — which should be frequently.

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

Sunday, August 9, 2009

Wednesday, August 5, 2009

Week 32.

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.

How your life's changing:

To accommodate you and your baby's growing needs, your blood volume has increased 40 to 50 percent since you got pregnant. With your uterus pushing up near your diaphragm and crowding your stomach, the consequences may be shortness of breath and heartburn. To help relieve your discomfort, try sleeping propped up with pillows and eating smaller meals more often.

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

Assuming it's not preterm labor that's ailing you, you can probably blame your growing uterus and hormonal changes for your aching back. Your expanding uterus shifts your center of gravity and stretches out and weakens your abdominal muscles, changing your posture and putting a strain on your back. Hormonal changes in pregnancy loosen your joints and the ligaments that attach your pelvic bones to your spine. This can make you feel less stable and cause pain when you walk, stand, sit for long periods, roll over in bed, get out of a low chair or the tub, bend, or lift things.