Dr. Lori Gore-Green | Women's Health Professional

Dr. Lori Gore-Green's Portfolio of Experience as a Women's Health Professional

Understanding the Second Trimester

by

The time span of a normal pregnancy is divided into three segments which last between twelve and fourteen weeks each. The second trimester starts with week 13 and finishes at week 28 and is a time when the mother starts feeling better. The nausea, the fatigue, and the severe breast tenderness ease up. The baby is growing larger and the uterus expands and comes up out of the pelvis, eliminating the pressure on the bladder.

However, this trimester does have a few discomforts.

  • Braxton-Hicks contractions – The uterus starts tightening up in usually painless contractions, especially after strenuous physical activity.
  • Breast enlargement – The breasts are preparing to feed the baby. Mammary glands start to swell.
  • Nasal congestion – The nasal mucosa becomes engorged because of increased levels of estrogen and progesterone in the body. Besides the stuffiness, the nasal veins are enlarged and bleed easily.
  • Bleeding gums – The same engorgement occurs in the gums and bleeding may occur with flossing or brushing.
  • Melasma – Brown patches may develop on the face or a brown line may show up on the lower abdomen. These changes are also due to hormones.
  • Quickening – The movement of the fetus can be felt at about 20 weeks.
  • Varicose veins and hemorrhoids – These congested veins may appear and be painful, especially with excessive weight gain and constipation.
  • Dizziness – This can happen on standing up and can even cause fainting. Staying well-hydrated is important.
  • Leg cramps – The body is no longer configured as it used to be. The leg muscles have to adjust to the weight above them. Cramping of tired muscles at night is not unusual. Stretching exercises before bed help. Staying well-hydrated also helps.
  • Vaginal discharge – Usually clear or white, this is normal.

 

At each prenatal visit, the mother will be evaluated for blood pressure, weight gain, and edema. Doppler checking of the heartbeat allows the parents to listen. The increasing size of the uterus will be measured to determine fetal growth.

The end of the second trimester is the beginning of the body’s preparations for birth as the mother enters the last trimester.

Understanding the First Trimester

by

The first trimester refers to the first 12 weeks of pregnancy. It’s an exciting time, but it’s also critical because it is when the baby develops all the major organs. During the first trimester, the baby’s brain and nervous system develop. The heart starts beating, and blood flows through the veins and arteries. The arms, legs, and backbone form, and the baby’s organs also start to develop, including the lungs, liver, and kidneys. Here is what to expect during that time.

Fertilization of the egg – The first trimester is when the fertilization of the ovum occurs. The sperm has to reach and penetrate an egg for this to happen. If it doesn’t, pregnancy will not occur.

Implantation – Once conception happens, the zygote attaches itself to the mother’s uterus lining through implantation, which usually occurs about a week after fertilization.

Hormonal changes – The body’s hormone levels go up in this trimester during the first few weeks. This will cause the pregnant to feel nauseous and tired during this time because her body is working hard to support the baby.

The heartbeat – At six weeks, the baby starts developing their neural system along with its heart beating for the first time.

Baby’s head develops – At seven weeks, the baby has developed his or her head. The brain and the face continue to grow at this stage.

Other features start to form – At 8 weeks, the baby’s limbs and fingers start to form, and swellings outlining the ears and eyes also form. At this stage, the nose also forms, and the toes appear at week 9.

The elbows can now bend – In the 10th week, the baby’s eyelids, mouth, and chin are recognizable. The baby’s head is now more round, and they can bend their elbows. The baby is also starting to move around in small movements, although the mother can’t feel it yet.

Baby’s genitalia form – The baby’s external genitalia start to form towards the end of week 11. Red blood cells also start forming in the liver at this stage. During this week, the baby officially becomes a fetus.

More features develop – During this week, the fetus’s fingernails form. Their head becomes more developed, and the intestines form in the stomach. At the end of this week, the baby is about the size of a peach.

Intrauterine Insemination: Important Facts to Know

by

Intrauterine insemination is a simple fertility treatment that helps a woman to conceive. It can be done with or without the use of fertility drugs. The procedure will transfer washed semen into the uterus with a thin catheter. This is done around the time of ovulation.

The Cost Of IUI

An IUI can range in price and depends on several different factors. This includes the cost of fertility drugs. Some insurance plans may cover IUI, so any woman who wishes to have it should check with her insurance plan. Typically, an IUI will cost anywhere from $300 to $3,000.

The Procedure

This procedure is painless and simple. Women undergoing this procedure will not require medications. The first thing that is done is that the semen is prepared. The partner will come in and give a semen sample unless you are using donor sperm. The sperm will be washed. During washing, impurities will be removed, and only viable sperm will remain. If the woman is using donor sperm, this sperm will be thawed before use.

A woman may be given ovulation drugs for their cycle, and their IUI appointment will be on or near the day they are scheduled to ovulate. If a woman is having ovulation difficulties, they may be given a drug like Clomid or Femara that will help to induce ovulation. When they go in for their appointment, they will lay down on the table, and a thin tube will be placed in the cervix where the washed semen will be injected. The doctor may suggest that they lay there for a few minutes or may let them get up immediately. The sperm will not come out of the uterus. They will then wait for two weeks and then do the pregnancy test.

After the IUI procedure, a woman may experience a few minutes of mild cramps but nothing serious. They should not have any discharge, bleeding, or anything else after the procedure.

Many women have had success with the IUI procedure. If it does fail the first time and the woman was not given fertility drugs, their doctor may suggest that they try again with the use of fertility drugs. This is especially true if the doctor believes that they are not ovulating.

Everyday Essentials to Help Your Pregnancy

by

Waiting for a baby to arrive is such an exciting time, but it’s also a time when an expectant mother could use some extra help to make pregnancy easier, safer, and more comfortable. Here are a few suggestions:

Use prenatal vitamins

These contain all the nutrients the body needs for both mom and baby. Especially important is folic acid, an essential nutrient in the B vitamin family that helps to prevent a type of birth defect. Be sure to get at least 600 micrograms of folic acid during pregnancy. Ideally, a woman would be getting at least 400 micrograms before becoming pregnant.

Use pregnancy-safe skin products

The skin is the body’s largest organ, and many substances can be absorbed through it. With this in mind, it’s best to use natural, organic products for skin care, hair care, and makeup. Specifically, avoid the following:

  • Retinoids
  • Hydroxy acids
  • Acne products
  • Chemical hair removers
  • OTC steroid creams like 1 percent hydrocortisone

All of these have the potential to penetrate the skin and cause a possible problem for a growing baby. The risk may be small, but it’s there, so just avoid the problem by avoiding the product. If acne breakout due to hormonal changes is an issue, ask the obstetrician for a safe solution. Sunscreens are typically safe for use during pregnancy. For a sunscreen that doesn’t penetrate the skin to work, check labels for the ingredient zinc oxide.

Bellaband

The Bellaband is a versatile device allowing the expectant mom to comfortably and easily transition the clothing gray area when regular pants still fit but not properly. The clever Bellaband allows the pregnant mom to wear regular pants unbuttoned or unzipped, while still keeping the area covered. The result just looks like the clothes have been layered. The Bellaband helps to save money on maternity clothes, too.

Belly butter

Few things are more annoying than a persistent itch. As the skin stretches more and more across the belly area, it will tend to itch. Look for itch lotions and creams intended for use during pregnancy. Especially helpful are jojoba oil and natural plant butter like shea butter and mango butter.

When it’s Safest to Announce Your Pregnancy

by

Parents face many challenges and sacrifices to make sure their babies are safe, comfortable, and well cared for. Whether it’s a first, second, third, or fourth baby, the most crucial detail of the motherhood journey is determining when to announce the pregnancy. Unfortunately, factors such as discrimination at work in some professions may delay some parents making their pregnancy announcement until the pregnancy shows. Therefore, every parent will have a different opinion of when to announce the pregnancy. However, there are many factors to consider when deciding when to make the announcement, as discussed below carefully.

After A Positive Test Result

Some parents, especially first-time parents, get over-excited to share the news of them being pregnant. Announcing at this early stage helps parents get as much support and encouragement as they require from family and those around them.

At Six Weeks after Conception

Week six of the pregnancy is when the ultrasound gets done, and the parents can feel the heartbeat of their fetus. It’s the best time to announce, especially for parents working in a hazardous working environment. At this stage, Parents are likely to experience nausea and a few complications that may cause them to miss work and other social functions. Announcing at this stage helps them get support from workplaces, family, and friends.

At Week 12 of the Pregnancy

The end of week 12 is the end of the first trimester, and the risk of miscarriage is low. The ultrasound images will show a fetus that looks more like a baby. However, parents who want to undergo genetic screening might prefer to wait and announce it after it’s done.

After Week 12

Some mothers might have a high-risk pregnancy that causes complications throughout the pregnancy. Some complications that cause high-risk pregnancies include previous miscarriages, women older than 35 years, carrying multiples, certain health conditions, and fertility assistance. All the conditions mentioned above might cause risks in all three trimesters of the pregnancy. If they are experiencing the above conditions, it might affect the parent’s decision to make the pregnancy announcement.