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Pregnancy at Week 13

Pregnancy at Week 13

How the Baby is Growing

Your baby is starting to look less like an alien and more like a human. Your baby is about the size of a pea pod, and his head is about a third of his overall body size. Your little pea pod weighs approximately one ounce.

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    Babies now have tiny fingerprints on their tiny fingertips. Your baby has sucking muscles in his cheeks, so when you poke your stomach the baby will start rooting. This is an automatic behavior and instinct of searching for your nipple that babies have once they are born.

    Organs are continuing to develop and some are functional. Their organs can still be seen through their thin skin. The urinary tract has started functioning and your little pea pod is starting to urinate out the amniotic fluid that he has been swallowing. If you are having a girl, she now has over 2 million eggs in her ovaries. This number will decrease to a million by the time she is born and will have dropped to about 200,000 by the time she is 17.

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    During pregnancy week 13, your baby is beginning to develop bones in his legs and arms. This gives him the strength to begin jerking his arms around and may allow him to find his thumb. With the sucking muscles developed, it is possible that your baby could begin sucking his thumb as little as week 13.

    Your little pea pod’s vocal chords are growing, which is the first step to him saying, “I love you, Mommy.” Unfortunately sound is unable to travel through the uterus so you will have to wait until the baby is born and wakes you up at 2 a.m. to appreciate his beautiful vocals.

    At this point, fetus growth will vary from fetus to fetus, so do not compare your fetus to the one next door. All babies will grow through the same developmental stages, but some babies will grow at a faster pace while others will grow a slower pace. It is natural and part of the process.

    Mother Body Development

    This is the last week of your first trimester, which means your risk for a miscarriage drops significantly compared to the first few weeks. You should start to feel better as you move into the second trimester, which is considered to be a time of relative comfort.

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    For a majority of women, the feelings of nausea and fatigue are decreasing, but just in time for clumsiness. From tripping to dropping dishes, you will start to feel more clumsy. Your body is secreting hormones that relax your muscles in preparation for the day you need your pelvis to be relaxed.

    If you are still feeling nausea and fatigue, do not worry, some women will continue to experience these symptoms into their 16th or 20th week of pregnancy. Bloating, constipation and headaches may also be first trimester symptoms that stick around for the rest of your pregnancy.

    Your placenta is continuing to grow, along with the baby, so you will notice a slight weight gain during this week. For many women, the baby has recently moved to the north of your uterus, so this week you will continue to develop that rounded, “Yes, I am pregnant!” belly.

    You may also begin to experience increased amounts of vaginal discharge, which serves the purpose of keeping your birth canal from infection and maintaining a natural balance of bacteria. Unfortunately, this can make a mess of your underwear. If it makes you more comfortable, you can use a panty liner, but never anything more. Do not use a tampon or douche will you are pregnant because it can lead to vaginal infections.

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    Common Symptoms Experienced In This Week

    Along with the older symptoms of nausea and fatigue, you may feel breast tenderness, heartburn and have visible veins.

    Your breasts have started making colostrum, the nutrient-rich fluid that feeds your baby for the first few days before your milk starts to flow. The increased blood flow in your body can make your breasts more sensitive. Be sure to pick a bra with plenty of support to ease your discomfort.

    As the baby pushes north, the muscles at the top of the stomach relax to allow room for the baby. Unfortunately, this allows digestive acids to rise up into the esophagus, causing a burning in the chest. To reduce your heartburn and indigestion, avoid trigger foods and drinks. Reduce or eliminate your consumption of caffeinated drinks, mint, citrus, chocolate, spicy foods and fatty foods.

    Your blood circulation has increased as the placenta grows, supplying more nutrients to your little pea pod. These veins might be an unwelcomed site, but they are a good sign as the baby is getting the nutrients they need.

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    Activities During Pregnancy Week 13

    Along with all of the vaginal discharge and other symptoms, you might experience an increase in sex drive. When it comes to sex in pregnancy week 13, try going with the flow. Your partner may be captivated by your ripening breasts and belly, but you might not want him to feel your body at the moment. You might feel hotter than ever, but your husband is turned off. This is all normal and will likely change throughout the pregnancy.

    Tips in This Week

    Continue preparing for the baby’s coming by discussing parenting views and styles with your partner. For a creative exercise, try writing a list of things your parents always did or never did. For example, “My mother always…” Once you are done creating your lists, talk about them with your partner. Talk about what behaviors you value and want to use to raise your child.

    Featured photo credit: Rumpleteaser via flickr.com

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    Published on November 30, 2018

    Signs of Postnatal Depression And What to Do When It Strikes

    Signs of Postnatal Depression And What to Do When It Strikes

    Postpartum depression (PPD) strikes about 15% of women around childbirth.[1] Moreover, this mood disorder is estimated to affect 1% to 26% of new fathers.[2] The causes of which are thought to be linked to hormonal changes, genetics, previous mental illness and the obvious change in circumstance.

    The stigma of mental health – with or without support from family members and health professionals – often deters women from seeking help for their PPD. In this article, I will show you 10 ways to begin overcoming PPD.

    Symptoms of Postnatal Depression

    Postnatal depression is defined as depressive disorder, beginning anytime within pregnancy up to the first year of the child’s life. The symptoms of post natal depression are the same as those of depression. In order to receive a diagnosis from the doctor, 5 symptoms must be shown over a two week period. The symptoms and criteria are:

    • Feelings of sadness, emptiness, or hopelessness, nearly every day, for most of the day or the observation of a depressed mood made by others
    • Loss of interest or pleasure in activities
    • Weight loss or decreased appetite
    • Changes in sleep patterns
    • Feelings of restlessness
    • Loss of energy
    • Feelings of worthlessness or guilt
    • Loss of concentration or increased indecisiveness
    • Recurrent thoughts of death, with or without plans of suicide
    • Lack of interest or pleasure in usual activities
    • Low libido
    • Fatigue, decreased energy and motivation
    • Poor self-care
    • Social withdrawal
    • Insomnia or excessive sleep
    • Diminished ability to make decisions and think clearly
    • Lack of concentration and poor memory
    • Fear that you can not care for the baby or fear of the baby
    • Worry about harming self, baby, or partner

    Should you, a friend or your partner be showing any of these signs, I recommend you to seek medical advice.

    Causes of Post Natal Depression

    It is worth noting here that there is a difference between what is commonly known as ‘The Baby Blues’ and post natal depression.

    Postpartum blues, commonly known as “baby blues,” is a transient postpartum mood disorder characterized by milder depressive symptoms than postpartum depression. This type of depression can occur in up to 80% of all mothers following delivery. The Baby Blues should clear within 14 days, if not it is likely an indicator of something more in depth.

    It is not known exactly what causes post natal depression, however there are some correlating factors. These factors have a close correlation and haven’t been shown to cause PPD:

    • Prenatal depression or anxiety
    • A personal or family history of depression
    • Moderate to severe premenstrual symptoms
    • Stressful life events experienced during pregnancy
    • Maternity blues
    • Birth-related psychological trauma
    • Birth-related physical trauma
    • Previous stillbirth or miscarriage
    • Formula-feeding rather than breast-feeding
    • Cigarette smoking
    • Low self-esteem
    • Childcare or life stress
    • Low social support
    • Poor marital relationship or single marital status
    • Low socioeconomic status
    • Infant temperament problems/colic
    • Unplanned/unwanted pregnancy
    • Elevated prolactin levels
    • Oxytocin depletion

    One of the strongest predictors of paternal PPD is having a partner who has PPD, with fathers developing PPD 50% of the time when their female partner has PPD. [3]

    Ways to Overcome Post Natal Depression

    1. Seek Medical Help

    As knowledge of PPD grows, more and more physicians are becoming aware of the indicators and risk factors. This means that health care providers are looking for signs as early as their first prenatal care visit.

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    If you are at risk, letting your provider know early in your pregnancy means that you’ll be given extra support and care throughout the process. It is best to seek treatment as soon as possible.

    If it’s detected late or not at all, the condition may worsen. Experts have also found that children can be affected by a parent’s untreated PPD. Such children may be more prone to sleep disturbances, impaired cognitive development, insecurity, and frequent temper tantrums.

    2. Therapy

    This is the first line of defence against post natal depression and will commonly be prescribed alongside medication. Around 90% of post natal depression cases in women are treated with a combination of the two treatments.

    You don’t need to do anything special to prepare. Your counselor will ask questions about your life, and it’s important you answer honestly. You won’t be judged for what you tell, and whatever you talk about will be just between the two of you. Your counselor will teach you how to look at some things differently, and how to change certain habits to help yourself feel better.

    Therapy is personalized for everyone, but women in counselling for postpartum depression often discuss topics including; who you’re feeling, your behaviour, your actions and your life. (If you need immediate support please call the San Diego Access and Crisis Line at (888) 724-7240. The toll-free call is available 24 hours a day, seven days a week.)

    3. Medication

    There have been a few studies of medications for treating PPD, however, the sample sizes were small, thus evidence is generally weak.

    Some evidence suggests that mothers with PPD will respond similarly to people with major depressive disorder. There is evidence which suggests that selective serotonin reuptake inhibitors (SSRIs) are effective treatment for PPD.

    However, a recent study has found that adding sertraline, an SSRI, to psychotherapy does not appear to confer any additional benefit. Therefore, it is not completely clear which antidepressants are most effective for treatment of PPD.

    There are currently no antidepressants that are FDA approved for use during lactation. Most antidepressants are excreted in breast milk. However, there are limited studies showing the effects and safety of these antidepressants on breastfed babies.

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    4. Communication with Partner

    Don’t blame yourself, your partner, close friends or relatives. Life is tough at this time, and tiredness and irritability can lead to quarrels.

    ‘Having a go’ at your partner can weaken your relationship when it needs to be at its strongest. It can be a huge relief to talk to someone understanding.

    By spending time with your partner doing activities that you both enjoy, like going for a walk, can really help. This change of state, from moving location, can significantly elevate mood whilst providing ‘neutral ground’ in which to open up communication.

    Be honest with your partner and show ways in which they can support you best through this time, even if it’s just talking or letting you have time to go take a shower.

    5. Self Care and Rest

    Don’t try to be ‘superwoman’. Try to do less and make sure that you don’t get over-tired. It’s common that women are the experts at ‘being busy’ and ‘doing it all’.

    Rest whilst the baby is sleeping, and really take time to prioritise yourself. Throughout life, if you’re constantly giving out energy, you will be left feeling unbalanced. It’s important to become aware of one’s energy and making sure to give yourself energy first, before giving out is imperative.

    Your body has just been through the trauma of the birth, which is very stressful. It therefore needs time to recover so taking time to yourself is important. Things as simple as a cup of tea, or shower or listening to music will really help.

    6. Supplementation (especially DHA)

    St John’s Wort is a herbal remedy available from chemists. There is evidence that it is effective in mild to moderate depression. It seems to work in much the same way as some antidepressants, but some people find that it has fewer side-effects.

    One problem is that St John’s Wort can interfere with the way other medications work. If you are taking other medication, you should discuss it with your doctor. This is very important if you are taking the oral contraceptive pill. St John’s Wort might stop your pill working. This can lead to an unplanned pregnancy.

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    It is also worth noting that fish oil (containing DHA) is being shown to correlate with lower instances of PPD. DHA consumption during pregnancy — at levels that are reasonably attained from foods — has the potential to decrease symptoms of postpartum depression,” conclude study researchers led by Michelle Price Judge, PhD, RD, a faculty member at the University of Connecticut School of Nursing.

    7. Movement

    Before starting any exercise program, you should consult with your doctor and find a fully qualified pre and post natal specialist. That being said, there is plenty of movement that can be done prior to ‘hitting the gym’, such as walking.

    Not only does being outside positively benefit you by getting some fresh air and vitamin D. The same is said for your baby, who will likely sleep better once they’ve been outside. Exercise gets your endorphins going, which helps alleviate depression symptoms, It can also get you focused on something for yourself. In an analysis of data from 1996 to 2016, researchers discovered that moms who stayed physically active after birth experienced fewer depressive symptoms.[4] In contrast, one study found women who led a more sedentary lifestyle were, in general, more likely to experience postpartum depression in the first place. [5]

    The type of workout doesn’t matter much. Yoga for pregnant women, stretching, and cardio are essentially equal in terms of making you feel better.

    8. Socializing and Support Groups

    Do go to local groups for new mothers or postnatal support groups. Your health visitor can tell you about groups in your area. You may not feel like going to these groups if your are depressed.

    See if someone can go with you. You may find the support of other new mothers helpful. You may find some women who feel the same way as you do.

    9. Accept Help

    Some cultures believe that the symptoms of postpartum depression or similar illnesses can be avoided through protective rituals in the period after birth. Chinese women participate in a ritual that is known as “doing the month” (confinement) in which they spend the first 30 days after giving birth resting in bed, while the mother or mother-in-law takes care of domestic duties and childcare.

    Whilst this may seem extreme, it’s worth noting that being able to accept help from your friends, partner and family can be extremely beneficial.

    10. Avoid Smoking, Drink and Drugs

    Which may seem common sense, however you may be tempted by the short term ‘fix’.

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    Don’t use alcohol or drugs. They may make you feel better for a short time, but it doesn’t last. Alcohol and drugs can make depression worse. They are also bad for your physical health.

    Final Thoughts

    Most women will get better without any treatment within 3 to 6 months. One in four mothers with PND are still depressed when their child is one-year-old. However, this can mean a lot of suffering.

    PND can spoil the experience of new motherhood. It can strain your relationship with your baby and partner. You may not look after your baby, or yourself, as well as you would when you are well.

    PND can affect your child’s development and behaviour even after the depression has ended. So the shorter it lasts, the better.

    Sometimes there is an obvious reason for PND, but not always. You may feel distressed, or guilty for feeling like this, as you expected to be happy about having a baby. However, PND can happen to anyone and it is not your fault.

    It’s never too late to seek help. Even if you have been depressed for a while, you can get better. The help you need depends on how severe your illness is. Mild PND can be helped by increased support from family and friends.

    Featured photo credit: Derek Thomson via unsplash.com

    Reference

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