Hi, my name is Justine Reilly. I'' m one of the OB-GYN generalists right here at UT Wellness Austin, and I'' m right here today to talk concerning the response to several of your most looked inquiries concerning the second trimester. So what occurs to my body in the second trimester? Throughout the 2nd trimester the infant begins as the dimension of a lemon, yet starts to grow significantly in length and in weight. Therefore at this moment, your body additionally beginnings to change with the growing baby, right? The womb and your abdomen are gon na start to get a little bigger. By 20 weeks, the baby'' s approximately your stomach button. So this is actually, you know, weeks 14 to 27 or the 2nd trimester when individuals actually begin to show.With that comes
a great deal of hormone adjustments of pregnancy. And a lot of those symptoms are typical. Need to I be consuming extra throughout the second trimester? So I believe it'' s kind of an usual misconception that individuals assume that they should be quote unquote consuming for two. I actually tell my individuals that you most likely must just be eating twice as healthy and balanced. Usually their recommendation is to raise your caloric consumption by regarding 350 calories each day. This is concerning like, this is like a glass of milk and a half a sandwich, or like a dish of oatmeal and a.
banana. So it'' s not substantially much. Certainly that'' s,
that ' s. twice that for twins and, and so on in numerous pregnancies.So what signs and symptoms are irregular
and. when should you call your doctor? Although we recognize that the threat of. miscarriage lowers rather significantly after the very first trimester, there still is prospective to have. complications like blood loss, , cramping.
And particularly if those. points end up being heavy or serious, or if you have leakage of fluid, that ' s either type of big in. quantity or truly persistent.
These are all things that. we should learn about, create those can be signs of complications. like preterm labor and other placental abnormalities. So what. signs and symptoms are typical? Generally in the second trimester, a few of the early morning sickness has disappeared. We in fact tend to describe this. as like the honeymoon duration of your maternity, create you put on ' t feel so. exceptionally exhausted and you ' re.
not regurgitating anymore.And so there are signs that are. normal in the second trimester, and they have a tendency to be related.
to the hormonal adjustments. like we were talking about.
So things like heartburn,
irregularity, there ' s skin adjustments, you recognize, dimming of the face and sometimes. the line in your reduced abdominal areas.
So possibly enhanced genital. discharge, raised sex drive
. And there are a couple of various other. things that can happen, yet they ' re mostly rather light. Nevertheless they can be bothersome, so certainly allow us understand. There ' s great deals of drugs that are. secure to treat every one of these points.
Exist particular testing tests or. genetic screening that you should have in your 2nd trimester? Generally in the second trimester we ' re. mosting likely to get what ' s called the makeup check. This is an ultrasound that looks. comprehensive at the components of the child. Just seeing to it that.
there are no anomalies.This in combination with several of the. blood work that we do in the initial trimester typically is gon na tell us a. great deal regarding whether the baby
has down disorder or other abnormalities. And afterwards around 24 to 28 weeks, we really evaluate people. with blood job for anemia, which is super common in maternity as. well when it comes to gestational diabetes or diabetic issues of maternity
. And afterwards you potentially can have. comply with up testing depending upon the outcomes of all the testing that we do,. consisting of the check and the blood job.
What complications can. occur during this trimester? Like I stated, the second trimester. has a tendency to be rather benign, and a bit of a. honeymoon period, however you understand, you still
go to risk for some. difficulties. Preeclampsia, nonetheless unusual it is in some cases does. existing in the 2nd trimester.So we ' ll constantly be checking your blood. stress and allow us know if you have problems'like consistent. frustrations, despite taking Tylenol, aesthetic adjustments or you recognize, stubborn belly. discomfort up in your right
upper side, create that ' s where your liver.
is. Furthermore, you understand, pregnant women are somewhat.
immunosuppressed, so. infections are more usual. So points like UTI symptoms are points. you would definitely intend to allow us know about.Similarly COVID
, you recognize, in this day and age is.
a considerable concern. So you wan na see to it that you
. have actually been vaccinated and enhanced. When will I feel my infant step and kick? Generally around 18 to 20 weeks is when. you ' re mosting likely to begin observing what ladies explain as like.
a fluttering, you know, the babies move actually. starting at 10 weeks
, but they ' re just too.
small for you to feel it. Commonly women that ' ve been expecting. previously will certainly feel it sort of faster, however you recognize, I
wear ' t truly expect. anyone to feel it till 20'weeks or so.And after that it ' s not really trusted. as a marker of fetal well-being up until later in the maternity,.
regarding, you understand, your companion or any person. else being able to feel, I
would certainly say generally around more. like 24 weeks and later. Um, yet you know, it ' s constantly an.
amazing experience without a doubt. When should I begin counting fetal kicks
? Around 26 to 28 weeks, the activities of the baby ended up being kind. of a trustworthy pen of well being. Relying on exactly how high. risk your maternity is,
you might obtain informed to do. it basically typically. It ' s likewise actually useful for. women to know that, you know, this is something that. you can do, counting fetal.
activities whenever, you know, you ' re asking yourself whether. the baby relocating typically,
typically you wan na get'. 10 movements in two hours, however just speak to your physician and we ' ll.
have the ability to let you know how typically you ought to be doing this if at all.
When may I learn the sex of my child? So the genetic sex of the. child usually is able to be determined on the blood test in.
the first trimester that ' s done to evaluate for chromosomal problems. Yet sometimes we can include in, we wish to know the sex. of the baby as well.If you haven ' t obtained that. details in the first trimester, typically around 18 to 22 weeks
, when we do that composition ultrasound,
we ' re able to identify whether the. baby is genetically male or female based off of ultrasound qualities. So when ought to I start. sleeping on my side? So there ' s really, you understand, some evidence that in the 3rd. trimester going to sleep on your back is linked with some. enhanced threat of stillbirth, yet we really have truly great newer.
information that tells us prior to 28 weeks, which is basically the first and. 2nd trimester that there ' s no risk of boosted complications in pregnancy. if you ' re resting on your back. So I commonly inform my people. that in the 3rd trimester, that ' s the time at which if they ' re. generally a back sleeper that I would attempt to start going to sleep on in your corner. And it doesn ' t truly issue which side, typically we informed individuals the. left just due to the fact that of blood supply, this is all concerning blood supply, but inevitably the 3rd'trimester. sleeping on your side is, is completely fine before.
that, you know, don ' t worry.I likewise wouldn ' t fear if you wake. up on your back anyhow, just, again, if
you ' re in the 3rd trimester,. flip to among your sides.
So I wish I ' ve addressed your.
concerns about the 2nd trimester. Bear in mind that every.
client is various. And you intend to speak with your very own. OB-GYN concerning your certain situation, particularly if you have.
any type of high risk problems. Thanks again for joining us today and. stay tuned for the third trimester video.