Dos and Don'ts During
the 2nd Trimester of Pregnancy
The second
trimester of pregnancy is a time when many women will feel energized and well.
You will become visibly pregnant, but you won’t be so heavy that getting around
is difficult. This is also a time of rapid growth and development for your
baby, and you may find yourself busy with health checks and planning for the
birth.
The second trimester represents the middle
part of your pregnancy, from weeks 13 to 26. For many women, one of the best
things about this trimester is that nausea might begin to settle.
The Second Trimester: Changes to Your Body
The second trimester is
the most physically enjoyable for most women. Morning sickness usually lessens
by this time, and the extreme tiredness and breast tenderness usually ease up.
These changes can be attributed to a decrease in levels of human chorionic
gonadotropin hormone and an adjustment to the levels of estrogen and
progesterone hormones.
The following is a list of
changes and symptoms that may happen during the second trimester:
- Appetite may
increase.
- You may be
able to feel the movement of the fetus for the first time around 20 weeks.
This phenomenon is called quickening.
- The uterus
grows to the height of the bellybutton around 20 weeks, making the
pregnancy visible.
- The skin on
the belly may itch as it grows, and there may be pain down the sides of
the body as the uterus stretches. The lower stomach may ache as ligaments
stretch to support the uterus.
- The need to
urinate often may decrease as the uterus grows out of the pelvic cavity,
relieving pressure on the bladder.
- Your nose
may become congested, and you may experience nosebleeds. This is due to
the increase in hormones (estrogen and progesterone) and blood flow that
affect the mucous membranes and blood vessels in the nose.
- Your gums
become spongier and may bleed easily. This is due to the increase in
hormones (estrogen and progesterone) that affect the mucous membranes in
the mouth.
- Varicose veins and hemorrhoids may appear.
- You may have
a white-colored vaginal discharge called leukorrhea. (A colored or bloody
discharge may signal possible complications and should be examined
immediately.)
- The
increasing weight gain may cause backaches.
- Skin
pigmentation may change on the face or abdomen due to the pregnancy
hormones.
- Heart burn,
indigestion and constipation may continue.
Things to do in the second trimester of pregnancy
1 Have visit to your doctor
2. Undergo
second-trimester ultrasound tests
3. Eat a balanced diet
4. Eat frequent and small
meals
5. Watch your weight
6. Visit to the dentist
7. Take pregnancy vitamins
8. Try
to stay physically active
9. Plan a Vacation if you
want
10. Try to have good sleep
11. Talk to your baby
12. Stay Happy
13. Buy Maternity Cloths
14. Use anti-stretchmark
creams
1. Have visit to your doctor
If your pregnancy is
going well, you should see your doctor once a month during the second
trimester.
Bloody vaginal
discharge or swelling of hands and face are occasions for an unscheduled visit
to the doctor.
How
often do you visit the doctor during your second trimester?
Recommended Schedule for a Healthy Pregnancy
Weeks 4 to 28: 1 prenatal visit a month.
Weeks 28 to 36: 1 prenatal visit every 2 weeks.
Weeks 36 to 40: 1 prenatal visit every week.
2. Undergo
second-trimester ultrasound tests
- Ultrasound (weeks 18–20). The
doctor will examine the placenta, the fetal anatomy, activity, growth
rate, and blood circulation, as well as determine the amount of amniotic
fluid and the length of the cervix.
- Blood tests (weeks 15–20, ideally
16–18) to check the markers of genetic conditions or birth defects.
If
the results of the screening tests differ from the norm, the doctor will
recommend an additional examination.
3. Eat a balanced diet
The period from conception
up to the age of 2 years is the most important time for building a baby’s
health, and a balanced diet is crucial for their growth and development.
- Protein is the
main component of your diet that is necessary for fetal growth. Try to eat
more meat, fish, and legumes.
- Calcium is important
for your baby’s teeth and bones as well as for the correct development of
her muscular and nervous systems.
- Iron helps blood
carry oxygen to your baby. As this microelement is poorly absorbed, it is
not always enough to eat foods rich in iron (e.g., lentils, spinach, and
red meat). According to many studies, iron supplements can reduce the risk
of anemia. However, only a doctor can prescribe them and determine the
dosage.
4. Eat frequent and small
meals
Some experts think eating smaller, more
frequent meals (specifically, five or six mini meals instead of the old
breakfast, lunch and dinner) can help alleviate some of the
discomforts of pregnancy, including nausea, gas, bloating, constipation,
headaches and fatigue.
Hormonal changes during pregnancy can cause heartburn and constipation. If it bothers you, try to eat small
amounts of food more often. Include more fiber in your diet and drink plenty of
liquids.
5. Watch your weight
Steady weight gain is
an important indicator of a healthy pregnancy.
Weight gain is
influenced by the course of pregnancy, the body type of the woman, and the size
of the fetus. Your doctor will constantly monitor this parameter and give
useful recommendations.
6. Visit to the dentist
It is very important
to visit the dentist, even if you have never had problems with your teeth and
gums before pregnancy.
The growing baby takes
a large amount of calcium from your own stores, which can reduce the protective
function of tooth enamel and lead to cavities.
Hormonal changes can
make the gums more susceptible to infection and/or bleeding and swelling.
If you notice any
changes, consult your dentist — the second trimester is the safest time for
dental treatment.
7. Take pregnancy vitamins
Balanced nutrition is
the best way to provide your body with everything it needs. However, it is not
always possible to get enough vitamins with food alone.
Multivitamin complexes
for pregnant women contain basic microelements and minerals in the necessary
dosages.
Remember that only a
doctor can prescribe medications. They will determine the duration of
administration and assess the risk of side effects.
8. Try to stay
physically active
Regular exercise during
pregnancy can prevent complications during childbirth and reduce the risk of
cesarean section.
If your pregnancy is
progressing without complications, and the doctor allows training, exercising
will help your body prepare for giving birth — and for recovery afterward.
Besides increasing energy
levels and improving your blood circulation and endurance, exercise also
contributes to the intensive delivery of oxygen to the baby, reducing the risk
of various intrauterine complications.
Try to exercise regularly,
but not for long periods at a time, and be sure to avoid
dehydration and overheating.
The safest types of
exercise for expectant mothers during this period include:
- swimming
- yoga
- walking
9. Plan a Vacation if you
want
Most likely, the
fatigue and discomfort of the first trimester have passed, your belly is still
small, and nothing prevents you from leading an active lifestyle.
If your pregnancy is
going well, without complications, discuss travel plans with your doctor to
determine whether the duration, route, and potential climate change of the trip
will be safe for you.
If there are no
medical contraindications, you can relax and plan your vacation.
10. Try to have good sleep
Hormonal fluctuations, mood changes, and the anxiety typical of
all expectant mothers can be exhausting. Try to get enough sleep — at least 7–9
hours at night — and rest during the day as soon as you feel tired.
11. Talk to your baby
From approximately
week 18, pay attention to what is happening in your tummy: most likely, you
will feel the first stirring of your baby during this time.
This is how your
little one will communicate with you: expressing joy, anxiety, and pleasure,
and responding to your emotional state with active jolts or calmness.
Talk to your child,
and you are likely to feel them respond.
If, at some point, it
seems that your baby’s movements have changed (there are fewer or more of
them), tell your doctor about it.
12. Stay Happy
From the moment you first suspect that you
might be pregnant until the moment you’re holding your baby in your arms, it
can seem like you’re on an emotional roller coaster. The lows of nausea can
quickly climb to the high of hearing your baby’s heartbeat for the first time
only to fade to another low of lower back pain. This constant ebb and flow of emotions can be
exhausting. Pregnancy can be overwhelming, and if you’re struggling to
feel your happiest, you’re certainly not alone. (You’re also not alone if you
find pregnancy to be a happy time! There are plenty of women who enjoy this
time in their life.)
13. Buy Maternity Cloths
Enjoy some shopping and buy special maternity clothing.
You are likely to feel uncomfortable in your
regular outfits, and wearing them can slow down blood circulation, provoke
heartburn, etc.
14. Use anti-stretchmark
creams
Your tummy is growing,
and your skin is stretching quickly. Collagen and elastin fibers are breaking,
which may lead to stretch marks.
Each expectant mother
has her own individual genetic predisposition to stretch marks, so it is
difficult to prevent them. However, you can reduce the discomfort and
unpleasant itching by moisturizing your skin frequently.
Special creams help to
keep moisture in the upper layers of the skin, making it softer and more
elastic. Apply them to your stomach, breasts, and hips.
Things to avoid in the second trimester of pregnancy
1. Consult to your Doctor before having medicine
2. Don’t take Stress
3. Don’t lie on your back for a long time
4. Don’t wear high heels
5. Don’t participate in dangerous sports
6. Don’t consume too much caffeine
7. Don’t smoke
8. Don’t drink alcohol
1.Consult to your Doctor
before having medicine
Many drugs can easily pass through the placenta into the
bloodstream of your baby. Therefore, before taking any medicine, you need to
make sure it is safe and consult with your doctor.
2.Don’t take Stress
Even one of the
happiest periods in your life can become complicated and stressful.
Of course, hormonal
changes can often influence your emotions and reactions; you may also face
difficult situations, but you should try to keep stress to a minimum.
Learn breathing and
relaxation techniques.
Try to concentrate on
something pleasant (for example, thinking about your baby), share your feelings
with your relatives and your doctor, and learn to control your emotions and
thoughts. Remember to eat healthy and exercise regularly.
3.Don’t lie on your back
for a long time
In the second
trimester, expectant mothers are cautioned to avoid lying on their backs for a
long time. The uterus is already quite large and can put pressure on the spine
and the major blood vessels in the area.
Squeezing such an
important vessel as the inferior vena cava automatically reduces the blood flow
to the heart. This can make the baby suffer, too, as the little one will not
get enough oxygen from the mother.
Try to lie more on
your left side: this position is considered the most favorable.
Your baby will help
you to find a comfortable position — just pay attention to his reactions.
4.Don’t wear high heels
As your pregnancy
progresses, you will have to give up high-heeled shoes.
First, it is important
for you: your spine is continuously adapting to the increasing pressure, and
uncomfortable footwear worsens it, changes the support point of the whole body,
and affects the ligaments of the ankle joint.
In addition, wearing
stiletto heels can change the position of the uterus, which will be
uncomfortable for the baby.
If you are not ready
to completely forget about your favorite shoes, try to choose those with a
steady, wide heel no higher than 2 in (5 cm).
5.Don’t participate in
dangerous sports
You are already aware
of the benefits of an active lifestyle during pregnancy, but you need to know
where to draw the line.
Do not exhaust your
body with intense and frequent training. This sort of stress can impede blood
flow to the placenta and reduce the oxygen supply to your baby.
During pregnancy, you
should also give up high-risk sports that could cause trauma to your abdomen.
6.Don’t consume too much
caffeine
Caffeine can pass through the placenta to the baby and increase
his heart rate. Therefore, pregnant women are recommended to drink no more than
1–2 cups of coffee a day.
7.Don’t smoke
Active and passive
smoking during pregnancy, as well as chewing tobacco, impedes fetal growth and
leads to an increased risk of premature birth.
To help protect your
baby, ask your friends and relatives to avoid smoking in your presence.
8.Don’t drink alcohol
Alcohol easily passes through the placental barrier into the
bloodstream of the baby. Excessive consumption of alcoholic beverages can
disrupt the intellectual and psychological development of the baby, as it
primarily affects brain structures, and it increases the risk of premature
birth.
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