Week 24: Breathe baby, breathe!

Happy 2008! The bini & I rang in the new year with +4 lbs since Friday. Yowza! M thinks it's just water weight. Regardless of what kind of weight it is, 4 lbs is 4 lbs. And I'm definitely feeling it in my pants today.

For the past week my lower abdomen area has been sore. Not RLPs, just sore in general. Not fun. And sleeping has been SO not fun lately. My upper back, neck & shoulder areas are so f*d.

WHAT? 6 MONTHS ALREADY? EEEK!

Fetal development in pregnancy week 24:This is another big week for your magical growing baby! Just take a look at the checklist for this week: 1) ears: done; 2) fingernails: done; 3) (if you have a boy) testicles: taking their 3-4 day trip from the abdominal wall to the scrotum; and 4) lungs walls: secreting “surfactant”. What’s that? Well, surfactant is sort of what it sounds like: a surface-activated fat whose main purpose is to assist the your baby's little lungs during inflation (as in, filling with air, not getting more expensive). Just in case you’re curious, your submerged baby is still breathing in amniotic fluid, preparing and rehearsing the lungs an oxygen-filled life outside the womb. Your baby's growing steadily, gaining about a quarter of a pound since last week, when she was just over a pound. Since she's almost a foot long (picture an ear of corn), that makes a pretty lean figure, but her body is filling out proportionally and she'll soon put on more baby fat. By the end of this week, your child will be weighing around 2 lbs and 14 inches long. Your cutie-patootie may even be a little more plump, but isn't anywhere near their full baby-fatted cute-self. Most of the “filling out” is coming up in that long awaited (and slightly dreaded?) third trimester. Woo-hoo! Get ready!

And how's mom doing? The top of your uterus is now an inch or so above your belly button, which means it's about the size of a soccer ball. With the skin on your abdomen and breasts stretching, you may feel a little itchy now and then. If your skin is dry, keeping it well moisturized may help. Also, your eyes may be sensitive to light and feel gritty and dry. This is a perfectly normal pregnancy symptom known as dry-eye.

Your little one is moving (spinning, kicking, pirouetting, shimmying, and maybe even doing a bit of the Can-Can) so much these days that if you invite your friends and/or family to touch your belly there’s a good chance they’ll get a milder sample of what you’ve been experiencing . You’ve may have experienced the oddity that is strangers who feel a protruding pregnant belly is public property and a silent invitation for belly touching. We recommend taking the belly-touching calmly and if it really offends you, just say something like: “I just fell in a large vat of anthrax.” Or perhaps something a little less aggressive, like, “Please, at the very least, ask me before touching my body.” Still, there are many women who enjoy sharing this touching ritual with others. Find your comfort zone and good luck with the rest.

Most women will have a glucose screening test (also called a glucose challenge test or GCT) between 24 and 28 weeks. This test checks for gestational diabetes, a high-blood-sugar condition during pregnancy. Untreated, high blood sugar increases your risk for having a difficult vaginal delivery or needing a cesarean section because it causes your baby to grow overly fat, especially in his upper body. It also increases your baby's risk for complications like low blood sugar at birth. A positive result on your GCT test doesn't mean you have gestational diabetes, but it does mean that you should have the more involved glucose tolerance test (GTT) to find out.

It's also a good idea to be aware of the signs of preterm labor. Contact your caregiver immediately if you notice an increase in vaginal discharge that is watery, mucus-like, or pink or blood-tinged; any vaginal bleeding or spotting; abdominal pain or menstrual-like cramping or more than four contractions in an hour; an increase in pelvic pressure; or low back pain that you haven't had before.

Scary stuff you should be aware of: The danger of getting preeclampsia (a.k.a. Toxemia) during pregnancy is significantly higher and is characterized by significant swelling of the hands and face, excessive weight gain, blurry vision with severe headaches or abdominal pain. Obviously, swelling is common during pregnancy, but should be monitored closely, and sudden ongoing swelling to the hands and face could be a concern. Talk with your physician for more information. Preeclampsia can also be diagnosed by high blood pressure and the presence of certain proteins in your urine. Again, high blood pressure alone does not mean you are affected, but it might be something you and your physician will want to/need to monitor throughout your pregnancy. Preeclampsia can prevent the placenta from receiving enough blood, thus depriving your baby of essential nutrients and lower oxygen levels, possibly resulting in low birth weights and other problems. There are several websites dedicated to preeclampsia education such as: http://www.preeclampsia.org/.