Second Trimester of Pregnancy
Changes in Your Body continued...
Skin changes. Pregnant women often look as though they are "glowing" because changing hormone levels make the skin on the face appear flushed. An increase in the pigment melanin can also lead to brown marks on the face (often called the "mask of pregnancy") and a dark line (linea nigra) down the middle of the abdomen. All of these skin changes should fade after the baby is born. In the meantime, you can use makeup to conceal them. Your skin is also more sensitive to the sun right now, so make sure to wear a broad-spectrum (UVA/UVB protection) sunscreen with an SPF of at least 30 whenever you go outside. Limit your time in the sun, especially between 10 a.m. and 2 p.m., wearing long-sleeved clothes, pants, a broad-brimmed hat, and sunglasses. You may also notice thin, reddish-purple lines on your abdomen, breasts, or thighs. These stretch marks emerge as your skin expands to accommodate your growing belly. Although many creams and lotions claim to prevent or eliminate stretch marks, there is little evidence that they actually do. Using a moisturizer can help soften your skin and reduce itchiness. Most stretch marks should fade on their own after you deliver.
Spider and varicose veins. Your circulation has increased to send extra blood to your growing baby. That excess blood flow can cause tiny red veins, known as spider veins, to appear on your skin. These veins should eventually fade once your baby is born. Pressure on your legs from your growing baby can also slow blood flow to your lower body, causing the veins in your legs to become swollen and blue or purple. These are called varicose veins. Although there's no way to avoid varicose veins, you can prevent them from getting worse by getting up and moving throughout the day and propping up your legs on a stool whenever you have to sit for long periods of time. Wear support hose for extra support. Varicose veins should improve within three months after you deliver.
Weight gain. Morning sickness usually diminishes by the end of the first trimester. After that, your appetite should return, and will probably grow. Although food is looking much more appetizing, be aware of how much you're eating. You only need about an extra 300 to 500 calories a day during the second trimester, and you should be gaining about 1/2 to 1 pound a week.
Red Flag Symptoms
Any of these symptoms could be a sign that something is wrong with your pregnancy. Don't wait for your prenatal visit to talk about it. Call your doctor right away if you experience:
- Severe abdominal pain or cramping
- Severe dizziness
- Rapid weight gain (more than 6.5 pounds per month) or too little weight gain (less than 10 pounds at 20 weeks into the pregnancy)