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PREGNANCY IN 3 Trimester - Women’s Health

Posted by aahnakatoch on June 25th, 2020

Pregnant women feel to enjoy the moment a new life starts inside of her. She cries in joy when she hears that very tiny heartbeat for the very first time. She will be waiting for the moment of that playful kick from inside. Yes, every woman dreams of becoming a mother. Begin a mother, fulfils a woman’s life.

Pregnancy

Pregnancy starts when the egg gets fertilized with sperm and gets implanted in the uterine lining. Commonly, after 2 to 3 weeks of having sexual intercourse, pregnancy will happen. If you become pregnant, you should have an idea of how your body reacts to different stages of pregnancy.

First, you notice missing your periods. This is the time to speak to the doctor and he will perform urine and blood tests, an ultrasound scan to confirm your pregnancy.

You are advised to get routine prenatal tests that help to find and treat the conditions that may increase the risk of complications for you and your baby. During early pregnancy, lab tests that are needed are as follows:

  • A complete blood count CBC: to count different types of blood cells. It shows the number of your red blood cells, white blood cells, and your platelets. Thereby if you have low red blood cells, it can be corrected. Your disease-fighting white blood cells are calculated and your blood clotting problems can be figured out by platelet count.

  • Blood type: shows if you have Rh factor ( it is a protein present on the surface of red blood cells),. Some are Rh-positive while others are Rh-negative. If your baby has Rh-positive cells and if you are Rh-negative, then your body prepares Rh antibodies against the Rh factor. In your next pregnancy, your own Rh antibodies will damage the fetus’s blood cells.

  • Urine culture: to test for any presence of bacteria, that is usually seen in urinary tract infection.

  •  Urine analysis: urine is tested for the presence of any red blood cells as seen in urinary tract disease, protein levels, and white blood cells as seen in urinary tract infection, and glucose as seen in gestational diabetes mellitus. Higher protein levels I urine indicate preeclampsia, a serious complication that occurs later in pregnancy or after delivery.

  • Rubella: Woman when infected during her pregnancy with Rubella also called German measles can cause birth defects in her baby. When pregnant and if not vaccinated before, you are instructed to stay away from those having Rubella, as it is highly contagious. If you are not vaccinated, you will be vaccinated for Rubella after delivering the baby.

  • Hepatitis B and Hepatitis C: These are done to rule out hepatitis virus that infects the liver.

  • Sexually transmitted infections: Syphilis and Chlamydia are STIs, and they cause complications for you and the fetus. If you are positive for STIs during pregnancy, you will be treated.

  • Tuberculosis: Women having a high risk of TB should be treated.

  • Human immunodeficiency virus HIV: if a pregnant woman has HIV virus, there is a chance of passing it to her baby. By taking medications you can greatly reduce the risk of passing HIV during pregnancy, labor, or delivery.

Counting from the first day of your last normal menstrual period, pregnancy lasts for about 40 weeks. We can put these 40 weeks into 3 trimesters. We will discuss what happens to you and your baby during these stages.

First Trimester: This starts from week 1 to week 12. It is here that your body undergoes many hormonal changes that affect every organ system. Apart from stopping of your period, which is a clear sign of pregnancy, other symptoms are: morning sickness, constipation, food cravings, mood swings, increased or decreased body weight (if you have morning sickness), heartburn and indigestion, vaginal thrush (yeast infection causing itching), cramps of legs, body ache mostly of lower abdomen and joints, feeling fatigued, a feel to urinate often as your growing uterus puts pressure on the bladder, larger or tender breasts.

Second Trimester: starts from week 13 to week 28. These weeks are much easier for a pregnant woman to handle compared to the first trimester. you feel with less nausea and fatigue. Your belly will grow as the baby inside grows. Before you complete this trimester, you feel those tiny movements of your baby. You may also have: pain in lower back, abdomen, groin, and thighs, noticeable stretch marks on abdomen, breasts, thighs and buttocks, increased darkness around your nipples, a visible line on the lower abdomen that runs from belly button to pubic hairline, mask of pregnancy state- where you may develop dark skin patches on the forehead, upper lips, cheeks, and nose, numb or tingling of hands, itching on palms, feet, abdomen, and hands,  unable to focus at work, gaining weight of 6 kg, you may not like taste or smell of some foods, swollen ankles, fingers, and face.

Third Trimester: Starts from week 29 to week 40. Some of your second-trimester symptoms will continue and you may have breathing difficulty and urge to void the bladder more often. This is because your baby is growing in size and pressures your bladder. Some of the new bodily changes you notice here are: tender breasts that start producing watery milk called as colostrum, sticking out of your belly button, sleeping problem, hemorrhoids, the baby may drop and move into the lower abdomen, you feel false uterine contractions known as Braxton Hicks contractions, and these are not real labor pains.

You will undergo various emotional changes making you up and down like anger, surprise, happiness, fear of baby’s health, sadness or disappointment, fear of delivery. There will be a flow of both positive and negative mood swings due to changes that are caused by pregnancy hormones. You will be swinging between these emotions, sometimes overjoyed and sometimes much worried. It is said that about 50% of pregnant women will show symptoms of depression and anxiety. After childbirth, this depression will be even more. 

Most of the women don’t feel to get treated for their pregnancy-related depression which sometimes has a long term effect on their health as well as the baby’s health and wellbeing. Talk to your doctor and get appropriate treatment if you are depressed all day, angry all the time,  crying aloud without a reason, losing interest in what you like most, over or under eating, not able to focus, guilt feeling, feeling to harm yourself.

In the last week of pregnancy, there are certain symptoms which help one to identify whether they can go for normal delivery or not. In most cases, most women start experiencing these symptoms about 4 weeks before they go into labor.

Signs and Symptoms of Vaginal Delivery:

  • Frequent and intense contractions

  • Spasm and pain in the lower parts of the abdomen and feet

  • Movement of baby’s head towards the lower part of the uterus during 30th-34th week of pregnancy

  • Intense back pain

  • Intense pain for a period of 40-60 seconds due to contractions

  • Thick vaginal discharge, in more than usual quantity

General anxiety is common during this time, but few women will develop anxiety disorders that should be treated. This disorder includes the constant feeling of tension, clenching of teeth, not at all feeling calm, not getting required sleep and panic attacks.

Also See: Blood Cells, Red Blood, White Blood, Urinary Tract, Pregnancy, Cells, Blood

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