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Monthly Archives: July 2010

Know The Developmental Changes In The First Trimester of Pregnancy!

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First trimester pregnancy refers to the first three months of pregnancy.

Pregnancy is divided into three trimesters: first, second and third. Each trimester includes three months.

The first trimester pregnancy is most critical period of pregnancy, as most of the body changes and fetal developments happen in this trimester.

In the first month of this trimester, implantation of the fertilized egg in the uterus takes place and the fertilized egg then starts growing and developing in the uterus until delivery.

This process of Implantation generally happens 5-7 days after fertilization. In this stage, the fertilized egg in the uterus is called an embryo.

Shortly after implantation, the corpus luteum produces progesterone, which helps in maintaining the thickened endometrium.

Even the yolk sac starts developing along with the amniotic sac, a fluid-filled sac that protects the baby in the uterus. The yolk sac helps maintain the pregnancy until the placenta and umbilical cord is formed completely.

The placenta and umbilical cord helps carry food and oxygen to the baby from mother’s body and also excretes the wastes from the baby.

During the third week of first trimester pregnancy, the embryo undergoes a developmental process called gastrulation, where the embryo forms multi-layered (the ectoderm, the mesoderm, and the endoderm).

The outer layer called the ectoderm consists of the nerves, skin, and brain. The middle layer called the mesoderm develops into the muscles, heart, sex organs, bones, and blood vessels. The inner layer called the endoderm will have the liver, lungs, intestines, stomach, and urinary tract.

After this process, the neurulation process occurs where the embryo develops the nervous system (entirely). By the end of first month, the head and trunk of the body forms in the embryo.

The eyes, limbs, heart will begin to form within 16-17 days after fertilization. The pumping of fluids through blood vessels starts by 20 days and formation of red blood cells occur by day 21 after conception.

By the end of this month, the size of the embryo is about 0.5 inch and weighs fraction of an ounce.

In the second month of first trimester pregnancy, the development of the baby will be very rapid. Also, major developmental changes occur. The heart of the embryo begins to beat.

All major organs of the body (brain, lungs, liver, pancreas and stomach) begin to appear. The first bone cells, limbs and its feature such as the fingers, toes, and joints starts appear. The formation of inner ear begins at the end of this month.

Now the embryo is called a fetus. Now, the size of the fetus will be one inch and the weight becomes one ounce.

In the third month of first trimester pregnancy, heart chambers will form and the rate of heartbeat increases. The functioning of kidneys and the development of intestines starts.

The external genitalia begins to differentiate, head becomes large; external ears form and the fingers and toes will separate.

By the end of the first trimester pregnancy, the fetus formation completes and is about four inches long and weighs more than an ounce. You can notice all these changes in the first trimester pregnancy.

Bleeding During Pregnancy – The First, Second And Third Trimesters

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Any bleeding during pregnancy is likely to cause worry; since we associate the subsistence of a pregnancy with the stoppage or cessation of bleeding.

In fact, since it is the absence of menstrual bleeding that alerts us to a pregnancy in the first place any vaginal bleeding is bound to be a cause for concern.

However, it is important to understand while it may be a cause for concern, a lot of bleeding during pregnancy may be quite harmless, and have a perfectly innocuous explanation though the rule of thumb should be that no bleeding during pregnancy should be ignored. We look at what bleeding during the three trimesters of a pregnancy could mean:

Bleeding During Pregnancy First Trimester: Implantation bleeding is common during the first trimester of pregnancy This is when the embryo burrows into the endometrial lining of the uterus in search for sustenance from the mother’s circulatory system.

Unless accompanied by certain other symptoms such as pain, cramping, fever and faintness, this is not usually a cause for worry.

Bleeding during the first trimester other than implantation bleeding could be caused by something innocuous like cervical changes since increased blood flow to the pelvic region may cause some bleeding particularly after sex.

On the other hand, several serious conditions such as an ectopic pregnancy, the presence of inflammation or infection or a threatened miscarriage, molar pregnancy etc. could also be responsible for bleeding during pregnancy’s first trimester.

Bleeding During Pregnancy Second trimester: Bleeding during pregnancy in the second trimester is rather of more concern. This is not routine or very common.

It could be due to certain harmless causes such as after intercourse or after a pelvic or vaginal exam when some capillaries of the cervix rupture and cause the blood to flow. This should however be light bleeding that resolves itself within a day or so.

Anything else is likely to have graver reasons. Late miscarriage or preterm labor could be the cause of a heavier, period like bleeding episode in the second trimester, and a doctor should always be consulted.

Bleeding During Pregnancy Third Trimester: It is always a cause for grave concern when there is vaginal bleeding during the third trimester of pregnancy.

Any kind of bleeding during the third trimester is likely to be classified as an emergency since hemorrhage is a complication in up to 4% of all pregnancies.

Hemorrhage is also a leading cause of maternal deaths in the western world. Placental problems, such as the detachment of the placenta from the uterus either partial or complete could be a problem causing bleeding.

Sometimes the placenta covering the mouth of the uterus could also cause bleeding. Preterm labor could also be a cause of bleeding during the third trimester.

More Reasons Not To Smoke During Pregnancy

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Smoking during pregnancy

research shows that over 50% of babies born to smokers are at risk of miscarrage, still birth, cot death, premature birth, low birth weight, growth development, low immunity levels (more likely to pick up childhood illnesses, Asthma, and eczma) new research shows that 80% of babies of smokers are more likely to suffer behavioral problems.  A baby exposed to smoking before being born is more likely to be unsettled as a baby poor sleeping patterns and show aggressive behavior smoking in pregnancyinto childhood.

Smoking could cause other mental health issues for the baby increasing the chances of having ADHD. It was seen that smoking causes biochemical variations in the dopamine pathway – a neurotransmitter that plays a role in memory, problem solving, and attention, thereby upping ADHD risk.

 Dads that smoke also have a share of responsibility apart from being responsible for poorer sperm count and difficulties in helping conceive, second hand smoke from the father could cause problems too – low birth weight, and increased risk of complications stated above.

GET HELP ! there are plenty of support to help you stop smoking with trained pregnancy councellors who will prescribe you nicotine replacements that are safe in pregnancy and offer lots of support. See your Midwife or call your local NHS stop smoking services and they will arrange an appointment “GOOD LUCK”

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