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Chapter 17

            First Trimester


                 In the early weeks the mother is likely to be more tired. Most expectant mothers are still in shock!
            As your uterus begins to grow your "bump" begins to be more noticeable. This is a good time to start
            looking into options on birthing and doctors.


                     • Physical feelings: tiredness, nausea, constipation, frequent urination, food cravings, change
                   in size of breasts, fainting or dizziness, bloated stomach, and high emotions.




            Second Trimester

                 The mother will probably be feeling full of energy and excitement.

                      • Physical feelings: More energy, constipation, heartburn, and indigestion. The breasts
                         continue to grow, as does an increase in appetite. There is mild swelling in the feet,
                         ankles, hands, and face. There is also more baby movement. There may be emotional ups
                         and downs in the feeling of pregnancy, and short-term memory may be poor.
                      • The hormones estrogen, progesterone, human placental lactogen, oxytocin, and prolactin
                         prepare the body for feeding the baby, and cause the breasts to enlarge, becoming painful
                         and tender.
                      • The fetus, placenta, and amniotic fluid account for just over a third of the weight gain
                         during pregnancy. The remaining weight comes from increased blood volume, fluid
                         retention, and extra body fat. The suggested weight gain in most pregnancies is between
                         25-35 lbs.



            Third Trimester

            Physical feelings
                  Shortness of breath, tiredness, difficulty in moving and sleeping, and frequent urination. The
                  emotional mood swings ease off, but the mother begins to feel less enthusiastic about being
                  pregnant. She may become impatient and restless and just wants for the birth to be over.
                      • The body is changing to cope with the ever increasing size of the womb. The baby grows
                         and pushes out the lower back of the mother. The breathing rate of the baby is growing
                         very quickly. At this stage, the mother should feel the movements of the fetus. Other signs
                         may be the nipples secreting colostrum, Braxton-Hicks' contractions may begin, and
                         blood flow to the womb has increased tenfold since conception.



            Prenatal Care


                 Once the female confirms her pregnancy, she will need to find out her physical condition and what
            to expect in the coming months. Prenatal tests, prenatal care, and what type of birthing methods, are
            many options that she will need to decide what is best for her.


                     • Prenatal Visits

                 The main purpose of the visit is to troubleshoot for potential problems. A series of tests will be



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