One of the most common problems spotted at the 20 week ultrasound is placenta previa. Placenta previa is where the placenta is nearby, or actually covering some or all of the cervix. It’s a potentially dangerous condition because if the placenta covers the cervix, it blocks baby’s way out, requiring a cesarean section to deliver the baby. And more seriously, as the cervix dilates towards the end of pregnancy, the placenta can be torn and bleed, which can be life-threatening to mom and baby.

Complete or partial placenta previa, where the placenta covers at least a quarter, or even all of the cervix, occurs in around 1 in 200 pregnancies, and requires careful monitoring by your doctor.

And more common is a marginal placenta previa, where the placenta is close by, or touching the cervix, but not actually covering it.

At 20 weeks, when the placenta is relatively large compared to the size of the uterus, many women appear to have placenta previa. The ultrasound technician will note the position of the placenta, so your doctor is aware and can discuss it with you. The doctor will probably tell you to avoid intercourse, heavy lifting, and strenuous activity. Your husband will be thrilled that he has to do the vacuuming instead of sex.

Several moms I know, including me, had marginal placenta previa at 20 weeks. At my next obstetrician appointment, the doctor explained what it was. The position of the placenta is largely random, but there are risk factors to placenta previa, including previous cesarean sections, a history of placenta previa, and it’s more common in older moms. Apparently, smoking or using cocaine also increases the risk, my doctor told me, raising one eyebrow. What? I’ve never smoked and the only kind of coke I know comes in a red can with a swirl on it.

The good news is that for most women who have marginal placenta previa at 20 weeks, as your uterus grows, the placenta gets further from the cervix and you’ll likely be given the all-clear to get back to normal activities by 24-28 weeks. Your doctor will schedule another ultrasound to check the position of the placenta at that time. If the placenta is now clear of the cervix, then vaccuming, etcetera are back on.

I had another ultrasound at 25 weeks, and like 90% of moms with marginal placenta previa at 20 weeks, my placenta was in a normal position, and the rest of my pregnancy went smoothly, except for having to think of other excuses to not vacuum.

If you are pregnant, and experience any vaginal bleeding, get checked by a doctor asap. If you have been told you have, or may have placenta previa, it is important to let the doctor who examines you know, as they will need to take extra precautions when they examine you to avoid causing any damage to your placenta.

There are three main phases and stages of labor that you will hear referred to quite often when it comes time to deliver your baby. However, there is no reason to wait until you are in labor to learn about these phases and stages, what they involve, and what you should be doing during each one. The first stage consists of three phases, and the remaining two stages have just one phase each.

Stage One – Labor

Latent Phase
This first phase of the first stage of labor is called the latent phase, but can also be referred to as early labor, or just simply the first stage of labor. During this phase. your cervix will start dilating and you will be having contractions, and they are normally not painful and you are able to move around, talk, laugh and function through them as normal.

Some women, who want a more natural labor and delivery (and who choose to refrain from using pain relief), will choose to stay home during this first stage of labor where they are more comfortable and surrounded by familiar things. As long as their water has not broken, they may choose to take baths or showers, light candles, play music, or just sit and talk to their partner while they time contractions.

This phase of labor can last on average 8 hours, although it can also last much longer, or end much sooner. Your contractions will come between 5 and 20 minutes apart and generally last about 30-45 seconds. You should not be in a lot of pain during this first phase, or too uncomfortable. This phase ends about the time a woman reaches 3 centimeters dilated, which is when the contractions become more frequent and more intense.

Active Phase
This second phase of the first stage of labor results in your cervix dialating from 4-7 centimeters, and during this phase, your contractions will normally come between 2-5 minutes apart, and last up to a minute in duration. You will also start to feel much more discomfort and possibly more pain as the contractions become more intense as they help to push the baby down through your cervix. If they have not ruptured yet, this phase is the most common time for your membranes to finally rupture. The active phase can last an average of 3-4 hours, but can go on longer, or end sooner, depending on your body and your labor.

Transition Phase
The third and last phase of the first stage of labor results in your cervix dilating between 8 and 10 centimeters, and is the phase where your pain will be at its worst. During this time your contractions will seem to be coming one right on top of the other, and may last up to two minutes each in duration. During this stage the contractions are pushing your baby further down through the cervix, allowing his head to enter the vagina to prepare for birth. This stage normally lasts between 10 minutes and an hour.

Stage Two – The Birth of Your Baby
Stage two is the pushing of the baby out of your uterus through your vagina. Most women will find that they have a second round of strength as they begin pushing their baby. The contractions normally slow down giving a woman more time to catch her breath in between contractions. This stage can end relatively quickly, or can take several hours, depending on the position and size of the baby.

Stage Three – Delivery of the Placenta
This last stage of labor occurs after your baby has been born and normally lasts for a relatively short time. After the baby is born, the placenta should naturally detach from the uterine wall, following the baby out of the birth canal. The doctor will check the placenta for tears or problems that could lead to your uterus not contracting properly after the baby is born. It is important that your uterus contracts properly so that it can slow your bleeding and heal the area where the placenta was attached.

During pregnancy, your body creates a temporary organ called the placenta. The placenta is necessary during pregnancy in order for your baby to grow and be healthy. After the birth of your baby, your doctor or midwife will also have you deliver the placenta, as it is no longer needed.

The placenta is created during the first trimester but is not fully functional until the second trimester when it takes over all the nutrient production and waste management for the baby. The placenta is both genetically and biologically composed of two equal parts from the fetus and the mother. It is connected to the uterine wall and connected to the baby through the umbilical cord. It receives nutrients and oxygen and filters out any waste from the mother’s blood before delivering the blood to the baby via the umbilical cord.

Until the placenta takes over, a woman naturally produces progesterone to keep the baby viable. As soon as the placenta takes over it starts creating its own progesterone to sustain the pregnancy. After delivery of the placenta the cord is clamped near the baby and cut off permanently disconnecting the baby from the placenta. The entrance of the umbilical cord into the baby’s body later becomes the baby’s belly button.

Some cultures practice placentophagy which is the eating of the placenta. Those who do this believe that eating the placenta helps prevent postpartum depression and other complications. However, modern doctors and midwives do not believe that eating the placenta will actually help reduce the occurrence of postpartum depression.

In some pregnancies, placenta previa can occur. Placenta previa is a condition where the placenta covers at least part of the cervix, which is the opening that the baby will come through when born vaginally. This happens in about one of every 200 pregnancies. There are 3 types of placenta previa.

• Complete
  Complete placenta previa is the placenta covering the entire cervix. This can cause bleeding throughout the pregnancy, growth retardation and congenital defects in baby. It will also mean that a woman will need a c-section when it comes time to deliver her baby.
   
• Partial
  Partial placenta previa is a partial covering of cervix is covered. This can be anywhere from 1/4 to 3/4 of the cervix. This can also cause bleeding and may lead to a c-section.
   
• Marginal
  Marginal placenta previa occurs when just a small portion, or just the edge of the cervix, is covered. In this case, as the pregnancy progresses, the placenta will generally move up and out of the way, allowing a clear passage for the baby to be born vaginally.

If you experience bleeding during your pregnancy, you should talk to your doctor and rule out the possibility of any bleeding being caused by placenta previa.

Heartburn can pop its ugly head up at anytime during pregnancy. It is more common later in pregnancy, but many women feel it in the first trimester as well. What causes it? What can be done to help relieve it?.

When a woman gets pregnant, her placenta starts producing more of the hormone progesterone than what she normally has in her body. The progesterone coats the lining of her uterus, helping the muscles in the uterus relax in order to carry the baby. It also however, relaxes the valve between the stomach and esophagus that is intended to keep food and stomach acids down in the stomach. When this spincter muscle is relaxed, it allows the acid from the stomach to travel back up the esophagus, causing heartburn. This can also be called acid reflux.

Later during pregnancy, as your baby gets bigger and he starts pushing more on your organs, his position is likely to make the heartburn even worse! There are several things you can do to help ease the reoccurrence and discomfort of heartburn.

1. Try to stay away from foods that cause problems in the first place. These foods can include caffeine, chocolate, carbonated beverages like soda, citrus fruits such as oranges, and highly seasoned or fatty/fried foods.

    

2. Try not to eat large meals only once or twice a day. Your body needs time to digest little amounts of food in order to help keep the heartburn from starting. Eat small amounts several times a day.

    

3. Try not to eat and then go straight to bed. Take your last meal several hours before bedtime so that your food has time to digest while you are sitting up. This will lessen the chance of the acid travelling back up your esophagus when you lay down.

    

4. Don’t wear tight clothing that presses down on your belly. Keep it comfortable and loose so that you don’t have the extra pressure on the baby which can put extra pressure on your stomach and contribute to heartburn.

    

5. You should not be drinking alcohol and smoking during pregnancy anyway, but if you are, stop! Alcohol and smoking can cause heartburn on their own.

    

6. There are over the counter antacids that you might be able to take, but be sure to ask your doctor or midwife before you take them, to make sure they are safe for you in your pregnancy.

Remember, every pregnancy is different. Some women may never experience heartburn; others may find that they have terrible heartburn caused by foods they are eating that are not in this list. If you are unable to find relief, be sure to check with your health care provider as they may have a suggestion for you that will relieve your heartburn once and for all.

When you are pregnant, your baby starts moving around as early as six weeks, into the pregnancy, about the time the heart starts beating. As the legs, arms, hands and feet are formed, you can actually see this movement during an ultrasound long before you can feel it in your body.

There is no set rule as to when you will first feel your baby move. The first movements that a woman can feel are generally referred to as fluttering. Some women say it feels like butterflies in their stomach. Others say it feels like gas. In reality it can be hard to tell if this fluttering is in fact your baby moving.

Some women claim that they can feel this fluttering as early as 12 weeks. Other women don’t feel anything until 20 weeks or even later. There are many reasons for this wide timespan.

Women who are very thin, or have had previous pregnancies, often start to feel their baby earlier than women in their first pregnancy. If a woman is overweight, the extra pounds around her belly could shield some of the movements as well.

Another thing to consider is the position of the placenta. If the placenta is positioned in the front of her uterus, it functions as a pad as the baby kicks. It will take longer for the mother to feel her baby kick. The baby will have to get bigger and stronger in order for his movements to penetrate through the placenta.

If you haven’t felt your baby move, do not worry. As long as your doctor says all is fine at your appointments, and you hear the heartbeat, you know all is ok. By the time you get to the third trimester the baby will be moving, kicking, tossing and turning so much that it may sometimes be painful, and you will be asking him to settle down and go to sleep!

You may not think of it like this, but you’re feeding your baby something from the moment of conception. There are indications that those early months are some of the most critical when it comes to good nutrition with a minimum of toxins. To get the vitamins and minerals you need, you’ll want to eat a good selection of fresh vegetables and fruits. However, you sure don’t want to be filling your system, and your baby’s, with unwanted pesticide residues.

The effects of pesticides on the health of a young child are not fully known at this time, but the brain of the developing child is probably at risk. It certainly seems prudent to reduce the amount our children are exposed to. One way is by using organic fruits and veggies.

Organic produce is getting easier to find in regular supermarkets as the demand and production increases. Still, it’s often two or three times as expensive, and the choices are likely to be limited. One way to bring organic into the reach of your budget is to take up organic gardening. Even just a few cherry tomato plants can make a big difference in the overall amount of toxins you ingest.

It might be impossible to buy all organic fruits and vegetables. If you can’t, try to go organic for at least those fruits and veggies that tend to be loaded with pesticides. The top offenders among fruits are peaches, apples, strawberries, nectarines, cherries, pears, and imported grapes.

Among veggies, watch out for bell peppers, celery, spinach, lettuce, and potatoes. The twelve foods just mentioned are called by some the “Dirty Dozen.” Buying these foods as organics can eliminate the bulk of pesticides from your diet. The next most contaminated vegetables after the top dozen are carrots. Since we tend to use carrots frequently, you might want to opt for organic ones, especially if you use them in juicing.

Safest selections among non-organic produce include onions, frozen corn and peas, broccoli, cabbage, kiwis, bananas and pineapple. (Data was determined by the Environmental Working Group, a non-profit agency.)

What about washing produce to remove pesticides? Washing helps to remove substances like bacteria, but don’t trust washing and peeling to get rid of the pesticides. Studies have shown that the residues work their way into the very cells of the fruit or vegetable.

Don’t forget about your non-diet exposure to pesticides. Use simple natural insect repellents in your home. If you have a serious insect infestation, there are bait-type insecticides that are much safer to use than sprays that go everywhere. And just forget about those bombs. They leave residue on everything in your house

Omega-3 fatty acids are very important for pregnant and breastfeeding women. One omega-3 fatty acid in particular called DHA is considered essential for the optimal development of an infant’s brain and eyes, both during pregnancy and after birth. In addition, DHA may help prevent preterm labor and may help protect against postpartum depression.

During pregnancy, your baby receives DHA from you through the placenta. Transfer of DHA from mom to baby is greatest during the third trimester, a period of rapid development for the brain and nervous system. After birth, breastfed infants continue to receive DHA through their mother’s milk.

The potential benefits of a diet rich in DHA during pregnancy and while breastfeeding have been under investigation for many years. Studies comparing infants born prematurely with full-term infants have found that preterm infants tend to have lower DHA levels as well as delayed visual and cognitive development. Other studies looking at breastfed babies versus formula-fed babies (most formulas do not contain DHA) have found that breast-fed infants tend to have better visual acuity early in life.

DHA supplements are widely available. Some brands though, such as Nutrition for Two’s Vitrel-3, claim their active ingredient is “cervonic acid.” Cervonic acid is simply another name for DHA. These companies use the different name though to charge you twice as much for the same product.

Pregnant and breastfeeding mothers are encouraged to pay special attention to their diets to ensure an adequate consumption of foods rich in DHA. It is never too early to start helping your baby’s eyesight develop properly.

Cold-water fish, such as salmon, herring, mackerel and whitefish, are our best dietary sources of DHA. Indiscriminate consumption of fish, however, is not recommended for pregnant women. This is because many of our streams and oceans are contaminated with mercury, which can be harmful to a developing nervous system. While nearly all fish contain trace amounts of mercury, long-lived, larger fish that feed on other fish accumulate the highest levels and pose the greatest risk to people who eat them regularly. For these reasons, the Food and Drug Administration recommends that pregnant women or those thinking of becoming pregnant avoid shark, swordfish, king mackerel and tilefish. The FDA has determined that up to 12 ounces per week (3 ounces is a normal serving size) of other cooked fish is safe for pregnant and nursing women. A good substitute for women who choose not to eat fish are DHA-enriched eggs now available in many stores.

For the infant, breast milk is an excellent source of essential fatty acids, including DHA. While infant formulas supplemented with DHA and AA have been available for several years in countries throughout Europe, Asia, Africa, Australia and Latin America, they have not been allowed in infant formulas sold in the United States until recently. Currently, there are two brands of infant formula on the market in the United States that are supplemented with DHA and these can cost 10 percent to 20 percent more than regular formulas.

During pregnancy your body starts creating colostrum as your breasts prepare to nurse your unborn baby. Some women begin leaking colostrum weeks or months before delivery. For first time moms who are unaware of what this is it can be a bit frightening and worrisome until they talk to their doctor or midwife who assure them it is normal. First time moms may start leaking colostrum during the third trimester, while previous mothers may start leaking as early as the second trimester.

Colostrum is a thick and sticky, yellow to orange colored milk that is created by your breasts to give your baby the nutrition he needs immediately after birth. It is low in fat, high in carbohydrates and has a laxative effect on the baby which helps him pass the first meconium stools that are sitting in his intestines. This also helps get rid of the bile and helps lessen the chance of jaundice in your newborn.

Not only does it provide nutrition, but also contains cells that act as agents in protecting your newborn against germs. The concentration of immune factors is much higher in the colostrum than it is in the later mature milk that your baby will receive when your milk comes in.

It is important if you plan on to nursing to nurse frequently and often during the first few days of your babies life so that your baby not only gets all the colostrum and antibodies he needs, but also so that your milk comes in strong.

Colostrum is also a 100% safe vaccine for your baby. Many parents will refuse to have the eye drops delivered to their babies after birth, and will instead use their colostrum to rub on their babies eyes in hopes of killing bacteria and preventing infection. This vaccine is referred to as immunoglobulin A (IgA) and is different from the immunoglobulin G (IgG) that your baby received from the placenta while you were pregnant. IgG worked through the baby’s circulatory system, but IgA protects the baby in the places most likely to come under attack from germs, namely the mucous membranes in the throat, lungs, and intestines.

If you do not start leaking colostrum during your pregnancy, it is not a cause for concern. Not all pregnant women leak before their baby is born and it is not known to have any effect on the success or failure of a mother nursing her newborn.

Unfortunately we are not talking about the blue of your baby’s eyes. We are referring to the mild form of sadness a mother may experience after she delivers her baby.

Also known as maternity blues or maternity baby blues, baby blues are very common and occur in as many as 75-80% of new mothers. It is not postpartum depression unless it is abnormally severe.

What Causes Baby Blues?
When the placenta is delivered after the baby is born the part of the body creating the hormones shuts down abruptly. This causes a woman to react as if she is going through withdrawals from the high levels of estrogen, progesterone and endorphins that she had during her pregnancy.

In addition to the changes in hormones there is the exhaustion that sets in, whether it is physical, mental, or emotional after the baby is born, as well as sleep depravation you probably feel that can contribute to the baby blues.

Symptoms of Baby Blues
Symptoms may include some of these:

• Weepiness and bursting into tears.
• Sudden mood swings.
• Anxious and hypersensitive to criticism.
• Low spirits and irritability.
• Poor concentration and indecisiveness.
• Feeling ‘unbonded’ with baby.
• Restless insomnia.

Baby Pinks
Another, less referred to and less known feeling a person may have after giving birth is call the baby pinks. This is referred to when a person is overly happy and exuberant. This can be a sign of impending postpartum depression or psychosis.

If you have recently had a baby and you feel a bit of sadness, call your doctor to talk to him about it. He can help you judge and decide if you are experiencing a simple form of the baby blues, or if there is something more serious going on.