The 4th Month of Pregnancy

You are in 4 months pregnant. Many mothers now notice how the belly is round. And’s further tests can be carried out, to detect a possible disease in the mother’s womb.
Cancer screening
-The doctor checks the blood pressure, weight, and the condition of the cervix. If the cervix is open it must be sealed artificially with a cervical wrap (Cerclage), to prevent a miscarriage.
-The doctor determines also the so-called fundus stand: while the distance between the pubic (symphysis pubis) and the manually palpated top of uterus (fundus) is measured with a tape measure. In 4 SSM symphysis fundus-(FSA) distance 16 cm, i.e. the uterus extends for approximately up to the navel. Your uterus is growing more and more. It may be that you feel often severe pain in the lower abdomen area,
that can occur at any time.
-If you feel a burning sensation or suffer from bladder or band pain you should talk to your doctor about it. Band pain can be triggered by an anomaly.

The early detection of chromosomal diseases
In the 4 th month, there are additional methods to help determine whether there is a genetic abnormality in the fetus. Their obstetricians and Gynecologists will certainly also enlighten you. The risk of a chromosomal disorder increases with age (38 women are particularly at risk). The disease risk can be determined by a blood test which is not accepted and must be paid by the patient by the statutory health insurance companies:

-The triple test measures the concentration of three substances in the blood of the mother: the alpha fetoprotein (AFP), the free estriol (E3) and the hormone beta-hCG. A greatly increased hormone value between the 15th and 16th week may indicate the genetic of Down syndrome (trisomy 21). An abnormal amount of child-like protein of Alpha-Fetoproteins (AFP) may indicate on the (very rare) disease Spina Bifida (open back: the spine or the spinal cord are not properly sealed and lead to paralysis or mental disability). A too high or too low AFP value can be so problematic. If the risk due to the blood values, age and a family history is increased, we recommend an examination of amniotic fluid (amniocentesis). It takes the doctor under ultrasound guidance with
a thin hollow needle and a needle through the abdominal wall and uterus wall a liquid sample (approx. 15-20 ml) from amniotic fluid, in which the fetus floats.

Important: The provides not a diagnosis but only indicates whether there is a statistical risk of disease. The test to determine so, if your child is sick or healthy.

Your baby’s development
-If it’s not your first child you feel perhaps already as your animated baby in my stomach. This is a very emotion-rich moment… If you have mild intestinal pain there is no reason to panic. You will quickly see the difference!
-The entire body of the fetus is covered with a fine hair (Lanugo) which later disappears. The hair and the fingernails grow.
-The head of the baby, who was previously excessive occupies normal proportions in relation to the rest of the body. The cerebellum develops. The limbs are extended more and more. The small hands are already fully trained.
-Your baby imitating breathing exercises although the respiratory function does not exist. That amniotic fluid in the lungs, which again “is breathed out” gets.
– The sense organs are evolving and are already almost fully formed. Your baby already has a functioning sense of touch! So you can caress your child through the thin layer of skin, because it tracks the touch! Can move the mouth and the taste is fine.
-The hearing apparatus is fully developed. Her child is sensitive to light, but still can not see.
-Your baby is approximately 19 cm and weighs 200-250 g.

-Have you been in an maternity hospital reported? If not, it is high time! Attention: Single room not assume most of the time. At one birth in a birth house according to BSG judgment must pay only the fee of the midwife (E.g. not the accommodation or meals). Prefer first clarify what services are taken over by your health insurance company or Zusatzver backup, to avoid an unpleasant surprise later!
-Keyword recognition of paternity: unmarried couples can register either during pregnancy or after the birth to the Registrar’s Office or welfare office for free paternity. This step is important for example, for the right of inheritance or custody in the event of death of the mother. To do this the following documents are required: Declaration of consent of the mother, ID cards, birth certificates of parents (and possibly of the baby). For married couples the legislature automatically assumes, that the husband is the father.

Their diet
Note same diet tips like in the last few months:
-Always consult your physician before taking any medications.
-Take plenty of fiber to themselves and drink plenty of water. The increased production of progesterone significantly slows intestinal transit and this can cause blockages .
-It is also advised to consume 80 g protein (half animal, half vegetable) every day, because your baby eats with! From the 2nd trimester, it takes approx. 9 g of protein per week.
-Provide your body and your baby enough vitamins, nutrients and trace elements.
-Pay attention to a varied diet and eat 4 meals a day: breakfast, lunch, breaks snack and dinner. Avoid heavy, hot spices and deep-fried dishes.

Boy or girl? The sex can be seen from the 4th month. Either learn it at the second ultrasound examination (in 19-22 SSW) or you will be surprised! The moment of truth evokes very strong feelings and is not always amicably received by the parents. Therefore before talking with your partner about it, when they the gender want to know. One thing is certain: from that moment on the fetus is a girl or a boy a human being…. Now start the discussion over the correct given name.

More information
A baby costs we know that much money. Low income, social services pays a subsidy to the first facilities. The Federal Foundation “Mother and child” will also help in the event of a personal emergency. More information is at counseling centers such as Caritas, diaconal work, Pro Familia, German Red Cross and the Arbeiterwohlfahrt.