Third trimester pregnancy food

The Third Trimester of Pregnancy: Concerns and Tips

For many women, the third trimester of pregnancy is an anxious time. You’re in the home stretch and excited to meet your baby-to-be. But you’re also busy making preparations for your new addition while trying to stay healthy and comfortable.

Here’s a list of the main concerns you might have about the third trimester, plus tips to help you make it safely and comfortably to delivery day.

Traveling creates additional concerns if you are pregnant. You have an increased risk of some medical problems, including:

  • increased blood clot formation because of prolonged sitting
  • exposure to infections
  • unexpected miscarriage or pregnancy complications

Avoid long car trips and airplane flights, if possible. If you must travel, stretch your legs and walk around at least every hour or two.

Your doctor will generally permit you to travel by air until 32 to 34 weeks, unless you are at high risk for premature labor. After that time, most airlines may not let you board the flight if you appear obviously pregnant because of the possibility of an unexpected delivery on the plane.

If you will be away from home for a long time, your doctor may recommend a local doctor where you are visiting for you to contact. Be sure to take a copy of your prenatal records with you.

For foreign travel, check with the Centers for Disease Control and Prevention (CDC) for recommended vaccinations or preventive medications for the area you are visiting.

Avoid drinking unpurified water, unpasteurized milk, and inadequately cooked meat or vegetables.

Movement is an important sign that the fetus is doing well. As your pregnancy progresses and your fetus gets larger and larger, the type of movement can change. Instead of your fetus punching you or doing flips, the baby may roll more or stick an arm or leg out.

Pay attention to these movements. If your fetus is not moving as much as normal, keep track of its movements. Eat a meal and then lie down on your left side. If the fetus does not move 10 times in the next two hours, call your doctor.

There are many ways to count fetal movement; ask your doctor how they want you to count. If the fetus is not moving, your doctor will order a nonstress test, a contraction stress test, or a biophysical profile (BPP).

Lap and shoulder belts should be worn at all times when riding in a motor vehicle, particularly in the front seat. Being an unrestrained passenger during a major automobile accident is dangerous, whether or not you are pregnant.

Generally, women in their third trimester are encouraged not to sleep on their backs. When you are on your back, your heavy uterus can reduce blood flow to the uterus and fetus. Most women aren't comfortable lying flat on their backs during the third trimester anyway. Most experts recommend sleeping on your side.

The left side is considered the best choice because the uterus naturally rotates to the right during pregnancy and left-sided lying will bring it more to the center and improve blood flow. A pillow placed between your legs and/or a long body pillow to support your back are often helpful.

Pregnancy is usually not affected by most occupations. Particular occupational hazards include prolonged exposure to lead-based paints, working in a poorly ventilated setting with noxious fumes (such as anesthetic gases or volatile chemicals), and unregulated radiation exposure.

Before you stop working in a potentially worrisome site, you should check with your supervisor about OSHA (Occupational Safety and Hazards Administration) standards for your workplace. Pregnancy is not a true disability, but if you stop working without a valid statement from your doctor, workmen's compensation for disability pays only a fraction of your normal wages.

It may be difficult to change jobs during pregnancy, but you may want to do so before you become pregnant. An understanding employer may reassign you to a position that involves less risk, but employers are not under any obligation to do so.

Some obstetrical conditions require bed rest during pregnancy, such as preterm labor, incompetent cervix, placenta previa, and preeclampsia. If you have any of these conditions, your doctor may complete disability forms for you, so that you can take time off from work.

There is no medical reason to prohibit working up until delivery, and most women can. Some employers allow time off before your due date. Most employers allow six weeks maternity leave after a vaginal delivery and eight weeks following a cesarean delivery. If you want more time, you may need to use vacation time or take time off without pay.

In recent years, several commercial companies have advertised a service that banks leftover umbilical cord blood after birth for potential use by the baby or other family members. This is used for a possible future illness that could require stem cell transplantation. There is a significant cost associated with processing and cryopreservation of this blood (approximately $1,500 initially and then $100 per year for storage).

The American College of Obstetrics and Gynecology considers this a speculative investment that cannot be supported with scientific data. It is not known what happens to the blood after long-term storage or if the amounts of blood saved would be enough to treat someone.

It has also been estimated that the probability of a person needing a stem cell transplant is exceedingly rare (between 1 in 1,000 and 1 in 200,000 by age 18) and these for-profit companies may be playing on the fears of the general public. But in very rare families that have certain hereditary anemias, it may be important for fresh stem cells to be obtained from cord blood for a sibling of the baby. This requires special advance arrangement.

X-rays in moderation and with appropriate lead shielding over the abdomen are quite safe during pregnancy. Many serious conditions can develop or worsen during pregnancy if diagnostic X-rays are not used, such as pneumonia, tuberculosis, or broken bones.

Sometimes, X-rays of the pelvis and baby may even be required to determine whether or not the baby can be delivered safely (for example, if the baby is in a breech position).

Remember, some babies need multiple X-rays immediately after birth to assess their health. The careful use of X-rays of the baby inside or outside the womb is not cause for alarm.

Epidural anesthesia is an excellent option for pain management. But it is usually not available for a home birth or at a birth center. Pain management in these settings may include Lamaze techniques, sensate focusing, hypnosis, or mild narcotics/sedatives. If pain management is important to you, labor and delivery in a hospital gives you access to epidural anesthesia.

Most doctors decide when you should receive epidural anesthesia on an individual basis. Some doctors do not place an epidural anesthetic until you are at least 4 centimeters dilated.

Talk with your doctor about your wishes and your doctor's epidural preferences as your due date approaches. Complications of epidural anesthesia are rare, but include headache, bleeding, and infection.

There is disagreement about whether or not epidural anesthesia slows labor. But this type of pain control does not cross the bloodstream to the baby. Other types of pain medications do cross the bloodstream and may potentially make the baby sleepy at birth.

The third trimester is a good time to consider whether you want to breast-feed or formula feed your baby. Doctors generally recommend that you breast-feed your baby for the first year of life. Exceptions are women with HIV or AIDS, active tuberculosis, and some forms of hepatitis. Talk to your doctor if you have any concerns about being able to breast-feed.

Breast-feeding has benefits for the mother, including:

  • your uterus and stomach return to prepregnancy size faster
  • you return to your prepregnancy weight faster
  • no bottles to wash or carry and no formula to prepare or carry
  • no money spent on formula
  • decreased risk of breast and ovarian cancer
  • decreased chance of getting pregnant (breast-feeding suppresses ovulation)
  • decreased risk of osteoporosis

Breast-feeding also has benefits for your baby, including:

  • immunoglobulins that prevent illness and infections
  • decreased risk of allergies
  • easy to digest
  • decreased risk of diarrhea and constipation
  • always ready and at the right temperature
  • decreased risk of obesity and diabetes later in life
  • bonding time with mom

Call the labor and delivery department or the nursery at your hospital. Most hospitals let you tour the facilities before your labor and delivery.

In addition to calling your healthcare provider, you should also call your health insurance company. Each insurance company has its own rules about this. Most allow you to notify them within 24 hours of admission. Talk to your health insurance company representative to check on their requirements.

You, your doctor, and your health insurance company decide what is best for you. If there is a medical reason for you to stay in the hospital, your health insurance should allow it. Many insurance companies encourage women to leave the hospital 24 hours after delivery. For some women, this is safe and appropriate; it is not appropriate for others.

If you feel that you need to stay in the hospital longer than your insurance company allows, call the company and negotiate more time. Most health insurance companies cover the cost of a semiprivate room postpartum. Check with your hospital to see if you can upgrade to a private room and what the difference in cost is.

Third Trimester Pregnancy

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The 3rd Trimester of Pregnancy

A baby may tend to build more fat in the third trimester compared to what it achieved the previous trimesters of pregnancy. During this state of pregnancy a baby shall start to grow quickly, gaining perhaps an oz daily. The belly will likely begin to lower during the course of this stage of pregnancy once the unborn child moves into position for labor and birth. Even if a woman’s belly is held right up high during the previous trimesters of pregnany she may notice it begin to slump considerably down the road in her pregnancy. A baby can start moving regularly, and it’s felt by a new mom. The new baby may begin moving so significantly that it becomes a diversion for a mother. A new mom will likely see her navel become inside out as the little one continues to grow and increase the size of the abdomen.

The continued growth of the baby produces quite a bit of uneasiness along with conditions such as a weak bladder and backache. Once the baby develops a bit more neural, visual and muscle ability a mother may begin to notice a supercharged degree of physical motion in the womb. The woman is likely to feel the unborn child moving and it could perhaps result in pain or frustration when it is around new mom’s rib cage and spinal column.

Sooner or later in your third trimester you may even begin to see a lot less pressure in your abdomen when your baby moves into your pelvis. The perenium and cervix are typically alot more squashed and the head may be felt vaginally. However this is even termed as the baby drop and may be termed as the lightening since your stomach will be relieved of very much of the pressure caused by the new baby which will enable it to be much easier to breathe. Once the unborn child moves down into the pelvic area mom should notice a lot of force on the bladder which can lead to incontinency as well as aches from inside the hips and rear end.

Undoubtedly after this moment that your new baby born too early could very well live. Thanks to the progress achieved in treatment new borns are now able to thrive outside of the womb much earlier than they were ever able to in times past. Even with all of the high tech advances made in modern treatments early birth can still be a significant threat factor and is even associated along with other diseases showing up later on in life.

Third Trimester Abortion

A late-term abortion often describes an caused abortion procedure occurring after the actual 20th 7 days of pregnancy. However, the precise point whenever a pregnancy gets late-term isn’t clearly described. Some resources define a good abortion following 16 days as “late”. [2][3] 3 articles released in 1998 within the same issue from the Journal from the American Healthcare Association couldn’t agree about the definition. Two from the JAMA articles find the 20th 7 days of gestation to become the stage where an abortion procedure will be considered late-term. [4] The 3rd JAMA article find the third trimester, or even 27th 7 days of pregnancy. [5]

The point where an abortion gets late-term is usually related towards the “viability” (capability to survive away from uterus) from the fetus. Sometimes late-term abortions are known as post-viability abortions. Nevertheless, viability varies among pregnancy. Nearly just about all pregnancies tend to be viable following the 27th 7 days, and absolutely no pregnancies tend to be viable prior to the 21st 7 days. Everything between is the “grey area”. [5]

Histogram associated with abortions through gestational grow older in Britain and Wales throughout 2004. Typical is 9. 5 days.

Abortion in the usa by gestational grow older, 2004. (Databases: Centers with regard to Disease Manage and Avoidance)

North america: During the entire year 2003, 6. 5% associated with induced abortions had been performed in between 13 in order to 16 days, 2. 2% in between 17 in order to 20 days, and 0. 8% more than 20 days. This test included procedures completed in private hospitals and treatment centers. [6]

Britain and Wales: Within 2005, 9% associated with abortions happened between 13 in order to 19 days, while 1% happened at or higher 20 days. [7]

Brand new Zealand: Within 2003, two. 03% associated with induced abortions had been done in between weeks sixteen to nineteen, and 0. 56% had been done more than 20 days. [8]

Norwegian: In 2005, two. 28% associated with induced abortions had been performed in between 13 in order to 16 days, 1. 24% associated with abortions in between 17 as well as 20 days, and 0. 20% more than 21 days. [9]

Scotland: Within 2005, 6. 1% associated with abortions had been done in between 14 in order to 17 days, while 1. 6% had been performed more than 18 days. [10]

Sweden: Within 2005, 5. 6% associated with abortions were completed between 12 as well as 17 days, and 0. 8% from or more than 18 days. [11]

Usa: In 2003, through data gathered in individuals areas which sufficiently documented gestational grow older, it had been found which 6. 2% associated with abortions had been conducted through 13 in order to 15 days, 4. 2% through 16 in order to 20 days, and 1. 4% from or following 21 days. [12] Since the Centers with regard to Disease Manage and Prevention’s yearly study upon abortion statistics doesn’t calculate the precise gestational grow older for abortions performed after dark 20th 7 days, there tend to be no exact data for the amount of abortions carried out after viability. [12] Within 1997, the Guttmacher Start estimated the amount of abortions within the U. Utes. past twenty-four weeks to become 0. 08%, or even approximately 1, 032 each year. [13]

See additionally: Reasons with regard to abortions

Within 1987, the actual Alan Guttmacher Start collected questionnaires through 1, 900 women in the usa who found clinics to possess abortions. From the 1, nine hundred questioned, 420 have been pregnant with regard to 16 or even more weeks. These 420 ladies were asked to select among a summary of reasons they’d not acquired the abortions earlier within their pregnancies. The outcomes were the following: [2]

71% Lady didn’t identify she had been pregnant or even misjudged pregnancy

48% Lady found this hard to create arrangements with regard to abortion

33% Lady was afraid to inform her companion or mother and father

24% Lady took time for you to decide to have abortion

8% Lady waited on her relationship to alter

8% Somebody pressured woman to not have abortion

6% Some thing changed following woman grew to become pregnant

6% Lady didn’t understand timing is essential

5% Lady didn’t understand she might get an abortion

2% The fetal issue was identified late within pregnancy

Third Trimester Nausea

third trimester nausea

I’m 32 weeks and started to see nausea as well as “morning” sickness a week ago. It began with reduce abdomin discomfort earlier a week ago, and finished with my sickness all more than myself whilst driving house from focus on Friday: (It had been never this particular bad within the first trimester, and so i called the actual nurse inside my doc’s workplace and said I would have had only a stomach irritate. I visited the doc’s these days and he or she said that due to the lack associated with room as well as where my personal stomach is situated and in which the baby is actually, in add-on to the truth that I possess a short body, that I simply will have to get accustomed to being sick to any extent further….

I listen to you sibling. I provide 1 in order to 4 occasions, everyday. The actual “sickness” came back in 7 days 24. I am now within week thirty-two. The prescribed Pepcid, Zolfran, however to absolutely no avail. I am not attaining weight possibly, but these people said everything is okay and sometimes some people just obtain “lucky. ” I often trust her when i have had all of the tests, bloodstream work, and so on., and every thing has emerge normal. Additionally, the child’s movements tend to be good. I perform find I are usually a tiny bit better within the am and obtain progressively worse since the day would wear on and so i try to take most associated with my calories after i can maintain them lower.

I ‘m now twenty five weeks, however in my very first trimester i’d morning illness! It wasnt as well bad. But right now just within the last week approximately im sick every single day, not just each morning! But i discovered something which helped just a little. Sour chewing gum. Someone otherwise reccommeded some thing sour and so i tried it also it actually proved helpful! So best of luck!

I’m within almost 28 weeks right now, and my personal morning illness has simply returned. I had been very sick within the 1st trimester as well as I actaully dropped weight rather than gaining this. The baby does fine although. I’m glad to determine I’m not alone going via this!

I realize, My very first pregnancy We was ill everyday all day long. I had been hospitalized over the last month with regard to iv liquids. The physician gave me personally phenergan, zofran, reglan and some others throughout the preg. Phenergan as well as zofran is a true buddy. I’m during my third being pregnant now but still hope the actual sickness won’t navigate to the end. The brat diet plan was the one thing I can keep down within my first being pregnant. This time may be better compared to last 2. Don’t be worried about complaining towards the new physicians. It is essential that you and your child are wholesome. Talk for them! They might have some suggestions to assist or at the very least reasure a person. Some ladies have early morning sickness all through their pregnancy and do not gain a lot weight. I considered less following my kids were delivered than before I acquired pregnant. Let the actual doctors know what are you doing so they are able to monitor your own baby’s development and tension levels. I experienced two comparable preg. as well as both my personal girls had been perfect. Be mindful!

Third Trimester Fetal Development

third trimester fetal development

The finish of your own pregnancy is actually near! Right now, you may be tired to be pregnant — and wanting to meet your child in person. Your uterus, nevertheless, is nevertheless a hectic place. Know how fetal improvement continues while you approach your deadline. Here’s the weekly diary of events for that third trimester. Remember that measurements tend to be approximate.

7 days 28: Child’s eyes open up

Twenty-eight days into your own pregnancy, or even 26 days after conceiving, your child’s eyelids tend to be partially open up and lashes have created. Your infant is attaining weight, which is actually smoothing out most of the wrinkles in his / her skin.

Right now your baby may be nearly 10 in . (two hundred and fifty millimeters) lengthy from overhead to rump as well as weigh almost 2 1/4 lbs (1, 000 gr). Otherwise wholesome babies delivered this week possess a 90 percent possibility of survival without having physical or even neurological disability — and also the odds enhance with every passing 7 days.

Week twenty nine: Baby’s bone fragments are completely developed

Example of unborn infant 27 days after conceiving Fetal improvement 27 days after conceiving

Twenty-nine days into your own pregnancy, or even 27 days after conceiving, your child’s bones tend to be fully created, but they are still gentle and flexible.

Week thirty: Baby’s eye are available

Thirty days into your own pregnancy, or even 28 days after conceiving, your child’s eyes are available a good the main time. Your baby may have a good locks by this particular week. Red bloodstream cells are actually forming inside your baby’s bone fragments marrow.

Right now your baby may be more compared to 10 1/2 in . (270 millimeters) lengthy from overhead to rump as well as weigh almost 3 lbs (1, three hundred grams).

7 days 31: Lovemaking development proceeds

Thirty-one days into your own pregnancy, or even 29 days after conceiving, your child’s central anxious system offers matured to the level where it may control body’s temperature.

Week thirty-two: Baby methods breathing

Thirty-two days into your own pregnancy, or even 30 days after conceiving, your child’s toenails tend to be visible.

Even though your child’s lungs are not fully created, he or even she methods breathing. Your own baby’s entire body begins taking in vital mineral deposits, such because iron as well as calcium in the intestinal system. The coating of gentle, downy hair which has covered your own baby’s pores and skin for recent years months — referred to as lanugo — begins to drop off this particular week.

Right now your baby may be 11 in . (280 millimeters) lengthy from overhead to rump as well as weigh 3 3/4 lbs (1, seven hundred grams).

7 days 33: Infant detects gentle

Illustration associated with fetus thirty-one weeks following conception Fetal improvement 31 days after conceiving

Thirty-three days into your own pregnancy, or even 31 days after conceiving, your child’s pupils may constrict, dilate as well as detect gentle entering his / her eyes.

Third Trimester Pregnancy

third trimester pregnancy

Third trimester maternity: Your system

As baby grows, her or his movements can become more evident. These interesting sensations will often be accompanied by simply increasing discomfort and also other third trimester pregnancy symptoms.

Carried on breast expansion

By currently, you probably have an more 2 fat (virtually 1 kilogram) involving breast structure. As supply approaches, your erect nipples could start off leaking colostrum — your yellowish fluid that could nourish baby during the 1st few days and nights of lifestyle.

By your deadline, expect for you to weigh 30 to 30 pounds (with regards to 11 for you to 16 kilograms) over you does before maternity. Your baby is the reason for many of the weight achieve, but consequently do your placenta, amniotic substance, larger chests and uterus, body fat stores, along with increased body and substance volume.

Braxton Hicks contractions

These contractions are generally warm-ups for actual cigarettes. They’re normally weak along with come along with go unexpectedly. True job contractions find longer, better and more detailed together. Should you be having contractions which have been painful as well as regular, contact your medical provider.

As baby continues to realize weight, pregnancy human hormones relax your joints relating to the bones as part of your pelvic place. These changes might be tough on the back. If you sit, decide on chairs using good rear support. Apply a new heating sleep pad or its polar environment pack on the painful place. Ask your companion for a new massage. Wear low-heeled — and not flat — sneakers with very good arch assist. If a corner pain doesn’t vanish entirely or is together with other indicators, contact your medical provider.

Shortness involving breath

You may get winded quickly as your current uterus swells beneath your current diaphragm, the muscle just under your voice. This may possibly improve if your baby settles deeper straight into your pelvis ahead of delivery. At the same time, practice very good posture along with sleep using your upper system propped high on pillows to help remedy pressure on the lungs.

Acid reflux disease

During your third trimester, your expanding uterus may possibly push your current stomach beyond its standard position — which often can contribute for you to heartburn. To hold stomach acid solution where the idea belongs, eat smaller meals along with drink a good amount of fluids involving meals. Stay away from fried food, carbonated products, citrus fresh fruits or state of mind, and spicy foods. If the following tips don’t support, ask your medical provider about antacids.

As your current growing uterus applies pressure for the veins that will return blood from a feet along with legs, swollen foot and ankles may possibly become a worry. At one time, swelling as part of your legs, biceps or arms can position pressure in nerves, producing tingling as well as numbness. Fluid storage and dilated arteries and might leave the face and eyelids fluffy, especially every day. If you’ve got persistent deal with or eyelid bloating, contact your medical provider.

To minimize swelling, sleep the night or utilize a footrest. You could possibly even elevate feet and legs whilst you sleep. This may also help for you to swim or perhaps stand in a very pool.

Search engine spider veins, varicose abnormal veins and hemorrhoid flare-ups

Increased circulation might bring about small red wine spots that will sprout tiny arteries and on the face, neck as well as arms, especially should you have fair skin color. Blue as well as reddish collections beneath the top of skin (varicose abnormal veins) in addition might look, particularly inside legs. Varicose veins as part of your rectum (hemorrhoid flare-ups) are generally another probability.

If you’ve got painful varicose abnormal veins, elevate your current legs along with wear assist stockings. In order to avoid hemorrhoids, stay away from constipation. Include a good amount of fiber in what you eat and drink a great deal of fluids.

As baby moves more deeply into your current pelvis, you’ll experience more pressure on the bladder. You can definitely find yourself urinating often, even when asleep. This further pressure might additionally mean you can leak urine — especially when you have a good laugh, cough as well as sneeze. Should you be worried with regards to leaking urine, panty liners may offer a impression of stability.

Continue to observe for signs of an urinary region infection, including urinating more than common, burning through urination, nausea, abdominal ache or backache. Quit untreated, urinary infections improve the risk involving pregnancy difficulties.

Potentially hefty vaginal eliminate is common towards the end of maternity. If anyone saturate a new panty boat within some hours or wonder if your discharge can be leaking amniotic substance, contact your medical provider.

Third Trimester of Pregnancy

In this Article

In this Article

In this Article

Now that you’ve reached the third trimester, you’re in the home stretch of your pregnancy. You’ve only got a few more weeks to go, but this part of your pregnancy can be the most challenging.

Video Transcript

WebMD Pregnancy App.

In this article, you’ll learn what to expect during your third trimester of pregnancy. You’ll find out which symptoms are normal, and which ones may warrant a call to your doctor.

Changes in Your Body

Backache. The extra weight you’ve gained is putting added pressure on your back, making it feel achy and sore. You might also feel discomfort in your pelvis and hips as your ligaments loosen to prepare for labor . To ease the pressure on your back, practice good posture. Sit up straight and use a chair that provides good back support. At night, sleep on your side with a pillow tucked between your legs. Wear low-heeled, comfortable shoes with good arch support. To relieve back pain , use a heating pad and ask your doctor whether it’s OK for you to take acetaminophen .

Bleeding. Spotting may sometimes be a sign of a serious problem, including placenta previa (the placenta grows low and covers the cervix ), placental abruption (separation of the placenta from the uterine wall), or preterm labor . Call your doctor as soon as you notice any bleeding.

Braxton Hicks contractions. You might start to feel mild contractions, which are warm-ups to prepare your uterus for the real labor to come. Braxton Hicks contractions often aren’t as intense as real labor contractions, but they may feel a lot like labor and can eventually progress to it. One main difference is that real contractions gradually get closer and closer together — and more intense. If you’re red in the face and out of breath after your contractions, or they’re coming regularly, call your doctor.

Breast enlargement . By the end of your pregnancy, your breasts will have grown by as much as 2 pounds. Make sure you’re wearing a supportive bra so your back doesn’t suffer. Close to your due date , you may start to see a yellowish fluid leaking from your nipples. This substance, called colostrum, will nourish your baby in the first few days after birth.

Discharge . You might see more vaginal discharge during the third trimester. If the flow is heavy enough to soak through your panty liners, call your doctor. Close to your delivery date, you might see a thick, clear, or slightly blood-tinged discharge. This is your mucus plug, and it’s a sign that your cervix has begun dilating in preparation for labor. If you experience a sudden rush of fluid, it may mean that your water has broken (although only about 8% of pregnant women have their water break before contractions begin). Call your doctor as soon as possible after your water breaks.

Fatigue . You might have been feeling energetic in your second trimester, but are weary now. Carrying extra weight, waking up several times during the night to go to the bathroom, and dealing with the anxiety of preparing for a baby can all take a toll on your energy level. Eat healthy food and get regular exercise to give yourself a boost. When you feel tired, try to take a nap, or at least sit down and relax for a few minutes. You need to reserve all your strength now for when your baby arrives and you’re really not getting any sleep.

Frequent urination . Now that your baby is bigger, the baby’s head may be pressing down on your bladder . That extra pressure means you’ll have to go to the bathroom more frequently — including several times each night. You might also find that you’re leaking urine when you cough , sneeze, laugh, or exercise. To relieve the pressure and prevent leakage, go to the bathroom whenever you feel the urge and urinate completely each time. Avoid drinking fluids right before bedtime to cut down on unwanted late-night bathroom visits. Wear a panty liner to absorb any leakage that does occur. Let your doctor know if you experience any pain or burning with urination. These can be signs of a urinary tract infection .

Heartburn and constipation . They’re caused by extra production of the hormone progesterone, which relaxes certain muscles — including the muscles in your esophagus that normally keep food and acids down in your stomach , and the ones that move digested food through your intestines . To relieve heartburn, try eating more frequent, smaller meals throughout the day and avoid greasy, spicy, and acidic foods (like citrus fruits). For constipation, increase your fiber intake and drink extra fluids to keep things moving more smoothly. If your heartburn or constipation is really bothering you, talk to your doctor about what medications may be safe for you to take for symptom relief.

Hemorrhoids . Hemorrhoids are actually varicose veins — swollen veins that form around the anus . These veins enlarge during pregnancy because extra blood is flowing through them and the weight of pregnancy increases the amount of pressure to the area. To relieve the itch and discomfort, try sitting in a warm tub or sitz bath. Ask your doctor whether you can also try an over-the-counter hemorrhoid ointment or stool softener .

Shortness of breath. As your uterus expands, it rises up until it sits just under your rib cage, leaving less room for your lungs to expand. That added pressure on your lungs can make it more difficult to breathe. Exercising can help with shortness of breath. You can also try propping up your head and shoulders with pillows while you sleep.

Spider and varicose veins. Your circulation has increased to send extra blood to your growing baby. That excess blood flow can cause tiny red veins, known as spider veins, to appear on your skin . Spider veins may get worse in your third trimester, but they should fade once your baby is born. Pressure on your legs from your growing baby may also cause some surface veins in your legs to become swollen and blue or purple. These are called varicose veins. Although there’s no way to avoid varicose veins, you can prevent them from getting worse by:

  • Getting up and moving throughout the day
  • Wearing support hose
  • Propping up your legs whenever you have to sit for long periods of time.

Varicose veins should improve within a few months after you deliver.

Swelling. Your rings might be feeling tighter these days, and you may also notice that your ankles and face are looking bloated. Mild swelling is the result of excess fluid retention ( edema ). To reduce swelling, put your feet up on a stool or box whenever you sit for any length of time, and elevate your feet while you sleep. If you have sudden onset of swelling though, seek medical attention immediately as it may be a sign of preeclampsia, a dangerous pregnancy complication.

Weight gain. Aim for a weight gain of 1/2 pound to 1 pound a week during your third trimester. By the end of your pregnancy, you should have put on a total of about 25 to 35 pounds (your doctor may have recommended that you gain more or less weight if you started out your pregnancy underweight or overweight ). The extra pounds you’ve put on are made up of the baby’s weight, plus the placenta, amniotic fluid , increased blood and fluid volume, and added breast tissue. If your baby seems to be too small or too big based on the size of your belly, your doctor will do an ultrasound to check his growth.

Red Flag Symptoms

Any of these symptoms could be a sign that something is wrong with your pregnancy. Don’t wait for your regular prenatal visit to talk about it. Call your doctor right away if you experience:

  • Severe abdominal pain or cramps
  • Severe nausea or vomiting
  • Bleeding
  • Severe dizziness
  • Pain or burning during urination
  • Rapid weight gain (more than 6.5 pounds per month) or too little weight gain

American Congress of Obstetricians and Gynecologists: “Skin Conditions During Pregnancy.”

Department of Health and Human Services: “Varicose Veins and Spider Veins.”

Roberts, J.R., Hedges, J.R., eds., Clinical Procedures in Emergency Medicine, 5th edition, Philadelphia, Saunders Elsevier, 2009.

Gabbe, S.G., Niebyl, J.R., Simpson, J.L., eds., Obstetrics: Normal and Problem Pregnancies, 5th edition, Philadelphia, Churchill Livingstone Elsevier, 2007.

Bope, E.T., Rakel, R.E., Kellerman, R., eds., Conn’s Current Therapy 2010, 1st edition, Philadelphia, Saunders Elsevier, 2009.

Ratcliffe, S.D., Baxley, E.G., Cline, M.K., eds., Family Medicine Obstetrics, Philadelphia, Mosby Elsevier, 2008.

March of Dimes: “Weight Gain During Pregnancy.”

Sources of information:

http://www.healthline.com/health/pregnancy/third-trimester-concerns-tips

http://thirdtrimesterpregnancy.wordpress.com/

http://www.webmd.com/baby/guide/third-trimester-of-pregnancy

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