21 – 24
are now midway through your pregnancy. Pregnancy
starts becoming more and more obvious to those
around you. Your body is fast undergoing various
external and internal changes. It is time to prepare
yourself to the 2nd half of your pregnancy
or the "POST INTERMISSION" session of your pregnancy.
body has to adapt itself to accommodate the little
one within you and also to provide your baby with
all its basic needs. The uterus has also grown
significantly large to be obvious to others.The
levels of various hormones circulating in your
body are also high. You may experience various
- Heart Burn : This is due to relaxation
of the valve at the lower end of the oesophagus or the gullet leading to reverse flow of
food and acid.
- This can be taken care of by eating a
non-spicy and non-oily diet.
- Eating small and frequent meals.
- Not lying down immediately after meals.
- Keeping your head elevated while sleeping.
- Antacids may be taken if prescribed by your
Insomnia: due to abdominal discomfort and increase
frequency of micturation. For avoiding sleeplessness
refer to Insomnia
Itching : This is due to changes in the levels
of liver enzymes and liver products. Applying
calamine lotion can reduce it. If severe and
uncontrollable, then consult your doctor.
Swelling of feet : This is due to the increased
fluid content of the body and also due to the
pressure exerted by the enlarging uterus on
the veins carrying blood from the legs to the
heart leading to stagnation.
This can be reduced by
- Adequate rest
- Leg elevation
- Sleeping on your left side as much as
possible rather than on your back
Fatigue : This is due to the increase in your
weight, increase in the blood being pumped by
your heart and due to some degree of anaemia.
The only cure is good diet, regular exercise
and adequate rest
Sleep for at least 2 hours
in the afternoon and 8 hours at night.
Aching of lower ribs : Due to pressing of the
lower ribs by the enlarging uterus. This can
be minimized by maintaining a good posture while
sitting and by exercise involving lifting your
arms over your head.
Varicose Veins may increase in size : .
Craving for certain foods :
/ Your Baby Inside
foetus is very active now and the movements can
be appreciated more frequently. The head starts
to grow in proportion to the rest of the body.
The period of foetal movement may be followed
by quiet or sleep pattern where the foetus does
not move and goes off to sleep. At 24 weeks an
ordinary stethoscope can hear the foetal heartbeat.
The length of the foetus at the end of the period
is 12 – 13" i.e.: approximately 30 cms.
OF THE FOETUS
(Simple way to calculate the length
of your foetus in cms is =square of (lunar months of pregnancy) if pregnancy is less than
5 lunar months= (lunar months of pregnancy)X 5 if pregnancy is proceeded beyond 5 months
If you have completed 16 weeks i.e. 4 lunar month, the length of the foetus will be square
of (4) = 16 cms.If you have completed 24 weeks i.e. 6 lunar months the length of the
foetus = 6 X 5 = 30 cms.
Your Body and You:
There will be
a noticeable change in your waistline, hips and tummy. You may
have put around 6 kg weight over your pre pregnant state. The
pad of fat on your buttock and breasts is on the rise.The
swelling on your feet may have increased and your slippers and
shoes might feel disconcertingly tight . The baby’s movement
can not only be felt, but also seen.Your hair and skin needs
more attention as they undergo a turn for the worse, though
not always. It is still believed by many that if you glow
during pregnancy then you carry a girl and if you look tired
and haggard you have a boy within. This though does not have
any scientific basis.Emotionally you are much better except
that there might be an anxiety regarding about the future and
also the present changes taking place.
To Your Doctor:
- Apart from the other things mentioned you
may be given your 2nd shot of tetanus toxoid vaccine ( 4 – 6 weeks after the 1st)
Apart from the other instructions mentioned
earlier, some things that you should take care of during this period are:
- Your hair and skin need extra care during
this period as they may be badly affected by the increasing hormonal levels.Dry hair
becomes drier and oily hair oilier. In women with dry hair conditioner and less use of
hair drier may be useful. Regular washing of oily hair may also help.Your skin sensitivity
might be increased, hence do not experiment with new cosmetic products. It is safe to use
make up especially to hide the dark pigmentation of your face and the dark circles around
your eyes. Slices of cucumber or wet cotton pads can produce soothing relief to your tired
eyes.Nails may become brittle and chip off. You can use nail paints and nail strengthening
enamels to prevent this.
can take some time off and make a list of
- This is also the right time to start
planning out your baby’s room decoration and ward robe.
- In the west, childbirth
classes are a routine affair attended by the
expecting couples or the pregnant woman and
her friend/relative or labor partner.These
classes are slowly making their presence felt
even in India, especially the metros.