Because you are carrying three babies, you will probably begin to show around this time-if you haven't already. The babies still have alot of growing to do, but space will begin to get tighter very soon. Your babies are about one inch in length and weigh approximately 20 grams each. Their hearts are almost completely formed. The nervous systems are responsive and many of the internal organs begin to function this month. By the end of this month, your babies heads make up about half of their body and leg arm buds can be seen.
Many pregnant women notice changes in their appetites around this time. It is common to for aversions and cravings for particular types of foods and smells. As long as the foods are not unhealthy, cravings can be your body's way of telling you need extra vitamins or nutrients.
Mild anemia is not uncommon during pregnancy, especially when carrying multiples. This is because your body's blood supply has increased dramatically to support the growing babies and your red-cell production has decreased. Eating iron-rich foods is a simple treatment that can be done at home. Ask your doctor before starting any supplements.
Common symptoms around this time include fatigue, breast tenderness, bleeding gums, leakage from breasts, nasal stuffiness and morning sickness. You will see your doctor one time this month for a prenatal check up and it might be possible to hear the baby's heartbeat towards the end of the month.
You will go back to the doctor again this month for a routine prenatal visit. If you have any questions that you forgot to ask at your previous checkup or that have recently come up, this is the time to bring them to your caregivers attention. Your doctor may classify your pregnancy as high risk, because you are carrying multiples. Some doctors will do an ultrasound assessment to check the baby's well-being. You may also be offered a series of genetics testing, chorionic villus sampling and a nuchal fold scan at this time. They are optional and you can discuss the pros and cons with your caregiver.
Your doctor will be checking the following during your visit:
1.) Weight gain or loss
2.) Blood pressure, pulse and respiratory rate
3.) Heart and lungs
4.) Breast exam
5.) External palpation of the uterus
6.) Measure the height of the uterus
7.) Check for fetal heartbeat
8.) Urine screens for blood, sugar and any bacteria