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Signs and symptoms of pregnancy typically change as pregnancy progresses, although several symptoms may be present throughout. Depending on severity, common symptoms in pregnancy can develop into complications. [1] Pregnancy symptoms may be categorized based on trimester as well as region of the body affected.
Many symptoms and discomforts of pregnancy, such as nausea and tender breasts, appear in the first trimester. [56] During the second trimester, most women feel more energized and put on weight as the symptoms of morning sickness subside. They begin to feel regular fetal movements, which can become strong and even disruptive. [citation needed]
During pregnancy the plasma volume increases by 40-50% and the red blood cell volume increases only by 20–30%. [22] These changes occur mostly in the second trimester and prior to 32 weeks gestation. [24] Due to dilution, the net result is a decrease in hematocrit or hemoglobin, which are measures of red blood cell concentration.
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While red cell mass increases by 15–20% during pregnancy, plasma volume increases by 40%. [24] Hemoglobin levels less than 11 g/dL during the first trimester, less than 10.5 g/dL during the second and third trimesters and less than 10 mg/dL in the postpartum period are considered anemic. [25]
Iron is needed for the healthy growth of the fetus and placenta, especially during the second and third trimesters. It is recommended that the first and third trimester retain concentrations greater than 11 grams/deciliter and that the second trimester has levels above 10.5 grams per deciliter. [15]
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