THIRD TRIMESTER
You’ve finally made it through the nausea and fatigue of the first trimester and the busy nesting of the second trimester. Now it’s time to sit back and relax and await the coming of your baby. But as this last trimester of your pregnancy passes, you may have many questions about what pain and discomfort is normal and what may present a problem that you need to discuss with your doctor.
Throughout the first two trimesters, you likely saw your doctor once per month or every four weeks. This is true of most pregnancies, unless there are complications or risk factors present. During the third trimester of pregnancy, you’ll likely see your doctor once every two weeks until four weeks before your due date, when visits will be scheduled once each week.
The increased visits are to ensure that the baby is developing normally and that you’re staying healthy. It also gives the doctor a chance to monitor how things The third trimester is a busy time. You and your partner will be asking yourselves a lot of questions, and making many decisions that will affect you as individuals, as partners, and as new parents over the months to come.
In this trimester, your body prepares for labor and birth
By the end of the seventh month, the uterus will fill almost the entire abdominal cavity, and the fundus is about one third of the distance between your belly button and your breastbone. By the end of this trimester, it will be almost level with the breastbone, just under your rib cage.
The ligaments (bands of flexible tissue) supporting the uterus continue to stretch; the muscles and ligaments in the lower back are pulled by the weight of the growing uterus and may cause your back to ache. Occasionally, you'll feel the uterus tighten and release, in what are known as Braxton Hicks contractions, as your body “rehearses” for labor.
The uterus also places increasing pressure on the bladder and you will feel the urge to urinate often. You may leak urine when you cough or sneeze; talk to your health care provider or childbirth educator to learn special exercises (called Kegel exercises) to help strengthen the muscles in your pelvic floor.
The diaphragm continues to move upward and the ribs expand to make room for the baby. Toward the end of your pregnancy, some of the pressure will ease as your baby drops into position for birth, making breathing a little easier again.
Your belly now has a dark line running from your navel to your pubic hair. This will fade after the baby is born. You may have stretch marks and/or an “itchy abdomen”.
Your breasts will continue to change to prepare them for breastfeeding. (Note that even if you don't plan to breastfeed, your breasts still go through these changes.) By the end of the seventh month and the beginning of the eighth, you may notice small amounts of thick, yellowish liquid called colostrum on your nipples.
You may get leg cramps, some strong enough to wake you from sleep. They disappear by themselves. Experts are not certain what causes them but suspect it may have to do with a mineral deficiency. So make sure to take your daily prenatal supplement to prevent mineral deficiency. Elevate your legs two to three times a day to help circulation.
At the beginning of this trimester, the cervix is long and thick. The vagina and the urethra (the neck of the bladder) are stretching in preparation for birth. During the last weeks of your pregnancy, the perineum (the tissue between the vagina and the anus) will become swollen from the extra pressure on it.
