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first trimester pregnancy – a pregnancy phase that needs good attention

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1-4th week
If you are newly pregnant, or trying to conceive, you have many questions about what to expect. How will
your body change? What's happening inside you? WebMD has teamed up with experts from The
Cleveland Clinic to guide you, week by week, through the nine months of pregnancy. Each week offers
information about your body and baby's, as well as invaluable tips. Let's start with a peek inside the
womb.

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What's Happening
Inside You?

As the fertilized egg grows, a water-tight sac forms around it, gradually filling with fluid. This is called the
amniotic sac, and it helps cushion the growing embryo.

The placenta also develops. The placenta is a round, flat organ that transfers nutrients from the mother to
the baby, and transfers wastes from the baby.

A primitive face takes form with large dark circles for eyes. The mouth, lower jaw, and throat are
developing. Blood cells are taking shape, and circulation will begin.

By the end of the first month, your baby is about 1/4 inch long - smaller than a grain of rice!

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Weeks 1 and 2

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Your baby is still just a glimmer in your eye. Although it's confusing to think about a pregnancy starting
before your child is even conceived, doctors calculate your due date from the beginning of your last cycle
since it's hard to know exactly when conception occurred.

At the beginning of a cycle, about 20 eggs called ova begin to ripen and occupy fluid-filled sacs called
follicles. One of these follicles matures and ruptures, releasing an egg that will travel down the fallopian
tube, where it awaits fertilization. This all takes place about 14 days before the end of your cycle. This is
the time you're most fertile, so light some candles, take the phone off the hook, and set aside some
intimate time. An egg can be fertilized for only about 12 to 24 hours once the ovum is released. Don't be
disappointed if it doesn't work the first time. You have only about a 20% chance of getting pregnant each
month.

Tip for the Week:


Make sure you've scheduled a preconception visit with your OB-Gyn to determine risks of genetic
diseases, environmental hazards and lifestyle changes necessary to ensure a healthy pregnancy and
baby. Most important, make sure you've started taking 0.4 milligrams, or 400 micrograms, of folic acid a
day. Folic acid taken a few months before conception has been shown to dramatically reduce the
likelihood of neural tube defects, such as spina bifida.

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Week 3

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Congratulations! If your egg and your partner's sperm have joined successfully, your embryo is really
there, although it's very small -- about the size of the head of a pin. It doesn't look like a fetus or baby; it's
just a group of about 100 cells multiplying and growing rapidly. The outer layer of cells will become the
placenta, and the inner layer will become the embryo.

You won't notice any changes. It's too soon. Remember, you haven't even missed your period yet.

Tip for the Week:


Home pregnancy tests are about as reliable as a urine test or blood test done in the doctor's office and
can give you more immediate results than waiting for a doctor's visit. To ensure accuracy, make sure
you've read the directions carefully and that all equipment being used is clean.

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Week 4

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Your baby is still very small, only about 0.014 inches to 0.04 inches in length. The embryo, probably in
about its second week of development, has multiplied to about 150 cells. Your baby is being nourished by
secretions from the uterine lining. Layers of cells already are specialized according to functions. The outer
layer will become the nervous system, skin and hair; the inner layer will be the breathing and digestive
organs; and the middle layer will become the skeleton, bones, cartilage, muscles, circulatory system,
kidneys and sex organs.

You're probably expecting your period this week, and if it doesn't occur it might be one of the first signs
that you're pregnant. You may also notice light spotting as the embryo implants itself in your uterus. You
might not feel any different yet, but the amniotic cavity, which will be filled with fluid, and the placenta,
which will bring oxygen and nutrients to nourish your baby, are forming in your uterus.

Tip for the Week:


Try to eat healthfully, which means choosing a variety of foods from the recommended food groups and
drinking at least six to eight 8-ounce glasses of water a day. But you don't really need to "eat for two." You
need only an extra 300 calories per day during pregnancy. And don't worry if your food intake drops a little
in the beginning because of morning sickness. If you've been eating right already, your baby will get what
it needs.

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5th-8th week
What's Happening
Inside You?

Your baby's facial features continue to develop. Each ear begins as a little fold of skin at the side of the
head. Tiny buds that eventually grow into arms and legs are forming. Fingers, toes and eyes are also
forming.

The neural tube (brain, spinal cord and other neural tissue of the central nervous system) is well formed.
The digestive tract and sensory organs begin to develop. Bone starts to replace cartilage.

By the end of the second month, your baby, now a fetus, is about 1 inch long, weighs about 1/3 ounce,
and is virtually all head (1/3 of its body is head).

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Week 5

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Your embryo still hasn't grown much. It's about 0.05 inches long. Heart, brain, spinal cord, muscle and
bones are beginning to develop. The placenta, which will nourish your baby, and the amniotic sac, which
provides a warm and safe environment where the baby can move easily, are still forming, too.

Still no big changes to notice in yourself, although you might suspect by now that you're pregnant. Some
early pregnancy symptoms include nausea (called "morning sickness," although it can happen at any time
of day), a tingling or soreness in your breasts and darkening of the areola, the need to urinate more
frequently and feeling more tired than usual.

Tip for the Week:


You'll want to schedule a visit to your OB-Gyn as soon as you suspect you're pregnant. Good prenatal
care is one of the best assurances of a healthy pregnancy and healthy baby.

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Week 6

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The embryo is starting to look like a tadpole. It's about 0.08 inches to 0.16 inches -- the size of a BB
pellet -- from the top of the head to buttocks. (This crown-to-rump length is used more often than crown-
to-heel length because the baby's legs are most often bent and hard to measure). The eyes and limb
buds also are forming. A heartbeat can sometimes be detected by an ultrasound around now. This is also
an extremely important time in the development of your baby, since between 17 and 56 days the embryo
is most susceptible to factors that can interfere with its normal growth.

You may have gained a few pounds by now, but if you're experiencing morning sickness you may have
lost weight, which is also normal. You're starting to notice some changes in your body: clothes getting a
little tighter around the waist, weight gain in your legs and breasts. With a pelvic exam, your practitioner
will be able to notice a change in the size of your uterus.

Tip for the Week:


Make sure you're following good prenatal habits, like eating right and taking your prenatal vitamins. Since
the neural tube (which is the beginning of the central nervous system) has formed by now, taking folic
acid to prevent spinal cord defects such as spina bifida, has been crucial. If you haven't already, stop
smoking and drinking.

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Week 7

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Your embryo makes great strides in size this week, growing to between 0.44 inches and 0.52 inches from
crown to rump by the end of the week, or about the size of a small raspberry. Leg buds are starting to look
like short fins, and hands and feet have a digital plate where fingers and toes will develop. The heart and
lungs are becoming more developed, as are the eyes and nostrils, intestines and appendix. By now the
brain and spinal cord are growing from the neural tube.

You're still not "showing," but by now you're really feeling the changes in your body. You still may be
experiencing morning sickness and the other symptoms of early pregnancy. Breasts will probably be
tingly and tender.

Tip for the Week:


To settle a queasy stomach, never let your stomach get empty. Keep snacks on hand around the clock,
and eat lots of little meals rather than three big ones. To prevent a drop in blood sugar, include some
protein like adding some cheese on crackers.

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Week 8
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Your embryo, now about in its sixth week of development, is about the size of a grape -- 0.56 to 0.8
inches from crown to rump. Eyelid folds and ears are forming and even the tip of the nose is visible. The
arms have grown longer and bend at the elbows. Places where fingers and toes eventually will grow are
becoming notched.

Your uterus, once the size of your fist, is now about the size of a grapefruit. You may feel some cramping
or pain in your lower abdomen or sides, but that's because your uterus typically tightens or contracts
throughout pregnancy. Consult your doctor if contractions are accompanied by vaginal bleeding.

Tip for the Week:


Good breast support during pregnancy will help you feel more comfortable and prevent future sagging.
Exercises to keep your chest muscles toned can be useful, too.
-- - - -
9th to 12th week
What's Happening
Inside You?

By the end of the third month, your baby is fully formed. Your baby has arms, hands, fingers, feet and toes
and can open and close its fists and mouth. Fingernails and toenails are beginning to develop and the
external ears are formed. The beginnings of teeth are forming. Your baby's reproductive organs also
develop, but the baby's gender is difficult to distinguish on ultrasound. The circulatory and urinary systems
are working and the liver produces bile.

At the end of the third month, your baby is about 4 inches long and weighs about 1 ounce.

Since your baby's most critical development has taken place, your chance of miscarriage drops
considerably after three months.

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Week 9

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The embryo measures about 0.9 inches to 1.2 inches from crown to rump, or the size of a strawberry.
The arms and legs are longer, and the fingers might be a little swollen where the touch pads are forming.
The head is more erect and neck is more developed. Your baby now moves its body and limbs, and this
movement can be visible during an ultrasound, but you won't be able to feel it yet.

Your uterus is continuing to grow, and you may begin to see your waistline thickening. But unless you tell
people the good news, your pregnancy still won't be noticeable to others. Weight gain is still small, if at all,
since you could be experiencing food aversions, cravings, heartburn, indigestion, nausea and bloating.
Mood swings and weepiness similar to PMS symptoms are common, too.

Tip for the Week:


Eat plenty of foods that contain calcium -- such as cheeses, sardines and broccoli -- to provide sufficient
calcium for the development of your baby's teeth and bones.

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Week 10

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Congratulations! Your baby is now officially called a "fetus." It looks a little like a medium shrimp,
measuring 1.25 to 1.68 inches from crown to rump, and weighing a little less than two-tenths of an ounce.
You might be reassured to know that most physical malformations, when they occur, have occurred by the
end of this week, so the most critical part of your baby's development is safely behind you. But other
developmental processes, such as those affecting behavior and intelligence, will continue throughout
pregnancy. Eyes are covered by skin that will eventually split to form eyelids.

You still probably don't show, but you may be wearing looser clothes. You may even be starting to eye
maternity clothes, although you probably still don't need them. You may continue to feel tired and moody,
but take heart: These symptoms shouldn't last too much longer.

Tip for the Week:


If you're going to have chorionic villus sampling (CVS), a prenatal test used to detect genetic defects such
as Tay-Sachs, sickle cell anemia, most types of cystic fibrosis and Down syndrome, it will probably be
scheduled between now and 12 weeks.

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Week 11

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Your fetus, about the size of a large lime, measures about 1.75 to 2.4 inches from crown to rump and
weighs about three-tenths of an ounce. About now the rapid "swooshing" noises of the heartbeat can be
heard through a Doppler sound-wave stethoscope. Fingernails and external genitalia are showing
distinguishing characteristics, and the baby is swallowing and kicking, although you still won't feel it.

Your uterus is almost big enough to fill your pelvis and may be felt in your lower abdomen. You may also
experience changes in hair, skin, fingernails or toenails.

Tip for the Week:


Don't ignore your dental hygiene during pregnancy. Floss and brush regularly, and make sure you see
your dentist at least once in these nine months. Your gums may bleed more because of hormones during
pregnancy and because of increased blood volume.

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Week 12

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The fetus now measures about 2.5 inches from crown to rump and weighs between three-tenths of an
ounce and half an ounce. It is fully formed, from tooth buds to toenails, and your baby's job now is to
continue getting larger and stronger for the rest of your pregnancy. With the most critical development
behind the fetus, the chance of miscarriage drops considerably after this week.

Nausea and energy start to improve. You may be experiencing occasional headaches, dizziness and
fatigue from hormonal changes. If it's your first baby, you still could be wearing loose-fitting clothes, but if
you've had other pregnancies, you'll probably start to show earlier and may be in maternity clothes. The
typical weight gain by now is about three to five pounds. Fathers-to-be might also experience pregnancy
symptoms, called couvade or "hatching," during the third month and at delivery, including nausea,
abdominal pain, appetite changes and weight gain.

Tip for the Week:


Most women develop stretch marks on their abdomen, breasts, hips or buttocks sometime during their
pregnancy. They won't go away, but they'll usually fade after pregnancy. Despite claims from
manufacturers, creams and oils don't minimize them. It depends on your skin's natural elasticity. Gradual
rather than rapid weight gain may help, as well as avoiding excessive weight gain during pregnancy.
------

Congratulations, you're pregnant! Although it may seem early, there are plenty of things you'll need to do
during your first trimester -- like eating well and getting lots of sleep.
Schedule your first prenatal visit with your practitioner when you're about nine weeks along. Plan on
seeing your practitioner every four weeks.

Avoid alcohol, drugs and cigarettes.

If your immunizations are not up to date, let your practitioner know.

Drink lots of fluids, especially water (8 to 10 glasses a day).

Stick to a diet naturally high in folic acid (oranges, melons and dark green vegetables).

Eat plenty of iron-rich foods (whole grains, beans, raisins and nuts).

Keep your blood sugar level elevated by eating lots of high-protein and high-carbohydrate foods such as
breads, brown rice, potatoes and cheese.

As a general rule, avoid medication and consult with your doctor before taking any.

Get plenty of sleep, and try to nap if you feel tired during the day.

Exercise, but moderately. Don't start a new exercise regimen when you're pregnant, and be careful not to
become overheated for prolonged periods.

If you're a coffee drinker, cut back, switch to decaf or try herbal or decaffeinated tea.

If your family has a history of genetic disorders, consider prenatal testing.

Start budgeting for your new life with baby.

Choose a place to give birth (hospital? birthing center? home?).

Consider starting a pregnancy diary and having someone take a picture of you (and your expanding belly)
each month.

Refrain from getting perms, dyes and other hair treatments involving heavy chemicals.

Get smart -- buy a few pregnancy books and dive in.

----

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From: Creative Lipi <mail@creativelipi.com> | Add to Address Book | This is spam
To: "Dipankar Maibam" <maibam@rediffmail.com>

Subject: Re: Re: Application for Content Writer: Freelance


Date: Thu, 23 Nov 2006 20:06:14 IST

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Dear Friend,

Thanks for your willingness to take the test as the first step in joining
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----- Original Message -----
]
> On Mon, 20 Nov 2006 Creative Lipi wrote :
>>Hi,
>>
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>>Asheesh Jain
>>
>>9311694999
>>
>>0129-4072379
>>
>>0129-4076379
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