9 – 13
month is the last leg of your 1st trimester
of pregnancy. If you pass through this phase,
a major hurdle has been cleared.This is the phase
where all the organs (organogenesis) of the foetus
are being formed and hence a very valuable period
as far as the foetus is concerned.The level of
hormones is high and the symptoms/ complaints
of early pregnancy are at their peak.
the symptoms / complaints of week 5 – 8 are present
- Morning sickness,
nausea and vomiting peak by around 8 – 10 weeks
and then gradually subside by week 13.
- Breast shows enlargement
and increase in the size of areola and small
glands in the areola (oil secreting glands for
lubrication of nipples).
- Some of you may
have difficulty in passing or retention of urine
due to a backward displaced and enlarged uterus.
- Aversions and
craving for food may increase.
- You may experience
increase salivation, constipation and flatulence.
can be avoided by eating a high fiber diet,
lots of green leafy vegetables and plenty
of liquids. Laxative must be taken only as
a last resort and only if prescribed by the
can be reduced by avoiding constipation, eating
small meals slowly and avoiding eating of
large quantities of gas producing substances
like onion, cabbage and pulses.
- Your skin may
show presence of bluish red spidery lines. Some
of you may start getting varicose veins (enlarged
tortuous veins) in your legs.
- If you have difficulty
in getting sleep it is normal. Insomnia can
be prevented by getting adequate exercises,
snack with hot milk at bed time, warm bath at
bed time, avoiding going to the bedroom till
you feel sleepy, soothing music, gentle massage
at night. You may stay up late as your body
may need less sleep than you think. On no account
should you self medicate with sedatives.
- Due to high level
of hormones your complexion may take a turn
for the worse. Drinking plenty of fluids, eating
a balance diet,
washing your face with water
3 times a day can minimize this. If you are
very apprehensive, you may visit Dermatologist.
Your Body Inside:
baby is growing fast. All the organs have not
yet completely formed. They are in various stages
of completion. The external genitalia are forming
and sex of the baby can be made out by highly
sensitive ultrasound scans. The foetus looks very
much human and by the end of 13 weeks all the
organs are formed. (I.e.: organogenesis is complete)
and now hence forth only maturation and growth
of individual organ and system has to take place.As
all the organs are being formed during this time,
the feotus is most susceptible to various influences,
which have the potential to cause deformities
i.e. ‘teratogenesis" Teratogenecity
Your Body and You:
REPRESENTATION OF FEMALE BODY
Various changes have
started taking place in your body to accommodate
to the new life within you.
during this period (till
13 weeks) is not so significant and around 1 –2
kg only. But the amount of blood flowing through
the body has increased considerably.The uterus
by the end of 13 weeks is the size of a large
orange and may be just felt above the pubic bone
in the region of your urinary bladder.The other
changes as discussed in common complaints are
you may feel a new sense of calmness as your pregnancy
has been confirmed and growing well. Some of you
may still experience an irritability similar to
premenstrual syndrome, but it will soon pass off.
To Your Doctor:
the first three months of your pregnancy, your
visits will be usually at monthly intervals or
if you develop any problems as mentioned earlier
During each visit a thorough check up will be
done including your weight, pulse, BP recording,
examination of the abdomen and if necessary an
internal examination. Urine may be checked for
sugar and protein at every visit. . As mentioned
earlier a baseline blood and urine examination
is asked for at the 1st visit. In special
USG, chorionic villus sampling, serum beta hCG
estimation and other investigations may be asked