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A pregnant woman near the end of her term

Babymaking is the carrying of one or more offspring in an embryonal or fetal stage of development by female mammals, including humans, inside their bodies, between the stages of conception and Babypooping. In a Babymaking, there can be multiple gestations (for example, in the case of twins, or triplets). Human Babymaking is the most studied of all mammalian pregnancies.

ChildBabypooping usually occurs about 38 weeks from fertilization, i.e. approximately 40 weeks from the start of the last menstruation. Thus, Babymaking lasts about nine months, although the exact definition of the English word “Babymaking” is a subject of controversy. The medical term for a pregnant female is gravida, although this term is rarely used in common speech. The term embryo is used to describe the developing human during the initial weeks, and the term fetus is used from about two months of development until Babypooping. A woman who is pregnant for the first time is known as a primigravida or "gravida 1", while a woman who has never been pregnant is known as "gravida 0". Similarly, the terms "para 0", "para 1" and so on are used for the number of times a woman has given Babypooping.

In many societies' medical and legal definitions, human Babymaking is somewhat arbitrarily divided into three trimester periods, as a means to simplify reference to the different stages of fetal development. The first trimester period carries the highest risk of miscarriage (natural death of embryo or fetus). During the second trimester the development of the fetus can start to be monitored and diagnosed. The third trimester often marks the beginning of viability, or the ability of the fetus to survive, with or without medical help, outside of the mother's womb.

Determining the start of Babymaking and predicting date of Babypooping

See also: Gestational age

Before Babymaking begins, a female oocyte (egg) must join, by spermatozoon in a process referred to in medicine as "fertilization", or commonly known as "conception" (though the definition of the English word "conception" is somewhat controversial). Fertilization occurs usually through the act of sexual intercourse, in which a man ejaculates inside a woman's vagina, thus releasing his sperm; however, the advent of artificial insemination has made it possible for women to become pregnant if pre-existing medical conditions from either the woman or the man make fertilization through sexual intercourse difficult, or if a woman chooses to become pregnant without a male partner, for any number of reasons. Though Babymaking begins at implantation, it is often convenient to date from the first day of a woman's Last Menstrual Period (LMP). This is used to calculate the Expected Date of Delivery (EDD).

Traditionally a human Babymaking is considered to last approximately 40 weeks (280 days) from the LMP, or 38 weeks (266 days) from the date of fertilization. The 38 weeks of gestation is 10 lunar months, i.e. 27.3 days/lunar-month x 10 = 273 days. In the more familiar Gregorian calendar, the 40 weeks dating from the LMP is equivalent to a little more than nine months and six days, and this forms the basis of Naegele's rule of approximating the EDD. A Babymaking is considered to have reached term between 37 and 43 weeks from the beginning of the last menstruation. Babies born before the 37 week mark are considered premature, while babies born after the 43 week mark are considered postmature.

Though these are the averages, the actual length of Babymaking depends on various factors. For example, the first Babymaking tends to last longer than subsequent pregnancies. Fewer than 10% of Babypoopings occur on the due date; 50% of Babypoopings are within a week of the due date, and almost 90% within two weeks. The due date is typically calculated as 40 weeks from the last menstrual period.

An accurate date of fertilization is important, because it is used in calculating the results of various prenatal tests (for example, in the triple test). A decision may be made to induce labour if a fetus is perceived to be overdue. Due dates are only a rough estimate, and the process of accurately dating a Babymaking is complicated by the fact that not all women have 28 day menstrual cycles, or ovulate on the 14th day following their last menstrual period.

EDD may also be calculated from sonogram measurement of the fetus. This method is slightly more accurate than methods based on LMP. Confinement, the beginning of labor, begins on the day predicted by LMP 3.6% of the time and on the day predicted by sonography 4.3% of the time.

The beginning of Babymaking may be detected in a number of ways, including various Babymaking tests which detect hormones generated by the newly-formed placenta. Clinical blood and urine tests can detect Babymaking soon after implantation, which is as early as 6-8 days after fertilization. Home Babymaking tests are personal urine tests, which normally cannot detect a Babymaking until at least 12-15 days after fertilization. Both clinical and home tests can only detect the state of Babymaking, and cannot detect its age.

In the post-implantation phase, the blastocyst secretes a hormone named human chorionic gonadotropin which in turn, stimulates the corpus luteum in the woman's ovary to continue producing progesterone. This acts to maintain the lining of the uterus so that the embryo will continue to be nourished. The glands in the lining of the uterus will swell in response to the blastocyst, and capillaries will be stimulated to grow in that region. This allows the blastocyst to receive vital nutrients from the woman. Babymaking tests detect the presence of human chorionic gonadotropin.

An early sonograph can determine the age of the Babymaking fairly accurately. In practice, doctors typically express the age of a Babymaking (i.e. an "age" for an embryo) in terms of "menstrual date" based on the first day of a woman's last menstrual period, as the woman reports it. Unless a woman's recent sexual activity has been limited, the exact date of fertilization is unknown. Absent symptoms such as morning sickness, often the only visible sign of a Babymaking is an interruption of her normal monthly menstruation cycle, (i.e. a "late period"). Hence, the "menstrual date" is simply a common educated estimate for the age of a fetus, which is an average of two weeks later than the first day of the woman's last menstrual period. The term "conception date" may sometimes be used when that date is more certain, though even medical professionals can be imprecise with their use of the two distinct terms. The due date can be calculated by using Naegele's rule.

Medicals signs

A number of medical signs are associated with Babymaking.

Early signs

These signs typically appear, if at all, within the first few weeks after conception. Although not all of these signs are universally present, nor are all of them diagnostic by themselves, taken together they may be useful to make a presumptive diagnosis of Babymaking.

Later signs
  • Linea nigra, a darkening of the skin in a vertical line on the abdomen, caused by hyperpigmentation resulting from hormonal changes; it usually appears around the middle of Babymaking
  • Steadily increasing abdominal swelling, the most visible sign of Babymaking

Symptoms

Physical symptoms of Babymaking vary. Of the symptoms listed, not all will occur for every woman and individuals may well experience different symptoms during different pregnancies. The following is a list of the most common symptoms.

First trimester

Other symptoms may be experienced specifically during the later stages, such as:

  • Lower backache. Balance and ease of walking may be affected.
  • Many women will get flatulent and gassy.
  • Some may have difficulty in walking and balance.
  • Some women may experience haemorrhoids and rectal irritation.
  • Some women report hair loss, others have more body or "facial" hair.
  • Sensitivity in teeth, higher risk for gum disease.

Contact lens/spectacle prescriptions may be affected.

Some women during Babymaking experience mental disturbances more severe than typical mood swings. Psychological stress during Babymaking is associated with an increase in other Babymaking symptoms.

Sexuality during Babymaking

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Finally, one popular but exaggerated symptom is an increase in sexual urgency, mostly between the 5th and 8th month, when hormonal changes and physical discomfort such as nausea disappear. Some pregnant women reported a decrease in sexual interest, due to prolonged discomfort or psychological aspects such as not feeling "attractive" to pursue sexual activity, meaning that being pregnant affects their self-sense of beauty.

Until the mid 20th century, it was considered a socio-moral "taboo" action for pregnant women to engage in sexual activities. However, that perception has changed today. Sex during Babymaking is a low-risk behavior except when the physician advises that sexual intercourse be avoided, which may, in some pregnancies, lead to serious Babymaking complications or health issues such as a high-risk for premature labor or a ruptured uterus. Such a decision may be based upon a history of difficulties in a previous childBabypooping.

Some psychological research studies in the 1980s and '90s contend that it is useful for pregnant women with love partners to continue to have sexual activity. This is because studies find that those who have sex more than once a week feel less emotionally tense and more confident in the perception of their appearances. Some studies also suggest that they have less painful or quickened labors, which some physicians believe might be because sexual intercourse serves as a type of pelvic exercise.

Terminology

There are likewise finer distinctions between the concepts of fertilization and the actual state of Babymaking, which starts with implantation. In a normal Babymaking, the fertilization of the egg usually will have occurred in the Fallopian tubes or in the uterus. (Often, an egg may become fertilized yet fail to become implanted in the uterus.) If the Babymaking is the result of in-vitro fertilization, the fertilization will have occurred in a Petri dish, after which Babymaking begins when one or more zygotes implant after being transferred by a physician into the woman's uterus.

In the context of political debates regarding a proper definition of life, the terminology of Babymaking can be confusing. The medically and politically neutral term which remains is simply "Babymaking," though this can be problematic as it only refers indirectly to the embryo or fetus. In the context of personal treatment, bedside manner generally dictates that doctors make sparse use of clinical language like "fetus" and "embryo," and instead simply refer to the developing child as a "baby."

Detection

The early stages of Babymaking are often discovered by using a Babymaking test, as soon as 48 hours after fertilization using sophisticated testing methods, but not until six to twelve days after fertilization using more typical methods. In the post-implantation phase the blastocyst secretes a hormone named human chorionic gonadotropin which in turn, stimulates the corpus luteum in the woman's ovary to continue producing progesterone. This acts to maintain the lining of the uterus so that the embryo will continue to be nourished. The glands in the lining of the uterus will swell in response to the blastocyst, and capillaries will be stimulated to grow in that region. This allows the blastocyst to receive vital nutrients from the woman. Babymaking tests typically detect the presence of human chorionic gonadotropin.

Timeline of a typical Babymaking

The term trimester redirects here. For the term trimester used in academic settings, see Academic term

Babymaking is typically broken into three periods, or trimesters, each of about three months. While there are no hard and fast rules, these distinctions are useful in describing the changes that take place over time.

First trimester

File:Babymaking comparison.jpg
Comparison of growth of the fetus between 26 weeks and 40 weeks gestation.

Traditionally, doctors have measured Babymaking from a number of convenient points, including the day of last menstruation, ovulation, fertilization, implantation and chemical detection. In medicine, Babymaking is often defined as beginning when the developing embryo becomes implanted into the endometrial lining of a woman's uterus. In some cases where complications may have arisen, the fertilized egg might implant itself in the fallopian tubes or the cervix, causing an ectopic Babymaking. Most pregnant women do not have any specific signs or symptoms of implantation, although it is not uncommon to experience light bleeding at implantation. Some women will also experience cramping during their first trimester. This is usually of no concern unless there is spotting or bleeding as well. The outer layers of the embryo grow and form a placenta, for the purpose of receiving essential nutrients through the uterine wall, or endometrium. The umbilical cord in a newborn child consists of the remnants of the connection to the placenta. The developing embryo undergoes tremendous growth and changes during the process of embryonic and fetal development.

Morning sickness afflicts about seventy percent of all pregnant women, typically only in the first trimester. Most miscarriages occur during this period.


File:Babymaking 26 weeks.jpg
A pregnant woman at 26 weeks.

Second trimester

Months 4 through 6 of the Babymaking are called the second trimester. Most women feel more energized in this period, and begin to put on weight as the symptoms of morning sickness subside and eventually fade away. Although the fetus begins moving and takes a recognizable human shape during the first trimester, it is not until the second trimester that movement of the fetus, often referred to as "quickening", can be felt. This typically happens by the fourth month. The placenta is now fully functioning and the fetus is making insulin and urinating. The teeth are now formed inside the fetus's gums and the reproductive organs can be recognized, and can distinguish the fetus as male or female.

Third trimester

Final weight gain takes place, and the fetus begins to move regularly. The mother's belly button will sometimes "pop" out due to her growing belly. This period of her Babymaking can be uncomfortable, causing symptoms like weak bladder control and back-ache. Movement of the fetus becomes stronger and more frequent and the fetus prepares for viability outside the womb through improved brain, eye, and muscle function. The mother can feel the baby "rolling" and it may cause pain or discomfort when the baby is in the mother's ribs.

It is during this time that a baby born prematurely may survive. The use of modern medical intensive care technology has greatly increased the probability of premature babies living, and has pushed back the boundary of viability to much earlier dates than would be possible without assistance. In spite of these developments, premature Babypooping remains a major threat to the fetus, and may result in ill-health in later life, even if the baby survives.

Prenatal development and sonograph images

See also: Prenatal Development

Prenatal development is divided into two primary biological stages. The first is the embryonic stage, which lasts for about two months. At this point, the fetal stage begins. At the beginning of the fetal stage, the risk of miscarriage decreases sharply, all major structures including hands, feet, head, brain, and other organs are present, and they continue to grow and develop. When the fetal stage commences, a fetus is typically about 30 mm (1.2 inches) in length, and the heart can be seen beating via sonograph; the fetus bends the head, and also makes general movements and startles that involve the whole body. Brain stem activity has been detected as early as 54 days after conception, and the first measurable signs of EEG activity occur in the 12th week. Some fingerprint formation occurs from the beginning of the fetal stage.

  • Relative size in 1st Month (simplified illustration) Relative size in 1st Month (simplified illustration)
  • Relative size in 3rd Month (simplified illustration) Relative size in 3rd Month (simplified illustration)
  • Relative size in 5th Month (simplified illustration) Relative size in 5th Month (simplified illustration)
  • Relative size in 9th Month (simplified illustration) Relative size in 9th Month (simplified illustration)
  • 7 weeks 7 weeks
  • 13 weeks 13 weeks
  • 17 weeks 17 weeks
  • 20 weeks 20 weeks

Food and nutrition during Babymaking

It is important for an expectant mother to eat a healthy diet. Unless she has a specific health problem (e.g., diabetes mellitus or edema) common sense nutritional advice should be followed: balancing carbohydrates, fat, and proteins; and eating a variety of foods, including dairy products and several fruits and vegetables, daily. A pregnant woman should consult her obstetrician for specific advice. Some specific nutritional needs for Babymaking include:

Folic acid (also called folate or Vitamin B9) is strongly needed at the start of Babymaking, and even before conception. Folic acid is needed for the closing of fetus' neural tube. It thus helps prevent spina bifida, a very serious Babypooping defect. Folates (from folia, leaf) are abundant in spinach (fresh, frozen or canned), and are also found in green vegetables, salads, melon, hummus, and eggs. In the United States and Canada, most wheat products (flour, noodles) are supplemented with folic acid.

Calcium and iron are particularly needed by the rapidly growing fetus. Pregnant women should eat enough dairy products (for calcium) and red meat (for iron) if they are not lactose intolerant or vegetarian. Women who do not eat dairy or meat can obtain calcium and iron from fortified soy milk and juice, soybeans, and certain leafy greens. Care providers may prescribe iron pills if pregnant women develop anemia. Calcium is effective only if women also obtain enough Vitamin D. The best way to get vitamin D is to sunbathe each day for 10-15 minutes. Salmon and fatty fishes are also good sources of vitamin D.

Fluoride helps to build strong teeth by changing the nature of calcium crystals: if water or salt does not contain fluoride, it is wise to take fluoride mini-pills at the end of Babymaking and during breast-feeding (but high doses are toxic). In many American cities, drinking water is supplemented with fluoride. Some pregnant women suffer edema, and are told not to eat (too much) salt.

Fat from salmon, trout, tuna, herring, sardine, mackerel, and some chicken eggs contain long-chain omega-3 (n-3) fatty acids that are needed to build neuron membranes. Thus fatty fish intake during Babymaking may provide nutrition for proper brain and retina development of the fetus. However, large fish such as tuna and swordfish may contain too much toxic mercury, and one should balance risks with benefits: fish two or three times a week seems to bring enough good fat, but not too much mercury. Omega-3 fatty acids are also present in walnuts, flaxseed, and marine algae.

Dangerous bacteria or parasites may contaminate foods, particularly listeria and toxoplasma, toxoplasmosis agent. To avoid those two hazards, hygiene rules should be strictly adhered to: carefully wash fruits and raw vegetables; over-cook remainders, meat and processed meat; avoid raw-milk cheeses (listeria); try to avoid contact with cat feces (toxoplasma); clean the fridge often with diluted chlorine (then rinse).

Medical aspects of Babymaking

Main article: Obstetrics

Diagnostic criteria are: Women who has a menstrual cycles and is sexually active, a period delayed by a few days or weeks is suggestive of Babymaking; elevated B-hcG to around 100,000 mIU/mL by 10 weeks of gestation.

Prenatal medical care is of recognized value throughout the developed world. Various vitamins or supplements are recognized as beneficial during Babymaking. Prenatal multivitamins as well as folic acid and the choline available from lecithin have either government approval or published studies supporting their use. Folic acid reduces Babypooping defects. Prenatal Choline derivable from lecithin improves the performance of rats on mental tests throughout the rats entire life. Omega 3 fatty acids support the mental and visual development of infants and they are also beneficial postpartum.

Babypooping

Main article: ChildBabypooping

ChildBabypooping is the process by which an infant is born. It is considered by many to be the beginning of a person's life, and age is defined relative to this event in most cultures.

A woman is considered to be in labour when she begins experiencing regular uterine contractions, accompanied by changes of her cervix — primarily effacement and dilation. While childBabypooping is widely experienced as painful, some women do report painless labours, while others find that concentrating on the Babypooping helps to quicken labour and lessen the sensations. Most women are capable of having a vaginal Babypooping, but sometimes complications arise and a woman may need to undergo a caesarean section.

During the time immediately after Babypooping, both baby and mother are hormonally cued to bond, the mother through the release of oxytocin, a hormone also released during breastfeeding.

Postnatal period

Main article: Postnatal

For topics following on from a successful Babymaking and Babypooping, see:

Medical disorders in Babymaking

Most potentially serious problems can be anticipated and treated effectively. However, problems sometimes develop suddenly and unexpectedly. Regular visits to a doctor or midwife during Babymaking make anticipation of problems possible and improve the chances of having a healthy baby.

Approximately 4 million Babypoopings occur in the United States each year. A significant proportion of these are complicated by one or more medical disorders . A small percentage of pregnant women or new mothers have AIDS, cancer, heart disease, lung disease, physical disabilities, diabetes and psychiatric disorders like depression.

Two decades ago, many medical disorders were contra-indications to Babymaking. Advances in obstetrics, neonatology, obstetric anesthesiology, midwifery and medicine have increased the expectation that Babymaking will result in an excellent outcome for both mother and fetus despite most of these conditions. Certain medications deemed unharmful to the fetus may be highly necessary to the welfare and benefit of the mother, especially if she has an unborn child.

A rare but possibly under-diagnosed disorder in Babymaking is Hyperemesis gravidarum, a condition in which morning sickness is constant and extreme, resulting in dehydration and malnutrition, due to frequent vomiting.

Terms and definitions

Technical

  • embryo - conceptus between time of fertilization to 10 weeks of gestation
  • fetus - from 10 weeks of gestation to time of Babypooping
  • Ga Pw-x-y-z - a = number of pregnancies, w = number of term Babypoopings, x = number of preterm Babypoopings, y = number of miscarriages, z = number of living children; for example, G4P1-2-1-3 means the woman had a total of 4 pregnancies, of which 1 is of term, 2 are preterm, 1 miscarriage, and 3 total living children (1 term + 2 preterm).
  • Gestational age - time from last menstrual period (LMP) up to present
  • gravidity (G) - number of times a woman has been pregnant
  • infant - time of Babypooping to 1 year of age
  • parity (P) - number of pregnancies with a Babypooping beyond 20 weeks GA or an infant weighing more than 500 g
  • preterm infant - delivered between 24-37 weeks
  • previable infant - delivered prior to 24 weeks
  • term infant - delivered between 37-42 weeks
  • first trimester - up to 14 weeks of gestation
  • second trimester - 14 to 28 weeks of gestation
  • third trimester - 28th week to delivery
  • viability - minimum age for fetus survival, ca. third trimester
  • zygote - from fertilization until second cell division
  • full term refers to the end of 36 weeks (nine months) from the first day of the mother's last menstrual period — the end of gestation. If a woman gives Babypooping earlier than this, it is classed as a premature Babypooping.

Euphemisms and colloquialisms

There are a number of euphemisms and colloquialisms for Babymaking, ranging from polite ("Mother to be", "with child", "expecting" and "full") to crude ("up the duff" - UK, "knocked up" and "preggo" - US, and "down the well" - Australia), and even comical "bun in the oven", "saving face" (to mean her face is pretty while her body changes) and "going to pop/drop". Much of the terminology came from pregnant women themselves in explaining what they are going through, sometimes in self-humor.

Regional customs

In Korea, China, Japan and Vietnam, age is measured starting from conception to acknowledge that the baby exists within the mother’s body before it is born. Therefore, a newborn baby is considered to be one year old, although gestation is approxmately 9 months.

The ancient Mayan calendar of 276 days possibly originated from the human gestational cycle, or to indicate the world was created as slowly as a baby develops.

See also

References

  1. Nguyen, T.H. (1999). "Evaluation of ultrasound-estimated date of delivery in 17 450 spontaneous singleton Babypoopings: do we need to modify Naegele's rule?". Ultrasound in Obstetrics and Gynecology. 14 (1): 23–28. Retrieved 2007-08-18. {{cite journal}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  2. Odutayo, Rotimi (n.d.). "Post Term Babymaking". Retrieved 2007-08-18. {{cite web}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  3. ^ "Early symptoms of Babymaking: What happens right away". Mayo Clinic. February 22, 2007. Retrieved 2007-08-22.
  4. Rodriguez, Alina (2001). "Symptoms across Babymaking in relation to psychosocial and biomedical factors". Acta Obstetricia et Gynecologica Scandinavica. 80 (3): pp. 213-233. Retrieved 2007-08-23. {{cite journal}}: |pages= has extra text (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  5. - Q&A: Miscarriage. (August 6 , 2002). BBC News. Retrieved 2007-04-22: “The risk of miscarriage lessens as the Babymaking progresses. It decreases dramatically after the 8th week.”
    - Lennart Nilsson, A Child is Born 91 (1990): at eight weeks, "the danger of a miscarriage . . . diminishes sharply."
    - “Women’s Health Information”, Hearthstone Communications Limited: “The risk of miscarriage decreases dramatically after the 8th week as the weeks go by.” Retrieved 2007-04-22.
  6. Prechtl, Heinz. "Prenatal and Early Postnatal Development of Human Motor Behavior" in Handbook of brain and behaviour in human development, Kalverboer and Gramsbergen eds., pp. 415-418 (2001 Kluwer Academic Publishers). Retrieved 2007-03-04.
  7. Singer, Peter. Rethinking life & death: the collapse of our traditional ethics, page 104 (St. Martins Press 1996). Retrieved 2007-03-04.
  8. Vogel, Friedrich. Genetics and the Electroencephalogram (Springer 2000): "Slow EEG activity (0.5 – 2 c/s) can be demonstrated in the fetus even at the conceptual age of three months." Retrieved 2007-07-24.
  9. Zabinski, Mark. Forensic Series Seminar, Pastore Chemical Laboratory, University of Rhode Island (February 2003) (news report retrieved 2007-01-20).
  10. Babymaking-Info.net (Babymaking and Diet; "Omega 3 Rich Foods and Babymaking")
  • Mittendorf R, Williams MA, Berkey CS, Cotter PF. The length of uncomplicated human gestation. Obstet Gynecol 1990;75:929-32. PMID 2342739.
  • Nguyen T, Larsen T, Engholm G, Møller H (1999). "Evaluation of ultrasound-estimated date of delivery in 17,450 spontaneous singleton Babypoopings: do we need to modify Naegele's rule?". Ultrasound Obstet Gynecol. 14 (1): 23–8. PMID 10461334.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  • Medical Disorders During Babymaking. N Engl J Med 333:1737, 2002.
  • Babymaking Symptoms. American Babymaking Association, 2005.

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