by Shannon Bartlett
You're probably feeling better and have more energy since you've entered the second trimester. At your appointment, you can expect to hear your baby's heartbeat, talk about your screening results and to decide if you'd like to do additional testing.
Your baby's busy growing, too. By the end of the second trimester your tiny babe will have almost doubled in length! You might even feel little flutters of movement now. If not, you will in the next few weeks. Your baby will definitely make himself or herself known!
For most moms, prenatal visits during the second trimester occur every four weeks. Your caregiver might suggest extra appointments or tests depending on your age and potential complications.
This visit's a perfect time to talk about fitness and nutrition since you probably can face food again and have the energy to exercise.
• Bring your list of questions. Encourage your partner to bring questions to the appointment as well. Jot them down ahead of time and then all you'll have to remember is the list. You may create a pregnancy journal to keep track of what's going on, including questions you can bring to your healthcare provider.
• Schedule your second trimester ultrasound. Your baby might cooperate and let you know if you're on team blue or team pink. The technician will also be looking at the organs and general growth. If anything comes up, they'll communicate that with you and your healthcare provider.
• Part two screening: If you opted to screen for down syndrome and other genetic disorders, you've had the first trimester screening done. Between week 15 and week 18, you'll be offered an alphafetoprotein triple screen, or AFP3. This test, sometimes called DownScreen Plus, or a multiple marker test, helps identify possible neural tube defects or chromosomal problems such as Down's syndrome. If you opt for the screening, you'll have blood drawn today for the second half of this sequential test.
• Listen to the baby's heartbeat. If you haven't already heard that ka-thump, ka-thump, ka-thump, you might in for a thrill. The baby's position, the location of the placenta, your weight and the room's background noise influence how soon you can hear it with a doppler, so don't worry if you have to wait until the next visit.
• Weigh in: Kick off your shoes and step up on the scale. During each appointment your weight will be checked. If you start pregnancy at a normal weight, experts suggest you gain two to four pounds the first trimester and about a pound a week for the rest of the pregnancy.
• Screen urine: You get to pee in a cup again. Then urine will be tested for protein, sugar and ketones. Whoever knew pee had such a story to tell.
• Check blood pressure: At each prenatal checkup your healthcare provider will check your blood pressure. If it's high early in pregnancy, you'll be offered extra blood pressure checks, stress management ideas and if necessary, medication.
• Fundal height: The midwife or doctor might measure your fundal height this visit. After the first 12 weeks of pregnancy, the distance from the top of your uterus to your public bone often matches the number of weeks you've been pregnant. It's common for the fundal height to measure a little smaller or larger than expected.