Jan 26, 2022 | 5 minutes Read

You’re almost six months into your pregnancy. Your belly is rounded, and you’re looking more pregnant with every passing week. No doubt you've started to plan for the baby and are thinking about what you’ll need. If you've had a baby before this will all come naturally, but if this is your first it can all seem a little overwhelming. There are so many choices and options available to expectant parents. Combined with a cloudy pregnancy brain, it can all seem totally confusing.

Where did I put my shopping list?

Babies themselves don’t need much to keep them happy. A full belly, a safe place to sleep, loving care and a clean, dry diaper are some of the basics. Try not to go overboard when you start thinking about organizing the nursery. Do your research and try to imagine what you’ll need long term, rather than buying expensive items which look gorgeous but which you’ll only use for a few months. Ask other parents what they’d recommend and what they couldn’t do without. Look through catalogues and investigate online alternatives. Think about adding some extra baby toiletries, diapers, and wipes to your shopping cart each week. You can build your supply of baby items gradually and it won’t be such financial jolt all at once.

Oh, look at that!

Have a shopping trip to check out

baby clothing sizes. Become familiar with how sizes correlate with age. It is incredibly tempting to start buying at least a few baby clothes around now. You may find them impossible to resist, especially when those pregnancy hormones are urging you to get organized and create a "nest" for your little one. Avoid leaving everything to the last minute. But likewise, you don t need to have everything ready too soon because this can make the latter stages of pregnancy seem to last forever. Involve your partner in the decision making as well and get excited together. Looking at a growing collection of baby-related items really drives home the message that you are going to have a baby of your own.

Your physical changes this week

Noticing some blood on your toothbrush? Those gums of yours are working overtime in supporting your teeth and their surrounding bone. You may find your gums are prone to swelling or gingivitis as well. Remember to brush your teeth at least twice a day and to floss thoroughly at night. Bleeding gums are a warning sign to brush more, not less. Make an appointment to see your dentist at least twice through your pregnancy.

Those ligaments and muscles supporting your expanding uterus are getting a workout. Progesterone and relaxin, those all-important pregnancy hormones, are working their magic by loosening and relaxing the tight fibers. This is so your body can prepare for childbirth, but it also has the bonus of making everything a little looser. Warm baths, tummy massage or even physical therapy can be useful in relieving discomfort.

Opening the fridge constantly? Feeling as if you're never full? Always on the lookout for something to eat? If you're finding it difficult to satisfy your appetite, then think about the foods you are eating. Cookies and cakes may be calling your name but they're not doing you or your baby any favors. Your body will digest them quickly and before you know it, you’ll be looking longingly into the fridge for inspiration again. Go for wholegrain bread, muffins, fruit, milk drinks, and good quality cereals drenched in milk with some fruit on the top. Think quality, not quantity. There is no need to starve yourself but avoid empty nutrition which won’t help your baby to grow.

Your emotional changes this week

As your pregnancy progresses, you are likely to find yourself thinking more about the birth. If you've had a baby before this won’t be the big unknown that it is the first time around. You can be clear about the parts of your past experiences you were pleased with and those you would prefer not to have happen the same way again. Every labor and birth will take its own course and it is very difficult, if not impossible, to predict at 25 weeks of pregnancy how your labor will proceed.

You’ll probably be getting lots of interesting advice these days and not always from sources you’d expect. Everyone's an expert when it comes to pregnancy and will have some wisdom to share. If you're not interested, then politely excuse yourself or create some urgent task which requires your immediate attention.

It's getting harder to remember when you weren’t pregnant and you're wondering what on earth you used to think about. Your baby has started to become a very important part of you and its increasingly hard to just think of yourself as an individual, separate from the baby.

If you've previously had a baby who was born early you may worry about having preterm labor again. Your pregnancy provider will have taken a thorough history from you at your first appointment but remind them if you are concerned about this happening again.

Your baby's changes this week

Your baby's nostrils are patent, meaning they're not closed over like they were earlier in pregnancy. Changes are happening in your baby's lungs which will help them breath independently at birth. That all important surfactant is coating their tiny alveoli, helping them to stay open and retain oxygen at birth.

Your baby may be lying in a breech position, i.e. with its bottom pointing down and its head up under your ribs. Or be lying transverse; sideways or oblique; diagonally across your uterus. At this stage there is still plenty of room for the baby to move freely about in your uterus and to find its own comfortable positions.

Think about investing in a baby calendar and follow the changes in your baby as you head towards your due date. Remember your baby is unique and although it may be similar in lots of ways to other babies, it is its own little person.

If you're having a prenatal appointment this week, listen to your baby's heartbeat. On average, a baby's heart will beat twice as many times per minute as its mother’s. There’s something deeply reassuring about hearing that repetitive thumping sound.

Hints for the week

Keep that seatbelt on when you're in the car. Although it might be getting a little tight, your safest option is to have your seatbelt secure at all times. Some pregnant women experience motion sickness especially on public transportation where access to fresh air is limited. Sit on the aisle seat of trains or buses if you need to and try to focus on the horizon. Sipping cold water can help, so can acupressure bands and eating small amounts of ginger flavored foods.

If someone around you is smoking, move away. Secondhand smoke is almost as toxic as first hand smoking and your placenta will not filter all the carbon monoxide or other chemicals which you are passively inhaling. If you’re still smoking, do everything you can to try to stop. Consider hypnotherapy, acupuncture, or a support group. All of these have proven benefits which will optimize your chances of successfully quitting.

Get into the habit of lying on your left side, rather than flat on your back. Your heavy uterus may compress important blood vessels which supply the placenta and baby of oxygen. You may also feel lightheaded and faint if you lie prone for any period of time. Remember to invest in some good quality pillows and arrange them for optimal comfort in your bed. Don t forget to leave a little room for your partner though.

Make sure you're aware of risky foods you need to avoid. Listeria is a rare but dangerous bacterium which is found in some foods. Soft cheeses, coleslaw, pate, unpasteurized milk, sliced cold meats, sushi and raw meat all pose a risk. Watch your kitchen hygiene and wash your hands well after handling raw meat.

Any pain, bleeding, or unusual symptoms you have need to be checked by your provider. Some women are more prone to premature labor and its onset can be vague. Don’t hesitate to have a check-up even if you feel you want reassurance.

Week 26 coming next!

For more information see Pregnancy Week by Week.

The information of this article has been reviewed by nursing experts of the Association of Women’s Health, Obstetric, & Neonatal Nurses (AWHONN). The content should not substitute medical advice from your personal healthcare provider. Please consult your healthcare provider for recommendations/diagnosis or treatment. For more advice from AWHONN nurses, visit Healthy Mom&Baby at health4mom.org.