Second Trimester | Fit Pregnancy

Second Trimester

Flu Shots

Flu-Shots

Pregnant women are at higher risk of suffering from pneumonia and other complications of the flu, so you are specifically encouraged to get the influenza vaccine (so are the elderly, health-care workers and people with compromised immune systems). Getting immunized also may help protect your baby: The antibodies generated by the vaccine cross the placenta, so it's likely that the baby will have some degree of protection following birth. Ask your doctor about thimerosal-free vaccines.

Cold Weather

Cold-Weather

Yes, you can safely enjoy being outdoors, watching your child's first venture on the slopes. In fact, because most pregnant women's bodies run a bit hotter than before pregnancy, you may even be more comfortable than usual. Just be sure to drink plenty of water to head off dehydration and altitude sickness. And be extra careful while walking in the snow; your shifting center of balance makes it easier to take a tumble. You're also more susceptible to sunburn during pregnancy, so use plenty of sunscreen and avoid prolonged exposure to the sun. This goes for your child, too.

Increased Vaginal Discharge

 Increased-Vaginal-Discharge

All mucous membranes, including those in the vagina, produce more fluid in response to the increased estrogen of pregnancy. As long as the discharge is whitish and creamy in texture, you're probably fine. However, if the discharge has an unpleasant odor or is pinkish, or if you are experiencing vaginal itching or burning during urination, your doctor will need to make sure you don't have a vaginal infection. Also call your doctor if there is a sudden increase in discharge, regardless of its color or texture.

RH Disease

RH-Disease

Rh disease is a possibility only when a mothers blood is Rh-negative, the father is Rh-positive and their baby is Rh-positive. Under those circumstances, if a pregnant woman's circulating blood is exposed to fetal blood cells such as during a medical procedure, an abdominal trauma or, most likely, during delivery her immune system may respond by producing antibodies to destroy the Rh-positive cells. Without treatment, this could put a developing baby at risk for serious anemia and other complications.

Level-3 Ultrasounds

Level-3-Ultrasounds

The American College of Obstetricians and Gynecologists recommends that all pregnant women be offered a diagnostic, or level-3, ultrasound, and I heartily agree. This is the gold standard not only for confirming the age of your fetus, but also for evaluating its health--whether or not you want to know its gender. The optimum timing for a diagnostic ultrasound is 20 weeks, at which time the size and anatomy of the fetus can be well-visualized.

Using Paint Primer

Using-Paint-Primer

From the description of the precautions you took--wearing gloves and painting in a well-ventilated room--your baby is likely to be just fine. Although no studies specifically confirm this, experts believe that a pregnant woman's limited exposure to household or hobbyist paint (particularly acrylic paint--which, along with tempera or watercolor, is recommended over oil-based paint) shouldn't be a problem. My greater concern relative to paint is twofold:

Lacking in Libido

Lacking-in-Libido

Many women experience changes in their sex drive during pregnancy--increased and decreased libidos are both common. That said, take a look at any circumstances, past or present, that may be putting a damper on your desire. For instance, have you experienced any vaginal bleeding or been at risk for preterm labor? Did intercourse during your last pregnancy initiate contractions? Or how about the fact that this time around, you are the mother of a young child and are likely exhausted?

Cravings

Cravings

Experiencing a food craving during pregnancy often indicates that a woman is deficient in an essential nutrient. The classic "pickles and ice cream" craving is likely the result of a need for additional calcium, and perhaps a secondary need to satisfy the salty and sour taste buds. The nutrient most women lack is iron, and your craving for spinach--an iron-rich vegetable--certainly fits the bill. The cream in creamed spinach also may be soothing to a queasy stomach. As long as your craving is not an unhealthy one, pretty much any food is OK in moderation.

Pilates

Pilates

Pilates is a wonderful activity that you can continue throughout pregnancy with some modification. It offers gentle muscle strengthening while improving balance, which can be a real benefit as your body's shape and size evolves.

Morning Cramps

Morning-Cramps

Yes. You are describing round-ligament pain, which commonly begins around the fourth or fifth month of pregnancy as ligaments stretch to support your increasingly heavy uterus. Many women report a sharp or crampy pain on either side of the abdomen midway between the hip and the bellybutton when getting out of bed, standing up from a seated position or just at random times. The pain usually subsides in a matter of minutes and is nothing to worry about.

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