Week 8
Your baby is about 2.5cm (1in) long and is just about recognisable as a tiny
human being. He or she can open its mouth and the tongue, upper palate and ears
are starting to develop. The umbilical cord which links the baby to you via the
placenta is formed.
Your baby is turning from an embryo into a foetus. The brain is developing at
a breathtaking rate. The essential fatty acid, DHA, is a vital supplement for
brain development and can be found in oily fish such as mackerel and tuna.
Tip: Mild stomach pains are common as your uterus starts to stretch, but if
you suffer from severe abdominal pain you should consult your doctor.
Week 9
Your baby is about 3.5cm long and his or her head is more developed. He or
she can move their arms and legs and make tiny wriggling movements. The brain is
four times larger than it was a month ago. The sweat glands have started to
form, the digestive system is developing rapidly and the nervous system is
advancing.
Male or female characteristics will evolve over the next three weeks.
Pregnancy hormones have flooded your system and your blood volume has increased.
Increased progesterone causes blood vessels to relax. This can occasionally
result in slight dizziness as oxygen takes longer to reach your brain.
You should be starting to think about the type of antenatal tests you may
wish to have. There are a number of diagnostic and screening tests which can
check for abnormalities in the foetus, some of which carry a slight risk to your
baby. You have the right to refuse tests if you don't want them.
Tip: Don't forget to drink plenty of water - at least eight glasses a day.
Week 10
Your baby's nervous system has matured enough for him or her to actively move
about. The intestines are absorbing glucose, which is fuel for the brain.
The first nail fields are beginning on fingers and toes. The liver starts to
make red blood cells. By now, all the organs plus the amniotic sack of fluid
around your baby have been formed and the umbilical cord is attached to the
placenta.
Tip: Breast size can change considerably during pregnancy. Get properly
fitted bras as soon as you notice the current one is getting tight.
Week 11
The liver is properly formed and takes over the manufacture of red blood
cells. The kidneys are starting to function and urine is being formed.
The baby is growing rapidly, and is about 6.5cm (2in) long. His or her face
is formed, complete with chin and forehead. The head is getting bigger to
accommodate the rapidly forming brain.
Week 12
You are almost at the end of your first trimester. Hopefully, any morning
sickness you may have had is disappearing (though for some unlucky women this
can last longer) and you are starting to recover your appetite and feel more
energised. Your uterus is starting to move out of your pelvis and your heart is
pumping extra blood.
Your baby, no longer an embryo but a foetus, is fully formed. But, at just
over 8cm long, there is a lot of growing still to do. His or her nails are
starting to grow, the jaw has 32 little teeth buds and he or she is starting to
suck. Ovaries and testes have formed inside the body, though the external sexual
organs have yet to develop.
Tips: Don't listen to other women telling you that you don't look very big or
that you look too big for the amount of weeks you are pregnant. Everybody is
different.
Week 13
Your exhaustion should be starting to lift, your energy returning and your
appetite improving. You may notice the first signs of a 'bump' as your uterus
starts to grow rapidly. Your digestive system is becoming more sluggish,
allowing time for vital nutrients to be absorbed by your baby. But your heart
works faster than normal, pumping ten pints of blood a minute.
The hormones oestrogen, progesterone, human placental lactogen, oxytocin and
prolactin prepare your body for feeding your baby and cause your breasts to
enlarge. The glands on the areola, the area around your nipples, become more
obvious and the areaola may darken and get slightly bigger. Bluish veins on your
breasts may become more visible.
You may sweat more because of your increased metabolism. You may experience
occasional nose bleeds. Hormones also relax the muscles in your internal organs,
with side effects such as constipation and heartburn.
You will be more aware of your baby as an individual and may start to
experience strong feelings of nurturing. Talk to your baby often and think
positively about your future together. While many women may feel bursts of
energy during the second trimester, the increased demands of pregnancy may leave
others depleted, because their diet is not providing enough nutrients.
Iron is in great demand by the growing foetus. The expanding blood volume in
the mother dilutes the concentration of iron in the bloodstream. You need an
extra 4mg on top of the usual 14mg a day. Lack of iron can lead to poor memory
and to feeling sluggish, breathless, tired and emotional.
Magnesium and calcium work together. Magnesium is needed for more than 300
processes in the development of the baby. During pregnancy it helps the muscles
of the uterus to relax, and deficiency can cause unnecessary contractions.
Calcium and magnesium are essential for development of the baby's muscle and
nervous system and for strong bones and teeth.
Your baby is accumulating calcium at the rate of 110mg a day. The guideline
level per day for magnesium is 270mg a day, and for calcium 800mg. B vitamins
are required for energy, for metabolising carbohydrates and for the foetal
nervous system. B3 helps form ceratonin, an important nerve transmitter, and
helps with sleep and mood. Many women worry about how much weight they should or
should not be gaining during pregnancy.
There are no hard and fast rules: much depends on your body type and your
weight before pregnancy. Typical weight gain is between 11kg and 16kg (24lb and
34lb). Your baby is very human looking, and its body is rapidly growing. Your
placenta has kicked into action and is maintaining your pregnancy, passing
nourishment and oxygen through from your bloodstream to your baby's. Your baby's
brain cells start to multiply at the incredible rate of 250,000 per minute.
Week 14
The placenta is taking over the function of nourishment and hormone
production. There are now very few infections that can cross over to the foetus.
Your baby will be aware of stimuli such as noise and light, and will be
responsive to your touch. The limbs are fully formed and the legs are longer
than the arms.
Up to 14 weeks, the amniotic fluid in which the foetus floats is absorbed
though the baby's delicate skin. By 14 weeks the kidneys are beginning to
function and the baby swallows and excretes the fluid back into the amniotic
cavity. It cannot breathe yet and obtains its oxygen from you via the blood in
the placenta.
Constipation is a common side effect of the pregnancy hormone progesterone,
which relaxes the gut so that food passes through your system more slowly. Make
sure you are eating plenty of fresh fruit, vegetables and wholegrains and
drinking plenty of water.
Week 15

Your baby's body is growing faster than his or her head and movements are
becoming more vigorous. The bones still consist of soft cartilage but they are
beginning to ossify or harden (starting with the collarbone).
Try to include more calcium and magnesium in your diet to help with the
formation of your baby's bones. For calcium, eat sesame seeds, almonds, salmon
and dairy products, and for magnesium, eat oats, wheatgerm, rice, cabbage and
aubergines.
Try to get outside for some fresh air and sunshine every day. Vitamin D, made
in the skin from exposure to sunlight, helps the body to retain calcium.
Week 16

Your skin is becoming more pigmented and a dark line, known as the linea
nigra, may appear down the centre of your abdomen, from the navel to the pubic
bone (this should fade after the birth). Any pressure you may have been feeling
on your bladder should be relieved as the growing uterus rises out of the pelvic
cavity.
Your baby's face is beginning to develop features that look human, with
large, wide-apart eyes and transparent eyelids that are still closed. Fine hair
called lanugo is starting to form all over its body and face. The limbs are
properly formed. You may be aware of your baby's 'quickening', its first
tangible movements, which you experience as a slight fluttering or bubbling
sensation in your tummy.
A layer of fat is beginning to coat the nerves that link the baby's muscles
to its brain. This is vitally important because once these connections are
complete, messages can be passed to and from the brain, allowing co-ordinated
movements. Blood flows through the placenta at the rate of 27.5 litres (eight
gallons) a day. Your baby will measure about 16cm (6.75in) and weigh 150g (5oz).
It is about this time that you will undergo an alpha-fetoprotein (AFP) test,
which measures the risk of your baby having neural tube defects (defects in the
developing spinal cord). A high level of AFP might suggest spins bifida, a low
level might suggest Down's syndrome. Even if you have a 'positive' result, you
baby is still likely to be normal because the tests only show the level of risk.
If there is a problem, you'll be offered another test called amniocentesis.
Amniocentesis involves taking a small sample of amniotic fluid from the womb
using a needle. The results take up to five weeks to come back and the procedure
carries a one-in-200 risk of miscarriage, so ask as many questions as you need.
Week 17

Your baby is starting to weigh more than the placenta and will be lying
mid-way between your pubic bone and your placenta. Your body will be starting to
lay down fat.
Your baby can frown and squint, and his or her eyelashes and eyebrows are
starting to grow. He or she will measure about 18cm (7in) and weigh 170g (6oz).
Week 18

Your baby is about 20cm (8in) long and is practising breathing: taking
amniotic fluid into the lungs and 'breathing' it out again. He or she may have
started to suck their thumb.
Your increased blood supply may make you feel 'stuffed up' in your nose and
you may suffer from occasional nosebleeds. You may also sweat more because of
your increased metabolism.
Week 19

Your baby's brain cells are continuing to multiply at an astonishing rate,
roughly 50,000 to 100,000 per second.
The spinal cord is starting to thicken. You will probably be offered an
ultrasound scan to check that the baby is all right.
Week 20

You are halfway through your pregnancy and the top of your uterus will be
about a finger's width below your navel. You will be able to feel obvious
movements.
Your baby is roughly half as long as he or she will be at birth. Hair is
starting to grow and he or she is rapidly gaining weight. Up to now, the growth
rate has been very fast but it is slowing down to allow the lungs and immune
system more time to mature.
The sexual organs are developed and will be detectable on a scan to an
experienced operator. A girl's ovaries will hold all the eggs she will ever
produce: roughly several million. From now on, the fully formed placenta will
provide all your baby's needs.
Week 21

For the next few weeks your body becomes super-efficient at absorbing
calcium.
Your baby has not yet opened his or her eyes but tastebuds have developed and
he or she is starting to drink large amounts of amniotic fluid.
Week 22

Your baby's ears are fully formed and he will be increasingly aware of noise.
Research suggests that he may start to learn and respond to sounds and voices as
early as 22 weeks, and that playing music will stimulate brain cell activity.
You may start to recognise a cycle of waking, when he or she is far more
active, and sleeping, when movements cease for a while. You may also notice when
your baby has hiccups.
Week 23

Your uterus has reached your belly button. Your baby will weigh about 450g
(1lb) and resemble a small doll.
You will be able to distinguish different parts of his or her body through
your abdominal wall. Arms and legs are well developed and the baby will be able
to grip.
Week 24

You will be gaining weight at the rate of half a pound to a pound a week.
Your baby's eyes are open. He or she will respond more to sound and touch and
will be able to identify voices - so talk to him or her. You may find he starts
moving when you speak.
The air sacks in the lungs are fully formed though they are not yet mature
enough for independent existence. If born prematurely now, the baby would
experience severe breathing problems. All the other major organs are formed. His
heart rate has dropped and it is possible to record it on a machine. The skin is
translucent and arteries and veins are clearly visible through it.
Week 25

Your baby has waking periods and sleeping periods, and may be most active
when you are resting. The influence of the hormones progesterone and relaxin
will soften your joints and ligaments and the increasing weight and size of your
baby will alter your centre of gravity.
Take particular care when bending and lifting so that you do not damage your
back. Stick to gentle forms of exercise such as walking, stretching and
swimming.
Week 26

Your baby is covered in vernix, a white greasy substance which protects and
nourishes the skin and gives it an outer waterproof layer. Your 'bump' will be
growing noticeably bigger.
Stretchmarks may be appearing across your abdomen. There is little you can do
to prevent these, but you can buy creams to help keep your skin soft and supple.
Stretchmarks will gradually fade after you have had your baby. Plenty of zinc
and vitamin C in your diet will also help to keep your skin healthy.
Week 27

Leg cramps are common during the second trimester and are thought to be due
to a deficiency of calcium and magnesium, because the baby's demands for these
minerals are so high.
Make sure your intake of calcium and magnesium is adequate by eating plenty
of leafy green vegetables and cheese. Your baby will be starting to put on
weight and you may experience a sudden weight gain as your baby gets bigger and
the amount of amniotic fluid increases.
Your baby's brain is growing rapidly and requires a good supply of essential
fatty acids for optimum development. If fish such as mackerel and tuna are not a
regular part of your diet, take a supplement of DHA, an Omega-3 fatty acid found
in oily fish which plays a crucial structural and biochemical role in the brain.
If you develop constant and extreme itching, you should inform your midwife
and have a blood test. This could be a symptom of an underlying condition called
obstetric cholestasis, which sometimes occurs in the third trimester as a result
of an overflow of bile passing through the placenta. This is a serious condition
and you will need to be carefully monitored. It is often accompanied by dark
urine, pale stools and jaundice.
Week 28

If your baby is a boy, his testes will now descend into his groin. His or her
eyes are sometimes open and he or she is learning how to focus. Life is now
'viable', which means that if he or she were born now, with special care, there
would be a good chance of survival. By now you are probably feeling that you
have been pregnant for ever.
Great changes are going on in your body in preparation for the birth and it
is quite common to suffer from all sorts of aches, pains and discomforts in the
latter stages of pregnancy. If you have any cystitis or urine problems, these
should be treated at once. A urine infection can cause you to go into premature
labour. Anaemia should also be corrected as it too can lead to premature labour.
If you're suffering from chronic backache, immersion in water may bring you
some relief. Aqua-natal classes are available in many centres throughout the
country. Your blood volume has increased by 40 per cent to meet the demands of
the baby and placenta, and blood flow to your womb has increased tenfold. You
may get breathless because pressure from your uterus is preventing your lungs
from expanding fully.
Your breast tissue is developing in readiness for breast feeding and you may
have started to produce colostrum, the fluid which precedes milk. Your pelvic
joints and ligaments are expanding and softening ready for the birth. You may be
experiencing the first irregular, painless 'Braxton Hicks' contractions - a sort
of rehearsal for the real thing.
The extra weight you are carrying and the increased effort of moving around
may be making you very tired. You may also be suffering from insomnia or
disturbed sleep because you find it difficult to get into a comfortable position
in bed. If heartburn is causing you problems when you lie down, try sleeping
propped up by pillows. The pressure of the uterus on your bladder may mean you
have to get up several times in the night.
Although the baby is growing faster than at any other time during pregnancy,
you need only 200 extra calories a day. Your requirement for protein is at an
all time high: protein provides the building blocks to repair cells in the body
and antibodies to fight infection.
Ensure your diet is rich in the following: Vitamins A, B, C, E and zinc are
needed for lactation. Vitamin C is anti-viral and helps the body absorb iron. It
also helps in the healing of tissue after delivery and boosts the immune system.
Zinc is essential for hormones and affects growth at many different levels. It
is important for protein synthesis, muscle growth and cell membranes. Deficiency
is associated with low birth weights and premature births, and with undescended
testicles in boys.
Essential fatty acids are vital to the baby's developing brain. Vitamin K is
very important in the last few weeks of pregnancy. It is involved in the
manufacture of prothrombin, essential to make your blood clot. In adults it is
made by bacteria in the gut, but a baby's gut is sterile and so it has to rely
on its mother's supply.
If you are vegetarian, take extra care to ensure you are getting sufficient
protein. The answer is to combine plant sources of protein, by eating nuts with
pulses, nuts with seeds or pulses with seeds. This gives the added advantage of
providing a lot of fibre and complex carbohydrates without any saturated fat.
Also be aware of possible deficiencies of B vitamins, iron, zinc and calcium
(especially in vegans) that may need correcting.
Tip: Anxiety about the approaching birth may make you feel isolated,
withdrawn and anxious. Do not hesitate to ask your doctor or midwife about
anything that is worrying you. And cultivate friendships among the women you
meet at ante-natal classes: they can be a good source of support and
companionship.
Bach flower remedies can be useful for calming your nerves: Impatiens helps
you to relax and be patient, red chestnut helps over anxiety and negative
thoughts, olive relieves exhaustion and the feeling that everything is too much
effort, mimulus eases fear about the birth, gentian relieves negative and
despondent feelings and elm helps ease feeling overwhelmed by responsibility.
Several remedies can be taken together by mixing them in a sterile bottle and
adding a few drops to a drink, or placing a few drop directly on to your tongue.
Week 29

You should be seeing your doctor or midwife every two weeks. Your baby is
about 36cm (14in) long and is covered with vernix, the greasy substance which
protects his skin. The lungs have developed most of their small airways and tiny
sacs.
'Surfactant' is produced by the lungs to assist breathing. If you have early
contractions, you may be given a steroid injection to stimulate the baby's lungs
to produce surfactant, so that he will be able to breathe more easily if he is
born prematurely. Take note of your baby's movements: he should be reasonably
active. If you are concerned that his activity is decreasing, contact your
midwife.
Make sure you rest whenever you can, particularly during the afternoons, and
try to get plenty of early nights. Ideally, cut back your hours at work. Working
hard right through the third trimester may have an effect on your baby's growth.
Your heart is working 25 per cent harder and your blood volume has increased by
four pints. The increased size of your abdomen will have moved your centre of
gravity and may be affecting your balance, so be very careful to avoid falls.
You may experience backache or sciatica.
Tips: A Fembrace back support, available from a physiotherapist, may make you
more comfortable. Acupuncture, osteopathy or chiropractic may all be able to
help.
Week 30

Most babies have turned upside-down, so that their head is in the right
position for birth. You maybe suffering from troublesome haemorrhoids (piles),
due to the pressure of the expanding uterus on the blood vessels.
Make sure you are eating plenty of fibre. The homeopathic remedy Hamamelis
will ease discomfort. Take in tablet form and apply the cream locally. Sit on a
bidet filled with warm water to which has been added one drop of cypress and one
drop of juniper oil, mixed with 5ml of base oil.
Week 31

Your uterus has how risen above the level of your belly button. You may be
experiencing leg cramps, which can keep you awake at night. This could be due to
a deficiency of calcium and magnesium, because the baby's demand for these
minerals increases at this stage.
Your circulatory system is working twice as hard as pre-pregnancy. Your
baby's brain contains more cells than at any other time in its life, at least
twice the amount it will ever need. The excess cells are loosely wired and need
to make certain connections to function properly.
By 31 weeks, excess brain cells that have not received stimulation will start
to die off. Essential fatty acids, important for rapid transmission signals from
one neurone to another, will help to prevent this gradual process. Eat oily fish
or take a fish oil supplement.
Week 32

You will be feeling pretty heavy, having gained between 21lb and 27lb. The
flow of blood through the placenta, nourishing your baby and helping him grow,
has reached 100 gallons a day.
Overwork or lack of rest will impede this vital blood flow and affect your
baby's growth. So, again, rest when you can and make sure you get an adequate
night's sleep.
Women who work right up until they are 36 weeks leave themselves with no
reserves of energy and little time for physical or mental preparation,
especially if they go into labour early. This can affect not only their baby but
their experience of childbirth and their state of mind afterwards. You should
begin your antenatal classes or active birth classes.
Week 33

You are gaining weight faster than at any other stage of your pregnancy. You
will need a blood test to check that your iron level is normal. A low blood
count as you approach the end of your pregnancy can reduce your energy levels
and affect the outcome of your labour.
Increase the amount of green leafy vegetables and lean red meat you eat.
Increase your vitamin C intake to help your body absorb iron. Try an iron rich
tonic such as Floradix. Take the homeopathic remedy Ferrum phosphoricum 30,
twice a day for ten days.
Insomnia is a common problem as the baby gets bigger and it becomes harder to
get into a comfortable sleeping position. Avoid stimulants before going to bed,
and try the following ideas:
- Drink camomile herbal tea during the evening - it aids relaxation and helps
induce sleep.
- Eat a light and easily digestible meal rather than a rich and heavy one in
the evening, and don't eat too late.
- Light some candles, dim the lights and ask your partner to give you a gentle
massage.
- Listen to relaxation tapes to help you to unwind.
- Soak in a warm bath with a few drops of lavender or camomile oil.
Week 34

Your baby's brain and nervous system are fully developed. He or she will be
about 45cm (19in) long and weigh about 1.8kg (4lb). You may notice that your
abdomen is changing in shape.
Start preparing the perineum (the area between the anus and the vagina) for
the stretching it will have to do when you deliver your baby. Gently massaging
this area every day with oil will improve the elasticity and flexibility of the
skin tissues and may help to prevent a tear.
Week 35

Your baby should by now be lying with its head down towards the pelvis. A
breech - in which the baby is lying with his or her legs towards the pelvis -
occurs in 3 to 4 per cent of pregnancies. In 57 per cent of pregnancies a baby
will turn by itself after 32 weeks and a further 25 per cent will turn after 36
weeks.
If your baby seems to prefer the breech position, you may have to have a
Caesarean section, usually at about 38 weeks. However, an acupuncture treatment
using moxabustion could help to turn him. Moxabustion has been used for
centuries in China to turn breech babies and recent research using a small
sample of mothers has shown that three out of four babies turn successfully
after this treatment.
You must always be guided by your midwife and consultant, and inform them if
you are using moxabustion. The treatment involves heat rather than needles and
is completely painless. Moxa is a Chinese herb known to us as mugwort. It is
formed into a long cigar-shaped stick. When lit, it smoulders, giving a low
steady heat close to the acupuncture point by the nail of the little toe. You
will need to be shown how to do this by a qualified acupuncturist, and you will
need the help of a partner.
The treatment should last for 15 minutes, applied to both feet, once or twice
a day for ten days. It is more successful between 32 and 36 weeks but can be
tried later. It is thought that the stimulation of the moxa increases foetal
activity and certainly the baby will move a lot during treatment. If you feel
the baby make a turn, you must be checked to see if he is in the correct
position - it is possible to carry on and make the baby turn right round again!
It is also important that only women with normal healthy pregnancies use this
technique. It should not be carried out if you are having twins, if you have
high blood pressure or any bleeding, or if you have had a previous Caesarean
section (sometimes there may be a reason for your baby being breech).
Week 36

The placenta has reached its peak of maturity and efficiency, allowing the
maximum transfer of oxygen and vital nutrients to your baby. About 70 per cent
of these are destined for the baby's brain.
The placenta stops growing and starts to age. More fat is accumulating under
the baby's skin to regulate body temperature. The intestines produce a dark
green substance called meconium made up of dead cells and secretions from the
bowel and liver. You should be seeing a midwife or doctor every weeks until your
baby is born.
Your baby's movements may start to slow down because there is less space to
manoeuvre. At any time from 36 weeks on, the head will start to move down from
high in the abdomen and engage in the pelvis. You will experience this as a
'lightening' as the feeling of pressure lessens. Engagement of the head is a
preparation for labour but does not mean that the birth is imminent: some babies
engage early, others don't engage until labour has started.
The amount of the baby's head that can be felt above the brim of the pelvis
is calculated by midwives in 'fifths'. In other words, five fifths would
indicate that all of the head could be felt and it had not started to engage;
one fifth would mean that the head was fully engaged and deep within in the
pelvis.
If your baby were born now, he or she would be mature enough to survive
without too many problems. If you are still working, try to take rest periods
during the day, when you can put your feet up and relax. According to Chinese
medicine, resting between three and five in the afternoon is especially
beneficial, as this is the peak time for the kidney meridian, which in Chinese
terms is responsible for reproduction.
It is also vitally important to give yourself time to relax and prepare
mentally. The fact that a pregnancy usually lasts 40 weeks doesn't necessarily
mean that you will go the full 40 weeks. A surprising number of women give up
work at 36 weeks, planning to have a full month off to put their feet up and get
themselves ready for what lies ahead. Then nature steps in and they go straight
in to labour with no chance to prepare on either a practical or a mental level.
Backache and sciatica are common problems for women at this stage of
pregnancy. Progesterone relaxes the ligaments and muscles in preparation for
birth, but the side effect of this, exacerbated by your increased weight and the
weight of the baby, can cause pain and discomfort. Remedies that you can apply
yourself include: Camomile or lavender oil added to the bath.
Aromatherapy massage, particularly using oil of lavender and camomile, may be
able to relieve low back pain, caused by tiny lesions in the sacroiliac joint.
Reflexology massage on the spinal zones along the inner edges of the foot and
stimulation of the lymphatic zone will ease discomfort and reduce swelling. A
Fembrace, an elastic support which is fitted by a physiotherapist, can be
helpful.
Symphysis pubic pain, a tenderness over the pubic bone, is becoming
increasingly common. It is caused by pregnancy hormones making the pelvic area
more elastic and can be so debilitating that woman are unable to sleep, walk or
carry out normal everyday tasks. An osteopath may be able to relieve the pain by
taking some of the strain off the ligaments, manipulating the sacroiliac joints
and encouraging the pelvis to rotate slightly. Twice weekly treatment with
acupuncture can also be highly beneficial.
Many women feel by this stage that they have 'had enough' of being pregnant,
and they just want to get on and have the baby. Make the most of your
independence - go out for dinner or to the cinema while you don't have to worry
about babysitters!
Week 37

Your baby will be practising breathing, sucking and swallowing and his or her
consciousness and co-ordination will be well established.
Your weight gain will have started to slow down but some women may suffer
from oedema or water retention, causing numbness, puffiness or swelling in the
fingers, hands, ankles and feet. The best remedy is rest. Sitting or lying with
your feet elevated above your head is particularly good for swollen ankles. Take
off rings and avoid tight shoes.
Oedema can also put pressure on the nerve passage between the bones of the
wrist, causing an extremely painful condition known as carpal tunnel syndrome.
This can make it difficult to use the hands and can cause clumsiness: you should
be especially careful with hot drinks first thing in the morning. Splints to
support the wrists at night are available from hospital physiotherapists, and a
daily treatment with acupuncture may give relief. Treatment from an osteopath to
the forearm and wrist may help by aiding drainage and improving the mobility of
the joints.
Caution: If the swelling of your hands and feet becomes severe and you are
also suffering from a headache, dizziness, nausea or a severe pain below the
ribs, you should contact your doctor or midwife. This could be a sign of
pre-eclampsia or pregnancy-induced hypertension. If pre-eclampsia is not
treated, it could progress to full-blown eclampsia, which is rare but
potentially life-threatening.
Try to increase your intake of B vitamins because these are good for nerves.
Include lots of wholegrains and wheatgerm in your diet. Parsley, onion and
garlic are all good circulation tonics, so eat meals rich in these. Choose foods
or juices that act as natural diuretics, such as carrots, cucumber, grapes,
lentils, legumes, peas, pineapple, seaweed, spinach, watercress and watermelon.
Vitamin C also has a mild diuretic action, so increase your intake of C-rich
fruits. Avoid ordinary table salt.
Tips: Don't listen to other mothers' horror stories about giving birth.
Remember that our bodies are designed to have babies. The body produces
endorphins, natural pain killers, which build up as labour progresses. Fear and
stress release adrenaline which can counteract the beneficial effects of the
endorphins.
Week 38

Your baby is ready to be born. Like an athlete preparing for a marathon, you
need to stock up on complex carbohydrate foods during the next couple of weeks,
so include plenty of wholegrains, pulses and vegetables in your diet.
When labour begins, the last thing on your mind will be eating. But you need
to ensure that the glycogen energy reserves stored in the muscles and liver
tissues are filled to capacity. These fuel reserves will give you the necessary
energy to get you through labour. The last thing you want is to run out of
energy, and end up with a prolonged and difficult labour that may require
medical intervention and deprive you of a natural birth.
If you had problems throughout pregnancy with thrush, you may find that it
reappears now. Tea tree oil, which is both antibacterial and antiviral, can be
applied either as a cream or in pessary form, available from a herbal
apothecary.
Week 39

You will be feeling large and uncomfortable and may be experiencing strong
Braxton Hicks contractions.
You will probably have a bag packed ready to take with you to the hospital
when things start to happen. Include in it a bottle of Bach Rescue Remedy, a
calming flower essence, and the homeopathic remedy Arnica.
A few drops of Rescue Remedy, either directly on to your tongue or in a glass
of water from which you can sip regularly, will help you through any panic you
may feel as labour progresses. One tablet of Arnica taken every few hours will
help your body recover from the inevitable bruising and swelling you will incur
during delivery.
Week 40

Your baby's head will have descended into the lower segment of your uterus
and be pressing through the softened, partially opened cervix.
If you have gone past your due date and do not want to be induced, there are
a number of alternatives that you could try to bring on labour. But please DO
NOT attempt these until after your due date has passed.
Acupuncture can work well: an acupuncturist will insert needles into the back
or apply acupressure to specific points. Two treatments a day may be necessary
to get things moving. You can take the homeopathic remedy Pulsatilla in fluid
extract or Caulophyllum 30, every half hour until contractions start
(Caulophyllum should not be used if you have a history of easy labour or if this
is not a first baby).
Cranial osteopathy can help to stimulate the pituitary gland, the source of
certain hormones important in labour. Failing that, try the traditional remedies
of sex and a hot curry (a lot more palatable than castor oil).