Time for a new wardrobe
By this week, you may want to switch to maternity clothes. Your baby is growing by the day, and the uterus and amniotic fluid continue to expand. You now have a beautiful baby bump! A pigmented vertical line will likely appear on your abdomen [1], and as your skin stretches it may start to feel dry and itchy.
Your breasts will swell as the mammary glands become enlarged and the areolas darken, while the sebaceous glands in the nipples will start to appear as small nodules. You will also notice thin, bluish veins on your chest.
With the famous pregnancy glow, many expectant mothers share a certain look. But on the other hand, spots of irregular pigmentation may appear on the skin [1], which can worsen with unprotected sun exposure.
The uterus is now pushing up the intestines even more, which adds pressure and can make it harder for food to move through the colon, leading to digestive issues. The hormone progesterone relaxes all smooth muscles, including the valve between the esophagus and the stomach; which can lead to acid reflux [2]. Heartburn, gas, and bloating are not rare. To alleviate these symptoms, try eating more fiber and avoid heavy meals in the evenings.
You will find yourself making more frequent trips to the bathroom. If you feel any burning sensation during urination, consult your doctor. This may indicate cystitis, which is common during pregnancy and shouldn’t be ignored.
If you are expecting twins
If your twins have a shared placenta, then it is advisable to do another ultrasound now and then repeat them every two weeks to monitor whether the babies are developing evenly (with a common placenta, one can pull resources from the other). With dichorionic twins (each has their own placenta), things are easier and your next screening, as with a single pregnancy, should be done at around weeks 19-21.
Tests and evaluations
Second-trimester screenings are usually done between weeks 15 and 20. They include maternal blood tests and an ultrasound, which are intended to detect birth defects related to the baby’s heart, structural anomalies, or risk of chromosomal disorders, such as Down syndrome [3].
Discharge
Normal discharge should be even and pale with a slightly sour smell. If your discharge changes, inform your doctor immediately.




