With the coming of your second trimester; you will be more energetic and feel like your previous self. Your morning sickness and fatigue will fade which will give you time for preparing for the baby. Most women find these three months to be the easiest and take out time for themselves.
Backache: Your back will feel itchy and sore due to the pressure put by the extra weight you gained lately. Quick habits such as sitting up straight, sleeping sideways with a pillow between the legs, using a well cushioned/supported chair would help you reduce the pain. Avoid lifting/ carrying heavy things. If the pain gets unbearable, call for a pregnancy massage or ask your partner to caress the sore spots.
Bleeding gums: With so many hormonal changes, the flow of blood to your gums increase; making it too sensitive and prone to bleeding. Almost 50% of women have testified this and advised to use a softer toothbrush or be gentle while flossing. Things will go back to normal once the baby is born.
Breast enlargement: Your breasts will be getting bigger for feeding the baby with the tenderness almost gone. Get a bigger bra or order for a support bra for more comfort.
Congestion and nosebleeds: The hormonal changes will swell the mucus membrane lining the nose making you snore at night and causing you congestion. You can use saline water and other natural methods for curing this; before going for a decongestant. When bleeding, keep your head straight and put pressure on the nostril; this would help to stop the bleeding.
Discharge: You will experience a thin milky white vaginal discharge (called leucorrhoea) in the initial time of the pregnancy. Call your doctor if the discharge is green, yellow, foul smelling, bloody and has a lot of clear discharge. You can also use a panty liner if it makes you more comfortable but don’t go for tampons as it can cause germs in the vagina.
Frequent urination: You will get a break from having to go to the bathroom frequently. The reason behind this is that your uterus will rise away from the pelvic cavity. The frequency of urination will increase during the last the trimester of pregnancy.
Headache: This is one issue most women complain about during pregnancy. Some techniques such as deep breathing may help. Avoid taking aspirin and ibuprofen during the pregnancy; but you can take acetaminophen after consulting your doctor.
Spider and varicose veins: Due to the extra flow of blood for the baby during the pregnancy there can be spider veins on your body. These are tiny red veins. With the baby growing in the stomach the pressure on the lower part of the body increases resulting due to lack of blood circulation causing purple or blue swollen spots. These are called varicose veins and can be countered with a frequent walk in the house or using a stool to stretch after long hours of continuous sitting. Both these veins fade after the delivery of the baby.
Weight gain: After the end of first trimester; you would have your appetite back; but be cautious with the amount of food you eat. The recommended amount is to eat an extra 300 to 500 calories a day and to gain about ½ to 1 pound a week in the second trimester.
Red Flag Symptoms:
With so many changes happening to your body it is important to consult a doctor for few medicines that can be useful. Prenatal vitamins are one of the most important medicines that should be taken during pregnancy. Apart from these there are few other herbal and vitamin medicines that can be taken after consulting your health care provider.
You should avoid taking any OCT during pregnancy unless it is necessary.
Have a list of medicines that can be taken during pregnancy. Consult your doctor for its usage or for adding to the list:
Cold and Flu
Consult your doctor about using these medicines in the first trimester, especially in the first trimester.
Consult your doctor about using these medicines in the first trimester.
A balanced diet is very essential in order for the baby to grow good and strong. The unborn baby gets all the nutrients from you; hence your diet is very important.
Although you are pregnant; it doesn’t mean that you need to eat for two. You need to have a balanced diet covering all essential nutrients
1st 2nd 3rd Pregnancy Trimester
Source of Food
Flesh foods, liver,
fish and milk contain a lot
of zinc, all types of
Pulses and nuts.
Degree of Prenatal iron supplementation is likely to be inversely proportional to the maternal zinc status.
Milk and Milk Products
Green leafy vegetables
Amaranth, cauliflower greens, curry leaves, Nuts and Oilseeds
Rajmah and soyabean
Coconut dry, almond, mustard seeds and sunflower seeds
Cumin seeds, Fish (katla, mrigal,pran and rohu)
Buffalo’s milk, cow’s milk and goat’s milk.
Cereals and Legumes Ragi, Bengal gram (whole),
Baby's bones need calcium for development. Calcium is also essential for the development of tooth buds.
Food that is grown in Iodine rich soil, water and salt
Iodine helps in the growth of thyroxine molecule which plays a major role in metabolism of macro-nutrients.
Fluids are very essential and need to be taken in plenty during the pregnancy. Also take folic acid tablets (400 micrograms) each day during the initial 12 weeks of pregnancy.
With so many dos comes the don’ts as well i.e. things that you should avoid during the pregnancy
Here is a list of prenatal tests that can be performed during the second trimester of your pregnancy:
MSAFP (Maternal serum alpha-foetoprotein) and multiple marker screening: Second trimester offers one or the other screening on routine. A doctor should be consulted on the pros & cons and the suitability of this optional genetic screening test. The test tells you the measure of alpha-foetoprotein, which is s protein produced by the foetus. If the level is abnormal; it may indicate chances of Down’s syndrome or a neural tube defect such as spina bifida. This can be confirmed with the help of an ultrasound or amniocentesis.
Hormones such as estriol and HCG can also be checked using the blood drawn for MSAFP; such test is called triple test. Adding a marker called inhibin-A to the screen is called as quad marker. The detection rate of Down’s syndrome can be boosted using this quad marker. It picks up about 75% defects of neural tube & 75%-90% of Down’s syndrome cases. Although good, about 3% to 5% of the women who will have this screening test will have an abnormal outcome; but a very little percentage of those women will actually have a baby with genetic problem.
Ultrasounds: These can be done at any time during the pregnancy but are usually offered during the week 20. This can be done due to the following reasons:
Glucose Screening: It is done at 24 to 28 weeks. It is a routine test for pregnancy induced diabetes which can result in many complications and health problems for you and the child. The blood sugar level is tested after you have had a glass of a special soda. If the results come out to be high; you might be prescribed to take a more sensitive glucose-tolerance test, in which you will have to drink a solution of glucose on an empty stomach and get your blood drawn every hour for 2-3 hours.
Amniocentesis: This is a test that is performed between 15 and 18 weeks of pregnancy and is done for women who are 35 and older, or for those who have a higher risk of genetic disorders or whose MSAFP test is suspicious. A needle is inserted through the abdomen to the amniotic sac and the fluid is withdrawn that contains the foetal cell.
Foetal Doppler ultrasound: This test uses sound waves to check the blood as it moves through the blood vessel. It determines the normality of blood flow to the placenta and foetus.
Foetoscopy: A foetoscope is a thin, flexible instrument used to see the foetus by the doctor. This test can detect diseases or defects that cannot be determined by other tests such as ultrasound, amniocentesis and chorionic vilus sampling. As this test has risks for both mother and baby; it is quite an uncommon procedure and only recommended if the abnormality chances of the baby are high.
Suitable exercises that should be done during pregnancy
Exercises that should not be done during pregnancy
There are times when you should contact your physician. If the following symptoms arise, you should call for a doctor:
Supine position exercises are advisable only for the first trimester of the pregnancy. Exercise of isometric type such as weight lifting must be avoided as they may cause decrease in splanchnic blood flow and uterine perfusion.
Exercises involving greater risks of fall such as balance exercises, the ones which require sudden change in position etc. should be avoided.
The muscles of pelvic axis and birth canal are relaxed and contracted during this exercise. This exercise helps in strengthening of the muscles helping to provide support to the content of abdomen which prevents uterus or bladder from falling through these muscles, especially after having children.
Exercises to strengthen the stomach:
These exercises ease backache and help in strengthening the abdominal muscles:
Pelvic tilt exercises:
Pelvic floor exercises:
Your pelvic floor gets under great strain during pregnancy and childbirth; these exercises help in strengthening the muscles of the pelvic floor.
Exercises related to foot:
The swelling in the ankles can be reduced using these exercises in which you need to bend your foot vigorously up and down and have to rotate one way and then the other way. This also improves the blood circulation and prevents cramp in the calf muscles.
These exercises help to relieve stress and are very beneficial for the woman’s body.
Protecting your back
Relative contraindications to exercise during pregnancy
Always consult your doctor before taking up any exercise as each body has its own way of dealing with pregnancy.
What about making love in the second trimester?
If the first trimester has been normal in terms of your sex life; there is no good reason to stop it. If you were not having sex in the first trimester due to vomiting, nausea etc. , this trimester is a better time to go for it.
Will my sex life change?
You will find an increase in your libido in the second trimester due to the fact that you are regaining your energy. The blood flow to your genitals increases causing an intense desire for sex. Getting an orgasm will be easier and can also be multiple and intense.
Mums-to-be often report that it takes time for the libido to set in once or to improve; but don’t worry if you can’t match your husband's sexual desire
Make sure you tell your husband about what you want in bed; so that the whole experience is for good. The sensitivity of your breasts and private parts may still be there in the early second trimester.
What positions should I go for in the second trimester?
This trimester is the best time to have sex. You can find your most comfortable positions to do it. Most women find entering from behind or sideways as the most desirable.
Can the baby be harmed due to sex?
The baby is all safe in the amniotic sac of your uterus and wouldn’t mind you going about your business. She /he wouldn’t even understand what is happening.
If your diagnosis indicates complications such as placenta previa or a history of cervical incompetence; it is advisable to stay away from sex. You can resume the same after consulting your doctor.
Week 13: Formation of Urine
Week 14: Sex of baby is apparent
Week 15: Bones develop
Week 16: Sucking motion can be made by the baby.
Week 17: Fat Accumulation
Week 18: Hearing begins for the baby
Week 19: Uterus formation
Week 20: The Midway point
Week 21 Swallowing motion develops
Week 22: Baby's Hair can be seen
Week 23: Footprints and Fingerprints Form
Week 24: Real hair can be seen
Week 25: Response to your voice
Week 26: Fingernails of the baby develop.
Week 27: End of 2nd trimester
THE SCIENCE INSIDE