Pregnancy: what happens in the fourth month?

mom side

When does the 4th month of pregnancy begin?

The fourth month begins fourteenth week of pregnancy (Where from sixteenth week of amenorrhea). “In general, attacking the second trimester makes you feel a lot better,” admits Marianne Benoit Truong Canh, ultrasound midwife and vice-president of the National Council of the Order of Midwives. Fatigue subsides, energy returns, and nausea and vomiting (usually!) become a distant memory.” It’s time to think about yours birth plan.

What happens in the body…

Yes, that stomach keep going to round off – Force you to go shopping for more matching outfits! – the Breasts also get bigger. Take the opportunity to treat yourself to a new bra that is comfortable and adapted to your breasts. Do you have cravings? It is normal. These relate to change carbohydrate metabolism during pregnancy. In fact, the pancreas responds to any food intake – especially sugar – by a excessive insulin secretion. it is important, that Break up your meals a day – five small ones instead of three large ones – and complex sugars (whole or semi-whole grains, legumes, pasta, potatoes, etc.) sweets, ice cream, etc.).

… and in the head?

After a first trimester in which the pregnancy is not yet visible, entering the fourth month and the second trimester is where suddenly everything becomes concrete. The body changes, changing your appearance, but also your identity. “Pregnancy is a major upheaval on a physiological but also psychological level,” confirms midwife Sandrine Brame. The woman becomes a mother and certain fears can resurface. If necessary, we will have no hesitation in referring the expectant mother to a psychologist to discuss her doubts or concerns.”

Which investigations are to be carried out?

Counseling in the fourth month

the Counseling in the fourth month is the second of seven mandatory consultations. On this occasion, your therapist takes the opportunity to take stock of your general state of health. For example, you will be asked if you have recently had one fevera skin rashfrom indigestion especially heartburn, vaginal bleeding, etc. Do not hesitate to confide in him your worries and the little ailments that plague you (mycosis, ligament pain, etc.). He will then check yours blood pressure, your weight, and measuring the fundus height and navel circumference with a tape measure. “That gives us a possible detection growth abnormalities Fetus”, explains Sandrime Brame. Then the doctor listens to the future baby’s heartbeat with a small ultrasound machine and the examination usually ends with a vaginal examination to check the cervix (length and opening), but this is not systematic.

The doctor also checks the results of the last examinations – serology of rubellascreening for toxoplasmosis (to be renewed every month if negative), blood group, detection of sugar and albumin in urine etc. – and prescribes screening for gestational diabetes (to be carried out in the 6th month) as well as a dosage of anti-Rhesus agglutinins if the expectant mother has a negative Rh blood group.

Prenatal Conversation

In addition to the seven mandatory medical consultations (see above) prenatal conversation of the fourth month of pregnancy offers couples the opportunity to speak to a midwife about their midwife if they wish birth plan and to confide their doubts or worries about the arrival of the future baby. “It’s not medical advice and the conversation isn’t mandatory,” says Sandrine Brame, a midwife at the hospital. But this moment of sharing is very useful to better live your pregnancy. We take this opportunity to talk about the living and working conditions, possible health concerns, the way the pregnant woman experiences her pregnancy trouble she meets her every day, her family environment fears compared to birth as well as when the baby is due, etc. This is also the time to take stock addictions (tobacco, alcohol, cannabis) and, if necessary, referral of the expectant mother to specialist counseling (smoking cessation, etc.)”.

The prenatal interview, usually conducted by a midwife (liberal or maternity ward), lasts an average of 45 minutes. “We also discuss their birth plans with the couple,” continues Sandrine Brame. For example: How does he imagine the birth to be? Baby’s arrival? etc. Some will want the most physiological birth possible; when others immediately choose a epidurally. We will also try to build up an adapted childbirth preparation – yoga, haptonomy, sophrology etc. – according to the expectations and wishes of the future parents”

Beware of self-medication!

Accordingly’National Agency for Drug Safety (ANSM) only 70% of pregnant women believe that the use of medication during pregnancy is not recommended. However, taking a drug can have effects (malforming, foetotoxic effects) very significant on the fetus. Do you have doubts about a medication? Talk to your doctor, midwife or pharmacist before self-medicating. You can also consult the National Medicines Safety Agency (ANSM) or the Reference Center for Teratogenic Agents (CRAT) website, which lists medicines and their risks during pregnancy.

It’s time to…

Subscribe to something childbirth class ! “They learn there the adaptation of breathing to the different phases of childbirth, as well as perineal and general relaxation, both of which are promoters”, specify the authors of the Grand Livre de ma Pregnasse. It is also a “place to talk” where everything is discussed: anesthesia (epidural and others), episiotomy, breastfeeding, contraception after childbirth, etc. »

baby side

How much does the baby weigh and measure at 4 months pregnant?

At the beginning of the fourth month of pregnancy, the fetus weighs 110 g and measure 13cm. His brain already has its main structures and his face is already well drawn. Its growth is rapid. By the fifth month he had gained 6 centimeters and doubled his weight (200 g)!

Baby starts moving!

Yes, you were not dreaming! It’s not your imagination playing tricks on you. It is yours moving baby. After sixteen to eighteen weeks of amenorrhea, you begin to notice his movements. And he’s having a great day! “These movements are essential for the correct conformation of the joints of his limbs. The cartilage of its segments must “wear out” in such a way that all flexion-extension movements are possible, explain the authors of the Great Book of Pregnancy. Your baby can hear too! His ears are well developed and sonographers can often observe his reactions to the passage of the probe that emits ultrasound.”

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