Health Library
The Health Library is a collection of health and wellness resources created for learning and accessibility. Select a topic below for related health information or search for a topic in the search bar for more information on other medical conditions.
Pregnancy, 2nd Trimester
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Find out the important differences between "practice contractions" and preterm labor.
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At some point in your pregnancy, you will feel your baby move. For example, your baby may kick, hiccup, roll, turn, or twist. These movements are common and expected. As your baby grows, these movements will get stronger. But sometimes you might feel a movement that surprises you. You may wonder what it means. Most...
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At the end of four months, you may be looking a little more pregnant on the outside. And inside, your baby is starting to look more human and may even have sprouted a little bit of hair. Wondering what your baby looks like now? As you enter the fifth month of pregnancy, your baby is now about the...
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By week 20, you've probably felt your baby move. It may not feel like an obvious kick—yet! Instead, your baby's first movements might feel like "butterflies" or gas bubbles. Inside the uterus, your baby is enjoying some regular activities: thumb-sucking and opening and closing his or her eyes...
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By week 24, you may have noticed some jerking movements inside your belly—or even seen them on the outside! Repetitive, jerky movements usually mean your baby has the hiccups. Hiccups are perfectly normal and can last anywhere from a minute to an hour. Wondering what your baby looks like now? As you...
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What is cervical insufficiency? Cervical insufficiency means that the cervix can't stay tightly closed during the second trimester of pregnancy. Instead, the cervix opens (dilates) with little or no pain, usually before 24 weeks. This can lead to miscarriage or birth of a premature baby. You may also hear this...
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Guides you through the decision to have screening tests to look for Down syndrome and birth defects. Discusses what the tests look for. Covers benefits and risks. Includes interactive tool to help you make your decision.
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After 18 to 20 weeks, you will notice that your baby moves and kicks more at certain times of the day. For example, when you are active, you may feel less kicking than when you are resting quietly. At your prenatal visits, your doctor may ask you whether the baby is active. Kick counts. In the last trimester of...
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Fetal blood sampling (FBS) is the collecting of fetal blood directly from the umbilical cord or fetus. The fetal blood is tested for signs of anemia and other blood problems. FBS is also known as cordocentesis or percutaneous umbilical cord blood sampling. FBS is usually used when a Doppler ultrasound and/or a...
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Describes different methods used to induce labor and delivery for pregnancy termination. Lists what to expect after procedure and during recovery. Covers why it is done and how well it works. Also lists risks involved. Offers points to consider about the procedure.
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During the second and third trimesters of pregnancy, you may notice episodes when your belly tightens and becomes firm to the touch, then relaxes. These are episodes of tightening (contraction) of the uterine muscles called Braxton Hicks...
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Before a baby is born, the amniotic sac breaks open, causing amniotic fluid to gush out or, less commonly, to slowly leak. When this happens before contractions start, it is called prelabor rupture of membranes (PROM). PROM can occur at any time...
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During pregnancy, a uterine infection causes inflammation, which can trigger preterm labor. This inflammation can also stimulate the amnion cells to produce fetal fibronectin, a protein. Fetal fibronectin testing is sometimes done when preterm labor symptoms are present. When the fetal fibronectin test is negative...
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Expectant management is the close monitoring of a pregnancy for complications. It may involve some bed rest at home or in the hospital. Being on expectant management may mean you are advised to stop working, reduce your activity level, or possibly...
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If you have symptoms of preterm labor, your doctor or nurse-midwife may examine you by feeling your cervix. If your contractions continue over a period of hours, you may be examined periodically to see whether your cervix is opening (dilating) or...
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Cervical cerclage is the placement of stitches in the cervix to hold it closed. In select cases, this procedure is used to keep a weak cervix (incompetent cervix) from opening early. When a cervix opens early, it may cause preterm labor and...
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Is this topic for you? This topic covers how preterm labor affects the pregnant woman. If you want to know how it affects the baby after he or she is born, see the topic Premature Infant. What is preterm labor? Preterm labor is labor that comes too early—between 20 and 37 weeks of pregnancy...
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What is bed rest? Bed rest is limiting physical activity during your pregnancy. It can last a few weeks or even months. It may be at home or in the hospital. Your doctor may put you on partial bed rest or full bed rest. Partial bed rest usually means it's usually okay to sit, stand, or walk around for short...
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The inhibin A test is done to measure the amount of this hormone in a pregnant woman's blood to see if the baby may have Down syndrome. Inhibin A is made by the placenta during pregnancy. The level of inhibin A in the blood is used in a maternal serum quadruple screening test. Generally done between 15 and 20 weeks...
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Regular contractions may mean that your uterine muscle is tightening (Braxton Hicks contractions) or that you are in labor. It may be hard to tell the difference between Braxton Hicks contractions and true labor. If there is any doubt, call your doctor. Braxton Hicks contractions During the second and third...
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When you're pregnant, everything you put in your body can affect your baby. If you smoke, your baby is exposed to chemicals such as nicotine and carbon monoxide. If you're a smoker and get pregnant, now is the time to quit. If you're not a smoker, avoid secondhand smoke. If you smoke and aren't pregnant but are...
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Routine exams and tests At each prenatal visit, you can expect to be weighed. Your blood pressure will be checked. Your urine may also be checked for bacteria, protein, or sugar. Your doctor or midwife will track your baby's growth and position. To do this, he or she will measure the size of your uterus (fundal height)...
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During pregnancy, the cervix is a closed and sealed tunnel between the uterus and the vagina. Before or during labor and delivery, the cervix stretches and flattens ( effacement). At 24 weeks of pregnancy, the average cervix is about 35 mm (1.4 in.) long. A short cervix has a length of less than 25 mm (1 in.). Women...
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What are birth defects tests? Birth defects tests are done during pregnancy to look for possible problems with the baby (fetus). Birth defects develop when something is wrong with genes or chromosomes, an organ, or body chemistry. A birth defect may have only a mild impact on a child's life, or it can have a major...