What to Expect During Pregnancy?

by Dr. Sandhya Rani

This video by Dr. Sandhya Rani, Senior Consultant in Obstetrics and Gynecology at Aster Women and Children's Hospital, provides a detailed overview of what women can expect throughout their pregnancy journey.

Early Pregnancy: Weeks 1-12

The first trimester is a period of significant adjustment for both the mother and the developing baby. Common symptoms include:

  • Menstrual-like cramps: Mild, intermittent cramps are normal during the early weeks.
  • Backache: Lower back pain can occur due to hormonal changes and increased weight.
  • Breast tenderness: Breasts may become swollen, tender, and sensitive.
  • Fatigue: Increased tiredness is common as the body undergoes changes.
  • Nausea and vomiting: Morning sickness can affect some women, although it can occur at any time of day.
  • Frequent urination: The growing uterus puts pressure on the bladder.
  • Mood swings: Hormonal fluctuations can lead to emotional ups and downs.

It's important to note that any bleeding, severe pain, or persistent symptoms should be reported to a healthcare provider immediately.

First Trimester Checkups

During the first trimester, several essential checkups and tests are typically performed:

  • Initial consultation: A comprehensive medical history is taken, including information about previous pregnancies, medical conditions, and family history.
  • Physical examination: Vital signs (blood pressure, heart rate, temperature) are checked, and a general physical assessment is conducted.
  • Ultrasound: Confirms pregnancy, checks fetal development, and determines the estimated due date.
  • Blood tests: Screen for blood type, Rh factor, infections, and other conditions.
  • Urine tests: Check for signs of infection or other abnormalities.
  • Folic acid supplementation: Recommended to prevent neural tube defects.

Second Trimester: Weeks 13-27

The second trimester is often considered the "honeymoon phase" of pregnancy as many of the uncomfortable symptoms of the first trimester subside. Key developments include:

  • Quickening: The first perception of fetal movement, usually felt around 18-20 weeks.
  • Fetal growth: The baby grows rapidly in size and weight.
  • Maternal weight gain: Gradual weight gain is expected.

Additional checkups and tests may include:

  • Anatomy scan: Detailed ultrasound to assess fetal structure and development.
  • Gestational diabetes screening: To identify women at risk for developing diabetes during pregnancy.

Third Trimester: Weeks 28-40

The final trimester brings both excitement and physical challenges as the body prepares for childbirth. Common discomforts include:

  • Shortness of breath: The growing uterus puts pressure on the lungs.
  • Back pain: Increased weight and changes in posture contribute to back discomfort.
  • Pelvic pain: Relaxin hormone softens the pelvic joints, leading to potential pain.
  • Swelling: Fluid retention can cause swelling in the ankles, feet, and hands.
  • Contractions: Braxton Hicks contractions (practice contractions) may become more noticeable.

Regular prenatal care is crucial during this period to monitor fetal growth, maternal well-being, and prepare for labor and delivery. Towards the end of pregnancy, discussions about childbirth plans, pain management options (such as epidurals), and breastfeeding will take place. It's essential to feel informed and empowered as you approach delivery day.

Consult with the Department of Obstetrics and Gynecology at Aster Women and Children Hospital for personalized guidance and care throughout pregnancy.

To book an appointment, contact us at 080-4510 8888.

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