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What to Expect in Each Trimester - Dr. Sahetya

First Trimester

Nausea, Queasiness and Vomitting:
This can occur off and on at any time of the day or night (not just in the morning),generally upto 14-16 weeks.  This is due to changing hormones and hypoglycemia.

Swollen and Tender Breasts:
These are signs that indicate that hormone changes are taking place and preparing the woman for motherhood.

Increased Fatigue:
This is a result of the trememdous amount of energy used by the body for the formation of baby in the womb

Frequent Urination:
This occurs because the weight of the growing uterus presses on the partially full bladder.

Aversion and cravings:
You are likely to have aversions to oily foods and cravings for citrus, salty and starchy foods because these help in quelling sickness.

Increased Vaginal Discharge:
There is generally no associated complaint with this discharge.  Sometimes discharge could be significant enough to warrant a panty liner.

Darkening of Skin:
The skin around the nipples gets darker, and a thin dark line appears on the abdomen, from the pelvis upto and beyond the umbilicus.

Loss of Weight:
You may even lose weight in the first trimester because of morning sickness.
 

Second Trimester Complaints

Overall Healthy Feeling:
Discomforts of sickness disappear in the second trimester and you will feel a burst of energy.

Thickening Waistline:
As you start gaining body weight, your abdomen will become round and firm.

Increase in Heartburns:
As the uterus grows, it displaces and presses the stomach containing increased acid secretions, and thereby causes heartburns.

Constipation (or even Haemorrhoids):
As the uterus presses on the intestines, it slows the movements of foods and causes constipation.  Constipation also is  aggravated by the intake of iron and iron supplements.

Stretch Marks:
Stretch marks may begin to appear on your breasts, hips and abdomen as a result of skin expansion over these areas.

Itching:
Itching is a result of healing cracked skin (caused from stretching).  Excessive itching results in marks.

Fetal Movements:
Movements (quickening) of baby can be felt like tiny thumps or bubbles.  These movements are first felt at 20 weeks. 

Pregnancy Bulge:
Your stomach will start showing between 26 and 28 weeks.  This is the time to start wearing loose maternity clothing.
 

Third Trimester Complaints

Backaches:
The enlarged uterus in the front causes a strain on the muscles and ligaments supporting the back.  This results in backaches.

Leg Cramps:
Also called night cramps of pregnancy, these cramps are a result of venous congestion.

Frequent Urination:
Urination is frequent because of the growing uterus and the pressing of presenting part (head or breech) of the baby on the urinary tract.

Shortness of Breath:
This is due to an overload on circulation.  There is also less space for lung expansion because of the uterus pressing on the diaphragm.

Fetal Movements:
Baby movements, felt as kicks, become more prominent due to increased weight and larger size of the baby.

Difficulty in Sleeping:
The causes of sleeping difficulties are baby movements, frequent urination, and discomfort from weight gain.


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