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2nd Week
3rd Week
4th Week
Your baby is about the size of a mustard seed!
5th Week
Your baby is about the size of a sesame seed!
6th Week
Your baby is about the size of a dahl seed!
7th Week
Your baby is about the size of a green gram!
8th Week
Your baby is about the size of a chickpea!
9th Week
Your baby is about the size of an amla!
10th Week
Your baby is about the size of a ceylon olive!
11th Week
Your baby is about the size of a strawberry!
12th Week
Your baby is about the size of a lime!
13th Week
Your baby is about the size of a mandarin orange!
14th Week
Your baby is about the size of a lemon!
15th Week
Your baby is about the size of a mangosteen!
16th Week
Your baby is about the size of an orange!
17th Week
Your baby is about the size of an avocado!
18th Week
Your baby is about the size of a pomegranate!
19th Week
Your baby is about the size of an apple!
20th Week
Your baby is about the size of a mango!
21st Week
Your baby is about the size of a bitter gourd!
22nd Week
Your baby is about the size of a cavendish banana!
23rd Week
Your baby is about the size of a coconut!
24th Week
Your baby is about the size of a grapefruit!
25th Week
Your baby is about the size of a banana flower!
26th Week
Your baby is about the size of a cauliflower!
27th Week
Your baby is about the size of a lettuce!
28th Week
Your baby is about the size of a radish!
29th Week
Your baby is about the size of an eggplant!
30th Week
Your baby is about the size of a durian!
31st Week
Your baby is about the size of a kekiri!
32nd Week
Your baby is about the size of a watana!
33rd Week
Your baby is about the size of a young jackfruit!
34th Week
Your baby is about the size of a breadfruit!
35th Week
Your baby is about the size of a gourd!
36th Week
Your baby is about the size of a pineapple!
37th Week
Your baby is about the size of a papaya!
38th Week
Your baby is about the size of a king coconut!
39th Week
Your baby is about the size of a pumpkin!
40th Week
Your baby is about the size of a melon!
41st Week
Your baby is about the size of a normal Baby!
You’re in the Month now, more weeks to go.

 

The First Three Weeks of Pregnancy (From Ovulation)

Are you dreaming of giving birth to a beautiful bundle of joy?

Are you a husband who wants to hold your child in your arms, watch them grow and proudly call them your son or daughter?

They say a family is never quite complete without children. Once a married couple settles down, more often than not they dream of giving birth to a child of their own to share their love for each other and dream anew!

There are many things you should get to know about becoming parents. We’re sharing things you should be aware of that happen inside the womb of a pregnant mum-to-be, as well as things you should do and avoid doing so that you can give birth to a beautiful and healthy child. Remember the pregnancy journey should be walked together and cherished by both parents.

 

 

Important things to know about conceiving

The probability of conceiving (without contraception) is 10% within the first month, 30% within three months, and 85% for a year. You can potentially become pregnant even in the remaining 15% (if the menstrual cycle is regular) without any treatment. In order for a mother to conceive, her hormonal systems must function properly. It also helps if there is awareness of the approximate fertility period, which we have addressed in other articles.

How to know if you’re pregnant

 

 

Delays in the menstruation cycle

The purpose of the menstrual cycle in a woman’s body is to prepare for conception. If conception has occurred, this cycle will stop functioning normally.

 

Nausea

Most mothers may experience nausea due to hormonal changes in the body. This is normal during pregnancy.

 

Minor changes in the breasts

This is also a common condition, which is caused by hormonal changes that occur during pregnancy.

 

Mild bleeding

Although it is not uncommon, it is wise to seek medical advice in the event of mild bleeding.

 

Fatigue

You will feel fatigue until your body becomes accustomed to these hormonal changes that are happening within you.

How to confirm if you are pregnant

If your menstruation cycle is still delayed after about a week from when you’re expecting it, you can test yourself from home using a pregnancy test. Nowadays there are highly sensitive test kits which can correctly identify pregnancy even after 2 days of conceiving. So it is often not necessary to go to the laboratory for this confirmation.

    • Make sure you read the instructions on the test kits carefully and follow them properly.
    • Inspect the expiry date and quality of the test kit.
    • It’s best to do the test early morning as the concentration of pregnancy indicators in urine will be higher then.
    • If negative, repeat the test after a few more days since you still may not be sure about the exact day of conception.

If the above results fail, see a gynecologist.

 

Article by Dr. Krishan de Silva, Obstetrician & Gynecologist at Balapitiya Base Hospital

 

The First Three Weeks of Pregnancy (From Ovulation)

Are you dreaming of giving birth to a beautiful bundle of joy?

Are you a husband who wants to hold your child in your arms, watch them grow and proudly call them your son or daughter?

They say a family is never quite complete without children. Once a married couple settles down, more often than not they dream of giving birth to a child of their own to share their love for each other and dream anew!

There are many things you should get to know about becoming parents. We’re sharing things you should be aware of that happen inside the womb of a pregnant mum-to-be, as well as things you should do and avoid doing so that you can give birth to a beautiful and healthy child. Remember the pregnancy journey should be walked together and cherished by both parents.

 

 

Important things to know about conceiving

The probability of conceiving (without contraception) is 10% within the first month, 30% within three months, and 85% for a year. You can potentially become pregnant even in the remaining 15% (if the menstrual cycle is regular) without any treatment. In order for a mother to conceive, her hormonal systems must function properly. It also helps if there is awareness of the approximate fertility period, which we have addressed in other articles.

How to know if you’re pregnant

 

 

Delays in the menstruation cycle

The purpose of the menstrual cycle in a woman’s body is to prepare for conception. If conception has occurred, this cycle will stop functioning normally.

 

Nausea

Most mothers may experience nausea due to hormonal changes in the body. This is normal during pregnancy.

 

Minor changes in the breasts

This is also a common condition, which is caused by hormonal changes that occur during pregnancy.

 

Mild bleeding

Although it is not uncommon, it is wise to seek medical advice in the event of mild bleeding.

 

Fatigue

You will feel fatigue until your body becomes accustomed to these hormonal changes that are happening within you.

How to confirm if you are pregnant

If your menstruation cycle is still delayed after about a week from when you’re expecting it, you can test yourself from home using a pregnancy test. Nowadays there are highly sensitive test kits which can correctly identify pregnancy even after 2 days of conceiving. So it is often not necessary to go to the laboratory for this confirmation.

    • Make sure you read the instructions on the test kits carefully and follow them properly.
    • Inspect the expiry date and quality of the test kit.
    • It’s best to do the test early morning as the concentration of pregnancy indicators in urine will be higher then.
    • If negative, repeat the test after a few more days since you still may not be sure about the exact day of conception.

If the above results fail, see a gynecologist.

 

Article by Dr. Krishan de Silva, Obstetrician & Gynecologist at Balapitiya Base Hospital

 

The Fourth Week of Pregnancy - Your Little One is the Size of a Mustard Seed!

Your little one is now inside your womb and is really small, the size of a mustard seed, at the fourth week of conception. Is this a little girl with mummy’s face? Or could it be a boy just like the father? You might be curious to find out, but there’s quite a long time to go before that’s possible, so be patient mum and dad! It’s okay to be excited and let your imagination and dreams fill you as you wait lovingly and impatiently for the day your baby finally arrives!

 

 

What’s happening inside?

This coming week will see the start of the tiny embryo in the womb growing, which means your little one’s body organs are starting to develop. The embryo is only about two millimeters long at this stage, and the placenta is beginning to form too. All the nutrients and oxygen needed for the growth of the embryo will be supplied through the placenta. But right now, this is just beginning to grow, so the placenta’s role is carried out by the fluids inside the water bag. Ultrasound scans at this stage will not be able to show you any details about the embryo but might show a small circular shape.

 

 

Signs and symptoms for mum

As soon as your little one arrived inside your womb, it triggered a host of hormonal changes within, which makes life uncomfortable for mum. The good news is that most expectant mothers become accustomed to this discomfort after a while. The little one’s father has an important role to play too! Dad, you’re the only one who can help mum get through this initial period of discomfort, so keep her spirits high.

 

Loss of appetite

It is normal for a pregnant woman to feel intense dislikes to various foods and smells. Don’t be surprised if you even begin to dislike your favourite food!

 

Nausea/vomiting

Most pregnant mothers have nausea/vomiting during this time. Only a few mums will go through this period without experiencing this. While commonly referred to as ‘morning sickness’, this can strike any time of day! Most mums will no longer experience this nausea after the end of the first trimester. However, there are a few mothers and women who experience this throughout pregnancy.

 

Frequent urination

The need for frequent urination is due to hormonal changes that have an effect on the kidney's blood flow, combined with the pressure on the bladder as the baby grows.

 

Changes in the breast

During this period as a result of hormonal changes, your breasts could become enlarged and hard. The increased sensitivity that happens during this time might result in experiencing pain even when they are touched.

 

Excessive exhaustion

These ‘hormonal changes’ (you’re probably tired of hearing these two words by now!) that occur during pregnancy do so many changes in your body that it can result in you feeling exhausted until you get accustomed to it.

Important tips for mum-to-be

  • Continue taking folic acid.
  • Don't be hasty to share the news of your pregnancy with everyone just yet.
  • Register with the family health officer of the area, before you complete 8 weeks.
  • Seek medical attention as soon as possible if you have abdominal pain or brown coloured bleeding.
  • Get 1 mg of folic acid vitamin (this is a water-soluble vitamin).
  • Though we don’t like to talk about it, any pregnancy has a 20% chance of miscarriage. One mistake to avoid if this happens is blaming yourself or others. It is best to understand this and let go of what has happened and look forward to your next pregnancy.

 

Article by Dr. Krishan de Silva, Consultant Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Fifth week of pregnancy - the size of a sesame seed

By now our little one is as big as a sesame seed. The miracle of childbirth is truly mind-blowing. The intricacies and details that go on inside a mother’s womb is truly fascinating. Each passing week will bring you closer to the day you finally hold that precious one in your hand.

What’s happening inside?

Now the baby inside the womb is growing even faster. By now the embryo has achieved a shape of a tadpole and just two millimeters in length.

The heart of this little embryo is now functioning. The blood circulatory system has commenced functioning too. The formation and development of the salivary glands, sweat glands, mammary glands, thyroid glands, and lungs, the urinary tract, the intestine, the liver, the pancreas, teeth and nails are now underway! Your little one is very busy! 

Still, there will be no sign or shape in your stomach to show your pregnant. An ultrasound scan can now detect a very small embryo.

 

 

Fifth week of pregnancy - signs and symptoms for Mum

The mother is experiencing hormonal changes in her body due to pregnancy. This week will be more of the same feelings of discomfort experienced the last week. This will remain a bit longer until your body gets used to these changes. Of course a few lucky mums do not face any such difficulties.

 

Loss of appetite

It is normal for a pregnant woman to start hating certain types of foods and smells. yes, even your favorite foods can fall victim to this! Don’t try to force eat. Wait till you regain an appetite for them.

 

Nausea / vomiting

Most pregnant mothers have nausea / vomiting during this time. There will be a few lucky exceptions! Unfortunately, morning sickness can cause nausea any time of the day. Good news is for most, this condition stops after the first trimester. However, there are some mum’s who experience this throughout pregnancy.

 

Frequent need for urination

The need for frequent urination is caused by hormonal changes that influence the kidney's blood flow and the pressure exerted by the womb on the bladder as the baby grows.

 

Changes in breasts

During this period as a result of hormonal changes, your breasts could become enlarged and hard. The increased sensitivity that happens during this time might result in you experiencing pain even when they are touched

 

Excessive Fatigue

These hormonal changes that occur during pregnancy are responsible for many changes in your body. Your body will feel exhaustion as it tries to cope up with all the changes.

Important tips for Mum-to-be

  • Continue taking folic acid.
  • Register with the family health officer of the area, before you complete 8 weeks
  • Make sure you attend the first maternity clinic. They will direct you to get the following tests done:
    • Measure mother's height and weight
    • Measuring blood pressure
    • Blood iron levels, blood type, HIV blood tests
    • Rhesus factor test
    • Glucose test
    • Thyroid test
    • Testing for hepatitis
    • HBA13 (examines how blood sugar levels have been controlled over the past three months)

 

Article by Dr. Krishan de Silva, Consultant Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The sixth week of pregnancy - the size of a lentil

Mum, you might be impatiently waiting for your baby bump to become visible. But your little one is still the size of a Lentil. So small! That means there are a few more weeks to pass before you get to see the bump! Is dad excited too? 

Don’t be deceived. Even though you cannot see from outside, your baby is growing up really fast.

What’s happening inside?

Now your embryo is C-shaped and about 5 millimeters in length. This lentil sized embryo is being fed and oxygenated by the placenta, as well as the developing umbilical cord.

Your baby’s adorable face is now taking shape with the formation of cheeks and jaws. Right now, there are black spots in the face, where their eyes and nasal spots will be. Formation of vital organs such as the lungs, kidneys and liver have also begun. The tiny baby hands and feet are starting to stick out.

The muscles of the brain are developing too. The heart rate of the embryo is estimated to be 90 to 160 times per minute. That is twice your heart rate.

 

 

The sixth week of pregnancy - signs and symptoms for Mum

You will continue experiencing most of the discomforts you experienced last week.

 

Loss of appetite

It is normal for a pregnant woman to feel intense dislikes to various foods and smells. Don’t be surprised if you even begin to dislike your favourite food!

 

Nausea/vomiting

Most pregnant mothers will feel nausea/vomiting during this time. The feeling could occur all throughout the day. Good news is that most mums will no longer experience this after the end of the first trimester. Yet there are a few mothers and women who experience this throughout pregnancy.

 

Frequent urination

The need for frequent urination is due to hormonal changes that influence the kidney's blood flow, combined with the pressure exerted on the bladder as the baby grows.

 

Changes in the Breasts

During this period as a result of hormonal changes, your breasts could become enlarged and hard. The increased sensitivity that happens during this time might also result in you experiencing pain even when they are touched

 

Excessive fatigue

The hormonal changes that occur during pregnancy do so many changes in your body that it can result in you feeling exhausted until you get accustomed to it.

When should a pregnant woman seek medical advice?

  • Signs of blood in your vomit
  • If you are vomiting everything you eat
  • The feeling of extreme lifelessness
  • If your eyes become yellowish
  • Inflammation in the urinary tract or inability to urinate for 8 hours or more

Important tips for Mum-to-be

  • Continue taking folic acid.
  • Register with the family health officer of the area, before you complete 8 weeks
  • Follow these tips to minimize general discomfort felt during pregnancy
    • Eat a small quantity of nutritious food before getting out of bed in the morning
    • Avoid staying hungry. Eat a nutritious snack every two hours
    • Avoid eating until your stomach is too full
    • Avoid eating any food that is not appetizing for you
    • Choose foods that are high in nutrition
    • Whenever possible, eat home-cooked meals
    • It is not advisable to take any medications without a medical recommendation.

 

Article by Dr. Krishan de Silva, Consultant Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The seventh week of pregnancy - big as a green gram!

Mum, your impatience is paying off. Your baby has doubled in size since last week. As big as a green gram!

The embryo is now 10 millimeters from head to toe (double the size of last week). Now the little one’s mouth is starting to develop in the embryo. Amazingly the tooth buds are beginning to form as well.

The eyes and nose are becoming more visible. Their shoulders, arms, and legs will keep on growing. Your baby's little fingers and toes are starting to show a little too! All the other organs that started forming earlier will keep on growing.

Bone marrow which is essential for producing blood cells in your baby’s embryo is almost completely formed!

 

 

The seventh week of pregnancy - signs and symptoms for Mum

This week too, you will face the same difficulties mentioned in previous weeks articles.  However, there might be signs of these conditions gradually reducing in the coming weeks. However, you may experience new challenges.

 

Loss of appetite

It is normal for a pregnant woman to feel a sense of amazement about the foods and their smells. No matter what kind of food you want to eat today, you may not want to look away.

 

Nausea/vomiting

Most pregnant mothers will feel nausea/vomiting during this time. The feeling could occur all throughout the day. Good news is that most mums will no longer experience this after the end of the first trimester. Yet there are a few mothers and women who experience this throughout pregnancy.

 

Frequent urination

The need for frequent urination is due to hormonal changes that have an effect on the kidney's blood flow combined with the pressure on the bladder as the baby grows.

 

Changes in the Breast

During this period as a result of hormonal changes, your breasts could become enlarged and hard. The increased sensitivity that happens during this time might result in experiencing pain even when they are touched

 

Excessive exhaustion

The hormonal changes that occur during pregnancy do so many changes in your body that it can result in you feeling exhausted until you get accustomed to it. However, make sure to share all the difficulties you are facing when you meet your doctor to get their opinion.

Important tips for Mum-to-be

  • Continue taking folic acid.
  • If you haven’t already, make sure you register with the family health officer of the area before you complete 8 weeks
  • Always remember that it is very important to provide factual information on every issue topic they ask you at the clinic.
  • Get advice if you have had diabetes during previous pregnancy / high blood pressure/kidney disease / congenital heart disease. Also, if your previous child was born with a weight less than 2.5kg.
  • Meet with your doctor and get an appointment for a scan to determine dates.
  • Make sure to attend pre-pregnancy sessions at the clinics.

 

Article by Dr. Krishan de Silva, Consultant Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The eighth week of pregnancy - Size of a Chickpea

Mom, you might still be feeling uncomfortable. But let your dreams of a beautiful future and the support of your loved one’s help you get through this time. Don’t think twice about reaching out for help and support from those who love you and those you trust.

What’s happening inside?

Your baby continues to grow very fast. There are massive changes taking place inside your womb. The embryo now has a human appearance. The distance between head to toe of the embryo is about 16 millimeters.

Your baby's shoulders, elbows and knees have continued growing. And the limbs have fingers and toes. The fetus might have subtle movements, but these movements cannot yet be felt by mum. Your baby’s brain functions have also started.

Meanwhile, in your baby’s heart, the separations of the chambers of the heart have begun. The heartbeat is around 150 times per minute. It's beating for you mummy and daddy.

Your baby’s beautiful face is also getting shaped. In the eight week your baby’s eyelids have just formed. As have the nasal passages below the nostrils. Those baby lips are getting formed ready to give you lots and lots of kisses. The tongue now has taste buds. Teeth have been stored under the gum. All of this starts during this week.

 

 

The eighth week of pregnancy - signs and symptoms for Mum

Hopefully, for most mums, by now early morning vomiting, need to urinate frequently and sleeplessness at night would have somewhat reduced or passed away. Yes, there are some mothers who will continue experiencing these conditions right until the end of the pregnancy period. While these symptoms have reduced for most moms, this might be a period where you encounter new challenges as your baby grows and your body continues to prepare for childbirth.

 

Subtle pain on both sides of the hips

Gradually your womb will expand. This will cause subtle pain on both sides of the hip, particularly if this is your first pregnancy.

 

Breasts change

By now your breasts are preparing to feed your baby. They might have expanded by about 2 inches. You might also experience some subtle painful sensations in your nipples. The areola has also begun to get darker.

 

Minor pain in the abdomen

This is especially common during the first pregnancy. However, if you notice any bleeding accompanying severe pain, you should immediately seek medical attention.

 

Pain in the spinal cord

This is another common condition during pregnancy. The pain happens when the expanding womb exerts pressure on the lower back of the spine. Maintaining a proper weight during this time will help minimize the inconvenience.

Important tips for Mum-to-be

  • Continue taking folic acid.
  • By now you must be registered with the Family Health Service Office. Don’t miss attending the clinic sessions on the due date.
  • Pay attention to your weight and maintain a healthy weight level.
  • If you are a mother who is overweight, consider the following:
    • Stay active by walking - at least 30 minutes a day.
    • Eat a nutritious, balanced diet.
    • Make sure you get your scans done regularly based on medical recommendations.
    • Consult your doctor for advice on maintaining your BMI weight.
    • Stay away from junk food.
    • Stay away from excessively sweet foods.
    • Eat clean, nutritious homemade food whenever possible.
    • Get the appropriate dose of folic acid vitamin prescribed by your doctor.
    • Substitute high carb foods (e.g. rice, bread with vegetables high in proteins) for dinner
    • Aspirin should be used only if prescribed by your doctor
    • Keep in mind that maintaining a proper weight is important to reduce the risks of diabetes/hypertension/ premature births and the incidence of cesarean section.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

Ninth Week of Pregnancy – Your Little One is the Size of a Nelli

Hold a Nelli fruit in your hand - this is how tiny your baby in your tummy is! So much is happening inside you to prepare the little one for the big day when they finally come out. Until then, we must be patient!

What’s happening inside?

By now, the basic development of the embryo is almost complete. It is about 23 mm in length (from head to toe). The placenta is now fully developed for hormone production.

The embryo's eyes are fully formed and they are covered with eyelids. The ears, mouth, nose, and nasal cavities are clearly visible. The heart is now separated into chambers (Left and Right Atria & Ventricles) and the vessels are beginning to take shape.

 

 

Signs and symptoms for mum

 

 

Need to urinate frequently

As your embryo grows so does your womb, which is now exerting pressure on your bladder.

 

Headaches

Stress, fatigue, hunger, dehydration and other conditions can cause a pregnant woman to have headaches. The infamous hormonal changes are also a reason for headaches experienced during the First Trimester. At this stage, it is best to avoid taking medication to treat headaches unless its absolutely unavoidable. Even then, get medical advice first.

 

Weight gain

Your weight may have increased by 1.5 kg by now. This situation varies from woman to woman. By now you will also sense that your body is full.

 

Itching on your stomach surface

As the womb expands it shifts forward bit by bit. This causes your skin to stretch a bit resulting in this itch.

 

Gastritis

This is another common condition that can occur during pregnancy. Get medical advice if needed.

Important tips for mum-to-be

  • Don’t forget to take folic acid vitamin.
  • Be active for at least 30 minutes a day.
  • Eat nutritious snacks.
  • If you are suffering from gastritis, here are some tips for minimizing its effects:
    • Stay away from carbonated beverages (fizzy drinks).
    • Avoid dairy products if you observe it causes gastritis.
    • Avoid foods high in carbohydrates.
    • Do not drink using bottles or straws.
    • Eat small quantities of food more frequently.
    • If you are distressed, take appropriate medication according to medical advice (there are medicines that are not harmful for pregnant woman).

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

Tenth Week of Pregnancy – Your Little One is the Size of a Weralu fruit

Pregnancy is one of the most precious moments in the life of a woman. Society and those around treat a pregnant mother with love, care and respect. Your friends and family are so happy for you. You must be looking forward to becoming a mummy for your little one!

What’s happening inside?

Your baby is about 30 mm from head to toe. Most of the embryo’s development is complete. Now your embryo will start developing embryonic tissues and organs.

The size of your baby’s head is almost half of the entire length of the embryo. Your precious one’s facial features can now be seen. The fingers and toes of the hands are fully functional. They can even bend their hands and legs. Soon they will start stretching their legs slowly and surely. Interestingly, the wrists of their hands are long enough to touch their face!

Your baby is starting to grow hair - it’s not black though!

The nervous and digestive systems have started to develop. The baby’s head provides enough space now for brain development. You can also see the spinal cord through the translucent skin and they now have a fully functional heart. Bones and cartilage are also being formed. That’s a lot of activity, right? But wait, there’s more going on! Your baby’s wrists, ankles and knees are also in the development stage. If it’s a baby girl, the ovaries are starting to take shape. If it’s a boy their testicles are starting to produce testosterone, a male hormone.

 

 

Signs and symptoms for mum

For most mums, the early discomforts they experienced would have ceased by now. For some these may continue for longer.

 

Your stomach is rounded

Yet, this is not enough to be visible for others to notice that you are pregnant.

 

Dizziness/depression/lack of focus

Changes in the cardiovascular and nervous system can cause these conditions. If you are feeling dizzy, try tilting your head. This will help increase the speed of blood circulation from your heart.

 

Gastritis

Although this is normal during pregnancy, you can minimize this condition by improving your eating habits. Eat on time, eat healthily! Check our previous weeks’ articles for more advice.

 

Blisters/acne on the skin

Excessive secretion of pregnancy hormones can result in high oil production in the mother's body. Cue blister and acne. Sigh!

 

Changes in vision

Due to increased blood volumes, the ‘white’ area in your eye (sclera) tends to get thicker and subsequently more curved. This could impact your vision, so consult an ophthalmologist if needed.

 

Risks of urinary infections

Due to hormonal changes, sometimes urine gets stuck in the urinary tract. In addition, these days mums drink less water. All of these factors increase the risk of urinary tract infections. Did you know approximately 6% of pregnant women show no symptoms even when they carry this infection? So, it is important for you to undergo a urinalysis. 

Important tips for mum-to-be

  • Continue taking folic acid.
  • Take care to prevent urinary tract infections. Here are some helpful tips:
    • Drink more water/liquid (it is important to drink at least 3 litres a day).
    • Avoid being constipated.
    • Avoid holding back urine. Urinate as frequently as needed.
    • Maintain cleanliness.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

Eleventh Week of Pregnancy – Your Little One is the Size of a Strawberry

Mum, you might not feel it, but your little one inside you is very active inside. In a short time, you will start to feel it too. That’s not all, they can now hear what’s happening outside.

What’s happening inside?

The embryo is now around 45 mm long. It's little heart is beating at around 120 to 160 beats a minute. The little baby face now is well-formed including the outer ear. Your baby’s skin is now covered with ‘hair bulbs’. Their sensory abilities are kicking into gear as well. Their tender soft baby skin is starting to gain thickness. Meanwhile, your baby is also starting to hiccup. Why is that you ask, concerned? Nothing to worry mum, it’s because their great diaphragm is starting to develop. Also, one of the veins connected to the naval now transports nutrition and oxygen needed for the baby, while blood is returned through two arteries. These are amazing developments.

 

 

Signs and symptoms for mum

 

 

Your stomach is not yet visibly protruded

 

 

Constipation

Most mum’s face this uncomfortable situation during pregnancy. Want to minimise it? Eat a well-balanced / nutritious diet, as well as a diet high in fibre. Exercising regularly will also go a long way to help prevent this.

 

Your hair and nails are growing fast

As you might have guessed this too is a common condition during pregnancy. You may not have even noticed! However, some mothers might notice their hair has become shinier and harder to control. This condition will cease after childbirth.

 

Headaches

With all the hormonal changes going on, headaches are normal. However, if you have suffered from migraines before pregnancy, your headaches might be more pronounced.

 

Weight gain

By now you would have gained on average 2 kg. This will vary from woman to woman. If you have a weight problem, your doctor will tell you how to take care of it.

Important tips for mum-to-be

  • Keep taking folic acid vitamin.
  • Schedule a date between 11-14 weeks for a scan.
  • Follow a well-balanced / nutritious diet.

    Take care of your oral health. The oral health of a mother can also affect the oral health of the newborn baby. So, it’s time to visit your dentist. Here’s some tips for taking care of your oral health:

    • Clean your teeth daily, no matter how you feel.
    • Rinse your mouth after snacks.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

Twelfth Week of Pregnancy – Your Little One is the Size of a Lime

Congratulations mum! You are completing 1/3rd of your journey towards motherhood! It must’ve been tough adjusting to everything brought about by hormonal changes. Has anyone told you that you glow? Yes, the hormonal changes inside of you, together with the joy and anticipation that’s building up is resulting in a beautiful glow. While the journey ahead has its passing challenges, the reward at the end will be worth a lifetime!

What’s happening inside?

Your little one is about 54 mm from head to toe and looking more and more like a human baby. Their mouth is beginning to form so they will be ready to suck milk as soon as they’re born. They can close their eyes as well as look all around and their ears are now in the right position. They can open and shut their fingers as well as curl up their toes. By now the intestines too have fully developed and begun to move into the abdominal cavity. Nerve cells are rapidly multiplying, and the kidneys have started processing urine.

 

 

Signs and symptoms for mum

Now the early discomforts you felt by and large would have passed away as your body gets used to hormonal changes. However, there are some mums who will still experience discomfort.

 

You might’ve gained 2 kg

This is quite normal. However, the amount of weight gained will vary from woman to woman. Pay attention to your doctor’s advice.

 

The need to urinate frequently

As your little baby grows, so does your womb. When this happens, the womb exerts pressure on your bladder causing the need to urinate frequently.

 

Your body looks fuller than usual

As your body gains weight, it is quite natural to look fuller.

 

Radiant and sensitive skin

Hormonal changes during pregnancy can increase both the brightness and sensitivity of the skin.

 

Itching on the surface of the stomach

With the womb expanding, the skin on the stomach will start stretching. This results in an itch on top of the skin.

 

Stretch marks on your stomach, breasts and thighs

Your skin will start showing signs of stretching (stretch marks).

 

Gastritis

Start eating smaller quantities more frequently. Avoid filling your belly all at once. As mentioned in previous articles, avoid situations/food that can cause or aggravate gastritis. Get medical advice if needed.

Important tips for mum-to-be

  • Keep taking folic acid.
  • Don’t forget to complete the scan due to be done between week 11-14.
  • Go for the nuchal translucency (NT) ultrasound scan if the doctor recommends.
  • Your doctor might recommend you to do the Non-Invasive Prenatal Test (NIPT).

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

Thirteenth Week of Pregnancy – Your Little One is the Size of Baby Mandarin

You are now officially entering the second trimester of your pregnancy. Generally, doctors advise pregnant mums not to share the news with a larger audience during the first trimester as there is a higher risk of miscarriage during the first trimester. Should this happen it creates unwanted stress on a mum having to share the sad news. As you enter the second trimester, you can now spread the good news with your friends and family.

 

What’s happening inside?

Did you know that your little one is already busy sucking their thumb inside your womb by now? Their little hands venture to touch the environment around them, but you will still not feel anything. With a well-rounded structure formed your baby is about 70 millimeters in height. Their head right now is four times the size of their entire body! The little one is practicing drinking by opening their mouth to drink the fluids in the placenta and also to urinate. The baby's pancreas and gallbladder have also been formed.

 

Signs and symptoms for mum

 

 

You still don’t look pregnant

Even though your tummy has protruded a bit due to the expanding womb, it is still difficult for anyone to notice that you are pregnant.

 

Colostrum production in the breast has begun

Colostrum is an immune-protein-rich milk essential for your baby’s protection and health after being born.

 

The areola will become darker

Some women have small bumps around it too. This is common during pregnancy.

 

Visible blue veins on your breasts

This is common during pregnancy.

 

Difficulty in taking deep breaths

Around 60-70% of moms experience difficulties taking deep breaths during this period. So do not worry, this is not unusual. There are some mums who find it hard to take short breaths too, which is also not unusual. Be sure to talk to your doctor if you have any concerns.

Important tips for mum-to-be

  • Continue to take folic acid vitamins as well as other vitamins prescribed by your doctor.
  • Make sure you obtain services offered by government / private sector hospitals and clinics. This is important for you and your little one’s wellbeing.
  • Don’t miss pre-natal consultation clinics held at government hospitals on time.
  • If your doctors recommend so, get the Cell-Free Fetal DNA (cffDNA) test.
  • Also get the beta human chorionic gonadotropin (beta-hCG) test, Pregnancy-associated plasma protein-A (PAPP-A) test and estriol (uE3) triple tests.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

Fourteenth Week of Pregnancy - Your Little One is the Size of a Lemon

As your hips and stomach expand, this is the right time to consider a wardrobe change. Shifting to more comfortable clothes will make life much easier, so now is the time to go shopping. Buy some comfortable clothes that won't feel tight, and don’t forget that your little one will be listening in.

What’s happening inside?

Your little one has the ability to express emotions in their face, as their facial muscles are now formed. That’s not all, they can nod too! Their tiny brains have started to function, and their fingers can now grab things.

Your rapidly growing baby now weighs about 43 g and is about 87 mm in length from head to toe.

 

 

Signs and symptoms for mum

 

 

Back pains

Up to 50% of pregnant women suffer from back pain. Women who were overweight or inactive before pregnancy are highly susceptible to this.

 

Gastritis

Pregnant mothers who have had gastritis before pregnancy can overcome this. We have shared more details about this previously. If needed, seek medical advice.

 

Abdominal pain

Some pregnant mothers, though not all, may suffer from abdominal pain. Consult your doctor if necessary.

 

Symphysis pubis dysfunction (SPD)

SPD is a rare condition seen mostly in women who live mostly inactive lifestyles. This is where the ligaments that normally keep your pelvic bone aligned during pregnancy become too relaxed and stretchy too soon before birth (as delivery nears, things are supposed to start loosening up). This condition will disappear after childbirth. Refer medical advice if needed.

Important tips for mum-to-be

  • Continue to take folic acid vitamin and other vitamins as prescribed.
  • Follow these tips to avoid back pain
    • Avoid overeating.
    • Avoid wearing high heels.
    • Begin exercises such as swimming / floating on the water with the help of another / yoga, which will strengthen the muscles around the abdominal area after seeking proper medical advice.
    • Follow the right posture when sitting and standing.
    • Avoid standing for too long.
    • Avoid sleeping face up, and turn to one side before getting up from the bed.
    • When bending make sure you bend down with both knees.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

Fifteenth Week of Pregnancy – Your Little One is the Size of a Mangosteen

Your little baby is growing smarter! Unknown to you, he or she is up to a lot of mischief inside your tummy. It won’t be too long before you start feeling them.

What’s happening inside?

By now your little one is 101 mm in length from head to toe. Their skin is very soft and transparent. They can also move their hands and feet quite well. Now the placenta controls the water levels as well as purifies it to maintain the right balance for the embryo. You might have noticed typically doctors do not emphasize much on the length of the embryo but focus on the circumference of the head, abdomen and bone length of the fetus.

 

 

Signs and symptoms for mum

 

 

The stomach is now visibly protruding

If you are generally thin, people may still struggle to notice that you are pregnant. If you are a lucky mum with twins, by now your growing stomach will be more noticeable. Each mum’s pregnancy journey will vary slightly so do not worry about your outward appearance.

 

Increased salivating

Your dear friend ‘hormonal changes’ is responsible for this too. This is a common condition during pregnancy.

 

Gastritis

Stick to regular mealtime habits. For more details, you can read our previous articles. You can also get medical advice if needed.

 

Lack of sleep

By now about 70% of mums lose the ability to enjoy a good night’s sleep. There are multiple reasons for this such as inability to sleep in your preferred posture because of your growing stomach and/or frequent urination and sleeping in the afternoon.

 

Cramping

Progressive weight gain and a shift in the center of gravity weakens your abdominal muscle, causing spasms that result in cramps.

 

Feeling of discomfort - physical and psychological

Along with the hormonal changes, it is a common experience for most pregnant mothers to feel this way. So, try to stay busy and engage yourself in activities that will keep your mind busy.

 

Need to urinate frequently

The expanding womb is now exerting pressure on the bladder making you urinate frequently.

 

Gastroesophageal reflux

This is the result of an increase in the level of progesterone in the body. The reason for this is that during pregnancy, the valve connecting the stomach and the esophagus loosens, resulting in acidic liquids travelling up the valve. Approximately 50% of pregnant mothers suffer from this condition.

 

Nose blocks

The hormonal changes have caused swelling in the mucous membrane which results in congestion inside. This too is a common condition.

 

Weight gain

It is normal to gain weight every week, but this will vary from mother to mother. If you have a weight problem, your doctor will notify you.

Important tips for mum-to-be

  • Continue to take folic acid vitamins and other vitamins as prescribed.
  • If your doctor recommends it, get the noninvasive prenatal test (NIPT) - It tests the DNA of the embryo that is mixed with the mother's blood.
    • The test can identify Down syndrome / Edwards syndrome / Patau syndrome / Turner syndrome / Kleinfelter syndrome / Triple X syndrome / Jacob's syndrome based on the presence of more or less normal chromosomes.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

Sixteenth Week of Pregnancy – Your Little One is the Size of an Orange

Has everyone started to comment on your looks mum? One reason for this is your skin, which is now bright. For once ‘hormonal changes’ have done you a favour! Your skin looks radiant all the time, which is called the pregnancy glow. Truly a beautiful sight!

What’s happening inside?

Your little one’s head is roughly 116 mm in length. There are many changes that start this week in their internal and external body, which will continue over the next few weeks. We will have all the updates for you mum! Their eyebrows have started to form and in the next few weeks, the little one will double in size and weight. As we mentioned earlier, during pregnancy, growth is measured by the circumference of the head, the abdomen, and the crown-rump length of the embryo.

 

 

Signs and symptoms for mum

 

 

Weight gain of about 3.5 kg

This will vary based on each mum, so do not worry about this. If there is any problem with your weight, your gynecologist and obstetrician will give you the right advice.

 

Looking radiant and bright

This is due to ‘hormonal changes’.

 

Changes in nails

Your nails might grow faster but they will be more brittle. This again is due to hormonal changes that occur during pregnancy. This is normal and will return back to old ways after childbirth.

 

Increased blood production

Your body is stepping up its blood production to cater to both you and your fast-growing baby. A pregnant mum will produce up to 50% more blood than a normal woman.

 

Nasal congestion and a runny nose

About 30% of pregnant mums experience this combination!

 

Increased vaginal secretions

As your body produces more blood it results in higher production of estrogen in the pregnant mother. This secretion is an odourless flow. If yours causes itchiness and has a milky feel, you should consult a doctor for medical advice.

Important tips for mum-to-be

  • Continue to take folic acid vitamins and other vitamins as prescribed.
  • When taking iron tablets, be aware of the following:
    • Consume it one before dinner or two hours after.
    • Wait at least an hour before you consume any food, tea, or coffee.
    • Vitamin C tablets help absorb iron pills well into your body (if you are taking iron pills prescribed by private sector doctors your pills will not need the extra Vitamin C supplements).
    • Avoid taking calcium / other vitamin tablets along with the iron tablets.
    • Make sure you take your worm treatment.
  • Don’t forget to get the tetanus vaccine on the 16th week.
  • Talk to your little ‘womb-occupant’ while rubbing your tummy, they can hear you!

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Seventeenth week of pregnancy - Size of an Avacado

Is dad talking to the little one? He should! Is he so excited that he forgets to talk to you! Give dad the inside scoop of what his little on has been up to during the day?

What’s happening inside?

Now your little one is about 13 cm from head to toe. What’s more, their body has started to produce fats it needs. Their outer ear has now moved to the right position. Their skeleton structure which until now was pure cartilage is now transitioning to bones.

The placenta now produces thousands of red cells. Skin is filling up with the needed sweat glands. It is essential that you adopt a healthy diet and a good lifestyle because the nutrition you consume is essential for you and your little one’s wellbeing and development.

 

 

The Seventeenth Week of Pregnancy - signs and symptoms for Mum

  • Many of the inconveniences you felt in the early stages of pregnancy has gone away

 

 

Hello Dizziness and imbalance!

Your body's centre of gravity has changed, causing these natural consequences. So, you need to be careful.

 

Digestive problems

The enlarged womb is exerting pressure on the abdominal organs. Not to forget hormonal changes. This will pass away after giving birth.

 

Increased vaginal secretions

As your body produces more blood it results in higher production of estrogen in the pregnant mother. This secretion is an odourless flow. So, if yours causes itchiness and a has a milky feel, you should consult a doctor for medical advice.

 

Gastroesophageal reflux

This is the result of an increase in the level of progesterone in the body. The reason for this is that during pregnancy the valve connecting the stomach and the esophagus loosens, resulting in acidic liquids travelling up the valve. Approximately 50% of pregnant mothers suffer from this condition.

Important tips for Mum-to-be

  • Continue to take folic acid as well as other vitamins and medications prescribed by your doctor.
  • Don’t forget to schedule appointments for upcoming scans.
  • Walk (it also helps lower blood pressure)
  • Eat an early dinner

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Eighteenth week of pregnancy - Size of a Pomegranate

You’ve been reading these updates patiently (or impatiently) wondering when you will finally feel your little one’s movements, right mum? If this is your first pregnancy, you will have to wait just a little while longer.

 

What’s happening inside?

The little one is about 142 millimeters in height from head to toe. Your baby’s intestines have started to fill up with meconium (stools that are black in colour). If your little mischievous one is a baby girl, her uterus and fallopian tubes have been fully formed and are in their right place.

If yours is a baby boy, their prostate glands and sexual organs are still being formed.  So, it is still difficult to confirm your baby’s gender just yet.

 

 

The Eighteenth Week of Pregnancy - signs and symptoms for Mum

 

 

Noticeable movements

If this is your second or third pregnancy, you might have started to feel your baby's movements. If this is your first, any movement you feel is most likely your active imagination! But it won’t be too long mum. Experiencing movements will vary from mum to mum. However, if you don’t feel any movements even after 22 weeks have passed, you should seek medical attention.

 

Increasing interest in eating

Extreme hunger is very common at this stage. But you should make sure that you eat small quantities of food occasionally and not overeat all at once.

 

Forgetfulness

This is very common during pregnancy. To avoid any major inconveniences, it might be a good idea to write down important things to do. Don’t worry though this will stop after birth and maybe pass on to dad in case he doesn’t have it already!

 

Faintish

This can be due to the increase in blood production or low blood pressure experienced during pregnancy. This condition can be further aggravated if you don’t consume adequate water or eat food on time which results in low blood sugar levels. You can seek medical advice if needed.

 

Back pains and a general feeling of discomfort

 

 

Weight gain

Weight gain is normal but will vary from woman to woman. Pay attention to your weight and try to maintain at the optimal levels.

 

Fungal infections around the vagina

30% - 35% of women will experience this complication known as ‘Candidacies’. These infections can cause a white discharge accompanied by itchiness. If it is really uncomfortable for you, you can take medication after consulting your doctor. This will not cause any harm to your baby.

Important tips for Mum-to-be

  • Continue to take folic acid vitamins and other vitamins as prescribed.
  • Schedule dates for upcoming scans.
  • Walk (it also helps lower blood pressure)
  • Maintain cleanliness
    • Hormonal changes during pregnancy can cause vaginal discharges. Make you urinate more frequently. This will create a moisture level around your vagina. This moisture can be a hotbed for fungi / bacteria develop, resulting in infections. Therefore, it is important to keep your vaginal area clean and dry.
    • Make sure you use clean underwear.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Nineteenth week of pregnancy - Size of an Apple

Mom and dad are dreaming of a beautiful healthy baby. In the clinics dad finds out that his little baby is absorbing a lot of calcium from mummy. Dad is worried about mum getting weak. Dad won’t allow mum to avoid eating healthy and taking vitamins now! 

 

What’s happening inside?

Your baby embryo continues its rapid growth. That is why it is important for you to have nutritious food. The little one’s head is about 15.3 millimeters in height now. They can even smell, taste, look and even touch. If you could look you would see a protective wax called ‘vernix caseosa’ all over their skin.

 

 

The Nineteenth Week of Pregnancy - signs and symptoms for Mum

 

 

Changes in the Body’s balance

By this week your womb has shifted near the Naval. And as your abdomen grows larger, the centre of gravity of your body begins to shift. So be careful when you are attending to your day to day tasks.

 

Back Pain

Always use flat-footed footwear, avoid heavy lifting, do not stand up for long periods, put a pillow between your legs while sleeping, get a back massage. These will help ease the pain.  Also, always make sure to use the right posture.

 

Exercise

You may not like it but exercises at this stage can be greatly beneficial for your body. But don’t forget to get medical advice to identify what exercises you should engage in and avoid. Healthy exercising will help ease many discomforts your feeling and also strengthen your body to prepare for childbirth.

 

Dizziness / forgetfulness

Although some mothers might have passed this phase for some these conditions will continue right until the third trimester.

 

Blocked nose

As mentioned in the previous articles, using a nasal drop on medical advice can minimize the inconvenience.

 

Cramping

This is a common condition during pregnancy. During a cramp stretch your legs and flex your toes towards the direction of the knees to reduce pain.

Important tips for Mum-to-be

  • Continue to take folic acid vitamins and other vitamins as prescribed.
  • Get the urine test
  • Find out more information about the paediatricians in your area. It will help you after the baby is born.
  • Participate in pre-natal clinic sessions
  • Visit the clinic on the due date and make sure you get all the tests they direct you to.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Twentieth week of pregnancy - Size of a Mango

Congratulations Mum! You have now completed half term. There’s more to go! But you are much closer than when you started. The remaining time will fly by too!

 

What’s happening inside?

Your little one now has a great ability to suck. They did practice a lot using their finger! The body is also preparing itself to digest better. Your baby has started to pass stools! Your baby’s intestines are being used to store up stools.

Your baby is approximately 164 millimeters in height (from head to toe). Many functions now are practicing to prepare for life in the external environment after birth.

 

 

The Twentieth Week of Pregnancy - signs and symptoms for Mum

 

 

Your pregnant tummy can be clearly seen

Outsiders can now quickly recognise that you are pregnant. Don’t fret if anyone says your tummy doesn’t look like the size it should be. Remember everyone’s pregnant journey is different. If you do have any worries seek the opinion of a doctor, not someone unqualified.

 

Dizziness / forgetfulness / cramping

You might have overcome these issues by now. Or they might remain the same. This variability is normal, and you should not worry about them. All of this will pass once you give birth. So, take time to relax and rest to help your body.

 

Sleep deprivation

Frequent urination/cramping can disrupt your sleep. If you are a stay at home mum, your day time naps can also result in less sleep at night.

 

The Areola is dark black now

Hormonal changes during pregnancy increases the production of melanin pigments. So, this too is a common pregnancy condition

 

Black spots all over your body

You might start noticing Black spots on your nose, cheeks, forehead, chin, and upper lips. You guessed it… it is due to hormonal changes and increased melanin pigment production in your body. These spots will go away after giving birth.

 

Abdominal contraction

This will be another common experience for some mums during the second trimester of pregnancy. Seek medical attention if you experience noticeable pain with abdominal contractions

 

Abdomen has expanded right to your naval

Traditionally in the second trimester, the growth of a baby was determined by measuring the distance from the top of the fundus to the top of the symphysis pubis. It is usually around 20 cm. But today, a scan can more accurately measure the growth of a child.

Important tips for Mum-to-be

  • Continue to take folic acid vitamin and other vitamins as prescribed.
  • If you suffer from diabetes, epilepsy, high blood pressure or other conditions during pregnancy, take the necessary treatment.
  • Make an appointment to get an anomaly scan during 20 - 24 weeks
  • If you want, you can consult a doctor to get a scan to determine whether it is a baby boy or a girl.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Twenty-first week of pregnancy - Size of Bitter Gourd

Your baby loves to play in your womb, hearing your heartbeat bring them comfort! This is truly a beautiful experience only a woman could experience in her life. If you rest your hand on your tummy you will feel the occasional poke. Dad should try talking to the little one too, keeping his hand on mum's tummy. Will the baby respond?

 

What’s happening inside?

Now your baby doesn’t always remain in the fetal position but loves to stretch themselves. This means we can measure their length more easily through a scan. Your little one is about 265 millimeters from head to toe. The eyebrows and eyelashes are visible. If your little one is a girl, her vagina is now being formed.

 

 

 

The Twentieth-first Week of Pregnancy - signs and symptoms for Mum

 

 

Baby's movements can be easily felt

By week 20 - 22, mummy can feel her little one’s movements much more clearly. There may be times when these movements are intense. However, there could be delays in noticing these movements if mummy is overweight or if the placenta is placed in front of the womb. In any case, if you don’t feel movements by this time period it’s best you consult your gynaecologist.

 

Blackheads and stretching on the abdomen, breasts and buttocks

You might be sick of hearing this, but this too is normal during pregnancy. Hormonal changes and stretching of your skin are the culprits here. These stretch marks may take two or three years to fade. Unlike other conditions stretch marks will not fully fade away.

 

Back pains

We talked about this earlier. There are some steps you can follow to relieve your pains such as massaging the sore areas with either warm or cold water, getting a proper massage or trying out some Yoga exercises.

 

Weight gain

Since weight gain can vary from woman to woman, consult with your doctor for medical opinion if you feel there is an issue.

 

Swelling of the feet

This usually occurs after 24 weeks, but if you are a mother of twins you might start experiencing this now. The swelling up will increase gradually as you get closer to childbirth. This condition will pass away after childbirth.

Important tips for Mum-to-be

  • Start talking, singing, reading stories to your baby. They can hear you well.
  • Listen to music.
  • Engage in religious activities.
  • Continue to take folic acid and other vitamins as prescribed by the doctor.
  • Keep walking and exercising regularly.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Twenty-second week of pregnancy - Size of a big green banana (anamalu)

Are you struggling to keep a check on your emotions? To top it all off, you have become forgetful too. It might be easy to become depressed but let’s not forget about that precious bundle of joy who’s inside your womb waiting to see mummy. So at times like this, listen to your favorite songs, sing a song to your child, take a break from the monotony, go out with dad.

 

What’s happening inside?

Now your little one looks like a regular baby. Feeling their movements inside of you can make mom feel better. You can interact with them. Such interactions will lay the building blocks for a loving emotional relationship.

The baby’s height from head to toe is about 278 millimeters. Their lips, eyebrows, eyelashes are well-formed. Even though the eyes have taken shape the black ingots have not yet been fully formed. Under the gum inside the mouth, baby teeth are still being formed. Meanwhile, baby skin now has a coating of smooth hair to protect their soft skin as well as keep them nice and warm. Skin which was at first wrinkled is now smoothening.

 

 

The Twentieth-second Week of Pregnancy - signs and symptoms for Mum

 

 

Your body has grown

Your abdomen, breasts, thighs and buttocks all have expanded in size. This is common during this time.

 

Your skin is bright

You can thank the increased blood flow and hormonal changes throughout the body.

 

Occurrence of acne

If you have oily skin, you may notice acne. If the acne is severe, consult a dermatologist. Normally this condition recedes after childbirth.

 

Excessive dryness of skin

You could use a mild lotion to combat the dryness. Get a doctor’s advice before selecting the lotion. Dry skin conditions normally go away after childbirth.

 

Forgetfulness

As mentioned in previous articles, this is normal during pregnancy so there is no need to fear. This too will pass after giving birth.

 

Weight Gain

As mentioned in previous articles, this can vary from woman to woman.

Important tips for Mum-to-be

  • Continue to take all your prescribed vitamins, including folic acid vitamins.
  • Go for the Anomaly Scan.
  • Attend pre-pregnancy clinic sessions without fail.
  • Don’t miss the routine clinic dates and relevant tests.
  • Start making a list of items you will need to buy for your little one.
  • Get involved in religious activities as much as you can.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Twenty-third week of pregnancy - Size of a coconut!

Did mom and dad get together and make a list of all items needed for the baby? The closer you get to the due dates, the harder it will be for mum to walk a lot and to go shopping. So, it is best to start preparing by buying all the needed items as early as possible. Is mum good at stitching? Are you planning to stitch your baby’s baby gowns?

 

What’s happening inside?

By now your little one is about 28.9 centimeters tall and continues to be very active. Their hands and legs move so fast and mummy feels it and smiles. Your little one can hear better than ever before. This is also the time your baby is being prepared to breathe after being born.

 

 

 

The Twentieth-second Week of Pregnancy - signs and symptoms for Mum

 

 

Fetal movements are even more noticeable

This is the time your stomach will show movements, sometimes you might even see protrusions as the baby's moves.

 

Your abdomen is protruding further

Your abdomen is expanding as the womb expands to cater to your growing baby.

 

Sleep deprivation

Cramps, frequent urination, stress can make sleeping at night harder. This can be further aggravated if you are in the habit of sneaking in some naps during the daytime.

 

The emotional roller coaster

Hormonal changes will play havoc with your emotions as you experience ups and downs like a fast-moving roller-coaster. This too will fade off after childbirth.

Important tips for Mum-to-be

  • Make sure to get the Anomaly Scan.
  • Get proper vitamins/medicines as prescribed.
  • Start buying items on the baby list.
  • Allocate some time to relax.
  • Engage in religious activities.
  • Listen to music.
  • Write down the thoughts that arise in your heart when you think of your little one.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Twenty-fourth week of pregnancy - Size of a Grapefruit

If this is your first childbirth, you will have thousands of questions running inside your head. If this is your second or third childbirth, you may worry about your older children. That is natural being a Mom/ A mother always cares about all her children.

One important thing you need to know at this stage is. The negative emotions in your mind can negatively impact your child. So, take a decision to worry less and face life and its challenges. The love you have for your children will help you navigate all these challenges you are worrying over. Learn to think positively and happily at all times. 

 

What’s happening inside?

Right now, your little one has a small body that is about 30 cm from head to foot. But in the next few weeks, things will change rapidly. By now the baby’s inner ear have fully developed. The cells that are needed for thinking and memorisation has also fully developed inside your little one’s head.

Even though for now baby has transparent skin, this too will change very soon. Little baby hair on their head is white because there is no pigment. That’s not all, inside their body, another vital task is being carried out. The production of white blood cells that are needed to prevent infections has now commenced.

 

 

The Twentieth-fourth Week of Pregnancy - signs and symptoms for Mum

 

 

Your little one’s movements now have a pattern

The baby movements have grown in intensity. If you pay careful attention you will actually be surprised to notice certain patterns. If you observe these longer you will start to recognize when they are sleepy or active.

 

Increase Vaginal discharges

For majority of women, there’s nothing to worry. We mentioned in previous articles that this is normal during pregnancy. This is due to the increased volume of blood being circulated inside your body as a result of all the hormonal changes that have been going on. You should seek medical attention if the discharge has a bad odour or is coloured.

 

Sleeplessness

Sleep deprivation can be caused by cramps, the need to urinate frequently.

 

Nose blocks

Due to increased hormone production during pregnancy, the mucous membrane swells up inside of you. You could use a nasal drop to find relief but always get medical advice.

 

Extreme hunger

As mentioned in previous articles, this also is normal during pregnancy. In such time grab a light, nutritious snack to satisfy those hunger pangs.

 

Need to urinate frequently

This is due to the enlargement of the womb and the subsequent pressure it exerts on the bladder.

 

Weight gain

There’s no standard when it comes to what is the right level of weight gain since this can vary from woman to woman. Always rely on your doctor’s advice.

Important tips for Mum-to-be

  • Make sure to take the vitamins and medications prescribed by the doctor, at the right time.
  • You should definitely undergo an anomaly scan before the end of this week.
  • Spend time with your family to engage in both physical activities as well as mentally relaxing activities.
  • Engage regularly in exercises such as walking/swimming/ aerobics as instructed by a qualified professional.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Twenty-fifth week of pregnancy - Size of a Banana Flower

You are nearing the end of the second trimester of pregnancy. Are you having long conversations with your little one? Yes, your baby loves to hear and respond to your voice. If you pay attention you will feel these reactions. His favourite past time, however, is sucking his fingers.

 

What’s happening inside?

Your little baby is approximately 346 millimetres long. His body is looking much more complete.  The white baby hair has now turned black. The nostrils have opened and the little one is breathing in the amniotic fluid (the fluid in the water bag) just as he would air! As well as sucking their thumbs your baby now has developed a new ability - yawning!

 

 

 

 

The Twenty-fifth Week of Pregnancy - signs and symptoms for Mum

In addition to the pain, tiredness, and soreness that you have experienced in the past few weeks, many pregnant women experience the following conditions too.

 

Loss of balance

As we mentioned before, your centre of gravity is constantly changing with your ever-expanding stomach.

 

Increased hair thickness

Hormonal changes in your body is the reason behind this. So this too will pass off once you give birth.

 

Breathing difficulty

Taking deep breaths can be difficult now with your stomach being stretched.

 

Headaches

Are you suffering from headaches? Here are some things you can do to minimize the pains.  Place hot/cold compresses to your head, manage the stress levels in your body, be aware and avoid food types that may cause headaches. You can reach out for doctors advice to use painkillers but do so only as prescribed.

 

Carpal Tunnel Syndrome (CTS)

For some pregnant mums, the main symptoms of CTS will be, numbness and tingling in the thumb, index finger and middle finger. For some, this might occur only in one hand while for others it could be on both hands. The pain may increase during the night. Try keeping your hand in a hanging down position.

 

Increasing weight

The amount of weight gain will vary based on each mum. Don’t worry, your doctor will inform you if they have any concerns about your weight and advise you on any necessary action.

 

Pain in the ribs

The enlargement of the womb, the rapid deposition of fat in the embryo and the pressure placed on the ribs by your little one’s head are the culprits here! This will go away once you have given birth. In the meantime make sure you always practise correct postures. 

Important tips for Mum-to-be

  • Continue to take folic acid vitamins and other vitamins as prescribed.
  • Schedule dates for any upcoming scans.
  • Participate in prenatal clinics regularly.
  • Listen to music.
  • Try and buy all the necessary items on your baby list (including what you will need to take for delivery).
  • Stay active at least by walking 30 minutes a day.
  • Start exercises your doctor might  have recommended to help your body prepare for delivery.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Twenty-sixth week of pregnancy - Size of a Cauliflower

Is it a boy or is it a girl? Did you ask your doctor? Or do you want to be surprised at delivery? If you are undecided, there are some advantages to finding out early. Most mums like to adorn their baby girls in pink dresses and baby boys in blue. Not to mention purchase utensils in similar colours too. However, some parents have an easy alternative. They choose colours such as white and light yellow. Mum and Dad this is entirely up to you!

 

What’s happening inside?

Your little one is about 356 millimetres in height from head to toe. Your baby has now learnt how to join their little hands together and touch their toes.

Similar to the 25th week, your baby’s lungs are practising breathing. They inhale and exhale the Amniotic fluids through the nostrils. This is essential for them to breath once they come out!

Your baby can hear very well, mum. They now recognise different voices. Their eyes are fully formed. However, the pupil is not yet black, since there is no pigment formation. The fat deposits in the body are already in place. Your baby’s nerve system is being developed. 

 

 

The Twenty-sixth Week of Pregnancy - signs and symptoms for Mum

 

 

Increased Vaginal discharges

We talked about this in previous articles. Seek medical attention if there is any discolouration or a bad odour.

 

Cramping

Try following these instructions to minimise cramping. Avoid standing for long periods of time. Try not to keep your legs crossed while sitting. Rest on your left side since it doesn’t restrict blood flow from your heart to feet. Get professional advice on stretching exercises you can do on the areas that get cramps.

 

Nose blocks

About 30% of pregnant mothers have this condition. Since this can prevent you from getting much-needed sleep, you could ask your doctor about getting a nasal drop to use occasionally. Always follow the prescribed usage.

 

Extreme hunger pangs

Keep snacking on nutritious snacks in between the main meal.

 

Frequent need to urinate

Your enlarged womb is putting pressure on the bladder.

Important tips for Mum-to-be

  • Get a nutritious balanced diet.
  • Take all the necessary vitamins at the right time.
  • If you suffer from any medical conditions, make sure to take the medication prescribed by your doctor.
  • Read books/blogs or watch videos about pregnancy.
  • Attend clinics regularly.
  • Make sure you have completed all the recommended scans.
  • Purchase the items needed for you and your baby.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Twenty-seventh week of pregnancy - Size of a salad tree

This is the end of your second trimester. Why not celebrate going on a short vacation? If this is your first pregnancy, this might be the last trip mum and dad can go by themselves (for a long time to come). Once the little one arrives you can’t leave them behind after all!. However, it is important to consult your doctor beforehand.

 

What’s happening inside?

By now, your little one is about 366 millimetres in height from head to toe. Your baby has got used to patterns of sleeping, waking up, sucking their fingers and also hiccuping.

They will also be urinating a small amount of amniotic fluids they ingested every three hours, With brain functions, increasing so too are the level of activities that are going on inside your womb. Your baby’s lungs and the immune system are busy being developed.

 

 

 

The Twenty-seventh Week of Pregnancy - signs and symptoms for Mum

Over the previous articles, we discussed conditions such as back pain, breathing difficulties, cramping, swollen ankles, need to urinate frequently and fatigue. Some of these conditions can persist until the end of pregnancy.

Going forward you need to pay particular attention to the following:

 

Fluid discharges from the vagina

If you notice fluids flowing from your vagina, this might be because your baby’s water bad has broken. In such a situation the umbilical cord can come out. You need to get admitted to a hospital as soon as possible.

 

Bleeding

You may notice bleeding depending on where your placenta is placed inside.  Placenta Abruption, however, is harmful to both mum and the baby. In such a situation, immediate hospitalization is essential.

 

Lack of baby movements

Doctors usually advise mum to keep track of the number of baby movements. Normally you should be feeling around 10 movements a day. This can change from child to child. But if you feel concerned that you have not felt any movements of if there is a reduction in movements you should seek medical attention immediately.

 

High fever

Conditions such as Dengue and Influenza can put mum and baby at risk. So you need to consult a doctor quickly if you have a high fever.

 

Breathing difficulties

If you experience sudden and acute discomfort when breathing you should seek medical attention as it could be linked to heart conditions.

 

Symptoms of High blood pressure

if you have symptoms such as headaches, blurred vision, light sensitivity, vomiting, and facial swelling these could be symptoms of high blood pressure. You need to seek medical attention as soon as possible. Delays could lead to a condition known as Eclampsia (Seizures due to high blood pressure).

 

High blood glucose levels

If you have been diagnosed with diabetes during pregnancy, it is very important to regularly check blood glucose levels, follow proper advice and to take medication and insulin therapy as prescribed. Make sure to refer your test report to a doctor quickly. If your blood glucose levels have increased further you should admit yourself to a hospital for medical attention.

 

If the pregnant mother suffers a fall or has an accident

In such situations, the need for hospitalisation will depend on the severity and the type of accident. If the condition is severe, you should definitely be hospitalized.

There are some medical treatments in a hospital which require you to fast. So if you are being admitted, avoid eating or drinking anything. This will help you get treatment faster.

Important tips for Mum-to-be

  • Take all vitamins and medications as prescribed by your doctor
  • If you have diabetes, follow the necessary tests and consult your doctor for reports and advice.
  • If you have high blood pressure, consult with a medical practitioner before further complications.
  • Be prepared for any emergency. Keep your bags (this should include items needed for baby as well) packed and ready to rush to the hospital without any delays.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

Twenty-eighth Week of Pregnancy – Your Little One is the Size of a Radish

Now we are heading into the third trimester. Congratulations, you have completed 2/3rds of a very special journey. Each day that passes brings you even closer to the day you will finally hold your bundle of joy. Life’s most rewarding gift a mum could ever ask for!

So have mum and dad finished packing for the little one? Make sure all items are properly washed and cleaned. If mum is too tired, dad can help? You need to work as a team.

 

What’s happening inside?

Your little one now weighs about 1 kg all-packed into a body which is around 37.5 cm high (from head to toe). His lungs are now capable of both inhaling and exhaling. Your little one is also getting used to a pattern of sleeping and waking up.

The tiny little brain is making billions of neurons inside. Your baby’s eyesight has improved greatly and they can now see the light coming through mum’s stomach skin and even blink! Fat accumulation in the body is already underway. Your little one is hiccupping several times a day.

Understanding fetal movements (i.e. the usual number of movements for a day) inside your womb is essential because you need to be alert and able to identify any abnormalities (should it occur) to seek medical advice urgently.

 

 

Signs and symptoms for mum

 

 

Back Pains

You are not alone, with up to 50% of pregnant women suffering from back pains. Typically, most who suffer from back pains are those who were less active, obese or had polyneuropathy before becoming pregnant.

 

Cramping

This is a common condition during pregnancy. Make sure to stretch your legs and flex your toes towards the knees. This should help ease the pain quickly.

 

Breathing difficulties (shortness of breath)

As the womb grows, it exerts greater pressure on mum’s diaphragm, making it difficult to breathe. This is a common condition during pregnancy.

 

Need to urinate frequently

This is also due to the enlarged womb exerting pressure on the bladder.

 

Lack of comfortable sleep

About 70% of mothers lose their sleep during this stage. Main reasons behind this are loss of posture, cramping, frequent urination and sleeping in the afternoon.

 

Fatigue

Hormonal changes that causes multiple changes in your body is to be blamed!

 

Swelling of the feet

This usually occurs after 24 weeks. Typically, this condition resolves after you give birth.

 

Weight gain

You will be gaining weight every week now. Exactly how much you gain will vary from mother to mother. If you have a weight problem, your doctor will notify you. As you have discovered over the past few weeks, pregnancy brings about several changes. One might wonder how you cope with it all. But a mother’s love can bear it all. Surely, there is no greater example of the endurance and strength of a woman than the journey of a pregnant mum.

Important tips for mum-to-be

  • Continue to take vitamins and medications as prescribed.
  • Redo the OGT tests if the previous test’s results indicated a negative Hemoglobin count.
  • Rh-negative mothers should take the antibody test (you will need to take Anty D according to medical advice).
  • If you were identified as an ‘at-risk’ mother, you will need to regularly attend scans to assess embryo growth and blood flow.
  • You will need to visit the clinic fortnightly (from 28 to 36 weeks) for tests and consultations (frequency might change depending on each mum).

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

Twenty-ninth Week of Pregnancy – Your Little One is the Size of an Egg Plant

Your precious one now has her own set sleeping routine. Does she sleep cozily at night or is she up? This pattern might continue even after they are born! You will need dad to help you a lot especially during the first few days after giving birth. You need to recover!

 

What’s happening inside?

Your little one will weigh around 1.05 kg and their height from head to foot is about 38.6 cm. The body is becoming proportionately larger than it was before and bones are getting stronger. Those baby eyes are becoming active by the day!

 

 

 

Signs and symptoms for mum 

 

 

Constipation

This is normal during this stage, so try and add lots of fiber to your diet and drink plenty of water.

 

Back pain

Up to 50% of pregnant women suffer from back pains. Typically, most mums who suffer from back pains are those who were less active, obese or had polyneuropathy or some sort of back pains before becoming pregnant.

 

Cramping

This is a common condition during pregnancy. Make sure to stretch your legs and flex your toes towards the knees. If unbearable you should get medical advice.

 

Breathing difficulties (shortness of breath)

This is a common symptom at this stage of pregnancy. As the womb grows, it exerts greater pressure on your diaphragm.

 

Need to urinate frequently

This is also due to the enlarged womb exerting pressure on your bladder.

 

Lack of comfortable sleep

Main reasons for this are the loss of posture due to your big tummy, cramping, waking up to urinate frequently and naps you take during the afternoon.

 

Fatigue

This is due to hormonal changes that occur during pregnancy.

 

Swelling up of the feet

This is a condition that normally comes up around week 24 and continues till childbirth. It might increase in severity over the coming weeks.

 

Nose block

As we shared earlier the increased hormone production during pregnancy causes the mucous membrane to swell up. This again is a common condition.

 

Weight gain

You will continue gaining weight every week. The amount gained will depend on each mother. If you have a weight problem, your doctor will notify you. Mum, this list is growing longer isn’t it? But so is your baby. You will forget all about this once you have your little one in hand. So stay strong & hold on!

Important tips for mum-to-be

  • Continue to take the vitamins and medications as prescribed.
  • Hope you have been attending clinic sessions. These sessions educate you on a wide range of topics such as:
    • What you need to bring when you admit yourself to the hospital (for you and your baby).
    • Early signs of childbirth.
    • Delivery options (caesarian vs. natural).
    • How to breast feed.
    • Possible post pregnancy complications
    • Infant care.
    • Family planning
  • Don’t miss out on obtaining your iron, calcium, vitamin C and worm supplements from the clinics.
  • Make sure you collect the Thriposha packets offered by the clinics (Thriposha is not suitable for mothers with diabetes).
  • Make sure you check the latest updates relating to your fetal growth, urinary protein and blood pressure at all clinic sessions.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Thirtieth week of pregnancy - Size of a Polos

How are you doing mum? It is becoming more uncomfortable now. Those around you will not find it easy to understand what you are going through. So reach out for help from those around you. Are you finding yourself to be more irritable? This is the exhaustion and discomforts takings its toll. Give a heads up to those around you and maybe even apologize in advance?

 

What’s happening inside?

Your baby is growing rapidly and weighs about 1.3 Kg. The height from head to toe is about 39.9 cm. The levels of amniotic fluids inside the womb are now decreasing to accommodate more space needed for your little one.  Did we mention your baby is now preparing to come out? Their baby skin is getting covered with a protective coating of fine baby hair. Their body is storing of iron, calcium, phosphorous. Fat deposits are increasing.

 

 

 

The Thirtieth Week of Pregnancy - signs and symptoms for Mum

 

 

Back and hip pains

These pains are normal for this stage as your body gets ready for delivery.

 

Breast milk production has commenced

It is a common condition during pregnancy. Breastfeeding is the primary source of nutrition for your little one. So there is no need to be afraid of that.

 

Lack of sleep

Sadly this is now unavoidable. You may have lose sleep due to various reasons, such as having to wake up constantly to urinate, cramps, back pains. If you can, try to catch up some missed sleep during day time.

 

Weight gain

Your weight keeps growing. There’s nothing to worry! Your doctor is keeping tabs on things.

 

Swelling of the feet and ankles

This is caused by hormonal changes during pregnancy. Are your feet looking big? this will reduce after childbirth.

 

Your Naval has grown too

This can happen with the abdominal enlargement. This is the time you need some distractions. Your little one can hear you mummy. Why not sing a sweet song for baby, if you are creative why not write a new poem? If you enjoy reading try reading or engaging in religious activities. Do you best to relax and stay calm.

Important tips for Mum-to-be

  • Get the appropriate vitamins and medications as prescribed
  • Exercising is a great way to help you through this period. Exercise with proper instructions can help you feel better, ease your breathing and help sleep a little bit more
  • Read books to relax your mind
  • If you are vegetarian, Make sure you get enough protein/vitamin C / folic acid /iron as well as calcium during this time.

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

S

 

The Thirty-first week of pregnancy - Size of a Cucumber

We can now count the number of weeks with our fingers mum. Yes, your baby is just 10 weeks away! Soon, your baby will be 40 weeks old.

 

If your little one stays the full term you can expect them to come during the 39th-40th week. Who knows your little one might spring a surprise and come a bit earlier during week 37 - and week 38! It’s always best to be prepared!

Exciting news right mum? We told you all of this will be worth it.

 

 

What’s happening inside?

Your little one has reached a height of 41 Cms. Weighs about 1.5 kg. The length of a cucumber. They are now so active in your womb, even turning their heads sideways. Their movements are much more intense. So intense it might even wake you up from a good sleep.

 

 

 

The Thirty-first Week of Pregnancy - signs and symptoms for Mum 

 

 

The Naval looks even more prominent

By now your womb is roughly 4.5 inches above the naval. It is common during pregnancy to see the centre of the Naval become elevated. It will recede a few months after giving birth.

 

There are many last-minute changes in the breast

The breasts are prepping to feed your new arrival. You will feel them increasing in weight. The areola is even darker and there are more lumps on your breasts. These are natural changes that occur during the latter part of pregnancy.

 

Chest inflammation, digestive problems

Due to the large size of the womb, eating large quantities of food can delay the digestion and cause chest inflammation. So always eat in smaller quantities and try to eat less acidic meals.

 

Blurredness the eyes

This too is the handiwork of hormonal changes in your body, which is affecting the blood circulation in your body. Don’t worry this will fade away after giving birth. Mum you can literally start counting fingers to the day your precious bundle of love and joy comes out. Remember, you never know when they might pop-out. So stay alert! 

Important tips for Mum-to-be

  • You might not feel like it at all. But you should not miss any of the prescribed vitamins and medication. For your sake and your child!
  • Listen to gentle music, read books, and exercise
  • Stay alert about the little one’s movements. If you have received a card from the clinic keep recording on it.
  • Keep all your doctor’s reports, tests results and anything else of importance in one file and at hand. So you can take them in case you need to rush to the hospital.

 

Article by Dr. Krishan de Silva, Consultant Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Thirty-second week of pregnancy - Size of a Batana

Mum, you must be tired, right? We know. But take courage now your on the final stretch. The finish line is at sight. And the reward is great.  Your body is spending a lot of energy to maintain both you and your baby. So you need to make sure you eat well. Find much time as possible to relax and rest. But don’t spend too much time on bed and stay lethargic. These days your focus should be on the finish line!

 

What’s happening inside?

By this time, your baby will weigh around 1.7 kg. The height from head to foot is about 42.4 cm. This little one is taking up more space in your womb. Over the next few weeks, it will grow faster. Their hair and nails are also growing. If only you could touch their skin is so very soft!

 

 

 

 

The Thirty-second Week of Pregnancy - signs and symptoms for Mum

 

 

 

Extremely tiring times

Dont be alarmed mum. This is the new normal in the third trimester! But make sure you are eating well to recover. Take a break. Get a short nap. Stay energized.

 

Back Pain

It is a common condition during pregnancy. While there’s no way around it you can help yourself by maintaining good postures when you sit and stand also by using a cushion to support your overworked back muscles when your rest or sleep.

 

Pain / swelling of the feet

You must be dreadint to look at your feet. But this is only for a few more weeks. Pay attention to your postures - when sitting or standing. Get professional advice on how to improve your postures.

 

Faster heart-beat

Hormonal changes combines with increased blood volumes are now making your heart work overtime! If it is becoming painful or if t s leading to breathing difficulties you should seek medical advise

 

Frequent urination

Another common condition due to the large womb. Don’t reduce your water intake because of this. Rather make sure you drink plenty of water. If not the frequent urination can cause dehydration and that will make you feel even worse.

 

Lack of sleep

You must be getting used to not getting a good nights sleep. But it can be very tiring. So try to sneak in naps whenever possible during the day time to catch up on all the sleep you are missing.

Only a mum understand the effort and sacrifices needed to give birth to a child. During this final stages focus on eating nutritious meals. Quality of the meal is more important. Also try and get rest as often as possible. Through all of this discomforts smile and stay happy. It will be beneficial for you and your baby.

Important tips for Mum-to-be

  • Keep taking your vitamins and medications without fail
  • Keep a file containing all your medical details in your handbag
  • Talk to your doctor about all your fears and concerns relating to childbirth
  • Discuss with your doctor on how to minimise labour pains
  • Attend clinics regularly on relevant dates

 

Article by Dr. Krishan de Silva, Consultant Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Thirty-third week of pregnancy - Size of a Polos

Your little one doesn’t yet understand what it is to be held in your arms. But you never know when he might come out. Are you worried about this uncertainty? Whatever happens, it is best to be prepared. This means mum and dad needs to be ready. We don’t just mean packing bags. Mum, you have to be mentally prepared too!

 

What’s happening inside?

Your baby is putting on weight so fast. Now an average baby weighs nearly two kilos. Their average height is close to 44 cm. This little active bundle of joy now is comfortable inside the womb. His bones are stronger and your abdomen must be feeling the effects of his much strong kicks and punches. Are you worried he will become a kickboxer?

 

 

 

 

The Thirty-third Week of Pregnancy - signs and symptoms for Mum

 

 

 

Excessive tiredness

This is common during this period. As your baby grows greater the energy your body expends on behalf of them.

 

Ankle/foot swelling

This is common and more extreme when a mother is living in a warmer climate. Try to keep your feet rested and elevated. This will offer you some relief. Don’t worry this will fade away after birth.

 

Pain and numbness in your fingers and wrists

In addition to numbness and pain, there may be swelling on the supportive tissues in your hands and wrists. Try to relax and rest your hands whenever possible to minimise its effects.

 

Need to urinate frequently

This will continue to be the case until your delivery since your bladder is getting pressed by the enlarged womb.

Are you afraid of being hospitalised? This might be a new experience for you and this might instil fear. Most mums have this inherent fear. But the joy of giving birth will give you all the necessary strength and courage to face this and overcome. Remember when this is all done you will be leaving the hospital,  bringing back a new member to your family!

If you are a mother who has had premature births, twins or more or if you have abnormalities in the uterus/cervix, do not delay to see your doctor at any time.

 

Important tips for Mum-to-be

  • If you have ever had premature babies or stillbirths, seek medical advice whenever necessary.
  • If doctors have informed you that there are abnormalities in your womb or cervix, seek medical advice at all times to ensure that childbirth is not compromised.
  • If you are a mother with twins or more, seek medical advice whenever necessary to ensure that childbirth is not compromised.
  • Try to visit and become familiar with the facilities in the hospital you are planning to admit to. This familiarity will help you overcome any further anxieties during childbirth.
  • Consult a doctor or family health care officer about all that goes on during childbirth
  • Find out if you will be able to keep your husband/mother with you during the labour.
  • Learn about things you could do these days,  which will help reduce labour pain

 

Article by Dr. Krishan de Silva, Consultant Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Thirty-fourth week of pregnancy - Size of a Breadfruit

The day you hold your little one is now even closer. If you are working, hope you have discussed your maternity leave details with your office. If you can manage, try to go to work till the last possible day. This way you can save those precious maternity leave to spend time with your little one.

 

What’s happening inside?

Now the little one weighs around 2.2 Kg. And their height is about 46 centimetres. Their nervous system is functioning well. Their tiny baby lungs are all ready to breathe after birth.

 

 

The Thirty-fourth Week of Pregnancy - signs and symptoms for Mum 

 

 

 

Fetal motion

This week, unlike previous weeks, your little one’s movements will be more noticeable and visible. It can also be painful.

 

Need to urinate frequently

Yes, this will continue till you give birth.

 

Difficulties in walking

Your little one has turned inside your tummy. This is an important milestone in the baby’s preparations to come out. However, this is causing more discomfort to your hips, making it harder to walk

 

Excessive stress

Excessive weight gain, hormonal changes and changes can result in creating more stress in your

 

Back pain

We have mentioned this in several previous articles. Always remember to use proper posture to reduce back pain.

 

Fatigue

This is common these days. Your baby has grown in size and weight. This means your body needs to spend more effort and more energy.

You have kept your baby for 34 weeks now. Just a few more weeks to go mum. So if you haven’t done already, find out more about the process of childbirth. Speak to your doctors. This extra knowledge can dispel myths and irrational fears that might pop inside your mind. Also can go a long way in ensuring you have a safe childbirth. After all that has been your dream all along!

 

Important tips for Mum-to-be

  • Be prepared for labour at all times.
  • If you are a mother of twins or more, It is more likely you will give birth earlier. There is a 50% chance of giving birth to twins before 37 weeks.
  • Be aware of childbirth and what you should do in the hospital
  • Be aware of childbirth and eliminate unnecessary fears
  • Do your best to stay relaxed and stress-free
  • Practice religious activities according to your religion
  • Don’t forget the respiratory exercises you were trained at clinics. This will help you in delivery

 

Article by Dr. Krishan de Silva, Consultant Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Thirty-fifth week of pregnancy - Size of a Gourd fruit

Mummy and daddy are ready to welcome the little one. There are more preparations to do. Mum is acting like she’s forgotten all her discomforts. She and dad are now busy cleaning and tidying up the rooms to welcome the special visitor who will soon call it their own!

 

What’s happening inside?

All your baby’s organs are now fully formed and functional. Their height is now around 46 centimetres. While they weigh more than 2.3 Kg. That’s not all, your little one is now more active than ever. Their kicks are becoming more intense. It's like the baby’s impatient to come out!

Their fully functional kidneys are all ready to carry out its duties.  The longest you will have to wait now is around 5 weeks! But who knows if that day will come earlier. So always stay alert and prepared.

 

 

 

The Thirty-fifth Week of Pregnancy - signs and symptoms for Mum

The discomforts you have felt over the past weeks will continue. If you want to find out more about any of the following you can refer our previous articles.

 

 

Need to urinate frequently

You may recall how we explained in previous articles that this is due to the excessive pressure exerted on the bladder by the enlarged womb.

 

Difficulties in walking

Your little one has turned inside your tummy. This is the reason for your newfound discomfort.

 

Back Pain

The pain you feel might increase over the coming weeks. So pay attention to your posture. Practising the right posture will help ease your pain.

 

Fatigue

This is common during this stage. The reason for this is the extra energy your body has to expend to maintain your growing baby.

 

Pelvic Pressure

This might be new and you might panic thinking you are moving to labour. But this is your body’s way of practising for the real deal!

By this week you and your baby have crossed a significant milestone. From now on your baby is ready to come out anytime. When will that be? Your baby’s keeping it a secret Mum!

 

Important tips for Mum-to-be

  • Prepare the luggage for the hospital
  • If you are a mother planning to undergo caesarean section on medical advice, be prepared to be hospitalized according to the date and time that was given to you
  • Be aware of the advantages and disadvantages of general delivery vs cesarean section
  • If you are a mother who does not have complications and is able to give birth without any hindrance, You should prioritise general birth. Familiarise yourself about General birth so that you can dismiss any irrational fears from your mind.
  • Do not ask doctors for caesarean section when there is no medical reason
  • You need to start breastfeeding soon as the little one comes out. So take the time to learn more.

 

Article by Dr. Krishan de Silva, Consultant Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Thirty-sixth week of pregnancy - Size of a Pineapple

It is natural for a mum to have concerns and fears at this point. Also, there’s nothing wrong with being impatient!  But for a moment why not take some time to reflect on this miraculous journey you have embarked on over a period of 36 weeks? If you have any specific concerns about childbirth don’t wait. Talk to your doctors and get your questions answered. Consider this. The opportunity to experience general birth is a privilege some mums will never have. So don’t make a decision based on what you have heard others talk about. Consult your doctor so that you will be fully informed.

 

What’s happening inside?

Now your little one weighs over two and a half kilos. They will be gaining roughly 30 grams each passing day. Meanwhile, their height is around 47 centimeters.

 

 

The Thirty-sixth Week of Pregnancy - signs and symptoms for Mum

 

 

 

Your stomach has grown even more

Your tummy has rented out a space of close to 3.2 Kg for your baby.

 

Back pain

These pains can increase as you get closer to giving birth. The best way to minims these pains is to focus on the right postures.

 

More vaginal discharge

We have mentioned this before. Do not delay seeking medical advice if there is any discoloration or bad odour in the discharge.

 

The baby's movements are greater than before.

The amount of transformation that happens in a pregnant mothers body is indeed no small miracle. Think back to the first weeks and consider today. It has been amazing, right?

 

 

Important tips for Mum-to-be

  • Be prepared to get hospitalized anytime
  • If you have any religious rituals complete them now.
  • If you haven’t already got to know all you need to know about general birth.

 

Article by Dr. Krishan de Silva, Consultant Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Thirty-seventh week of pregnancy - Size of a Papaya

Your little one’s growth and transformation over the many weeks that passed is spectacular.  Now your baby is truly ready to face the real world. Not alone of course, they need the loving care of their mum and dad to guide them through life.

 

What’s happening inside?

The little babe is nearly three kilos (2. 850 Kg) in weight. Their height is roughly 50 cm. A baby can be born at any time between week 37 and 42. Even though your little one’s body is fully capable of thriving in the outside environment there’s more brain and lung development that is currently going inside. This process requires another 2 weeks to complete! Now you know why his still delaying his grand entrance!

 

 

 

 

The Thirty-seventh Week of Pregnancy - signs and symptoms for Mum

 

 

 

Don’t worry mum, but your little one’s fetal movements might reduce

 

 

A thick Vaginal discharge or bleeding may occur now

 

 

Severe discomfort in the lower abdomen and hair loss

 

 

The womb starts to contract, at the same time you will feel a rhythmic pain inside

 

 

A regular contraction and expansion of the womb 

 

There are three stages of normal delivery

  1. The first stage of normal delivery

    Phase I consists of two stages: The latent Phase and the Active Phase.

    • The Latent Phase

      Birth pains gradually develop, This will result in a cervical dilation from 0-4 cm. If this is your first pregnancy this stage will take up to 16 to 18 hours (It will take about 8-12 hours if this is your second pregnancy).  Hospitalization at this stage is not required (however, hospitalization is urgently needed if the water bag has been damaged and there’s a significant fluid loss/bleeding). Take some prescribed painkillers and also engage in the breathing exercises. Pay careful attention to the pattern of these pain and any unusual fetal movements.

    • The Active Phase

      During this stage, you will have a cervical dilation from 4-10 cm. This stage might require approximately 6 - 10 hours or longer. From then on your cervix will dilate by approximately 1cm every passing hour. Hospitals will admit a mum into the labour room only if the cervical dilation has exceeded 4 cm.

  2. The second stage of normal delivery

    It will take approximately 1 hour for your little baby’s head to pop out after the cervical dilation has been completed. You need to help the medical team by breathing and pushing as they direct you. Don’t try to rush mum. Following the instruction will minimise any possible complications. Some times the medical team might decide that mum requires a small procedure called an epi-cut to minimise damages to their vagina.

    After Birthing

    • Once the baby is out, the first thing the doctors will do is place this bundle of joy on mums breasts for skin-to-skin contact.
    • During this time (within a short period of 3 minutes) the baby will be receiving the entire iron content they need for a year through your blood that will flow through the umbilical cord. Now the doctors will cut off the umbilical cord (if baby and mum are all ok).
  3. The third stage of normal delivery (placental discharge)

    This usually takes about half an hour. Injections are administered to minimize bleeding. If for any reason the placental discharge doesn’t happen during this time, the medical team will take necessary steps to take it out.

    The weekly count is almost nearing completion mum. The day you finally carry your baby is almost here! It’s not Mom, everyone in your family is eagerly awaiting this special moment.

 

 

Important tips for Mum-to-be

  • Get advice on Pelvic Floor exercises (to prevent uterine dysfunction)
  • Find out more about the facilities available in the labour room, that could make this experience comfortable

 

Article by Dr. Krishan de Silva, Consultant Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Thirty-eighth week of pregnancy - Size of a King coconut

We assure you that you will forget all about the pain and discomfort you are going through soon as you see the face of your little bundle of joy. Labour pains are considered one of the most painful experiences humans will experience in their lifetime. However, the degree of pain varies from woman to woman.

 

Some mums fear normal delivery, perhaps because of previous experiences, misinformation, or ignorance. It may be that the mother is scared to give birth to her baby. We won’t be wrong if we say the actual pain a mum will feel during labour depends mostly on her state of mental strength.

As we mentioned earlier its best for you to be fully aware of the benefits and the entire experience a mum will go through in the event of normal delivery. Did you know that Sri Lankan hospitals are fully equipped with various facilities to help reduce the labour pains you experience?

 

What’s happening inside?

By this time, Your little one’s last-minute developments too are almost completing. They now have full physical functionality to live in this brave new world they will soon discover. Your baby is now nearly 20 inches (19.5 in) tall from head to toe.

 

The Thirty-eighth Week of Pregnancy - signs and symptoms for Mum

 

Baby’s movements are intense and painful

This is because your little one’s limbs are fully formed and fully functional

 

The little baby’s head is now turned towards the womb

This is an important development which is needed for baby to come out through normal delivery

 

Changes in the cervix

If your cervix is ??thin, it will dilate easily. Your doctor will inspect all of this and keep you informed

 

Foot/ankle swollen

This has been your normal situation for the past weeks. Pressure in your body and its veins has impacted blood circulation. This results in this increased swelling up. If you notice an unusual condition, seek medical advice.

 

Milk flow from the breasts

Breast milk is now being produced to feed the baby

  • Consult a doctor if you have persistent headaches, blurred vision, visual acuity, abdominal pain, or nausea

Are you spending time worrying about childbirth? In particular the pain? Don’t worry mum, today there are many ways to reduce this pain. As a mum, you have every right to ask what your options are to reduce pain.

In most private hospital wards, they allow the little one’s father to stay close to mum during labour. In some government hospitals, they allow mum to be accompanied by another close female relative or friend.

Important tips for Mum-to-be

  • Be aware of these factors which will help you identify when you are heading to labour
    • Abdominal contractions / abdominal cramps / back pain
    • Vaginal bleeding
    • Feeling the baby moving towards the lower abdomen
    • Recognising when the water bag has been broken / release of fluid
  • You should be aware of some of these key moments you should seek urgent medical advice
    • Experiencing six or more contraction pains within an hour
    • Thick vaginal discharge or bleeding
    • Severe labour pains
  • Learn about ways you can reduce labour pains

 

Article by Dr. Krishan de Silva, Consultant Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Thirty-ninth Week of Pregnancy – the Size of a Pumpkin

Running out of patience mum? Thinking, when will your little one come out so mummy can finally hug them? This impatience might also be tempered with a touch of apprehensiveness.

 

But why? Your doctor and the team will be ready for you. Your family and loved ones will surround and support you. Did you check with the hospital whether dad/your mum/sister can accompany you? 

This is not a time to get fearful. It is a time to wait impatiently and expectantly for the arrival of that special one. So keep smiling and stay happy!

 

What’s happening inside?

The baby's head should now have turned downwards. Your baby’s skin is well fortified with fat needed to regulate their temperature, soon as they are out. Your little one’s weight would now exceed 3kg (the exact weight will vary from baby to baby).

 

 

Signs and symptoms for Mum

 

 

Be prepared to give birth at any time

Even though your doctor gave a specific date, only 5% of childbirths occur on the same day. About 80% of children are born between the  37th and 42nd week. So always be prepared.

 

The baby's movements are more intense

 

 

Tension/discomfort on both sides of the vagina

This is a signal that indicates childbirth is quite near. The reason for this discomfort is your little one’s head that’s starting to push down towards your vagina.

 

Vaginal enlargement and light pink, red, or brown colored bleeding

Vaginal enlargement is a sign that labor is close. With this, there may be slightly pink, red, or brown colored bleeding. An indication of cervical dilation.

 

Experiencing diarrhea, constipation and vomiting a few days before childbirth are normal symptoms.

 

Now, your little baby is impatient to see their mom. How much longer to wait you ask? It won’t be long mum. 

 

Important tips for Mum-to-be

  • Be prepared to be hospitalized at any time
  • Seek your doctor's advice
  • If you do not experience postpartum pain, the next step is to discuss with your doctor about artificial inducement. There are a couple of ways to do that:
    • Prostaglandin, or Glandin
    • Enlarging the cervix through Inserting a balloon
    • Providing synthetic oxytocin (Syntocinon)
  • Keep your husband informed about your health records, including medical reports
  • Pack yours and your little ones' belongings separately. In an easily recognizable manner. Make sure your husband knows where to find them, tell your parents tool

 

Article by Dr. Krishan de Silva, Obstetrician and Gynecologist at Balapitiya Base Hospital.

 

The Fortieth Week of Pregnancy –the Size of a Melon

 You have now entered the last week of pregnancy. If you have not felt any indications of entering childbirth, expect it to happen over the next 5 days (before the commencement of the 41st week). Your doctor will inform you about the expected date of hospitalization before the end of the week. Most mothers give birth before 40 weeks. In Sri Lanka, doctors do not wait until the 42nd week is completed for childbirth. They advise mums to give birth between the 40th and 41st week.

 

What’s happening inside?

Your little one is over 5 kg now, and the height from head to foot is about 51 cm. The baby’s skull is still not firm. This is to help your baby come out.

 

 

 

Signs and symptoms for Mum

 

 

 

You will feel more intense fetal movements this week.

 

 

Tension/discomfort on both sides of the vagina

 

 

Widening of the vagina

 

 

Slight pink, red, or brown bleeding

 

Mum you and family need to have emergency plans set in place to rush you to the hospital soon as you enter labour or if your water bag breaks. 

Mum, you have had a long and testing journey over the past weeks. At times it has been so tough. But only a mum could have borne it all. Now you are about to receive the ultimate crown for such love and dedication. You will have many adventures and challenges being a parent but you will find this to be such a rewarding journey. One day this little one will be a parent too. Mum and Dad can then share their experiences with them. We extend our best wishes to you and dad! Hope you

Things to do after pregnancy

  • Follow the instructions below if you are having a normal delivery:
    • Wash the vaginal area with mild soap and clean water.
    • Wipe dry with a clean cotton cloth.
    • Do not use powders / ointments / disinfectants.
    • Change sanitary napkins regularly and maintain their cleanliness.
    • Keep in mind to avoid sexual activities for at least six weeks and choose the right form of contraception.
  • Follow these instructions if your delivery required the assistance of a vacuum or tongs:
    • Start pelvic floor exercises immediately after giving birth.
    • Use painkillers upon medical recommendation to reduce pain.
    • Adjust your diet to prevent constipation.
    • Wash the vaginal area with mild soap and clean water.
    • Wipe dry with a clean cotton cloth.
    • Do not use disinfectant liquid / ointment / powder.
    • Keep in mind that walking helps heal wounds.
    • Change sanitary napkins frequently and maintain cleanliness.
    • Keep in mind to avoid sexual activities for at least six weeks and choose the right form of contraception.
  • Follow these instructions if you underwent a cesarean section:
    • Walk regularly to avoid complications such as blood clots in the legs, infections in wounds, delayed healing.
    • Keep the wounds clean by frequent bathing and washing.
    • Wipe dry with a clean cotton cloth.
    • Avoid heavy lifting for about two weeks.
    • Limit climbing stairs.
    • Keep in mind to avoid sexual activities for at least six weeks and choose the right form of contraception.

 

Article by Dr. Krishan de Silva, Consultant Obstetrician and Gynecologist at Balapitiya Base Hospital

Your baby is all ready to come out to this world! Get ready to welcome your little one to the family and provide him with love and protection. Stay tuned to our website to know how to bring up a healthy, well-mannered child.