Third Trimester | Fit Pregnancy

Third Trimester

Have doc, will travel?

Have-doc-will-travel

I don't think so. Though most pediatricians have privileges at several hospitals, typically only pediatricians in very rural areas will travel long distances to see a newborn. Most pediatricians count on each other to perform newborn exams and order discharges when necessary. Your OB can help you find a doctor to see your baby in the hospital.

Dreaming of Sleep

At eight weeks pregnant, Amy Aulson couldn't get enough sleep. The 35-year-old financial services director often slept a solid 12 hours each night, yet still struggled to stay awake at work. "I felt like I could fall asleep right at my desk," says Aulson. But nearing her ninth month of pregnancy, she was lucky to sleep three hours at a time—in between frequent bathroom visits, pillow repositioning and bouts of heartburn.

All About Kegels

What is a Kegel?

Your pelvic-floor muscles act as a sling for the bladder, uterus and rectum. One of the most important long-term health recommendations for healing and recovering after birth is to do Kegel exercises. Kegels help keep your pelvic-floor muscles strong during pregnancy, help get them back in shape after delivery and possibly prevent urinary incontinence.

Watching The Weeks Go By

Week 4 Four weeks from the start of your last period, a positive test shows you're pregnant.

Week 5 Measured from crown of head to rump, your baby is about 0.4 inch long—the size of a green pea.

Week 8 The baby is about 1 inch long—the size of a large olive. His features are already distinctly human.

Week 10 Your doctor will probably want to see you between eight and 10 weeks for your first appointment. That's when you'll get to view the heartbeat via ultrasound.

Trimester Three

You're in the home stretch! Your body is growing right along with your baby and your excitement about his arrival. If you haven't already, it's time to get busy—you have lots of decisions to make and things to do before he's born.

Turning A Breech Baby

Turning-A-Breech-Baby

External cephalic version (ECV) is a technique in which an obstetrician attempts to turn a breech baby to the head-down position. He does this by first giving a medication to relax the mother's uterus and then applying external pressure to her abdomen. The technique has a 65 percent success rate; if it is successful, an "abdominal binder" is placed over the woman's belly to keep the baby in the proper position. ECV may not be an option if you've had a prior uterine incision or if there is any concern about the baby.

Don't Stress the Test

Dont-Stress-the-Test

The non-stress test is an opportunity to "interview" the fetus to ensure it is doing well. Typically the test is performed in the third trimester to assess various situations, such as if a woman has passed her due date or has certain medical conditions, including high blood pressure and diabetes. We also might employ this test when there are concerns about the fetus's well-being, such as a perceived decrease in movement.

Wild Nightlife

Many women experience vivid dreams during pregnancy, and no wonder—they're dealing with huge changes in their physical, emotional and spiritual selves, says Raina Manuel-Paris, Ph.D., author of The Mother-to-Be's Dream Book (Warner Books). Here are some common themes by trimester:

First Trimester: Women tend to dream about their past: childhood experiences, ex-boyfriends and parents. These dreams are a subconscious way of coming to terms with their new identity and letting go of the old.

Not Making the Cut

Not-Making-the-Cut

Not necessarily. The use of episiotomy—an incision made to the perineum during labor—has decreased in recent years. In fact, the American College of Obstetricians and Gynecologists discourages its "liberal or routine" use while saying the procedure is nevertheless indicated in some situations, such as to prevent perineal tears or facilitate delivery.

A Perfect Plan

A-Perfect-Plan

It is perfectly appropriate for you to outline some specific goals in a birth plan, whether those include pain-blocking techniques you hope to use, positions you intend to try during labor, your preferences about being "hooked up" to a monitor, or simply your attitude toward something as basic as your partner's participation in the birth. But it's also important to have a healthy degree of confidence in--and communication with--your caregiver, whether he or she is a midwife, nurse practitioner or obstetrician.

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