Pregnancy – an exciting timePregnancy – an exciting time

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Pregnancy – an exciting time


If you're pregnant, you have an exciting time ahead of you. From conception to birth, it takes over nine months for your baby to develop. You will feel many different emotions, from joy to hope and anxiety. Below you will find an overview of what to look out for and the various stages of pregnancy.

The first three months of pregnancy

Your body prepares itself for pregnancy each time you have your cycle. If the egg is not fertilised, your body expels the tissue that you don't need. You have your period. However, if the ovum has made its way to the fallopian tube in the middle of your cycle and is fertilised, this can result in pregnancy. For this to happen, the fertilised ovum is transported through the fallopian tube into the uterus and is implanted there. By this time, the ovum has already divided several times and developed into a cluster of cells called a blastocyst. The entire supply system develops on its outer layer, such as the amniotic sac and amniotic fluid for the embryo inside the cell (cf. BARMER, 2022).

"Every woman is different. You are unique."

The entire process from the egg being fertilised to pregnancy takes about nine to ten days. Only then is conception complete (cf. Artal-Mittelmark, 2021).

Missing your period is one of the first symptoms of pregnancy. There may also be some tell-tale signs:

  • Nausea and vomiting in the morning ("morning sickness")
  • Dizziness
  • Abdominal discomfort
  • Tension in the breasts
  • Food cravings
  • Fatigue

These symptoms resemble premenstrual syndrome (PMS) to a certain extent. However, they may be caused by something other than pregnancy, so a pregnancy test can provide the certainty you're looking for. You can obtain one at a pharmacy or chemist's shop. Your gynaecologist can also determine pregnancy with a urine or blood test (cf. IQWiG, 2022).

Your personal to-do list for your pregnancy:

  • Avoid alcohol, nicotine, drugs and other harmful substances
  • Avoid stress
  • Eat a balanced diet
  • After consulting your doctor, take iodine and folic acid

If you are pregnant, you will receive a booklet to note down the information relating to your pregnancy. It documents all the subsequent check-ups as well as the expected, calculated due date. Did you know that it is not possible to calculate your due date to the exact day? This is because the exact period of fertilisation and implantation is difficult to determine. That's why two weeks before ovulation are added, even if you may not have been pregnant yet.

Your body also prepares your hormones for the coming months of pregnancy. Oestrogen and human chorionic gonadotropin (hCG) play an active role here. Both hormones are produced by the placenta and they also affect your emotions. It's the beginning of a roller-coaster ride, from crying to laughing and being irritated.

A pregnancy usually lasts almost ten months. The foetus develops into a baby over the course of 40 weeks of pregnancy (cf. BARMER, 2022):

2nd Monat:
The embryo's heart starts to beat.

3rd Monat:
The embryo starts to move. The organs and limbs form. The toes, nose and ears slowly develop.

4th Monat:
The foetus' digestion starts to work. It also absorbs amniotic fluid and can even get the hiccups.

5th Monat:
The hearing system forms. Your baby can hear. It needs a lot of sleep.

6th Monat:
An active period starts. Your unborn baby gains weight and reacts to sounds and light. It can distinguish between voices.

7th Monat
Your child's lungs fully mature and they open their eyes. From this point onwards, the chances of survival with a premature birth increase.

8th Monat
You may have sleepless nights. Your baby moves a lot.

9th Monat
Your unborn baby is fully formed and adopts the birthing position.

10th Monat:
Your baby gains weight shortly before birth.

The period between the second and ninth week of pregnancy is a particularly delicate stage for you. This phase is important for your child to develop in a healthy way. You should only take medication after consulting your doctor. You should also avoid vaccinations during this period (cf. Apotheken Umschau, 2019).

Register as early as possible for an antenatal class starting from the 18th week of pregnancy. Places are generally snapped up quickly so it makes sense to book early. Such courses cover various topics, including special exercises for strengthening and relieving the strain on your body, the correct posture during labour, breathing exercises for natural labour and relaxation exercises. Your antenatal class should end no later than two weeks before your calculated due date.

Ausgeglichenheit ab dem 6. Schwangerschaftsmonat

The first few months of your pregnancy can be a very turbulent time – after all, you are becoming a mother and your child is growing inside you. The roller-coaster of emotions, the physical symptoms and the check-ups can be a challenge to deal with. From the sixth month onwards, you'll notice how active your unborn baby is. It can even get the hiccups, measures an impressive 29 cm and weighs around 550 grammes (cf. Pampers, 2022).

Your body's hormones have completely changed and your belly grows. Simply put, you feel a sense of balance during this time. Of course, your baby also senses your energy and responds by actively moving in your abdomen. Take the opportunity to talk to your child. Stroke and caress your baby in your belly and sing to it – this will help to foster a close bond. Your baby will show you what it likes and dislikes. For example, if you are sitting in a noisy environment, you may feel kicks and bumps from your abdomen.

You have your first check-ups from the 5th week of pregnancy. When you reach the 6th month, you will already be experienced with preventive check-ups (cf. Apotheken Umschau, 2020):

4 to 5: Pregnancy test

5 onwards: Initial physical check-up with blood sampling, possibly cancer screening and creation of booklet to note down pregnancy information

9 to 12: Preventive check-up and first ultrasound

11 to 13: DNA blood test (NIPT blood test), possibly first trimester screening and chorionic villus sampling

13 to 16: Preventive check-up

16 to 17: If necessary: amniocentesis

17 to 20: Preventive check-up, ultrasound and possibly anomaly scan

21  24: Preventive check-up

24 to 27: Antibody screening, oral glucose tolerance test

25 to 28: Preventive check-up

29 to 32: Preventive check-up, ultrasound

32 onwards: Blood test for hepatitis B, preventive check-up, possibly cardiotocogram (CTG) to measure heart sounds

33 to 34: Preventive check-up

35 to 36: Preventive check-up, possibly smear for group B strep

37 to 38: Preventive check-up, possibly CTG

40 onwards:
 Preventive check-up every two days with CTG and analysis of amniotic fluid volume

This calendar only provides a rough overview of the necessary check-ups. Prenatal diagnostic examinations may also be carried out if anything unusual is identified in the preventive check-ups. Every woman is unique, so these periods of time may vary and other check-ups and examinations may be necessary.

Your baby also gets ready for birth

In the last trimester of pregnancy there is still a lot going on in your body. Your baby is growing, and so does your belly. You now find it more difficult to cope with everyday life as usual. You need more rest and no longer have as much energy. That comes as no surprise, as your unborn baby is now slowly preparing for birth. About four weeks in advance, it changes position and turns with its head facing down. This period is the final sprint for both mother and child. It is one of the biggest challenges to overcome during the pregnancy as your well-being is compromised. The urge to urinate, back pain, shortness of breath, heartburn and tiredness can be very strenuous in the last few weeks before birth. Nevertheless, you feel a growing sense of anticipation about meeting your baby. To make this time as pleasant and comfortable as possible, focus on your needs and always listen to what your body is telling you:

  • If you feel like resting, do so.
  • Avoid strong spices and fatty dishes and eat light foods.
  • A small amount of physical activity and movement (no sports) is good for the body and mind.
  • Movement in water stimulates the circulation and supports your digestion.
  • Autogenic training or meditation can help you in this challenging time.
  • Enjoy the last trimester of your pregnancy and your bond as mother and unborn child.
  • Get ready for the birth and draw up your own personal birth plan with your needs and wishes.
  • Practise your antenatal exercises in your head.
  • Pack your hospital bag.

It may seem like you have to wait a long time until you give birth, and it may also be a bit boring. Fill this time by sorting out the formalities, such as applying for parental and child benefits and maternity allowances. You can also think about the types of things you may need to do after the birth. This includes searching for a daycare place, registering for postnatal classes and registering with the relevant office in charge of issuing the birth certificate (cf. the German Federal Ministry for Family Affairs, Senior Citizens, Women and Youth, no date), as required.

You can also spend this time looking at your personal pregnancy diary. Naturally, your child is sure to be delighted later on if you continue describing your feelings in the last few weeks or days leading up to the birth. A pregnancy diary is a great reminder of your pregnancy. It is unique to you and filled with all your emotions. Annotate it as you wish, add pictures or stickers and make it your personal treat for your little wonder.

 

 

 

Sources:

  • Artal-Maittelmark, R. (2021). Healthy Living. "Stages of Development of the Fetus". https://www.msdmanuals.com/home/women-s-health-issues/normal-pregnancy/stages-of-development-of-the-fetus (17/08/2023).
  • BARMER (2022). "Schwangerschaftskalender" [Pregnancy calendar]. "1.-4. Schwangerschaftswoche: Ein neues Leben entsteht!" [1st-4th week of pregnancy: A new life emerges!]. https://www.barmer.de/gesundheit-verstehen/familie/schwangerschaft/gesunde-schwangerschaft/schwangerschaftskalender/schwangerschaftswoche-1-4-1059078 (17/08/2023).

  • BMFSFJ – German Federal Ministry for Family Affairs, Senior Citizens, Women and Youth (no date). "Checkliste Nach der Geburt" [Postnatal checklist]. https://familienportal.de/resource/blob/197878/265ab144eaa4bc32770d69a7f2568eb5/pdf-checkliste-nach-der-geburt-data.pdf (22/08/2023).

  • Pampers (2022). "Schwangerschaftskalender" [Pregnancy calendar]. "Der monatliche Schwangerschaftsverlauf: 6. Monat der Schwangerschaft" [The different months of pregnancy: 6th month of pregnancy]. https://www.pampers.de/schwangerschaft/schwangerschaftskalender/sechster-schwangerschaftsmonat (22/08/2023).

  • BARMER (2022). "Schwangerschaft" [Pregnancy]. "40 spannende Wochen im Überblick" [40 exciting weeks at a glance]. https://www.barmer.de/gesundheit-verstehen/familie/schwangerschaft/gesunde-schwangerschaft/schwangerschaftskalender (21/08/2023).

  • Apotheken Umschau (2019). "Familie" [Family]. "Schwangerschaftswoche 5" [Week 5 of pregnancy]. https://www.apotheken-umschau.de/familie/schwangerschaft/ssw-kalender/schwangerschaftswoche-5-789021.html (21/08/2023).

  • IQWiG – Institute for Quality and Efficiency in Health Care (2022). informedhealth.org. "Pregnancy". https://www.informedhealth.org/pregnancy.html (21/08/2023).

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