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The 2nd trimester of your Pregnancy

20/11/2018

20/11/2018

The 2nd trimester of your Pregnancy

2nd trimester Ultrasound


Carried out between the 20th and 23rd weeks and enables a full foetal morphological study.


Amniocentesis

Advised in cases of positive pre–natal diagnosis, a maternal age of 35 years or more, increased nuchal translucency or a family history of chromosomal anomalies. The amniotic fluid is collected by inserting a needle in the belly; the feeling is similar to blood collection.


Oral hygiene

During pregnancy, dental acidity increases, therefore oral hygiene should be reinforced. You should visit your dentist whenever necessary, but the best time for dental treatment is between the 4th and 6th months of pregnancy, alerting your dentist that you are pregnant. You are entitled to a dentist cheque; please request this from your family physician.


The baby’s layette

This is the ideal time to do the necessary shopping for your baby, since you still feel physically and psychologically prepared for it. You should make a list of the products you need and have someone accompany you. The space for your baby should be comfortable, safe, aerated and clean, free of damp, dust, pollution; the temperature should vary between 18 and 19º C.


The items you can acquire initially are:

• Safe crib;

• Firm mattress;

• Protection for the crib & mattress;

• Bedding for the crib, preferably in cotton;

• A table or counter for changing diapers, preferably at a height suited to your posture;

• Wide plastic bathtub;

• Chair for car transport;

• Stroller for walking the baby.

New clothing should be washed previously with a neutral detergent/soap and should always be ironed.

We suggest the following initial items:

• 3/4 sets of pyjamas with feet;

• 6 to 8 cotton bodysuits, preferably crossed-fit since these are easier to put on;

• 6 baby grows;

• 6 pairs of socks or booties;

• 6 bibs;

• 2 bonnets;

• 2 cotton blankets or wraps;

• 2 cotton or wool cardigans (these should not be in contact with the baby’s skin);

• Hygiene products/accessories: round-tipped scissors, bath towels, cotton diapers, disposable diapers, compresses, wipes, saline solution and a bag to transport the baby’s accessories during outings.


Discomfort during pregnancy

If you suffer from...

1. Varicose veins and oedema of the lower limbs;

2. Constipation;

3. Haemorrhoids;

4. Heartburn;

5. Lower back pain.


What to do?

1. Walk at a slow pace, in order to activate circulation; avoid standing for long periods; when seated, avoid crossing your legs, elevating them whenever possible; avoid staying outside in hot temperatures; avoid exposing legs to the sun and excessively hot water;

2. Maintain a balanced diet, including plenty of water and high-fibre foods, fresh fruit, vegetables and whole grain cereals: walking activates intestinal transit; if necessary, drink a hot beverage approximately 30 minutes before breakfast to help stimulate the bowel;

3. Ingest liquids, maintain a fibre-rich diet, practise physical exercise and, if necessary, relieve pain in the affected area by applying ice;

4. Eat 6 to 8 light meals per day, do not go to bed immediately following meals, avoid acidic or fatty foods and chew well; if necessary, the medical officer can prescribe something to relieve symptoms;

5. Rest as much as possible; wear a support bra and maternity belt to support abdominal muscles; shoe heels should not exceed 4 cm, nor should they be completely flat; avoid lifting or carrying heavy objects; if necessary, massage your back applying heat.


Warning signs

• Haemorrhages;

• Persistent abdominal pain;

• Fever;

• Feeling little or no baby movement;

• Repeated contractions before due date which do not subside with rest;

• Loss of amniotic fluid;

• Vaginal discharge with itching or burning;

• Pain or burning during urination;

• Persistent vomiting;

• Excessively swollen face and limbs in the morning;

• Strong or persistent headaches;

• Altered vision;

• Itching palms of the hands or soles of the feet.


Your baby’s development


16th Week – Fingers and toes are discernible, has developed swallowing and sucking reflex. Weighs approximately 100gr and is the size of an avocado.


20th Week – Hair, eyebrows and eyelashes grow, muscles are active. You may start to feel foetal movement, which is discrete and slight, like bowel movements. Weighs approximately 300gr and is the size of a banana.


24th Week – The baby can open its eyelids, hear sounds and has sleep periods. Weighs approximately 600gr and is the size of a corncob.


The 2nd trimester Ultrasound can be carried out at Clínica de Miraflores, Clínica de Cascais (CascaiShopping), Clínica de Sintra, Clínica de Carcavelos and Clínica Médica de Faro. The Amniocentesis can be done at Clínica de Miraflores, Clínica de Cascais (CascaiShopping) and Clínica de Sintra. The oral hygiene appointment can be provided at Clínica de Miraflores, Clínica de Cascais (CascaiShopping), Clínica de Sintra and Clínica Europa.


Appointments can be scheduled by telephone (214 124 300).

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