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What to expect from pregnancy fatigue

Pregnancy is all about changes, and some are more dramatic than others. Along with all the physical changes happening to your body, you may also be experiencing symptoms like mood swings, swelling, nausea or morning sickness, to name a few. So, it can be easy to overlook something as straightforward as fatigue.

But as you may be finding out, fatigue can be quite a challenge, too. Below, we cover everything you can expect from this common pregnancy symptom, its causes, and what you can do to manage it.

What does pregnancy fatigue feel like?

Fatigue is totally normal during pregnancy, but people’s experiences with it can vary widely. It may be that you don’t experience much fatigue at all, or it may be that you feel extreme tiredness in early pregnancy that drops off later on. No matter how it affects you, fatigue can generally be characterized by:

  • Difficulty getting up in the morning
  • Daily tasks becoming harder to complete
  • Difficulty focusing
  • Constant tiredness throughout the day
  • Irritability
  • Feeling weak

When does pregnancy fatigue start?

Pregnancy fatigue can start as soon as one week after conception, which means it may be an early sign of pregnancy before a test can tell you for sure. It’s also common to start feeling tired any time during the first 12 weeks.

What causes fatigue during pregnancy?

There are various factors that can cause fatigue, but they differ from trimester to trimester.

First trimester fatigue

The overall cause of fatigue in early pregnancy is simple – your body is preparing for the months ahead. But there are a couple parts of this preparation that can really contribute to feelings of fatigue:

  • Hormone changes: There are a lot of hormone changes that happen in early pregnancy. One of them, a big jump in progesterone levels, has been directly linked to fatigue. The emotional ups and downs that come with hormone changes can be tiring, too.
  • Metabolic changes: Creation takes energy. And in addition to a fetus, your body is making a placenta and extra blood. All these things create a greater demand for energy and may be partly why you feel the urge to sleep more.

Second trimester fatigue

In the second trimester, people typically find that they have more energy – you may be used to the new hormone levels in your body, and your baby isn’t very big yet. But it’s still possible to feel fatigued in the second trimester, especially if your sleep gets interrupted by pregnancy symptoms like frequent urination and leg cramps.

Third trimester fatigue

When fatigue happens in the third trimester, it’s generally because the baby’s gotten bigger. Carrying around that extra weight can be tiring on its own, but it also makes other things harder, including sleeping comfortably. Plus, as the baby settles into the pelvis, it puts more pressure on the bladder, so nighttime trips to the bathroom may become even more common. And all of that is in addition to any other pregnancy symptoms you’re experiencing.

Tips to overcome pregnancy fatigue and get more energy

When it comes to managing fatigue, the best thing you can do is take steps to increase your energy levels. This means:

Stay on top of your nutrition

A solid pregnancy diet can be a great way to keep your energy up. In particular, focus on getting enough iron, which supports red blood cell production and prevents any additional tiredness from anemia (a condition which results from not having enough red blood cells to carry the amount of oxygen your body needs). Foods that are high in protein are also good choices, as protein is a longer-lasting source of energy compared to carbohydrates.

You may benefit from eating smaller meals throughout the day. This can help keep your blood sugar and energy levels consistent. It’s also important to drink plenty of water, as water helps your body function properly.

Exercise

The American College of Obstetricians and Gynecologists recommends that you get at least 150 minutes of moderate aerobic activity each week while you’re pregnant. That may sound like a lot, but if you break it down into 30 minutes of pregnancy-safe exercises per day, it adds up quickly.

Exercise improves blood circulation, which helps bring oxygen to every part of your body. This can give a boost to overall energy levels. Plus, exercise helps manage other pregnancy symptoms like back pain and constipation.

Rest

Even if you’re doing everything you can to boost your energy levels, you still have to listen to your body. And when your body is fatigued, rest is the answer. Take breaks throughout the day, nap when you need to and sleep as much as possible. It may help to go to bed earlier, and avoiding fluids for a few hours before going to bed can help cut down on bathroom visits at night.

When should I see my doctor or midwife about fatigue during pregnancy?

Fatigue is very common and normal during pregnancy. Still, don’t hesitate to talk to your care provider at any point along your prenatal appointment timeline if you have questions or concerns about your level of tiredness.

But keep in mind, there are times when fatigue may be a symptom of a pregnancy complication like anemia, depression or gestational diabetes. Call your care provider if you experience sudden fatigue, fatigue that completely stops you from doing your daily tasks or if you have fatigue with any of the following:

  • Fever
  • Pain in the chest, abdomen or head
  • Dizziness
  • Difficulty breathing
  • Swelling in your hands, ankles or feet
  • Vision changes

Get the care you need

Whether your pregnancy is making you tired, nauseous or anything else, a prenatal appointment can help. In addition to making sure you and your little one are safe and healthy, your care provider can give you tips and recommendations for every part of your pregnancy.

What you can expect in your second trimester of pregnancy

You’ve just cleared a major hurdle and it’s time to celebrate – you’re into your second trimester! The second trimester generally lasts from week 14 to week 27 of pregnancy. (If you haven’t already shared your baby news with everyone, now might be the time to execute that baby announcement you’ve been eyeing on Pinterest.)

It’s during your second trimester that your growing baby bump will begin to pop out for the world to see. Your body will experience this and many more changes in your second trimester. Here’s a rundown of some symptoms and other milestones you can expect.

Second trimester symptoms

As you enter the next 13 weeks, you may notice these changes:

Decreased morning sickness

If you experienced morning sickness in your first trimester, then you’re in luck – you’re probably going to experience less nausea in the second trimester. It’s not likely that morning sickness will come back in the second trimester, which means your appetite – and your energy – may return. But keep in mind that nausea could last for a few weeks into the second trimester, so you may need to keep drinking that ginger tea for just a bit longer.

Difficulty eating large meals

Your growing uterus might make it harder to eat larger meals. Instead, try to nibble on smaller amounts of food throughout the day. If you experienced morning sickness, you may already be used to this. Remember, you should be eating around 200 to 300 extra calories each day. You’ll feel better when you make healthy food choices, like lean proteins and complex carbohydrates. Fat takes more time to digest so it sits in your stomach longer, which can lead to constipation.

Increased energy

You’ll most likely feel less fatigued from pregnancy throughout the day, giving you more energy to do things you enjoy, like starting a baby registry. Make sure you get out and move, too. We recommend 30 minutes of activity a day such as walking, joining an exercise class, biking or swimming. Just stay away from activities that have a higher risk of injury (skiing – water or downhill, roller coasters, horseback riding, etc.). Be careful not to bump, injure or fall on your belly.

Some women still experience fatigue in their second trimester, so don’t get discouraged if it happens to you.

Dull headaches

Occasional headaches in the second trimester of pregnancy are normal but typically less frequent. They happen because your blood vessels have opened to get as much blood flow to the uterus as possible. They’re more common in the first trimester due to this increase in blood volume and the surge of hormones. By 12 to 15 weeks, your body will get used to the increased blood flow, and headaches usually decrease.

Shortness of breath

With the heart working harder and your uterus starting to expand, shortness of breath may become a little more noticeable.

Round ligament pain

As your uterus grows, the ligaments in your midsection are getting stretched and pulled to support your uterus. This can cause discomfort on either side of your lower abdomen and can feel like light cramping, a stabbing pain or dull ache. Quick movements like turning from side-to-side in bed, standing, or laughing could cause the ligaments to stretch, triggering feelings of discomfort or pain. While minor pain is to be expected, if you experience extreme pain or bleeding, call your care team immediately.

Pelvic pain

Your ligaments stretch and loosen as your baby gets heavier, so the muscles supporting that weight have to work harder. You may start feeling more back, hip and pelvic discomfort or pain during the second trimester of pregnancy.

Emerging baby bump

By the 20-week mark, your uterus should be near your belly button. Depending on your body shape, you may start to see a prominent baby bump. If you haven’t started wearing pregnancy clothes already, now might be the time to start looking for new pieces of clothing. Or, you can try a trick for extending the waistband of your favorite pants: place a hair tie or rubber band around the button, loop it through the button hole on your pants and connect it back to the button.

Bleeding

Spotting or light bleeding in your second trimester is normal. But call your care provider if you’re bleeding enough to soak through more than one pad, or if your bleeding is paired with strong abdominal pain or passing pieces of tissue.

When will I feel my baby move for the first time?

Another joy that comes in the second trimester is finally feeling your baby move. It feels like flutters in your tummy, but these flutters can also be confused with gas bubbles. That’s why it may be tough for you to distinguish between your baby’s first kicks or the chicken salad sandwich you ate for lunch. You may be able to tell the difference by 20 to 22 weeks.

If you don’t feel your baby kick, don’t panic. Your placenta may be located at the front of your uterus. This creates a pillow between you and your baby. In a few more weeks, your baby will grow big enough so you can feel his or her movements through your placenta pillow.

What fetal development occurs in the second trimester?

In addition to starting to move, your baby undergoes a lot of changes during these weeks. Their fingers, toes and facial features develop and become more defined. Baby’s nervous system starts working, they start to store fat and in the latter half of the trimester, their eyes will open. By the time you reach the third trimester of your pregnancy, your baby will even respond to stimuli.

Other frequently asked questions

How should I sleep during the second trimester of pregnancy?

Until it becomes uncomfortable due to your baby bump, you can sleep on your stomach. Otherwise, you can start getting used to sleeping on either your left or right side.

Is it safe to have intercourse during the second trimester of pregnancy?

Totally, unless your care team has told you otherwise (and you can still ask if you want to be sure). Just listen to your body, do what’s comfortable, and stop if you feel pain.

How much weight will I gain during the second trimester?

If you were at a healthy weight pre-pregnancy, you might start to gain weight a little faster now than you did in your first trimester. Overall recommended weight gain depends on your starting weight and how much you gained in the first trimester.

Is it normal to pee a lot in the second trimester?

While you may have experienced frequent trips to the bathroom during first trimester, it’s common to get a break in the second trimester. Your body is now more adapted to the change in hormones, plus your growing uterus will rise in your abdomen and take off some pressure, so you won’t feel the need to pee as often.

In the third trimester, you’re more likely to feel pressure on your bladder and take more trips to the bathroom. However, it’s still normal to feel like you have to pee a lot during any time in your pregnancy. Talk with your doctor if you notice pain when you urinate, cloudy, foul-smelling or blood-tinged urine, or are experiencing severe incontinence.

Second trimester tests

Both your body and your baby are growing rapidly and changing fast. This means your provider will want to monitor the health of you and your baby even more. During your second trimester, there are some routine, as well as optional, tests including:

Ultrasound

You’ve probably heard your baby’s heartbeat during your regular appointments. But during your ultrasound, you’ll get the first actual look at your baby. This ultrasound is scheduled around 19 to 22 weeks. This anatomy scan takes a closer look at your baby’s brain, heart, facial features and bone structure to make sure your baby is developing normally. You can also use this ultrasound as an opportunity to find out if you are having a boy or a girl.

Gestational diabetes test

You’ll be scheduled for your gestational diabetes test around 24 to 28 weeks. There aren’t any symptoms associated with gestational diabetes, which is why taking this test is so important. During the test, you’ll drink a sugary juice and then we’ll monitor the glucose levels in your bloodstream. If your glucose levels are high, you’ll be asked to retake the test on another day. This second test will be longer and require you to fast beforehand.

Anemia screening

Your blood vessels are opening during your second trimester and, as a result, the amount of blood pumping through your veins is increasing. When this happens, your red blood cell count could decrease and you could become anemic. This is quite common during pregnancy and it means you’ll probably need to add more iron and vitamins to your diet.

Genetic testing

These are optional screening tests that can be started as early as 11 weeks into your pregnancy. These tests include a blood draw to evaluate pregnancy hormones levels and may include an ultrasound. They can help determine if your baby has genetic abnormalities like Down syndrome or spina bifida.

Genetic tests may be recommended during your pregnancy if you are over age 35 or have other risk factors. It’s best to talk with your provider to find out more information and discuss the specific types of tests available. Then you can decide if there are any that are right for you.

Routine tests will likely be covered under your insurance benefits. In some instances, genetic screenings may not be covered. When in doubt, call your insurance provider to learn more about your specific benefits.

One down, two to go

The second trimester is an exciting part of your pregnancy. You often feel better and have more energy, (which is super helpful as you begin to prepare the nursery or make a birth plan!). And of course, as your pregnancy progresses, don’t hesitate to ask your provider questions about your symptoms or what to expect as you approach your due date.

Miscarriage – terms, causes, symptoms, signs, diagnostics (tests), treatment

Missed pregnancy is a pathological condition in which the dead fetus continues to remain in the uterus. Pathology is a fairly common occurrence.

As a woman ages, the risk of intrauterine death of the embryo increases. Fading can occur at any stage of pregnancy. Most often this happens before 12 weeks.

Causes of pregnancy failure

The most significant are:

  • hormonal imbalance;
  • genetic pathology;
  • infectious diseases;
  • woman’s age;
  • ECO;
  • autoimmune pathology;
  • immunity disorders;
  • artificial abortions;
  • the presence of bad habits;
  • unfavorable environment.

Hormonal disorders

Insufficient production of progesterone negatively affects the course of pregnancy, provoking the death of the fetus. An excess amount of androgens, diseases of the adrenal glands and the thyroid gland can cause pregnancy to fade not only in the early stages, but also in the later ones.

Genetic causes

Inheritance of the parental abnormal gene, as well as chromosomal rearrangements, lead to the development of a karyotype of the organism incompatible with life. Thus, nature itself takes care of the elimination of defective embryos.

Infectious diseases

Both common and sexually transmitted infections in the early stages can provoke fetal death, and in the later stages they are one of the causes of the development of anomalies. In this regard, a woman, when registering for pregnancy and during the entire period, takes tests several times for the presence of infections in the body.

Woman’s age

With age, the likelihood of developing pathology increases. Women who decide to have a baby for the first time after 35 are at the greatest risk.

ECO

In some cases, pregnancy fades after in vitro fertilization. Usually the cause of the pathology is related to why the woman had to resort to IVF.

Autoimmune pathology

The development of pathology can be caused by thrombosis as a result of the antiphospholipid syndrome. Insufficient supply of oxygen and nutrients to the fetus contributes to its death.

Immune system disorders

For some reason, the mother’s body begins to perceive the fetus as a foreign organism and kills it.

Presence of diseases

If a woman has anatomical anomalies in the structure of the organs responsible for reproduction, as well as a history of diseases of the heart and blood vessels, the circulatory system, diabetes mellitus, then the risk of pathology increases. Hormonal disruptions, as well as a violation of the cycle of menstruation, can provoke the development of a missed pregnancy.

Induced abortion

The presence of numerous abortions leads to the inferiority of the endometrium in the second phase of menstruation. As a result, implantation of a fertilized egg into the uterus cannot take place. Even if the introduction into the endometrium goes well, its inferiority will negatively affect the development of the embryo. He will not be able to receive adequate nutrition and oxygen.

Presence of bad habits

Often addiction to smoking, alcoholic beverages, drugs causes not only the deformity of the fetus, but also its death.

Adverse environment

Pathology can develop with insufficient, malnourished pregnant women, as a result of work in hazardous industries, as well as with changing climatic conditions.

Symptoms of miscarriage

In the first trimester, a woman should be alerted by the presence of the following manifestations:

  • abrupt cessation of toxicosis: odor and taste perversions, drowsiness, nausea and vomiting;
  • disappearance of breast engorgement;
  • decrease in hCG, the result of a pregnancy test becomes negative or weakly positive;
  • decrease in basal temperature;
  • the appearance of pain in the lower abdomen and lower back;
  • the presence of scanty dark bloody discharge from the genitals.

In the later stages, signs of pregnancy fading can be:

  • absence of fetal movements;
  • pain in the lower abdomen of a pulling nature;
  • the appearance of bleeding.

Missed pregnancy diagnosis

Confirmation of a failed miscarriage is based on the following facts:

  1. During a gynecological examination. The gestational age does not correspond to the size of the uterus. There is no fetal heartbeat.
  2. According to the results of the data obtained from the ultrasound of the fetus, and changes in the blood test for hCG. In the early stages, a discrepancy in the size of the embryo is revealed. There is no fetal heartbeat, and anembryonia (absence of an embryo in the presence of fetal membranes) can also be diagnosed. The hCG level does not change or decreases.

In the later stages, cardiotocography is additionally required to confirm the absence of the child’s heartbeat.

The likelihood of negative consequences of a miscarriage is minimal. The risk of complications associated with pathology increases if a similar episode has already taken place in the anamnesis. After a previous missed pregnancy, there are no obstacles to re-pregnancy and the birth of a healthy baby.

The following effects may occur:

  1. Sepsis. With a long stay of a dead fetus in the uterus, followed by decomposition, inflammation and infection of the body may develop. Toxic substances formed during the decay of tissues contribute to the poisoning of the woman’s body. This can lead to blood poisoning.
  2. DIC, which is characterized by severe, intractable bleeding.
  3. Mummification of the fetus. This phenomenon is more typical for multiple pregnancy. Moreover, if there are two fruits, then one of them may die and turn into a “mummy”.
  4. development of depression.
  5. Fetal petrification (lithopedion). After death, it undergoes calcification. Lithopedion is an extremely rare occurrence.

Treatment of miscarriage

What to do with a frozen pregnancy? If there are signs of a failed abortion, you should consult a doctor to confirm the diagnosis. In the absence of spontaneous miscarriage in the early stages after a missed pregnancy, a gynecological cleaning is performed. The procedure is necessary even with an abortion that has taken place for a period of 8 weeks or more, since fragments of the fetal egg may remain in the uterus.

Another method of treatment after miscarriage is medical aspiration. The method is more gentle, but less effective. A woman takes a special pill that provokes uterine contractions. As a result of the contraction, the dead fetus is removed.

There are two types of cleaning: surgical and vacuum.

Surgical use of a curette to crush the embryo and forceps to remove the fragments. The uterine cavity is scraped, which subsequently negatively affects its condition.

After a surgical abortion, inflammation is common and there is a risk of infertility. With this method of cleansing, it takes time to restore the body and conduct treatment after a frozen pregnancy.

The vacuum technique uses special equipment to carefully separate the fetal egg from the uterine wall. Vacuum aspiration practically does not give complications. The recovery period is minimal.

The author of the article:

Shklyar Aleksey Alekseevich

obstetrician-gynecologist, surgeon, KMN, head of the direction “Obstetrics and Gynecology”

work experience 10 years

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I turned to Aleksey Alekseevich Shklyar I want to express my deepest gratitude to the entire staff of the operating unit Aleksey Alekseevich Shklyar. You are all doctors with a capital letter. I never tire of thanking God for bringing me to you. I came to you on the recommendation of Sorvacheva M.V. We got in touch with the doctor by phone and appointed the day of the operation. For the first time, I was pleasantly surprised how Alexey Alekseevich told me everything in detail and reassured me. A couple of weeks later, I arrived at the clinic at 10.00 with a complete list of tests, and already at 11 I was lying on the operating table, to be honest, I didn’t even have time to get scared) Then the anesthetist magician came and I fell asleep sweetly. I woke up already in bed, nothing hurt, there were no side effects, just a normal morning awakening. I would never have believed that this was even possible, I am very grateful for a wonderful dream. Before that, I had more than one general anesthesia in state hospitals, and now I understand for sure that they apparently wanted to kill me there, but it didn’t work out. For the next two hours, until it was impossible to get up, wonderful nurses came to me asking how I felt and if I needed something, they put droppers, and I lay and did not believe that everything terrible was over)) 2 hours after the operation, I was already getting up and drank delicious broth and tea. The rest of the time before sleep, I walked around the ward, I didn’t feel any pain at all, a little weakness and nothing more. The next morning I was fed deliciously and discharged home. After being discharged, Aleksey Alekseevich is constantly in touch, he worries about my well-being more than even my relatives. I needed further treatment, he even helps me with this by calling the best doctors and clinics, supporting me. And now I know for sure that I am in the most reliable hands. Thank you very much again. Prosperity to your clinic and low bow to all your doctors. You are the best!!!

Lilia

15.05.2021 15:21:57

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Alexey Shklyar

On May 7, 2021, I did a minor gynecological operation in SOD, and I would like to express my gratitude to the attending physician, to the head of the gynecological department Shklyar Aleksey Alekseevich, – for high professionalism, and exceptionally friendly attitude, understandable recommendations. The doctor communicates very correctly, clearly and with explanations.
Special thanks to the anesthetist Alexey Valeryevich Fomin, for the quality anesthesia (I was more afraid of anesthesia than the operation itself), but everything went well, I was “not present” at the operation, and the condition after anesthesia was normal, as after waking up in the morning, no “side effects” ‘ did not feel.
After the operation, nothing hurt after half an hour, and after an hour and a half, I went home.
The attitude in the hospital was the most friendly, including from the nurses and the administrator at the reception (unfortunately, I did not ask for names).
It’s been a week since the operation, and only the discharge summary # 140035314 reminds of it.
I’m very glad that I trusted the experience of the Polyclinic ru doctors.

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