Alhamdullilah. You have reached the home stretch of pregnancy – the final 3 months. As the anticipation grows so too the anxiety may set in, especially if this is your first pregnancy. After the possible ” honeymoon” phase of the second trimester, the fatigue and emotional rollercoaster of the 1st trimester may return. InsyaAllah in this article, we will attempt to share with you some tips and advice.
Physical Changes
Weight Gain and Back-Aches
As the baby continues to grow, its increasingly obvious movements, and the ensuing exhilarating sensation experienced may be accompanied by increased discomfort in addition to other third trimester symptoms. In the third trimester, aim for a weight gain of 1/2 to 1 pound per week. By pregnancy’s end, average weight gain should be 25 to 35 pounds( 11 to 16 kg). The optimal weight gain will still be subject to the individual’s weight at start, and doctors may advice more or less weight gain. While the baby’s weight does account for your weight gain, other contributing factors include the placenta, amniotic fluid, breast size and increased blood volume.
The increasing weight will invariably add pressure to your back. Pelvic ligaments will also loosen in response to changes in pregnancy hormones in preparation for the labor ahead. Ease discomfort by sitting on chairs with good back support, and by wearing comfortable low heeled arch supported shoes (see Pregnancy- Second Trimester). Consult your doctor for analgesia advice.
Breast Enlargement
Continued breast tissue growth by as much as 2 pounds ( almost 1 kg) by the end of pregnancy warrants a good support bra. As delivery approaches, there may be some leakage of yellowish fluid from the nipple. This fluid, colostrum, will nourish your newborn in the first few days.
Braxton Hicks
As the due date nears, you may experience mild, irregular, fleeting contractions. These are practice runs for true labor contractions which are stronger and more regular. If you do experience regular, painful contractions do contact your doctor.
Vaginal Discharge
This may increase towards the end of pregnancy. If you see thick, clear or slightly blood tinged discharge, this may be your mucus plug being expelled which is a sign that your cervix has begun dilating in preparation for labor. If you experience a sudden gush of fluid, this maybe your amniotic fluid, contact your doctor.
Heartburn & Constipation
To avoid or decrease these symptoms eat small frequent meals. Avoid fatty spicy food. Increase fluid and fiber intake. see Pregnancy-1st Trimester
Varicose veins & Frequent Urination
To avoid varicose veins wear support stockings. If frequent urination is offensive in odor, associated with pain, fever or abdominal pain, it may be a sign of infection. Consult a doctor. See Pregnancy- 2nd Trimester
Emotional Outbursts
As the due date nears, its inevitable to experience a mix of emotions. Excitement of course at the impending new arrival and perhaps some anxiety too, especially if its your first pregnancy or if you are away from family support. There may also be some concerns over the delivery itself. Attend childbirth classes and discuss pain relief options with your doctor.
If you have another young child at home, talk to them and discuss who will take care of your child while you are in hospital.
Antenatal visits
These may increase from monthly to fortnightly during week 32 and weekly from 36 weeks. During this time your baby’s growth will be monitored. A blood test to check for anemia will also be done. A vaginal swab may also be taken. If the results come back positive for Group B Streptococcus, you will be given intravenous antibiotics while in labor to protect your child.
Red Flag Symptoms
Consult the doctor immediately should you experience any of these symptoms:
- Severe abdominal pain or cramps
- Severe nausea or vomiting
- Bleeding
- Pain or burning during urination
- Severe dizziness
