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நீங்களும் மருத்துவர் தான்!

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Presentation on theme: "நீங்களும் மருத்துவர் தான்!"— Presentation transcript:

1 நீங்களும் மருத்துவர் தான்!
குலசை சுல்தான் வழங்கும் மருத்துவ கையேடு-2 (ஆங்கிலத்தில்)

2 Mayo Foundation for Medical Education and Research (MFMER).
Health Manager Newly Pregnant Thanks to Mayo Foundation for Medical Education and Research (MFMER). Presentation From Er.Sulthan

3 Changes in Your Body During Pregnancy:
Are You Newly Pregnant ? Changes in Your Body During Pregnancy: First Trimester

4 What is morning sickness?
What is the first sign of pregnancy? A missed period is usually the first sign of pregnancy. You may also have some mild cramping and a little bleeding when the fertilized egg implants itself in your uterus. If you’ve missed your period and think you may be pregnant, you can try a home pregnancy test. These tests are very accurate if you take them a few days after you expected to get your period. Your doctor can confirm your pregnancy and talk to you about prenatal care. Why do I feel so tired? Feeling very tired is one of the most common symptoms of early pregnancy. Your body is working hard to adjust to being pregnant. This can cause extreme fatigue. You may need to sleep longer than usual at night and take short naps during the day, if possible. Your energy will most likely return in the second trimester of pregnancy. What is morning sickness? Morning sickness is the nausea and vomiting that many pregnant women experience during the first few months of pregnancy. Morning sickness is caused by pregnancy hormones and can strike anytime, not just morning. Certain foods or odors might make you feel sick and sometimes vomit. Some women seem to feel sicker when their stomachs are empty. Morning sickness usually starts a few days after you miss your period or have a positive pregnancy test. It usually goes away by the second trimester.

5 Other changes in the first trimester
Lightheadedness. Your body is working overtime to make extra blood to support your growing baby. This can cause you to feel dizzy or lightheaded. Hunger, fatigue or stress can also cause these symptoms. If your dizziness is severe and you also have vaginal bleeding or abdominal pain, seek care immediately. You could have a life-threatening ectopic pregnancy, in which the fertilized egg implants outside of the uterus. Heartburn. Pregnancy hormones slow down the digestive process in order to give your body more time to absorb nutrients. Your digestive tract is relaxed and food stays in your stomach longer, which may cause heartburn. Frequent urination. Towards the end of the first trimester, you'll feel like urinating more often as your growing uterus pushes on your bladder. You may leak a little urine when you cough or sneeze because of the extra pressure on your bladder. A growing belly. Your waistline will begin to expand as your baby and your uterus grow larger. (Depending on your size before pregnancy, you may not notice this change until the second trimester.) Emotional symptoms. You might feel moody, forgetful or unable to concentrate. These symptoms can be caused by fatigue, pregnancy hormones, and the emotions that can go along with being pregnant.

6 Breast changes. Many women notice changes in their breasts early in pregnancy. The hormones in your body are changing to prepare for breastfeeding. As these changes occur, your breasts may feel tender and swollen. You might also notice some small bumps forming in the area around your nipples. Your breasts will continue to grow and change throughout your pregnancy, and may feel even bigger and fuller later in pregnancy. Vaginal changes. The lining of your vagina will become thicker and less sensitive. You may notice a thin, whitish discharge, which is normal during pregnancy. Mild vaginal bleeding (“spotting”) is also common and normal. However, you should call your doctor if you have any vaginal bleeding. If the bleeding is severe or painful, go to the emergency room. Constipation. Slower digestion can also cause constipation, gas and bloating. You should be taking a prenatal vitamin that contains iron. The iron in the vitamin can also lead to constipation. Your doctor may suggest taking fiber supplements or a stool softener to help with constipation. If you have severe problems, tell your doctor. He or she may want you to take a different prenatal vitamin. Visible veins. The blue veins in your belly, breasts and legs may become more noticeable as your body makes extra blood and your heart pumps faster to meet the needs of pregnancy. You may develop spider veins—tiny blood vessels radiating out from a central area, like the legs of a spider—on your face, neck or arms. Skin changes. Other people may notice your "pregnancy glow," which is the rosy, shiny look your skin gets from increased blood circulation. Pregnancy hormones can cause some extra oil on your skin, which might spark a temporary flare-up of acne.

7 Changes in Your Body During Pregnancy:
Second Trimester

8 How will I feel in the second trimester, compared with the first?
Most women who didn’t feel so great in the first trimester of pregnancy usually start to feel much better in the second. The nausea and vomiting of morning sickness should taper off, mood swings may lessen, and you'll probably have more energy. This will be a good time to tackle many tasks necessary to get ready for your baby. You'll gain weight more rapidly this trimester, adding as much as 4 pounds a month for the rest of your pregnancy. This means you may need to start wearing maternity clothes. When will I feel my baby move? You'll likely start to notice fluttering movements deep in your belly near the middle of the second trimester. Your baby was moving earlier, but you probably weren't aware of it. If you’ve been pregnant before, you might notice the movements earlier because you’re familiar with how they feel. Mark your calendar when you first feel movements so you can let your doctor know.

9 Will my breasts continue to get bigger?
Your breasts may not be as tender as they were in the first trimester, but they will continue to grow and prepare for breastfeeding. Enlarging milk glands and deposits of fat cause the growth. You may also notice that the skin on and around your nipples will darken, and you might have small bumps around the nipples. The bumps are glands that make an oily substance to keep the nipples from drying out. A yellowish fluid called colostrum might begin to leak from your nipples. What are stretch marks and can I prevent them? As your skin stretches to fit your growing body, some areas of skin may become stretched tight. Elastic fibers right below the skin may tear, creating streaks of indented skin called stretch marks. Stretch marks are likely to occur on your belly and breasts. Not every pregnant woman gets stretch marks, but they are very common. Unfortunately, there doesn’t seem to be a way to prevent them completely. It’s a good idea to keep an eye on your weight and make sure you don’t gain more than your doctor recommends. Some manufacturers of lotions and oils claim these products can prevent stretch marks, but this hasn’t been proven. However, keeping your skin well moisturized can help cut down on itchiness. Stretch marks should fade and become less noticeable after pregnancy.

10 What other skin changes can I expect?
Not all pregnant women experience skin changes, but some common changes are listed below. Dry, itchy skin, especially on the belly Increased sensitivity to the sun. This means you might burn more easily, and may need to wear more sunscreen than usual. A dark line (the “linea nigra”) down the middle of your belly from your navel to your pubic hair Patches of darkened skin on the face (sometimes called the "mask of pregnancy") Reddened, itching palms Some of these skin changes may fade after pregnancy. Will my interest in sex come back? If you had morning sickness, mood swings and low energy during the first trimester, you may not have felt like having sex very often. Many women find that their desire for sex returns during the second trimester. Having sex is OK anytime during pregnancy, unless your doctor says you shouldn’t.

11 Other second-trimester changes
Leg pain. You may have leg cramps, especially when you sleep. These may be related to the pressure your growing baby exerts on the nerves and blood vessels that go to your legs. It may help to sleep on your side instead of your back. Another leg condition, deep vein thrombosis (DVT), can be serious. DVT is a blood clot that forms in a vein, causing pain and swelling in one leg. Contact your doctor right away if you have these symptoms. Puffiness. Your ankles, hands and face may swell during the second trimester. This is caused by fluid retention and slowed blood circulation. Aching back, pelvis and hips. The job of supporting your growing belly may strain your back. Your hips and pelvic area may begin to ache as pregnancy hormones relax the ligaments (tough, ropelike bands of tissue) that hold bones together. The bones will begin moving in preparation for childbirth. Abdominal pain. The muscles and ligaments supporting the uterus will stretch and may hurt as your baby grows. Loose teeth. Pregnancy hormones also affect the ligaments and bones in your mouth, so teeth may loosen. This will go away after pregnancy. However, if you have periodontitis, inflammation or low-grade infection of the gums and tissues around the teeth, seek treatment. Periodontal disease has been associated with preterm (early) birth and low birth weight. The second trimester is a good time to have dental work done. Nasal congestion, nosebleeds and bleeding gums. These result from increased blood flow to the mucous membranes in the nose and mouth.

12 Heartburn. This burning feeling in the esophagus (the tube between the mouth and stomach) may begin or get worse in the second trimester. Your expanding uterus may press on your stomach and force food and acid up into your esophagus, causing the burn. Urinary tract infections. You may develop an infection because hormonal changes slow the flow of urine and the growing uterus pushes on the bladder. Urinary tract infections can lead to preterm labor, so let your doctor know if you feel a burning sensation when you urinate, have to urinate more often, or notice blood or a strong odor in your urine. Braxton Hicks contractions. Also called “false labor,” Braxton Hicks contractions are a tightening of your uterine muscles. It’s one of the ways the uterus prepares for labor and delivery. When you’re having a Braxton Hicks contraction, your belly will feel very tight and hard, and you may or may not have pain. The contraction should go away within a few minutes and should not come back in any regular pattern. If contractions become regular and painful and don't go away when you change your position or walk around, call your doctor. It might be preterm labor.

13 Changes in Your Body During Pregnancy:
Third Trimester

14 What changes can I expect in the third trimester?
The third trimester is the "home stretch" of your pregnancy! As your baby grows, your body will feel even more awkward and heavy. Everyday things—like getting out of bed or rising from a chair—will require extra effort. The tiredness you felt early in pregnancy may return, making naps a good idea. You might also start to feel more emotional as you prepare for labor, delivery and parenthood. But you'll enjoy feeling your baby move. The "nesting instinct" may kick in, and you may feel an urge to clean the house and make final preparations for bringing your baby home. Take it slowly so you don't wear yourself out.

15 Will sleeping be difficult?
As you get bigger, you might struggle to find a comfortable sleeping position and find it harder to change positions. Side sleeping will be best. Sleeping on your left side helps blood circulation. Sleeping on your back will be uncomfortable because the weight of your baby presses on the veins in your lower back, slowing the return of blood from the lower body to the heart. You need to avoid sleeping on your stomach altogether. Just remember to try and fall asleep on your left side when you go to bed, and if you wake up, return to that position before going back to sleep. Putting a pillow between your knees or behind your back may make you feel more comfortable. Other things interfering with sleep may include: Leg cramps, which may be related to the pressure your uterus puts on the nerves and blood vessels that go to your legs Restless legs syndrome, in which you feel an urge to move your legs, often because of an unpleasant feeling in them Heartburn, the burning feeling in your lower chest, which may worsen as your uterus crowds your stomach out of its usual position. Ask your doctor if you can take a chewable antacid if needed. Nasal congestion, caused by increased blood flow to the mucous membranes in the nose and mouth Your baby's movements The need to urinate, which will increase as the baby grows and changes position Strange dreams, which some women have in the last weeks of pregnancy

16 Will I still want to have sex?
You might lose the desire for sex, partly because of your size and partly because you're preoccupied with getting ready for labor, delivery and parenthood. But it’s still OK to have sex, unless your doctor has told you not to.

17 What else might I notice in the third trimester?
Varicose veins. These are bluish, swollen, sometimes painful veins beneath the surface of the skin. They often show up on the backs of the calves or the inside of the legs. Hemorrhoids. These are varicose veins in the rectum. They may stick out of the anus and cause itching, pain and sometimes bleeding. Ask your doctor about taking a stool softener (not a laxative) if you haven’t been doing so already. Causes include: Pressure that your growing uterus puts on the large veins behind it, which slows blood circulation Pregnancy hormones, which cause the walls of veins to relax and possibly swell Constipation, which makes you strain to pass hard bowel movements Increased fluid retention Puffiness. Fluid retention and slowed blood circulation are to blame for swelling in the legs, ankles, feet, hands and face. If swelling in your hands and face becomes extreme—especially if it's accompanied by headache, blurred vision, dizziness and belly pain—call your doctor. These may be signs of a dangerous condition called pregnancy-induced hypertension (also called preeclampsia).

18 Tingling and numbness. The swelling in your body may press on nerves, resulting in tingling and numbness in the legs, arms and hands. The skin on your belly may feel numb, too, because it is so stretched out. Tingling and numbness in the hands usually occurs because of carpal tunnel syndrome, which is caused by pressure on a nerve within the wrist. An easy way to relieve some of these symptoms is to wear a “wrist splints” at night when you are sleeping. Fortunately, the problem usually ends after pregnancy. Aching back, pelvis and hips. This may have started in the second trimester. The strain on your back will increase as your belly grows larger. Your hips and pelvic area may hurt as pregnancy hormones relax the joints between the pelvic bones in preparation for childbirth. Sleeping with a pillow behind your back may help with the pain. Abdominal pain. The muscles and ligaments (tough, ropelike bands of tissue) that support the uterus will continue to stretch as your baby grows, and they may be painful. Shortness of breath. As your uterus grows upward, your lungs will have less room to expand. You may find yourself huffing and puffing more. More breast growth. Your nipples may leak colostrum. If you breastfeed, this fluid will be your baby's first food. Vaginal discharge. Discharge may increase toward the end of your pregnancy. If you have any fluid leaking or see any blood, call your doctor immediately. Less fetal movement. As your baby continues to grow, he or she starts running out of room to move around in your uterus, so you might notice fewer movements throughout the day. If you don’t feel your baby move 10 times over an hour or if you’re concerned about the lack of movement, call your doctor right away.

19 What are signs that labor might start soon?
Your baby will probably change position, with his or her head moving down in your pelvis. People might notice your belly is lower and say that you’ve “dropped.” Your cervix (the lower end of your uterus) will begin to thin (doctors call this “effacement”) and open (“dilation”). Your doctor will check for this in the last weeks of pregnancy. He or she may tell you you’re a certain percent effaced and that you’re dilated a certain number of centimeters. Braxton Hicks contractions (false labor) may happen more often and become stronger. You may have a constant backache and cramping, diarrhea and gas before labor begins. How will I know if I’m in labor? If your contractions seem to be happening in a regular pattern, and if the time between contractions starts getting shorter and shorter, you’re probably in labor. True labor contractions are usually more painful than Braxton Hicks contractions. If your contractions are so painful that you can’t talk, call your doctor. Your "water" breaking is another sign of the beginning of labor. This is caused by a tear in the sac that encloses your baby and the amniotic fluid, releasing some of the fluid. Call your doctor or go to the hospital if you think this has happened. However, for many women, the water doesn't break until labor has begun. Talk to your doctor about the signs of labor. He or she will tell you what to expect and when to call or go to the hospital.

20 Your Baby's Development:
The First Trimester

21 From the moment of conception to the time of delivery, your growing baby goes through several stages of development before he or she is ready to be born. Here's what happens during the first trimester of pregnancy. When does pregnancy begin? Pregnancy begins when a sperm fertilizes a woman’s egg. Since you don’t always know when fertilization happened, doctors calculate pregnancy based on the first day of your last menstrual period (LMP). Your doctor will count forward 40 weeks from the LMP to estimate your due date (most births occur between weeks 38 and 42). If you have an ultrasound to look at your developing baby early in your pregnancy, your doctor may measure the baby to determine your due date instead. What happens after the sperm fertilizes the egg? After conception, your baby begins a period of dramatic change known as the embryonic stage. This stage runs from the 5th through the 10th week of the first trimester of pregnancy. During this stage, the baby is called an embryo.

22 What changes occur during the embryonic stage?
During this stage, all of your baby's major organs and body parts begin to develop. The cells of the embryo (called embryonic stem cells) multiply and change into the hundreds of different types of cells needed to make a whole human body. The placenta also develops during the embryonic stage. The placenta takes nutrients, oxygen and water from your blood and passes these along to your baby through the umbilical cord. It also removes the baby's wastes. The placenta will filter out some—but not all— of the harmful substances that may be present in your body. The amniotic sac develops during this stage, as well. This sac is filled with amniotic fluid, and forms inside your uterus to surround and protect your baby.

23 Some of the highlights of your baby’s development during the embryonic stage include:
Nervous system. This is one of the first things to develop during the embryonic stage. This means your baby’s brain, spinal cord and nerves form during this stage. Heart. An S-shaped tube forms on the front of the embryo. This will become your baby’s heart. At first the heart does not beat, but soon it starts beating and pumping an early form of blood. Face. Your baby's facial features take shape during the embryonic stage. The eyes and ears form on the sides of the head and are linked to the brain. The eyes move forward on the face, and eyelids form to protect the developing eyes. Pieces of tissue grow and join together to create the forehead, nose, cheeks, lips and jaw. The nasal passages, mouth, tooth buds for the baby's first teeth, and a tongue with taste buds also develop. Arms and legs. At first, your baby's arms and legs begin as little buds sprouting from the embryo's sides. As they grow, the arms look like paddles and the legs like flippers. A ridge appears on the end of each one, eventually becoming fingers and toes. Sexual organs. Cells that will become your baby's eggs or sperm form. Your baby’s penis or vagina is visible at the end of the embryonic period, but it's not yet possible to tell on an ultrasound if your baby is a girl or a boy. Muscles and movement. Muscles develop and the embryo begins to move. At first it’s only twitching and reacting to touch. Once the nerves and muscles start working together, your baby can start moving on purpose. By the end of the embryonic stage at week 10, the embryo will be about 1 inch long. That's still too small for you to feel your baby's movements. You'll probably feel them starting in the middle of the second trimester.

24 What happens after the embryonic stage?
After the embryonic stage, the fetal stage begins and your baby is called a fetus. During the fetal stage, which runs from the 11th week until birth, your baby will grow longer and gain weight fast, and organs and body parts will continue to develop. The last 2 weeks of the first trimester are the beginning of the fetal stage. In those weeks, fingernails and toenails form and the kidneys start working. By the end of the 12th week, which is the end of the first trimester, your baby has tripled in length to about 3 inches long.

25 Your Baby's Development:
The Second Trimester

26 When is the second trimester?
The second trimester is week 13 through week 26 of your pregnancy. During this time, your baby continues to grow, develop and change almost daily. How big is my baby? When the second trimester starts, your baby is about 3 inches long. Your doctor might tell you your baby measures a certain length “from crown to rump.” This means your baby is being measured from the top of its head to its bottom (instead of head to toe) because the legs are curled up to the baby’s stomach. At the beginning of the second trimester, your baby’s head is the biggest part of his or her body. During the next few weeks, the rest of your baby’s body will get longer in order to catch up. By the end of the second trimester, your baby may be 9 inches long—or even longer.

27 When will I start to feel my baby move?
Your baby is moving almost all the time, but you probably won’t feel anything until about the 20th week of pregnancy. At first, you'll just notice a fluttering feeling and may not even be sure if it’s your baby or not. Soon enough, the movements will become very noticeable. Other people might even be able to see your belly move when your baby “kicks.” Your baby’s movements are helping him or her practice for life outside your body. Muscles grow stronger as your baby learns to kick, suck and open and close his or her hands. Your baby is also practicing making faces, such as frowning, smiling and squinting. When will I know my baby's sex? An ultrasound may be able to reveal your baby's sex a few weeks into the second trimester. If you have an ultrasound then, you may be able learn your baby's sex, if you want to, but keep in mind your baby has to be in an ideal position for the doctor or technician to see the sex organs.

28 Other highlights of the second trimester
Your baby starts hearing certain sounds, such as your heartbeat, by about the 18th week of pregnancy. After the 18th week, the baby’s hearing improves and he or she will be able to hear your voice. Your baby’s eyes may open as early as the 20th week. Before this, the eyelids have been sealed shut. However, your baby’s eyes can't see anything until the third trimester. Fingerprints and footprints are well established by the middle of the second trimester. They appear on the hands first, then the feet. Fingerprints improve the baby's grip. Fine hair and a white waxy substance cover and protect your baby’s skin. The skin is very thin, loose and wrinkled. In the third trimester, some fat will start to show up under the skin to fill it in a little.

29 Your Baby's Development:
The Third Trimester

30 When is the third trimester?
The third and final trimester is week 27 through the end of pregnancy. By the end of the second trimester, all of your baby's organs and body parts are present and working correctly. Now everything needs to grow and mature.

31 Will I still feel my baby move?
You’ll feel your baby kicking, punching and moving often in the early weeks of the third trimester. Later, as your baby gets larger, you'll likely feel stretches and rolls, and less kicks and punches. As your uterus gets more and more crowded, you may feel your baby moving less. If you think your baby is less active than usual, do a "kick count"—keep track of the number of movements in 1 hour. If your baby moves fewer than 10 times in an hour, call your doctor right away. What does my baby feel during this trimester? Your baby begins using the senses of hearing and touch to learn about his or her own body and your surrounding womb. The baby still can’t see much, though. While his or her eyes can detect very bright light, it's too dark to see in the uterus. Your baby can hear and recognize your voice and might move in response to music. Your baby uses his or her sense of touch to practice important movements, including grasping and sucking, and he or she may start sucking on his or her thumb.

32 How big will my baby grow during the third trimester?
At birth, most babies weigh somewhere between 6 and 9 pounds. They're usually between 19 and 21 inches long. As your baby grows, he or she adds layers of fat to help provide warmth after birth. The fat also fills the extra space under the skin, making the skin less wrinkled.

33 Other highlights of the third trimester
By the end of the trimester, your baby has eyelashes and eyebrows and may have a full head of hair. Or, he or she may be born bald. Nails have grown to the tips of the fingers and toes. The white waxy substance and fine hair that covered and protected your baby's skin in the second trimester has begun to fall off. You may see some of the leftover hair after your baby is born. Most of this usually is gone within the first few weeks of life. Most babies move to a head-down position in the uterus toward the end of the third trimester, with the head on the mother's pubic bone. The lungs are the last major organ to finish developing. When they’re fully mature, they produce a chemical that affects the hormones in your body. Doctors aren’t sure why labor starts, but this chemical may be one of the causes.

34 Will my baby be big enough to survive if he or she is born before my due date?
The due date is an estimate. Only 5 percent of babies are actually born on their due dates. Your baby is “full-term” (not premature) if he or she is born during or after the 37th week of pregnancy. If this is your first pregnancy, your baby is likely to be born after your due date. Even if your baby is born near the beginning of the third trimester, he or she is likely to survive. However, the longer the baby remains in the womb, the healthier he or she will be.

35 Some Nutrition Food for Pregnant Women
Click Me

36 The Amazing Journey of Pregnancy

37 First Month of Pregnancy
The beginning portion of what we consider the first month of pregnancy is actually your period until you ovulate. You are not actually pregnant during this time frame, but knowing the first day of your last normal period (LMP) we are able to more accurately calculate your due date. Conception usually occurs within 24 hours of ovulation, about 14 days before the start of your next period. The egg and the sperm meet in the outer third of the Fallopian tube and travel over the course of the next seven to ten days, down the tube to the uterus. Once in the uterus, the fertilized egg will implant into the fluffy, nutrient rich lining of the uterus. Immediately chemical signals are sent to your body that pregnancy has occurred. Ovulation will halt. Your period will not come. Your baby is called a blastocyst as it implants. The baby measures about mm. At the end of the fourth week of pregnancy, the chorionic villi are formed. The yolk sac is helping to sustain the pregnancy until the placenta is fully formed. You might even begin to suspect you’re pregnant. First Month of Pregnancy

38 Second Month of Pregnancy
The second month of pregnancy is a critical month in fetal development. Your baby goes from being a blastocyst to an embryo. Early on in this month your baby’s heart will begin to beat. First it beats slowly, then very rapidly, later in pregnancy the heart rate will slow a bit more. In the beginning of this month it’s hard to tell which way is up on your baby. As this month progresses it becomes very easy to tell which end is your baby’s head is and which end is your baby’s bottom. By the end of the month your baby’s upper and lower limb buds will also appear. And the primordia of the liver, pancreas, lungs, and stomach are evident. While your baby is a girl or a boy, it is not yet apparent without genetic screening. Your baby is now measuring between 8-11 mm from crown to rump (CRL). By the end of this month heart activity is always present on ultrasound. Toe and finger rays are present, though not quite enough for you to count yet.

39 Third Month of Pregnancy
During the third month of your pregnancy, your baby’s bones begin to ossify or harden. Your baby is already moving spontaneously, but you usually can’t feel these movements for awhile yet. Your baby’s eyes are large and open. Eyelids will form later. External ears have formed. External genitalia begin to differentiate, though it’s still very difficult to tell whether your baby is a girl or a boy without genetic screening. Your baby moves from being an embryo to the fetal period, now called a fetus. S/he also loses their tail! Your baby’s head is the biggest part of their body. It is about 1/2 the size of the rest of the body. While the head is large, the brain’s structure is similar to what it will be at birth. S/he weighs about 14 grams and is approximately 3.54 inches in total length. By the end of this month you should be able to hear your baby’s heart beat with a Doppler.

40 Fourth Month of Pregnancy
The placenta has taken over production of the hormones needed to sustain your pregnancy. Your baby is also making some of its own insulin and bile. Your baby even urinates into the amniotic fluid in small amounts every 45 minutes or so. Your baby’s heart pumps about 25 quarts of blood a day. This will increase to be about 300 quarts by the end of your pregnancy. All of the teeth have formed and you even have a scalp hair pattern! Your baby is about 3 ounces (85 grams) and 6.3 inches (16 cms). The gender may be detectable by ultrasound. Though gender predictions at this point are much harder to rely on.

41 Fifth Month of Pregnancy
No new organ structures are really forming at this point in pregnancy. Though the pads of the fingers and toes are forming. Your baby is also developing his or her finger prints. Your baby is also forming permanent teeth buds behind the baby teeth that are already formed. A baby girl will also begin to develop primitive eggs in her ovaries. Gender is usually visible by ultrasound, though accuracy varies. Your baby’s movements may be more apparent. Loud noises may even cause your baby to startle. It’s still pretty unusual for your to be able to feel your baby move at this point unless this is not your first pregnancy. You may be aware of sleep wake cycles in your little one. Your baby is also covered in a fine hair called lanugo and may begin to develop a lotion like substances on their skin called vernix. The weight is now up to 10 ounces (283 grams) and the baby measures about 25 cms total length, about 9.8 inches. Fifth Month of Pregnancy

42 Sixth Month of Pregnancy
Eye brows are forming now and the lanugo darkens in color. Your baby is moving and practicing breathing for when he or she will be born. The practice contractions that you may or may not notice don’t bother your baby one bit. Your baby may or may not be head down, because of the amniotic fluid your baby can move all around still. Your baby is also depositing brown fat. The brown fat will help him or her regulate body temperature at birth. This brown fat will continue to be laid down until birth. S/he weighs in at 1 lb 5 ounces (595 grams) and 30 cms or 11.8 inches total length. A few babies are born this early. They do have some chance of survival depending on many factors.

43 Seventh Month of Pregnancy
Baby’s movements at this point in pregnancy have gone from wild kicks and flurries to smaller movements as the room becomes crowded in the uterus. At about week 28 babies begin to start turning head down. This is automatic in most babies and they seem to like it that way. Your baby can sense light and dark in the uterus. This may also effect the pattern you notice of sleep and wake cycles. The uterus is also not a silent environment. While the baby can hear your heart beat, your digestive system, etc. your baby can also hear your voice as well as others close by. Think of what you can hear in a pool. Your baby's eye lashes are developing, as subcutaneous fat is deposited. If you have a baby boy, his testes will probably begin descending. Your baby is about 13.8 inches long (35 cms) and weighs about 2 pounds 4 ounces (1 kilogram)! A baby born at this time has a good chance of survival with the help of medical technology.

44 Eighth Month of Pregnancy
Your baby is really getting ready to be born. Every day in the uterus is said to be two less days your baby would spend in the hospital at this point. Red blood cell production is done entirely by your baby’s bone marrow. Amniotic fluid is still present and your baby urinates into it daily, about a half a liter of urine a day. The baby's irises can now dilate and contract in response to light. He or she opens and closes their eyes at will. Even the finger nails reach the end of the fingers. Some babies might even need a nail trim at birth! Your baby may have a lot of hair on their head or none, both extremes are normal. The weight gain has been fairly incredible recently. Your baby has put on about 2 pounds of weight, mostly fat and muscle tissue, since last month, bringing the total to an average of three pounds eleven ounces (1.7 kilograms), and measurements to 40 cms or 15.8 inches!

45 Ninth Month of Pregnancy
Your baby’s organs have been finished forming for a long time. Now is the time for finishing touches. For example, the lungs make final preparations for birth by secreting surfactant to help them expand at birth. Your baby’s kidneys are still producing lots of urine every day, helping to make up the almost two pints of amniotic fluid. While your baby may be putting on half a pound a week up until about week 37 at which point weight gain slows drastically. The average birth weight is still about seven and a half pounds. Your baby will measure between inches at birth. Your due date is a guess as to when your baby may arrive. The majority of babies will show up from two weeks before this date to two weeks after this date. Labor is caused by the baby’s signals to the mother’s body that he or she is ready to be born. Good luck and good birth!

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47 We Pray For Your Good Health
Action is the proper fruit of knowledge. The best of all medicines is resting and fasting Health is a blessing that money cannot buy. From Er.Sulthan E Mail:

48 Next Release….. Chest Pain From Health Manager


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