Your provider will discuss the results of your anatomy ultrasound and any other testing done since your last visit.

Your provider will check if the top of your uterus can be felt at the level of your belly button and will listen to your baby's heartbeat using the fetal doppler.

Your provider will ask you if you have felt your baby move since you may have started to feel some flutters or movements.
• Most women feel movement in the early morning or in the evening after dinner.
• If you have an “anterior placenta,” you may not feel your baby’s movement as frequently.

During the 5th month, your baby will grow from the size of a sweet potato to the size of a grapefruit.

Since your baby is able to twist, roll, and kick, you may have started feeling movement around 18 weeks.

Low back and rib pain are common at this point in your pregnancy.

A doula is a non-medical helper who can support you by providing continuous care before, during, or after childbirth. Doulas give information, physical support like massage and position changes, as well as emotional support.

It's a good idea to start looking for a doula early since many experienced doulas fill up quickly with repeat clients and word-of-mouth referrals.

There may be free or low-cost doula options for those who are unable to afford one.
• Ask if your hospital or birth center has volunteer doulas available.
• Ask an established doula if she knows of a student doula that needs to attend a certain number of births for their certification.

Creating a Postpartum Care Plan which you can share with your OB provider will help you feel prepared for motherhood and life with a baby.

Here are some symptoms or problems your doctor may advise you to call them about:
• Sudden vision changes or visual problems such as double vision, blurring, spots, etc.
• Recent increased swelling in either or both feet or ankles
• Swelling of your hands or face
• Rapid weight gain
• Significant decrease in baby's activity or no movement for several hours after 24 weeks
• Regular, painful contractions in the lower abdomen or back
• Water breaks with or without contractions
• Gush of fluid or repetitive leakage from vagina
• Persistent intense itching of your torso, arms, legs, palms, or soles, or a feeling of itchiness all over your body
• Difficulty breathing or shortness of breath that seems to be getting worse
• Unusual change in vaginal discharge
• Pain or cramping in your arms, legs, or chest
• Persistent pain in your upper belly or shoulder, especially under the ribs on your right side
• COVID-19 exposure or symptoms
• Exposure to or symptoms of other viruses or communicable diseases such as the flu, Zika, chicken pox, etc.