Pregnancy Print Friendly Newsletter

 
Welcome To Week 11


11 Week Old Embryo

Your Baby: Transition Time
At nine weeks after conception, your embryo has developed enough to be called a fetus, and the most important part of its development is over. The baby will grow a great deal at this time -- from about 1 inch long at the beginning of the week, to about 2 inches by the end (with its head measuring about half its length). The eyelids will fuse shut, and the irises will begin to form. At some point this week or next, blood will circulate between the baby and uterus, and the placenta will begin to function, providing oxygen and nutrients.

Your Body: Weight Watching Guidelines
Most women wonder what the ideal amount of weight gain is during pregnancy. The recommended weight gain during pregnancy is generally somewhere between 25 and 35 pounds, but it will depend on your weight before pregnancy and other factors that your health care provider will discuss with you. Wherever your starting weight stands, you should not go on a diet, nor should you eat for two or more during your pregnancy. Too little and too much weight gain can lead to problems for both you and the baby in the months ahead.

Most physicians will recommend that you gain anywhere from 3-5 pounds in the first three months of your pregnancy. For the remainder of your pregnancy, most recommend gaining 1-2 pounds per week. Of course this may vary for each individual.

Keep in mind that most of the weight that you gain during pregnancy is baby-related (not fat) between the baby, the placenta, amniotic fluid, and the fluid that accumulates in your body tissues.

On A Different Note: Genetics 101
Sometimes things don't always go as planned. And for whatever reason, you may be at an increased risk of having a baby with a birth defect. If that's the case, you should see a genetic counselor to help you better understand the consequences of a particular diagnosis, explain the risks, the options regarding treatment, and the possibilities of the condition recurring in future pregnancies. Read on to learn more about what genetic counseling is all about.

Genetic Counseling
Modern genetics allows us to understand how genetic diseases are inherited based on DNA, genes, and chromosomes. We can now test couples and fetuses for certain inherited disorders, as well as other chromosomal and genetic abnormalities such as neural tube defects, Down syndrome, and cystic fibrosis.

Couples who are thinking about having a child may consider genetic counseling and prenatal diagnosis before conception to predict any possible abnormalities in their child. Others may use the tests after they conceive to evaluate the condition of the fetus.

People who are at increased risk of passing genetic abnormalities on to their children include:

  • Jews of Eastern European descent, who may have a high risk of having children with Tay-Sachs or Cannavan's, metabolic disorders that lead to death in early childhood.
  • African-Americans, who may risk passing on sickle-cell anemia to their children.
  • Couples of Southeast Asian or Mediterranean origin, who are at increased risk of having children with thalassemia, a severe form of anemia.
  • People with family histories of inherited disorders, or those who have previously had children with genetic disorders.
  • Women who were exposed to toxins that could cause birth defects.
  • Women with prior medical conditions or diseases that may affect their fetus, such as diabetes.
  • Couples who share a common ancestor.
  • Women with a history of multiple miscarriages.
  • Couples who have family members with birth defects or severe developmental problems.

Prenatal testing for genetic problems may be done before or after conception. Testing for spina bifida or Down syndrome is done after a pregnancy is established. Besides the couples listed above, counseling and diagnosis are also recommended for mothers over the age of 35, and those who have received abnormal alpha-fetoprotein test results.

For those who may be at risk, genetic counseling and prenatal diagnosis are used to help answer some important questions, such as:

  • Should we have a baby? Are the chances of having a baby with a genetic defect so high that choosing adoption or artificial insemination may be a better way to start a family?
  • How can we treat the fetus' potential defects? Are there surgical techniques available or other medical interventions that may help alleviate problems?
  • How do we prepare, physically and psychologically, for the possible outcome of a pregnancy? Are there special educational classes, training, or information that we need in order to raise a child with defects?
  • Should we continue the pregnancy? Are the fetus' abnormalities so severe that we might choose to have an abortion?

It is important to remember that preconception testing can only give you the odds of having a child with a certain birth defect; a genetic counselor maps out the specific numbers. You may learn, for example, that you have a one in four chance of having a child with a certain disorder. If you decide to conceive, the fetus may be able to undergo prenatal testing to show whether or not the baby has inherited the disorder.

Weekly Tip
Keep up with your kegels -- one of the simplest and most important exercises you can do from the get-go. By contracting the muscles of the pelvic floor, which support the pelvic organs (the uterus, bladder, and bowel), you may alleviate problems that can begin during pregnancy and last long afterward (like leakage of urine and hemorrhoids). The best part about kegels is that you can do them at any time, any place - while you're driving in the car, sitting at the computer, or eating dinner. To begin, tighten the muscles as if you're stopping a stream of urine. Hold for ten seconds at a time, then repeat, four or five times in a row. If remembering things isn't your strong suit at the moment, put up a post-it on your fridge, in your briefcase, or on your TV.


Review Date: July 23, 2001
Reviewed By: Victoria Kennedy, RN, A.D.A.M. editorial.


The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2001 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.