$Unique_ID{PAR00411} $Pretitle{} $Title{Pregnancy: The Third Month: Your Changing Body} $Subtitle{} $Author{ Editors of Consumer Guide Ellis, Jeffrey W Ellis, Maria} $Subject{Third Month Changing Body changes hormones enlarging uterus discomforts constipation progesterone vaginal discharge estrogen cervix vagina mucus raucous plug areolae colostrum} $Log{ Your Changing Body (Third Month)*0041101.tif 11-Week Fetus*0060207.tif 11-12 Week Fetus, in its amniotic sac, with uterus*0060205.tif 13-Week Fetus*0060208.tif} Miracle of Birth The Third Month: Your Changing Body In your third month of pregnancy, your body continues to undergo dramatic changes in response to your increasing levels of hormones and your rapidly enlarging uterus. Certain new discomforts begin at this time and tend to remain until the end of your pregnancy. By now, you have probably started having problems with constipation. There are several normal changes that your body goes through in pregnancy that may lead to constipation. First, pressure from your enlarging uterus will cause crowding of the digestive organs. This pressure may make it more difficult for stool to pass. Second, increasing levels of the hormone progesterone cause the muscles in the walls of your intestines to contract less strongly, thus slowing the passage of stool from your body. Finally, constipation is a common side effect of the iron tablets that your doctor probably prescribed to supplement your diet. Constipation is generally a problem throughout pregnancy, but fortunately it can be easily treated (see The First Trimester: Coping With The Changes, Common Discomforts of the First Trimester, Constipation). Also beginning in the third month of pregnancy, most women will notice an increased amount of vaginal discharge. This discharge is usually thin, milky white to yellowish in color, odorless, and nonirritating. This discharge is caused by your increasing levels of estrogen and progesterone, which stimulate the cells of the cervix and vagina to produce increased amounts of mucus. Though most of this mucus escapes from the vagina, some remains within the canal of the cervix and hardens to produce the so-called "raucous plug." This hardened mucus seals off the entrance of the cervix for the remainder of pregnancy and is thought to possibly prevent bacteria and other organisms from entering the uterus. Several hours to days before you go into labor, this mucous plug will come loose from the cervix and may be expelled from your vagina. Since you are more likely to develop certain common vaginal infections during pregnancy, it is important for you to be able to tell the difference between the normal discharge of pregnancy and the discharge caused by infection. In general, the discharge caused by an infection is heavier, dark yellow to green in color, itchy or irritating, and often marked by an unpleasant odor. If you suspect that you have a vaginal infection, you should check with your doctor right away. Your breasts will also undergo further changes at this time, again in response to the increasing levels of estrogen and progesterone being produced by the placenta. The areolae--the dark skin around your nipples--will enlarge and darken. In preparation for milk production, your breasts will begin to produce a milky white substance called colostrum. During your third month of pregnancy, small amounts of colostrum can actually be expressed from the breasts by gently squeezing the nipple. Toward the end of the first trimester, it is also common for pregnant women to become more introspective. You may ask yourself "Is this really the best time to be pregnant?" or "Will my baby love me?" Keep in mind that it takes time to accept your new and special role as a mother, and your introspection during pregnancy is a step toward that acceptance.