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Egg Meets Sperm and Fertilization Occurs. As soon as a sperm cell penetrates the egg,
fertilization occurs, usually high up in the fallopian tubes. At the moment of
fertilization the baby's gender is determined (some sperm produce males, others
produce females). Right at the start, the fertilized ovum contains a full
compliment of genetic codes: twenty-three chromosomes from mom, and twenty-three
from dad. Occasionally, two eggs are fertilized by two sperm, resulting in
fraternal twins. Less commonly, one egg is fertilized by one sperm and then
divides in two, with identical twins as the result.
WEEK TWO
Implantation Occurs. By day seven,
the embryo resembles a microscopic raspberry and implants into the lining of
your uterus. As baby burrows into the blood-rich lining a few drops of bleeding
or spotting may occur. This blooming ball of life, called a blastocyst
meaning, "sprout pouch," begins to organize into groups of several hundred
cells. Some of these cells take root into the plush uterine lining; others
arrange themselves in clusters and cavities, each with a different human
destiny. The uterus, responding to the presence of the embryo, begins to form a
primitive placenta, which transfers nutrients from mother's blood into the
developing baby and facilitates disposal of the baby's waste products. As the
placenta develops, it begins to produce human chorionic gonadotropin (HCG), a
hormone that keeps the uterine lining in place and stimulates its growth by
keeping the levels of estrogen and progesterone high. HCG is released into the
mother's bloodstream at an increasing rate as the placenta develops. By the end
of the second week, a pregnancy test will be able to detect HCB in the mother's
urine.
WEEK THREE
Hormones Surge while baby and placenta grow. By week three, your
menstrual period is late and you may suspect you are pregnant. Your rising
hormone level is likely to cause you to begin feeling pregnant. Pregnancy
hormones notify the ovaries not to ovulate again, and the ovaries, via hormonal
messengers, notify the pituitary gland in the brain to no longer stimulate
menstruation.
Within three weeks, what started out as a single cell has grown to millions
of cells that now begin to differentiate into three types of cells: those that
will become the nervous system, skin, and hair; those that will make up the
gastrointestinal tract and those that will form the circulatory, genito-urinary
and musculo-skeletal systems. By the end of the third week, a rudimentary heart
tube begins to beat and circulate blood. You're just beginning to feel pregnant
and already the baby making is well under way.
WEEK FOUR
Baby Takes Shape. During this week, baby grows to the size and shape of a
curved grain of rice. An umbilical cord, containing three distinct blood
vessels, appears. Along the outer rim of baby's tiny body, blocks of tissue
stack up to form the backbone. Tiny buds, soon to become arms and legs, emerge
from the body. The ball-like heart divides into chambers and pumps blood into
already formed major vessels. Specialized ultrasonic equipment can even detect a
regular heartbeat. Tiny pits now present in the baby's head mark the spots where
eyes and ears will form. Lobes of baby's brain and a primitive spinal cord
develop. Rudiments of future organs such as the trachea, esophagus, stomach,
mouth, liver, gull bladder, and thyroid appear. Amazingly, by the time most
mothers-to-be attend their first prenatal check-up, most of their baby's major
organs are well on their way.
During this month, baby more than doubles his length and weight, going from 1
1/2 inches at the end of the second month to 4 to 5 inches long by the end of
the third; he will weigh from one-half to one ounce. Let's look at 10 growth
milestones:
All of baby's organs are formed, and they will continue to grow and develop
during the rest of the time in the womb.
Baby's liver, spleen, and bone marrow start making blood cells this month.
Baby's teeth begin to form; by the end of this month baby will have twenty
little tooth buds beneath his gums.
Fingernails, toenails, and rudimentary hair appear.
Baby's intestines, previously part of the umbilical cord, now move into the
abdominal cavity and become covered with skin.
The tongue and vocal cords form this month.
The circulatory system is operating, and heart valves are now developing,
meaning a heartbeat can be detected by Doppler ultrasound.
The external genitalia differentiate clearly into male and female so that by
the end of the month ultrasound pictures can often reveal whether baby is a boy
or a girl.
By twelve weeks the head is around a third of the size of the body.
Baby's tiny feet can now kick, but you are unlikely to be able to feel it
yet.
By the end of the 16th week, you can easily feel your grapefruit-sized uterus
midway between your pubic bone and your navel. Let's look at 10 growth
milestones during this month:
Your little "peach" is about the size of a peach!
Baby doubles her length and nearly quadruples her weight.
She is around five inches long and weighs around four ounces at the end of
the 16th week.
Her arms lengthen this month and she can flex her arms, clasp her hands, and
suck her thumb. Her legs lengthen, and kicking intensifies (you probably don't
feel it yet).
Her bones (arms, hands, and legs) form and are visible on x-ray or
ultrasound.
Baby "breathes" amniotic fluid in and out through the developing air
passages and tiny sacs in her lungs.
Her external ear folds are becoming more developed, as is her hearing,
enabling her to react to sounds.
She develops her own unique fingerprints.
Blood vessels proliferate at a rapid rate and show through baby's thin,
still transparent skin.
The placenta becomes the prime producer of pregnancy hormones you will
continually need to nourish your baby and yourself, and your baby now free
floats in her own bubble of amniotic fluid, contained in an amniotic sac. By the
16th week, there is enough amniotic fluid for doctors to safely enter the fluid-
filled sac by a procedure called amniocentesis.
By the end of this month you can feel your cantaloupe-sized uterus at the
level of your navel. Other growth milestones include:
Your baby weighs around three-quarters of a pound, and measures between 8-10
inches long. This is about half the length baby will be at birth.
Baby's legs, now around the size of your little finger, continue growing,
become more muscular, and make their presence felt as tiny flutter kicks.
He waves his growing, but still tiny, arms. On ultrasound, you may see him
sucking his thumb and making a fist.
Baby hair is beginning to appear on his upper lid, eyebrows, and head.
His skin, previously thin and transparent, now begins to accumulate fat
deposits.
Baby's oil glands start to secrete a waxy substance that mixes with his dead
skin cells to form a cheesy coating, called the Vernix caseosa, which acts like
a sort of wetsuit protecting the little swimmer's skin from chapping.
Fine, temporary haircalled lanugo (meaning "wool")covers most of his body
and helps to hold the vernix on the skin.
Baby's digestive system functions better now, and he regularly swallows
amniotic fluid and urinates into it.
By this month, baby's middle ear structures have formed, enabling baby to
hear sound.
Still, baby cannot yet survive outside the womb at this stage because his
lungs are still undeveloped.
How does baby grow this month? Check out the following growth milestones:
By the end of this month baby weighs around 2 to 2-1/2 pounds and measures around
fourteen inches long.
During this month baby has a growth spurt, gaining around a pound.
Fat deposits smooth out some of the previous wrinkles, giving baby a more
filled out appearance, but he is still much skinnier than he will be at birth.
Baby is getting stronger! His limbs are longer, stronger, and these
delightful little kicks make more of an impression in your abdomen.
Baby's eyelids open. Baby can now see, hear, smell, and taste.
Baby's bone marrow now takes over from the spleen as the major site of red
blood cell production.
At this stage, baby moves vigorously and responds to touch and sound.
Baby gets smarter as major changes occur throughout her nervous system.
Nerve fibers are clothed in a fatty layer called myelin that allows nerve
impulses to travel faster.
Cells lining the rapidly budding alveoli (air sacs in baby's lungs) begin to
secrete a soapy substance called surfactant that keeps these air sacs from
collapsingsimilar to the substance that keeps the soap bubble expanded.
Depending on how well developed are the alveoli and surfactant secretion, if
baby were born now, she may be able to sustain air breathing and life outside
the womb.
Before the seventh month, most babies choose to lie in the breech position
because it's easier for them to rest comfortably in the pear-shaped uterus, but
most will flip to the head-down position by 34 weeks.
Wow! It's almost time, to greet baby into her new world. What is happening
now?
Baby weighs from 6 to 7 ½ pounds.
She measures 18 to 20 inches.
This is her "finishing" stage, and baby gains a tremendous amount of
subcutaneous fat, filling him out for birth.
The lanugo hair has disappeared.
Some of the vernix caseosa has disappeared, and it seems that just enough of
this cheesy substance remains to lubricate him for a smoother passage during
birth.
By this time baby has pretty much run out of room and is tucked up like a
little ball.
During the final weeks inside the womb, baby sucks, swallows, breathes, and
blinks.
He steps, turns his head, and sucks his thumb.
He grasps and clasps his hands, practicing all the movements he will need
after he makes his appearance in the world.
The air sacs of his lungs are now
lined with a substance called surfactant, that keep the lungs expanded after
each breath, enabling nearly all babies born at this stage (even early in this
stage) to breathe air outside the womb.
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